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精神疾病患者的子女生活中的亲属关系参与的现象学研究。

A phenomenological investigation of kinship involvement in the lives of children whose parents have mental illness.

机构信息

Centre for Childhood Studies, Department of Psychosocial and Psychoanalytic Studies, University of Essex, Colchester, UK.

Healthcare Sciences and e-Health, Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.

出版信息

Int J Qual Stud Health Well-being. 2024 Dec;19(1):2414481. doi: 10.1080/17482631.2024.2414481. Epub 2024 Oct 9.

Abstract

BACKGROUND AND PURPOSE

Mental health services rarely reach children whose parents have mental illness despite their poor outcomes. There is a need to consider how mental health practitioners can prioritize the needs of these children and their families. This study examined kinship involvement in the lives of children whose parents have mental illness.

METHODS

A phenomenological design was used, interviewing 20 children (aged 10-17 years) in families with parental mental illness (PMI) in Ghana. The interview data was analysed to attain the essential features of what kinship support looks like for children and their families.

RESULTS

The essential feature of kinship support for children and families with PMI is characterized by uncertainty. However, there is an overall impression that kinship is generally supportive to these families, providing respite services, assistance with daily living, emotional support and advice to children and families. Yet, there is a sense that kinship may not always be helpful to these families.

CONCLUSIONS

Kinship support is integral in countries where formal mental health services are inadequate and should be explored/harnessed by mental health practitioners. The study provides directions into ways practitioners can utilize kinship as a resource when working with these families.

摘要

背景与目的

尽管精神疾病患儿的预后较差,但精神卫生服务机构很少能接触到其父母患有精神疾病的患儿。有必要考虑精神卫生工作者如何能优先满足这些患儿及其家庭的需求。本研究考察了父母患有精神疾病的患儿生活中的亲属关系。

方法

本研究采用现象学设计,在加纳对 20 名父母患有精神疾病的儿童(年龄 10-17 岁)进行了访谈。对访谈数据进行分析,以获得亲属支持对儿童及其家庭的具体特征。

结果

父母患有精神疾病的儿童及其家庭的亲属支持的主要特征是不确定性。然而,总的来说,亲属关系对这些家庭是普遍支持的,为他们提供喘息服务、日常生活援助、情感支持和建议。然而,有一种感觉是,亲属关系并不总是对这些家庭有帮助。

结论

在正式的精神卫生服务不足的国家,亲属支持是不可或缺的,精神卫生工作者应该对此加以探索/利用。本研究为从业者在与这些家庭合作时如何将亲属关系作为一种资源提供了方向。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8060/11465364/ebe61e21c551/ZQHW_A_2414481_F0001_OC.jpg

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