Safety, Feasibility, Fidelity, and Perceived Benefits of an Intervention for Parents with Mood Disorders and Their Children — “Let’s Talk About Children” in Japan
R. Ueno, H. Osada, T. Solantaus, Akiko Murakoshi, Takeshi Inoue
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引用次数: 9
Abstract
ABSTRACT In Japan, there is no evidence-based intervention for parents with mental illness that is designed to support the patient in parenting and to prevent disorders in their children. The aim of this study was to evaluate the safety, feasibility and perceived benefits of using the Let’s Talk About Children program from Finland for parents with mood disorders in Japan before carrying out a more formal clinical trial. Nine parents with mood disorders whose children were aged 8–16 years old without a history of mental illness participated in the program. The Let’s Talk About Children program was carried out between a researcher/practitioner and participants during a preliminary discussion and two discussions. The program was conducted with a 1-week to 1-month interval between discussion one and discussion two. All participants completed the intervention, and interventions were conducted with fidelity. In terms of intervention safety, no one reported a harmful experience, and the participants reported considerable benefits from the intervention. Most parents reported that their well-being and self-acceptance changed positively. Parents reported more confidence in parenting and fewer worries about their children. All participants reported that their treatment motivation was positively changed and that they had experienced the intervention as very helpful or useful. The results are consistent with those in a corresponding Finnish study. The results suggest that the Let’s Talk About Children program is feasible for use with Japanese parents with mood disorders, and a clinical trial can be recommended.
摘要在日本,没有针对患有精神疾病的父母的循证干预措施来支持患者的育儿和预防其子女的疾病。这项研究的目的是在进行更正式的临床试验之前,评估使用芬兰的Let's Talk About Children计划治疗日本情绪障碍父母的安全性、可行性和可感知的益处。9名患有情绪障碍的父母参加了该项目,他们的孩子年龄在8-16岁之间,没有精神病史。研究人员/从业者和参与者在初步讨论和两次讨论中开展了“让我们谈谈孩子”计划。该项目在第一次讨论和第二次讨论之间间隔1周至1个月进行。所有参与者都完成了干预,并且干预是忠实地进行的。就干预安全性而言,没有人报告有过有害的经历,参与者报告说干预带来了相当大的好处。大多数父母报告说,他们的幸福感和自我接纳度发生了积极变化。家长们报告说,他们对养育子女更有信心,对孩子的担忧更少。所有参与者都报告说,他们的治疗动机发生了积极变化,他们认为干预非常有帮助或有用。这一结果与芬兰相应研究的结果一致。研究结果表明,“让我们谈谈孩子”计划对于患有情绪障碍的日本父母来说是可行的,并且可以推荐进行临床试验。
期刊介绍:
Designed with the practicing clinician in mind, the Journal of Family Psychotherapy features a case study orientation that makes for very interesting reading. Highlights include: •Case Studies: Focused studies of a single case seen in family psychotherapy, illustrating the etiology, maintenance, and/or process of change of the problem. •Program Reports: Descriptions of treatment programs that have been used successfully to treat specific problems or new orientations used generally in family therapy. Clinical case examples are included.