患者与孩子谈论精神疾病的经验:一种定性研究
Elizabeth Rapa1, Athif Ilyas1,2, Simone de Cassan1,2
1Department of Psychiatry, Warneford Hospital, University of Oxford, Oxford, United Kingdom.
患有精神疾病的父母往往因为内和保护孩子的愿望而难以与孩子讨论他们的病情. 医疗保健专业人员可以在支持这些敏感的家庭对话方面发挥关键作用.
科学领域:
- 心理健康 心理健康
- 儿童心理学 儿童心理学
- 家庭研究 家庭研究
背景情况:
- 父母的精神疾病会影响家庭动态和孩子的福祉.
- 由于耻辱和保护本能,父母经常面临向孩子透露自己的情况的挑战.
- 关于父母精神疾病的有效沟通对于孩子的心理结果至关重要.
研究的目的:
- 探索父母与孩子讨论精神疾病的经验.
- 调查临床团队在促进这些对话中的作用.
- 找出障碍物和促进者在沟通父母的精神疾病给孩子.
主要方法:
- 与15名接受NHS心理健康护理的家长进行了定性采访.
- 采访数据的字面转录和诱导性主题分析.
- 探索家长的经验和医疗保健专业人员的参与.
主要成果:
- 与儿童分享关于父母精神疾病的信息存在显著差异.
- 父母对诊断影响和个人痛苦的恐惧影响了披露.
- 没有专业人士发起关于儿童知识的讨论或提供指导,尽管父母希望如此.
- 出现了四个主要主题:影响披露的因素,感知到的好处,谁进行沟通,以及医疗保健专业人员的作用.
结论:
- 需要为专业人士提供有针对性的培训,为家庭提供适合年龄的资源,以改善沟通.
- 促进关于父母精神疾病的公开沟通对于改善儿童的心理健康和家庭的运作至关重要.
- 医疗保健专业人员应该更积极地支持父母与孩子讨论精神疾病.
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