Yamamoto Rumi, Keogh Brian
School of Nursing and Midwifery, Trinity College Dublin, Dublin 2, Ireland.
J Psychiatr Ment Health Nurs. 2018 Mar;25(2):131-141. doi: 10.1111/jpm.12415. Epub 2017 Aug 24.
WHAT IS KNOWN ABOUT THE SUBJECT?: There are many qualitative studies that explore what it is like for children who live with a parent who has a mental illness. These studies are sometimes criticized because they have small sample sizes which limits their application. WHAT THIS PAPER ADDS TO EXISTING KNOWLEDGE?: We conducted a systematic review of qualitative papers with an aim to strengthening our understanding of what it is like for children who live with a parent who has a mental illness. We used stringent criteria to make sure that only the voices of children affected by parental mental illness were included in the review. In addition, the paper presents a timely update on previous reviews completed in this area. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: The findings of this review highlight the impact that parental mental illness has on children and the important role that mental health nurses can play in maximizing opportunities for building resilience in affected children. Mental health nurses are in a key position to provide timely and age-appropriate information and support to both parents and children to assist in the development of appropriate coping and support mechanisms.
Introduction This paper brings together what is known about what it is like for children who live with a parent with a mental illness with a view to strengthening our understanding of their experiences. This paper presents an update on previous reviews that were completed in this area and used a systematic approach and stringent inclusion/exclusion criteria to ensure that the voices of children were central in the included papers. A systematic review of this nature could not be located in the literature. Aims This paper presents the findings of a systematic review which explored the experiences of children who were affected by parental mental illness. Methods CINAHL, PubMed, PsychINFO, Pubmesh and EMBASE were searched for qualitative studies which explored children's experiences, and eight studies were included following review and quality appraisal. Pertinent data were extracted, coded and analysed using a thematic approach. Results Four themes emerged from the analytic process which described the children's understanding of mental illness, their relationship with their parents, their coping strategies and their social connections. Implications for Practice Mental health nurses need to recognize the psychosocial needs of children, and to acknowledge, the wider impact mental illness has of the family.
关于该主题已知的信息有哪些？：有许多定性研究探讨了与患有精神疾病的父母一起生活的孩子的情况。这些研究有时会受到批评，因为它们的样本量较小，这限制了它们的应用。本文对现有知识的补充是什么？：我们对定性论文进行了系统综述，旨在加强我们对与患有精神疾病的父母一起生活的孩子的情况的理解。我们使用了严格的标准，以确保综述中仅纳入受父母精神疾病影响的孩子的声音。此外，本文还及时更新了该领域以前完成的综述。对实践有何启示？：本综述的结果突出了父母精神疾病对孩子的影响，以及精神科护士在为受影响的孩子创造增强恢复力机会方面可以发挥的重要作用。精神科护士处于关键地位，可以为父母和孩子提供及时且适合其年龄的信息和支持，以帮助建立适当的应对和支持机制。
引言 本文汇集了关于与患有精神疾病的父母一起生活的孩子的情况的已知信息，以加强我们对他们经历的理解。本文更新了该领域以前完成的综述，并采用系统方法和严格的纳入/排除标准，以确保所纳入论文中孩子的声音处于核心地位。在文献中未找到这种性质的系统综述。目的 本文介绍了一项系统综述的结果，该综述探讨了受父母精神疾病影响的孩子的经历。方法 在CINAHL、PubMed、PsychINFO、Pubmesh和EMBASE中搜索探讨孩子经历的定性研究，经过综述和质量评估后纳入了八项研究。使用主题方法提取、编码和分析相关数据。结果 分析过程中出现了四个主题，描述了孩子对精神疾病的理解、他们与父母的关系、他们的应对策略以及他们的社会联系。对实践的启示 精神科护士需要认识到孩子的心理社会需求，并承认精神疾病对家庭的更广泛影响。
