Father

父亲
  • 文章类型: Journal Article
    自杀是25-44岁男性死亡的主要原因,通常与成为父亲相吻合的年龄。这篇综述旨在综合围产期父亲自杀和自残观念流行的证据,产后和早期育儿期。
    搜索了五个数据库(PsycINFO,Medline,WebofScience,PubMed和Cochrane系统评论数据库),以确定2000年1月1日至2023年3月9日之间发表的论文。在纳入的研究中,进行了荟萃分析以估计自杀和自残观念的患病率。进行亚组和敏感性分析以探索异质性的潜在来源。
    共确定了4215篇文章,14项研究纳入审查。自杀和自残观念的合并患病率为4.2%(95%CI[2.6%,6.2%])。自残观念的患病率估计值更高,为5.1%(95%CI[2.6%,6.2%])比3%的自杀率(95%CI[0.9%,6.1%])。
    这项审查发现,相当比例的父亲在养育子女的早期经历过自杀和自残的想法。然而,缺乏严格的患病率研究表明,迫切需要在这一领域进行进一步的研究。
    UNASSIGNED: Suicide is a leading cause of death in males aged 25-44 years, an age which often coincides with becoming a father. This review aims to synthesise the evidence of the prevalence of suicidal and self-harm ideation in fathers during the perinatal, postnatal and early parenting period.
    UNASSIGNED: Five databases were searched (PsycINFO, Medline, Web of Science, PubMed and the Cochrane Database of Systematic Reviews) to identify papers published between 1 January 2000 and 9 March 2023. A meta-analysis was conducted to estimate the prevalence of suicidality and self-harm ideation across the included studies. Subgroup and sensitivity analyses were conducted to explore potential sources of heterogeneity.
    UNASSIGNED: A total of 4215 articles were identified, with 14 studies included in the review. The combined pooled prevalence of suicidal and self-harm ideation was 4.2% (95% CI [2.6%, 6.2%]). Prevalence estimates were higher for self-harm ideation at 5.1% (95% CI [2.6%, 6.2%]) than for suicidality at 3% (95% CI [0.9%, 6.1%]).
    UNASSIGNED: This review found that a considerable proportion of fathers experience suicidal and self-harm ideation during the early years of parenting. However, the paucity of rigorous prevalence studies indicates that further research in this area is needed urgently.
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  • 文章类型: Journal Article
    Objective.儿童超重/肥胖是一个严重的全球公共卫生问题,要求父母参与扭转趋势。尽管父亲扮演关键的育儿角色,关于父亲和儿童超重/肥胖的研究是有限的。本范围审查审查了有关父亲的营养知识和儿童超重/肥胖的喂养方式的文献。方法。遵循系统审查和荟萃分析(PRISMA)指南的首选报告项目,和Arksey和O\'Malley(2005)框架,搜索了多个数据库。符合条件的父子相关研究侧重于父亲的营养知识,喂养实践,和儿童超重/肥胖。结果。在26篇符合条件的文章中,52%来自美国,44%的人专注于父子二叉。大多数研究是横断面的(64%)和基于调查的(68%)。Further,11.5%评估父亲的营养知识,和儿童喂养习惯(53.4%)。结论。有关儿童超重/肥胖的父亲营养知识和喂养方法的文献有限。鼓励扩大父亲参与儿童营养研究,以设计整体干预措施。
    Objective. Childhood overweight/obesity is a serious global public health issue, demanding parental involvement to reverse trends. Despite fathers\' crucial parenting roles, research on fathers and childhood overweight/obesity is limited. This scoping review examines the literature on fathers\' nutrition knowledge and feeding practices with childhood overweight/obesity. Methods. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, and Arksey and O\'Malley (2005) framework, multiple databases were searched. Eligible father-child related studies focused on fathers\' nutrition knowledge, feeding practices, and childhood overweight/obesity. Results. Of 26 eligible articles, 52% originated from the United States, and 44% focused on father-child dyads. Most studies were cross-sectional (64%) and survey-based (68%). Further, 11.5% assessed fathers\' nutrition knowledge, and child feeding practices (53.4%). Conclusion. Literature on fathers\' nutrition knowledge and feeding practices concerning childhood overweight/obesity is limited. Scaling-up fathers\' inclusion in childhood nutrition research is encouraged for the design of holistic interventions.
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  • 文章类型: Journal Article
    背景/目的:产后抑郁症通常被定义为分娩后不久发生的严重抑郁发作。这种情况最常见于女性;然而,父系产后抑郁症已经开始引起更多的研究关注。这项研究旨在确定用于测量这种心理健康问题的不同工具,并检测危险因素以及父亲产后抑郁症的主要韧性来源。方法:采用PRISMA方法进行文献综述。结果:在分析了10篇文章后,确定爱丁堡产后抑郁量表是女性人群中使用最广泛的产后抑郁诊断工具,经过几次研究,它已经在男性中得到了验证。在分析了几项研究以强调父亲产后抑郁症的主要危险因素后,已经确定,影响最大的因素是男性性别角色压力。这些发现凸显了当今父亲的传统角色。大多数卫生专业人员将母亲视为优先事项。结论:父亲抑郁症是当今父母的主要问题,以及新生儿。随着时间的推移,越来越需要将父亲纳入当前和未来的心理健康计划,以便能够提供必要的支持。
    Background/Objectives: Postpartum depression is usually defined as a major depressive episode that occurs shortly after childbirth. This condition is most commonly found in females; however, paternal postpartum depression has begun to attract more research attention. This study aims to identify different instruments for measuring this mental health problem and to detect risk factors as well as the main sources of resilience in paternal postpartum depression. Methods: A literature review was conducted following the PRISMA method. Results: After analyzing 10 articles, it was determined that the Edinburgh Postpartum Depression Scale is the most widely used instrument for the diagnosis of postpartum depression in the female population, and after several studies, it has already been validated for the male sex. After several studies were analyzed to highlight the main risk factors for paternal postpartum depression, it was established that the most influential factor is male gender role stress. These findings highlight the traditional role of fathers today. Most health professionals see the mother as the priority. Conclusions: Paternal depression is a major problem for mothers and fathers today, as well as for the newborn. As time goes on, there is a growing need to incorporate fathers into current and future mental health programs to be able to provide the necessary support.
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  • 文章类型: Journal Article
    父母与孩子之间的社会交往与孩子的发展密切相关,脑间同步性已被证明是社会互动的神经标志。然而,通过大脑间的同步来真正捕捉社会互动的本质,有必要同时讨论父母和孩子的大脑,并在互动任务中的亲子互动过程中充分记录神经信号。在当前的审查中,我们回顾了三个主要内容。首先,我们讨论了亲子脑间同步与认知发展之间的相关性(例如,情绪调节,注意,和学习)和行为能力(例如,合作,解决问题)在儿童中。第二,我们研究了母子和父子互动中脑间同步的不同神经机制,旨在强调母亲和父亲在儿童发展中的单独作用。最后,我们整合了四种方法来增强大脑间的同步性,包括沟通模式,非语言行为,音乐,和多通道刺激。亲子脑同步性与儿童认知和行为能力的发展存在显著的相关性。此摘要可能有助于扩大研究人员和从业者对育儿方式和亲子关系影响儿童认知和行为能力的理解。
    Social interactions between parents and children are closely linked with children\'s development, and interbrain synchrony has been shown to be a neural marker of social interaction. However, to truly capture the essence of social interactions through interbrain synchrony, it is necessary to simultaneously discuss the parental and child brains and adequately record neurological signals during parent-child interactions in interactive tasks. In the current review, we have reviewed three main contents. First, we discuss the correlation between parent-child interbrain synchrony and the development of cognitive (e.g., emotion regulation, attention, and learning) and behavioral abilities (e.g., cooperation, problem-solving) in children. Second, we examine the different neural mechanisms of interbrain synchrony in mother-child and father-child interactions, aiming to highlight the separate roles of mother and father in child development. Last, we have integrated four methods to enhance interbrain synchrony, including communication patterns, nonverbal behavior, music, and multichannel stimulation. A significant correlation exists between parent-child interbrain synchrony and the development of children\'s cognitive and behavioral abilities. This summary may be useful for expanding researchers\' and practitioners\' understanding of the ways in which parenting and the parent-child relationship shape children\' cognitive and behavioral abilities.
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  • 文章类型: Meta-Analysis
    系统评价和荟萃分析的目的是确定进入印度新生儿重症监护病房(NICU)的高危新生儿的父母所经历的压力和压力源。我们包括定量和定性研究。JoannaBriggs研究所关键评估清单和关键评估技能计划清单用于评估纳入研究的质量。在PubMed进行了系统的搜索,EMBASE,Scopus,EBSCOhost,WebofScience,ProQuest,MicrosoftAcademic,DOAJ,印度引文索引,和J-Gate确定相关研究。此外,在印度相关机构的网站上进行了在线手工搜索,妇女和儿童卫生部门,存储库,登记册,和儿科期刊。21项定量研究中有12项发现,由于与婴儿的分离和新生儿的医疗状况,母亲的压力高于父亲。一项定性研究报告称,财政负担,育儿角色的改变,对家庭问题的关注是父亲压力的重要原因。纳入研究的荟萃分析评估了孕产妇的患病率,父系,和父母的压力,并报告说,在所有子量表中,母亲的压力水平都高于父亲。父母最典型的压力源是新生儿容貌的变化,行为,改变了父母的角色。除了立即的NICU护理和互动,在当地(印度)背景下设计多组分干预措施时,必须考虑父母之间压力的其他触发因素.此外,父母的心理支持和定期咨询可以纳入标准新生儿重症监护政策。
    The aim of the systematic review and meta-analysis is to determine the stress and stressors experienced by the parents of high-risk neonates admitted to the neonatal intensive care unit (NICU) in India. We included both quantitative and qualitative studies. The Joanna Briggs Institute Critical Appraisal Checklist and Critical Appraisal Skill Programme checklist were used to assess the quality of included studies. A systematic search was conducted in PubMed, EMBASE, SCOPUS, EBSCOhost, Web of Science, ProQuest, Microsoft Academic, DOAJ, Indian Citation Index, and J-Gate to identify relevant studies. Additionally, online hand searching was performed on Indian websites of relevant institutions, women and child health departments, repositories, registries, and paediatric journals. Twelve of the 21 quantitative studies found that maternal stress was higher than fathers due to the separation from their babies and the medical condition of the neonate. One qualitative study reported that financial burden, alterations in the parenting role, and concern over domestic issues are significant causes of fathers\' stress. A meta-analysis of the included studies assessed the prevalence of maternal, paternal, and parental stress and reported that mothers experienced higher stress levels than fathers across all subscales. The most typical stressors for parents were changes in neonatal looks, behaviour, and altered parental roles. Beyond the immediate NICU care and interactions, other triggering factors of stress among parents must be considered to design multicomponent interventions in a local (Indian) context. Moreover, parental psychological support and regular counselling can be incorporated into the standard neonatal intensive care policy.
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  • 文章类型: Journal Article
    虽然越来越多的证据强调父系精神疾病(PMI)对儿童发育的重要性,这种关系仍然缺乏研究,经常被忽略。考虑到父亲在子女成长过程中越来越积极的作用,关于PMI对儿童发育影响的全面概述已经过时。这项研究旨在结合和综合当前有关PMI与儿童发展多个领域之间关系的可用证据。关于PMI与儿童发展(心理健康和社会,情感,语言,认知或适应性行为),1980年至2021年12月间出版,是根据PRISMA2020指南进行的。基于AMSTAR-2标准评估审查质量,并根据GRADE评分解释各自的研究置信度。将所有相关的荟萃分析效应大小转换为优势比(OR),并使用随机效应模型进行分组。分组荟萃分析发现,PMI具有显著的,对所有研究的儿童发育领域的不利影响[OR:1.54;95%CI(1.36-1.74)]。亚组分析发现,PMI对内化[OR:1.62;95%CI(1.27-2.08)]和外化[OR:1.63;95%CI(1.28-2.08)]儿童行为的影响程度相似。然而,纳入的评论方法质量差,表现出低或极低的信心。这些结果表明PMI对儿童发育的影响是一致的。父亲精神疾病与儿童发育之间的关系值得进一步调查,由于目前的研究范围有限,特别是关于儿童发育的认知领域和非情感PMI诊断。
    Whilst there is growing evidence highlighting the importance of paternal mental illness (PMI) on child development, this relationship still remains under-studied and often over-looked. Considering the increasingly active role of fathers in their children\'s upbringing, a comprehensive overview of the impact of PMI on child development is overdue. This study aimed to combine and synthesise currently available evidence on the relationship between PMI and multiple domains of child development. Narrative synthesis of systematic reviews and meta-analyses on the relationship between PMI and child development (mental health and social, emotional, language, cognitive or adaptive behaviour), published between 1980 to December 2021, was conducted in line with PRISMA 2020 guidelines. Review quality was assessed based on AMSTAR-2 criteria and respective study confidence was interpreted in line with GRADE scoring. All relevant meta-analytic effect sizes were converted to odds ratios (OR) and grouped using a random effects model. Grouped meta-analyses saw PMI to have a significant, detrimental effect on all studied domains of child development [OR: 1.54; 95% CI (1.36-1.74)]. Subgroup analyses saw PMI affecting both internalising [OR: 1.62; 95% CI (1.27-2.08)] and externalising [OR: 1.63; 95% CI (1.28-2.08)] child behaviours to a similar extent. However, included reviews were of poor methodological quality, demonstrating either low or critically low confidence. These results show a consistent and influential effect of PMI on child development. The relationship between fathers\' mental illness and child development warrants further investigation, as current research is limited in scope, particularly regarding cognitive domains of child development and non-affective PMI diagnoses.
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  • 文章类型: Systematic Review
    背景:数字干预有助于解决传统医疗保健服务的障碍。父亲在家庭中扮演着重要的育儿角色,他们的参与有利于家庭幸福。尽管数字干预是促进围产期父亲参与的有希望的途径,大多数是面向母亲的需求,而不是解决父亲的独特需求。
    目的:本系统综述描述了从受孕到产后12个月的婴儿父亲存在或正在开发的数字干预措施。
    方法:对MEDLINE的系统搜索,PsycINFO,Cochrane中央控制试验登记册,Embase(使用Ovid),我们进行了CINAHL(使用EBSCO)数据库,以确定从数据库开始到2022年6月的文章,其中39篇符合纳入标准.如果对文章进行了同行评审,并描述了针对胎儿父亲或≤12个月婴儿的数字干预措施,则包括这些文章。系统审查,荟萃分析,意见被排除在外。这些研究的数据是使用叙事综合方法提取和主题化的。使用混合方法评估工具对文章进行质量评估。
    结果:共检索到2816篇,其中39人(1.38%)在删除重复项和筛查后符合入选标准。符合条件的文章包括13个国家的29种不同的干预措施。大多数文章(22/29,76%)描述了完全数字化的干预措施。有各种各样的数字模式,但干预措施最常见的设计是通过网站或基于网络的门户(14/29,48%).超过一半(21/39,54%)的文章描述了旨在从怀孕到产后分娩的干预措施。只有26%(10/39)的研究专门针对父亲。包括了广泛的结果,54%(21/39)的研究包括与干预可行性相关的主要结局。定性和混合方法研究报告了数字干预措施的总体积极经验和向合作伙伴提供支持的重要性的定性主题,提高育儿信心,并确定了应激的正常化。在18项主要检查疗效结果的研究中,13例(72%)报告了统计学上显著的干预效果。这些研究总体上表现出中等质量水平。
    结论:新的和期待的父亲使用数字技术,这可以用来帮助解决传统医疗保健服务中父亲特有的障碍。然而,与目前对母亲的数字干预相比,以父亲为中心的干预措施缺乏评估和证据。在现有的关于父亲数字干预的研究中,关于它们的可行性似乎有不同的发现,可接受性,和功效。有必要对针对父亲确定的优先事项的干预措施进行更多的发展和标准化评估。这项审查受到不评估以公平为导向的结果的限制(例如,种族和社会经济地位),这也应该在未来的干预发展中加以考虑。
    Digital interventions help address barriers to traditional health care services. Fathers play an important parenting role in their families, and their involvement is beneficial for family well-being. Although digital interventions are a promising avenue to facilitate father involvement during the perinatal period, most are oriented toward maternal needs and do not address the unique needs of fathers.
    This systematic review describes the digital interventions that exist or are currently being developed for fathers of infants from conception to 12 months postpartum.
    A systematic search of the MEDLINE, PsycINFO, Cochrane Central Register of Controlled Trials, Embase (using Ovid), and CINAHL (using EBSCO) databases was conducted to identify articles from database inception to June 2022, of which 39 met the inclusion criteria. Articles were included if they were peer-reviewed and described a digital intervention that targeted fathers of fetuses or infants aged ≤12 months. Systematic reviews, meta-analyses, and opinion pieces were excluded. Data from these studies were extracted and themed using a narrative synthesis approach. Quality appraisal of the articles was conducted using the Mixed Methods Appraisal Tool.
    A total of 2816 articles were retrieved, of which 39 (1.38%) met the inclusion criteria for eligibility after removing duplicates and screening. Eligible articles included 29 different interventions across 13 countries. Most articles (22/29, 76%) described interventions that were exclusively digital. There were a variety of digital modalities, but interventions were most commonly designed to be delivered via a website or web-based portal (14/29, 48%). Just over half (21/39, 54%) of the articles described interventions designed to be delivered from pregnancy through the postpartum period. Only 26% (10/39) of the studies targeted fathers exclusively. A wide range of outcomes were included, with 54% (21/39) of the studies including a primary outcome related to intervention feasibility. Qualitative and mixed methods studies reported generally positive experiences with digital interventions and qualitative themes of the importance of providing support to partners, improving parenting confidence, and normalization of stress were identified. Of the 18 studies primarily examining efficacy outcomes, 13 (72%) reported a statistically significant intervention effect. The studies exhibited a moderate quality level overall.
    New and expecting fathers use digital technologies, which could be used to help address father-specific barriers to traditional health care services. However, in contrast to the current state of digital interventions for mothers, father-focused interventions lack evaluation and evidence. Among the existing studies on digital interventions for fathers, there seem to be mixed findings regarding their feasibility, acceptability, and efficacy. There is a need for more development and standardized evaluation of interventions that target father-identified priorities. This review was limited by not assessing equity-oriented outcomes (eg, race and socioeconomic status), which should also be considered in future intervention development.
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  • 文章类型: Systematic Review
    目的:这篇综述的目的是考虑影响父亲(包括移民父亲)怀孕和分娩经历的因素。
    方法:按照PRISMA指南进行系统综述和叙述性综合。蜘蛛工具用于构建搜索策略,该策略用于在八个已识别的电子数据库中进行文献检索:ASSIA,CINAHL,EMBASE,MEDLINE,PsycINFO,pubmed,Sage和Scopus.通过国王基金图书馆数据库搜索了灰色文献,Ethos,北灰文学收藏,社会关怀在线和其他慈善网站,如难民委员会和约瑟夫·朗特里基金会。搜索是在2019年1月7日开始的一周内对所有数据库进行的,仅限于以英语发表的研究。
    结果:在所有八个电子数据库中的搜索确定了2564条记录,13条记录通过灰色文献数据库/网站,另外23条记录通过手工搜索/转发引用确定。删除重复项后的记录数为2229。基于标题和摘要的记录筛选确定了69条用于全文筛选的记录。对这些全文记录进行双重筛选,确定了来自12项独立研究的12条完整记录,其中八项是定性研究,其中三项是定量研究,一项是混合方法研究。
    结果:这项审查揭示了三个主要主题:社会和卫生专业人员的影响;适应新的父亲生活;参与产妇护理。然而,文献集中在非移民父亲怀孕和分娩的经历上,很少关注可能是移民的父亲。
    结论:这篇综述揭示了在日益全球化和国家间移民时代,对移民父亲怀孕和分娩经历的研究的缺乏。助产士和其他卫生专业人员在提供产妇护理时应警惕任何父亲的需求。需要更多的研究来考虑移民的经历,以及如何选择搬到一个新国家或被迫搬家可能会影响移民父亲的经历,从而影响他们的需求。
    OBJECTIVE: The purpose of this review was to consider factors that influence the experiences of pregnancy and childbirth by fathers including migrant fathers.
    METHODS: A systematic review and narrative synthesis were conducted as per the PRISMA guidelines. The spider tool was used to build a search strategy which was used to conduct literature search in eight identified electronic databases: ASSIA, CINAHL, EMBASE, MEDLINE, PsycINFO, PUBMED, Sage and Scopus. Grey literature was searched through the King\'s Fund Library database, Ethos, The North Grey Literature Collection, Social Care Online and other charity websites such as the Refugee Council and Joseph Rowntree Foundation. The search was conducted across all the databases in the week commencing January 7, 2019, and restricted to studies published in the English language.
    RESULTS: The search across all the eight electronic databases identified 2564 records, 13 records through grey literature databases/websites and an additional 23 records identified through hand-searching/forward citation. The number of records after duplicates were removed was 2229. Record screening based on titles and abstracts identified 69 records for full text screening. Dual screening of these full text records identified 12 full records from 12 separate studies, eight of which were qualitative studies, three of which were quantitative studies and one mixed method study.
    RESULTS: This review has revealed three main themes: influence of society and health professionals; adjustment to a new life of fatherhood; and involvement in maternity care. However, the literature has focused on non-migrant father\'s experiences of pregnancy and childbirth, with little attention paid to fathers who may be migrants.
    CONCLUSIONS: This review has exposed a dearth of research on migrant fathers\' experiences of pregnancy and childbirth in an era of increasing globalisation and migration between countries. Midwives and other health professionals should be alert to the needs of any father when providing maternity care. More research is needed which considers experiences of migrants and how choosing to move to a new country or being forced to move could influence migrant father\'s experiences and therefore their needs.
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  • 文章类型: Journal Article
    UNASSIGNED: Preterm birth and subsequent NICU admission can be a traumatic experience for parents who may subsequently develop post-traumatic stress (PTS) disorder (PTSD). Given that developmental issues are common among children of parents with PTSD, interventions for prevention and treatment are essential.
    UNASSIGNED: To assess the most effective non-pharmacological interventions to prevent and/or treat PTS symptoms in parents of preterm newborns.
    UNASSIGNED: Systematic review performed in accordance with the PRISMA statements. Eligible articles in English language were searched in MEDLINE, Scopus, and ISI Web of Science databases using the following medical subject headings and terms: \"stress disorder, post-traumatic,\" \"parents,\" \"mothers,\" \"fathers,\" \"infant, newborn,\" \"intensive care units, neonatal,\" and \"premature birth.\" The terms \"preterm birth\" and \"preterm delivery\" were also used. Unpublished data were searched in ClinicalTrials.gov website. All intervention studies published until September 9th, 2022 and including parents of newborns with gestational age at birth (GAb) <37 weeks which underwent ≥1 non-pharmaceutical interventions for prevention and/or treatment of PTS symptoms related to preterm birth were included. Subgroup analyses were conducted by type of intervention. The quality assessment was performed according to the criteria from the RoB-2 and the \"NIH Quality Assessment Tool for Before-After studies.\"
    UNASSIGNED: Sixteen thousand six hundred twenty-eight records were identified; finally, 15 articles (1,009 mothers, 44 fathers of infants with GAb ≤ 366/7 weeks) were included for review. A good standard of NICU care (effective as sole intervention: 2/3 studies) and education about PTSD (effective in association with other interventions: 7/8 studies) could be offered to all parents of preterm newborns. The 6-session Treatment Manual is a complex intervention which revealed itself to be effective in one study with low risk of bias. However, the effectiveness of interventions still remains to be definitively established. Interventions could start within 4 weeks after birth and last 2-4 weeks.
    UNASSIGNED: There is a wide range of interventions targeting PTS symptoms after preterm birth. However, further studies of good quality are needed to better define the effectiveness of each intervention.
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  • 文章类型: Systematic Review
    家庭暴力(DV)可以持续并在分居后升级。然而,在此期间,很少关注暴露于DV的儿童。本综述旨在巩固有关儿童因父亲引起的DV分离后经历的现有证据。进行了定性系统审查。从每个数据库开始到2022年7月,共搜索了六个电子数据库。24岁以下儿童的定性研究,生父犯了DV,选择了每个经历过父母分离的人。根据系统评价和荟萃分析指南的首选报告项目进行筛选后,将20项研究纳入本综述。利用桑德洛夫斯基和巴罗佐的分析方法,进行了荟萃总结和荟萃合成。确定了三个主要主题和八个次主题:(1)分居后继续滥用,(2)孩子的父亲摇摆不定的思想,(3)在过去和现在之间争吵。总的来说,调查结果强调,DV的经历通过各种形式的滥用在分居后仍然存在。孩子们对父亲的感情和想法也很复杂。他们发现很难信任他们的父亲,并对他们父亲关于爱和兴趣的意图持谨慎态度。有些孩子很难与父亲互动,被他们剥削。不同的利益相关者,如医疗保健专业人员和法院官员可以在支持和保护暴露于DV的儿童方面发挥重要作用,学校可以在授权儿童对抗DV方面发挥重要作用。
    Domestic violence (DV) can persist and escalate post-separation. However, little focus has been given to children exposed to DV during this period. This review aims to consolidate the available evidence on children\'s post-separation experiences with DV caused by their fathers. A qualitative systematic review was carried out. Six electronic databases were searched from the inception of each database until July 2022. Qualitative studies of children aged below 24 years, with biological fathers that committed DV, of which each had experienced parental separation were selected. Twenty studies were included in this review after screening according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guideline. Using Sandelowski and Barroso\'s analysis method, a meta-summary and a meta-synthesis were conducted. Three major themes with eight subthemes were identified: (1) continued abuse post-separation, (2) child\'s wavering mind of their fathers, and (3) wrangling between past and present. Overall, the findings highlighted that the experience of DV persisted post-separation through various forms of abuse. Children also struggled with mixed feelings and thoughts toward their fathers. They found it hard to trust their fathers and were cautious about their fathers\' intentions regarding love and interest. Some children had difficulty interacting with their fathers and were exploited by them. Different stakeholders such as healthcare professionals and court officials can play a significant role in supporting and protecting children exposed to DV and schools can play a significant role in empowering children against DV.
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