Recognising the Parental Caregiver Burden of Children With Mental Disorders: A Systematic Mixed-Studies Review.

Travis Lanz-Brian Pereira, Orn-Anong Wichaikhum, Apiradee Nantsupawat, Priyadharshni Rajendrana, Sara Baladram, Shefaly Shorey
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Abstract

This review aims to consolidate and appraise evidence exploring the caregiver burden of parents of children with mental disorders. A mixed-studies review structure was adopted and six electronic databases (PubMed, CINAHL, PsycINFO, Embase, Scopus and ProQuest Dissertations and Theses Global) were searched from each database's inception date until September 2023. Thomas & Harden's thematic analysis framework was utilised for data analysis. Twenty-three studies were included in this review. The results-based convergent integration method identified an overarching theme titled 'hiding behind the walls on fire, engulfed in chaos: dark and alone', three main themes named 'Invisible scars': role of psychological factors on caregiver burden, navigating through social and economic influences on caregiving burden, and influence of illness-related variables and nine subthemes. This review highlighted that the parents perceived insufficient support from healthcare providers and a lack of insight regarding their children's medical condition as the primary contributors to the burden experienced. It is imperative for healthcare professionals to collaboratively engage with parental caregivers, offering accessible treatment options for their children with mental disorders and providing comprehensive educational resources to facilitate a profound understanding of their children's mental health conditions. In addition to addressing caregivers' informational needs, the establishment of an integrated support system is advocated, one involving active participation from healthcare professionals, healthcare institutions, community resources, social services and policymakers. This holistic approach could better meet the multifaceted needs of caregivers, encompassing psychosocial, emotional and financial aspects. Trial Registration: International Prospective Register of Systematic Reviews: PROSPERO ID: CRD42022363420.

认识精神失常儿童父母照顾者的负担:系统性混合研究综述》。
本综述旨在整合和评估有关精神障碍儿童父母照顾者负担的证据。本综述采用了混合研究综述结构,并检索了六个电子数据库(PubMed、CINAHL、PsycINFO、Embase、Scopus 和 ProQuest Dissertations and Theses Global),检索时间从每个数据库的开始日期起至 2023 年 9 月。数据分析采用了托马斯和哈登的主题分析框架。本综述共纳入 23 项研究。基于结果的聚合整合方法确定了一个名为 "躲在着火的墙后面,被混乱吞噬:黑暗和孤独 "的总主题,三个名为 "看不见的伤疤 "的主主题:心理因素对照顾者负担的作用、社会和经济对照顾者负担的影响以及疾病相关变量的影响,以及九个次主题。这篇综述强调,家长们认为医疗保健提供者的支持不足以及对其子女的医疗状况缺乏深入了解是造成其照顾负担的主要原因。因此,医护人员必须与家长的照顾者合作,为他们患有精神障碍的子女提供方便的治疗方案,并提供全面的教育资源,以促进他们对子女精神健康状况的深刻理解。除了满足照护者的信息需求外,我们还提倡建立一个综合的支持系统,其中包括医疗专业人员、医疗机构、社区资源、社会服务和政策制定者的积极参与。这种综合方法可以更好地满足照顾者的多方面需求,包括社会心理、情感和经济方面的需求。试验注册:国际前瞻性系统综述注册:PROSPERO ID:CRD42022363420。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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