Resourcefulness and Resilience: The Experience of Personal Recovery for Mothers with a Mental Illness

Hine, Rochelle; Maybery, Darryl; Goodyear, Melinda

doi:10.1093/bjsw/bcx099

Cited by 10 publications

(11 citation statements)

References 32 publications

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“…Overall, having a relative with a stigmatizing condition such as a mental illness has been found to lead to social exclusion and shame, resulting in much effort by families to conceal their relationship with their relative and/or their relative’s illness (Hine et al . 2018). These stigma experiences may impact adversely on the individual with the mental illness and their families’ psychological and physical health (Angermeyer et al .…”

Section: Introductionmentioning

confidence: 99%

“…Other research in the field of mental illness has focused more generally on a range of family members, including partners, children, and siblings of those with a mental health concern, and their experiences of stigma (for recent examples, see Koschorke et al 2017;Krupchanka et al 2018). Overall, having a relative with a stigmatizing condition such as a mental illness has been found to lead to social exclusion and shame, resulting in much effort by families to conceal their relationship with their relative and/or their relative's illness (Hine et al 2018). These stigma experiences may impact adversely on the individual with the mental illness and their families' psychological and physical health (Angermeyer et al 2003;van der Sanden et al 2015).…”

Section: Introductionmentioning

confidence: 99%

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Stigma in relation to families living with parental mental illness: An integrative review

Reupert

Gladstone

Hine

et al. 2020

Int J Mental Health Nurs

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Stigma is a pervasive social mechanism with negative ramifications for people who experience mental illness. Less is known about the stigma experiences of families where a parent has a mental illness. This review aims to identify and synthesize evidence on the concept of stigma and stigma-related experiences and outcomes reported by parents and children living with parental mental illness. An integrative review method was employed, with PRISMA (Preferred Reporting Items of Systematic Review and Meta-Analyses) guidelines to search and select literature and extract and analyse data. This approach allows for inclusion of theoretical and empirical literature and for concept definition. Fifty-eight papers, mostly from the USA, Australia, and the UK, met the inclusion criteria. Stigma was primarily conceptualized in families as a marked difference that was negatively appraised, and which could be internalized. Some articles examined how underpinning assumptions could shape the behaviour of individuals and groups and be embedded within social institutions and structures. For parents, mental illness stigma was interconnected with stigma relating to perceived violations of social and cultural norms related to parenting. Children's experience of stigma resulted in bullying, embarrassment, guilt and social isolation, and efforts to conceal their parent's mental illness. One outcome was that stigma prevented children and parents from seeking much needed supports. Public health policies and campaigns that focus exclusively on promoting open disclosure of mental illness to foster community education outcomes are unlikely to be effective without additional strategies aimed at preventing and redressing the structural impacts of stigma for all family members.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Stigma in relation to families living with parental mental illness: An integrative review

Reupert

Gladstone

Hine

et al. 2020

Int J Mental Health Nurs

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“…Mothering in the context of having a mental disorder is an understudied phenomenon requiring attention so that service providers can be responsive to the needs of mothers and families (Blegen et al, 2012; Hine et al, 2018; Silva et al, 2013). Maybery and Reupert (2018) synthesized studies done in the United States, the United Kingdom, Sweden, and Australia and found that as many as 45% of parents, most commonly women, who are raising children, have mental disorders, including substance use disorders.…”

Section: Introductionmentioning

confidence: 99%

“…Qualitative studies have vividly described the experience of mothering in the context of mental disorders (Blegen et al, 2012; Hine et al, 2018), but have not quantified the health effects of child caregiving on these mothers. Moreover, most studies with families affected by maternal mental disorders have focused on the impact of the mother’s problems on her children’s well-being (Hser et al, 2015; Surkan et al, 2012).…”

Section: Introductionmentioning

confidence: 99%

Mothering in the Context of Mental Disorder: Effect of Caregiving Load on Maternal Health in a Predominantly Hispanic Sample

Matsuda

McCabe

Behar-Zusman

2020

J Am Psychiatr Nurses Assoc

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BACKGROUND: Mothering in the context of mental disorders presents with multiple challenges. However, this phenomenon is poorly understood: It is not known how child caregiving affects the health of their mothers. AIMS: The purpose of this study was to examine associations between child caregiving load and health indicators in mothers receiving outpatient behavioral health services for mental or substance use disorders. METHOD: A total of 172 mothers (80% Hispanic/Latina) completed surveys on their mental and physical health, and children’s behaviors and medical problems. Child caregiving load consisted of number of children living with the mother, and presence of children’s internalizing, externalizing, or medical problems. RESULTS: Child caregiving load had significantly positive associations with mother’s psychological distress, fatigue, pain, and body mass index. Child internalizing and medical problems were associated with mothers’ poor health status. CONCLUSIONS: Hispanics/Latinos experience health disparities, and Hispanic/Latina mothers who are already at risk due to their mental disorders experience an additional health burden associated with caring for children with emotional or health problems. Psychiatric and mental health nurse practitioners should assess child caregiving impact on mothers with mental disorders and seek to mitigate their caregiving burden and maintain their health. Further research is needed to clarify child characteristics and the mechanisms associated with maternal caregiver burden, suboptimal self-care, and adverse health outcomes. Structural Ecosystems Therapy for women in Recovery (SET-R) study/Healthy Home; Clinical Trial ID NCT02702193

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“…The perinatal period is a time when women are at risk of mental health vulnerabilities arising from a spectrum of influencers, as the Provision of a concise summary of current research on the approach to the treatment of perinatal anxiety disorders in the obstetric setting Discussion paper TA B L E 1 (Continued) adjustment to pregnancy and motherhood, as well as economic, work, physical and relationship stresses, can contribute to mothers' ability to recover from mental ill health (Hine et al, 2018;Steen & Thomas, 2016). It is also recognised that women from socially vulnerable and black and minority ethnic groups are more likely to experience poor mental health (Steen & Thomas, 2016).…”

Section: Contextmentioning

confidence: 99%

“Crippling and unfamiliar”: Analysing the concept of perinatal anxiety; definition, recognition and implications for psychological care provision for women during pregnancy and early motherhood

Folliard

Crozier

Kamble

2020

Journal of Clinical Nursing

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Aim: To clarify how perinatal anxiety is characterised within the current evidence base and discuss how a clearer definition and understanding of this condition may contribute to improving care provision by midwives and other healthcare professionals. Background: Perinatal anxiety is common, occurs more frequently than depression and carries significant morbidity for mother and infant. The concept of perinatal anxiety is ill-defined; this can pose a barrier to understanding, identification and appropriate treatment of the condition. Design: Concept Analysis paper. Method: Rodgers' Evolutionary Model of Concept Analysis, with review based on PRISMA principles (see Supplementary File-1). Findings: While somatic presentation of perinatal anxiety shares characteristics with general anxiety, anxiety is a unique condition within the context of the perinatal period. The precursors to perinatal anxiety are grounded in biopsychosocial factors and the sequelae can be significant for mother, foetus, newborn and older child. Due to the unique nature of perinatal anxiety, questions arise about presentation and diagnosis within the context of adjustment to motherhood, whether services meet women's needs and how midwives and other health professionals contribute to this. Most current evidence explores screening tools with little examination of the lived experience of perinatal anxiety. Conclusion: Examination of the lived experience of perinatal anxiety is needed to address the gap in evidence and further understand this condition. Service provision should account for the unique nature of the perinatal period and be adapted to meet women's psychological needs at this time, even in cases of mild or moderate distress.

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Resourcefulness and Resilience: The Experience of Personal Recovery for Mothers with a Mental Illness

Cited by 10 publications

References 32 publications

Stigma in relation to families living with parental mental illness: An integrative review

Stigma in relation to families living with parental mental illness: An integrative review

Mothering in the Context of Mental Disorder: Effect of Caregiving Load on Maternal Health in a Predominantly Hispanic Sample

“Crippling and unfamiliar”: Analysing the concept of perinatal anxiety; definition, recognition and implications for psychological care provision for women during pregnancy and early motherhood

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