The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China.
J Adv Nurs. 2021 Jul;77(7):3020-3033. doi: 10.1111/jan.14798. Epub 2021 Feb 24.
To systematically identify the application of Acceptance and Commitment Therapy among parents of children with chronic health conditions and determine its effectiveness in parental psychological flexibility, psychological distress and parenting behaviour.
Systematic review.
Nine databases (i.e. MEDLINE, PubMed, Embase, Cochrane Library, CINAHL, PsychINFO, Web of Science, China National Knowledge Infrastructure and WanFang Data) were systematically searched from inception to October 2019.
Quality of studies was appraised by using the Joanna Briggs Institute critical appraisal checklist. Findings were synthesized narratively. This work was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis statement.
Eight studies involving 485 parents were included. Results indicated that Acceptance and Commitment Therapy significantly improved parental psychological flexibility and reduced psychological distress compared with usual care and waitlist, but was not significantly different from active treatments. Limited studies have provided very preliminary evidence that Acceptance and Commitment Therapy can significantly improve dysfunctional parenting behaviour than usual care and waitlist. High attrition rate at follow-up made the overall confidence of maintained effect relatively low.
This review provides preliminary evidence that Acceptance and Commitment Therapy is beneficial for improving psychological flexibility, psychological distress and parenting behaviour among parents of children with chronic health conditions. Future studies with rigorous designs and large sample sizes are warranted to verify the evidence and explore its long-term efficacy.
Acceptance and Commitment Therapy has been increasingly applied to parents of children with chronic health conditions. This review provides positive evidence of its effects on psychological and behavioural outcomes among these parents. This work will help healthcare professionals and researchers with their practice and further research.
系统地确定接纳与承诺疗法在患有慢性疾病儿童的父母中的应用，并确定其在父母心理灵活性、心理困扰和育儿行为方面的有效性。
系统评价。
从创建到 2019 年 10 月，9 个数据库（即 MEDLINE、PubMed、Embase、Cochrane 图书馆、CINAHL、PsychINFO、Web of Science、中国国家知识基础设施和万方数据）被系统搜索。
使用 Joanna Briggs 研究所的批判性评估清单评估研究质量。结果以叙述性方式综合。本研究遵循系统评价和荟萃分析报告的首选报告项目进行。
共纳入 8 项研究，涉及 485 名父母。结果表明，与常规护理和候补组相比，接纳与承诺疗法显著提高了父母的心理灵活性，降低了心理困扰，但与积极治疗没有显著差异。有限的研究提供了初步证据，表明接纳与承诺疗法可以显著改善功能失调的育儿行为，优于常规护理和候补组。随访时较高的脱落率使得总体效果的维持信心相对较低。
本综述提供了初步证据，表明接纳与承诺疗法有益于改善慢性疾病儿童父母的心理灵活性、心理困扰和育儿行为。未来需要进行严格设计和大样本量的研究来验证证据并探索其长期疗效。
接纳与承诺疗法已越来越多地应用于患有慢性疾病儿童的父母。本综述提供了该疗法对这些父母心理和行为结果的积极证据。这项工作将有助于医疗保健专业人员和研究人员的实践和进一步研究。
