Aschbrenner Kelly A, Greenberg Jan S, Seltzer Marsha M
Center for Gerontology and Health Care Research, Brown University, 2 Stimson Ave, Providence, RI 02912, USA.
J Nerv Ment Dis. 2009 May;197(5):298-304. doi: 10.1097/NMD.0b013e3181a206cc.
This study extends prior research on family caregiving in mental illness by investigating late-life parenting of adult children with bipolar disorder using a randomly selected community-based sample. The health and mental health, psychological well-being, marriage, work-life, and social resources of 145 parents of adult children with bipolar disorder were examined when parents were in their mid-60s. Stratified random sampling procedures were used to select a comparison group whose children did not have disabilities. Results indicate that parents of adult children with bipolar disorder had a more compromised profile of health and mental health, and experienced more difficulties in marriage and work-life than comparison parents. Furthermore, parents of adult children with bipolar disorder who were diagnosed with mental illness before the onset of their child's symptoms were more vulnerable on multiple dimensions of mental health, psychological well-being, and work-life than parents without a preexisting mental illness.
本研究通过使用随机选取的基于社区的样本，对患有双相情感障碍的成年子女的晚年养育情况进行调查，扩展了先前关于精神疾病家庭照料的研究。当父母处于65岁左右时，对145名患有双相情感障碍的成年子女的父母的健康与心理健康、心理幸福感、婚姻、工作生活及社会资源进行了考察。采用分层随机抽样程序选取了一个其子女没有残疾的对照组。结果表明，患有双相情感障碍的成年子女的父母，其健康与心理健康状况更差，在婚姻和工作生活中比对照组的父母经历了更多困难。此外，在其子女症状出现之前就被诊断患有精神疾病的患有双相情感障碍的成年子女的父母，在心理健康、心理幸福感和工作生活的多个维度上比没有既往精神疾病的父母更脆弱。
