PDF(Pubmed)
Abstract：
OBJECTIVE: For parents of children and young people (CYP) with diagnosed mental health difficulties, what are the levels of parents\' well-being and psychological need?
METHODS: Medline, PsycINFO, EMBASE, AMED, CINAHL, Web of Science and Cochrane Library of Registered Trials were searched from inception to June 2023.
METHODS: parents of CYP aged 5-18 years with formal mental health diagnosis. Data were extracted from validated measures of well-being or psychological needs with established cut-off points or from a controlled study.
RESULTS: 32 of the 73 310 records screened were included. Pooled means showed clinical range scores for one measure of depression, and all included measures of anxiety, parenting stress and general stress. Meta-analyses showed greater depression (g=0.24, 95% CI 0.11 to 0.38) and parenting stress (g=0.34, 95% CI 0.20 to 0.49) in parents of CYP with mental health difficulties versus those without. Mothers reported greater depression (g=0.42, 95% CI 0.18 to 0.66) and anxiety (g=0.73, 95% CI 0.27 to 1.18) than fathers. Narrative synthesis found no clear patterns in relation to CYP condition. Rates of parents with clinically relevant levels of distress varied. Typically, anxiety, parenting stress and general stress scored above clinical threshold. Quality appraisal revealed few studies with a clearly defined control group, or attempts to control for important variables such as parent gender.
CONCLUSIONS: The somewhat mixed results suggest clinical anxiety, parenting and general stress may be common, with sometimes high depression. Assessment and support for parents of CYP with mental health problems is required. Further controlled studies, with consideration of pre-existing parental mental health difficulties are required.
UNASSIGNED: CRD42022344453.
METHODS: Medline, PsycINFO, EMBASE, AMED, CINAHL, Web of Science and Cochrane Library of Registered Trials were searched from inception to June 2023.
METHODS: parents of CYP aged 5-18 years with formal mental health diagnosis. Data were extracted from validated measures of well-being or psychological needs with established cut-off points or from a controlled study.
RESULTS: 32 of the 73 310 records screened were included. Pooled means showed clinical range scores for one measure of depression, and all included measures of anxiety, parenting stress and general stress. Meta-analyses showed greater depression (g=0.24, 95% CI 0.11 to 0.38) and parenting stress (g=0.34, 95% CI 0.20 to 0.49) in parents of CYP with mental health difficulties versus those without. Mothers reported greater depression (g=0.42, 95% CI 0.18 to 0.66) and anxiety (g=0.73, 95% CI 0.27 to 1.18) than fathers. Narrative synthesis found no clear patterns in relation to CYP condition. Rates of parents with clinically relevant levels of distress varied. Typically, anxiety, parenting stress and general stress scored above clinical threshold. Quality appraisal revealed few studies with a clearly defined control group, or attempts to control for important variables such as parent gender.
CONCLUSIONS: The somewhat mixed results suggest clinical anxiety, parenting and general stress may be common, with sometimes high depression. Assessment and support for parents of CYP with mental health problems is required. Further controlled studies, with consideration of pre-existing parental mental health difficulties are required.
UNASSIGNED: CRD42022344453.
摘要：
目标：对于被诊断为精神健康困难的儿童和年轻人（CYP）的父母，父母的幸福感和心理需求水平是什么？
方法：Medline，PsycINFO,EMBASE,AMED,CINAHL,从开始到2023年6月，搜索了WebofScience和Cochrane注册试验库。
方法：CYP的父母年龄在5-18岁，有正式的心理健康诊断。数据是从具有既定截止点的经过验证的幸福感或心理需求度量或对照研究中提取的。
结果：纳入了筛选的73310条记录中的32条。汇总平均值显示了一种抑郁症的临床范围评分，所有这些都包括焦虑的衡量标准，育儿压力和一般压力。Meta分析显示，与没有心理健康问题的CYP父母相比，有更大的抑郁（g=0.24，95％CI0.11至0.38）和育儿压力（g=0.34，95％CI0.20至0.49）。母亲报告的抑郁（g=0.42，95％CI0.18至0.66）和焦虑（g=0.73，95％CI0.27至1.18）比父亲更大。叙事合成没有发现与CYP状况有关的明确模式。具有临床相关困扰水平的父母的比率各不相同。通常,焦虑,育儿压力和一般压力得分高于临床阈值。质量评估显示，很少有明确定义的对照组的研究，或试图控制重要变量，如父母的性别。
结论：有些混合的结果表明临床焦虑，育儿和一般压力可能很常见，有时高抑郁。需要对患有心理健康问题的CYP父母进行评估和支持。进一步的对照研究，考虑到先前存在的父母心理健康困难是必需的。
■CRD420223444453。
方法：Medline，PsycINFO,EMBASE,AMED,CINAHL,从开始到2023年6月，搜索了WebofScience和Cochrane注册试验库。
方法：CYP的父母年龄在5-18岁，有正式的心理健康诊断。数据是从具有既定截止点的经过验证的幸福感或心理需求度量或对照研究中提取的。
结果：纳入了筛选的73310条记录中的32条。汇总平均值显示了一种抑郁症的临床范围评分，所有这些都包括焦虑的衡量标准，育儿压力和一般压力。Meta分析显示，与没有心理健康问题的CYP父母相比，有更大的抑郁（g=0.24，95％CI0.11至0.38）和育儿压力（g=0.34，95％CI0.20至0.49）。母亲报告的抑郁（g=0.42，95％CI0.18至0.66）和焦虑（g=0.73，95％CI0.27至1.18）比父亲更大。叙事合成没有发现与CYP状况有关的明确模式。具有临床相关困扰水平的父母的比率各不相同。通常,焦虑,育儿压力和一般压力得分高于临床阈值。质量评估显示，很少有明确定义的对照组的研究，或试图控制重要变量，如父母的性别。
结论：有些混合的结果表明临床焦虑，育儿和一般压力可能很常见，有时高抑郁。需要对患有心理健康问题的CYP父母进行评估和支持。进一步的对照研究，考虑到先前存在的父母心理健康困难是必需的。
■CRD420223444453。
