Chapman Laura, Hutson Rosie, Dunn Abby, Brown Maddy, Savill Ella, Cartwright-Hatton Sam
School of Psychology, University of Sussex, United Kingdom.
School of Psychology, University of Sussex, United Kingdom.
J Anxiety Disord. 2022 May;88:102557. doi: 10.1016/j.janxdis.2022.102557. Epub 2022 Mar 23.
Children of anxious parents are at heightened risk of developing an anxiety disorder of their own, but promising research indicates that targeting parenting behaviours can reduce the risk of intergenerational transmission of anxiety. Given there is extensive evidence for the efficacy of treatments for adult anxiety, the current review sought to identify whether interventions solely addressing parental symptoms had any effect on the mental health and wellbeing of their children. Randomised Controlled Trials of psychological interventions targeting adults with a probable anxiety disorder and which included a child mental health or wellbeing outcome were eligible for inclusion. Scopus, Web of Science, PubMed, PsychINFO, and PsychArticles were searched, and 2137 articles were systematically reviewed. However, no articles were identified that met the review criteria. Research into interventions targeting adult anxiety is failing to consider the potential benefit treatment may have on dependent children. This is a missed opportunity to evaluate a potential means of support for children who are known to be at risk of anxiety. Evaluation of psychological interventions for adult anxiety should consider including both adult and child mental health outcomes to determine potential preventative effects.
焦虑父母的孩子自身患焦虑症的风险更高，但有前景的研究表明，针对养育行为进行干预可以降低焦虑症代际传播的风险。鉴于有大量证据表明成人焦虑症治疗方法的有效性，本次综述旨在确定仅针对父母症状的干预措施是否会对其子女的心理健康和幸福产生影响。针对可能患有焦虑症的成年人且将儿童心理健康或幸福作为一项结果指标的心理干预随机对照试验符合纳入标准。检索了Scopus、科学网、PubMed、心理学文摘数据库和心理学期刊全文数据库，并对2137篇文章进行了系统综述。然而，未发现符合综述标准的文章。针对成人焦虑症的干预研究没有考虑到治疗可能对受抚养子女产生的潜在益处。这是一个错失的机会，未能评估一种可能为已知有焦虑风险的儿童提供支持的方式。对成人焦虑症心理干预的评估应考虑纳入成人和儿童心理健康结果指标，以确定潜在的预防效果。
