The Triple P Positive Parenting Program for Parents With Psychosis: A Case Series With Qualitative Evaluation.
SMI
parent-child interaction
parental mental health
parenting
schizophrenia
Journal
Frontiers in psychiatry
ISSN: 1664-0640
Titre abrégé: Front Psychiatry
Pays: Switzerland
ID NLM: 101545006
Informations de publication
Date de publication:
2022
2022
Historique:
received:
08
10
2021
accepted:
11
01
2022
entrez:
11
3
2022
pubmed:
12
3
2022
medline:
12
3
2022
Statut:
epublish
Résumé
Although many people with psychosis are parents, managing the dual demands of poor mental health and parenting can be stressful and may contribute to poorer outcomes for both parent and child. Parenting interventions have the potential to improve outcomes for the whole family but need evaluation of feasibility in this context. The Triple-P Self-Help Workbook was implemented with guidance and support with 10 parents experiencing psychosis in a multiple baseline case series study. Sessions were weekly and home-based. Outcome measures examined facets of parenting, child behavior, self-efficacy and parental mental health. Follow up interviews explored parents' perspectives of the perceived impact of the intervention and apparent mechanisms of change. The program resulted in clinically significant change (>25% improvement) in mental health, parenting and child behavior measures post-intervention for the 50% who completed all 10 sessions and improvements were maintained at 3 and 6 month follow up. Interviews with those who completed the program revealed it to have been transformative: parents reported positive changes in parenting style; they were empowered with regard to their parenting and had a greater sense of control over their mental health. This study provides preliminary evidence that self-directed Triple P might be able to reduce the symptoms of psychosis by improving family functioning. Findings could inform the future development or adaptation of evidence-based parenting interventions for parents with psychosis in order to improve their mental health, aid recovery, and intervene early in the lives of children at risk of poor long-term outcomes.
Identifiants
pubmed: 35273529
doi: 10.3389/fpsyt.2022.791294
pmc: PMC8902501
doi:
Types de publication
Journal Article
Langues
eng
Pagination
791294Informations de copyright
Copyright © 2022 Wolfenden, Calam, Drake and Gregg.
Déclaration de conflit d'intérêts
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Références
Clin Psychol Rev. 2014 Jun;34(4):337-57
pubmed: 24842549
Behav Res Ther. 1995 Mar;33(3):335-43
pubmed: 7726811
J Epidemiol Community Health. 2011 Jul;65(7):596-7
pubmed: 21665866
Schizophr Bull. 1987;13(2):261-76
pubmed: 3616518
Behav Cogn Psychother. 2014 May;42(3):283-96
pubmed: 23544953
Schizophr Bull. 2016 Mar;42(2):264-9
pubmed: 26707864
Psychiatr Serv. 1998 May;49(5):635-42
pubmed: 9603569
Child Care Health Dev. 2005 Jan;31(1):65-73
pubmed: 15658967
Br J Psychiatry. 2003 Apr;182:303-11
pubmed: 12668405
Psychol Psychother. 2021 Sep;94(3):704-720
pubmed: 33215851
Behav Cogn Psychother. 2014 Mar;42(2):166-85
pubmed: 23286558
Clin Psychol Rev. 2007 May;27(4):409-24
pubmed: 17222489
J Consult Clin Psychol. 1991 Feb;59(1):12-9
pubmed: 2002127
Health Educ Behav. 2000 Apr;27(2):157-66
pubmed: 10768797
Psychiatr Rehabil J. 2017 Dec;40(4):361-370
pubmed: 28182474
BMJ. 2008 Sep 29;337:a1655
pubmed: 18824488
Health Technol Assess. 2014 Feb;18(8):1-250
pubmed: 24502767
Child Psychiatry Hum Dev. 2018 Jun;49(3):372-384
pubmed: 28936602
Schizophr Bull. 2010 May;36(3):461-2
pubmed: 20357133
Child Adolesc Psychiatry Ment Health. 2009 Mar 04;3(1):7
pubmed: 19261188
BMJ. 2015 Mar 19;350:h1258
pubmed: 25791983
J Consult Clin Psychol. 2000 Aug;68(4):624-40
pubmed: 10965638
J Affect Disord. 2018 Jan 1;225:474-481
pubmed: 28863300
J Child Psychol Psychiatry. 2017 Sep;58(9):1033-1041
pubmed: 28512921
J Behav Ther Exp Psychiatry. 2014 Jun;45(2):280-4
pubmed: 24440585
Psychol Med. 1999 Jul;29(4):879-89
pubmed: 10473315
J Affect Disord. 2021 Mar 1;282:472-487
pubmed: 33422825
Int J Ment Health Nurs. 2019 Feb;28(1):247-255
pubmed: 30142231
Clin Psychol Rev. 2008 Apr;28(4):613-37
pubmed: 17928115
J Fam Psychol. 2008 Feb;22(1):162-6
pubmed: 18266543
Psychiatr Prax. 2011 Jan;38(1):8-15
pubmed: 21181635
Clin Child Fam Psychol Rev. 1999 Jun;2(2):71-90
pubmed: 11225933
Psychiatr Rehabil J. 2009 Fall;33(2):79-82
pubmed: 19808201
Child Care Health Dev. 2007 Nov;33(6):768-83
pubmed: 17944787
Annu Rev Clin Psychol. 2012;8:345-79
pubmed: 22149480
J Am Acad Child Adolesc Psychiatry. 2016 Nov;55(11):953-961
pubmed: 27806863
Acta Psychiatr Scand. 2000 Apr;101(4):323-9
pubmed: 10782554
J Psychiatr Ment Health Nurs. 2011 Apr;18(3):257-64
pubmed: 21395917
Arch Gen Psychiatry. 1998 Jun;55(6):547-52
pubmed: 9633674
Behav Res Ther. 2006 Dec;44(12):1839-48
pubmed: 16458853