Race-related differences in the experiences of family members of persons with mental illness participating in the NAMI Family to Family Education Program.
Race-related differences in the experiences of family members of persons with mental illness participating in the NAMI Family to Family Education Program.
复制标题
参与 NAMI 家庭教育计划的精神疾病患者家庭成员的经历存在与种族相关的差异。
DOI：
10.1007/s10464-014-9674-y
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发表时间：
2014
影响因子：
3.1
通讯作者：
Dixon,LisaB
中科院分区：
文献类型：
--
作者：
Smith,MelissaEdmondson;Lindsey,MichaelA;Williams,CrystalD;Medoff,DeborahR;Lucksted,Alicia;Fang,LiJuan;Schiffman,Jason;Lewis-Fernández,Roberto;Dixon,LisaB
家庭在精神疾病患者的生活中发挥着重要作用。应对角色转换的压力和多重挑战可能会产生巨大的影响。在家庭的养育经历、家庭科普亲人精神疾病的能力或家庭与精神卫生服务系统的互动方面，与种族有关的差异方面的信息有限。这项研究探讨了由于亲人的精神疾病而寻求参加全国精神疾病家庭对家庭教育计划联盟的成年人的经历中与种族有关的差异。参与者是293名白色和107名非洲裔美国家庭成员，他们完成了以问题和情绪为中心的应对措施，对精神疾病的了解，主观疾病负担，心理困扰和家庭功能。使用多元回归分析确定种族相关差异。与白色照顾者相比，非裔美国人照顾者报告了更高水平的负面体验，更少的精神疾病知识，以及更高水平的解决问题的应对和情绪集中的应对。为非裔美国人家庭服务的心理健康计划应考虑针对特定的战略，以应对挑战，支持他们使用现有的应对机制和支持网络，并增加他们对精神疾病的了解。
Families play an important role in the lives of individuals with mental illness. Coping with the strain of shifting roles and multiple challenges of caregiving can have a huge impact. Limited information exists regarding race-related differences in families’ caregiving experiences, their abilities to cope with the mental illness of a loved one, or their interactions with mental health service systems. This study examined race-related differences in the experiences of adults seeking to participate in the National Alliance on Mental Illness Family-to-Family Education Program due to mental illness of a loved one. Participants were 293 White and 107 African American family members who completed measures of problem- and emotion-focused coping, knowledge about mental illness, subjective illness burden, psychological distress, and family functioning. Multiple regression analyses were used to determine race-related differences. African American caregivers reported higher levels of negative caregiving experiences, less knowledge of mental illness, and higher levels of both problem-solving coping and emotion-focused coping, than White caregivers. Mental health programs serving African American families should consider targeting specific strategies to address caregiving challenges, support their use of existing coping mechanisms and support networks, and increase their knowledge of mental illness.