Department of Public Health, Erasmus University Medical Centre, Rotterdam, PO Box 2040, 3000 CA, Rotterdam, The Netherlands.
Department of Pulmonary Department, Franciscus Hospital, Rotterdam, The Netherlands.
Eur Child Adolesc Psychiatry. 2024 Jun;33(6):1687-1705. doi: 10.1007/s00787-022-02027-1. Epub 2022 Jul 25.
Parenting stress has been related to adverse health outcomes in parents, children, and their families. This systematic review aimed to provide an overview of parental, child, and situational factors related to parenting stress in mothers and fathers. We searched Embase, Medline Epub (Ovid), PsychInfo (Ovid), Web of Science, and Google scholar for studies published between January 1980 and May 2021 evaluating the association between at least one factor and parenting stress. Studies were included only if they reported the association in a general population sample of mothers and fathers with children aged 0-12 years. The parent-child relationship model by Abidin guided the data synthesis. Quality of the evidence was assessed using the Standard Quality Assessment Criteria for Evaluating Primary Research Papers from a variety of fields. In total, 29 studies were included with excellent quality (55%), good (31%), and adequate (14%) methodological quality. There was evidence of an association between maternal depression, child overall problems, child externalizing and internalizing problems, social support, maternal educational level and maternal parenting stress. Evidence was inconsistent for an association between maternal anxiety, family income and maternal parenting stress. There was no evidence of an association for maternal age, child sex and maternal parenting stress. Several modifiable factors (i.e., parental depression and social support) were identified that might guide the development of preventive interventions. Future research should employ longitudinal study designs evaluating protective and risk factors and the pathways that lead to parenting stress, among both fathers and mothers.
父母压力与父母、儿童及其家庭的不良健康结果有关。本系统评价旨在概述与父母压力相关的父母、儿童和情境因素，包括母亲和父亲。我们在 Embase、Medline Epub（Ovid）、PsychInfo（Ovid）、Web of Science 和 Google Scholar 中搜索了 1980 年 1 月至 2021 年 5 月期间发表的评估至少一个因素与父母压力之间关联的研究。只有在一般人群样本中报告了母亲和父亲与 0-12 岁儿童之间关联的研究才被纳入。Abidin 的亲子关系模型指导了数据综合。使用来自多个领域的标准质量评估标准评估证据质量。共有 29 项研究纳入，其中 55%的研究具有极好的质量，31%的研究具有良好的质量，14%的研究具有足够的质量。有证据表明母亲抑郁、儿童整体问题、儿童外化和内化问题、社会支持、母亲教育水平和母亲育儿压力之间存在关联。母亲焦虑、家庭收入和母亲育儿压力之间的关联证据不一致。母亲年龄、儿童性别和母亲育儿压力之间没有关联的证据。确定了一些可改变的因素（即父母抑郁和社会支持），这些因素可能指导预防干预措施的制定。未来的研究应该采用纵向研究设计，评估保护和风险因素以及导致父母压力的途径，包括父亲和母亲。
