Engelhard Caitlin, Hishinuma Earl, Rehuher Davis
Department of Psychiatry, University of Hawai'i at Mānoa, 1356 Lusitana Street, 4th Floor, Honolulu, Hawai'i, 96813, USA.
Arch Womens Ment Health. 2022 Dec;25(6):1041-1065. doi: 10.1007/s00737-022-01272-2. Epub 2022 Nov 3.
Maternal depression negatively impacts child mental health and is a well-known risk factor for child psychopathology. However, maternal depression treatment and child mental health treatment are rarely integrated. The purpose of this review was to assess the impact of maternal depression on child mental health treatment, including (1) how treatment of maternal depression affects child mental health outcomes, (2) the impact of maternal depression on children receiving mental health care, and (3) emerging models that address maternal depression in primary-care pediatrics and child mental health settings. A systematic literature review was conducted using PubMed and PsycInfo. Initial search yielded 224 records, and after exclusion, 29 papers were reviewed. Effective treatment of maternal depression is associated with a significant decrease in child psychiatric symptoms. Maternal depression negatively affects child mental health treatment in that there is a high rate of untreated mental illness among mothers of psychiatrically ill children, and maternal depression impedes effective child mental health treatment. Current models to address maternal depression in child settings include screening in pediatric primary care, psychotherapy for depressed mothers of psychiatrically ill children, and emerging models that integrate maternal and child mental health treatment. Effective treatment of maternal depression significantly improves child mental health and should be better integrated into child treatment. Opportunities to improve care include more robust screening for parental mental illness, supports to refer parents to psychiatric care, and on-site services for parents. Such interventions hold promise, but require significant support from a multidisciplinary team.
母亲抑郁会对儿童心理健康产生负面影响，并且是儿童精神病理学的一个众所周知的风险因素。然而，母亲抑郁治疗和儿童心理健康治疗很少整合。本综述的目的是评估母亲抑郁对儿童心理健康治疗的影响，包括：（1）母亲抑郁的治疗如何影响儿童心理健康结果；（2）母亲抑郁对接受心理健康护理的儿童的影响；（3）在初级保健儿科和儿童心理健康环境中解决母亲抑郁问题的新出现的模式。使用PubMed和PsycInfo进行了系统的文献综述。初步检索得到224条记录，排除后，对29篇论文进行了综述。母亲抑郁的有效治疗与儿童精神症状的显著减少相关。母亲抑郁对儿童心理健康治疗产生负面影响，因为在患有精神疾病的儿童的母亲中，未治疗的精神疾病发生率很高，并且母亲抑郁阻碍了有效的儿童心理健康治疗。当前在儿童环境中解决母亲抑郁问题的模式包括在儿科初级保健中进行筛查、为患有精神疾病的儿童的抑郁母亲提供心理治疗，以及整合母亲和儿童心理健康治疗的新出现的模式。母亲抑郁的有效治疗能显著改善儿童心理健康，并且应该更好地整合到儿童治疗中。改善护理的机会包括对父母精神疾病进行更有力的筛查、支持将父母转介到精神科护理，以及为父母提供现场服务。此类干预措施有前景，但需要多学科团队的大力支持。
