晚年抚养患有双相情感障碍的成年子女。
Parenting an adult child with bipolar disorder in later life.
作者信息
Aschbrenner Kelly A, Greenberg Jan S, Seltzer Marsha M
机构信息
Center for Gerontology and Health Care Research, Brown University, 2 Stimson Ave, Providence, RI 02912, USA.
出版信息
J Nerv Ment Dis. 2009 May;197(5):298-304. doi: 10.1097/NMD.0b013e3181a206cc.
Abstract
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.
摘要
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。
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本文引用的文献
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Biol Psychiatry. 2007 Jul 15;62(2):129-34. doi: 10.1016/j.biopsych.2006.11.022. Epub 2007 May 3.
2
Prevalence and correlates of burden among caregivers of patients with bipolar disorder enrolled in the Systematic Treatment Enhancement Program for Bipolar Disorder.参与双相情感障碍系统治疗强化项目的双相情感障碍患者照料者的负担患病率及其相关因素。
Bipolar Disord. 2007 May;9(3):262-73. doi: 10.1111/j.1399-5618.2007.00365.x.
3
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Psychooncology. 2006 Dec;15(12):1086-92. doi: 10.1002/pon.1049.
4
Ten-year recovery outcomes for clients with co-occurring schizophrenia and substance use disorders.患有精神分裂症和物质使用障碍的患者的十年康复结果。
Schizophr Bull. 2006 Jul;32(3):464-73. doi: 10.1093/schbul/sbj064. Epub 2006 Mar 8.
5
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6
Prevalence, correlates, and comorbidity of bipolar I disorder and axis I and II disorders: results from the National Epidemiologic Survey on Alcohol and Related Conditions.双相I型障碍与轴I和轴II障碍的患病率、相关因素及共病情况：酒精及相关疾病全国流行病学调查结果
J Clin Psychiatry. 2005 Oct;66(10):1205-15. doi: 10.4088/jcp.v66n1001.
7
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Arch Gen Psychiatry. 2005 Oct;62(10):1097-106. doi: 10.1001/archpsyc.62.10.1097.
8
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Community Ment Health J. 2005 Jun;41(3):327-38. doi: 10.1007/s10597-005-5005-y.
9
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10
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