{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T00:59:46Z","timestamp":1785373186664,"version":"3.55.0"},"reference-count":80,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,7,26]],"date-time":"2026-07-26T00:00:00Z","timestamp":1785024000000},"content-version":"vor","delay-in-days":25,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100012400","name":"Sigma Theta Tau International","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100012400","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["sigmapubs.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Nursing Scholarship"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Adults who grow up with a parent with severe mental illness are exposed to prolonged developmental adversity, yet little is known about how this experience shapes multidimensional outcomes in adulthood. In particular, the roles of personal adaptive resources, childhood trauma, parental bonding, and morbidity in influencing quality of life, social functioning, and healthcare utilization remain insufficiently understood. This study aimed to examine the relationships between personal adaptive resources (resilience and general self\u2010efficacy), childhood experiences (trauma and parental bonding), and adult outcomes, including quality of life, social functioning, morbidity, and healthcare utilization, as well as to examine the moderating role of resilience.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A cross\u2010sectional quantitative design was employed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A convenience sample of 300 adults who grew up with a parent with severe mental illness completed a self\u2010report questionnaire which consisted of validated scales for study variables: Personal Wellbeing Index\u2010Adult, Connor\u2010Davidson Resilience Scale\u201010, New General Self\u2010Efficacy Scale, Social Functioning Questionnaire, Parental Bonding Instrument, Childhood Trauma Questionnaire, and EUROHIS survey items for morbidity and healthcare utilization. Data were analyzed using Spearman correlations, hierarchical multiple linear regression, negative binomial regression, and moderation analysis using PROCESS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Resilience and self\u2010efficacy independently predicted higher quality of life. Childhood trauma and parental overprotection independently predicted poorer social functioning, while parental care did not contribute unique variance in multivariate models. Childhood trauma significantly predicted morbidity, and morbidity was associated with increased healthcare utilization. Resilience did not moderate the relationship between childhood trauma and either morbidity or social functioning, indicating independent rather than interactive effects.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Among adults who grew up with a parent with SMI, resilience and self\u2010efficacy function as independent contributors to subjective wellbeing, while childhood adversity and morbidity shape long\u2010term social and health outcomes. Resilience does not appear to buffer the long\u2010term effects of trauma on health or functioning.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jnu.70118","type":"journal-article","created":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T03:11:02Z","timestamp":1785121862000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Growing in the Shadow of Mental Illness: Quality of Life, Health Status, Social Functioning, and Health Care Utilization Among Adults to Parents With Severe Mental Illness"],"prefix":"10.1111","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8996-660X","authenticated-orcid":false,"given":"Alexander","family":"Shestiperov","sequence":"first","affiliation":[{"name":"Department of Nursing, Faculty of Health Sciences Ben\u2010Gurion University of the Negev  Beer\u2010Sheva Israel"},{"name":"Merhavim\u2010Mental Health Center  Beer\u2010Yaakov Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2298-0308","authenticated-orcid":false,"given":"Ilya","family":"Kagan","sequence":"additional","affiliation":[{"name":"Nursing Department Ashkelon Academic College  Ashkelon Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5660-5469","authenticated-orcid":false,"given":"Orli","family":"Grinstein\u2010Cohen","sequence":"additional","affiliation":[{"name":"Department of Nursing, Faculty of Health Sciences Ben\u2010Gurion University of the Negev  Beer\u2010Sheva Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,26]]},"reference":[{"key":"e_1_2_15_2_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2024.1391312"},{"key":"e_1_2_15_3_1","doi-asserted-by":"publisher","DOI":"10.4278\/0890-1171-12.1.8"},{"key":"e_1_2_15_4_1","volume-title":"Parental Mental Health and the Impact on Children","author":"Barnardos","year":"2024"},{"key":"e_1_2_15_5_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003\u20104819\u2010155\u20102\u2010201107190\u201000005"},{"key":"e_1_2_15_6_1","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.151.8.1132"},{"key":"e_1_2_15_7_1","doi-asserted-by":"publisher","DOI":"10.1037\/0003\u2010066X.59.1.20"},{"key":"e_1_2_15_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpp.12021"},{"key":"e_1_2_15_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/1403494818756701"},{"key":"e_1_2_15_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2022.09.006"},{"key":"e_1_2_15_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/01612840.2025.2551687"},{"key":"e_1_2_15_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/cpp.2776"},{"key":"e_1_2_15_13_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev\u2010psych\u2010072225\u2010121053"},{"key":"e_1_2_15_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/cfs.12989"},{"key":"e_1_2_15_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.20271"},{"key":"e_1_2_15_16_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0954579424000403"},{"key":"e_1_2_15_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/109442810141004"},{"key":"e_1_2_15_18_1","article-title":"Statistical power analysis for the behavioral sciences (2nd ed.)","author":"Cohen O.","year":"1988","journal-title":"Lawrence Erlbaum Associates"},{"key":"e_1_2_15_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10591\u2010004\u20101972\u20103"},{"key":"e_1_2_15_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/da.10113"},{"key":"e_1_2_15_21_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2024.0039"},{"key":"e_1_2_15_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/sode.12590"},{"key":"e_1_2_15_23_1","doi-asserted-by":"publisher","DOI":"10.1001\/archgenpsychiatry.2010.86"},{"key":"e_1_2_15_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0091\u20107435(03)00123\u20103"},{"key":"e_1_2_15_25_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291723001678"},{"key":"e_1_2_15_26_1","doi-asserted-by":"publisher","DOI":"10.3758\/BF03193146"},{"key":"e_1_2_15_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajag.13052"},{"key":"e_1_2_15_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aprim.2025.103300"},{"key":"e_1_2_15_29_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.202100661"},{"key":"e_1_2_15_30_1","doi-asserted-by":"publisher","DOI":"10.1111\/inm.13365"},{"key":"e_1_2_15_31_1","volume-title":"The Cost of Not Getting Care: Income Disparities in the Affordability of Health Services Across High\u2010Income Countries","author":"Gunja M. Z.","year":"2023"},{"key":"e_1_2_15_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2215\u20100366(19)30286\u2010X"},{"key":"e_1_2_15_33_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10567\u2010023\u201000427\u20106"},{"key":"e_1_2_15_34_1","volume-title":"When Life Becomes a Dream: The Relationship Between Maladaptive Daydreaming, Childhood Trauma, Absorption, Social Anxiety, and Addiction to Daydreaming in a Non\u2010Clinical Student Sample","author":"Herscu O.","year":"2015"},{"key":"e_1_2_15_35_1","doi-asserted-by":"publisher","DOI":"10.1177\/10497323231196439"},{"key":"e_1_2_15_36_1","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9780511973420"},{"key":"e_1_2_15_37_1","volume-title":"IBM SPSS Statistics for Windows, Version 31.0","author":"IBM Corp","year":"2022"},{"key":"e_1_2_15_38_1","volume-title":"Personal Wellbeing Index: 5th Edition","author":"International Wellbeing Group","year":"2013"},{"key":"e_1_2_15_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2020.12.139"},{"key":"e_1_2_15_40_1","doi-asserted-by":"publisher","DOI":"10.1080\/20008198.2020.1793599"},{"key":"e_1_2_15_41_1","doi-asserted-by":"publisher","DOI":"10.1192\/j.eurpsy.2024.82"},{"key":"e_1_2_15_42_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17113956"},{"key":"e_1_2_15_43_1","doi-asserted-by":"publisher","DOI":"10.1037\/pas0000864"},{"key":"e_1_2_15_44_1","volume-title":"Applied Linear Statistical Models","author":"Kutner M. H.","year":"2004"},{"key":"e_1_2_15_45_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291721003366"},{"key":"e_1_2_15_46_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11482\u2010024\u201010392\u2010z"},{"key":"e_1_2_15_47_1","doi-asserted-by":"publisher","DOI":"10.1177\/1078390320902823"},{"key":"e_1_2_15_48_1","volume-title":"Ordinary Magic: Resilience in Development","author":"Masten A. S.","year":"2024"},{"key":"e_1_2_15_49_1","doi-asserted-by":"publisher","DOI":"10.1111\/eip.13274"},{"key":"e_1_2_15_50_1","doi-asserted-by":"publisher","DOI":"10.1097\/YCO.0000000000000427"},{"key":"e_1_2_15_51_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2017.03.016"},{"key":"e_1_2_15_52_1","volume-title":"National Health Survey in Israel INHIS\u20103, 2013\u20132015: Selected Findings (No. 374)","author":"Ministry of Health","year":"2017"},{"key":"e_1_2_15_53_1","doi-asserted-by":"publisher","DOI":"10.3109\/01612840.2014.971385"},{"key":"e_1_2_15_54_1","volume-title":"Classical and Modern Regression With Applications","author":"Myers R. H.","year":"1990"},{"key":"e_1_2_15_55_1","unstructured":"NIMH.2023.Serious Mental Illness.https:\/\/www.nimh.nih.gov\/health\/statistics\/mental\u2010illness."},{"key":"e_1_2_15_56_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1001349"},{"key":"e_1_2_15_57_1","doi-asserted-by":"publisher","DOI":"10.1521\/pedi.16.5.437.22123"},{"key":"e_1_2_15_58_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.2044\u20108341.1979.tb02487.x"},{"key":"e_1_2_15_59_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10597\u2010022\u201000999\u20107"},{"key":"e_1_2_15_60_1","first-page":"18","article-title":"What Does the Supervisor Need? The Relationship Between Supervision, Personal and Environmental Characteristics of the Supervisor, and the Development and Professional Efficacy of Interns","volume":"73","author":"Peled D.","year":"2019","journal-title":"Psychoactuality"},{"key":"e_1_2_15_61_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2023.46323"},{"key":"e_1_2_15_62_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2016.4529"},{"key":"e_1_2_15_63_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpp.13521"},{"key":"e_1_2_15_64_1","doi-asserted-by":"publisher","DOI":"10.3399\/bjgp16X687313"},{"key":"e_1_2_15_65_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4614-4939-3_10"},{"key":"e_1_2_15_66_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2019.00208"},{"key":"e_1_2_15_67_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2023.01271"},{"key":"e_1_2_15_68_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916\u2010024\u201003505\u2010w"},{"key":"e_1_2_15_69_1","doi-asserted-by":"publisher","DOI":"10.53555\/jrtdd.v6i8s.3399"},{"key":"e_1_2_15_70_1","doi-asserted-by":"publisher","DOI":"10.1111\/jnu.12955"},{"key":"e_1_2_15_71_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2011\u20102663"},{"key":"e_1_2_15_72_1","doi-asserted-by":"publisher","DOI":"10.1207\/S15327752JPA8001_18"},{"key":"e_1_2_15_73_1","volume-title":"The Prevalence of Dissociative Disorders and the Relationship Between Traumatic History and Attachment Patterns and Dissociative Morbidity Among Psychiatric Hospital Inpatients","author":"Tamarkin G.","year":"2007"},{"key":"e_1_2_15_74_1","doi-asserted-by":"publisher","DOI":"10.1097\/YCO.0000000000000342"},{"key":"e_1_2_15_75_1","doi-asserted-by":"publisher","DOI":"10.1177\/0020764005057391"},{"key":"e_1_2_15_76_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12874\u2010016\u20100242\u2010z"},{"key":"e_1_2_15_77_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.2025.30"},{"key":"e_1_2_15_78_1","unstructured":"Weshler D.2019.Born to Challenge: Adjustment and Personal Growth of Adults Raised by a Parent With a Mental or an Intellectual Disability."},{"key":"e_1_2_15_79_1","volume-title":"World Mental Health Today: Latest Data","author":"WHO","year":"2025"},{"key":"e_1_2_15_80_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph16071278"},{"issue":"38","key":"e_1_2_15_81_1","first-page":"635","article-title":"The Prevalence and Consequences of Adverse Childhood Experiences in the German Population","volume":"116","author":"Witt A.","year":"2019","journal-title":"Deutsches \u00c4rzteblatt International"}],"container-title":["Journal of Nursing Scholarship"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/sigmapubs.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jnu.70118","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/sigmapubs.onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jnu.70118","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/sigmapubs.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jnu.70118","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T00:17:09Z","timestamp":1785370629000},"score":1,"resource":{"primary":{"URL":"https:\/\/sigmapubs.onlinelibrary.wiley.com\/doi\/10.1111\/jnu.70118"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":80,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1111\/jnu.70118"],"URL":"https:\/\/doi.org\/10.1111\/jnu.70118","archive":["Portico"],"relation":{},"ISSN":["1527-6546","1547-5069"],"issn-type":[{"value":"1527-6546","type":"print"},{"value":"1547-5069","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"2026-05-11","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-07","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-26","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70118"}}