养育子女与精神病:一项经验抽样方法研究,调查养育子女压力与阳性精神病症状之间的相互关系

IF 3.8 3区 心理学 Q1 PSYCHOLOGY, CLINICAL
Jessica Radley, Jane Barlow, Louise C. Johns
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引用次数: 3

摘要

压力和精神病症状之间有很强的联系,本研究考察了父母患有精神病的这种关系的双向性质,负面情绪作为中介,一系列其他社会心理因素作为协变量。该研究还调查了来自父母的压力是否比非父母的压力对精神病的影响更大。本研究采用经验抽样方法(ESM),采用参与者内部重复测量设计。ESM是一种自我报告测量技术,在密集的纵向期间完成。参与者每天完成6份调查,持续10天。方法选取35名有2 ~ 16岁儿童的精神病患者为研究对象。研究手机在10天内以半随机的间隔发出哔哔声,提醒参与者完成调查。采用多层次模型,调查为一级,参与者为二级。预测变量是滞后的,以便推断方向性。结果父母压力对精神病症状有预测作用,负性情绪在其中起中介作用。相反的方向也得到了证实。很少有其他社会心理因素被发现对模型的估计有重大影响。研究发现,与其他压力来源相比,父母压力对精神病的影响并不大。结论本研究为父母压力与精神病的双向关系提供了进一步的证据。进一步的研究应该通过比较父母和非父母的精神病患者来探索父母压力在预测精神病症状方面是否起着独特的作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Parenting and psychosis: An experience sampling methodology study investigating the inter-relationship between stress from parenting and positive psychotic symptoms

Parenting and psychosis: An experience sampling methodology study investigating the inter-relationship between stress from parenting and positive psychotic symptoms

Objectives

There is a strong association between stress and psychotic symptoms, and this study examined the bidirectional nature of this relationship in parents with psychosis, with negative affect as a mediator and a range of other psychosocial factors included as covariates. It also examined whether stress from parenting had a larger impact on psychosis than non-parenting stress.

Design

The study used a within-participants repeated measures design, using experience sampling methodology (ESM). ESM is a self-report surveying technique completed over an intensive longitudinal period. Participants completed six surveys a day, for 10 days.

Methods

Thirty-five participants with psychosis who were a parent to a child between the ages of 2 and 16 took part. Study phones alerted participants to complete surveys by beeping at semi-random intervals over 10 days. Multi-level modelling was used with surveys at Level-1 and participants at Level-2. Predictor variables were time-lagged in order to infer directionality.

Results

Parenting stress was found to predict psychotic symptoms, and this relationship was mediated by negative affect. The reverse direction was also confirmed. Few of the additional psychosocial factors were found to have a significant impact on the models' estimations. Parenting stress was not found to have a larger impact on psychosis than other sources of stress.

Conclusions

This study provides further evidence of the bidirectional relationship between stress and psychosis in the context of parenting. Further research should explore if parenting stress plays a unique role in predicting psychotic symptoms by comparing parents and non-parents with psychosis.

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来源期刊
CiteScore
5.80
自引率
3.20%
发文量
57
期刊介绍: The British Journal of Clinical Psychology publishes original research, both empirical and theoretical, on all aspects of clinical psychology: - clinical and abnormal psychology featuring descriptive or experimental studies - aetiology, assessment and treatment of the whole range of psychological disorders irrespective of age group and setting - biological influences on individual behaviour - studies of psychological interventions and treatment on individuals, dyads, families and groups
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