Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK; Children and Families Service, London Borough of Hackney, London, UK.
Assisting Living & Learning Institute, Department of Psychology, Maynooth University, Maynooth, Ireland.
Lancet Psychiatry. 2021 Oct;8(10):919-928. doi: 10.1016/S2215-0366(21)00207-8.
This scoping review synthesises previous research on caregivers' experiences and perspectives of caring for a child with a mental health or neurodevelopmental condition while living in low-income and middle-income countries (LMICs). 35 studies done across 15 LMICs were included in this Series paper. Most studies were done in the Africa region. Child and adolescent mental health and neurodevelopmental conditions were perceived by caregivers to have both biomedical and traditional or spiritual causes and help-seeking was aligned to these explanatory beliefs. Caregivers commonly described reduced quality of life, which they attributed to their children's mental or neurodevelopmental condition, and additional reports of family disruption, caregiver psychological distress, and financial hardship. To strengthen mental health outcomes of young people, better mental health promotion information for caregivers is required along with improved engagement with communities and increased sensitivity to caregiver wellbeing and needs when developing interventions for children and adolescents.
本范围综述综合了以往关于在中低收入国家（LMICs）照顾患有心理健康或神经发育状况的儿童的照顾者的经验和观点的研究。本综述系列共纳入了来自 15 个 LMIC 地区的 35 项研究。大多数研究在非洲地区进行。照顾者认为儿童的心理健康和神经发育状况既有生物医学方面的原因，也有传统或精神方面的原因，他们的寻医问药行为与这些解释性信念相符。照顾者普遍描述了生活质量的下降，他们将其归因于子女的心理健康或神经发育状况，此外还报告了家庭破裂、照顾者心理困扰和经济困难。为了改善年轻人的心理健康状况，需要为照顾者提供更好的心理健康促进信息，并在为儿童和青少年制定干预措施时，更好地与社区接触，更加关注照顾者的幸福感和需求。
