SERIOUSLY MENTALLY ILL WOMEN--COPING WITH PARENTHOOD

患有严重精神疾病的女性——应对为人父母的问题

• 批准号: 2254667
• 负责人: CAROL T MOWBRAY
• 金额: $ 30.56万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 1994
• 资助国家: 美国
• 起止时间: 1994-09-01 至 1997-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2254667
• 关键词: child behavior; child care; child rearing; community mental health services; coping; female; functional ability; health care service utilization; human subject; major depression; maternal behavior; mental disorder diagnosis; mental disorders; psychosocial rehabilitation; schizophrenia; self concept; social adjustment; social support network; stressor

The literature on seriously mentally ill (SMI) women and their parenting experiences establishes that these women are at risk for parenting problems, but because of methodological limitations, fails to identify to what extent these problems can be mitigated. The purpose of the research proposed is to: 1) Identify and describe seriously mentally ill women who have parenting responsibilities in terms of their demographics and personal characteristics, their self-perceptions as mothers, the resources available to them, and the stressors they face, especially concerning care of children. 2) Investigate how these women are functioning in the community as well as the parenting problems they are experiencing. 3) Analyze the relationship between community functioning and parenting problems and relevant variables from the literature review: diagnosis, chronicity, race, age of onset, social supports, and mental health, treatment. 4) Examine the changes over a 12-month period in these women's community functioning and parenting problems and how these relate to changes in resources and stressors and to personal characteristics. The research framework will be based on Moos' Stress-Adaptation paradigm. The initial study sample will include 312 SMI women, recruited from caseloads and public psychiatric hospital referrals of three community mental health agencies in metropolitan Detroit. Data will include interviews of these women, Management Information System data on service utilization, and CMH staff assessments, collected at study entry and 12 months later. The study is designed to address previous deficits in the research literature on serious mental illness and mothering problems by including a large sample with diversity in terms of race, chronicity, etc., by utilizing standardized and more reliable instruments, and by systematically and comprehensively studying personal characteristics as well as environmental context. With these design improvements, the research should produce information relevant to service delivery and to the future development of intervention models for SMI women with children.

关于患有严重精神疾病 (SMI) 的女性及其养育子女的文献 经验表明这些妇女面临养育子女的风险 问题，但由于方法上的限制，未能确定 这些问题可以在多大程度上得到缓解。 研究目的 提议是： 1) 识别并描述有抚养权的患有严重精神疾病的女性 人口统计和个人方面的责任 特征、作为母亲的自我认知、资源 他们可以利用的，以及他们面临的压力，特别是在护理方面 儿童。 2) 调查这些妇女在社区中的表现以及 他们正在经历的养育问题。 3）分析社区功能与养育子女之间的关系 文献综述中的问题和相关变量：诊断， 慢性、种族、发病年龄、社会支持和心理健康， 治疗。 4) 检查这些女性社区在 12 个月内的变化 功能和养育问题以及这些问题与变化有何关系 资源和压力以及个人特征。 该研究框架将基于莫斯的压力适应范式。 最初的研究样本将包括 312 名 SMI 女性，她们来自 三个社区的病例数和公立精神病医院转诊情况 底特律大都市的心理健康机构。数据将包括 对这些妇女的访谈、管理信息系统的服务数据 利用率和 CMH 工作人员评估，在研究开始时收集，12 几个月后。 该研究旨在解决以前的缺陷 关于严重精神疾病和母亲问题的研究文献 包括一个在种族、长期性方面具有多样性的大样本， 等，通过利用标准化和更可靠的仪器，并通过 系统、全面地研究个人特征 以及环境背景。 通过这些设计改进， 研究应产生与服务提供相关的信息并 SMI 有孩子妇女干预模式的未来发展。