Faculty of Graduate Studies, Oranim Academic College, Kiryat Tiv'on, Israel.
PLoS One. 2023 Aug 31;18(8):e0290999. doi: 10.1371/journal.pone.0290999. eCollection 2023.
Depression has major consequences for the entire family, among them emotional distress, disrupted daily routine and social damage caused by negative stigmas. The aim of this study was to explore the retrospective experiences of young adults who lived with a sibling with depression while they were adolescents. The present study adopted a qualitative-phenomenological approach. The research participants were recruited via purposive sampling on social networks across Israel from May to September 2022. Semi-structured interviews were conducted with 21 participants aged 18-29 who lived with a sibling with depression during their adolescence. Data collection continued until saturation of concepts was reached. The results underwent thematic analysis. Three themes emerged from the qualitative analyses: 1) "I felt like I was living in a minefield": Adolescence while living with a sibling with depression; 2) "One step forward and two steps back": Siblings' coping strategies; 3) "My parents were not there for me when I needed them": Participants' experiences with their parents during their adolescence. The research findings indicate that adolescents who grew up with a sibling affected by depression had to cope with an acute family crisis, whose serious ramifications required emotional and social support. Mental health professionals and counselors working within educational institutions and the broader community should provide support and intervention for adolescents who have siblings struggling with depression. This intervention may take the form of individual or group therapy that aims to foster a sense of belonging and help affected individuals. Creating a supportive environment that meets the needs of the affected siblings is also crucial in addressing this issue effectively.
抑郁症对整个家庭都有重大影响,其中包括情感困扰、日常生活被打乱以及负面污名化带来的社会损害。本研究旨在探讨青少年时期与患有抑郁症的兄弟姐妹共同生活的年轻人的回顾性体验。本研究采用了定性-现象学方法。研究参与者是 2022 年 5 月至 9 月通过以色列社交网络上的目的性抽样招募的,年龄在 18-29 岁之间,他们在青少年时期与患有抑郁症的兄弟姐妹共同生活。采用半结构化访谈,对 21 名参与者进行访谈。数据收集持续到概念达到饱和。结果进行了主题分析。定性分析产生了三个主题:1)“我感觉自己好像生活在雷区”:与患有抑郁症的兄弟姐妹一起生活的青少年时期;2)“前进两步,后退一步”:兄弟姐妹的应对策略;3)“当我需要他们时,我的父母不在我身边”:参与者在青少年时期与父母的经历。研究结果表明,与患有抑郁症的兄弟姐妹一起长大的青少年不得不应对急性家庭危机,其严重后果需要情感和社会支持。在教育机构和更广泛的社区工作的心理健康专业人员和辅导员应为与患有抑郁症的兄弟姐妹挣扎的青少年提供支持和干预。这种干预可以采取个体或团体治疗的形式,旨在培养归属感,并帮助受影响的个人。创造一个满足受影响的兄弟姐妹需求的支持环境对于有效解决这个问题也至关重要。