Objective: This systematic review explores the impact of parents with psychosis on parenting and parent-child relationship. Method: Psychiatric disorders in which psychosis may be found such as; schizophrenia, bipolar disorder (manic-depressive) and personality disorders, studies assess either fathers or mothers as parents experiencing psychosis and samples of children or adolescents aged until 18 were included in the review. As the search strategy; PsycINFO, Ovid MEDLINE, Embase, Maternity and Infant Care, PsycARTICLES and Cochrane databases were searched from the beginning of databases. Seven studies were reviewed. Results: Overall, studies portray consistency on the fact that having parents with psychosis induces chaotic, ambivalent communication; severe impairments in the ability of parenting; parenting stress; disorganized, disrupted parenting as well as maladjusted relationship; parents experiencing burden of nurturing and features of permissive, neglectful and authoritarian parenting styles. Conclusion: In families where parental psychotic disorder disrupts parenting and parent-child relationship, the more family functioning and parents are supported, less possible negative outcomes and disorganization occur. There is a significant lack of psychological support for parents with psychotic disorders, so that necessity for treatment and support is indisputable.
The link between parents experiencing mental health problems as psychosis and negative impact for parenting and parent-child relationship has been long acknowledged [5]. It's also known that even though parental mental health has numerous impacts on parenting, it's possible to say that parental negativity and harsh or ineffective discipline practices represents two major dimensions in relation to child-parent relationship [5]. Parenting (or child rearing in other terms), as a concept, primarily reveals the act of raising not only the children but also the responsibilities and activities involved. In general, it comprises promoting physical, emotional, social, financial and intellectual development of a child. Additionally, there are multiple determinants of parenting including developmental history, personality traits of parents, work, parental sense of competence/self-efficacy and self regulation, couple relations, social network, characteristics of children; other than co-
Parent training is the treatment of choice for children with oppositional problems and known to be very effective for reducing behavioural problems. It also increases sensitive responding the primary mechanism for increasing secure attachments and improving child-carer relations. Individual-based parent-training/education programmes are recommended in the management of children with conduct disorders only in situations where there are particular difficulties in engaging with the parents or a family's needs are too complex to be met by group-based parent-training/education programme [1][2][3][4].
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