Paliokosta Elena, Diareme Stavroula, Kolaitis Gerasimos, Ferentinos Spyros, Lympinaki Eirini, Tsiantis John, Romer George, Karageorgiou Clementine, Tsiantis Alkis, Anasontzi Sofia, Tsalamanios Emmanuel
Department of Child and Adolescent Psychiatry, Athens University Medical School, Agia Sophia Children's Hospital, Athens, Greece.
Fam Syst Health. 2009 Mar;27(1):64-76. doi: 10.1037/a0015226.
This study investigates the relation of communication around parental multiple sclerosis (MS) to family dysfunction and mental health problems of the children in Greek families. Fifty-six families with a parent with MS were studied regarding emotional well-being of children, parental depression, family functioning, and illness' related impairment, correlated to the amount of information about parental illness provided to children. Significant differences were found in three dimensions of child psychopathology on maternal scores of Child Behavior Checklist, between children who had partial information about parental illness and the other two groups of children who had explicit or no information at all. Differences were also observed in children's scores on (Youth Self Report) social problems between the same groups. The finding that children who had only partial information about their parents' illness presented more problems, illustrates the importance of "how, what, and how much" of information is communicated to children. Clinical implications are discussed in terms of the families' difficulties with communicating parental illness with their children and possible need for professional support.
本研究调查了希腊家庭中围绕父母多发性硬化症(MS)的沟通与子女家庭功能障碍和心理健康问题之间的关系。对56个有患MS症父母的家庭进行了研究,涉及子女的情绪健康、父母抑郁、家庭功能以及与疾病相关的损伤,并将这些与向子女提供的有关父母疾病的信息量进行关联。在儿童行为检查表的母亲得分方面,在对父母疾病只有部分信息的儿童与另外两组分别拥有明确信息或完全没有信息的儿童之间,发现儿童精神病理学的三个维度存在显著差异。在同一组儿童的(青少年自我报告)社会问题得分上也观察到差异。那些对父母疾病只有部分信息的儿童出现更多问题这一发现,说明了向儿童传达信息的“方式、内容和数量”的重要性。从家庭在向子女传达父母疾病信息方面的困难以及可能需要专业支持的角度讨论了临床意义。