Division of Psychology & Mental Health, School of Health Sciences, The University of Manchester, Manchester, UK.
Coventry University, Coventry, UK.
BMJ Ment Health. 2024 Sep 25;27(1):e301218. doi: 10.1136/bmjment-2024-301218.
Depression and anxiety are common among children and young people and can impact on the well-being of their parents/carers. Dominant intervention approaches include parent training; however, this approach does not directly address parents' well-being. Our objective was to examine the effect of interventions, with at least a component to directly address the parents' own well-being, on parents' well-being outcomes, including stress, depression and anxiety.
A systematic search was performed in the following: MEDLINE, EMBASE, CINAHL, AMED, PsycINFO, Scopus, CENTRAL, Web of Science Core Collection (six citation indexes) and WHO ICTRP from inception to 30 December 2023. Interventions that aimed to support parents/carers managing the impact of their child's/young person's mental health were eligible. EPHPP (Effective Public Health Practice Project) was used to quality appraise the included studies. A meta-analysis of relevant outcomes was conducted.
Fifteen studies were eligible comprising 812 parents/carers. Global methodological quality varied. Seven outcomes (anxiety, depression, stress, burden, self-efficacy, quality of life and knowledge of mood disorders) were synthesised at post-intervention. A small reduction in parental/carer anxiety favouring intervention was indicated in one of the analyses (=-0.26, 95% CI -0.44 to -0.09, p=0.02), when excluding an influential case. Three outcomes were synthesised at follow-up, none of which were statistically significant.
Interventions directly addressing the well-being for parents of children with anxiety and/or depression appear not to be effective overall. Clearer conceptualisation of factors linked to parental distress is required to create more targeted interventions.
CRD42022344453.
抑郁和焦虑在儿童和青少年中很常见，会影响其父母/照顾者的幸福感。主要的干预方法包括家长培训；然而，这种方法并不能直接解决父母的幸福感。我们的目的是研究干预措施的效果，这些干预措施至少有一个组成部分直接针对父母自身的幸福感，以评估其对父母幸福感结果的影响，包括压力、抑郁和焦虑。
在以下方面进行了系统检索：MEDLINE、EMBASE、CINAHL、AMED、PsycINFO、Scopus、CENTRAL、Web of Science 核心合集（六个引文索引）和世卫组织 ICTRP，从成立到 2023 年 12 月 30 日。旨在支持父母/照顾者管理其子女/青少年心理健康影响的干预措施符合条件。使用 EPHPP（有效公共卫生实践项目）对纳入的研究进行质量评估。对相关结果进行了 meta 分析。
共有 15 项研究符合条件，共纳入 812 名父母/照顾者。整体方法学质量差异较大。在干预后对 7 个结局（焦虑、抑郁、压力、负担、自我效能感、生活质量和心境障碍知识）进行了综合分析。在一项分析中，干预组的父母/照顾者焦虑程度略有降低（=-0.26，95%CI -0.44 至 -0.09，p=0.02），但排除了一个有影响的病例。在随访时综合了 3 个结局，均无统计学意义。
直接针对患有焦虑和/或抑郁的儿童的父母的幸福感的干预措施总体上似乎无效。需要更清楚地认识与父母痛苦相关的因素，以创建更有针对性的干预措施。
PROSPERO 注册号：CRD42022344453。
