published_or_final_version / Social Work / Master / Master of Social Work

published_or_final_version / Nursing Studies / Master / Master of Nursing in Advanced Practice

published_or_final_version / Social Work and Social Administration / Doctoral / Doctor of Philosophy

by Chui Shu-fai, Fred. / Includes questionaire in Chinese. / Thesis (M.S.W.)--Chinese University of Hong Kong, 1995. / Includes bibliographical references (leaves [45-68] (3rd gp.)). / Chapter ONE --- INTRODUCTION --- p.1 / Chapter TWO --- THE IMPACT OF PARENTAL MENTAL ILLNESS ON CHILDREN --- p.8 / Chapter 2.1 --- Impact of parental mental illness on children --- p.8 / Chapter 2.2 --- Studies about the impact of parental affective disorder on children --- p.9 / Chapter 2.3 --- Children of schizophrenic patients --- p.12 / Chapter 2.3.1 --- Effect of psychiatric symptoms and behavioral change --- p.14 / Chapter 2.3.2 --- Impairment of interaction --- p.15 / Chapter 2.4 --- Parents with depression versus parents with schizophrenia: their differential impacts on children --- p.16 / Chapter 2.4.1 --- Parenting --- p.16 / Chapter 2.4.2 --- Children at risk --- p.18 / Chapter 2.4.3 --- Problems faced by the children --- p.20 / Chapter 2.5 --- Discussion on the above findings --- p.22 / Chapter 2.6 --- Resilience in Children / Adolescents --- p.25 / Chapter 2.7 --- Limitations of some empirical studies about children of mentally ill --- p.27 / Chapter THREE --- "STRESS, COPING RESOURCES AND MENTAL HEALTH" --- p.30 / Chapter 3.1 --- Concept of Stress --- p.30 / Chapter 3.2 --- "Life events, daily hassles and life strains" --- p.36 / Chapter 3.3 --- Objective burdens and subjective burdens arising from the mentally ill in the family --- p.37 / Chapter 3.4 --- "Stressors as management problems, psychological problems and social / economic costs faced by the children" --- p.39 / Chapter 3.4.1 --- Management problems --- p.39 / Chapter 3.4.2 --- Psychological problems --- p.41 / Chapter (a) --- Self-blame and Guilt / Chapter (b) --- Anger / Chapter (c) --- Feeling of Embarrassment and shame / Chapter (d) --- Anxieties caused by parent's hospitalization / Chapter (e) --- Sense of inferiority caused by the prejudice and rejection of community / Chapter 3.4.3 --- Social / economic costs --- p.47 / Chapter (a) --- Disruption of family functioning / Chapter (b) --- Conflict in the family / Chapter (c) --- Financial difficulties / Chapter (d) --- Reduction in social life / Chapter 3.5 --- Perceived Stress --- p.50 / Chapter 3.5.1 --- Measurement of perceived stress --- p.52 / Chapter 3.6 --- Stress and Coping in Children/Adolescents --- p.53 / Chapter 3.7 --- Coping Resources --- p.56 / Chapter 3.7.1 --- Health and energy --- p.58 / Chapter 3.7.2 --- Positive beliefs --- p.58 / Chapter 3.7.3 --- Social skills --- p.61 / Chapter 3.8 --- Coping resources being examined in this study --- p.62 / Chapter 3.8.1 --- Self-efficacy --- p.63 / Chapter (a) --- Self-efficacy as a coping resource / Chapter (b) --- Social self-efficacy / Chapter (c) --- Measurement of self-efficacy / Chapter 3.8.2 --- Self-esteem --- p.71 / Chapter (a) --- Measurement of Self-esteem / Chapter 3.8.3 --- knowledge / Information --- p.73 / Chapter (a) --- Knowledge about schizophrenia / Chapter (b) --- Measurement about mental health knowledge / Chapter 3.8.4 --- Attitude toward the ex-mental patient --- p.76 / Chapter (a) --- Mental health knowledge and attitude toward mental patient / Chapter (b) --- Adolescent's attitude toward the mentally-ill / Chapter (c) --- Measurement of attitude toward mental illness and mental patients / Chapter 3.9 --- Mental Health --- p.81 / Chapter 3.9.1 --- Concept of “Mental´ح --- p.81 / Chapter 3.9.2 --- Concept of “Health´ح --- p.81 / Chapter 3.9.3 --- Mental health as a concept --- p.82 / Chapter 3.9.4 --- Measurement of mental health --- p.84 / Chapter FOUR --- LITERATURE REVIEW ON THE RELATIONSHIPS AMONG VARIABLES UNDER STUDY --- p.85 / Chapter 4.1 --- Stress and mental health --- p.85 / Chapter 4.2 --- Coping resources and perceived stress --- p.87 / Chapter 4.2.1 --- Self-efficacy and perceived stress --- p.87 / Chapter 4.2.2 --- Self-esteem and perceived stress --- p.88 / Chapter 4.2.3 --- Knowledge and perceived stress --- p.89 / Chapter 4.2.4 --- Attitude and perceived stress --- p.89 / Chapter 4.3 --- Coping resources and mental health --- p.90 / Chapter 4.3.1 --- Self-efficacy and mental health --- p.90 / Chapter 4.3.2 --- Self-esteem and mental health --- p.92 / Chapter 4.3.3 --- Knowledge and mental health --- p.93 / Chapter 4.3.4 --- Attitude and mental health --- p.94 / Chapter 4.4 --- Conceptual framework --- p.94 / Chapter 4.5 --- Research questions and hypotheses --- p.99 / Chapter 4.6 --- Definition of concepts --- p.103 / Chapter 4.6.1 --- Definition of stressors --- p.103 / Chapter 4.6.2 --- Definition of perceived stress --- p.103 / Chapter 4.6.3 --- Definition of social self-efficacy --- p.103 / Chapter 4.6.4 --- Definition of self-esteem --- p.104 / Chapter 4.6.5 --- Definition of knowledge about schizophrenia --- p.104 / Chapter 4.6.6 --- Definition of behavioral intentions / attitude --- p.104 / Chapter 4.6.7 --- Definition of mental health --- p.105 / Chapter FIVE --- RESEARCH METHODOLOGY --- p.106 / Chapter 5.1 --- Sample Design --- p.106 / Chapter 5.2 --- Instruments for Measurement --- p.107 / Chapter 5.2.1 --- Scale measuring the stressors (ST-ALL) and Perceived Stress (PS-ALL) --- p.107 / Chapter 5.2.2 --- Rosenberg Self-esteem Scale (RSES) --- p.108 / Chapter 5.2.3 --- Adolescent Social Self-efficacy Scale (SEFF) --- p.108 / Chapter 5.2.4 --- Knowledge about Schizophrenia Scale (SKS) --- p.109 / Chapter 5.2.5 --- Behavioral Intention toward Ex-mental Patients Scale (BIEMPS) --- p.109 / Chapter 5.2.6 --- General Health Questionnaire (GHQ-30) --- p.110 / Chapter 5.2.7 --- Chinese Version of Hopelessness Scale (C-Hope) --- p.111 / Chapter 5.2.8 --- Demographic /personal data --- p.111 / Chapter SIX --- RESULTS --- p.112 / Chapter 6.1 --- Psychometric properties of the measuring instruments --- p.112 / Chapter 6.1.1 --- Measurement of stress / Chapter (a) --- Stressor Scale (ST-ALL) / Chapter (b) --- Perceived Stress Scale (PS-ALL) / Chapter 6.1.2 --- Measurement of coping resources --- p.113 / Chapter (a) --- Adolescent Social Self-efficacy Scale (SEFF) / Chapter (b) --- Rosenberg Self-esteem Scale (RSES) / Chapter (c) --- Knowledge about Schizophrenia Scale (SKS) / Chapter (d) --- Behavioral intention towards Ex-mental Patients Scale (BIEMPS) / Chapter 6.1.3 --- Measurement of mental health --- p.115 / Chapter (a) --- General health questionnaire - 30 (GHQ-30) / Chapter (b) --- Chinese-Hopelessness Scale (C-Hope) / Chapter 6.2 --- Demographic characteristics of the respondents --- p.133 / Chapter 6.2.1 --- Sex and Age of Respondents --- p.133 / Chapter 6.2.2 --- Relationship of Respondents to Their Schizophrenic Parents --- p.133 / Chapter 6.2.3 --- Education Level of Respondents --- p.133 / Chapter 6.2.4 --- No. of Siblings of the Respondents and Their Rank among siblings --- p.134 / Chapter 6.2.5 --- Religion of respondents --- p.134 / Chapter 6.2.6 --- Out-patient or in-patient status of respondents' schizophrenic parents and number of years of treatment --- p.134 / Chapter 6.2.7 --- Education Level of the Parents --- p.135 / Chapter 6.2.8 --- "Occupation of the respondents' parents, the family's income and its source" --- p.135 / Chapter 6.2.9 --- Type of accommodation and family size within the same household --- p.136 / Chapter 6.2.10 --- Marital status of respondents' parents --- p.136 / Chapter 6.2.11 --- Principal caregivers of the respondents' schizophrenic parents --- p.136 / Chapter 6.3 --- Respondents' perception of the existing services and expressed needs --- p.140 / Chapter 6.3.1 --- Number of respondents who had visited social workers in the past 6 months and their satisfaction with the service of social workers --- p.140 / Chapter 6.3.2 --- The social services which were considered by the respondents as important for their schizophrenic parents --- p.140 / Chapter 6.3.3 --- The social services which were needed by respondents --- p.141 / Chapter 6.4 --- "Findings of stress, coping and mental health of respondents" --- p.144 / Chapter 6.4.1 --- Stress --- p.144 / Chapter (a) --- Stressors faced by respondents / Chapter (b) --- Perceived stress experienced by respondents / Chapter 6.4.2 --- Coping resources --- p.148 / Chapter (a) --- Distribution of responses to the items in the Social Self-efficacy Scale / Chapter (b) --- Distribution of responses to the items in the Rosenberg Self-esteem Scale / Chapter (c) --- Distribution of responses to the items in the Knowledge about Schizophrenia Scale / Chapter (d) --- Distribution of responses to the items in the Behavioral Intention toward Ex-mental Patient Scale / Chapter 6.4.3 --- Mental health --- p.152 / Chapter (a) --- Distribution of responses to the items in the General Health Questionnaire-30 (GHQ-30) / Chapter (b) --- Distribution of responses to the items in the Chinese version of Hopelessness Scale (C-Hope) / Chapter 6.5 --- "Interrelationships amongst stress, coping and mental health of the respondents" --- p.166 / Chapter 6.5.1 --- Relationship between perceived stress and psychological well being --- p.166 / Chapter (a) --- Relationship between perceived stress and GHQ-30 / Chapter (b) --- Relationship between perceived stress and hopelessness / Chapter 6.5.2 --- Relationships between perceived stress and coping resources --- p.167 / Chapter (a) --- Relationship between perceived stress and social self-efficacy / Chapter (b) --- Relationship between perceived stress and self-esteem / Chapter (c) --- Relationship between perceived stress and knowledge about schizophrenia / Chapter (d) --- Relationship between perceived stress and behavioral intentions towards ex-mental patients / Chapter (e) --- Differential effects of coping resources on perceived stress / Chapter 6.5.3 --- Relationships amongst the various measures of coping resources and psychological well-being --- p.169 / Chapter (a) --- Relationship between social self-efficacy and psychological well-being / Chapter (b) --- Relationship between self-esteem and mental health / Chapter (c) --- Relationship between knowledge about schizophrenia and psychological well-being / Chapter (d) --- Relationship between attitude toward ex-mental patient and psychological well-being (C-Hope) / Chapter (e) --- Differential effects of coping resources on psychological well-being / Chapter SEVEN --- DISCUSSION --- p.175 / Chapter 7.1 --- Psychometric properties of the tools --- p.175 / Chapter 7.1.1 --- Measurement of stress --- p.175 / Chapter (a) --- Stressor Scale (ST-ALL) / Chapter (b) --- Perceived Stress Scale (PS-ALL) / Chapter 7.1.2 --- Measurement of coping resources --- p.178 / Chapter (a) --- Social Self-efficacy Scale (SEFF) / Chapter (b) --- Rosenberg Self-esteem Scale (RSES) / Chapter (c) --- The Knowledge about Schizophrenia Scale (SKS) / Chapter (d) --- Behavioural Intentions Toward Ex-mental Patients (C-BIEMP) / Chapter 7.1.3 --- Measurement of psychological well-being --- p.181 / Chapter (a) --- GHQ / Chapter (b) --- Chinese version of Hopelessness Scale / Chapter 7.2 --- Characteristics of respondents --- p.183 / Chapter 7.2.1 --- "Sex, age and education" --- p.183 / Chapter 7.2.2 --- "Housing condition, family size and family income" --- p.183 / Chapter 7.2.3 --- Religion --- p.184 / Chapter 7.2.4 --- Caregivng role --- p.185 / Chapter 7.3 --- Respondents' perception of the existing service and expressed concern --- p.185 / Chapter 7.3.1 --- Number of respondents who had visited social worker in the past 6 months and their satisfaction with the service of social workers --- p.185 / Chapter 7.3.2 --- The social services which were considered by respondents as important for their schizophrenic parents --- p.185 / Chapter 7.3.3 --- Social services most needed by respondents --- p.189 / Chapter 7.4 --- "Stress, coping resources and mental health of respondents" --- p.192 / Chapter 7.4.1 --- Stress --- p.192 / Chapter (a) --- Stressors faced by respondents / Chapter (b) --- Perceived Stress / Chapter 7.4.2 --- Coping Resources --- p.201 / Chapter (a) --- Social Self-efficacy / Chapter (b) --- Self-esteem / Chapter (c) --- Knowledge about schizophrenia / Chapter (d) --- Behavioral intentions toward ex-mental patients / Chapter 7.4.3 --- Mental health of respondents --- p.210 / Chapter (a) --- General Health Questionnaire / Chapter (b) --- Hopelessness Scale / Chapter 7.5 --- Findings on relationships among major variables --- p.211 / Chapter 7.5.1 --- Relationship between perceived stress and psychological well-being --- p.211 / Chapter 7.5.2 --- Relationships between perceived stress and coping resources --- p.212 / Chapter 7.5.3 --- Relationship between coping resources and mental health --- p.215 / Chapter 7.6 --- Limitations --- p.216 / Chapter 7.6.1 --- Use of variables --- p.216 / Chapter 7.6.2 --- Sampling --- p.217 / Chapter 7.6.3 --- Data Collection --- p.219 / Chapter 7.6.4 --- Measuring Instruments --- p.219 / Chapter EIGHT --- CONCLUSIONS AND RECOMMENDATIONS --- p.220 / Chapter 8.1 --- Conclusions --- p.220 / Chapter 8.2 --- Recommendations --- p.225 / Chapter 8.2.1 --- Education on management of problems arising from mental patients --- p.225 / Chapter 8.2.2 --- Training on stress management --- p.226 / Chapter 8.2.3 --- Social skills training --- p.226 / Chapter 8.2.4 --- Special counselling service --- p.227 / Chapter 8.2.5 --- Mental health education for the patients and their family members as well --- p.228 / Chapter 8.2.6 --- Public education --- p.230 / Chapter 8.2.7 --- Promotion of teamwork approach among different professionals --- p.231 / Chapter 8.2.8 --- Cooperation among different professionals and special training for them --- p.231 / Chapter 8.2.9 --- Community support service and utilitarian support --- p.233 / Chapter (a) --- Financial assistance / Chapter (b) --- Special home help /family aid service / Chapter (c) --- Outreaching psychiatric service / Community nursing service / Chapter (d) --- Volunteer service / Chapter (e) --- Aftercare service team / Chapter (f) --- Social club for ex-mental patients / Chapter (g) --- Respite service / Chapter 8.2.10 --- Concluding remarks --- p.236 / APPENDIX A QUESTIONNAIRE (English Version) / APPENDIX B QUESTIONNAIRE (Chinese Version) / APPENDIX C TABLE31 / REFERENCES

Background. Subjective quality of life (SQOL) is increasingly gaining attention in psychiatric practice and research. To date, few studies have examined the SQOL in outpatients with schizophrenia in China. / Conclusions. Despite considerable differences between the two sites in terms of socio-cultural background, health care delivery and the economic conditions of the subjects, the SQOL did not differ significantly between HK and BJ. SQOL was more strongly related to the severity of depressive symptoms and had only weak association with socio-demographic factors. / Method. In the psychiatric outpatient services of two university-affiliated teaching hospitals in BJ and HK, 522 (264 in BI and 258 in HK) clinically stable outpatients diagnosed with schizophrenia (age: 18-60 years) were randomly selected according to the same inclusion and exclusion criteria. The two samples were matched according to age, sex, educational level, and length of illness. The diagnosis of schizophrenia was confirmed on the basis of a chart review followed by a diagnostic interview on both sites by the candidate. Socio-demographic data were collected and clinical characteristics including psychotic and depressive symptoms, drug-induced extrapyramidal side effects (EPS), and SQOL were assessed by the candidate. Analysis of covariance (ANCOVA) was used to compare the SQOL and its four domains between the two sites after controlling for the effect of the clinical condition of the subjects. Bi-variate correlation and multiple regression analyses were used to evaluate the relationship between SQOL and socio-demographic and clinical data. / Objectives of the study. This study compared SQOL in schizophrenia patients living with their families in Hong Kong (HK) and Beijing (BI) and explored the relationship between SQOL and socio-demographic and clinical factors. / Results. There was no significant difference in SQOL and its domains between the two cohorts after controlling for the effect of other confounding variables. Length of illness, history of suicide attempts, positive, negative, depressive and anxiety symptoms and EPS were all significantly correlated with SQOL. Multiple regression analysis revealed that depressive symptoms predicted all SQOL domains while positive symptoms predicted the psychological, the social relationship and environmental SQOL domains. Married status predicted the social relationship SQOL domain and length of illness predicted the environmental SQOL domain. / Xiang Yu-tao. / "October 2006." / Advisers: G. S. Ungvari; W. K. Tang. / Source: Dissertation Abstracts International, Volume: 68-08, Section: B, page: 5131. / Thesis (Ph.D.)--Chinese University of Hong Kong, 2006. / Includes bibliographical references (p. 107-122). / Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Electronic reproduction. [Ann Arbor, MI] : ProQuest Information and Learning, [200-] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Abstracts in English and Chinese. / School code: 1307.

published_or_final_version / Social Work and Social Administration / Master / Master of Social Sciences

精神分裂症（簡稱精分）是一種常見且嚴重的精神疾病，它對患者及其家人的生活有著毀滅性的影響。在西方國家，研究者已經對精分患者子女的經歷研究了許多年，得出的結論在政府以及社會工作者幫助這些家庭時起到重要的參考作用。然而，在中國這個問題被忽視了，目前針對這個群體的、學術規範的研究還沒有在中國大陸展開。鑒於中西巨大的社會和文化差異，我們不可以照搬西方學者的研究成果。為了填補這方面的知識空缺，我們在上海展開了對精神分裂症患者子女經歷的質化研究。 / 本文的資料來自八個家庭的成員對於相關經驗的敘述。我們從三個層面來探究這些青少年的特殊經歷，包括他們對家長的經歷、他們從患病與健康家長處感受到的養育模式、以及他們所經歷的擴展家庭和社會的支持。 / 我們的研究發現包括：1）青少年對家長疾病的適應經歷了三個階段：漠然、焦慮、消極應對。2）患病家長大多對孩子溫暖有餘、管教不足。健康家長對孩子的管教很大程度上取決於家庭經濟情況。當經濟情況惡劣時他們往往忽視孩子的成長需求3）支援系統作用缺失。 / 基於以上發現，本文提煉出三個主題：在惡劣成長環境中掙扎、消極應對、缺乏支持。我們提倡為這些家庭提供社會服務。 / Schizophrenia is a serious and common mental illness which has devastating effects on those affected by schizophrenia, as well as family members including their offspring. In western countries, the topic about the experience of offspring living with a parent diagnosed with schizophrenia has been studied for many years. The outcomes are useful references to the government and social workers in helping these families. However, this topic has been neglected in the Chinese context. A well-designed qualitative study has never been carried out in mainland China. The result from western researcher cannot be used in China due to the vast differences in society and culture. To fill in the gap, a qualitative research was carried out in Shanghai to study children’s experience of parental schizophrenia. / This paper is based on the narratives elicited from eight families, including the parents diagnosed with schizophrenia, the adolescent children, and sometimes other family members. We studied the experience of this special group of adolescents, which contains the experience of their parent’s mental illness, the parenting from both the parent diagnosed with schizophrenia and the healthy parent, as well as the support from extended family and the society. / Our findings include: 1) Adolescents’ attitude towards parental schizophrenia can be divided into three phases: indifference, anxiety, and finally passive coping. The help they can provide for their parents with schizophrenia is very limited in most cases. 2) The parenting they received from the parents with schizophrenia is generally perceived as with high level of warmth and low level of demandingness. The healthy parents may or may not provide enough discipline to the adolescents depending on the families’ economic status. They would fail to focus on the need of the growing children when the economic pressure is high. 3) The supportive network failed to provide enough help to the growing adolescents. / Three themes are proposed based on the findings, namely struggling in poor growing environment, passive coping, and helplessness. We advocate for the development of social work services for these families. / Detailed summary in vernacular field only. / Detailed summary in vernacular field only. / Detailed summary in vernacular field only. / Detailed summary in vernacular field only. / Du, Juan. / Thesis (M.Phil.)--Chinese University of Hong Kong, 2012. / Includes bibliographical references (leaves 264-302). / Abstracts also in Chinese; appendixes in Chinese. / Chapter Chapter 1 --- : Introduction --- p.1 / Chapter 1.1 --- Rationale of the study --- p.1 / Chapter 1.2 --- Research background --- p.3 / Chapter 1.2.1 --- Schizophrenia in China --- p.5 / Chapter 1.2.2 --- Social stigma and discourse on mental illness --- p.6 / Chapter 1.2.3 --- Great challenges for a family with a member with schizophrenia --- p.9 / Chapter 1.2.4 --- Limited mental health service available to these families --- p.11 / Chapter 1.2.5 --- Cultural influences in Chinese society --- p.14 / Chapter 1.3 --- Research objectives and research questions --- p.18 / Chapter 1.3.1 --- Research questions --- p.18 / Chapter 1.3.2 --- Research objectives --- p.19 / Chapter 1.4 --- Significance of the research --- p.20 / Chapter Chapter 2 --- : Literature Review --- p.21 / Chapter 2.1 --- Schizophrenia --- p.21 / Chapter 2.1.1 --- Different perspectives on schizophrenia --- p.21 / Chapter 2.1.2 --- Treatment and Recovery of schizophrenia --- p.33 / Chapter 2.1.3 --- Schizophrenia’s influence on social functioning --- p.37 / Chapter 2.1.4 --- Schizophrenia’s influence on parenting --- p.39 / Chapter 2.2 --- Developing adolescents --- p.46 / Chapter 2.2.1 --- Different perspectives on adolescents --- p.47 / Chapter 2.2.2 --- Offspring with parental psychiatric disorder --- p.53 / Chapter 2.2.3 --- Supportive network of adolescents --- p.60 / Chapter 2.3 --- The roles of social work in mental health facilities --- p.61 / Chapter 2.3.1 --- Condition of mental health social work in Shanghai --- p.62 / Chapter 2.3.2 --- The roles of social workers in other areas --- p.63 / Chapter 2.3.3 --- Social workers serving families with parental schizophrenia --- p.69 / Chapter 2.4 --- Knowledge gap in existed literature --- p.70 / Chapter Chapter 3 --- : Research Methodology --- p.72 / Chapter 3.1 --- Paradigmatic Considerations --- p.72 / Chapter 3.1.1 --- Social constructionism --- p.74 / Chapter 3.1.2 --- Proposed Theoretical Framework --- p.77 / Chapter 3.2 --- Research Design --- p.79 / Chapter 3.2.1 --- Research Site --- p.80 / Chapter 3.2.2 --- Sampling --- p.81 / Chapter 3.2.3 --- Data collection --- p.86 / Chapter 3.2.4 --- Data analysis --- p.89 / Chapter 3.2.5 --- Ethical issues and trustworthiness --- p.91 / Chapter 3.3 --- Strengths and Limitations of this Study --- p.96 / Chapter Chapter 4 --- : Background Information of the Research Participants --- p.98 / Chapter 4.1 --- General Information --- p.98 / Chapter 4.1.1 --- Personal information of adolescents --- p.99 / Chapter 4.1.2 --- Personal Information of parent diagnosed with schizophrenia --- p.101 / Chapter 4.1.3 --- Background Information of participant families --- p.105 / Chapter 4.2 --- Family stories --- p.111 / Chapter 4.3 --- Conditions of the parent with schizophrenia --- p.126 / Chapter 4.3.1 --- Competent youths in the past --- p.126 / Chapter 4.3.2 --- Experience of schizophrenia --- p.127 / Chapter 4.3.3 --- Self-blaming for offspring’s current situation --- p.139 / Chapter 4.4 --- The adolescents --- p.141 / Chapter 4.4.1 --- School Achievement --- p.141 / Chapter 4.4.2 --- Peers --- p.146 / Chapter 4.5 --- Summary --- p.150 / Chapter Chapter 5 --- : Experience of parental schizophrenia --- p.152 / Chapter 5.1 --- Discovery of parental schizophrenia --- p.152 / Chapter 5.2 --- Experience relevant to parental schizophrenia --- p.155 / Chapter 5.2.1 --- Symptoms --- p.155 / Chapter 5.2.2 --- Deterioration of parent’s daily functioning --- p.157 / Chapter 5.2.3 --- Parents’ hospitalization --- p.161 / Chapter 5.2.4 --- Social stigma attached to schizophrenia --- p.166 / Chapter 5.2.5 --- Parent’s concealment of schizophrenia --- p.168 / Chapter 5.3 --- Knowledge of schizophrenia --- p.170 / Chapter 5.4 --- Reaction after knowing parental schizophrenia --- p.174 / Chapter 5.4.1 --- Indifference --- p.174 / Chapter 5.4.2 --- Concern and curiosity --- p.175 / Chapter 5.4.3 --- Passive attitude --- p.179 / Chapter 5.5 --- Coping with parental schizophrenia --- p.182 / Chapter 5.5.1 --- Support and help from the children to the parents with schizophrenia --- p.182 / Chapter 5.5.2 --- Selective concealment of parental schizophrenia --- p.185 / Chapter Chapter 6 --- : Experience of parenting from the parent with schizophrenia --- p.189 / Chapter 6.1 --- Less parental demandingness from the parent with schizophrenia --- p.189 / Chapter 6.1.1 --- Less discipline --- p.190 / Chapter 6.1.2 --- Low pressure on study --- p.191 / Chapter 6.1.3 --- Low expectation for future career --- p.192 / Chapter 6.2 --- More parental warmth from the parent with schizophrenia --- p.195 / Chapter Chapter 7 --- : Supporting Network --- p.197 / Chapter 7.1 --- Interaction between adolescent children with healthy parents --- p.197 / Chapter 7.1.1 --- The condition of the healthy parents --- p.198 / Chapter 7.1.2 --- The parenting style of the healthy parents --- p.203 / Chapter 7.2 --- Support from extended family --- p.207 / Chapter 7.3 --- Support from the society --- p.214 / Chapter 7.3.1 --- Teaching VS. Support --- p.214 / Chapter 7.3.2 --- Little support from school --- p.216 / Chapter Chapter 8 --- : Discussion --- p.219 / Chapter 8.1 --- Parenting style of both parents --- p.219 / Chapter 8.1.1 --- Indulgent parenting of the parent diagnosed with schizophrenia --- p.219 / Chapter 8.1.2 --- The parenting style of the healthy parent --- p.222 / Chapter 8.1.3 --- The influence of the parenting on the developing children --- p.225 / Chapter 8.2 --- Three stages after knowing parental schizophrenia --- p.227 / Chapter 8.3 --- Themes --- p.233 / Chapter 8.3.1 --- Struggle in poor family environment --- p.233 / Chapter 8.3.2 --- Passive coping --- p.239 / Chapter 8.3.3 --- Helplessness --- p.241 / Chapter 8.4 --- Reflection on theoretical framework --- p.244 / Chapter 8.5 --- Implications for practice --- p.247 / Chapter 8.6 --- Implications for theory and research --- p.255 / Chapter 8.6.1 --- Similarities and differences compared with literature --- p.255 / Chapter 8.6.2 --- Directions for future research --- p.257 / List of tables and figures / Chapter Table 1 Length of interviews --- p.89 / Chapter Table 2 Condition of adolescents --- p.99 / Chapter Table 3 Personal information of the parents with schizophrenia --- p.101 / Chapter Table 4 Symptoms and hospitalization --- p.102 / Chapter Table 5 Medication --- p.104 / Chapter Table 6 General family background --- p.105 / Chapter Table 7 Family social economic status --- p.108 / Chapter Table 8 Possible interventions --- p.250 / Chapter Figure 1 Proposed theoretical framework --- p.77 / Chapter Figure 2 Revised theoretical framework --- p.245 / Chapter Appendices --- p.259 / Chapter Appendix 1: Interview Guide (Chinese version) --- p.259 / Chapter Appendix 2: Consent form (Chinese version) --- p.262 / Bibliography --- p.264