Misra Supriya, Johnson Kelsey A, Parnarouskis Lindsey M, Koenen Karestan C, Williams David R, Gelaye Bizu, Borba Christina P C
Harvard T.H. Chan School of Public Health, Boston, USA.
Boston University School of Public Health, Boston, USA.
Community Ment Health J. 2020 Aug;56(6):1188-1200. doi: 10.1007/s10597-020-00627-2. Epub 2020 May 9.
Many individuals diagnosed with schizophrenia state that family relationships are a primary facilitator of their recovery. However, they also report higher rates of early life adversities, typically in their family environments. We used modified Grounded Theory on 20 semi-structured, in-depth interviews with adults (half ethnic minorities, half women) diagnosed with schizophrenia or schizoaffective disorder and receiving treatment at an urban psychiatric outpatient clinic to investigate how early life adversities influence later life family interactions. Approximately half of participants did not mention early life adversities and described positive family interactions and perceived supportive involvement in their illness. The other half of participants experienced abusive and/or unstable childhood homes that many explicitly linked to limited family interactions and perceived absence of support for their illness. These findings suggest that limited familial interactions following early life adversities may reflect resilient boundary setting, and indicate the value of considering these adversities before incorporating families in care.
许多被诊断为精神分裂症的人表示，家庭关系是他们康复的主要促进因素。然而，他们也报告说早年逆境的发生率较高，通常发生在他们的家庭环境中。我们对20名在城市精神科门诊接受治疗的被诊断为精神分裂症或分裂情感障碍的成年人（一半为少数民族，一半为女性）进行了半结构化深度访谈，并运用改良的扎根理论来调查早年逆境如何影响晚年的家庭互动。大约一半的参与者没有提及早年逆境，而是描述了积极的家庭互动以及感受到家人对其疾病的支持。另一半参与者经历过童年时期家庭虐待和/或不稳定的情况，许多人明确将其与有限的家庭互动以及感觉家人对其疾病缺乏支持联系起来。这些发现表明，早年逆境后有限的家庭互动可能反映了具有弹性的边界设定，并表明在让家庭参与护理之前考虑这些逆境的价值。
