Leijdesdorff Sophie, van Doesum Karin, Popma Arne, Klaassen Rianne, van Amelsvoort Therese
aDepartment of Psychiatry and Psychology, Maastricht University, Maastricht bMindfit, Zwolle cDepartment of Child and Adolescent Psychiatry, Duivendrecht dDepartment of Child and Adolescent Psychiatry, VU University Medical Center, Amsterdam, The Netherlands.
Curr Opin Psychiatry. 2017 Jul;30(4):312-317. doi: 10.1097/YCO.0000000000000341.
Children of parents with a mental illness and/or addiction are at high risk for developing a mental illness themselves. Parental mental illness is highly prevalent leading to a serious number of children at high risk. The aim of this review is to give an up-to-date overview of psychopathology in children of parents with various mental illnesses and/or addiction, based on recent literature.
Worldwide, 15-23% of children live with a parent with a mental illness. These children have up to 50% chance of developing a mental illness. Parental anxiety disorder sets children at a more specific risk for developing anxiety disorder themselves, where children of parents with other mental illnesses are at high risk of a large variety of mental illnesses. Although preventive interventions in children of mentally ill parents may decrease the risk of problem development by 40%; currently, these children are not automatically identified and offered help.
This knowledge should encourage mental health services to address the needs of these children which requires strong collaboration between Child and Adolescent Mental Health Services and Adult Mental Health Services. Directions for further research would be to include both parents, allow for comorbidity and to look deeper into a broader variety of mental illnesses such as autism and personality disorder other than borderline.
父母患有精神疾病和/或成瘾的儿童自身患精神疾病的风险很高。父母的精神疾病非常普遍,导致大量儿童处于高风险之中。本综述的目的是根据最近的文献,对父母患有各种精神疾病和/或成瘾的儿童的精神病理学进行最新概述。
在全球范围内,15%至23%的儿童与患有精神疾病的父母生活在一起。这些儿童患精神疾病的几率高达50%。父母患有焦虑症会使孩子自身患焦虑症的风险更具特异性,而父母患有其他精神疾病的孩子则有患多种精神疾病的高风险。虽然对患有精神疾病父母的孩子进行预防性干预可能会将问题发展的风险降低40%;但目前,这些孩子并没有被自动识别并得到帮助。
这些知识应促使心理健康服务机构满足这些儿童的需求,这需要儿童和青少年心理健康服务机构与成人心理健康服务机构之间的密切合作。进一步研究的方向包括纳入父母双方、考虑共病情况,并更深入地研究除边缘型人格障碍之外的更广泛的精神疾病,如自闭症和人格障碍。