Family responses to a child with schizophrenia: An Indonesian experience.
Indonesian culture puts a high value on family bonding. Therefore, support and encouragement for each family member is high that any problems are the responsibility of the whole family. This paper explores the implications of the phenomena whether is a schizophrenic child in the family affected the parental relationship in Indonesian family and trying to find out the implication of parental relationship on medication adherence. This was a cross-sectional study which involved 180 parents of children with schizophrenia and parents with aged matched non-schizophrenic children as a control group; consisting of 45 parents of children with schizophrenia and 135 parents of non-schizophrenic children. The parental relationship was examined by using the Indonesian version of Family Adaptability and Cohesion Evaluation Scale IV (Indonesian version of FACES IV). Our study revealed that 75.6% parents of children with schizophrenia experienced a healthy parental relationship compared to 94.80% in the parents of non-schizophrenic children group. The most prevalent of unhealthy relationship among parents of children with schizophrenia was chaotic disengagement. Parental adherence to give medication for their child with schizophrenia was better if they had a healthy parental relationship. In conclusion, a small number of Indonesian parents with schizophrenic children experienced an unhealthy parental relationship. Therefore, psycho-education and supportive psychotherapy still needed to facilitate those families to express their emotion adapt and cope.
Child and Adolescent Psychiatry Division, Department of Psychiatry University of Indonesia-Cipto Mangunkusumo General Hospital, Jalan Kimia 2/35, Jakarta 10430, Indonesia. Electronic address: twiga00@yahoo.com.
Tjhin
T
Wiguna
Child and Adolescent Psychiatry Division, Department of Psychiatry University of Indonesia-Cipto Mangunkusumo General Hospital, Jalan Kimia 2/35, Jakarta 10430, Indonesia.
Raden Irawati
RI
Ismail
Child and Adolescent Psychiatry Division, Department of Psychiatry University of Indonesia-Cipto Mangunkusumo General Hospital, Jalan Kimia 2/35, Jakarta 10430, Indonesia.
Setyawati R
SR
Noorhana
Child and Adolescent Psychiatry Division, Department of Psychiatry University of Indonesia-Cipto Mangunkusumo General Hospital, Jalan Kimia 2/35, Jakarta 10430, Indonesia.
Fransiska
F
Kaligis
Dr Soeharto Heerdjan Mental Hospital, Jalan Prof. Dr. Latumenten No. 1, Jakarta 11460, Indonesia.
Arundhati Nugrahaning
AN
Aji
Boston Children's Hospital/Harvard Medical School, 300 Longwood Avenue, Boston, MA 02445, USA.
Myron L
ML
Belfer
D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D002648:Child; D003430:Cross-Sectional Studies; D004644:Emotions; D054541:Family Conflict / Q000523:psychology*; D005192:Family Health; D005260:Female; D006801:Humans; D007214:Indonesia / Q000453:epidemiology; D007398:Interpersonal Relations; D008297:Male; D055118:Medication Adherence / Q000523:psychology*; D020380:Needs Assessment; D010287:Parent-Child Relations; D016487:Parenting / Q000523:psychology*; D012107:Research Design; D012559:Schizophrenia / Q000188:drug therapy / Q000453:epidemiology / Q000534:rehabilitation
Childhood schizophrenia; Indonesian family; Parental response