Ridosh Monique M, Sawin Kathleen J, Klein-Tasman Bonita P, Holmbeck Grayson N
a Marcella Niehoff School of Nursing , Loyola University Chicago , Chicago , Illinois , USA.
b Self-Management Science Center, College of Nursing , University of Wisconsin-Milwaukee and Children's Hospital of Wisconsin , Milwaukee , Wisconsin , USA.
Compr Child Adolesc Nurs. 2017 Jun;40(2):71-110. doi: 10.1080/24694193.2016.1273978. Epub 2017 Feb 1.
To review the literature on the prevalence of depressive symptoms in parents of children with spina bifida (SB) and factors related to these symptoms. A search was conducted using the major health databases (CINAHL, MEDLINE, and PsycINFO). Nineteen studies were identified that met inclusion and exclusion criteria. A context, process, and outcome framework was used to organize the findings. This review identified both: (a) a high prevalence of parental depressive symptoms (PDS); and (b) specific factors: demographics, condition, child, family functioning, and parent factors that explained 32-67% of parent depressive symptoms (PDS). Although contextual factors were important, they alone were not sufficient to explain PDS. Process factors accounted for more variance in PDS than context factors. Findings warrant implementation of depression screening in parents of children with spina bifida. This review identified factors related to PDS and highlighted gaps in the literature to guide future research.
回顾关于脊柱裂（SB）患儿父母抑郁症状患病率及与这些症状相关因素的文献。使用主要健康数据库（CINAHL、MEDLINE和PsycINFO）进行了检索。确定了19项符合纳入和排除标准的研究。采用背景、过程和结果框架来组织研究结果。本综述发现了两点：（a）父母抑郁症状（PDS）的高患病率；（b）特定因素：人口统计学、病情、孩子、家庭功能和父母因素，这些因素解释了32%-67%的父母抑郁症状（PDS）。虽然背景因素很重要，但仅靠它们不足以解释PDS。过程因素比背景因素在PDS中占的变异更多。研究结果表明有必要对脊柱裂患儿的父母进行抑郁筛查。本综述确定了与PDS相关的因素，并突出了文献中的空白以指导未来的研究。
