AGING PARENTS WITH A MENTALLY ILL ADULT CHILD AT HOME

这是一份修订后的申请，旨在寻求对一项关于 有成年子女的老年父母的心理健康 精神分裂症 这些家庭中年迈的父母面临着双重困难， 对成年儿子或女儿继续承担责任的挑战， 精神分裂症的同时，他们必须处理 自己衰老的表现。 这项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迈母亲， 将这些母亲与成年母亲进行对比的比较工作 患有精神发育迟滞 我们建议进行三波 300例老年精神分裂症家系纵向研究 至少在过去的五年里， 年 本研究将探讨以下问题，所有这些问题都在 Pearlin的压力过程模型的背景：（1）哪些因素 促进母亲积极和消极的心理健康 患有精神分裂症的成年孩子 母亲们在多大程度上 父亲在影响他们心理健康的因素上有所不同， 存在？(2)什么是前因和后果的 从父母照顾到非父母照顾的转变？(3)们怎么样 一个成年精神分裂症患者的父母的经历， 与智力迟钝成年人的年迈父母的不同之处？ 这项研究涉及多组比较，由一个单一的驱动， 理论模型来测试的压力过程中的普遍性， 不同的背景。 这项研究将是第一个大规模的多波纵向研究 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的见解以及对心理健康的影响 制定卫生政策。

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.