Parenting with mental illness among patients presenting to a teaching hospital in Sri Lanka: Challenges and perceived care needs

Introduction Parenting with mental illness is associated with parenting difficulties and increased mental health problems in children. Family focused interventions improve child outcomes by 40%. However, such services are not available at present in Sri Lanka. Objectives To assess the challenges...

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Main Authors: Y. Rohanachandra, I. Amarabandu, L. Rohanachandra
Format: Article
Language:English
Published: Cambridge University Press 2021-04-01
Series:European Psychiatry
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S0924933821019209/type/journal_article
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author Y. Rohanachandra
I. Amarabandu
L. Rohanachandra
author_facet Y. Rohanachandra
I. Amarabandu
L. Rohanachandra
author_sort Y. Rohanachandra
collection DOAJ
description Introduction Parenting with mental illness is associated with parenting difficulties and increased mental health problems in children. Family focused interventions improve child outcomes by 40%. However, such services are not available at present in Sri Lanka. Objectives To assess the challenges faced and perceived needs of parents with mental illness in Sri Lanka. Methods A cross sectional descriptive study was carried out in the adult psychiatry follow-up clinics in a Teaching Hospital in Sri Lanka. A specifically designed questionnaire was used to collect socio-demographic details, difficulties with parenting and perceived care needs. Results Of 385 parents, 67.3% believed their mental illness impacted their parenting. Perceived impact on parenting was higher in younger parents (p<0.01), when the children were younger (p<0.01), had more children under 5 years (p<0.01) and when there was no social support (p<0.01). 67.8% of parents believed their illness impacted their children, with higher impact perceived in parents with children less than 5 years of age (p<0.05) and those with no social support (p<0.01). Although 36.4% had concerns about their children’s emotions or behaviour, only 16.4% were willing to discuss these with their doctor. The parental concerns were significantly higher where the parent was employed (p<0.01), had a longer duration of illness (p<0.01) and when the youngest child was more than 12 years (p<0.01) Conclusions Mental illness in parents had a substantial impact on parenting and their children but professionals help was rarely sought. Services aimed at the specific needs of these parents should be developed. Disclosure No significant relationships.
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spelling doaj.art-ac824c6801f24f008ed3ef4c2e2d69222023-11-17T05:06:28ZengCambridge University PressEuropean Psychiatry0924-93381778-35852021-04-0164S725S72510.1192/j.eurpsy.2021.1920Parenting with mental illness among patients presenting to a teaching hospital in Sri Lanka: Challenges and perceived care needsY. Rohanachandra0I. Amarabandu1L. Rohanachandra2Department Of Psychiatry, University of Sri Jayewardenepura, Nugegoda, Sri LankaDepartment Of Psychiatry, University of Sri Jayewardenepura, Nugegoda, Sri LankaSpecial Care Baby Unit, Colombo South Teaching Hospital, Nugegoda, Sri Lanka Introduction Parenting with mental illness is associated with parenting difficulties and increased mental health problems in children. Family focused interventions improve child outcomes by 40%. However, such services are not available at present in Sri Lanka. Objectives To assess the challenges faced and perceived needs of parents with mental illness in Sri Lanka. Methods A cross sectional descriptive study was carried out in the adult psychiatry follow-up clinics in a Teaching Hospital in Sri Lanka. A specifically designed questionnaire was used to collect socio-demographic details, difficulties with parenting and perceived care needs. Results Of 385 parents, 67.3% believed their mental illness impacted their parenting. Perceived impact on parenting was higher in younger parents (p<0.01), when the children were younger (p<0.01), had more children under 5 years (p<0.01) and when there was no social support (p<0.01). 67.8% of parents believed their illness impacted their children, with higher impact perceived in parents with children less than 5 years of age (p<0.05) and those with no social support (p<0.01). Although 36.4% had concerns about their children’s emotions or behaviour, only 16.4% were willing to discuss these with their doctor. The parental concerns were significantly higher where the parent was employed (p<0.01), had a longer duration of illness (p<0.01) and when the youngest child was more than 12 years (p<0.01) Conclusions Mental illness in parents had a substantial impact on parenting and their children but professionals help was rarely sought. Services aimed at the specific needs of these parents should be developed. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S0924933821019209/type/journal_articleparenting with mental illnesschallangesimpact
spellingShingle Y. Rohanachandra
I. Amarabandu
L. Rohanachandra
Parenting with mental illness among patients presenting to a teaching hospital in Sri Lanka: Challenges and perceived care needs
European Psychiatry
parenting with mental illness
challanges
impact
title Parenting with mental illness among patients presenting to a teaching hospital in Sri Lanka: Challenges and perceived care needs
title_full Parenting with mental illness among patients presenting to a teaching hospital in Sri Lanka: Challenges and perceived care needs
title_fullStr Parenting with mental illness among patients presenting to a teaching hospital in Sri Lanka: Challenges and perceived care needs
title_full_unstemmed Parenting with mental illness among patients presenting to a teaching hospital in Sri Lanka: Challenges and perceived care needs
title_short Parenting with mental illness among patients presenting to a teaching hospital in Sri Lanka: Challenges and perceived care needs
title_sort parenting with mental illness among patients presenting to a teaching hospital in sri lanka challenges and perceived care needs
topic parenting with mental illness
challanges
impact
url https://www.cambridge.org/core/product/identifier/S0924933821019209/type/journal_article
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AT lrohanachandra parentingwithmentalillnessamongpatientspresentingtoateachinghospitalinsrilankachallengesandperceivedcareneeds