精神病患儿及其家长——在亲子关系协调和防范父母患病之间寻求平衡。
Children and parents with psychosis-Balancing between relational attunement and protection from parental illness.
机构信息
Department of Psychology, University of Gothenburg, Gothenburg, Sweden.
出版信息
J Child Adolesc Psychiatr Nurs. 2021 Feb;34(1):68-76. doi: 10.1111/jcap.12302. Epub 2020 Dec 7.
BACKGROUND
Few studies have explored the experiences of young children and their parents with psychosis. The aim of the present study was to explore parent and child mental health and the parent-child relationship from the perspectives of children and their parents with psychosis.
METHODS
The present study had a multiperspectival qualitative design. Seven children (aged 8-15 years) and their six parents with psychosis were interviewed individually. Data were analyzed according to interpretative phenomenological analysis.
RESULTS
Children were found to have a limited understanding of the parent's illness. While both parents and children described the illness as part of ordinary life and focused on improvements, there was incoherence both within and between interviews. Parent-child relationships appeared to be nonhierarchical and to vary in terms of attunement and distance, which in turn seemed to be associated with the child's well-being.
CONCLUSION
The findings contribute multiperspectival insights into lived experiences of young children and parents with psychosis. Nurses are in a key position to recognize the children's needs for continuous adult support and to promote communication about the illness.
背景
很少有研究探讨患有精神病的幼儿及其父母的经历。本研究的目的是从患有精神病的儿童及其父母的角度探讨儿童和父母的心理健康以及亲子关系。
方法
本研究采用多视角定性设计。对 7 名（8-15 岁）儿童及其 6 名患有精神病的父母进行了单独访谈。根据解释现象学分析对数据进行了分析。
结果
研究发现，儿童对父母的病情了解有限。虽然父母和孩子都将病情描述为日常生活的一部分，并侧重于病情的改善，但访谈中的表述存在前后不一致的情况。亲子关系似乎是非等级制的，在协调和距离方面存在差异，而这又似乎与孩子的幸福感有关。
结论
这些发现为患有精神病的幼儿及其父母的生活经历提供了多角度的见解。护士在识别儿童对持续成人支持的需求以及促进有关疾病的沟通方面处于关键地位。
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