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The impact of family communication about mental illness on the health and health behaviors of young adults with depression: A mixed methods study.

机译:家庭关于精神疾病的交流对年轻抑郁症成年人健康和健康行为的影响:混合方法研究。

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摘要

Mental illness impacts nearly 25% of the U. S. population annually and is accompanied by a host of economic (National Alliance on Mental Health, 2014) and interpersonal difficulties for persons with these illnesses and their families (see Segrin, 2013). Despite their prevalence and effects, little to no research has examined the role of the family communication in socializing or shaping members' understanding of and experiences with mental illness. Thus, the current dissertation employs an exploratory sequential mixed methods research design to investigate the (under)studied processes families use to communicate about mental illness. The two studies in this dissertation are grounded theoretically, in a socialization perspective, wherein families are positioned as the main sources of information and socialization for younger members. In Study One, I use communicated sense-making (CSM) (Koenig Kellas & Horstman, 2015) to explore the ways in which families communicate about mental illness. In Study Two, I use a family communication standards (FCS) (Caughlin, 2003) perspective to investigate the effects of family, mainly parental communication about mental illness on the health and health behaviors of children with depression. Using CSM as a theoretical framework, the findings from Study One revealed that families communicate about mental illness using narrative devices, including stories, attributions, as well as communicated perspective-taking (CPT). The results also suggest that family communication shapes younger members' understanding of mental illness and their communication reinforces the stigma surrounding mental illness (e.g., Corrigan, 2004). Study Two utilized a FCS perspective (Caughlin, 2003) and the results from Study One in order to investigate the influence of certain family and interpersonal communication processes on the health and health risks of young adults' with depression. Contrary to what was expected, treatment seeking was a non-significant mediator between parental communication and young adults' health and health risks. Overall the findings from Study Two suggest that family communication, mainly CPT, is the strongest predictor of young adults' health and health risks. The results further establish the relevance of family socialization in general, and the context of mental illness, in particular. Implications of these findings and recommendations for researchers, families, and practitioners are discussed.
机译:精神疾病每年影响近25%的美国人口,并伴有一系列经济因素(全国精神卫生联盟,2014年)以及患有这些疾病的人及其家人的人际关系困难(见Segrin,2013年)。尽管它们具有普遍性和影响力,但几乎没有研究检查了家庭交流在社交或塑造成员对精神疾病的理解和经历中的作用。因此,本论文采用探索性顺序混合方法研究设计来调查家庭用来交流有关精神疾病的(研究不足)过程。本论文的两项研究都是从社会化的角度出发,以理论为基础的,其中家庭被定位为年轻成员的主要信息和社会化来源。在研究一中,我使用了交流的感知能力(CSM)(Koenig Kellas&Horstman,2015)来探索家庭就精神疾病交流的方式。在研究二中,我使用家庭沟通标准(FCS)(Caughlin,2003年)来研究家庭的影响,主要是父母关于精神疾病的沟通对抑郁症儿童的健康和健康行为的影响。使用CSM作为理论框架,研究一的发现表明,家庭使用叙事工具交流有关精神疾病的信息,包括故事,归因以及交流的观点采择(CPT)。研究结果还表明,家庭沟通影响了年轻成员对精神疾病的理解,他们的沟通加剧了围绕精神疾病的耻辱感(例如Corrigan,2004)。研究二利用FCS的观点(Caughlin,2003)和研究一的结果来研究某些家庭和人际交往过程对年轻人抑郁症的健康和健康风险的影响。与预期相反,寻求治疗是父母沟通与年轻人健康和健康风险之间的非重要中介。研究二的总体结果表明,家庭沟通(主要是CPT)是年轻人健康和健康风险的最强预测指标。结果进一步确立了家庭社会化的整体意义,尤其是精神疾病的背景。讨论了这些发现和建议对研究人员,家庭和从业人员的影响。

著录项

  • 作者

    Flood-Grady, Elizabeth.;

  • 作者单位

    The University of Nebraska - Lincoln.;

  • 授予单位 The University of Nebraska - Lincoln.;
  • 学科 Communication.
  • 学位 Ph.D.
  • 年度 2016
  • 页码 279 p.
  • 总页数 279
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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