Moreno-Lopez Agueda, Holttum Sue, Oddy Michael
Kent and Medway NHS and Social Partnership Trust, Tonbridge, England.
Brain Inj. 2011;25(12):1221-33. doi: 10.3109/02699052.2011.608205. Epub 2011 Sep 20.
The purpose of this study was to explore the experiences of adolescent offspring following parental acquired brain injury (ABI) and the role of supportive relationships in offspring coping.
The study was qualitative using grounded theory methodology.
Nine adolescent offspring of parents with ABI were interviewed individually. For the purposes of triangulation, three of their noninjured parents were interviewed individually.
Findings indicate that following the shock of the ABI, adolescents appeared to go through a dynamic process of reevaluation of life priorities, a sudden realization of the fragility of life, and an increase in their appreciation of the family's needs. The study's findings also show that adolescent offspring can have a protective role in the family, assisting the family with the long-term challenges that ABI may present. Alternative parental figures and peer friendships appeared to have a central role for participants, providing a sense of normality and stability to their lives, and acted as an important connection with their lives prior to their parents' ABI.
Findings indicated that supportive relationships were crucial as a coping strategy for adolescent offspring. Assessment of adolescents' coping strategies and support networks should be conducted by the best-placed clinician working with the family. Preventative interventions are recommended. A strength-based view of the adolescent may be beneficial.
本研究的目的是探索父母获得性脑损伤(ABI)后青少年子女的经历,以及支持性人际关系在子女应对过程中的作用。
本研究采用扎根理论方法进行定性研究。
对9名父母患有ABI的青少年子女进行了单独访谈。为了进行三角验证,还对其中3名未受伤的父母进行了单独访谈。
研究结果表明,在经历了ABI带来的冲击后,青少年似乎经历了一个重新评估生活优先级的动态过程,突然意识到生命的脆弱性,并增强了对家庭需求的理解。研究结果还表明,青少年子女在家庭中可以起到保护作用,帮助家庭应对ABI可能带来的长期挑战。替代父母角色和同伴友谊对参与者似乎起着核心作用,为他们的生活提供了一种正常感和稳定感,并成为他们与父母ABI之前的生活的重要联系。
研究结果表明,支持性人际关系作为青少年子女的一种应对策略至关重要。应由与家庭合作的最合适的临床医生对青少年的应对策略和支持网络进行评估。建议采取预防性干预措施。基于优势视角看待青少年可能会有所帮助。