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Screening for serious mental illness in the general population with the K6 screening scale: results from the WHO World Mental Health (WMH) survey initiative

KESSLER, Ronald C.; GREEN, Jennifer Greif; GRUBER, Michael J.; SAMPSON, Nancy A.; BROMET, Evelyn; CUITAN, Marius; FURUKAWA, Toshi A.; GUREJE, Oye; HINKOV, Hristo; HU, Chi-Yi; LARA, Carmen; LEE, Sing; MNEIMNEH, Zeina; MYER, Landon; OAKLEY-BROWNE, Mark; POS
Fonte: JOHN WILEY & SONS LTD Publicador: JOHN WILEY & SONS LTD
Tipo: Artigo de Revista Científica
ENG
Relevância na Pesquisa
66.37%
Data are reported on the background and performance of the K6 screening scale for serious mental illness (SMI) in the World Health Organization (WHO) World Mental Health (WMH) surveys. The K6 is a six-item scale developed to provide a brief valid screen for Diagnostic and Statistical Manual of Mental Disorders 4th edition (DSM-IV) SMI based on the criteria in the US ADAMHA Reorganization Act. Although methodological studies have documented good K6 validity in a number of countries, optimal scoring rules have never been proposed. Such rules are presented here based on analysis of K6 data in nationally or regionally representative WMH surveys in 14 countries (combined N = 41,770 respondents). Twelve-month prevalence of DSM-IV SMI was assessed with the fully-structured WHO Composite International Diagnostic Interview. Nested logistic regression analysis was used to generate estimates of the predicted probability of SMI for each respondent from K6 scores, taking into consideration the possibility of variable concordance as a function of respondent age, gender, education, and country. Concordance, assessed by calculating the area under the receiver operating characteristic curve, was generally substantial (median 0.83; range 0.76-0.89; inter-quartile range 0.81-0.85). Based on this result...

O estigma da doença mental: compreensão e ações dos trabalhadores dos CAPS; The stigma of mental illness: understanding and actions of workers of the CAPS.

Santos, Jussara Carvalho dos
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 01/07/2013 PT
Relevância na Pesquisa
66.61%
O Estigma é definido como um atributo profundamente depreciativo, que aos olhos da sociedade serve para desacreditar a pessoa que o possui, contribuindo com a discriminação social. Durante séculos a pessoa com doença mental se sentiu estigmatizada porque ser vista como louca pelo grupo cultural com quem convive. Esta forma de produção cultural do estigma se dá de modo similar no Brasil. Desta forma, as equipes dos serviços substitutivos territoriais, como o CAPS, devem realizar ações que mude a questão cultural em relação à loucura para poder alcançar a superação do estigma da doença mental. Para que isso possa acontecer, os profissionais de saúde mental tem de reconhecer os usuários dos serviços substitutivos territoriais como cidadãos, caso contrário eles reforçarão o estigma e a discriminação já prevalentes na sociedade. A equipe multidisciplinar dos CAPS tem um papel importante para ampliar debates sobre os direitos e sobre a cidadania das pessoas com doença mental no seu território de atuação, informando às pessoas com e sem doença mental e aos empregadores sobre o propósito de diminuir a discriminação/estigma relacionado à doença mental. Esta equipe deve aproveitar as oportunidades dentro e fora do campo de trabalho em saúde mental para promover a inclusão social...

Cares for families of people with mental illness

Gomes, Maria Filomena Pereira; Martins, Maria Manuela
Fonte: Facultatea de Medicina Brasov Publicador: Facultatea de Medicina Brasov
Tipo: Artigo de Revista Científica
Publicado em //2010 ENG
Relevância na Pesquisa
66.37%
Health politics defend that people with mental diseases should be kept within the community. The family is asked to look after these people, without being prepared for that. The family doesn’t understand their ill relatives neither the revelation of the illness, dealing as well with guilt, physical and emotional overload, social isolation and frequently economical difficulties. This study allows us to identify the health needs in the families with relatives suffering from mental illness, and develop healthy strategies to overcome the difficulties caused by the illness. Our aim is to promote health in these families. For this investigation we conducted semi-structured interviews within a sample composed by relatives of mental patients. The families feel insecure and don’t know what to do, saying it would be important to know how to deal with the ill person and where to turn to in case of family instability. The information allows us to help the family to readjust their new life projects.

People with mental illness can tackle tobacco

Ashton, M.; Miller, C.; Bowden, J.; Bertossa, S.
Fonte: Blackwell Publishing Asia Publicador: Blackwell Publishing Asia
Tipo: Artigo de Revista Científica
Publicado em //2010 EN
Relevância na Pesquisa
66.45%
Objective: To evaluate a smoking reduction and cessation intervention tailored for people with significant disability associated with mental illness. Method: The intervention was a 10 week group programme, which tailored smoking cessation interventions to the needs of people living with mental illness. It was facilitated by mental health workers and peer workers and was promoted through mental health services, general practitioners and the Quitline phone service. Participants were people living with mental illness who had asked for help to quit or reduce their tobacco use. Participants were interviewed before starting the course, twice during the course and at 3, 6 and 12 months post course completion. Results: Overall, 226 people expressed interest, 183 attended at least one session of the course and 105 attended at least 10 sessions. Of the 183 participants, 79.8% reported they did not smoke for at least 24 hours, with 30.6% stopping for at least 30 days. At the 12 month follow up 16.6% of participants reported they were not smoking. Of the 105 participants who attended at least 10 sessions of the course, 85.7% reported they did not smoke for at least 24 hours and 37.1% stopping for at least 30 days. At 12 month follow up 21.3% reported they were not smoking. Cigarettes smoked per day declined among those who did not quit...

Children of parents with mental illness: parental disclosure, children’s illness beliefs and the development of a shared understanding of mental illness in the family.

Ferguson, Brooke
Fonte: Universidade de Adelaide Publicador: Universidade de Adelaide
Tipo: Tese de Doutorado
Publicado em //2011
Relevância na Pesquisa
66.66%
There is widespread agreement that children should be educated about a parent‘s mental illness. For this to occur there are a number of areas which require further research. To date, little is known about what parents themselves think about the disclosure of mental illness to their children. It is also unclear how the process of disclosure occurs in families with mental illness. Children‘s own knowledge of parental mental illness has not been systematically explored and it is not known what children know about aspects of their parent‘s illness. This thesis explored how families, where a parent has mental illness, discuss or do not discuss a parent‘s mental illness. This was explored from the perspective of different family members, including children whose parent has mental illness, the parent with mental illness, the partner of a parent with mental illness, ex-partners of parents with mental illness and step parents of children who have a parent with mental illness. Study One was an explorative qualitative study which aimed to examine parental beliefs about the disclosure of mental illness. Semi-structured, face to face interviews were conducted with parents (n= 26) regarding their thoughts about disclosure to their children about the mental illness of a parent. Participants included parents with mental illness...

What do 1000 smokers with mental illness say about their tobacco use?

Ashton, M.; Rigby, A.; Galletly, C.
Fonte: Blackwell Publishing Asia Publicador: Blackwell Publishing Asia
Tipo: Artigo de Revista Científica
Publicado em //2013 EN
Relevância na Pesquisa
66.48%
OBJECTIVE: To determine what motivates smokers with mental illness to participate in a smoking cessation or reduction programme and to report their attendance and cessation rates. METHOD: A group programme was provided to assist smokers with mental illness to cease or reduce their use of tobacco. People who registered to address their tobacco use completed a questionnaire which included information about their mental health, tobacco use, and what they wanted to achieve by attending the programme. RESULTS: A total of 1043 smokers living with mental illness contacted the programme and asked for help to address their tobacco use between 2000 and 2011. At the first contact they were smoking an average of 27.4 cigarettes per day and had been smoking for 23.8 years, and 87% said they wanted to quit tobacco and a further 10% wanted to smoke less: 85% said they were concerned about the effect that smoking tobacco was having on their health, 56% were concerned for financial reasons, and nearly half (47.6%) said that they were concerned about both their physical health and their financial situation. In Adelaide, 148 Tobacco Free programmes were provided by mental health services. Of those who attended at least one session and completed an evaluation at the end of the programme...

Literacy of Patient with Experience of Mental Illness - Methods of Health Education and Psychoeducation in Mental Health Nursing [Póster]

Dias, Carlos Manuel de Melo; Loureiro, Cândida Rosalinda Exposto da Costa; Lourenço, Olívia Andreia dos Santos Galvão
Fonte: Escola Superior de Enfermagem de Coimbra Publicador: Escola Superior de Enfermagem de Coimbra
Tipo: Outros
Publicado em 03/02/2014 ENG
Relevância na Pesquisa
66.41%
Introduction Coping with our transitions (Meleis, 2010) or satisfying our human needs (Henderson, 2001) is a demand for each of us. Be knowledgeable and reflect about this knowledge is crucial to maintain health, prevent or treat problems/disturbances. Nurses are able to do it, but they need clearly knowing, what patients know about themselves and the illness? And about coping with that all? How nurses teach and train patients? About what? Which methods and strategies they prefer and are evidence based practice? General Objective In our point of view literacy of Patient with Experience of Mental Illness (PEMI) is strongly sensitive to nursing interventions therefore the intrinsic concern is about establishing a basis for developing knowledge in nursing and improving practice focused on health education methods and strategies within nursing care. Methodology For the first step, it is important acknowledge literacy of PEMI as an dependent variable of clinical reasoning in nursing practice, intentionally done by the nurse, based on knowledge and experience, to systematically select, compare, test, infer and decide on the specific clinical evidence of the clinical course of the patient, generating clinical decisions and conclusions that achieve the expected results (Melo-Dias & Lopes...

Labels used by adolescents to stigmatize people with mental illness

Rosa, Amorim Gabriel Santos
Fonte: Escola Superior de Enfermagem de Coimbra Publicador: Escola Superior de Enfermagem de Coimbra
Tipo: Outros Formato: application/pdf
Publicado em 03/04/2014 ENG
Relevância na Pesquisa
66.51%
Background: The stigma against the mentally ill is a major barrier to help-seeking in adolescents for mental health problems. The objective of this study was to investigate the extent of stigma in relation to treatment avoidance in 12-17 year-old school students in Coimbra, Portugal in relation to how they refer to people with mental illness. Methods: This is a qualitative study involving three focus group. The data were gathered in June 2013, as part of the assessment of knowledge on Mental Health Literacy in adolescents. Participants were recruited from three grammar schools (urban, suburban and rural). At the start of the sessions, the students were asked 'What words or phrases might you use to describe someone who experiences mental health problems?' Words and terms used to refer to mental illness were enumerated and grouped in terms of their denotative and connotative meanings. Labels were then derived to capture the key themes attached by the students to the concepts of mental illness. Results: The 23 participating students provided 44 words and terms to describe a person with mental illness. Six themes were identified from the data. The two first themes called 'popular derogatory terms' (14 items) and 'negative emotional states' (12 items) accounted for more than half of the words examined. The remaining four themes occurred less often and were described as 'use of psychiatric diagnoses' (8 items)...

Labels used by adolescents to stigmatize people with mental illness

Rosa, Amorim Gabriel Santos
Fonte: Escola Superior de Enfermagem de Coimbra Publicador: Escola Superior de Enfermagem de Coimbra
Tipo: Conferência ou Objeto de Conferência
Publicado em 02/04/2014 ENG
Relevância na Pesquisa
66.51%
Background - The stigma against the mentally ill is a major barrier to help-seeking in adolescents for mental health problems. The objective of this study was to investigate the extent of stigma in relation to treatment avoidance in 12-17 year-old school students in Coimbra, Portugal in relation to how they refer to people with mental illness. Methods- This is a qualitative study involving three focus group. The data were gathered in June 2013, as part of the assessment of knowledge on Mental Health Literacy in adolescents. Participants were recruited from three grammar schools (urban, suburban and rural). At the start of the sessions, the students were asked 'What words or phrases might you use to describe someone who experiences mental health problems?' Words and terms used to refer to mental illness were enumerated and grouped in terms of their denotative and connotative meanings. Labels were then derived to capture the key themes attached by the students to the concepts of mental illness. Results - The 23 participating students provided 44 words and terms to describe a person with mental illness. Six themes were identified from the data. The two first themes called 'popular derogatory terms' (14 items) and 'negative emotional states' (12 items) accounted for more than half of the words examined. The remaining four themes occurred less often and were described as 'use of psychiatric diagnoses' (8 items)...

The Ripple Effect: Social Network Dynamics, Social Location, and Strategies of Interaction in Mental Illness Careers

Perry, Brea Louise
Fonte: [Bloomington, Ind.] : Indiana University Publicador: [Bloomington, Ind.] : Indiana University
Tipo: Doctoral Dissertation
EN
Relevância na Pesquisa
66.41%
Thesis (PhD) - Indiana University, Sociology, 2008; Social networks are dynamic in nature, characterized by ebbs and flows in the level and quality of interaction that correspond to important changes in the lives of individuals. Disruptive events and transitions have been theorized to restrict access to existing network ties and provide opportunities for new associations and alter network structure, altering network structure, function, and content in meaningful ways. The main objective of this research is to capture the interplay between the dramatically changing circumstances in individuals' lives, the activation of social resources, and the evolution of networks. Plainly, the central question is 'how and why do social networks evolve in response to disruption and uncertainty?' This research is fundamentally about how crisis requires people to rethink and respond to changes in their social interaction patterns, and reorganize personal social networks challenged by escalating needs, changes in social location, and the stigma attached to mental illness. Using the Indianapolis Network Mental Health Study (INMHS), I follow the social network experiences of 171 "first-timers," that is, individuals making their first major contact with the largest public and private treatment centers in the city. Data reveal that crisis reverberates through the social network...

EFFICACY OF AN OCCUPATIONAL TIME USE INTERVENTION FOR PEOPLE WITH SERIOUS MENTAL ILLNESS

Edgelow, MEGAN
Fonte: Quens University Publicador: Quens University
Tipo: Tese de Doutorado Formato: 1895153 bytes; application/pdf
EN; EN
Relevância na Pesquisa
66.41%
Rationale: Consumers of the mental health system with serious mental illness have been deprived of meaningful occupations since de-institutionalization began in the late 20th century.Community mental health policy has failed to focus on the meaningful occupational lives of this group of service users. Given the disparity in activity and meaningful time use for people with serious mental illness when compared to the general population, it is clear that a treatment that draws attention to occupational balance and engagement is needed. As balanced time use has been shown to increase community adjustment and life satisfaction, it is an important area of focus. Objectives: The purpose of this study was to pilot test the efficacy of a new occupational time use intervention, provisionally titled “Action over Inertia,” designed to increase occupational balance and engagement in the lives of people with serious mental illness living in the community. Methods: A prospective, multi-centre randomized controlled trial of the intervention, involving 5 Assertive Community Treatment (ACT) teams in southeastern Ontario,ran in Fall 2007/Winter 2008. 18 ACT clients took part in the 12 week intervention, which was delivered by the ACT team occupational therapists. Results: Time use...

THERAPEUTIC JURISPRUDENCE, REHABILITATION, AND RESPONDING TO MENTAL ILLNESS IN THE CONTEXT OF CRIMINAL COURTS IN REMOTE, MAINLY INUIT ARCTIC COMMUNITIES

Ferrazzi, PRISCILLA
Fonte: Quens University Publicador: Quens University
Tipo: Tese de Doutorado
EN; EN
Relevância na Pesquisa
66.47%
Researchers have recently suggested using the problem-solving court principles that guide criminal court mental health diversion initiatives in large North American cities and elsewhere to deliver similar objectives outside of well-resourced, specialized urban courts. The proliferation of these initiatives is a response to the overrepresentation of people with mental illness caught up in the justice system. But while the “problem-solving court” principles and those of the foundational theoretical approach known as therapeutic jurisprudence (TJ) include the need for an effective “rehabilitative response,” a contemporary understanding of this response from mental health rehabilitation research—including current thinking about the role of culture in mental health recovery—is not well explored. Meanwhile, in the mainly Inuit Canadian Arctic territory of Nunavut, criminal court mental health diversion initiatives do not exist. This dissertation examined the potential for delivering the objectives of criminal court mental health diversion in Nunavut using TJ and problem-solving court principles. A qualitative multiple-case study involving 55 semi-structured interviews as well as three focus groups was used to gather and analyze the experiences of justice personnel...

Advancing our understanding of how pet ownership impacts health and well-being among community dwelling people living with serious mental illness

Zimolag, Ulrike
Fonte: Quens University Publicador: Quens University
Tipo: Tese de Doutorado
EN; EN
Relevância na Pesquisa
66.39%
Objectives It is estimated that about 1 million (3%) Canadians will experience serious mental illness characterized by symptoms and impairments that are severe enough and of long enough duration to interfere with daily life (Canadian Mental Health Association, n.d; Kelly, 2002) including meaningful work and social engagement (Mental Health Commission of Canada, n.d.). Methods The purpose of this thesis was to develop the concept of pet ownership as an everyday North American occupation and to develop a theory of how pet ownership impacts on health and well-being. The first study used Rodgers’ (2000) evolutionary concept analysis approach to analyze North American newspapers and bestselling books. The second study used a grounded theory approach (Charmaz, 2006) to explore how pet ownership impacts (positively or negatively) on health and well-being among community dwelling people with serious mental illnesses. Data collection consisted primarily of individual interviews with 23 stakeholders with knowledge and experience related to pet ownership and serious mental illness. Results In study one, the findings demonstrate that pet ownership is a complex concept consisting of the attributes of: responsibility, investment, occupational engagement...

Free Spirit Affirmative Business: Employment for offenders with serious mental illness

Davidson, Tracy
Fonte: Quens University Publicador: Quens University
Tipo: Tese de Doutorado
EN; EN
Relevância na Pesquisa
66.37%
This case study evaluates the process of affirmative business development within a federal correctional psychiatric facility for federal offenders with mental illness serving long or indeterminate sentences. It examines how the business associates (i.e., offenders with mental illness who are self-employed in the affirmative business) change through working in the affirmative business, and what challenges and benefits they experience. The aim is to disseminate knowledge that will assist in developing supported employment opportunities for offenders with serious mental illness. Qualitative and participatory research methods are used to give a descriptive account of the experience of 14 business associates within a critical paradigm. The framework that guided this study included the Canadian Model of Occupational Performance and Engagement (CMOP-E); the Theory of Planned Behaviour (TPB); and a Community Economic Development (CED) approach. Strategies were incorporated to maintain rigor and ensure trustworthiness and quality of the findings. The data outlined the first 6 years of the affirmative business. Interviews and observations were conducted during year 7 and 8 of the affirmative business. Reviews of documents and artifacts were current and historical in nature. Three overlapping phases of business development...

Social Capital and Mental Health: Public Perceptions of Mental Illness and the Accrual of Social Capital

Bouchard, KATHERINE
Fonte: Quens University Publicador: Quens University
Tipo: Tese de Doutorado
EN; EN
Relevância na Pesquisa
66.36%
As much as the psychosocial nature of mental illness cannot be ignored, it is generally agreed that social ties play a beneficial role in the maintenance of psychological well-being. Small social networks, few close relationships, and low perceived adequacy of social support and quality of life have all been linked to depressive symptoms. Conversely, the challenges of establishing a causal relationship to social ties are generally greater for mental health than they are for other health outcomes. The purpose of the present study was to identify the association between social capital and overall psychological well-being among Canadian citizens aged 12 and older, by conducting a secondary analysis of microdata using the 2009/2010 cross-sectional Canadian Community Health Survey. The present study included a weighted sample of 124,188 individuals aged 12 years or older who participated in the Canadian Community Health Survey from 2009-2010. Ordinal regression was used to examine the association between self-perceived mental health and social capital in the context of community involvement and sense of belonging in the community. Respondents who felt a sense of belonging in their local community reported mental health superior to individuals who did not have a community-based sense of belonging. This association was explained by respondent’s age...

Can Mental Health Education Using a Storybook Reduce Mental Illness Stigma in Children?

Innocent, JUDELINE
Fonte: Quens University Publicador: Quens University
Tipo: Tese de Doutorado
EN; EN
Relevância na Pesquisa
66.55%
Individuals experiencing a mental illness are often stigmatized. Children also stigmatize those who experience a mental illness. There is national interest in reducing the negative effects of stigma, especially in children. Unfortunately, children anti-stigma interventions are being used without being empirically tested for their effectiveness. A goal of the Opening Minds Anti-stigma initiative of the Mental Health Commission of Canada is to identify programs and resources that have been empirically tested and found to be effective in reducing stigma. This study was funded by the Opening Minds Initiative of the Mental Health Commission of Canada to: First, investigate the effectiveness of providing children ages 11-14 with mental illness education using a storybook in order to reduce their mental illness stigma; and, second, to examine children’s perceptions of the anti-stigma book used to provide the education. A quasi-experimental design was used to test the effectiveness of the mental illness educational storybook in reducing mental illness stigma. The Youth Opinion Survey for Stereotype and Social Distance measurement was used to obtain baseline information before the education was provided. A pre-test, post-test process was used. Several qualitative questions...

Mental Illness and Violence in the Media. An Illicit Association?

Sampietro, Hernán María
Fonte: Universidade Autônoma de Barcelona Publicador: Universidade Autônoma de Barcelona
Tipo: Artigo de Revista Científica Formato: application/pdf
Publicado em //2010 ENG
Relevância na Pesquisa
66.38%
In this article we hope to respond to the various questions that arise when one considers the way in which the media presents mental illness associated with violence. To do so, a literature review was undertaken, including 81 original studies or previous reviews, in an attempt to understand what are the meanings that the media attributes to mental illness and why the researchers consider these meanings to be inadequate and stigmatizing. At the same time, what the research says with respect to the existence, or non-existence, of this association outside of the media was also analyzed. And, finally, different studies were examined that explain the strategies used by the media to construct this association. The review allows us to conclude that the meanings attributed by the media, even if they contradict the opinions of professionals and experts, are effective and functional for commercial criteria; En este artículo se pretende responder a diversos interrogantes que surgen cuando se considera la manera como la enfermedad mental se presenta en los medios de comunicación asociada a la violencia. Para ello, se realizó una revisión de la literatura, incluyendo 81 investigaciones originales o revisiones previas, intentando comprender cuáles son las significaciones que los medios atribuyen a la enfermedad mental y porqué los/as investigadores/as consideran que estas significaciones son inadecuadas y estigmatizantes. A su vez...

Exploring the relationship between social class, mental illness stigma and mental health literacy using British national survey data

Holman, Daniel
Fonte: Sage Publicador: Sage
Tipo: Article; accepted version
EN
Relevância na Pesquisa
66.47%
This is the accepted manuscript version. The final version is available from Sage at http://hea.sagepub.com/content/19/4/413.abstract.; The relationship between social class and mental illness stigma has received little attention in recent years. At the same time, the concept of mental health literacy (MHL) has become an increasingly popular way to frame knowledge and understanding of mental health issues. British Social Attitudes survey data present an opportunity to unpack the relationships between these concepts and social class, an important task given continuing mental health inequalities. Regression analyses were undertaken which centred on depression and schizophrenia vignettes, with an asthma vignette used for comparison. The National Statistics Socio-economic Classification (NS-SEC), education and income were used as indicators of class. A number of interesting findings emerged. Overall, class variables showed a stronger relationship with mental health literacy than stigma. The relationship was gendered such that women with higher levels of education, especially those with a degree, had the lowest levels of stigma and highest levels of MHL. Interestingly, class showed more of an association with stigma for the asthma vignette than it did for both the depression and schizophrenia vignettes...

Mothering and mental illness: an ethnography of attachment in an institutional context.

Masciantonio, Sonia Christine
Fonte: Universidade de Adelaide Publicador: Universidade de Adelaide
Tipo: Tese de Doutorado
Publicado em //2015
Relevância na Pesquisa
66.52%
This thesis entitled Mothering and Mental illness: An Ethnography of Attachment in an Institutional Context, explores mothering in the context of mental illness. It is based on ethnographic fieldwork conducted from November 2008 to October 2009 in Oliveto – an Australian, state-run, mother and baby unit that facilitates dual admission and treatment of mothers and babies. Psychiatric diagnosis was the primary criterion for admission; however it was the woman's social role as mother that confirmed her entrance into the psychiatric unit which specifically offered dyadic treatments. Oliveto was a six bed inpatient facility that admitted a total of 104 mother-baby dyads during the eleven month fieldwork period. Oliveto's psychiatric practice followed a biopsychosocial model of treatment, facilitated by a multidisciplinary team. The team was led by female psychiatrists and supported by psychologists, psychiatric nurses, midwives, occupational therapists and social workers who were predominantly female. As Oliveto was an acute unit, admission periods were relatively short, with an average of three weeks. Therefore the most useful ethnographic data were collected through participant observation and in-depth interviewing with Oliveto's multidisciplinary team...

Grief experiences of parents whose children suffer from mental illness

Godresse, Julia; Ozgul, Salih; Owen, Cathy; Foley-Evans, Leanne
Fonte: SAGE Publications Publicador: SAGE Publications
Tipo: Artigo de Revista Científica
Relevância na Pesquisa
66.45%
Objective: To examine the grief experience of parents of adult children with a mental illness and its relationship to parental health and well-being and parent child attachment and affective relationship. Methods: Participants were recruited from a variety of organizations throughout Australia that provide support services for sufferers of mental illness and/or for their families. Seventy-one participants (62 mothers and nine fathers) all of whom had a child diagnosed with mental illness volunteered to take part in the study. All completed measures of grief, health status and parent-child relationship. Results: Parents reported experiencing grief in relation to their child's illness as evidenced by intrusive thoughts and feelings and avoidance of behaviour as well as difficulties adapting to and distress associated with reminders of the illness. Parental grief appears to reduce over time, but only in some aspects of grief and after an extended period. Increased parental grief was related to lowered psychological well-being and health status and associated with an anxious/ambivalent and a negative affective parent-child relationship. Conclusion: The study provides important insights into the grief experiences of parents following their child's diagnosis with mental illness. The significant relationship between parental grief and parental psychological well-being and health status as well as to parent-child relationship has important implications for health professionals. Foremost amongst these are the need to validate the distress and grief of parents and to better understand how to provide interventions that promote grief work and family bonds while reducing emotional distress and life disruption.