父亲酗酒对后代心理行为结果的影响:一项系统回顾和荟萃分析

P. Mahesh, J. Leung, Sameera Senananayake, V. Kumarapeli, R. Ferdinando, W. Jayawickrama, W. Lakmini, Chiara Perera, S. Thasleem, D. McLaughlin
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摘要

文献记载对父亲酗酒对后代心理行为健康的影响有不同的解释。系统回顾和荟萃分析将有助于准确建立这种联系。本研究旨在评估父亲酒精使用障碍(AUD)或饮酒问题(PD)对子女生命周期不同阶段心理行为健康的影响。这项普洛斯普洛斯注册的综述(CRD42018114754)通过审查MEDLINE、EMBASE和PsycINFO数据库中的文献进行。经过三轮筛选,从18113篇文章中筛选出29篇进行数据提取。其中11人被纳入元分析,对内化行为、外化行为和焦虑进行了3次数值评估和1次分类评估。评估异质性、偏倚风险和证据确定性。进行敏感性分析。使用Rev-Man(5.3版)软件和“GRADEproGDT”在线应用程序。在五个确定的主题下,对未包括在荟萃分析中的研究和亚组进行了叙述性回顾:抑郁和情绪障碍、自我感知的心理健康问题和人格、攻击性、注意力缺陷多动障碍和其他问题。通过荟萃分析,所有结果均显示暴露组存在显著的标准化平均差异或优势比,不利值较高。等级确定性为“低”级。在敏感性分析中,观察到相似方向的关联。叙述性回顾反映了与父亲酗酒有关的儿童的其他负面心理行为后果,属于五个确定的主题。总之,荟萃分析和叙述性回顾的有力发现表明,父亲的AUD和PD在其后代生命周期的许多阶段都与不利的心理行为后果有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effects of paternal alcoholism on the psycho-behavioural outcomes of the offspring: a systematic review and meta-analysis
Documented literature includes mixed interpretations of the impact of paternal alcoholism on psycho-behavioral well-being of offspring. A systematic review and a meta-analysis would facilitate the accurate establishment of this association. This review was done to evaluate the effects of paternal alcohol use disorder (AUD) or problem drinking (PD) on the psycho-behavioral well-being of the offspring at different stages of their lifecycle. This PROSPERO-registered review (CRD42018114754) was conducted by reviewing literature in MEDLINE, EMBASE and PsycINFO databases. A total of 29 articles out of 18113 were selected for data extraction after three selection rounds. Eleven were included in the meta-analyses for three numerically and one categorically assessed outcomes on internalizing behaviour, externalizing behaviour and anxiety. Heterogeneity, risk of bias and the certainty-of-evidence were assessed. Sensitivity analysis was done. Rev-Man (version 5.3) software and “GRADEproGDT” online applications were used. A narrative review was done with studies and sub-groups not included in the meta-analysis under five identified themes: depression and mood disorders, self-perceived mental health problems and personality, aggression, attention deficit hyperactive disorder and other problems. With meta-analyses, all outcomes demonstrated significant standardized mean differences or odds ratio with higher unfavourable values in the exposed group. 'Low' level GRADE certainty was assigned. In sensitivity analysis, associations of similar directions were observed. Narrative review reflected other negative psycho-behavioral consequences of children associated with paternal alcoholism, falling under the five identified themes. In conclusion, robust findings of the meta-analyses and narrative review suggest that paternal AUD and PD are associated with unfavourable psycho-behavioural consequences among their offspring at many stages of the life cycle.
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