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Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.12001/24774

 
Title :統合失調症を患う息子に対応する母親のケア意識の変容プロセス
Title alternative :Changes in awareness among mothers in relation to caring for their schizophrenic sons
Authors :髙原, 美鈴
古謝, 安子
宮城, 哲哉
髙原, 大介
豊里, 竹彦
與古田, 孝夫
Authors alternative :Takahara, Misuzu
Koja, Yasuo
Miyagi, Tetsuya
Takahara, Daisuke
Toyosato, Takehiko
Yokota, Takao
Authors affiliation :Department of Health Sciences, Faculty of Medicine
Tamaki Hospital
Okinawa Prefectural Central Child Guidance Center
Issue Date :2019
Publisher :琉球医学会
Type Local :雑誌掲載論文
Type (NII) :Journal Article
ISSN :1346-888X
Abstract :Purpose: The present study aimed to provide an understanding of how mothers of male schizophrenia patients handle their sonʼs behaviors and acute symptoms prior to diagnosis, as well as their changing medical conditions. Methods: In-depth interviews were conducted with mothers of male schizophrenia patients in a family support group at a psychiatric hospital. The modified grounded theory approach using the constant comparative method was used for analysis. Results and Discussion: Eight mothers (mean age: 70 years) participated in the study. The mean age of their sons was 43 years, mean treatment duration was 20 years, and mean duration of untreated psychosis was 5.3 years. The results of the analysis revealed 28 concepts, 10 subcategories, and three categories. Mutual correlations were observed among: 1) treatment and isolation due to the sonʼs pathological behavior; 2) handling of relapses; and 3) mothersʼ commitment to and hope for living with their son. The mothers initially became suspicious, worried about their sonʼs odd behavior, and became certain that they were ill. With feelings of isolation due to noncooperative husbands and siblings, they then took their sons to visit a specialist. The participants constantly had to deal with their sonʼs relapses, repeated refusals to accept treatment, and aggressive behavior requiring police intervention. Eventually, the participants acknowledged their son and their illness and began to have confidence in dealing with the disease as they confronted various difficulties in the long term. They also began to express commitment to and hope for living with their son through family improvements and encouragement from the family support group. The results showed that mental health professionals must do the following: 1) understand the difficult situations of schizophrenic patients while they are still in the non-treatment stage; 2) provide appropriate information to the community to allow easier access to psychiatric interventions; and 3) to encourage their family members to participate in a family support group once treatment has started. Conclusions: The results of the present study suggest that mothers have to handle the entire situation involving their schizophrenic sonʼs behaviors and acute symptoms alone while having to determine the cause of their sonʼs odd behaviors. They also have to endure repeated instances of their sonʼs ongoing aggressive actions while undergoing specialized treatment. After a long period of time, they were finally able to acknowledge their sons through their family and a family support group, and even began to express commitment to and hope for living with their son.
Rights :琉球医学会
URI :http://hdl.handle.net/20.500.12001/24774
Citation :琉球医学会誌 = Ryukyu Medical Journal Vol.38 no.1-4 p.73 -82
Appears in Collections:Ryukyu Medical Journal

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