Monash Rural Health Warragul, Monash University, 2 Sargeant Street, Warragul, VIC, 3820, Australia.
Monash Rural Health Churchill, Monash University, Churchill, Australia.
Eur Child Adolesc Psychiatry. 2021 Jul;30(7):997-1012. doi: 10.1007/s00787-020-01502-x. Epub 2020 Mar 4.
People affected by mental illness often come from families with patterns of mental illness that span across generations. Hence, child and adolescent mental health services (CAMHS) likely provide treatment to many children with parents who also experience mental illness. The aim of this scoping review was to: (1) identify the prevalence of mental illness among parents of children in CAMHS; (2) identify and appraise the methodologies that have been implemented to assess the prevalence of parental mental illness in CAMHS; (3) identify additional circumstances associated with families where both parent and child experience mental illness; and (4) present recommendations that have been made for CAMHS practice based on these findings. English language, peer-reviewed studies (2010-2018) that had investigated the mental health of parents in CAMHS were included in the review. Literature searching yielded 18 studies which were found to have utilised diverse methodologies to assess parental mental health. Overall, reported prevalence of parental mental illness ranged from 16 to 79%; however, a single study that was deemed to be comprehensive reported prevalence rates of 36% for mothers and 33% for fathers. Across studies, parent and child mental illness was found to be associated with additional adversities impacting family functioning and wellbeing. For children who receive treatment for mental illness, having a parent who also experiences mental illness is a frequent family circumstance that has implications for their prospects for recovery. Accordingly, the mental health of parents should be an important consideration within the mental health care CAMHS provide to children.
受精神疾病影响的人往往来自有跨代精神病史的家庭。因此，儿童和青少年心理健康服务（CAMHS）可能会为许多父母也患有精神疾病的儿童提供治疗。本范围综述的目的是：（1）确定在 CAMHS 接受治疗的儿童的父母中精神疾病的患病率；（2）确定和评估已用于评估 CAMHS 中父母精神疾病患病率的方法；（3）确定与父母和子女都患有精神疾病的家庭相关的其他情况；（4）根据这些发现为 CAMHS 实践提出建议。本综述纳入了 2010 年至 2018 年间调查 CAMHS 中父母心理健康的英文同行评审研究。文献检索共发现 18 项研究，这些研究采用了不同的方法来评估父母的心理健康。总体而言，父母精神疾病的报告患病率从 16%到 79%不等；然而，一项被认为全面的研究报告了母亲的患病率为 36%，父亲的患病率为 33%。在各项研究中，父母和子女的精神疾病与影响家庭功能和幸福感的其他逆境有关。对于接受精神疾病治疗的儿童来说，父母也患有精神疾病是一种常见的家庭情况，这对他们的康复前景有影响。因此，父母的心理健康应该是 CAMHS 为儿童提供精神保健服务时的一个重要考虑因素。
