Abstract Children of parents with a mental illness (COPMI) have a higher risk of acquiring a mental illness themselves. Feelings of guilt and shame could increase COPMI risks of acquiring mental health disorder symptoms. These feelings of guilt and shame could also impact the quality of the parent-child relationship. Data were drawn from the qualitative part of a mixed method study featuring 18 face-to-face interviews with Dutch COPMI aged 12–21. Interviewees were asked about their experiences with guilt and shame related to their parent with mental illness and the extent they felt that these feelings affected their relationships with their parents. Qualitative thematic analysis (QTA) revealed that most COPMI youth described feelings of guilt and some of them reported feelings of shame. They reported making behavioral adjustments especially using caution in parental communication. In their perception, guilt and shame did not have long-term impacts on their relationships with parents.

中文翻译：

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荷兰年轻人患有精神疾病的父母反思他们的内和羞愧感

摘要患有精神疾病（COPMI）的父母的孩子自己患精神疾病的风险更高。内和羞耻感可能会增加COPMI获得精神健康障碍症状的风险。这些内和羞耻感也可能影响亲子关系的质量。数据来自混合方法研究的定性部分，该研究的特点是对18-21岁的荷兰COPMI进行了18次面对面采访。受访者被问及与父母患有精神疾病有关的内和羞耻经历，以及他们感觉到的这种情感影响了他们与父母之间的关系。定性主题分析（QTA）显示，大多数COPMI青年都描述了内感，其中一些人表示感到内sha。他们报告说要进行行为调整，尤其是在父母沟通中要谨慎。在他们的观念中，内和羞耻并没有对他们与父母的关系产生长期影响。