Kartalova-O'Doherty Yulia, Doherty Donna Tedstone
Mental Health Research Unit, The Health Research Board, Dublin, Ireland.
Scand J Caring Sci. 2008 Mar;22(1):19-28. doi: 10.1111/j.1471-6712.2007.00583.x.
A qualitative exploratory study investigated the experiences and needs of family carers of persons with enduring mental illness in Ireland. The current mixed-methods secondary study used content analysis and statistical procedures to identify and explore the coping strategies emerging from the original interviews. The majority of family carers reported use of active behavioural coping strategies, sometimes combined with active cognitive or avoidance strategies. The percentage of cares reporting use of active cognitive strategies was the lowest among those whose ill relative lived in their home, and the highest among those whose relative lived independently. Participants with identified active cognitive strategies often reported that their relative was employed or in training. Participants who reported use of avoidance strategies were significantly younger than participants who did not report use of such strategies. The lowest percentage of avoidance strategies was among participants whose ill relative lived independently, whereas the highest was among carers whose relative lived in their home. The findings of this study highlight the importance of a contextual approach to studying coping styles and processes. Further research questions and methodological implications are discussed.
一项定性探索性研究调查了爱尔兰患有持久性精神疾病患者的家庭照顾者的经历和需求。当前的混合方法二次研究使用内容分析和统计程序来识别和探索原始访谈中出现的应对策略。大多数家庭照顾者报告使用积极的行为应对策略,有时还会结合积极的认知或回避策略。报告使用积极认知策略的照顾者比例在患病亲属住在其家中的人群中最低,而在亲属独立生活的人群中最高。采用积极认知策略的参与者经常报告说他们的亲属有工作或正在接受培训。报告使用回避策略的参与者明显比未报告使用此类策略的参与者年轻。回避策略比例最低的是患病亲属独立生活的参与者,而最高的是亲属住在其家中的照顾者。本研究结果强调了采用情境方法研究应对方式和过程的重要性。还讨论了进一步的研究问题和方法学意义。