School of Psychology, Cardiff University, Cardiff, UK
Coventry University, Coventry, UK.
BMJ Ment Health. 2024 Aug 4;27(1):e300971. doi: 10.1136/bmjment-2023-300971.
For parents of children and young people (CYP) with diagnosed mental health difficulties, what are the levels of parents' well-being and psychological need?
Medline, PsycINFO, EMBASE, AMED, CINAHL, Web of Science and Cochrane Library of Registered Trials were searched from inception to June 2023.
parents of CYP aged 5-18 years with formal mental health diagnosis. Data were extracted from validated measures of well-being or psychological needs with established cut-off points or from a controlled study.
32 of the 73 310 records screened were included. Pooled means showed clinical range scores for one measure of depression, and all included measures of anxiety, parenting stress and general stress. Meta-analyses showed greater depression (g=0.24, 95% CI 0.11 to 0.38) and parenting stress (g=0.34, 95% CI 0.20 to 0.49) in parents of CYP with mental health difficulties versus those without. Mothers reported greater depression (g=0.42, 95% CI 0.18 to 0.66) and anxiety (g=0.73, 95% CI 0.27 to 1.18) than fathers. Narrative synthesis found no clear patterns in relation to CYP condition. Rates of parents with clinically relevant levels of distress varied. Typically, anxiety, parenting stress and general stress scored above clinical threshold. Quality appraisal revealed few studies with a clearly defined control group, or attempts to control for important variables such as parent gender.
The somewhat mixed results suggest clinical anxiety, parenting and general stress may be common, with sometimes high depression. Assessment and support for parents of CYP with mental health problems is required. Further controlled studies, with consideration of pre-existing parental mental health difficulties are required.
CRD42022344453.
对于患有已确诊精神健康问题的儿童和青少年 (CYP) 的父母，其幸福感和心理需求水平如何？
从成立到 2023 年 6 月，检索了 Medline、PsycINFO、EMBASE、AMED、CINAHL、Web of Science 和 Cochrane 注册试验库。
年龄在 5-18 岁之间、有正式精神健康诊断的 CYP 父母。数据取自经证实的幸福感或心理需求测量工具，其使用了既定的临界点或来自对照研究。
在筛查的 73310 条记录中，有 32 条符合纳入标准。汇总均值显示，一种抑郁测量工具的得分处于临床范围，所有纳入的焦虑、育儿压力和一般压力测量工具的得分也处于临床范围。元分析显示，患有精神健康问题的 CYP 父母的抑郁（g=0.24，95%置信区间 0.11 至 0.38）和育儿压力（g=0.34，95%置信区间 0.20 至 0.49）评分高于没有精神健康问题的父母。母亲报告的抑郁（g=0.42，95%置信区间 0.18 至 0.66）和焦虑（g=0.73，95%置信区间 0.27 至 1.18）评分高于父亲。叙述性综合分析发现，与 CYP 状况相关的结果没有明显的模式。有临床相关程度痛苦的父母的比例各不相同。通常情况下，焦虑、育儿压力和一般压力的得分高于临床阈值。质量评估显示，很少有研究有明确界定的对照组，或试图控制父母性别等重要变量。
有些混杂的结果表明，临床焦虑、育儿和一般压力可能很常见，有时抑郁程度较高。需要对有精神健康问题的 CYP 父母进行评估和支持。需要进一步进行对照研究，并考虑到父母先前存在的心理健康问题。
PROSPERO 注册号：CRD42022344453。
