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Journal of Child and Family Studies

, Volume 27, Issue 9, pp 2966–2977 | Cite as

Parental Mental Illness and the Transition to College: Coping, Psychological Adjustment, and Parent–Child Relationships

  • Joseph M. Mitchell
  • Kristen M. Abraham
Original Paper
  • 122 Downloads

Abstract

Although research suggests that various familial factors and the parent–child relationship are important for the adjustment to college, less is known about how a parent with a mental illness impacts the challenges that accompany the transition to college. This mixed methods study examined differences among college students (N = 196, age range 18–30 years) with and without a parent with a mental illness with regard to general psychological adjustment, college adjustment, coping, and the parent–child relationship. Participants with a parent with a mental illness experienced higher levels of depression and anxiety when compared to emerging adults without a parent with mental illness. There was a marginally significant difference in the use of coping styles between emerging adults with and without a parent with a mental illness. Furthermore, participants with a parent with a mental illness experienced higher levels of homesickness and college negative affect compared to emerging adults without a parent with mental illness. Qualitative analyses comparing freshmen with and without a parent with a mental illness showed that freshmen with a parent with mental illness were more likely to describe familial homesickness as a problem in their transition to college. Freshmen with a father with a mental illness were less likely to describe their father as a positive influence on their college adjustment when compared to freshmen without a father with a mental illness. The findings further support the importance of investigating the influence of having a parent with a mental illness on the transition to college for research and clinical practice.

Keywords

College adjustment Parental mental illness Coping Psychological adjustment Parent–child relationships 

Notes

Acknowledgements

We would like to thank Libby Blume for her feedback regarding study design, and Jazmin Y. Nevarez and Jace Paupert for their assistance with qualitative coding.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee at the University of Detroit Mercy and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

References

  1. Abraham, K. M., Ganoczy, D., Yosef, M., Resnick, S. G., & Zivin, K. (2014). Receipt of employment services among Veterans Health Administration users with psychiatric diagnoses. Journal of Rehabilitation Research & Development, 51, 401–414.CrossRefGoogle Scholar
  2. Abraham, K. M., & Stein, C. H. (2010). Staying connected: Young adults’ felt obligation toward parents with and without mental illness. Journal of Family Psychology, 24, 125-134.CrossRefPubMedGoogle Scholar
  3. Abraham, K. M., & Stein, C. H. (2012). Emerging adults’ perspectives on their relationships with mothers with mental illness: Implications for caregiving. American Journal of Orthopsychiatry, 82, 542–549.CrossRefPubMedGoogle Scholar
  4. Abraham, K. M., & Stein, C. H. (2013). When mom has a mental illness: Role reversal and psychosocial adjustment among emerging adults. Journal of Clinical Psychology, 69, 600–615.  https://doi.org/10.1002/jclp.21950.CrossRefPubMedGoogle Scholar
  5. Agliata, A. K., & Renk, K. (2008). College students’ adjustment: The role of parent–college student expectation discrepancies and communication reciprocity. Journal of Youth and Adolescence, 37, 967-982.CrossRefGoogle Scholar
  6. Alexander, P. C. (2003). Parent–child role reversal: development of a measure and test of an attachment theory model. Journal of Systemic Therapies, 22, 31–44.CrossRefGoogle Scholar
  7. Arnett, J. J. (2000). Emerging adulthood: a theory of development from the late teens through the twenties. American Psychologist, 55, 469-480.CrossRefPubMedGoogle Scholar
  8. Baker, R. W., & Siryk, B. (1984). Measuring adjustment to college. Journal of Counseling Psychology, 31, 179.CrossRefGoogle Scholar
  9. Beavers, W. R., & Hampson, R. B. (1990). Self-report family inventory: version II. Successful families: assessment and intervention. New York, NY: Norton.Google Scholar
  10. Bianchi, S. M., & Spain, D. (1999). Women, work, and family in America. In C. Albers (Ed.), Sociology of families: Readings (pp. 170–182). Thousand Oaks, CA: Pine Forge Press.Google Scholar
  11. Brougham, R. R., Zail, C. M., Mendoza, C. M., & Miller, J. R. (2009). Stress, sex differences, and coping strategies among college students. Current Psychology, 28, 85–97.CrossRefGoogle Scholar
  12. Buhl, H. M. (2008). Development of a model describing individuated adult child-parent relationships. International Journal of Behavioral Development, 32, 381–389.CrossRefGoogle Scholar
  13. Carver, C. S. (1997). You want to measure coping but your protocol is too long: consider the brief cope. International Journal of Behavioral Medicine, 4, 92-100.CrossRefPubMedGoogle Scholar
  14. Cohen, J. (1988). Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale, NJ: Lawrence Earlbaum Associates.Google Scholar
  15. Conley, C. S., Kirsch, A. C., Dickson, D. A., & Bryant, F. B. (2014). Negotiating the transition to college: developmental trajectories and gender differences in psychological functioning, cognitive-affective strategies, and social well-being. Emerging Adulthood, 2, 195–210.CrossRefGoogle Scholar
  16. Coolidge, F. L., Segal, D. L., Hook, J. N., & Stewart, S. (2000). Personality disorders and coping among anxious older adults. Journal of Anxiety Disorders, 14, 157–172.CrossRefPubMedGoogle Scholar
  17. Crandall, E. K., Ruggero, C. J., Bain, K., & Kilmer, J. (2014). Adjustment difficulties and caregiving burdens faced by college students with a parent with bipolar or depressive disorders. Journal of College Student Psychotherapy, 28, 47–58.CrossRefGoogle Scholar
  18. Credé, M., & Niehorster, S. (2012). Adjustment to college as measured by the student adaptation to college questionnaire: a quantitative review of its structure and relationships with correlates and consequences. Educational Psychology Review, 24, 133–165.CrossRefGoogle Scholar
  19. Creswell, J. W., & Clark, V. L. P. (2011). Designing and conducting mixed methods research. 2nd ed. Thousand Oaks, CA: SAGE Publications, Inc.Google Scholar
  20. De Vaus, D. (2002). Analyzing social science data: 50 key problems in data analysis. London: Sage.Google Scholar
  21. DelBello, M. P., & Geller, B. (2001). Review of studies of child and adolescent offspring of bipolar parents. Bipolar Disorders, 3, 325–334.  https://doi.org/10.1034/j.1399-5618.2001.30607.x.CrossRefPubMedGoogle Scholar
  22. Dressler, W. W. (1991). Stress and adaptation in the context of culture: Depression in a southern black community.. Albany, NY: State University of New York Press.Google Scholar
  23. Dyson, R., & Renk, K. (2006). Freshmen adaptation to university life: depressive symptoms, stress, and coping. Journal of Clinical Psychology, 62, 1231–1244.CrossRefPubMedGoogle Scholar
  24. Elo, S., & Kyngäs, H. (2008). The qualitative content analysis process. Journal of Advanced Nursing, 62, 107–115.  https://doi.org/10.1111/j.1365-2648.2007.04569.x.CrossRefPubMedGoogle Scholar
  25. Erlenmeyer-Kimling, L., Adamo, U. H., Rock, D., Roberts, S. A., Bassett, A. S., Squires-Wheeler, E., Cornblatt, B. A., Endicott, J., Pape, S., & Gottesman, I. I. (1997). The New York High-Risk Project: prevalence and comorbidity of axis I disorders in offspring of schizophrenic parents at 25-year follow-up. Archives of General Psychiatry, 54, 1096–1102.  https://doi.org/10.1001/archpsyc.1997.01830240052008.CrossRefPubMedPubMedCentralGoogle Scholar
  26. Farahati, F. M. D. E., Marcotte, D. E., & Wilcox-Gök, V. (2003). The effects of parents’ psychiatric disorders on children’s high school dropout. Economics of Education Review, 22(2), 167–178.CrossRefGoogle Scholar
  27. Gall, T. L., Evans, D. R., & Bellerose, S. (2000). Transition to first-year university: patterns of change in adjustment across life domains and time. Journal of Social and Clinical Psychology, 19, 544–567.CrossRefGoogle Scholar
  28. Haase, R. F., & Ellis, M. V. (1987). Multivariate analysis of variance. Journal of Counseling Psychology, 34, 404-413.CrossRefGoogle Scholar
  29. Johnson, V. K., Gans, S. E., Kerr, S., & LaValle, W. (2010). Managing the transition to college: family functioning, emotion coping, and adjustment in emerging adulthood. Journal of College Student Development, 51, 607–621.CrossRefGoogle Scholar
  30. Kahl, Y., & Jungbauer, J. (2014). Challenges and coping strategies of children with parents affected by schizophrenia: results from an in-depth interview study. Child and Adolescent Social Work Journal, 31, 181–196.  https://doi.org/10.1007/s10560-013-0316-2.CrossRefGoogle Scholar
  31. Kilbourne, A. M., Morden, N. E., Austin, K., Ilgen, M., McCarthy, J. F., Dalack, G., & Blow, F. C. (2009). Excess heart-disease-related mortality in a national study of patients with mental disorders: identifying modifiable risk factors. General Hospital Psychiatry, 31, 555–563.CrossRefPubMedPubMedCentralGoogle Scholar
  32. Kinsella, K. B., Anderson, R. A., & Anderson, W. T. (1996). Coping skills, strengths, and needs as perceived by adult offspring and siblings of people with mental illness: a retrospective study. Psychiatric Rehabilitation Journal, 20, 24-32.CrossRefGoogle Scholar
  33. Klein, D. N., Lewinsohn, P. M., Rohde, P., Seeley, J. R., & Olino, T. M. (2005). Psychopathology in the adolescent and young adult offspring of a community sample of mothers and fathers with major depression. Psychological Medicine, 35, 353–365.CrossRefPubMedGoogle Scholar
  34. Leong, F. T., Bonz, M. H., & Zachar, P. (1997). Coping styles as predictors of college adjustment among freshmen. Counselling Psychology Quarterly, 10, 211–220.CrossRefGoogle Scholar
  35. Mattanah, J. F., Lopez, F. G., & Govern, J. M. (2011). The contributions of parental attachment bonds to college student development and adjustment: a meta-analytic review. Journal of Counseling Psychology, 58, 565.CrossRefPubMedGoogle Scholar
  36. Maybery, D., Nicholson, J., & Reupert, A. (2015). Parental mental illness: estimating prevalence to inform policy and practice. In A. Reupert, D. Maybery, J. Nicholson, M. Göpfert & M. Seeman (Eds.), Parental psychiatric disorder: Distressed parents and their families. 3rd ed (pp. 20–28). Cambridge: Cambridge University Press.Google Scholar
  37. Maybery, D. J., Reupert, A. E., Patrick, K., Goodyear, M., & Crase, L. (2009). Prevalence of parental mental illness in Australian families. The Psychiatrist, 33(1), 22–26.Google Scholar
  38. Maybery, D., Ling, L., Szakacs, E., & Reupert, A. (2005). Children of a parent with a mental illness: perspectives on need. Australian e-Journal for the Advancement of Mental Health, 4, 78–88.CrossRefGoogle Scholar
  39. Miller, J. B., & Lane, M. (1991). Relations between young adults and their parents. Journal of Adolescence, 14, 179–194.CrossRefPubMedGoogle Scholar
  40. Miller, J. B., & Subblefield, A. (1993). Parental disclosure from the perspective of late adolescents. Journal of Adolescence, 16, 439–455.CrossRefPubMedGoogle Scholar
  41. Nelson, L. J., Padilla-Walker, L. M., Christensen, K. J., Evans, C. A., & Carroll, J. S. (2011). Parenting in emerging adulthood: An examination of parenting clusters and correlates. Journal of Youth and Adolescence, 40, 730–743.  https://doi.org/10.1007/s10964-010-9584-8.CrossRefPubMedGoogle Scholar
  42. Oskouie, F., Zeighami, R., & Joolaee, S. (2011). Outcomes of parental mental illness on children: a qualitative study from Iran. Journal of Psychosocial Nursing and Mental Health Services, 49, 32–40.CrossRefPubMedGoogle Scholar
  43. Overall, J. E., & Spiegel, D. K. (1973). Comment on “Regression analysis of proportional cell data. Psychological Bulletin, 80(1), 28–30.  https://doi.org/10.1037/h0034629.CrossRefGoogle Scholar
  44. Pennebaker, J. W., Colder, M., & Sharp, L. K. (1990). Accelerating the coping process. Journal of Personality and Social Psychology, 58, 528  https://doi.org/10.1037/0022-3514.58.3.528.CrossRefPubMedGoogle Scholar
  45. Petrowski, C. E., & Stein, C. H. (2016). Young women’s accounts of caregiving, family relationships, and personal growth when mother has mental illness. Journal of Child and Family Studies, 25, 2873–2884.CrossRefGoogle Scholar
  46. Reupert, A., & Maybery, D. (2009). Fathers’ experience of parenting with a mental illness. Families in Society: The Journal of Contemporary Social Services, 90(1), 61–68.CrossRefGoogle Scholar
  47. Reupert, A., & Maybery, D. (2016). What do we know about families where parents have a mental illness? A systematic review. Child & Youth Services, 37, 98–111.CrossRefGoogle Scholar
  48. Saldaña, J. (2013). The coding manual for qualitative researchers. 2nd ed. Thousand Oaks, CA: Sage.Google Scholar
  49. Salkind, N. J. (Ed.) (2010). Encyclopedia of research design (Vol. 1). Thousand Oaks, CA: Sage.Google Scholar
  50. Spitzer, R. L., Kroenke, K., Williams, J. B., & Löwe, B. (2006). A brief measure for assessing generalized anxiety disorder: the GAD-7. Archives of Internal Medicine, 166, 1092–1097.CrossRefPubMedGoogle Scholar
  51. Tabachnick, B. G., & Fidell, L. S. (2007). Using multivariate statistics. 5th ed. Boston, MA: Allyn & Bacon/Pearson Education.Google Scholar
  52. Van Dam, N. T., & Earleywine, M. (2011). Validation of the Center for Epidemiologic Studies Depression Scale—Revised (CESD-R): pragmatic depression assessment in the general population. Psychiatry Research, 186, 128–132.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of PsychologyUniversity of Detroit MercyDetroitUSA

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