AGING PARENTS WITH A MENTALLY ILL ADULT CHILD AT HOME

家中有患有精神疾病的成年孩子的年迈父母

• 批准号: 6165171
• 负责人: JAN S GREENBERG
• 金额: $ 27.58万
• 依托单位: UNIVERSITY OF WISCONSIN-MADISON
• 依托单位国家: 美国
• 财政年份: 1999
• 资助国家: 美国
• 起止时间: 1999-03-01 至 2004-02-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6165171
• 关键词: aging; behavioral /social science research tag; caregivers; clinical research; coping; geriatrics; health care service utilization; human middle age (35-64); human old age (65+); human subject; longitudinal human study; mental health epidemiology; mental health services; mental retardation; parent offspring interaction; parents; psychological aspect of aging; psychological models; psychological stressor; schizophrenia

This is a revised application that seeks support for a study on the mental health of aging parents who have an adult child with schizophrenia. The aging parents in these families face the dual challenge of continuing responsibility for an adult son or daughter with schizophrenia at the same time that they must deal with the manifestations of their own aging. The proposed study builds upon our research during the past 10 years on aging caregiving mothers of adult children with mental illness, and our comparative work contrasting these mothers with aging mothers of adults with mental retardation. We propose to conduct a three-wave longitudinal study of 300 aging families of adults with schizophrenia who have lived with their mother, age 60-85, for at least the past five years. The study will address the following questions, all within the context of Pearlin's stress process model: (1) What are the factors that contribute to positive and negative psychological well-being in mothers with an adult child who has schizophrenia? To what extent do mothers and fathers differ in the factors that affect their psychological well- being? (2) What are the antecedents to and consequences of the transition from parental to non-parental care? (3) How are the experiences of parents of an adult with schizophrenia similar to and different from those of aging parents of adults with mental retardation? The research involves multiple sets of comparisons driven by a single theoretical model to test the generalizability of the stress process in different caregiving contexts. This study will be the first large scale multiwave longitudinal study of aging parents of adults with schizophrenia and will thus provide new insights about the stress and coping process and implications for mental health policy development.

这是一项修订后的申请，旨在寻求对以下研究的支持： 有成年子女的年迈父母的心理健康 精神分裂症。 这些家庭中年迈的父母面临着双重困境 对成年子女继续承担责任的挑战 他们必须同时应对精神分裂症 自身衰老的表现。 拟议的研究建立在我们过去 10 年的研究基础上 患有精神疾病的成年子女的年老母亲，以及我们的 将这些母亲与成年人的年迈母亲进行对比的比较工作 患有智力障碍。 我们建议分三波 300个成年精神分裂症老年家庭的纵向研究 至少过去五年与 60-85 岁的母亲住在一起的人 年。 该研究将解决以下问题，所有这些问题都在 Pearlin 应力过程模型的背景： (1) 影响压力过程的因素有哪些？ 有助于母亲积极和消极的心理健康 与患有精神分裂症的成年子女？ 妈妈们做到什么程度 和父亲们在影响心理健康的因素上有所不同 存在？ （2）该事件的前因后果是什么？ 从父母照顾到非父母照顾的转变？ (3) 情况如何 成年精神分裂症患者父母的经历与以下类似 与成年智力低下的年迈父母有何不同？ 该研究涉及由单一因素驱动的多组比较 测试应力过程的普遍性的理论模型 不同的护理环境。 这项研究将是第一个大规模多波纵向研究 成年精神分裂症患者的年迈父母，因此将提供新的 关于压力和应对过程及其对心理影响的见解 卫生政策的制定。