Family functioning and psychological distress in a sample of mental health outpatients: Implications for routine examination and screening.

Rationale, Aims, And Objectives: Clinical and research evidence suggests that family functioning is an important variable in shaping psychological well-being, despite being often overlooked in the prevailing approaches to mental health. The aim of the present study is to examine the associations between psychological distress and family functioning in a sample of patients accessing a public mental health service.

Method: CORE-OM and FACES IV questionnaires were administered to 112 patients, and all the correlations between the scales and subscales were calculated. Descriptive statistics concerning family typologies and satisfaction with family communication or relationships were also evaluated.

Results: The results showed significant associations between family functioning and psychological well-being. Positive aspects of family functioning, such as balanced cohesion and flexibility, were associated with lower distress, while negative aspects such as disengagement were associated with poorer mental health. According to the Circumplex model, most of the families were described as balanced in their functioning; however, the communication and family satisfaction scores revealed that many patients had concerns about their family relationships.

Conclusions: This study confirms that family functioning is significantly associated with psychological distress, also in the absence of clear and conspicuous signs of structural imbalances within family relationships.