Şizofreni Tanısı Olan Annelerin Bebekleri İle İlişkisi

Year 2022, Volume: 14 Issue: 3, 427 - 436, 30.09.2022

Ayşin Çetinkaya Büyükbodur , Hakan Sakarya , Ayşegül Kılıçlı

https://doi.org/10.18863/pgy.1065019

Abstract

Şizofreni, kadınların ebeveynlik rol ve sorumluluklarını gerçekleştirmelerinde çeşitli engellerin ortaya çıkmasına ve anne bebek etkileşiminde sorunlara neden olan önemli bir ruh sağlığı sorunudur. Şizofreni tanısı olan annelerin doğum sonrasında tedaviye uyumsuzluğu olabileceği gibi bunun ortaya çıkardığı riskler nedeniyle çocuk koruma sisteminde yer alan profesyoneller bebekler hakkında koruma kararı verebilmektedir. Ancak şizofreni tanısı olan anneler ile doğum sonrası tedaviye uyum ve sağlıklı anne bebek ilişkisinin kurulması gibi konularda profesyonel psikososyal destek hizmetleri sağlanarak bu riskler en aza indirilebilir. Bu çerçevede, bu çalışma ile şizofreni tanısı olan annelerin bebekleri ile etkileşimlerinde ortaya çıkabilecek sorunlara ve müdahalelere değinilmesi amaçlanmıştır.

Keywords

şizofreni, anne bebek ilişkisi, bağlanma, anne duyarlılığı

Supporting Institution

Çalışma herhangi bir kurum tarafından desteklenmemiştir.

Project Number

Proje değildir

Relationship of Mothers with a Diagnosis of Schizophrenia with their Babies

Abstract

Schizophrenia is an important mental health problem that causes various obstacles in women’s parental roles and responsibilities and causes problems in mother-infant interaction. Mothers with a diagnosis of schizophrenia may have noncompliance with treatment after birth, and professionals involved in the child protection system may make protection decisions about babies due to the risks it poses. However, these risks can be minimized by providing professional psychosocial support services for mothers with schizophrenia, such as compliance with postnatal treatment and establishing a healthy mother-infant relationship. In this context, this study aimed to address the problems and interventions that may arise in the interaction of mothers and their babies.

Keywords

schizophrenia, mother-infant relationship, attachment, maternal sensitivity

Project Number

Proje değildir

References

• Abel KM, Webb RT, Salmon MP, Wan MW, Appleby L (2005) Prevalence and predictors of parenting outcomes in a cohort of mothers with schizophrenia admitted for joint mother and baby psychiatric care in England. J Clin Psychiatry, 66(6):781-9.
• Ackerson BJ (2003) Coping with the Dual Demands of Severe Mental Illness and Parenting: The Parents’ Perspective. Families in Society: The Journal of Contemporary Social Services, 84(1): 109-118.
• Ainsworth MDS, Blehar M, Waters E, Wall S (2015) Patterns Of Attachment. New York, NY: Taylor & Francis.
• Alves M, Rodrigues, AR, Moreira AM, & Queirós O (2017) The impact of parental schizophrenia in the development of behavioral disorders and mental illness in children. European Psychiatry, 41(1):728.
• Amerikan Psikiyatri Birliği (2014) Ruhsal Bozuklukların Tanısal ve Sayımsal El Kitabı DSM-5 Tanı Ölçütleri. Beşinci Baskı. (Çev:Köroğlu, E.). Ankara, Hekimler Yayın Birliği. Bell SM (1970) The development of the concept of object as related to infant-mother attachment. Child Development, 41(2): 292-311.
• Binbay T, Ulaş H, Elbi H, Alptekin K (2011) Türkiye’de Psikoz Epidemiyolojisi: Yaygınlık Tahminleri ve Başvuru Oranları Üzerine Sistematik Bir Gözden Geçirme.Türk Psikiyatri Dergisi, 22(1):40-52.
• Bosanac P, Buist A, & Burrows G (2003) Motherhood and Schizophrenic Illnesses: A Review of the Literature. Australian & New Zealand Journal of Psychiatry, 37(1):24-30. Bowlby J (1984) Attachment and loss: vol 1. Attachment (revised ed). Penguin, London.
• Brook JS, Brook DW, Whiteman M (2003) Maternal Correlates of Toddler Insecure and Dependent Behavior. The Journal of Genetic Psychology, 164(1):72-87.
• Busch, A., & Redlich, A. D. (2007). Patients’ Perception of Possible Child Custody or Visitation Loss for Nonadherence to Psychiatric Treatment. Psychiatric Services, 58(7): 999-1002. Campbell L, Hanlon MC, Poon AWC, Paolini S, Stone M, Galletly C et al. (2012) The experiences of Australian parents with psychosis: the second Australian national survey of psychosis. Australian and New Zealand Journal of Psychiatry, 46:890-900.
• Cardno AG, Marshall EJ, Coid B, Macdonald AM, Ribchester TR, Davies NJ, Venturi P,Jones, LA, Lewis SW,Sham PC,Gottesman II, Farmer AE, McGuffin P, Reveley AM, Murray RM (1999) Heritability Estimates for Psychotic Disorders. Archives of General Psychiatry, 56(2): 162-168.
• Cazas O (2007) Femmes psychotiques et maternité: quels risques pour l’enfant? Gynécologie Obstétrique & Fertilité, 35(10): 1055-1059.
• Chandra PS, Bhargavaraman RP, Raghunandan VNGP & Shaligram D (2006) Delusions related to infant and their association with mother–infant interactions in postpartum psychotic disorders. Archives of Women’s Mental Health, 9(5): 285-288.
• Chernomas WM, Clarke DE, Chisholm FA (2000) Perspectives of women living with schizophrenia. Psychiatr Serv. 51(12)1517-1521.
• Cohn JF Tronick E (1989) Specificity of Infants’ Response to Mothers’ Affective Behavior. Journal of the American Academy of Child & Adolescent Psychiatry, 28(2): 242-248.
• Cook J, Steigman P (2000) Experiences of parents with mental illnesses and their service needs. The Journal of NAMI California, 11(2): 21-23.
• Cook JA, Steigman PJ & Jonikas JA (2014) Outcomes of programs serving mothers with psychiatric disabilities and their young children: A multisite case file abstraction study. Psychiatric Rehabilitation Journal, 37(3): 232–241.
• Craig T, Bromet EJ (2004) Parents with psychosis. Annals of Clinical Psychiatry, 16:35–39.
• Currier GW, Simpson GM (1998) Antipsychotic medications and fertility. Psychiatr Serv, 49(2):175-6.
• D’angelo EJ (1986) Security of Attachment in Infants with Schizophrenic, Depressed, and Unaffected Mothers. The Journal of Genetic Psychology, 147(3): 421-422.
• Davies B & Allen D (2007) Integrating “mental illness” and “motherhood”: The positive use of surveillance by health professionals. A qualitative study. International Journal of Nursing Studies, 44(3): 365-376.
• Dean K, Stevens H, Mortensen PB, Murray RM, Walsh E, Pedersen CB (2010) Full Spectrum of Psychiatric Outcomes Among Offspring With Parental History of Mental Disorder. Archives of General Psychiatry, 67(8): 822-829.
• Diaz-Caneja A, Johnson S (2004) The views and experiences of severely mentally ill mothers--a qualitative study. Soc Psychiatry Psychiatr Epidemiol, 39(6):472-482.
• Dipple H, Smith S, Andrews H, Evans B (2002) The experience of motherhood in women with severe and enduring mental illness. Social Psychiatry and Psychiatric Epidemiology, 37(7), 336-340.
• Denham SA, Bassett HH, Wyatt T (2015) The socialization of emotional competence. In: Handbook of socialization: Theory and research (Eds: JE Grusec, PD Hastings): 614-637. London and New York, Guilford Publications.
• Dolman C, Jones I, Howard LM (2013) Pre‐conception to parenting: a systematic review and meta‐synthesis of the qualitative literature on motherhood for women with severe mental illness. Archives of Women's Mental Health, 16: 173–196.
• Dunn B (1993) Growing up with a psychotic mother: A retrospective study. American Journal of Orthopsychiatry, 63(2): 177–189.
• Eack SM, Pogue-Geile, MF, Greenwald DP, Hogarty SS, & Keshavan MS (2011) Mechanisms of functional improvement in a 2-year trial of cognitive enhancement therapy for early schizophrenia. Psychological Medicine, 41(06): 1253-1261.
• Eaton WW, Mortensen PB, & Frydenberg M (2000) Obstetric factors, urbanization and psychosis. Schizophrenia Research, 43(2-3): 117–123.
• Engur B (2017) Parents with Psychosis: Impact on Parenting & Parent-Child Relationship. Journal of Child and Adolescent Behaviour, 5(1):1-4.
• Fabre C, Pauly V, Baumstarck K, Etchecopar-Etchart D, Orleans V, Llorca PM et al. (2021) Pregnancy, delivery and neonatal complications in women with schizophrenia: a national population-based cohort study. Lancet Reg Health Eur, 10:1-9.
• Fearon RMP, Van IJzendoorn MH, FonagyP, Bakermans-Kranenburg MJ, Schuengel C, & Bokhorst CL (2006) In search of shared and nonshared environmental factors in security of attachment: A behavior-genetic study of the association between sensitivity and attachment security. Developmental Psychology, 42(6): 1026–1040.
• Fleming AS, Klein E, & Corter C (1992) The Effects of a Social Support Group on Depression, Maternal Attitudes and Behavior in New Mothers. Journal of Child Psychology and Psychiatry, 33(4): 685-698.
• Garety PA, Freeman D, Jolley S, Dunn G, Bebbington PE, Fowler DG et al. (2005) Reasoning, Emotions, and Delusional Conviction in Psychosis. Journal of Abnormal Psychology, 114(3): 373-384.
• Gelfand DM, Teti DM, Seiner SA, & Jameson PB (1996) Helping mothers fight depression: Evaluation of a home-based intervention program for depressed mothers and their infants. Journal of Clinical Child Psychology, 25(4): 406-422.
• Goodman SH (1987) Emory University Project on Children of Disturbed Parents. Schizophrenia Bulletin, 13(3): 411–423.
• Guttentag CL, Pedrosa-Josic C, Landry SH, Smith KE, & Swank PR (2006) Individual variability in parenting profiles and predictors of change: Effects of an intervention with disadvantaged mothers. Journal of Applied Developmental Psychology, 27(4): 349-369.
• Gürol A, & Polat S (2012) The Effects of Baby Massage on Attachment between Mother and their Infants. Asian Nursing Research, 6(1): 35-41.
• Hıpwell AE, Goossens FA, Melhuısh EC, & Kumar R (2000) Severe maternal psychopathology and infant–mother attachment. Development and Psychopathology, 12(2):157-175.
• Hollingsworth LD (2004) Child custody loss among women with persistent severe mental illness. Social Work Research, 28(4): 199-209.
• Kahng SK, Oyserman D, Bybee D, & Mowbray C (2008) Mothers with serious mental illness: When symptoms decline does parenting improve? Journal of Family Psychology, 22(1): 162–166.
• Kılıç C (2020) Türkiye’de Ruhsal Hastaliklarin Yayginliği Ve Ruhsal Tedavi İhtiyaci Konusunda Neredeyiz? Toplum ve Hekim, 35(3):179-187.
• Khoshgoftar M, Khodabakhshi-Koolaee A, & Sheikhi MR (2021) Analysis of the early mother-child relationship in schizophrenic patients. International Journal of Social Psychiatry, 1-7.
• Kopp CB (1982) Antecedents of self-regulation: A developmental perspective. Developmental Psychology, 18(2): 199-214.
• Kumar R, Marks M, Platz C, & Yoshida K (1995) Clinical survey of a psychiatric mother and baby unit: characteristics of 100 consecutive admissions. Journal of Affective Disorders, 33(1): 11–22.
• Lagan M, Knights K, Barton J, & Boyce PM (2009) Advocacy for mothers with psychiatric illness: A clinical perspective. International Journal of Mental Health Nursing, 18(1): 53-61.
• Liu TC, Chen, CS., & Loh CPA (2010) Do children of parents with mental illness have lower survival rate? A population-based study. Comprehensive Psychiatry, 51(3): 250-255.
• Liu CH, Keshavan MS, Tronick E, & Seidman LJ (2015) Perinatal Risks and Childhood Premorbid Indicators of Later Psychosis: Next Steps for Early Psychosocial Interventions. Schizophrenia Bulletin, 41(4): 801-816.
• Main M, & Hesse E (1990) Parents' unresolved traumatic experiences are related to infant disorganized attachment status: Is frightened and/or frightening parental behavior the linking mechanism? In Attachment in the preschool years: Theory, research, and intervention. (Eds: MT Greenberg, D Cicchetti & EM Cummings):161-182. The University of Chicago Press.
• Malhotra M, Kumar D, & Verma R (2015) Effect of psychosocial environment in children having mother with schizophrenia. Psychiatry Research, 226(2-3): 418-424.
• Mason C, Subedi S, Davis RB (2007) Clients with mental illness and their children: implications for clinical practice. Issues Ment Health Nurs, 28(10):1105-1123.
• Matevosyan NR (2010) Pregnancy and postpartum specifics in women with schizophrenia: a meta-study. Archives of Gynecology and Obstetrics, 283(2): 141-147.
• McGrath JJ, Hearle J, Jenner L, Plant K, Drummond A, & Barkla JM (1999) The fertility and fecundity of patients with psychoses. Acta Psychiatrica Scandinavica, 99(6): 441-446.
• Mehta UM, Bhagyavathi HD, Kumar CN, Thirthalli J, & Gangadhar BN (2013) Cognitive deconstruction of parenting in schizophrenia: The role of theory of mind. Australian & New Zealand Journal of Psychiatry, 48(3): 249-258.
• Montag C, Heinz A, Kunz D, & Gallinat J (2007) Self-reported empathic abilities in schizophrenia. Schizophrenia Research, 92(1-3): 85–89.
• Moran G, Pederson DR, & Krupka A (2005) Maternal unresolved attachment status impedes the effectiveness of interventions with adolescent mothers. Infant Mental Health Journal, 26(3): 231–249.
• Montgomery P (2005) Mothers With a Serious Mental Illness: A Critical Review of the Literature. Archives of Psychiatric Nursing, 19(5): 226–235.
• Montgomery P, Tompkins C, Forchuk C, & French S (2006) Keeping close: mothering with serious mental illness. Journal of Advanced Nursing, 54(1): 20-28.
• Mowbray C, Oyserman D, Bybee D, MacFarlane P (2002) Parenting of mothers with a serious mental illness: Differential effects of diagnosis, clinical history and other mental health variables. Social Work Research, 26(4): 225-240.
• Mowbray CT, Bybee D, Oyserman D, MacFarlane P, & Bowersox N (2006) Psychosocial Outcomes for Adult Children of Parents with Severe Mental Illnesses: Demographic and Clinical History Predictors. Health & Social Work, 31(2): 99-108.
• Murray L, Cooper PJ, Wilson A, & Romaniuk H (2003) Controlled trial of the short- and long-term effect of psychological treatment of post-partum depression. British Journal of Psychiatry, 182(05): 420–427.
• Nicholson J, Miller L (2008) Parenting. In Clinical Handbook of Schizophrenia. (Eds: KT Mueser, DV Jeste):471-480. New York, Guilford.
• Nomaguchi KM, & Milkie MA (2003) Costs and Rewards of Children: The Effects of Becoming a Parent on Adults’ Lives. Journal of Marriage and Family, 65(2): 356-374.
• Onozawa K, Glover V, Adams D, Modi N, Kumar RC (2001) Infant massage improves mother-infant interaction for mothers with postnatal depression. Journal of Affective Disorders. Mar;63(1-3):201-207.
• Oyserman D, Bybee D, Mowbray C, & Kahng SK (2004) Parenting Self-Construals of Mothers With a Serious Mental Illness: Efficacy, Burden, and Personal Growth1. Journal of Applied Social Psychology, 34(12): 2503-2523.
• Öztürk O, Uluşahin A (2011) Ruh Sağlığı ve Bozuklukları, cilt I, 11. Baskı. Ankara, Nobel Tıp Kitapevleri.
• Park JM, Solomon P, & Mandell DS (2006) Involvement in the Child Welfare System Among Mothers With Serious Mental Illness. Psychiatric Services, 57(4):493-497.
• Plant K, Byrne L, Barkla J, McLean D, Hearle J, McGrath J (2002) Parents with psychosis: a pilot studyexamining self-report measures related to family functioning. Australian e-Journal for the Advancement of Mental Health, 1:38-48.
• Reupert A, & Maybery D (2011) Programmes for parents with a mental illness. Journal of Psychiatric and Mental Health Nursing, 18(3): 257–264.
• Reupert A, & Maybery D (2007) Families affected by parental mental illness: A multiperspective account of issues and interventions. American Journal of Orthopsychiatry, 77(3): 362–369.
• Riordan D, Appleby L, & Faragher B (1999) Mother–infant interaction in post-partum women with schizophrenia and affective disorders. Psychological Medicine, 29(4): 991-995.
• Schneider BH, Atkinson L, Tardif C (2001) Child–parent attachment and children’s peer relations: A quantitative review. Developmental Psychology, 37(1): 86-100.
• Seeman M (2010) Parenting Issues in Mothers with Schizophrenia. Current Women’s Health Reviews, 6(1): 51-57.
• Skórska M, Makara-Studzińska M A (2020) pregnant patient with schizophrenia - dilemmas of treatment and care. A problem still not only for psychiatrists. Psychiatr Pol, 31;54(4):715-725.
• Smith M (2004) Parental mental health: disruptions to parenting and outcomes for children. Child Family Social Work, 9(1): 3-11.
• Strand J, Boström P, & Grip K (2020) Parents' descriptions of how their psychosis affects parenting. Journal of child and family studies,29(3): 620-631.
• Strega S, Fleet C, Brown L, Dominelli L, Callahan M, & Walmsley C (2008) Connecting father absence and mother blame in child welfare policies and practice. Children and Youth Services Review, 30(7): 705–716.
• Tarbox SI, & Pogue-Geile MF (2008) Development of social functioning in preschizophrenia children and adolescents: A systematic review. Psychological Bulletin, 134(4): 561-583.
• Trotman HD, Holtzman CW, Walker EF, Addington JM, Bearden CE, Cadenhead KS et al. (2014) Stress exposure and sensitivity in the clinical high-risk syndrome: Initial findings from the North American Prodrome Longitudinal Study (NAPLS). Schizophrenia Research, 160(1-3): 104-109.
• Turkington D, Dudley R, Warman DM, Beck AT (2004) Cognitive-behavioral therapy for schizophrenia: a review. J Psychiatr Pract, 10(1):5-16.
• Vauth R, Kleim B, Wirtz M, Corrigan PW (2007) Self-efficacy and empowerment as outcomes of self-stigmatizing and coping in schizophrenia. Psychiatry Research, 150(1): 71-80.
• Velderman MK (2011) VIG as a Method to Promote Sensitive Parent–Child Interaction in Infancy. In: Video Interaction Guidance. A relationship-based intervention to promote attunement, empathy and wellbeing ( Eds M Landor & LTH Kennedy):106-120. London and Philadelphia, Jessica Kingsley Publishers.
• Vigod S, Ross L (2010) Epidemiology of Psychotic Symptoms during Pregnancy and Postpartum in Women with Schizophrenia. Current Women’s Health Reviews, 6(1): 17-21.
• Wan MW, Salmon MP, Rıordan DM, Appleby L, Webb R, & Abel KM (2007) What predicts poor mother–infant interaction in schizophrenia? Psychological Medicine, 37(04): 537-546.
• Wan MW, Moulton S, Abel K M (2008a) The service needs of mothers with schizophrenia: a qualitative study of perinatal psychiatric and antenatal workers. General Hospital Psychiatry, 30(2): 177-184.
• Wan MW, Moulton S, Abel KM (2008b) A review of mother-child relational interventions and their usefulness for mothers with schizophrenia. Arch Womens Ment Health, 11(3):171-9.
• Webster J (1992) Split in Two: Experiences of the Children of Schizophrenic Mothers. (1992). The British Journal of Social Work, 22(3): 309-329. World Health Organization (WHO) (2022) Schizophrenia. https://www.who.int/news-room/fact-sheets/detail/schizophrenia (Accessed 24.01.2022).
• Wynne LC, Tienari P, Nieminen P, Sorri A, Lahti I, Moring J, Naarala M, Läksy K, Wahlberg KE, Miettunen JI (2006) Genotype-environment interaction in the schizophrenia spectrum: genetic liability and global family ratings in the Finnish Adoption Study. Fam Process, 45(4):419-34.