Journal of the Korean Academy of Family Medicine 1989;10(2):8-21.
Published online February 1, 1989.

가족기능측정을 위한 가족기능도지수 설문11의 적용에 관한 연구

최경자 박영규 최기운 황의정 홍명호 조숙행

고려대학교 의과대학 가정의학교실 고려대학교의과대학 신경정신과 교실

Abstract

To assess the family function which provides further information for family members and better docter-patient relationship, the following 5 variables such as demographic characteristics, family type, family life cycle(FLC), psychosocial stressors & family resources were evaluated by family APGAR. Total 451 objectives were asked to fill family APGAR questionnaires part I & II designed by Smilkstein (1978). This study was performed at Guro Hosp. & Pohang Gatholic Hosp. From Feb. 1987 to Aug. 1988.
Total 451 objectives were composed by neurotic patients(246 persons) and control(205 persons). Male was 190(42.1%) and female was 261(57.9%). The mean age of objectives was 19.0 yearof age. The mean family APGAR score was 5.40±2.42, which means moderate dysfunction.
The resulting family APGAR score following above 5 variables are as follow;
1. Demographic characteristics : The family APGAR xcore aws higher tendency in group of age above 50 years, male sex, married status, higher education and higher income. The significantly lowest family APGAR score was found in neurotic group, especially in 3rd decade age group(4.73±2.77, p-value 0.05).
The variable suah as age, educated level & economic status were correlated significantly to family APGAR score.
2. Family type : The lower family APGAR score was found in extended family type of neurotic group(4.88±2.72, p-value 0.05). The severe dysfunctional family was more found in extended family type of neurotic group(35.4%) than of control group(16.3%), significantly.
3. Family life cycle : The highest family APGAR score was found in FLC stage II of both ovjective groups. But the lowest family APGAR score was found on FLC stage I in neurotic group and found on FLC stage V in control group.
4. Psychosocial stressors : The family APGAR score was significantly lowered by conjugal problems in neurotic group and lowered by financial problem in control group. The frequent stressors were interpersonal(54.1%), occupational(20.7%), financial(19.5%) & conjugal(15.5%) in neurotic group and occupational(33.7%), physical illness or injury(20.9%) & financial(12.2%) in control group.
5. Family resources : Mostly(69.8%), the problem was resolved within family. The commonly selected extrafamilial resources were the relatives(53.5%) & the friends(40.9%) in neurotic group and the friends(72.1%) & the relatives(11.5%) in control group. The family APGAR score was lower in group resolving the problems with extrafamilial resources and was correlated, significantly.