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A study of adolescent children of parents with schizophrenia: their stress, coping resources and mental health.

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

Identiferoai:union.ndltd.org:cuhk.edu.hk/oai:cuhk-dr:cuhk_320681
Date January 1995
ContributorsChui, Shu-fai Fred., Chinese University of Hong Kong Graduate School. Division of Social Work.
PublisherChinese University of Hong Kong
Source SetsThe Chinese University of Hong Kong
LanguageEnglish
Detected LanguageEnglish
TypeText, bibliography
Formatprint, iv, 237, [68] leaves ; 30 cm.
CoverageChina, Hong Kong, China, Hong Kong, China, Hong Kong
RightsUse of this resource is governed by the terms and conditions of the Creative Commons “Attribution-NonCommercial-NoDerivatives 4.0 International” License (http://creativecommons.org/licenses/by-nc-nd/4.0/)

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