Positive and Negative Family Relationships Correlate With Mental Health Conditions -a Systematic Review and Meta-Analysis.

IF 4.1 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

PUBLIC HEALTH REVIEWS Pub Date : 2025-07-21 eCollection Date: 2025-01-01 DOI:10.3389/phrs.2025.1607381

Jutta Lindert, Sarah Arndt, Natalie Cook, Paul A Bain, Ichiro Kawachi

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Abstract

Objectives: We aim to investigate the association between family relationships and mental health conditions in adults aged 18+.

Methods: We conducted a systematic review on associations of family relationships and mental health conditions by searching in databases MEDLINE, Embase, Web of Science Core Collection, PsycINFO, Sociological Abstracts (ProQuest), and PTSDPubs. We calculated the Pearson correlation coefficients and I2 statistics using a random-effects model. Additionally, we investigated publication bias using funnel plots.

Results: Of the 3,707 records screened, 40 with n = 35,634 participants met the inclusion criteria (38.5% male, 59.5% female, mean age 39.57), were conducted mostly in North America (n = 27). Positive family relationships were investigated in 33 studies, negative relationships in 12 studies. Positive family relationships were not statistically significantly associated with depression [r = -0.071 (-0.256, 0.119), p = 0.463, anxiety r = 0.026 (-0.032, 0.084), p = 0.375] or alcohol abuse [r = 0.035 (-0.103, 0.0034), p=0.326]. Positive family relationships were statistically significantly associated with illicit drug use [r = 0.061 (0.025, 0.096), p = 0.001]. Negative family relationships were statistically significantly associated with anxiety [r = 0.075 (0.019, 0.130), p = 0.009], and with depression [r = 0.111 (0.033, 0.188), p = 0.005].

Conclusion: Interventions reducing negative family relationships can potentially strengthen positive mental health.

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积极和消极的家庭关系与心理健康状况相关——系统回顾和荟萃分析。

目的：探讨18岁以上成人家庭关系与心理健康状况的关系。方法：通过检索MEDLINE、Embase、Web of Science Core Collection、PsycINFO、Sociological Abstracts （ProQuest）和ptsdbars等数据库，对家庭关系与心理健康状况的关系进行系统回顾。我们使用随机效应模型计算Pearson相关系数和I2统计量。此外，我们使用漏斗图调查发表偏倚。结果：在筛选的3707份记录中，40份（n = 35,634名参与者）符合纳入标准（38.5%男性，59.5%女性，平均年龄39.57岁），主要在北美进行（n = 27）。33项研究调查了积极家庭关系，12项研究调查了消极家庭关系。积极的家庭关系与抑郁[r = -0.071 (-0.256, 0.119), p= 0.463]、焦虑r = 0.026 (-0.032, 0.084), p= 0.375]、酗酒[r = 0.035 (-0.103, 0.0034), p=0.326]的相关性无统计学意义。积极的家庭关系与非法药物使用有统计学意义[r = 0.061 (0.025, 0.096), p = 0.001]。负性家庭关系与焦虑[r = 0.075 (0.019, 0.130), p = 0.009]、抑郁[r = 0.111 (0.033, 0.188), p = 0.005]有统计学意义。结论：减少消极家庭关系的干预措施可以潜在地加强积极的心理健康。

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