AGING PARENTS WITH A MENTALLY ILL ADULT CHILD AT HOME

这是一个修订后的申请，旨在为一项关于 有成年子女的老年父母的心理健康状况 精神分裂症。这些家庭中年迈的父母面临着双重挑战 继续对成年子女承担责任的挑战 精神分裂症的同时，他们必须处理 自身衰老的表现。 建议的研究是以我们过去10年的研究为基础的。 照顾患有精神疾病的成年子女的年迈母亲，以及我们的 将这些母亲与成年母亲年迈的母亲进行对比的工作 精神发育迟滞。我们建议进行三次浪潮 300例老年精神分裂症家系的纵向研究 至少在过去的五年里，他们和60-85岁的母亲一起生活 好几年了。这项研究将解决以下问题，所有这些问题都在 皮尔林压力过程模型的背景：(1)有哪些因素 有助于母亲积极和消极的心理健康 和一个患有精神分裂症的成年孩子在一起？母亲们在多大程度上 而父亲们在影响他们心理健康的因素上有所不同-- 是什么？(2)什么是前因和后果？ 从父母照看过渡到非父母照看？(3)情况如何 1例成人精神分裂症患者的父母经历 与智障成年人年迈的父母不同？ 这项研究涉及由一个单一的 检验应力过程泛化能力的理论模型 不同的照顾环境。 这项研究将是第一次大规模多波纵向研究 患有精神分裂症的成年人的年迈父母，因此将提供新的 关于压力和应对过程的见解及其对心理健康的影响 卫生政策的制定。

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.