"They had clothes on their back and they had food in their stomach, but they didn't have me": The contribution of parental mental health problems, substance use, and domestic violence and abuse on young people and parents
"They had clothes on their back and they had food in their stomach, but they didn't have me": The contribution of parental mental health problems, substance use, and domestic violence and abuse on young people and parents
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“他们背上有衣服，肚子里有食物，但他们没有我”：父母心理健康问题、药物滥用、家庭暴力和虐待对年轻人和父母的影响
DOI：
10.1016/j.chiabu.2023.106609
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发表时间：
2024
影响因子：
4.8
通讯作者：
Kedzior S
中科院分区：
文献类型：
--
作者：
Kedzior S
父母的心理健康问题、药物使用、家庭暴力和虐待等风险因素各自都会对儿童的健康和发展结果产生负面影响。很少有研究考虑到父母和孩子在这些共同风险聚集的现实世界中的生活经历和支持需求。目的探讨父母和青少年在父母心理健康问题聚类、父母物质使用与家庭暴力和虐待方面的生活经历。方法采用半结构化访谈法对18名母亲、6名父亲和7名有上述父母危险因素经历的青少年进行访谈。访谈记录采用反身性主题分析进行分析。结果共发展了四个主题：1)累积逆境，2)疾病风险的影响，3)家庭导航风险，4)家庭支持。父母和年轻人描述了他们经历了多重父母风险因素累积影响的家庭压力情况。在充满挑战的环境下，父母试图以积极的方式应对压力源和父母，但往往受到自己童年创伤和自信心下降的阻碍。父母和年轻人谈到了获得支持的必要性和好处；无论是作为一个家庭还是作为个人，成功地解决这三个父母的风险和相关的影响。这项研究强调了家庭所经历的高水平压力以及他们为减轻风险所做的努力。服务和干预措施需要反映多种需求的复杂性，并在提供支持时考虑到整个家庭和个人。
BackgroundThe parental risk factors of mental health problems, substance use, and domestic violence and abuse each individually negatively impacts children's health and developmental outcomes. Few studies have considered the lived experience and support needs of parents and children in the real-world situation where these common risks cluster.ObjectiveThis study explores parents' and young people's lived experiences of the clustering of parental mental health problems, parental substance use, and domestic violence and abuse.MethodsSemi-structured interviews were conducted with 18 mothers, 6 fathers, and 7 young people with experiences of these parental risk factors. Transcribed interviews were analysed using reflexive thematic analysis.ResultsFour themes were developed, 1) cumulative adversity, 2) the impact of syndemic risk, 3) families navigating risk, and 4) family support. Parents and young people described family situations of stress wherein they experienced cumulative impact of multiple parental risk factors. Parents sought to navigate stressors and parent in positive ways under challenging conditions, often impeded by their own childhood trauma and diminished confidence. Parents and young people spoke of the need for, and benefits of having, support; both as a family and as individuals, to successfully address this trio of parental risks and the related impact.ConclusionsThis study highlights the high level of stress families experience and the efforts they go to mitigate risk. Services and interventions need to reflect the complexity of multiple needs and consider both the whole family and individuals when providing support.