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应对信息方式与家庭负担:精神科住院部患儿家长的自我污名化和希望的潜在作用。

Coping with information style and family burden: Possible roles of self-stigma and hope among parents of children in a psychiatric inpatient unit.

作者信息

Hasson-Ohayon I, Pijnenborg G H M, Ben-Pazi A, Taitel S, Goldzweig G

机构信息

Department of Psychology, Bar-Ilan University, Ramat-Gan, Israel.

Department of Clinical Psychology and Experimental Psychopathology, University of Groningen, Groningen, The Netherlands; Department of Psychotic Disorders, GGZ Drenthe, Assen, The Netherlands.

出版信息

Eur Psychiatry. 2017 May;42:8-13. doi: 10.1016/j.eurpsy.2016.11.012. Epub 2016 Dec 12.

Abstract

OBJECTIVE

Parents of children who are hospitalized in inpatient psychiatric units must cope with significant challenges. One of these challenges relates to the way in which they cope with illness-related information. The current study examined the relationship between two such coping styles - monitoring and blunting - and family burden among parents of children in a psychiatric inpatient unit. Moreover, the possible moderating roles played by hope and self-stigma in these associations were also examined.

METHODS

Questionnaires regarding coping with information style, self-stigma, hope and family burden were administered to 70 parents.

RESULTS

A main positive effect of hope and a main negative effect of self-stigma were uncovered. An interaction between self-stigma and monitoring was also revealed, suggesting that for parents with high self-stigma, compared to those with low self-stigma, more monitoring was related to more burden.

CONCLUSIONS

Tailoring family interventions according to coping style and self-stigma is highly recommended as a mean to reduce the family burden of parents whose child is hospitalized in a psychiatric inpatient unit.

摘要

目的

在住院精神科病房接受治疗的儿童的父母必须应对重大挑战。其中一项挑战与他们应对疾病相关信息的方式有关。本研究考察了两种应对方式——监控和钝化——与精神科住院病房儿童的父母的家庭负担之间的关系。此外,还考察了希望和自我污名在这些关联中可能起到的调节作用。

方法

对70名父母进行了关于应对信息方式、自我污名、希望和家庭负担的问卷调查。

结果

发现了希望的主要积极作用和自我污名的主要消极作用。还揭示了自我污名与监控之间的相互作用,这表明,与低自我污名的父母相比,高自我污名的父母中,更多的监控与更多的负担相关。

结论

强烈建议根据应对方式和自我污名来定制家庭干预措施,以此减轻孩子在精神科住院病房接受治疗的父母的家庭负担。

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