Preventive interventions for children and adolescents of parents with mental illness: A systematic review

IF 3.2 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical psychology & psychotherapy Pub Date : 2023-03-30 DOI:10.1002/cpp.2850

Itzal Puchol-Martínez, Óscar Vallina Férnandez, Miguel A. Santed-Germán

{"title":"Preventive interventions for children and adolescents of parents with mental illness: A systematic review","authors":"Itzal Puchol-Martínez, Óscar Vallina Férnandez, Miguel A. Santed-Germán","doi":"10.1002/cpp.2850","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>Children of parents with mental disorders have a relatively high risk of developing a mental illness or behavioural disorder.</p>\n </section>\n \n <section>\n \n <h3> Objective</h3>\n \n <p>The aim of this systematic review was to evaluate the efficacy of preventive psychotherapeutic interventions in children of parents with mental illness. In particular, the development of mental illness and/or psychological symptomatology in this population was assessed.</p>\n </section>\n \n <section>\n \n <h3> Method</h3>\n \n <p>This qualitative systematic review looked at interventions targeting children aged 4–18 years without a diagnosed mental disorder, alone or with their families, with a parent with a diagnosed mental disorder. The protocol was pre-registered in Open Science Framework. A total of 1255 references were retrieved from MEDLINE, PsychArticles, PsycINFO, Springer Link, Science Direct, Scopus and WOS databases, and 12 references from grey literature. This search was replicated by an external reviewer.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Fifteen studies involving 1941 children and 1328 parents were included. Interventions were based on cognitive-behavioural and/or psychoeducational components, including six randomized controlled trials. Internalizing symptomatology was assessed in 80% of the studies, externalizing and prosocial behaviour in 47%, and coping style in 33%. Only two studies measured the future risk of developing a mental disorder (ORs of 2.37 and 6.6). There was variability in the format of the intervention (group; family) as well as in the type of intervention and its duration (from one session to 12 sessions).</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>Interventions for children of parents with mental disorder were clinically and statistically significant, especially in preventing internalizing symptomatology at one-year follow-up, with effect sizes ranging from <i>d</i> = −0.28 to 0.57 (95% CI).</p>\n </section>\n </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"30 5","pages":"979-997"},"PeriodicalIF":3.2000,"publicationDate":"2023-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.2850","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical psychology & psychotherapy","FirstCategoryId":"102","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/cpp.2850","RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}

引用次数: 1

Abstract

Background

Children of parents with mental disorders have a relatively high risk of developing a mental illness or behavioural disorder.

Objective

The aim of this systematic review was to evaluate the efficacy of preventive psychotherapeutic interventions in children of parents with mental illness. In particular, the development of mental illness and/or psychological symptomatology in this population was assessed.

Method

This qualitative systematic review looked at interventions targeting children aged 4–18 years without a diagnosed mental disorder, alone or with their families, with a parent with a diagnosed mental disorder. The protocol was pre-registered in Open Science Framework. A total of 1255 references were retrieved from MEDLINE, PsychArticles, PsycINFO, Springer Link, Science Direct, Scopus and WOS databases, and 12 references from grey literature. This search was replicated by an external reviewer.

Results

Fifteen studies involving 1941 children and 1328 parents were included. Interventions were based on cognitive-behavioural and/or psychoeducational components, including six randomized controlled trials. Internalizing symptomatology was assessed in 80% of the studies, externalizing and prosocial behaviour in 47%, and coping style in 33%. Only two studies measured the future risk of developing a mental disorder (ORs of 2.37 and 6.6). There was variability in the format of the intervention (group; family) as well as in the type of intervention and its duration (from one session to 12 sessions).

Conclusions

Interventions for children of parents with mental disorder were clinically and statistically significant, especially in preventing internalizing symptomatology at one-year follow-up, with effect sizes ranging from d = −0.28 to 0.57 (95% CI).

Abstract Image

查看原文本刊更多论文

父母患有精神疾病的儿童和青少年的预防干预措施：一项系统综述。

背景：父母患有精神障碍的孩子患精神疾病或行为障碍的风险相对较高。目的：本系统综述的目的是评估预防性心理治疗干预对父母患有精神疾病的儿童的疗效。特别是，对这一人群的精神疾病和/或心理症状的发展进行了评估。方法：这项定性系统综述着眼于针对4-18岁儿童的干预措施多年没有被诊断出患有精神障碍，无论是独自还是与家人，还是与被诊断出有精神障碍的父母。该协议已在开放科学框架中预先注册。从MEDLINE、PsychArticles、PsycINFO、Springer Link、Science Direct、Scopus和WOS数据库中检索到1255篇参考文献，从灰色文献中检索到12篇参考文献。此搜索已由外部审阅者复制。结果：纳入了15项研究，涉及1941名儿童和1328名父母。干预措施基于认知行为和/或心理教育成分，包括六项随机对照试验。80%的研究评估了内化症状，47%评估了外化和亲社会行为，33%评估了应对方式。只有两项研究测量了未来患精神障碍的风险（ORs分别为2.37和6.6）。干预的形式（组；家庭）、干预的类型及其持续时间（从一次到12次）存在差异。结论：父母患有精神障碍的儿童的干预具有临床和统计学意义，尤其是在一年随访中预防内化症状，效果大小从d到d不等 = -0.28至0.57（95%置信区间）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Clinical psychology & psychotherapy PSYCHOLOGY, CLINICAL-

CiteScore

6.30

自引率

5.60%

发文量

106

期刊介绍： Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.