Center on Gambling Problems, Kyungnam of Korea, 36 Bieum-ro, Changwon, 51454, Republic of Korea.
Department of Social Welfare, Gyeongsang National University, 501 Jinjudae-ro, Jinju, 660-701, Republic of Korea.
Compr Psychiatry. 2016 Oct;70:159-64. doi: 10.1016/j.comppsych.2016.07.010. Epub 2016 Jul 28.
Parents of offspring with mental illness must endure endless child care burden despite their old age, and must cope with associative stigma. This study analyzed the mediator effect of associative stigma on relationships between the main stressors, psychiatric symptoms and lowered social function of offspring with mental illness, assessed by the parents, and their care burden.
215 parents caring for an adult child with mental illness in Korea were surveyed (Mage=60.68, SD=13.58; 74.4% mothers). They were asked to assess the psychiatric symptoms and social function of their offspring, the stigma they experienced, and the objective/subjective care burdens they felt.
Our findings suggest that the symptoms and function of offspring directly affect the care burden of parents, but also have an indirect effect mediated by associative stigma. Among the predictor variables, symptoms have a greater effect on the subjective/objective burden and associative stigma than social function.
We suggest strategies for parents to overcome associative stigma and emphasize the professional endeavor required to meet the service needs of elderly parents taking care of an adult child with mental illness.
子女患有精神疾病的父母,即使年事已高,也必须承受无尽的育儿负担,并且必须应对关联耻辱。本研究分析了关联耻辱对父母主要压力源、子女精神疾病的精神症状和社会功能下降与他们的照顾负担之间关系的中介效应。
对韩国 215 名照顾成年精神病子女的父母(Mage=60.68,SD=13.58;74.4%为母亲)进行了调查。他们被要求评估子女的精神症状和社会功能、他们所经历的耻辱感以及他们所感受到的客观/主观照顾负担。
我们的研究结果表明,子女的症状和功能直接影响父母的照顾负担,但也通过关联耻辱感产生间接影响。在预测变量中,症状对主观/客观负担和关联耻辱感的影响大于社会功能。
我们建议父母克服关联耻辱感的策略,并强调满足照顾成年精神病子女的老年父母服务需求所需的专业努力。