Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Sibling Relationships of Individuals with Parents Who Have Mental Illness: A Qualitative Study
Ebeveyninde Ruhsal Hastalık Olan Bireylerin Kardeş İlişkileri: Kalitatif Bir Çalışma
Gülhan KÜÇÜK ÖZTÜRKa, Kamuran ÖZDİLb
aDepartment of Psychiatric Nursing, Nevşehir Hacı Bektaş Veli University Semra and Vefa Küçük Faculty of Health Sciences, Nevşehir, Türkiye
bAged Care Program, Nevşehir Haci Bektaş Veli University Health Services Vocational School, Nevşehir, Türkiye
Turkiye Klinikleri J Nurs Sci. 2023;15(3):822-30
doi: 10.5336/nurses.2023-95338
Article Language: EN
Full Text
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
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
REFERENCES:
  1. Küçük Öztürk G. Journey of a psychiatric nurse: Growing up with parents with mental illness. J Psychiatr Ment Health Nurs. 2022;29(1):9-13. [Crossref]  [PubMed] 
  2. Sasan JM, Kaligid MTG, Villegas MA. The deteriorating effect of poor parental skill to children and teens mental health. International Journal of Emerging Issues in Early Childhood Education. 2022;4(1):42-50. [Crossref] 
  3. Thanhäuser M, Lemmer G, de Girolamo G, Christiansen H. Do preventive interventions for children of mentally ill parents work? Results of a systematic review and meta-analysis. Curr Opin Psychiatry. 2017;30(4):283-99. [Crossref]  [PubMed] 
  4. Reedtz C, Lauritzen C, Stover YV, Freili JL, Rognmo K. Identification of children of parents with mental illness: a necessity to provide relevant Support. Front Psychiatry. 2019;9:728. [Crossref]  [PubMed]  [PMC] 
  5. Kriss A, Steele M, Steele H. Sibling relationships: an attachment perspective. In: Hindle D, ed. Sibling Matters: A Psychoanalytic, Developmental and Systemic Approach. 1st ed. Boca Raton, FL: Routledge; 2018. p.82-95. [Crossref] 
  6. Rolan EP, Schmitt SA, Purpura DJ, Nichols DL. Sibling presence, executive function, and the role of parenting. Infant and Child Development, 2018;27(2):e2091. [Crossref] 
  7. Metz D, Jungbauer J. "My scars remain forever": a qualitative study on biographical developments in adult children of parents with mental illness. Clinical Social Work Journal. 2021;49(1):64-76. [Crossref] 
  8. Mostafa T, Gambaro L, Joshi H. The impact of complex family structure on child well‐being: Evidence from siblings. Journal of Marriage and Family. 2018;80(4):902-18. [Crossref] 
  9. Coyle S, Clark K. Adolescent internalizing problems and social support: contextual compensation between sources and settings. School Mental Health. 2022;1-12. [Crossref] 
  10. van Dijk R, van der Valk IE, Buist KL, Branje S, Deković M. Longitudinal associations between sibling relationship quality and child adjustment after divorce. Journal of Marriage and Family. 2022;84(2):393-414. [Crossref] 
  11. Howe N, Paine AL, Ross HS, Recchia H. Sibling relations in early and middle childhood. In: The Wiley‐Blackwell Handbook of Childhood Social Development. 3rd ed. Hoboken, NJ, USA: Wiley-Blackwell/John Wiley & Sons, Inc.; 2022. p.443-58. [Crossref] 
  12. Tucker CJ, Finkelhor D, Turner H. Family and friend social support as mediators of adolescent sibling victimization and mental health, self-esteem, and delinquency. Am J Orthopsychiatry. 2020;90(6):703-11. [Crossref]  [PubMed] 
  13. Plamondon A, Bouchard G, Lachance-Grzela M. Family dynamics and young adults' well-being: the mediating role of sibling bullying. J Interpers Violence. 2021;36(9-10):NP5362-NP5384. [Crossref]  [PubMed] 
  14. Radicke A, Barkmann C, Adema B, Daubmann A, Wegscheider K, Wiegand-Grefe S. Children of parents with a mental illness: predictors of health-related quality of life and determinants of child-parent agreement. Int J Environ Res Public Health. 2021;18(2):379. [Crossref]  [PubMed]  [PMC] 
  15. Rahmani F, Roshanghar F, Gholizadeh L, Dickens GL. Caregiver or care receiver: Adolescents' experience of caregiving to a parent with severe mental illness: A qualitative study. Child & Family Social Work. 2022;27(4):795-804. [Crossref] 
  16. Yamamoto R, Keogh B. Children's experiences of living with a parent with mental illness: A systematic review of qualitative studies using thematic analysis. J Psychiatr Ment Health Nurs. 2018;25(2):131-41. [Crossref]  [PubMed] 
  17. Wolke D, Tippett N, Dantchev S. Bullying in the family: sibling bullying. Lancet Psychiatry. 2015;2(10):917-29. [Crossref]  [PubMed] 
  18. Coles P. The Importance of Sibling Relationships in Psychoanalysis. 1st ed. New York: Routledge; 2018. [Crossref] 
  19. Jayawickreme E, Infurna FJ, Alajak K, Blackie LER, Chopik WJ, Chung JM, et al. Post-traumatic growth as positive personality change: Challenges, opportunities, and recommendations. J Pers. 2021;89(1):145-65. [Crossref]  [PubMed]  [PMC] 
  20. Liu SH, Hsiao FH, Chen SC, Shiau SJ, Hsieh MH. The experiences of family resilience from the view of the adult children of parents with bipolar disorder in Chinese society. J Adv Nurs. 2022;78(1):176-86. [Crossref]  [PubMed] 
  21. Drost LM, van der Krieke L, Sytema S, Schippers GM. Self-expressed strengths and resources of children of parents with a mental illness: A systematic review. Int J Ment Health Nurs. 2016;25(2):102-15. [Crossref]  [PubMed] 
  22. Stocker CM, Gilligan M, Klopack ET, Conger KJ, Lanthier RP, Neppl TK, et al. Sibling relationships in older adulthood: Links with loneliness and well-being. J Fam Psychol. 2020;34(2):175-85. [Crossref]  [PubMed]  [PMC] 
  23. Davies PT, Parry LQ, Bascoe SM, Martin MJ, Cummings EM. Children's vulnerability to interparental conflict: the protective role of sibling relationship quality. Child Dev. 2019;90(6):2118-34. [Crossref]  [PubMed]  [PMC] 
  24. Milevsky A. Parental factors, psychological well-being, and sibling dynamics: A mediational model in emerging adulthood. Marriage & Family Review. 2019;55(5):476-92. [Crossref] 
  25. Dimmer A, Rozmovits L, Babinski S, Law S. Mental illness in the family: the experiences of well siblings of young adults with mood and/or anxiety disorders. Canadian Journal of Community Mental Health. 2022;40(3):1-14. [Crossref] 
  26. Tabak I, Zabłocka-Żytka L, Ryan P, Poma SZ, Joronen K, Viganò G, et al. Needs, expectations and consequences for children growing up in a family where the parent has a mental illness. Int J Ment Health Nurs. 2016;25(4):319-29. [Crossref]  [PubMed] 

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