Department of Clinical Psychology and Psychotherapy, Freie Universität Berlin, Habelschwerdter Allee 45, 14195, Berlin, Germany.
Clin Child Fam Psychol Rev. 2024 Mar;27(1):1-22. doi: 10.1007/s10567-023-00452-5. Epub 2023 Sep 13.
The presence of a parental mental disorder can lead to adverse outcomes for children. Difficulties in emotion regulation are observed across a range of mental health problems and may play a crucial role in this context. Following PRISMA guidelines, we systematically searched Medline, PsycINFO, Embase, and Web of Science for studies examining the association between emotion regulation in parents with psychopathology at a clinical or subclinical level and their parenting. The protocol was registered with the PROSPERO international prospective register of systematic reviews (CRD42021224954; January 2021). A total of 23 studies were included in the qualitative synthesis. Emotion regulation was predominantly assessed using self-report on the general ability (e.g., Difficulties in Emotion Regulation Scale). The assessment of parenting encompassed a broad range of aspects and operationalizations. Across psychopathology in parents, several aspects of difficulties in emotion regulation were associated with unfavorable emotion socialization, more negative parenting, and partially with less positive parenting. Slightly different effects were observed for posttraumatic stress disorder and anxiety disorders. For parents with depressive disorders, specific emotion regulation strategies (suppression, reappraisal) seem to buffer against negative parenting. Since the majority of studies refer only to mothers, generalization to fathers is limited. Furthermore, conclusions are limited due to study heterogeneity and lack of prospective studies. Nevertheless, findings suggest that interventions should target the improvement of emotion regulation in parents with psychopathology.
父母的精神障碍会对孩子产生不良后果。在一系列心理健康问题中都观察到情绪调节困难，并且在这种情况下可能起着至关重要的作用。根据 PRISMA 指南，我们系统地在 Medline、PsycINFO、Embase 和 Web of Science 中搜索了研究父母的精神病理学临床或亚临床水平与他们的育儿之间的情绪调节之间关系的研究。该方案已在 PROSPERO 国际前瞻性系统评价注册中心（CRD42021224954；2021 年 1 月）中进行了注册。共有 23 项研究纳入定性综合分析。情绪调节主要通过自我报告的一般能力来评估（例如，情绪调节困难量表）。育儿的评估涵盖了广泛的方面和操作化。在父母的精神病理学中，情绪调节困难的几个方面与不良的情绪社会化、更多的消极育儿以及部分较少的积极育儿有关。创伤后应激障碍和焦虑症的观察到的影响略有不同。对于患有抑郁症的父母，特定的情绪调节策略（抑制、重新评估）似乎可以缓冲消极的育儿方式。由于大多数研究仅涉及母亲，因此对父亲的概括是有限的。此外，由于研究的异质性和缺乏前瞻性研究，结论受到限制。尽管如此，研究结果表明，干预措施应针对改善有精神病理学的父母的情绪调节。
