Resilience, Social Connectedness, Mental Health Status and Quality of Life in Children of Parents with Mental Illness

Q4 Medicine
Rini Gogoi, Arif Ali
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Abstract

Abstract Background: Children of parents with a mental illness (COPMI) are at greater risk of psychological and physical ill-health, increased behavioral and developmental difficulties, educational underachievement and lower competency than their peers compared to children of healthy parents. The aim of this study was to find resilience, Social Connectedness, mental health status and quality of life (QoL) in COPMI. Materials and Methods: Cross sectional Analytical study was used in the present study. Thirty COPMI with age group of 11–18 years of age, either of the biological parents was diagnosed with severe mental illness (Schizophrenia and Bipolar affective disorder according to international classification of diseases-10) were selected. Socio-demographic data sheet, Connor-Davidson Resilience Scale, KIDSCREEN-27 (QoL), Social Connectedness Scale, Strength and Difficulties Questionnaire (SDQ) were administered. Results: The finding shows that 33.3% of COMPI had low level of resilience and a stronger sense of social connectedness (M = 78.63, standard deviation [SD] = 6.83). Psychological wellbeing (M = 20.77, SD = 2.68) was higher than other domains of QoL, followed by autonomy and parents (M = 18.46, SD = 3.43), school environment (M = 14.56, SD = 2.87), physical wellbeing (M = 14.43, SD = 1.88), and peer and social support (M = 10.87, SD = 2.08). The finding shows that in the total difficulty score (SDQ), 26.7% falls under normal category while 73.3% have abnormal scores. Total Difficulties score (SDQ) has a significant negative correlation with QoL [r=-0.520, P = 0.01] and Social Connectedness (r = ‑ 0.478, P = 0.01). Conclusion: The study highlighted the risk of developing emotional and behavioral problems among COPMI. Resilience based intervention is required at school and community level for mental health promotion among children.
心理韧性、社会联系、心理健康状况与父母患有精神疾病儿童的生活质量
背景:与健康父母的孩子相比,父母患有精神疾病(COPMI)的孩子存在更大的心理和身体不健康、行为和发展困难、学习成绩不佳和能力低下的风险。本研究旨在探讨COPMI患者的心理弹性、社会联系、心理健康状况和生活质量(QoL)。材料与方法:本研究采用横断面分析方法。选择年龄在11-18岁之间,亲生父母中任一方被诊断为严重精神疾病(根据国际疾病分类-10精神分裂症和双相情感障碍)的COPMI患者30例。采用社会人口统计数据表、Connor-Davidson弹性量表、KIDSCREEN-27 (QoL)、社会联系量表、力量与困难问卷(SDQ)。结果:33.3%的COMPI心理弹性水平较低,社会连通性较强(M = 78.63,标准差[SD] = 6.83)。心理健康(M = 20.77, SD = 2.68)高于生活质量的其他领域,其次是自主和父母(M = 18.46, SD = 3.43)、学校环境(M = 14.56, SD = 2.87)、身体健康(M = 14.43, SD = 1.88)和同伴和社会支持(M = 10.87, SD = 2.08)。结果表明,在总难度评分(SDQ)中,正常得分占26.7%,异常得分占73.3%。总困难评分(SDQ)与生活质量(QoL) [r=-0.520, P = 0.01]和社会连通性(Social Connectedness) (r =- 0.478, P = 0.01)呈显著负相关。结论:本研究突出了COPMI患者发生情绪和行为问题的风险。为了促进儿童的心理健康,需要在学校和社区一级采取基于复原力的干预措施。
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来源期刊
CiteScore
0.80
自引率
0.00%
发文量
15
审稿时长
27 weeks
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