{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T01:01:33Z","timestamp":1760058093397,"version":"build-2065373602"},"reference-count":44,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2025,3,13]],"date-time":"2025-03-13T00:00:00Z","timestamp":1741824000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Japan Society for the Promotion of Science (JSPS) in Japan","award":["JP22H03400"],"award-info":[{"award-number":["JP22H03400"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nursing Reports"],"abstract":"<jats:p>Background\/Objectives: When experiencing a variety of negative family events, families that, as a whole, have high family resilience maintain and improve family functioning. It is important, therefore, for nursing professionals to be able to assess families lacking in family resilience in order to prevent, reduce, or ameliorate family symptoms (such as family-perceived problems, issues, difficulties, or suffering). The purpose of this study was to clarify how family resilience works. Methods: Family resilience is defined based on the Concentric Sphere Family Environment Theory (CSFET) as when a family becomes aware of family symptoms on its own, and its power to autonomously and actively improve its own family functions. The contents of 22 family nursing cases from 16 qualitative studies on family resilience and the results of 28 semi-structured interviews with 28 parenting-age families in Japan were qualitatively categorized using the triangulation method, and then directed content analysis was conducted based on the CSFET. Results: A total of 157 labels, with a total of 23 categories and 47 subcategories, were found to relate to family resilience, such as \u201ccan utilize relatives\u201d, \u201cfamily members can communicate with members of other families\u201d, \u201cfamily members can share information\u201d, \u201call family members can communicate with one another\u201d, \u201call family members can cooperate with one another\u201d, and \u201ccan share time with family\u201d. Conclusions: From these, a variety of diverse aspects contributing to a family\u2019s resilience, including family member interactions, entire family interactions, use of social resources, and religious and spiritual support, were indicated.<\/jats:p>","DOI":"10.3390\/nursrep15030096","type":"journal-article","created":{"date-parts":[[2025,3,13]],"date-time":"2025-03-13T10:16:45Z","timestamp":1741861005000},"page":"96","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Japanese Family Conditions Demonstrating Family Resilience: Directed Content Analysis Based on Literature and Family Interviews"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0520-7433","authenticated-orcid":false,"given":"Naohiro","family":"Hohashi","sequence":"first","affiliation":[{"name":"Division of Family Health Care Nursing, Graduate School of Health Sciences, Kobe University, Kobe 654-0142, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natsumi","family":"Kijima","sequence":"additional","affiliation":[{"name":"Division of Family Health Care Nursing, Graduate School of Health Sciences, Kobe University, Kobe 654-0142, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,3,13]]},"reference":[{"key":"ref_1","unstructured":"Hohashi, N. (2023). Understanding Family Health Care Nursing Through Applicable Terminology: Studies on Fundamental Family Nursing and Family Functioning (Ver. 3.1), Editex."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1177\/1066480712465821","article-title":"Family resilience: An interview with Froma Walsh, MSW, PhD","volume":"21","author":"McDonald","year":"2013","journal-title":"Fam. J."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1177\/1066480705278724","article-title":"Understanding and fostering family resilience","volume":"13","author":"Simon","year":"2005","journal-title":"Fam. J."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"598","DOI":"10.1192\/bjp.147.6.598","article-title":"Resilience in the face of adversity: Protective factors and resistance to psychiatric disorder","volume":"147","author":"Rutter","year":"1985","journal-title":"Br. J. Psychiatry"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1111\/j.1744-6198.2007.00070.x","article-title":"Resilience: A concept analysis","volume":"42","year":"2007","journal-title":"Nurs. Forum."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"316","DOI":"10.1111\/j.1939-0025.1987.tb03541.x","article-title":"Psychosocial resilience and protective mechanisms","volume":"57","author":"Rutter","year":"1987","journal-title":"Am. J. Orthopsychiatry"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"543","DOI":"10.1111\/1467-8624.00164","article-title":"The construct of resilience: A critical evaluation and guidelines for future work","volume":"71","author":"Luthar","year":"2000","journal-title":"Child. Dev."},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Luthar, S.S. (1999). Poverty and Children\u2019s Adjustment, SAGE Publications.","DOI":"10.4135\/9781452233758"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"797","DOI":"10.1017\/S0954579497001442","article-title":"The role of self-organization in the promotion of resilience in maltreated children","volume":"9","author":"Cicchetti","year":"1997","journal-title":"Dev. Psychopathol."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1111\/j.1741-3729.2002.00103.x","article-title":"Family resiliency in childhood cancer","volume":"51","author":"McCubbin","year":"2002","journal-title":"Fam. Relat."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1177\/1074840704267163","article-title":"\u201cGoing forward\u201d: Family resiliency in patients on hemodialysis","volume":"10","author":"White","year":"2004","journal-title":"J. Fam. Nurs."},{"key":"ref_12","first-page":"28","article-title":"Research on 9\/11: What psychologists have learned so far","volume":"33","author":"Clay","year":"2002","journal-title":"Monit. Psychol."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1177\/1074840707312237","article-title":"A conceptual review of family resilience factors","volume":"14","author":"Black","year":"2008","journal-title":"J. Fam. Nurs."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1111\/j.1545-5300.1996.00261.x","article-title":"The concept of family resilience: Crisis and challenge","volume":"35","author":"Walsh","year":"1996","journal-title":"Fam. Process"},{"key":"ref_15","first-page":"247","article-title":"Typologies of resilient families: Emerging roles of social class and ethnicity","volume":"37","author":"McCubbin","year":"1988","journal-title":"Fam. Process"},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Masten, A.S., and Barnes, A.J. (2018). Resilience in children: Developmental perspectives. Children, 5.","DOI":"10.3390\/children5070098"},{"key":"ref_17","unstructured":"Walsh, F. (2015). Strengthening Family Resilience, Guilford Press."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"350","DOI":"10.1177\/1043659611414200","article-title":"Development of the Concentric Sphere Family Environment Model and companion tools for culturally congruent family assessment","volume":"22","author":"Hohashi","year":"2011","journal-title":"J. Transcult. Nurs."},{"key":"ref_19","unstructured":"Hohashi, N. (2023). Understanding Family Health Care Nursing Through Applicable Terminology: Concentric Sphere Family Environment Theory (Ver. 3.4), Editex."},{"key":"ref_20","unstructured":"Hohashi, N. (2023). Understanding Family Health Care Nursing Through Applicable Terminology: Family Symptomatology (Ver. 3.4), Editex."},{"key":"ref_21","first-page":"221","article-title":"Connecting a family of three generations of living together: Progress of family casework with a family of 8-year-olds with nervous tic symptoms","volume":"19","author":"Tokutsu","year":"1993","journal-title":"Stud. Soc. Work."},{"key":"ref_22","first-page":"35","article-title":"Family resilience approach on the context of narrative family therapy and social casework","volume":"3","author":"Tokutsu","year":"1999","journal-title":"J. Kansai Univ. Welf. Sci."},{"key":"ref_23","first-page":"95","article-title":"Concept analysis of family resilience","volume":"57","author":"Irie","year":"2002","journal-title":"Int. Buddh. Univ. Bull."},{"key":"ref_24","first-page":"21","article-title":"Loss, recovery and family relevance: A perspective from family systems","volume":"2","author":"Miyoshi","year":"2003","journal-title":"Res. Fam. Probl. Counsel."},{"key":"ref_25","first-page":"119","article-title":"Toward the development of a family resilience inventory","volume":"7","author":"Tokutsu","year":"2003","journal-title":"J. Kansai Univ. Welf. Sci."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"34","DOI":"10.5630\/jans.31.4_34","article-title":"Development of a family intervention model to facilitate resilience in families of children with intellectual disabilities","volume":"31","author":"Irie","year":"2011","journal-title":"J. Jpn. Acad. Nurs. Sci."},{"key":"ref_27","first-page":"1","article-title":"A concept analysis of family resilience: Usability of family support for children with diseases and disorders","volume":"22","author":"Takahashi","year":"2013","journal-title":"J. Jap Soc. Child. Health Nurs."},{"key":"ref_28","first-page":"27","article-title":"How a disabled person\u2019s family recovered resilience through intervention by a daughter-in-law who became a companion for the disabled person","volume":"14","author":"Takano","year":"2015","journal-title":"Hiroshima Psychol. Res."},{"key":"ref_29","first-page":"115","article-title":"Study on feelings of loss and grief of a mother with a child diagnosed with autistic spectrum disorder","volume":"3","author":"Tanaka","year":"2015","journal-title":"Grief Care"},{"key":"ref_30","first-page":"1","article-title":"The resilience of children who have experienced their parents\u2019 divorce: A qualitative study of children\u2019s narratives of greater impacts of divorce and the recovery process","volume":"30","author":"Fujita","year":"2016","journal-title":"Jap J. Fam. Psychol."},{"key":"ref_31","first-page":"1026","article-title":"Building resilience of parents and children in social care: Through the adjustment of parent\u2013child relationship in a child independence support facility","volume":"65","author":"Aizawa","year":"2017","journal-title":"Educ. Med."},{"key":"ref_32","first-page":"1537","article-title":"Support for children and mothers whose husbands unexpectedly received emergency and intensive care","volume":"40","author":"Furuhashi","year":"2017","journal-title":"Jpn. J. Child Nurs. Mon."},{"key":"ref_33","first-page":"21","article-title":"The impact of relationships with local residents on children with developmental disabilities and their families during a disaster","volume":"23","author":"Hosotani","year":"2017","journal-title":"J. Chiba Acad. Nurs. Sci."},{"key":"ref_34","first-page":"152","article-title":"A study of palliative care in home care medicine in terms of resilience","volume":"57","author":"Kitada","year":"2017","journal-title":"Jap J. Psychosom. Med."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"153","DOI":"10.3418\/jjam.JJAM-2017-0025","article-title":"Family resilience according to the narratives of parents of very low and extremely low birth weight infants","volume":"31","author":"Minami","year":"2017","journal-title":"J. Jpn. Acad. Midwifery."},{"key":"ref_36","first-page":"103","article-title":"Child with developmental disorder and family resilience","volume":"26","author":"Ono","year":"2017","journal-title":"Jap J. Med. Psychol. Study Infant."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1111\/j.1365-2648.2007.04569.x","article-title":"The qualitative content analysis process","volume":"62","author":"Elo","year":"2008","journal-title":"J. Adv. Nurs."},{"key":"ref_38","unstructured":"Hohashi, N. (2023). The Japanese Version of the Family Environment Map (FEM-JA) (Ver. 3.2JA), Editex."},{"key":"ref_39","unstructured":"Hohashi, N. (2023). Family Environment Assessment Index (FEAI-JA) (Ver. 3.4), Editex."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"1277","DOI":"10.1177\/1049732305276687","article-title":"Three approaches to qualitative content analysis","volume":"15","author":"Hsieh","year":"2005","journal-title":"Qual. Health Res."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"1129","DOI":"10.2147\/PRBM.S449871","article-title":"The relationship between resilience, interactive distance, and college students\u2019 online mathematics learning engagement: A longitudinal study","volume":"20","author":"Liu","year":"2024","journal-title":"Psychol. Res. Behav. Manag."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"725","DOI":"10.1111\/eip.12726","article-title":"Resilience as a multimodal dynamic process","volume":"13","author":"Stainton","year":"2019","journal-title":"Early Interv. Psychiatry"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"323","DOI":"10.1177\/1363461520951306","article-title":"Culturally sensitive conceptualization of resilience: A multidimensional model of Chinese resilience","volume":"58","author":"Xie","year":"2020","journal-title":"Transcult. Psychiatry"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1177\/1074840716639909","article-title":"Divorce and childhood chronic illness: A grounded theory of trust, gender, and third-party care providers","volume":"22","author":"Russell","year":"2016","journal-title":"J. Fam. Nurs."}],"container-title":["Nursing Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2039-4403\/15\/3\/96\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T16:52:59Z","timestamp":1760028779000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2039-4403\/15\/3\/96"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,13]]},"references-count":44,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2025,3]]}},"alternative-id":["nursrep15030096"],"URL":"https:\/\/doi.org\/10.3390\/nursrep15030096","relation":{},"ISSN":["2039-4403"],"issn-type":[{"type":"electronic","value":"2039-4403"}],"subject":[],"published":{"date-parts":[[2025,3,13]]}}}