Riebschleger Joanne, Grové Christine, Cavanaugh Daniel, Costello Shane
School of Social Work, Michigan State University, 655 Auditorium Rd., East Lansing, MI 48824-1118, USA.
Faculty of Education, Monash University, 57 Scenic Blvd., Clayton, VIC 3800, Australia.
Brain Sci. 2017 Oct 26;7(11):141. doi: 10.3390/brainsci7110141.
Millions of children have a parent with a mental illness (COPMI). These children are at higher risk of acquiring behavioural, developmental and emotional difficulties. Most children, including COPMI, have low levels of mental health literacy (MHL), meaning they do not have accurate, non-stigmatized information. There is limited knowledge about what kind of MHL content should be delivered to children. The aim of this exploratory study is to identify the knowledge content needed for general population children and COPMI to increase their MHL. A second aim is to explore content for emerging children's MHL scales. Researchers created and analyzed a literature review database. Thematic analysis yielded five main mental health knowledge themes for children: (1) attaining an overview of mental illness and recovery; (2) reducing mental health stigma; (3) building developmental resiliencies; (4) increasing help-seeking capacities; and (5) identifying risk factors for mental illness. COPMI appeared to need the same kind of MHL knowledge content, but with extra family-contextual content such as dealing with stigma experiences, managing stress, and communicating about parental mental illness. There is a need for MHL programs, validated scales, and research on what works for prevention and early intervention with COPMI children.
数以百万计的儿童有一位患有精神疾病的家长(儿童期父母患有精神疾病)。这些儿童出现行为、发育和情绪问题的风险更高。大多数儿童,包括儿童期父母患有精神疾病的儿童,心理健康素养(MHL)水平较低,这意味着他们没有准确、无污名化的信息。对于应该向儿童提供何种心理健康素养内容,人们了解有限。这项探索性研究的目的是确定普通儿童和儿童期父母患有精神疾病的儿童提高其心理健康素养所需的知识内容。第二个目的是探索新兴儿童心理健康素养量表的内容。研究人员创建并分析了一个文献综述数据库。主题分析得出了儿童心理健康知识的五个主要主题:(1)对精神疾病和康复有一个总体了解;(2)减少心理健康污名;(3)培养发展韧性;(4)提高寻求帮助的能力;(5)识别精神疾病的风险因素。儿童期父母患有精神疾病的儿童似乎需要同样类型的心理健康素养知识内容,但需要额外的家庭背景内容,如应对污名经历、管理压力以及就父母的精神疾病进行沟通。需要开展心理健康素养项目、经过验证的量表以及关于对儿童期父母患有精神疾病的儿童进行预防和早期干预的有效方法的研究。