Sivarajah Nithura, Radley Jessica, Knowles-Bevis Rebecca, Johns Louise C
Department of Psychiatry, University of Oxford, Oxford OX37JX, UK.
Oxford Health NHS Foundation Trust, Oxford OX44XN, UK.
Behav Sci (Basel). 2025 Jul 14;15(7):950. doi: 10.3390/bs15070950.
Many patients with psychosis have dependent children. Being a parent is an important and valued role for people with psychosis. However, the experience of psychosis can disrupt parent-child interactions, which can negatively affect both parents and children. Despite this understanding, there remains a lack of diagnosis-specific parenting interventions for parents with lived experience of psychosis. An eight-week digital mentalization-based parenting group intervention (Me, My Child, and Us) was piloted to evaluate its acceptability, feasibility, and impact on self-reported parenting satisfaction, parental relationship, and overall wellbeing. The study used a within-participant non-controlled pre-post design using mixed quantitative and qualitative methodology. Thirteen parents with dependent children were recruited and two eight-week groups were run. Eleven parents completed the intervention, the pre- and post-group measures, and provided qualitative feedback on their experience of the intervention. On average, parents attended 75% of sessions. Parents reported high satisfaction with the content and structure of the group. Scores on pre- and post- group measures suggest improvements in self-reported parental wellbeing, parental relationship, parenting stress levels, parenting satisfaction and efficacy, as well as mentalizing capacity. The Me, My Child, and Us parenting group is feasible to deliver and acceptable for parents with lived experience of psychosis. The preliminary self-report data indicate a controlled evaluation of the intervention as the next step.
许多患有精神病的患者都有未成年子女。为人父母对患有精神病的人来说是一个重要且有价值的角色。然而，精神病的经历会扰乱亲子互动，这会对父母和孩子都产生负面影响。尽管有这样的认识，但对于有精神病生活经历的父母，仍然缺乏针对特定诊断的育儿干预措施。一项基于心理化的为期八周的数字化育儿小组干预（“我、我的孩子和我们”）进行了试点，以评估其可接受性、可行性以及对自我报告的育儿满意度、亲子关系和整体幸福感的影响。该研究采用了参与者自身前后对照的非受控设计，运用了混合定量和定性方法。招募了13位有未成年子女的父母，并开展了两个为期八周的小组。11位父母完成了干预、小组前后测量，并对他们的干预体验提供了定性反馈。父母平均参加了75%的课程。父母对小组的内容和结构表示高度满意。小组前后测量的分数表明，自我报告的父母幸福感、亲子关系、育儿压力水平、育儿满意度和效能以及心理化能力都有所改善。“我、我的孩子和我们”育儿小组对有精神病生活经历的父母来说是可行的且可接受的。初步的自我报告数据表明下一步需要对该干预进行对照评估。
