Efficacy of psychosocial interventions for young offspring of parents with a serious physical or mental illness: Systematic review and meta-analysis

IF 13.7 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical Psychology Review Pub Date : 2025-03-28 DOI:10.1016/j.cpr.2025.102569

Giulia Landi , Kenneth I. Pakenham , Zhangxuan Bao , Roberto Cattivelli , Elisabetta Crocetti , Eliana Tossani , Silvana Grandi

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引用次数: 0

Abstract

Serious parental physical or mental illness significantly increases the risk of adverse adjustment outcomes in adolescents and young adults. This systematic review and meta-analysis evaluates the efficacy of psychosocial interventions targeting this vulnerable group. Eligible randomized control trials (RCTs) were searched through the Medline, Web of Science, PsycINFO, PsycArticles, Cinahl, and ProQuest Dissertation and Theses databases. Young offspring outcomes included: psychological (including internalizing and externalizing problems), positive, and interpersonal adjustment. Thirty-one manuscripts reporting on twenty-seven independent RCTs, including 3590 adolescent and young adult offspring, met eligibility criteria. Most of the studies targeted adolescents with a mean age within ±1 SD of 12.17–16.33 years, with only one study directly targeting young adults. Three-quarters of studies included parental mental illness, and the remaining parental physical illness. Results highlighted a small post-intervention effect for psychological adjustment (d = 0.17,[0.05,0.29], p = .006), maintained at short-term (3–12 months) follow-up (d = 0.33 [0.12,0.54], p = .002), but not at long-term (15 months or longer) follow-up (d = −0.00 [−0.19,0.19], p = .98). A similar pattern emerged for internalizing problems, while for externalizing problems, no significant post-intervention effect was detected. Results also showed a small post-intervention effect for positive adjustment (d = 0.36,[0.10,0.61], p = .006), which increased to a medium effect at short-term follow-up (d = 0.62,[0.15,1.09], p = .010). Post-intervention effects were not present for interpersonal adjustment. Intervention duration moderated effects on post-intervention outcomes, while intervention setting and gender balance moderated outcomes at follow-ups. Psychosocial interventions for young offspring of parents with serious illnesses appear effective in improving psychological and positive outcomes with small-to-moderate effects at post-intervention and short-term follow-up.

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心理社会干预对父母有严重身体或精神疾病的年轻后代的效果：系统回顾和荟萃分析

严重的父母身体或精神疾病显著增加青少年和年轻人不良适应结果的风险。本系统综述和荟萃分析评估了针对这一弱势群体的社会心理干预的效果。通过Medline、Web of Science、PsycINFO、PsycArticles、Cinahl和ProQuest Dissertation and Theses数据库检索符合条件的随机对照试验（RCTs）。年轻后代的结果包括：心理（包括内化和外化问题），积极和人际关系调整。31篇报道27项独立随机对照试验的论文符合入选标准，其中包括3590名青少年和年轻成人后代。大多数研究的对象是平均年龄在±1 SD范围内12.17-16.33岁的青少年，只有一项研究直接针对青壮年。四分之三的研究包括父母的精神疾病，其余的包括父母的身体疾病。结果显示，干预后心理调节的效果较小（d = 0.17,[0.05,0.29], p = 0.006），在短期（3-12个月）随访中保持（d = 0.33 [0.12,0.54], p = 0.002），但在长期（15个月或更长）随访中没有效果（d = - 0.00 [- 0.19,0.19], p = 0.98）。对于内化问题也出现了类似的模式，而对于外化问题，没有发现显著的干预后效果。结果还显示，干预后积极调整的效果较小（d = 0.36,[0.10,0.61], p = 0.006），在短期随访中增强为中等效果（d = 0.62,[0.15,1.09], p = 0.010）。干预后对人际适应没有影响。干预时间对干预后结果有调节作用，而干预设置和性别平衡对随访结果有调节作用。在干预后和短期随访中，对患有严重疾病的父母的年轻后代进行心理社会干预似乎在改善心理和积极结果方面有效，效果小到中等。

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来源期刊

Clinical Psychology Review PSYCHOLOGY, CLINICAL-

CiteScore

23.10

自引率

1.60%

发文量

期刊介绍： Clinical Psychology Review serves as a platform for substantial reviews addressing pertinent topics in clinical psychology. Encompassing a spectrum of issues, from psychopathology to behavior therapy, cognition to cognitive therapies, behavioral medicine to community mental health, assessment, and child development, the journal seeks cutting-edge papers that significantly contribute to advancing the science and/or practice of clinical psychology. While maintaining a primary focus on topics directly related to clinical psychology, the journal occasionally features reviews on psychophysiology, learning therapy, experimental psychopathology, and social psychology, provided they demonstrate a clear connection to research or practice in clinical psychology. Integrative literature reviews and summaries of innovative ongoing clinical research programs find a place within its pages. However, reports on individual research studies and theoretical treatises or clinical guides lacking an empirical base are deemed inappropriate for publication.