Experiences of Dutch students growing up with a family member with a chronic illness: A qualitative study
Corresponding Author
Hinke M. Van der Werf MSc, RN
Research Group Nursing Diagnostics, Hanze University of Applied Sciences, Groningen, The Netherlands
Correspondence
Hinke M. Van der Werf, Research Group Nursing Diagnostics, Hanze University of Applied Sciences, Groningen Petrus Driessenstraat 3, 9714 CA, Groningen, The Netherlands.
Email: [email protected]
Search for more papers by this authorWolter Paans PhD, RN
Research Group Nursing Diagnostics, Hanze University of Applied Sciences, Groningen, The Netherlands
Search for more papers by this authorGeertjan Emmens RN
Research Group Nursing Diagnostics, Hanze University of Applied Sciences, Groningen, The Netherlands
Search for more papers by this authorAnneke L. Francke PhD
Nivel, Netherlands Institute for Health Services Research, Utrecht, The Netherlands
APH, Amsterdam Public Health research institute / Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
Search for more papers by this authorPetrie F. Roodbol PhD
Research Group Nursing Diagnostics, Hanze University of Applied Sciences, Groningen, The Netherlands
Faculty of Medical Sciences, University Medical Center Groningen, Groningen, The Netherlands
Search for more papers by this authorMarie Louise A. Luttik PhD, RN
Research Group Nursing Diagnostics, Hanze University of Applied Sciences, Groningen, The Netherlands
Search for more papers by this authorCorresponding Author
Hinke M. Van der Werf MSc, RN
Research Group Nursing Diagnostics, Hanze University of Applied Sciences, Groningen, The Netherlands
Correspondence
Hinke M. Van der Werf, Research Group Nursing Diagnostics, Hanze University of Applied Sciences, Groningen Petrus Driessenstraat 3, 9714 CA, Groningen, The Netherlands.
Email: [email protected]
Search for more papers by this authorWolter Paans PhD, RN
Research Group Nursing Diagnostics, Hanze University of Applied Sciences, Groningen, The Netherlands
Search for more papers by this authorGeertjan Emmens RN
Research Group Nursing Diagnostics, Hanze University of Applied Sciences, Groningen, The Netherlands
Search for more papers by this authorAnneke L. Francke PhD
Nivel, Netherlands Institute for Health Services Research, Utrecht, The Netherlands
APH, Amsterdam Public Health research institute / Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
Search for more papers by this authorPetrie F. Roodbol PhD
Research Group Nursing Diagnostics, Hanze University of Applied Sciences, Groningen, The Netherlands
Faculty of Medical Sciences, University Medical Center Groningen, Groningen, The Netherlands
Search for more papers by this authorMarie Louise A. Luttik PhD, RN
Research Group Nursing Diagnostics, Hanze University of Applied Sciences, Groningen, The Netherlands
Search for more papers by this authorFunding information
This study is part of a PhD programme that is supported by a grant from the Hanzehogeschool Groningen and the University Medical Centre of Groningen.
Abstract
Students growing up with a family member with a chronic illness often delay or drop out of school when the combination of family care and their educational programme is too demanding. This study aims to describe the themes experienced by students growing up in this situation. A qualitative focus group design was used. The recruitment for this study was done through an online survey where students could indicate whether they also wanted to participate in a focus group. Twenty-five Dutch students (age 18–25 years) who grew up with a family member with a chronic illness participated in one of the total of seven focus groups. A qualitative inductive analysis was used to identify codes and main themes. Students growing up with a family member with a chronic illness experience responsibility issues, loyalty conflicts, peer alienation, role reversal, negative influence on personal development, daily worries and confronting situations. They reported substantial impact in terms of their general well-being, their family relationships and in their choices for their future. Students articulated that growing up in this situation has a serious and substantial impact on their lives. Further research is required in order to gain comprehensive insights into the requests of these students regarding personal and family support.
CONFLICT OF INTEREST
HMW, WP, GE ALF, PFR and MLAL declare no competing interests.
REFERENCES
- 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(6), 600–615. https://doi.org/10.1002/jclp.21950
- Ali, L., Ahlström, B. H., Krevers, B., & Skärsäter, I. (2012). Daily life for young adults who care for a person with mental illness: A qualitative study. Journal of Psychiatric and Mental Health Nursing, 19(7), 610–617. https://doi.org/10.1111/j.1365-2850.2011.01829.x
- Arnett, J. J. (2000). Emerging adulthood: A theory of development from the late teens through the twenties. American Psychologist, 55(5), 469–480. https://doi.org/10.1037%2F0003-066X.55.5.469
- Baker, A. J., & Brassard, M. R. (2013). Adolescents caught in parental loyalty conflicts. Journal of Divorce & Remarriage, 54(5), 393–413. https://doi.org/10.1080/10502556.2013.800398
10.1080/10502556.2013.800398 Google Scholar
- Baus, R., Dysart-Gale, D., & Haven, P. (2005). Caregiving and social support: A twenty-first century challenge for college students. Communication Quarterly, 53(2), 125–142. https://doi.org/10.1080/01463370500090068
10.1080/01463370500090068 Google Scholar
- Becker, F., & Becker, S. (2008). Young adult carers in the UK: Experiences, needs and services for carers aged 16–24. The Princess Royal Trust for Carers and Young Carers International. Research and Evaluation, the University of Nottingham.
- Benzein, E., Johansson, P., Årestedt, K. F., & Saveman, B. I. (2008). Nurses' attitudes about the importance of families in nursing care: A survey of Swedish nurses. Journal of Family Nursing, 14(2), 162–180. https://doi.org/10.1177/1074840708317058
- Broekema, S., Luttik, M. L. A., Steggerda, G. E., Paans, W., & Roodbol, P. F. (2018). Measuring change in nurses’ perceptions about family nursing competency following a 6-day educational intervention. Journal of Family Nursing, 24(4), 508–537. https://doi.org/10.1177/1074840718812145
- Cass, B., Brennan, D., Thomson, C., Hill, T., Purcal, C., Hamilton, M., & Adamson, E. (2011). Young carers: Social policy impacts of the caring responsibilities of children and young adults.
- Dearden, C., & Becker, S. (2000). Growing up caring. Youth Work Press for the Leicester: Rowntree Foundation.
- Furstenberg, F. F., Rumbaut, R. G., & Settersten, R. A. (2008). On the frontier of adulthood: Emerging themes and new directions. In R. A. Settersten, F. F. Furstenberg, & R. G. Rumbaut (Eds.), On the frontier of adulthood: Theory, research, and public policy (pp. 3–25). Chicago, IL: University of Chicago Press.
- Greene, J., Cohen, D., Siskowski, C., & Toyinbo, P. (2017). The relationship between family caregiving and the mental health of emerging young adult caregivers. Journal of Behavioral Health Services & Research, 44(4), 551–563. https://doi.org/10.1007/s11414-016-9526-7
- Hastrup, L. H., Van Den Berg, B., & Gyrd-Hansen, D. (2011). Do informal caregivers in mental illness feel more burdened? A comparative study of mental versus somatic illnesses. Scandinavian Journal of Public Health, 39(6), 598–607. https://doi.org/10.1177/1403494811414247
- Hennink, M., Hutter, I., & Bailey, A. (2011). Qualitative research methods. London, UK: SAGE Publications.
- Heyman, A., & Heyman, B. (2013). ‘The sooner you can change their life course the better’: The time-framing of risks in relationship to being a young carer. Health, Risk & Society, 15(6–7), 561–579. https://doi.org/10.1080/13698575.2013.830080
- Horner, S. D. (2000). Using focus group methods with middle school children. Research in Nursing & Health, 23(6), 510–517. https://doi.org/10.1002/1098-240X(200012)23
- Ibrahim, A. K., Kelly, S. J., Adams, C. E., & Glazebrook, C. (2013). A systematic review of studies of depression prevalence in university students. Journal of Psychiatric Research, 47(3), 391–400. https://doi.org/10.1016/j.jpsychires.2012.11.015
- Jönsson, P. D., Skärsäter, I., Wijk, H., & Danielson, E. (2011). Experience of living with a family member with bipolar disorder. International Journal of Mental Health Nursing, 20(1), 29–37. https://doi.org/10.1111/j.1447-0349.2010.00704.x
- Kennedy, C., Kools, S., & Krueger, R. (2001). Methodological considerations in children’s focus groups. Nursing Research, 50(3), 184–187. https://doi.org/10.1177/1744987107079791
- Kraaij, V., Garnefski, N., de Wilde, E. J., Dijkstra, A., Gebhardt, W., Maes, S., & ter Doest, L. (2003). Negative life events and depressive symptoms in late adolescence: Bonding and cognitive coping as vulnerability factors? Journal of Youth and Adolescence, 32(3), 185–193.
- Leu, A., & Becker, S. (2016). A cross-national and comparative classification of in-country awareness and policy responses to ‘young carers’. Journal of Youth Studies, 20(6), 750–762. https://doi.org/10.1080/13676261.2016.1260698
- Levine, C., Hunt, G. G., Halper, D., Hart, A. Y., Lautz, J., & Gould, D. A. (2005). Young adult caregivers: A first look at an unstudied population. American Journal of Public Health, 95(11), 2071–2075. https://doi.org/10.2105/AJPH.2005.067702
- Lloyd, K. (2013). Happiness and well-being of young carers: Extent, nature and correlates of caring among 10 and 11 year old school children. Journal of Happiness Studies, 14(1), 67–80. https://doi.org/10.1007/s10902-011-9316-0
- Morrison, D. E., & Morrison, D. E. (1998). The search for a method: Focus groups and the development of mass communication research. Bloomington, IN: Indiana University Press.
- Reupert, A. E., Cuff, R., Drost, L., Foster, K., Van Doesum, K. T., & Van Santvoort, F. (2013). Intervention programs for children whose parents have a mental illness: A review. Medical Journal of Australia, 199, S18–S22. https://doi.org/10.5694/mja11.11145
- Roose, G. A., & John, A. M. (2003). A focus group investigation into young children's understanding of mental health and their views on appropriate services for their age group. Child: Care, Health and Development, 29(6), 545–550. https://doi.org/10.1046/j.1365-2214.2003.00374.x
- Schneider, S. L. (2013). The international standard classification of education 2011. In G. Elisabeth Birkelund (Ed.), Class and stratification analysis (pp. 365–379). Montreal, Canada: Emerald Group Publishing Limited. https://doi.org/10.1108/S0195-6310(2013)0000030017
10.1108/S0195-6310(2013)0000030017 Google Scholar
- Sempik, J., & Becker, S. (2013). Young adult carers at school: Experiences and perceptions of caring and education. London, UK: Carers Trust.
- Sharpe, D., & Rossiter, L. (2002). Siblings of children with a chronic illness: A meta-analysis. Journal of Pediatric Psychology, 27, 699–710. https://doi.org/10.1093/jpepsy/27.8.699
- Sieh, D. S., Meijer, A. M., Oort, F. J., Visser-Meily, J. M. A., & Van der Leij, D. A. V. (2010). Problem behavior in children of chronically ill parents: A meta-analysis. Clinical Child and Family Psychology Review, 13, 384–397. https://doi.org/10.1007/s10567-010-0074-z
- Sieh, D. S., Visser-Meily, J. M. A., Oort, F. J., & Meijer, A. M. (2012). Risk factors for problem behavior in adolescents of parents with a chronic medical condition. European Child & Adolescent Psychiatry, 21(8), 459–471. https://doi.org/10.1007/s00787-012-0279-4
- Siskowski, C. (2006). Young caregivers: Effect of family health situations on school performance. The Journal of School Nursing, 22(3), 163–169. https://doi.org/10.1177/10598405060220030701
- Von Bertalanffy, L. (1968). General system theory. New York: George Braziller, lnc, 41973(1968), 40.
- Wozencraft, T. A., Tauzin, M., & Romero, L. (2019). The relationship between psychological functioning in a college sample and retrospective reports of parental loyalty conflicts and psychological maltreatment. Journal of Divorce & Remarriage, 60(2), 104–116. https://doi.org/10.1080/10502556.2018.1488113
10.1080/10502556.2018.1488113 Google Scholar
- Yeandle, S., Bennett, C., Buckner, L., Fry, G., & Price, C. (2007). Carers, employment and services in Leeds. London, UK: Carers UK.