Afzelius M, Plantin L, Östman M
Faculty of Health and Society, Department of Social Work, Malmö University, Malmö, Sweden.
J Psychiatr Ment Health Nurs. 2018 Mar;25(2):69-77. doi: 10.1111/jpm.12433. Epub 2017 Sep 26.
WHAT IS KNOWN ON THE SUBJECT?: Coping with parental mental illness in families can be challenging for both children and parents. Providing evidence-based family interventions to families where a parent has a mental illness can enhance the relationships in the family. Although psychiatric research has shown that evidence-based family interventions may improve the communication and understanding of parental mental illness, there is a lack in this area of research from an everyday clinical context. WHAT DOES THIS PAPER ADD TO EXISTING KNOWLEDGE?: Our study reinforces the fact that parents with mental illnesses are searching for support from psychiatric services in order to talk to their children about their illness. The finding that under-age children comply when they are told by their parents to join an intervention in psychiatric services supporting the family is something not observed earlier in research. This study once more illuminates the fact that partners of a person with parental mental illness are seldom, in an obvious way, included in family support interventions. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: Psychiatric services, and especially mental health nurses, have an important task in providing families with parental mental illness with support concerning communication with their children and in including the "healthy" partner in family support interventions.
Introduction Although research has shown that evidence-based family interventions in research settings improve the communication and understanding of parental mental illness, there is a lack of knowledge about interventions in an everyday clinical context. Aim This study explores how families with parental mental illness experience family interventions in a natural clinical context in psychiatric services. Method Five families with children aged 10-12 were recruited from psychiatric services in southern Sweden and interviewed in a manner inspired by naturalistic inquiry and content analysis. Both family and individual interviews were performed. Results In striving to lead an ordinary life while coping with the parental mental illness, these families sought the support of the psychiatric services, especially in order to inform their children about the mental illness. Despite different family interventions, the family members felt supported and reported that the number of conflicts in the family had decreased. The parents were appreciative of help with child-rearing questions, and the children experienced a calmer family atmosphere. However, the partner of the person with mental illness experienced being left without support. Implications for practice Our study shows that psychiatric services, and especially mental health nurses, are in a position to more regularly offer family interventions in supporting the children and the healthy partners.
关于该主题已知的信息有哪些？：对家庭中的孩子和父母而言，应对父母的精神疾病都具有挑战性。为父母患有精神疾病的家庭提供循证家庭干预措施，可以增进家庭关系。尽管精神病学研究表明，循证家庭干预措施可能会改善对父母精神疾病的沟通与理解，但在日常临床背景下，该领域的研究仍存在不足。本文对现有知识有何补充？：我们的研究强化了这样一个事实，即患有精神疾病的父母正在寻求精神科服务的支持，以便与子女谈论他们的病情。研究发现，父母告知未成年子女参与支持家庭的精神科服务干预措施时，子女会遵从，这一点在之前的研究中未曾观察到。这项研究再次揭示了这样一个事实，即父母患有精神疾病者的伴侣很少以明显的方式被纳入家庭支持干预措施中。对实践有何启示？：精神科服务机构，尤其是精神科护士，在为父母患有精神疾病的家庭提供与子女沟通方面的支持以及将“健康”伴侣纳入家庭支持干预措施方面，肩负着重要任务。
引言 尽管研究表明，研究环境中的循证家庭干预措施可改善对父母精神疾病的沟通与理解，但对于日常临床背景下的干预措施仍缺乏了解。目的 本研究探讨父母患有精神疾病的家庭在精神科服务的自然临床环境中如何体验家庭干预措施。方法 从瑞典南部的精神科服务机构招募了5个有10至12岁孩子的家庭，并以自然主义探究和内容分析为灵感的方式进行访谈。同时进行了家庭访谈和个人访谈。结果 在努力应对父母的精神疾病并过上正常生活的过程中，这些家庭寻求精神科服务的支持，尤其是为了让孩子了解精神疾病。尽管采取了不同的家庭干预措施，但家庭成员感到得到了支持，并表示家庭冲突的数量有所减少。父母对育儿问题得到的帮助表示感激，孩子们也体验到了更平静的家庭氛围。然而，患有精神疾病者的伴侣感到无人支持。对实践的启示 我们的研究表明，精神科服务机构，尤其是精神科护士，有能力更定期地提供家庭干预措施，以支持孩子和健康的伴侣。
