Psychosocial Research Centre, NorthWestern Mental Health Service, Coburg, Victoria, Australia.
Department of Psychiatry, The University of Melbourne, Parkville, Victoria, Australia.
Early Interv Psychiatry. 2022 Sep;16(9):935-957. doi: 10.1111/eip.13230. Epub 2021 Nov 2.
Family and friends are often the first and/or only support options used by young people (12-25 years) struggling with mental health issues. The overarching aim of this literature review is to map current practice in online interventions specifically targeting family and friends of young people with mental health issues, especially relevant in light of the current worldwide COVID-19 pandemic.
A rapid scoping literature review was conducted searching health and psychology databases for online interventions targeting family and friends supporting a young person (12-25 years) struggling with a mental health issue. The search strategy was comprehensive and expert librarian endorsed. The final synthesis comprised 13 articles.
Identified articles were few, reporting a disparate range of research aims, intervention content and delivery modes. Studies addressing caregivers of adolescents with a mental health diagnosis were small-scale, although suggested virtual modalities are positively received and viable alternatives to other delivery methods with potential for equivalent outcomes. Five randomized control trials involving caregivers of 'at-risk' adolescents reported improved parental knowledge, but mixed effects on family functioning.
Preliminary evidence suggests flexible online options including professional and peer support, to respond to carers' busy lives are needed to maximize benefits. Content that is sufficiently individualized and targeted to address the diverse needs of parents, as well as other caregivers, is also required. Well-being and self-care, in addition to parenting skills should be given more consideration in online interventions. Examination of the value of support from peers is also warranted.
家庭和朋友通常是年轻人（12-25 岁）在与心理健康问题作斗争时首先使用的和/或唯一的支持选项。本文献综述的总体目标是绘制专门针对有心理健康问题的年轻人的家庭和朋友的在线干预措施的当前实践情况，鉴于当前全球范围内的 COVID-19 大流行，这一点尤为重要。
进行了快速范围界定文献综述，在健康和心理学数据库中搜索针对支持有心理健康问题的年轻人（12-25 岁）的家庭和朋友的在线干预措施。搜索策略全面，并得到了专家图书管理员的认可。最终综合包括 13 篇文章。
确定的文章很少，报告了不同的研究目的、干预内容和交付模式。针对有心理健康诊断的青少年照顾者的研究规模较小，但表明虚拟模式得到了积极的反馈，并且是其他交付方法的可行替代方案，具有同等效果的潜力。涉及“高危”青少年照顾者的五项随机对照试验报告称，父母的知识有所提高，但对家庭功能的影响不一。
初步证据表明，需要灵活的在线选择，包括专业和同伴支持，以满足照顾者忙碌的生活，从而最大程度地发挥效益。还需要足够个性化和有针对性的内容来满足父母以及其他照顾者的多样化需求。在线干预措施还应更多地考虑幸福感和自我保健以及育儿技能。值得研究来自同龄人的支持的价值。
