Understanding the impact of children's and young people's self-harm on parental well-being: a systematic literature review of qualitative and quantitative findings

IF 6.8 3区医学 Q1 PEDIATRICS

Child and Adolescent Mental Health Pub Date : 2024-02-16 DOI:10.1111/camh.12692

Faith Martin, Anne Ferrey, Laura Hobbs, Karen Lascelles, Suzanne van Even, Thomas Oliver

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引用次数: 0

Abstract

Background

Self-harm in children and young people is increasing. Parents are vital in supporting young people; however, parents may experience distress linked to the self-harm. Previous reviews have highlighted the emotional impact and need for information and support, however, have not elucidated the relationships between these themes, nor examined the quantitative data examining parents' well-being.

Methods

We conducted a mixed methods review, with qualitative meta-synthesis focusing on links between themes and quantitative synthesis of parental well-being findings, including pooled means. PsycInfo, Medline, EMBASE, AMED, CINHAL and Web of Science were searched to identify relevant records. References of included studies were also searched. Every abstract was screened by two authors. Data were extracted by one author and checked by another.

Results

We identified 39 reports of 32 studies: 16 with qualitative data and 17 with quantitative data (one had both). Qualitative findings showed how parents' emotions were associated to their knowledge and beliefs about self-harm. Parents' emotions often evidenced the need to self-care, but emotions of guilt reduced engagement in self-care. How parents supported their young person was linked to their knowledge, and the management of their own emotions, and influenced if they could engage in self-care. Quantitative findings were mixed, however suggested poor general mental health amongst these parents.

Conclusions

Further good quality quantitative studies are needed, with measurement of psychological mechanisms that may underpin parental distress. Current evidence supports peer-support and interventions that go beyond information provision to address the connected factors of knowledge, emotion, self-care, and parenting behaviours.

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了解儿童和青少年自我伤害对父母福祉的影响：定性和定量研究结果的系统性文献综述。

背景：儿童和青少年自我伤害现象日益增多。父母在支持青少年方面起着至关重要的作用；然而，父母可能会因自我伤害而感到痛苦。以前的综述强调了情绪影响以及对信息和支持的需求，但没有阐明这些主题之间的关系，也没有研究父母福祉的定量数据：我们采用混合方法进行了综述，其中定性的元综合侧重于各主题之间的联系，定量的综合侧重于父母幸福感的调查结果，包括汇总的平均值。我们检索了 PsycInfo、Medline、EMBASE、AMED、CINHAL 和 Web of Science，以确定相关记录。此外，还检索了纳入研究的参考文献。每份摘要均由两位作者进行筛选。数据由一位作者提取，另一位作者核对：我们确定了 32 项研究的 39 份报告：结果：我们确定了 32 项研究中的 39 篇报告：16 篇提供了定性数据，17 篇提供了定量数据（其中一篇同时提供了定性和定量数据）。定性研究结果表明，家长的情绪与他们对自我伤害的认识和信念有关。父母的情绪往往证明了自我护理的必要性，但内疚的情绪会降低自我护理的参与度。父母如何支持他们的孩子与他们的知识和自身情绪管理有关，并影响着他们能否参与自我护理。定量研究结果参差不齐，但表明这些家长的总体心理健康状况较差：结论：需要进一步开展高质量的定量研究，对可能导致父母痛苦的心理机制进行测量。目前的证据表明，同伴支持和干预措施不仅能提供信息，还能解决知识、情感、自我保健和养育行为等相关因素。

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来源期刊

Child and Adolescent Mental Health PEDIATRICS-PSYCHIATRY

CiteScore

8.30

自引率

3.30%

发文量

审稿时长

>12 weeks

期刊介绍： Child and Adolescent Mental Health (CAMH) publishes high quality, peer-reviewed child and adolescent mental health services research of relevance to academics, clinicians and commissioners internationally. The journal''s principal aim is to foster evidence-based clinical practice and clinically orientated research among clinicians and health services researchers working with children and adolescents, parents and their families in relation to or with a particular interest in mental health. CAMH publishes reviews, original articles, and pilot reports of innovative approaches, interventions, clinical methods and service developments. The journal has regular sections on Measurement Issues, Innovations in Practice, Global Child Mental Health and Humanities. All published papers should be of direct relevance to mental health practitioners and clearly draw out clinical implications for the field.