Stolper Hanna, van Doesum Karin, Steketee Majone
Department of Psychology Education and Child Studies, Erasmus University Rotterdam, Rotterdam, Netherlands.
Department of Clinical Psychology, Radboud University, Nijmegen, Netherlands.
Front Psychol. 2021 Nov 16;12:745800. doi: 10.3389/fpsyg.2021.745800. eCollection 2021.
The aim of this narrative review is to gain insight into the appropriate intervention targets when parents of infants and young children suffer from psychopathology. Psychopathology in parents is a risk factor for maladaptive parenting and is strongly related to negative cascade effects on parent-child interactions and relations in the short and long term. Children in their first years of life are especially at risk. However, in adult mental health care, this knowledge is rarely translated into practice, which is a missed opportunity for prevention. Electronic databases were searched for reviews and meta-analysis. In addition, sources were obtained via manual search, reference mining, expert opinion, and communications from conferences. In total, 56 papers, whereof 23 reviews and 12 meta-analyses were included. Findings regarding targets of intervention were identified in different interacting domains, namely the parental, family, child, and environmental domains as well as the developing parent-child relationship. A "one size fits all" intervention is not appropriate. A flexible, tailored, resource-oriented intervention program, multi-faceted in addressing all modifiable risk factors and using different methods (individual, dyadic, group), seems to provide the best results. To address the risk factors in different domains, adult and child mental health care providers should work together in close collaboration to treat the whole family including mental disorders, relational, and contextual problems. A multi-agency approach that includes social services is needed.
本叙述性综述的目的是深入了解婴幼儿父母患有精神病理学问题时的适当干预目标。父母的精神病理学是适应不良养育方式的一个风险因素，并且在短期和长期内都与对亲子互动和关系的负面级联效应密切相关。婴幼儿在其生命的头几年尤其面临风险。然而，在成人心理健康护理中，这一知识很少转化为实践，这是一个错失的预防机会。通过电子数据库搜索综述和荟萃分析。此外，通过手动搜索、参考文献挖掘、专家意见以及会议交流获取资料来源。总共纳入了56篇论文，其中包括23篇综述和12篇荟萃分析。在不同的相互作用领域，即父母、家庭、儿童和环境领域以及发展中的亲子关系中，确定了关于干预目标的研究结果。“一刀切”的干预并不合适。一个灵活的、量身定制的、以资源为导向的干预项目，多方面解决所有可改变的风险因素并使用不同方法（个体、二元、团体），似乎能提供最佳效果。为了应对不同领域的风险因素，成人和儿童心理健康护理提供者应密切合作，共同治疗整个家庭，包括精神障碍、关系和背景问题。需要一种包括社会服务在内的多机构方法。
