Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, YAW 6900, Boston, MA 02114, USA.
Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, YAW 6900, Boston, MA 02114, USA.
Child Adolesc Psychiatr Clin N Am. 2018 Oct;27(4):567-578. doi: 10.1016/j.chc.2018.05.002. Epub 2018 Jul 25.
Parents with life-threatening illness face unique challenges in their dual roles as patients and parents. They are at risk for depression, parenting stress, and impaired family functioning, and their children are at risk for adjustment difficulties. In addition to treatment of depression and other mental health issues, patients may also benefit from evidence-informed guidance addressing the challenges of parenting while ill. Consultations should be tailored to each family, with consideration of children's developmental stage and temperament. Clinical recommendations for communication about a parent's anticipated death, helping children spend meaningful time with an ill parent, and legacy leaving are provided.
身患危及生命疾病的父母在作为患者和父母的双重角色中面临着独特的挑战。他们有患抑郁症、育儿压力和家庭功能障碍的风险,其子女也有适应困难的风险。除了治疗抑郁症和其他心理健康问题外,患者可能还受益于针对患病育儿挑战的循证指导。咨询应根据每个家庭的情况进行调整,同时考虑到儿童的发育阶段和气质。本文提供了关于父母预期死亡的沟通、帮助孩子与患病父母共度有意义的时光以及遗产遗留的临床建议。