Supporting Children of Parents with Mood Disorders, Anxiety or Substance Use Problems: A Systematic Review and Meta-analysis of Psychosocial Interventions

IF 7.9 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical Child and Family Psychology Review Pub Date : 2026-10-30 DOI:10.1007/s10567-026-00590-6

Fabrizia Giannotta, F. Quilghini, S. Lindbohm, M. Settanni, P. Larm

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引用次数: 0

Abstract

Psychosocial interventions for children of parents with mood disorders, anxiety and/or alcohol and substance use problems may reduce their vulnerability to negative developmental outcomes and strengthen their resilience. However, existing studies vary in quality, making it difficult to identify best practices. To address this gap, we conducted a systematic review and meta-analysis of randomized controlled studies evaluating psychosocial interventions for children (aged 0–18) of parents with mood disorders/anxiety and/or alcohol/substance use problems. A total of 34 studies, involving 3205 children (51.7% female), identified through PubMed, PsycINFO, and Scopus, met the inclusion criteria. Results showed that these interventions are effective in reducing internalizing symptoms both in the short ( g = − 0.25) and long term ( g = − 0.21), and in decreasing externalizing symptoms in the short term ( g = − 0.16). However, there was insufficient evidence for significant effects on theoretical mechanisms such as family related factors or children’s coping skills. Furthermore, program effectiveness did not differ based on the type of intervention or its underlying theoretical framework. These findings support the general efficacy of psychosocial interventions in improving mental health outcomes in at-risk children, regardless of program type or approach.

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支持父母有情绪障碍、焦虑或物质使用问题的儿童：社会心理干预的系统回顾和荟萃分析

对父母有情绪障碍、焦虑和/或酒精和药物使用问题的儿童进行社会心理干预，可减少其易受消极发展结果影响的程度，并增强其复原力。然而，现有研究的质量参差不齐，因此很难确定最佳做法。为了解决这一差距，我们对随机对照研究进行了系统回顾和荟萃分析，以评估父母有情绪障碍/焦虑和/或酒精/物质使用问题的儿童（0-18岁）的心理社会干预。通过PubMed、PsycINFO和Scopus检索到的34项研究符合纳入标准，涉及3205名儿童（51.7%为女性）。结果表明，这些干预措施在短期（g = - 0.25）和长期（g = - 0.21）和短期（g = - 0.16）内均能有效减少内化症状。然而，对家庭相关因素或儿童应对技能等理论机制有显著影响的证据不足。此外，项目的有效性并没有因干预类型或其潜在的理论框架而有所不同。这些发现支持社会心理干预在改善高危儿童心理健康结果方面的普遍有效性，无论项目类型或方法如何。

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来源期刊

Clinical Child and Family Psychology Review PSYCHOLOGY, CLINICAL-

CiteScore

10.50

自引率

4.30%

发文量

期刊介绍： Editors-in-Chief: Dr. Ronald J. Prinz, University of South Carolina and Dr. Thomas H. Ollendick, Virginia Polytechnic Institute Clinical Child and Family Psychology Review is a quarterly, peer-reviewed journal that provides an international, interdisciplinary forum in which important and new developments in this field are identified and in-depth reviews on current thought and practices are published. The Journal publishes original research reviews, conceptual and theoretical papers, and related work in the broad area of the behavioral sciences that pertains to infants, children, adolescents, and families. Contributions originate from a wide array of disciplines including, but not limited to, psychology (e.g., clinical, community, developmental, family, school), medicine (e.g., family practice, pediatrics, psychiatry), public health, social work, and education. Topical content includes science and application and covers facets of etiology, assessment, description, treatment and intervention, prevention, methodology, and public policy. Submissions are by invitation only and undergo peer review. The Editors, in consultation with the Editorial Board, invite highly qualified experts to contribute original papers on topics of timely interest and significance.