Wirehag Nordh Emme-Lina, Grip Karin, Axberg Ulf
Department of Psychology, University of Gothenburg, Gothenburg, Sweden.
Faculty of Social Studies, VID Specialized University, Oslo, Norway.
Eur Child Adolesc Psychiatry. 2024 Nov 18. doi: 10.1007/s00787-024-02607-3.
Parental mental health problems can impact child mental health, as well as treatment of child mental health problems. The aim of this study was to investigate self-reported mental health problems in parents of children referred to outpatient child and adolescent mental health services (CAMHS) and to compare child mental health problems, family variables, treatment received and parent participation in treatment planning between parents above and below the cut-off for elevated mental health problems. The sample included N = 111 parents of N = 98 children. Parental reports covering their own and their children's mental health problems, family functioning, adult relationship satisfaction, and previous treatment for mental health problems were collected at the time of the child's intake appointment. Questions concerning contact with CAMHS were completed one year later. At the time of the intake appointment, 44% of the children had a parent who reported elevated mental health problems. In these families, children reportedly had significantly more mental health problems and problematic family functioning was more common than in families where parent mental health problems were not elevated. Parents with elevated mental health problems received group-based parent support/education to a greater extent during the first year of contact with CAHMS and reported less participation in treatment planning compared to parents without elevated mental health problems. To conclude, findings indicate that co-occurring mental health problems are common in parents when their child is referred to CAMHS, and in these families, it is reported that children have more symptoms, and more families experience problematic functioning. These factors merit consideration in assessment and treatment planning, indicating increased treatment needs in this group of families.
父母的心理健康问题会影响孩子的心理健康以及儿童心理健康问题的治疗。本研究的目的是调查转介到儿童和青少年心理健康门诊服务（CAMHS）的孩子的父母自我报告的心理健康问题，并比较心理健康问题高于和低于临界值的父母之间孩子的心理健康问题、家庭变量、接受的治疗以及父母在治疗计划中的参与情况。样本包括98名儿童的111名父母。在孩子预约就诊时收集了父母关于他们自己和孩子的心理健康问题、家庭功能、成人关系满意度以及先前心理健康问题治疗情况的报告。关于与CAMHS接触的问题在一年后完成。在预约就诊时，44%的孩子有一位报告心理健康问题较高的父母。据报告，在这些家庭中，孩子的心理健康问题明显更多，而且与父母心理健康问题未升高的家庭相比，有问题的家庭功能更为常见。与心理健康问题未升高的父母相比，心理健康问题较高的父母在与CAHMS接触的第一年中更多地接受了基于小组的父母支持/教育，并且报告在治疗计划中的参与较少。总之，研究结果表明，当孩子被转介到CAMHS时，父母同时出现心理健康问题很常见，并且在这些家庭中，据报告孩子有更多症状，更多家庭存在功能问题。这些因素在评估和治疗计划中值得考虑，表明这组家庭的治疗需求增加。
