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与精神疾病共存的中国母亲的育儿经验。

Parenting experiences of Chinese mothers living with a mental illness.

机构信息

Faculty of Education, Monash University, 19 Ancora Imparo Way, Clayton, VIC, 3800, Australia.

Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Centre for Mental Disorders (Peking University Sixth Hospital), Beijing, China.

出版信息

BMC Psychiatry. 2021 Nov 23;21(1):589. doi: 10.1186/s12888-021-03581-9.

Abstract

BACKGROUND

Although the experiences of mothers with mental illness are well researched in Western countries, little is known about the experiences of Chinese mothers. This study aims to explore the experiences of family life and parenting of Chinese mothers, in the context of their mental illness.

METHODS

Fourteen Chinese mothers with mental illness undertook in-depth, semi-structured interviews. Interpretative Phenomenological Analysis was employed to guide the data analysis.

RESULTS

Seven themes were identified: motherhood as a central identity, the stigma associated with being a mother with mental illness, participants' perceptions about the impact of mental illness on parenting and their children, experiences of talking to children about mental illness, how having children impacts mothers' illness and recovery, and support obtained and needed. Similar to Western mothers, Chinese mothers experienced stigma and fluctuating mental illness symptoms which impacted on parenting. Unlike mothers based in Western countries, the mothers interviewed in this study highlighted complicated co-caring relationships with parents-in-law and did not raise child custody concerns.

CONCLUSIONS

Mental health professionals need to have the skills to identify and recognize the mothering role of their clients. Culturally sensitive interventions are required to assist Chinese families where mothers have a mental illness. Future research is required to investigate family experiences of parental mental illness from the perspectives of children, partners, and mental health professionals.

摘要

背景

尽管在西方国家对患有精神疾病的母亲的经历进行了广泛研究,但对中国母亲的经历却知之甚少。本研究旨在探讨在精神疾病背景下中国母亲的家庭生活和育儿经历。

方法

14 位患有精神疾病的中国母亲接受了深入的半结构化访谈。采用解释现象学分析方法指导数据分析。

结果

确定了 7 个主题:母亲身份是核心身份、与患有精神疾病的母亲相关的污名、参与者对精神疾病对育儿和子女影响的看法、与孩子谈论精神疾病的经历、孩子如何影响母亲的病情和康复、以及获得和需要的支持。与西方母亲相似,中国母亲经历了污名和精神疾病症状的波动,这对育儿产生了影响。与西方国家的母亲不同,本研究中接受访谈的母亲强调了与公婆复杂的共同照顾关系,并且没有提出子女监护权的担忧。

结论

心理健康专业人员需要具备识别和认识其客户的母亲角色的技能。需要采取文化敏感的干预措施来帮助有精神疾病的中国家庭。需要进一步研究从儿童、伴侣和心理健康专业人员的角度来探讨家庭对父母精神疾病的体验。

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