Systems and symptoms: family cohesion/adaptability and childhood behavior problems.

The relation between family systems and child symptomatology was examined among children aged 6 to 11 and adolescents aged 12 to 16 who had been referred for clinical services. On the basis of an assessment of family cohesion and adaptability, the families were divided into three groups: extreme, midrange, and balanced. Problem behaviors were assessed with a symptoms checklist, and the child's self-esteem was also measured. Families in the balanced range had children with fewer symptoms than did midrange or extreme families; this relation was less strong among families with adolescents. Self-esteem and symptoms were negatively correlated in these samples. Self-esteem did not moderate the relation between systems and symptoms but was independently related to family functioning. These results suggest the operation of bilateral processes within the family that link cohesion and adaptability, on the one hand, with low self-esteem and indications of psychopathology, on the other.