Parenting Among Mothers With Bipolar Disorder: Strengths, Challenges, and Service Needs

Venkataraman, Meenakshi; Ackerson, Barry J.

doi:10.1080/10522150802441825

Cited by 34 publications

(29 citation statements)

References 9 publications

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“…Overall, children's experiences of living with a parent with mental illness reveal a balancing of the parent's needs with their own, and an attempt to find ways to handle daily life both emotionally and practically in order to reduce family stress (Gladstone, Boydell, Seeman, & McKeever, 2011). Parental mental illness fluctuates and can therefore periodically reduce the capability of parenting (Venkataraman & Ackerson, 2008). Moreover, many parents with mental illness have thoughts and worries about their children that they want to discuss with professionals (Perera et al, 2014), but at the same time, they fear talking about their children due to the perceived risk of losing custody of them (Price-Robertson, Reupert, & Maybery, 2015).…”

Section: Introductionmentioning

confidence: 99%

Families living with parental mental illness and their experiences of family interventions

Afzelius

Plantin

Östman

2017

Psychiatric Ment Health Nurs

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Introduction Although research has shown that evidence-based family interventions in research settings improve the communication and understanding of parental mental illness, there is a lack of knowledge about interventions in an everyday clinical context. Aim This study explores how families with parental mental illness experience family interventions in a natural clinical context in psychiatric services. Method Five families with children aged 10-12 were recruited from psychiatric services in southern Sweden and interviewed in a manner inspired by naturalistic inquiry and content analysis. Both family and individual interviews were performed. Results In striving to lead an ordinary life while coping with the parental mental illness, these families sought the support of the psychiatric services, especially in order to inform their children about the mental illness. Despite different family interventions, the family members felt supported and reported that the number of conflicts in the family had decreased. The parents were appreciative of help with child-rearing questions, and the children experienced a calmer family atmosphere. However, the partner of the person with mental illness experienced being left without support. Implications for practice Our study shows that psychiatric services, and especially mental health nurses, are in a position to more regularly offer family interventions in supporting the children and the healthy partners.

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Section: Introductionmentioning

confidence: 99%

Families living with parental mental illness and their experiences of family interventions

Afzelius

Plantin

Östman

2017

Psychiatric Ment Health Nurs

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“…Five [ 32 - 36 ] of the 13 studies were based in the US, four [ 37 - 40 ] in Canada, three [ 41 - 43 ] in the UK, and one [ 44 ] in Japan. All of the studies used interviews to generate data, including semi-structured (n = 5) [ 33 , 34 , 36 , 38 , 39 ], in depth (n = 2) [ 35 , 40 ] and narrative (n = 2) [ 37 , 43 ]. In the remaining four studies [ 32 , 41 - 43 ], the type of interview was not specified.…”

Section: Resultsmentioning

confidence: 99%

Exploring psychosis and bipolar disorder in women: a critical review of the qualitative literature

2014

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BackgroundThe experiences of women with severe mental illness warrant particular consideration to identify the strategies they use to facilitate recovery. This review systematically examined women’s experiences of psychosis and bipolar disorder.MethodsFollowing an extensive database search, 13 studies met inclusion criteria. Noblit and Hare’s metasynthesis approach was used to synthesise these qualitative studies exploring the experiences of 250 women, of which 78 (31.2%) were also mothers.ResultsTwelve sub-ordinate themes were identified and categorised into three overarching themes: 1) women’s beliefs about illness, 2) perceived consequences of illness, and 3) strategies used to cope with illness. Contextual factors and spiritual beliefs were found to be important in these women’s illness appraisals. Women incorporated diagnosis-related information into illness models if it was concordant with their existing beliefs.ConclusionsWomen reported negative illness consequences relating to stigma, loss of self-determination and changes to relationships. They employed various strategies in order to cope with illness. Barriers to strategy use and clinical recommendations are presented.

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“…In a review, Howard and Underdown [36] pointed to a wide range of complex health and social care needs: optimal counseling regarding medication in women during pregnancy and breastfeeding, antenatal care to reduce adverse obstetric and psychiatric outcomes, early referrals to social/child services, and specific programs to enhance parenting abilities. In qualitative studies mothers expressed a need for long-term support in their homes by someone visiting to provide practical help with parenting and to talk about difficulties, crisis services, continuous support by self-help groups, family meetings, help with discipline and handling behavioral problems in children, support through leisure and group activities, and support for children in adult mental health services [18,22]. In qualitative studies mothers expressed a need for long-term support in their homes by someone visiting to provide practical help with parenting and to talk about difficulties, crisis services, continuous support by self-help groups, family meetings, help with discipline and handling behavioral problems in children, support through leisure and group activities, and support for children in adult mental health services [18,22].…”

Section: Parenting Needsmentioning

confidence: 99%

“…Many parents with mental illness experience everyday parenting problems, including difficulties in starting communication with children about their mental illness, problems in ensuring discipline, maintaining boundaries and loss of control, swings in parenting behavior, impaired parenting abilities due to illness symptoms, or medication side-effects and feelings of guilt, shame, and fear regarding adverse illness effects on children [14,15,21,22]. In a recent narrative analysis, mothers' experiences of 'hitting bottom' were considered most stressful in the context of overwhelming circumstances [23].…”

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confidence: 99%

Mental health services for parents affected by mental illness

Krumm¹,

Becker²,

Wiegand-Grefe

2013

Current Opinion in Psychiatry

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Adequate care for parents affected by mental illness requires sensitivity for parents' subjective perspective, interagency collaboration, standard intake practice, high level of professional knowledge and skills, provision of family-friendly environments, evidence-based parenting programs comprising both individual and group approaches and peer support. There is a lack of research on other parenting needs such as desire for children, coping with custody loss, and childlessness related to mental illness.

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Parenting Among Mothers With Bipolar Disorder: Strengths, Challenges, and Service Needs

Cited by 34 publications

References 9 publications

Families living with parental mental illness and their experiences of family interventions

Families living with parental mental illness and their experiences of family interventions

Exploring psychosis and bipolar disorder in women: a critical review of the qualitative literature

Mental health services for parents affected by mental illness

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