<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0185-3325</journal-id>
<journal-title><![CDATA[Salud mental]]></journal-title>
<abbrev-journal-title><![CDATA[Salud Ment]]></abbrev-journal-title>
<issn>0185-3325</issn>
<publisher>
<publisher-name><![CDATA[Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0185-33252015000400259</article-id>
<article-id pub-id-type="doi">10.17711/sm.0185-3325.2015.036</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Desarrollo y validación de un instrumento para la evaluación de los subsistemas familiares de pacientes pediátricos hospitalizados por enfermedad crónica (eSisFam)]]></article-title>
<article-title xml:lang="en"><![CDATA[Development and validity of an instrument for the assessment of family subsystems of hospitalized pediatric patients by chronic illness (eSisFam)]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rojas-Carrasco]]></surname>
<given-names><![CDATA[Karmina Elena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Benjet]]></surname>
<given-names><![CDATA[Corina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Robles García]]></surname>
<given-names><![CDATA[Rebeca]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Reidl Martínez]]></surname>
<given-names><![CDATA[Lucy]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,IMSS CMN S.XXI Hospital de Pediatría]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz Dirección de Investigaciones Epidemiológicas y Psicosociales ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Nacional Autónoma de México Facultad de Psicología ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2015</year>
</pub-date>
<volume>38</volume>
<numero>4</numero>
<fpage>259</fpage>
<lpage>271</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0185-33252015000400259&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0185-33252015000400259&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0185-33252015000400259&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[ ANTECEDENTES:  La teoría sistémica de la familia plantea que en ésta existen tres subsistemas: conyugal, parental y filial, los cuales responden, según su particular función, cuando uno de los miembros en edad pediátrica enfrenta alguna enfermedad crónica que amenaza su vida. La evaluación de las familias en un contexto hospitalario institucional presenta distintos desafíos debido al tiempo mínimo necesario para obtener un diagnóstico preciso y por la escasez de recursos humanos preparados para dichas tareas.  OBJETIVO:  Desarrollar y validar un instrumento para la evaluación de los subsistemas familiares durante la hospitalización a causa de una enfermedad crónica pediátrica (eSisFam).  MÉTODO:  A partir de la bibliografía y de instrumentos conocidos de funcionamiento familiar, se conformó uno nuevo de cuatro secciones: sistema general y subsistemas conyugal, parental y filial. Participaron 312 cuidadores primarios de pacientes crónicos internados en un hospital público pediátrico. Los reactivos tipo Likert con cuatro opciones de respuesta, fueron contestados en un programa de cómputo. Se determinó la validez de contenido, de constructo y la confiabilidad.  RESULTADOS:  La validez de contenido arrojó más del 80% de acuerdo interjueces. La validez de constructo por análisis factorial exploratorio identificó tres causas del sistema general (cohesión, comunicación y adaptación), dos del subsistema conyugal (relación afectivo-sexual y distanciamiento-infidelidad), tres del parental (bienestar, responsabilidad compartida y cuidado de los hermanos) y tres del filial (bienestar, conocimiento de la enfermedad y aceptación-participación) con coeficientes alfa de Cronbach superiores a 0.80.  DISCUSIÓN Y CONCLUSIÓN:  El instrumento desarrollado (eSisFam) es válido y confiable para una evaluación general del sistema familiar y de los subsistemas conyugal, parental y filial. La medida podrá ser utilizada en el hospital de pediatría para la detección temprana de situaciones familiares que pudieran interferir con la atención médica del niño o adolescente.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ BACKGROUND:  According to the family systems model, the family consists of three main subsystems: marital, parental and filial, all of which perform specific functions. A chronic pediatric illness presents challenges to these subsystems leading family members to make the necessary adjustments in order to maintain system balance. The evaluation of families in a public hospital setting is hampered by time constraints and limited human resources to carry out a precise evaluation.  OBJECTIVE:  The aim of this study was to develop and validate a practical instrument for, evaluation of family subsystems during the hospitalization of a pediatric patient with a chronic illness (eSisFam).  METHOD:  Based on a review of scientific literature and well-known family functioning instruments, a new measure with four sections was developed: the general system and the marital, parental and filial subsystems. This was applied to 312 primary caregivers of chronically ill hospitalized pediatric patients in a public pediatric hospital. Likert-type items with four response options were self-administered with a computer program. Content validity, construct validity and reliability were assessed.  RESULTS:  Content validity was obtained by 80% agreement between judges. Construct validity was evaluated by exploratory factor analysis, resulting in three factors for the general system (cohesion, communication and adaptation); two for the marital subsystem (affective-sexual relationship and distancing-infidelity); three for the parental subsystem (well-being, shared responsibility and care of siblings), and three for the filial subsystem (well-being, illness knowledge and acceptation-participation). We assessed the internal consistency with Cronbach's alpha coefficients; these were higher than 0.80 in all subscales.  DISCUSSION AND CONCLUSION:  The instrument (eSisfam) that was developed is a valid and reliable measure to assess general family system functioning and marital, parental and filial subsystems. This measure could be used in pediatric hospitals for the early detection of family situations that might interfere with child or adolescent medical attention.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Evaluación familiar]]></kwd>
<kwd lng="es"><![CDATA[subsistemas familiares]]></kwd>
<kwd lng="es"><![CDATA[enfermedad crónica pediátrica]]></kwd>
<kwd lng="en"><![CDATA[Family assessment]]></kwd>
<kwd lng="en"><![CDATA[family subsystems]]></kwd>
<kwd lng="en"><![CDATA[pediatric chronic illness]]></kwd>
</kwd-group>
</article-meta>
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