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从青少年抑郁症患者父母的角度看家庭韧性的发展:一种阐释现象学分析。

Family Resilience Progress from the Perspective of Parents of Adolescents with Depression: An Interpretative Phenomenological Analysis.

机构信息

School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430074, China.

Xiang Ya Nursing School, Central South University, Changsha 410017, China.

出版信息

Int J Environ Res Public Health. 2023 Jan 31;20(3):2564. doi: 10.3390/ijerph20032564.

Abstract

Family resilience plays an important role in the healthy family development of adolescents with depression, but few studies have explored the specific process of family resilience. This study aims to explore the dynamic processes of family resilience from parents of adolescents with depression. Data were collected from 14 Chinese parents of adolescents with depression by interpretative phenomenological analysis method. Four themes and 12 sub-themes emerged: (1) decompensation phase: (i) misinterpretations of illness, (ii) heavy psychological burden, (iii) chaotic rhythms in family; (2) launch phase: (i) potential influences of labeling, (ii) we must cure my child anyway, (iii) begin adjusting to family roles; (3) recovery phase: (i) family reflection, (ii) subsequent reorganization of family resources, (iii) ultimately establishing a new balance; (4) normality phase: (i) adaption for medical seeking process, (ii) actively lower expectations, (iii) concerns of future needs. Mental health professionals could provide targeted suggestions to help the parents achieve family resilience by assessing its different phases.

摘要

家庭弹性在青少年抑郁症患者的健康家庭发展中起着重要作用,但很少有研究探讨家庭弹性的具体过程。本研究旨在从青少年抑郁症患者的父母角度探讨家庭弹性的动态过程。通过解释现象学分析方法,从 14 位中国青少年抑郁症患者的父母那里收集了数据。出现了四个主题和 12 个子主题:(1)失调阶段:(i)疾病的误解,(ii)沉重的心理负担,(iii)家庭节奏混乱;(2)启动阶段:(i)贴标签的潜在影响,(ii)无论如何都要治愈我的孩子,(iii)开始调整家庭角色;(3)恢复阶段:(i)家庭反思,(ii)随后对家庭资源进行重新组织,(iii)最终建立新的平衡;(4)正常阶段:(i)适应求医过程,(ii)积极降低期望,(iii)关注未来需求。心理健康专业人员可以通过评估不同阶段为父母提供有针对性的建议,帮助他们实现家庭弹性。

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