Family members' experiences of seeking help for a young person with symptoms associated with the psychosis spectrum: A narrative review and synthesis.

IF 1.8 4区 医学 Q3 PSYCHIATRY Clinical Child Psychology and Psychiatry Pub Date : 2024-07-01 Epub Date: 2023-05-15 DOI:10.1177/13591045231176701
Sadie Rodell, Sarah Parry
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Abstract

Young people often rely on family carers to access support for their mental health. However, stigma can be a barrier to help seeking for young people and families. Little research has been undertaken with young people who experience highly stigmatised symptoms, such as psychosis spectrum symptoms, and even less research has been conducted with parents and carers, meaning barriers to help go unchallenged. Therefore, this narrative review aimed to explore stories of family experiences of seeking help for young people with symptoms associated with the psychosis spectrum. Sources searched were PsycINFO and PubMed. Reference lists of the selected papers were also cross-checked to ensure the search had not missed potential papers for inclusion. Searches returned 139 results, of which 12 were identified for inclusion. A narrative analytic approach was adopted to synthesise qualitative findings to provide a nuanced interpretation of help-seeking experiences. The narrative synthesis provided an opportunity to identify differences, similarities, and patterns across the studies to tell a cumulative emancipatory narrative of family experiences of seeking help for psychosis spectrum symptoms. Help-seeking experiences had a relational impact on families, with stress adding to conflict and anxieties inhibiting hopefulness, although families could emerge stronger and assertively with compassionate support.

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家庭成员为患有精神病谱系相关症状的青少年寻求帮助的经历:叙事回顾与综述。
年轻人通常依靠家庭照顾者来获得心理健康支持。然而,耻辱感可能会成为年轻人和家庭寻求帮助的障碍。针对那些出现高度污名化症状(如精神病谱系症状)的年轻人的研究很少,而针对父母和照护者的研究就更少了,这意味着寻求帮助的障碍没有受到质疑。因此,本叙事性综述旨在探究家人为患有精神病谱系相关症状的青少年寻求帮助的经历。所搜索的资料来源为 PsycINFO 和 PubMed。我们还对所选论文的参考文献列表进行了交叉核对,以确保搜索没有遗漏可能纳入的论文。搜索结果有 139 项,其中 12 项被确定为研究对象。我们采用了叙事分析方法来综合定性研究结果,以便对求助经历进行细致入微的解读。叙事综合法提供了一个机会来识别各项研究的差异、相似之处和模式,从而对精神病谱系症状的家庭求助经历进行累积性的解放叙事。求助经历对家庭的关系产生了影响,压力增加了冲突,焦虑抑制了希望,尽管家庭可以在同情支持下变得更加坚强和自信。
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来源期刊
CiteScore
3.60
自引率
5.60%
发文量
130
期刊介绍: Clinical Child Psychology and Psychiatry brings together clinically oriented, peer reviewed work of the highest distinction from an international and multidisciplinary perspective, offering comprehensive coverage of clinical and treatment issues across the range of treatment modalities. Clinical Child Psychology and Psychiatry is interested in advancing theory, practice and clinical research in the realm of child and adolescent psychology and psychiatry and related disciplines. The journal directs its attention to matters of clinical practice, including related topics such as the ethics of treatment and the integration of research into practice. Multidisciplinary in approach, the journal includes work by, and is of interest to, child psychologists, psychiatrists and psychotherapists, nurses, social workers and all other professionals in the fields of child and adolescent psychology and psychiatry.
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