.: ORİJİNAL ARAŞTIRMA
Sibling Relationships of Individuals with Parents Who Have Mental Illness: A Qualitative Study
Ebeveyninde Ruhsal Hastalık Olan Bireylerin Kardeş İlişkileri: Kalitatif Bir Çalışma
Turkiye Klinikleri J Nurs Sci. 2023;15(3):822-30
doi: 10.5336/nurses.2023-95338
Makale Dili: EN
Tam Metin
ABSTRACT
Objective: This research was performed with the aim of determining sibling relationships of individuals with parents who have mental illness. Material and Methods: This research was a qualitative study using phenomenological design. A total of 14 individuals, determined with the purposeful sampling method, with a parent who had mental illness for at least 20 years, with at least 1 sibling and from 7 family pairs were interviewed. Data were collected with a semi-structured interview form and analyzed with the content analysis method. Ethics committee permission and individual consent from participants were obtained. Results: The mean age of participants was 31.64±4.95 years, including 8 women and 6 men. Parents of 4 of the participants had schizophrenia, 6 had bipolar and 4 had depression diagnosis. The mean duration of mental illness in parents was 26.85±4.18 years. In the research, 2 main themes and 6 sub-themes emerged. The themes were determined to be solidarity (sharing, emotional support, personal development) and conflict (shifting roles, heavy burden, broken ties). Conclusion: The results of this study reveal the status of sibling relationships among individuals with parents who have mental illness. It appears that siblings living with parents who have mental illness is a process ensuring solidarity like sharing, emotional support and personal development, while also involving conflict from many perspectives like shifting roles, heavy burden and reduced sibling relationships. These results may be used to develop integrated mental health services by assessing sibling relationships of individuals with parents who have mental illness.
Keywords: Sibling relationships; parents; mental illness; qualitative study
Objective: This research was performed with the aim of determining sibling relationships of individuals with parents who have mental illness. Material and Methods: This research was a qualitative study using phenomenological design. A total of 14 individuals, determined with the purposeful sampling method, with a parent who had mental illness for at least 20 years, with at least 1 sibling and from 7 family pairs were interviewed. Data were collected with a semi-structured interview form and analyzed with the content analysis method. Ethics committee permission and individual consent from participants were obtained. Results: The mean age of participants was 31.64±4.95 years, including 8 women and 6 men. Parents of 4 of the participants had schizophrenia, 6 had bipolar and 4 had depression diagnosis. The mean duration of mental illness in parents was 26.85±4.18 years. In the research, 2 main themes and 6 sub-themes emerged. The themes were determined to be solidarity (sharing, emotional support, personal development) and conflict (shifting roles, heavy burden, broken ties). Conclusion: The results of this study reveal the status of sibling relationships among individuals with parents who have mental illness. It appears that siblings living with parents who have mental illness is a process ensuring solidarity like sharing, emotional support and personal development, while also involving conflict from many perspectives like shifting roles, heavy burden and reduced sibling relationships. These results may be used to develop integrated mental health services by assessing sibling relationships of individuals with parents who have mental illness.
Keywords: Sibling relationships; parents; mental illness; qualitative study
ÖZET
Amaç: Çalışma ebeveyninde ruhsal hastalık olan bireylerin, kardeş ilişkilerini belirlemek amacıyla yapılmıştır. Gereç ve Yöntemler: Bu araştırma, fenomenolojik desen kullanılarak yürütülen nitel bir araştırmadır. Amaçlı örnekleme yöntemi ile belirlenmiş, ebeveyninde en az 20 yıldır ruhsal hastalık ve en az 1 kardeşi olan 7 aile çiftinden 14 bireyle görüşülmüştür. Veriler yarı yapılandırılmış görüşme formu ile toplanmış ve içerik analizi yöntemi ile çözümlenmiştir. Etik kurul izni ve katılımcılardan bireysel onam alınmıştır. Bulgular: Katılımcıların yaş ortalaması 31,64±4,95, 8'i kadın ve 6'sı erkektir. Katılımcıların 4'ünün şizofreni, 6'sının bipolar, 4'ünün depresyon tanısı olan ebeveyni vardır. Ebeveynlerin ruhsal hastalığa sahip olma süre ortalaması 26,85±4,18 yıldır. Araştırmada 2 ana tema ve 6 alt tema ortaya çıkmıştır. Temalar; dayanışma (paylaşım, duygusal destek, kişisel gelişim) ve çatışma (değişen roller, ağır yük, kopuk bağlar) olarak belirlenmiştir. Sonuç: Bu çalışmanın sonuçları ebeveyninde ruhsal hastalık olan bireylerin kardeş ilişkileri durumlarını ortaya koymaktadır. Ruhsal hastalığı olan ebeveynlerle yaşamanın kardeşler arasında paylaşım, duygusal destek ve kişisel gelişim gibi dayanışma sağlayan bir süreç olduğu aynı zamanda rollerin değişmesi, ağır yüklerin olması ve kardeş ilişkisinin azalması gibi birçok açıdan çatışma yaratan bir süreç olduğu görülmüştür. Bu sonuçlar ebeveyninde ruhsal hastalık olan bireylerin, kardeş ilişkilerinin değerlendirilmesiyle bütüncül ruh sağlığı hizmetlerinin geliştirilmesinde kullanılabilir.
Anahtar Kelimeler: Ruhsal hastalık; ebeveyn; kardeş ilişkileri; kalitatif çalışma
Amaç: Çalışma ebeveyninde ruhsal hastalık olan bireylerin, kardeş ilişkilerini belirlemek amacıyla yapılmıştır. Gereç ve Yöntemler: Bu araştırma, fenomenolojik desen kullanılarak yürütülen nitel bir araştırmadır. Amaçlı örnekleme yöntemi ile belirlenmiş, ebeveyninde en az 20 yıldır ruhsal hastalık ve en az 1 kardeşi olan 7 aile çiftinden 14 bireyle görüşülmüştür. Veriler yarı yapılandırılmış görüşme formu ile toplanmış ve içerik analizi yöntemi ile çözümlenmiştir. Etik kurul izni ve katılımcılardan bireysel onam alınmıştır. Bulgular: Katılımcıların yaş ortalaması 31,64±4,95, 8'i kadın ve 6'sı erkektir. Katılımcıların 4'ünün şizofreni, 6'sının bipolar, 4'ünün depresyon tanısı olan ebeveyni vardır. Ebeveynlerin ruhsal hastalığa sahip olma süre ortalaması 26,85±4,18 yıldır. Araştırmada 2 ana tema ve 6 alt tema ortaya çıkmıştır. Temalar; dayanışma (paylaşım, duygusal destek, kişisel gelişim) ve çatışma (değişen roller, ağır yük, kopuk bağlar) olarak belirlenmiştir. Sonuç: Bu çalışmanın sonuçları ebeveyninde ruhsal hastalık olan bireylerin kardeş ilişkileri durumlarını ortaya koymaktadır. Ruhsal hastalığı olan ebeveynlerle yaşamanın kardeşler arasında paylaşım, duygusal destek ve kişisel gelişim gibi dayanışma sağlayan bir süreç olduğu aynı zamanda rollerin değişmesi, ağır yüklerin olması ve kardeş ilişkisinin azalması gibi birçok açıdan çatışma yaratan bir süreç olduğu görülmüştür. Bu sonuçlar ebeveyninde ruhsal hastalık olan bireylerin, kardeş ilişkilerinin değerlendirilmesiyle bütüncül ruh sağlığı hizmetlerinin geliştirilmesinde kullanılabilir.
Anahtar Kelimeler: Ruhsal hastalık; ebeveyn; kardeş ilişkileri; kalitatif çalışma
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