Parents with Psychosis: Impact on Parenting &amp; Parent-Child Relationship- A Systematic Review

Engur, Begum

doi:10.19080/gjarm.2017.01.555558

Cited by 5 publications

(5 citation statements)

References 13 publications

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“…For example, some children's narratives were characterized by incoherence, while other children seemed unwilling to speak about the parent's illness or periods of absences. In contrast to previous retrospective studies (e.g., Dunn, 1993; Engur, 2017), children in this study described few odd parental behaviors and distorted symptom‐related expressions. This could reflect both the parents' attempts to protect their children from exposure to symptoms as well as improvements in the quality of psychiatric care, leading to decreased parental symptoms.…”

Section: Discussioncontrasting

confidence: 98%

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Children and parents with psychosis—Balancing between relational attunement and protection from parental illness

Boström

Strand

2020

Child Adoles Psych Nursing

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Background Few studies have explored the experiences of young children and their parents with psychosis. The aim of the present study was to explore parent and child mental health and the parent–child relationship from the perspectives of children and their parents with psychosis. Methods The present study had a multiperspectival qualitative design. Seven children (aged 8–15 years) and their six parents with psychosis were interviewed individually. Data were analyzed according to interpretative phenomenological analysis. Results Children were found to have a limited understanding of the parent's illness. While both parents and children described the illness as part of ordinary life and focused on improvements, there was incoherence both within and between interviews. Parent–child relationships appeared to be nonhierarchical and to vary in terms of attunement and distance, which in turn seemed to be associated with the child's well‐being. Conclusion The findings contribute multiperspectival insights into lived experiences of young children and parents with psychosis. Nurses are in a key position to recognize the children's needs for continuous adult support and to promote communication about the illness.

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Section: Discussioncontrasting

confidence: 98%

“…The parenting difficulties found among parents with psychosis are confirmed by a systematic review including 18 quantitative studies (Engur, 2017). It shows that parenting with psychosis can be chaotic and include ambivalent communication, high levels of parental stress, and a neglectful and authoritarian parenting style.…”

Section: Introductionmentioning

confidence: 83%

Children and parents with psychosis—Balancing between relational attunement and protection from parental illness

Boström

Strand

2020

Child Adoles Psych Nursing

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“…Other reviews have focused on parenting in the context of specific diagnostic characteristics. For example, in a mixed commentary of five quantitative and two qualitative studies published between 1969 and 2012, Engur ( 2017 ) reviewed parent ideas about the impact of experiences of psychosis on parenting. Engur ( 2017 ) found that parents experienced communication difficulties and disorganised parenting.…”

Section: Introductionmentioning

confidence: 99%

“…For example, in a mixed commentary of five quantitative and two qualitative studies published between 1969 and 2012, Engur ( 2017 ) reviewed parent ideas about the impact of experiences of psychosis on parenting. Engur ( 2017 ) found that parents experienced communication difficulties and disorganised parenting. However, little detail was provided, and the seven included studies were not synthesised.…”

Section: Introductionmentioning

confidence: 99%

Parenting and Serious Mental Illness (SMI): A Systematic Review and Metasynthesis

Harries

Smith

Gregg

et al. 2023

Clin Child Fam Psychol Rev

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The consequences of Serious Mental Illness (SMI) on parent and child outcomes can be profound. Supporting parents to manage their caregiving roles alongside parental SMI successfully has been recognised as a public health priority. To meet this priority and develop effective and acceptable interventions, it is imperative that parents’ experiences and support needs are understood. This systematic review aimed to synthesise qualitative research that explored parents’ experiences and perceptions of the impact of SMI on their parenting and their corresponding support needs. The Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines were followed. Five databases were searched for terms associated with SMI, parenting, and qualitative research. Twenty-nine studies involving 562 parents who experienced SMI met inclusion criteria, and the methodological quality of included studies was appraised using the Critical Appraisal Skills Programme. After findings were synthesised using thematic synthesis, six themes were identified: (1) The constrained parent, (2) parenting difficulties, (3) the strained child, (4) inescapable threat, (5) combatting threat, and (6) wrap-around support needs. Novel insights into the centrality of SMI-related parenting difficulties and threat perceptions across parent, family, healthcare, and wider social systems on strained parent–child and distanced parent–support relationships were highlighted. Systemic practice change initiatives via compassionate and inclusive system-wide support were recommended.

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“…Studies have reported impaired parenting capacity in parents with psychosis (Diaz-Caneja and Johnson 2004;Engur 2017, Evenson et al 2008. Many studies of mothers with psychosis reveal that they struggled with problems in everyday parenting, including ensuring and asserting discipline and maintaining boundaries, problems in their parental role due to symptoms of the illness or side effects of medication, and feelings of guilt, shame, and fear of the possible effects of their illness on their children (Dolman et al 2013).…”

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confidence: 99%

Parents’ Descriptions of How Their Psychosis Affects Parenting

2019

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Objectives Parental psychosis poses a risk factor for a child's well-being. Few studies have focused on the parents' views of how their psychosis affects their parenting, and results for parenting ability in this group are contradictory. The present study aimed to explore how parents with psychosis experience the effect(s) of their illness on parenting. Methods In-depth and semi-structured interviews were conducted with 15 parents who attended outpatient clinics specializing in psychosis. The transcripts were analyzed using thematic analysis. Data related to the research aim were analyzed deductively according to the protection, reciprocity, control, guided learning, and group participation model of parenting. Data in each domain were subsequently coded inductively to form subthemes. Results Results show that all domains of parenting appear to be affected by psychosis. The parents specifically mentioned that depression, fatigue, and difficulty focusing because of hearing voices had negative impacts on their abilities to provide protection, reciprocity, and control. The parents also expressed difficulties in maintaining routines in the child's everyday life. Furthermore, the theme "Unpredictable absences" crosses all domains and highlights the parents' recurrent mental and physical absences from their children during psychotic episodes. Conclusions The present study provides some insight into how different aspects of parenting may be affected by psychosis. We suggest that these effects on parenting need to be further explored and confirmed by research focusing on the child's perspective and on observations of parent-child interaction. Keywords Parental psychosis • Parenting • Psychiatric services • Schizophrenia • Qualitative study Nearly 6% of children in Sweden grow up with a parent with mental illness (Hjern and Manhica 2013), but international figures point to as many as one in five children (Reupert et al. 2012). International as well as studies from Scandinavia estimate that a substantial minority of patients in adult psychiatric care have children under 18 years old (Lauritzen 2014; Maybery and Reupert 2018; Ruud et al. 2019). The increased risk of developing mental health problems is well established in children growing up with a parent with mental illness (LeFrancois 2012; Leijdesdorff et al. 2017; Ramchandani and Psychogiou 2009).

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Parents with Psychosis: Impact on Parenting & Parent-Child Relationship- A Systematic Review

Cited by 5 publications

References 13 publications

Children and parents with psychosis—Balancing between relational attunement and protection from parental illness

Children and parents with psychosis—Balancing between relational attunement and protection from parental illness

Parenting and Serious Mental Illness (SMI): A Systematic Review and Metasynthesis

Parents’ Descriptions of How Their Psychosis Affects Parenting

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