Skärsäter Ingela
Institute of Health and Care Sciences, The Sahlgrenska Academy at Göteborg University, Göteborg, Sweden.
Scand J Caring Sci. 2006 Sep;20(3):308-14. doi: 10.1111/j.1471-6712.2006.00409.x.
The aim of this study was to ascertain the perceptions of parents, with first time major depression, regarding the social support for themselves and their children. Eighteen parents, with children under the age of 19, were interviewed on admission to an inpatient unit and of these 16 were followed up 1 year later. In addition, the severity of parents' depression and their functional status was measured. The results showed that although the parents did regain their mental health and functional capacity to a certain extent, they nevertheless remained in a vulnerable position, increasing the strain on the whole family. The parents' and their children's social support was low and came mostly from outside the family. The parents were worried about their children, due to problems related to the depressive episode as well as ordinary teenage rebellion. Important questions concerned practical problems such as whether there was someone to take care of the children if the parent is incapable of doing so. There were also concerns pertaining to how the changed family situation might interfere with the child's natural development or whether depression was a question of heredity. This highlights the need to investigate the importance of social support for the family as a whole when one of them suffers from depression. There is a need for improved treatment of parental depression to reduce symptoms such as decreased functional status that may impair parenting. The study also emphasises the need for healthcare practitioners to assess multiple aspects of social support so that care planning will target all relevant domains.
本研究的目的是确定首次患重度抑郁症的父母对自身及子女社会支持的看法。对18名子女年龄在19岁以下的父母在入住住院部时进行了访谈，其中16名在1年后接受了随访。此外，还对父母的抑郁严重程度及其功能状态进行了测量。结果表明，尽管父母在一定程度上恢复了心理健康和功能能力，但他们仍然处于脆弱的境地，这增加了整个家庭的压力。父母及其子女的社会支持较低，且大多来自家庭之外。由于与抑郁发作相关的问题以及青少年常见的叛逆行为，父母对子女感到担忧。重要的问题涉及实际问题，比如如果父母无法照顾孩子是否有人可以帮忙照顾。还存在对家庭状况的改变可能如何干扰孩子的自然成长或者抑郁是否是遗传问题的担忧。这凸显了在家庭成员之一患抑郁症时，调查社会支持对整个家庭重要性的必要性。需要改进对父母抑郁症的治疗，以减轻可能损害育儿能力的功能状态下降等症状。该研究还强调医疗从业者需要评估社会支持的多个方面，以便护理计划能够针对所有相关领域。
