Burden, reward, and coping of adult offspring of patients with depression and bipolar disorder

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• 作者：Rita Bauer (1) (2)
  Hermann Spiessl (3)
  Marina J Helmbrecht (4)
  
  1. Department of Psychiatry and Psychotherapy ; University Hospital Carl Gustav Carus ; Technical University Dresden ; Fetscherstr. 74 ; 01307 ; Dresden ; Germany
  2. Department of Psychiatry and Psychotherapy ; University of Regensburg ; Universit盲tsstra脽e 84 ; 93053 ; Regensburg ; Germany
  3. State Hospital for Psychiatry ; Psychotherapy and Psychosomatics ; Prof.-Buchner-Strasse 22 ; 84034 ; Landshut ; Germany
  4. Department of Psychiatry and Psychotherapy II ; BKH G眉nzburg ; Ulm University ; Ludwig-Heilmeyer-Str. 2 ; 89312 ; G眉nzburg ; Germany
  
• 关键词：Bipolar disorder ; Depression ; Caregiver ; Burden ; Reward of caregiving
• 刊名：International Journal of Bipolar Disorders
• 出版年：2015
• 出版时间：December 2015
• 年：2015
• 卷：3
• 期：1
• 全文大小：417 KB
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• 刊物主题：Psychiatry; Psychotherapy; Psychopharmacology; Behavioral Therapy; Neurology; Clinical Psychology;
• 出版者：Springer Berlin Heidelberg
• ISSN：2194-7511

文摘

Background In previous years, research has focused on the situation of psychiatric patients' minor children. The aims of this qualitative study were to describe the experience of adult children of depressed and bipolar patients, including positive and negative factors as well as coping mechanisms, and to investigate possible predictors of burden in order to identify children in need of professional support. Methods A total of 30 adult children were interviewed using a semi-structured interview. In addition, all children completed the Freiburg Questionnaire of Coping with Disease (Freiburger Fragebogen zur Krankheitsverarbeitung, FKV). Regression analysis indicated the most relevant predictors of burden. Results All (100%) of the children reported emotional burden due to the illness of their parent, 90% suffered from impaired family life, and 77% experienced burden due to the parent's symptoms. Reward (positive experience) was reported regarding the intensification of the parent-child relationship. Linear regression analysis shows predictors for highly burdened children as well as for children who are more prone to maladaptive ways of coping. Higher burden was significantly associated with the child's age, severity of illness of the parent, and specific diagnosis. Conclusions Although some positive aspects of parental affective disorder exist, this study underlines that children primarily suffer from their parent's disorder and that this burden does not stop in adulthood. Providing professional support to adult as well as to minor children of affected individuals should become standard of care in clinical settings.