自闭症儿童照料者抑郁的全球患病率：一项系统回顾和荟萃分析。

IF 2.1 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families Pub Date : 2025-01-01 DOI:10.1016/j.pedn.2024.11.020

Xin Rong Lam , Ling Jie Cheng , Celest Su Yi Leo , Zheng An Toh , Hong-Gu He

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引用次数: 0

摘要

问题：据报道，抑郁症是照顾者中最常见的障碍，尤其是对自闭症儿童的照顾者。然而，有限的系统评价调查了这些照顾者中抑郁症状的患病率。本系统综述和荟萃分析旨在综合自闭症儿童照顾者中抑郁症状的全球患病率，并确定相关因素。入选标准：文章限于英文，并报道18岁或以上ASD儿童的正式或非正式照顾者抑郁症状的患病率，没有发表年份限制。样本：共纳入40项研究，涉及13,853名自闭症儿童的照顾者。结果：对40项包括13,853名自闭症儿童照料者的研究的荟萃分析显示，总患病率估计为45% （95% CI: 39.0-51.0）。在欧洲研究中，抑郁症状最为普遍，发生率为54% (N: 980)，紧随其后的是东地中海地区，发生率为53% （N:1071）。东南亚和西太平洋区域的患病率为40% (N: 5719)，而美洲报告的患病率为38% （N: 6083）。结论：本综述提供了令人信服的证据，表明自闭症儿童照料者抑郁症状的全球患病率高达45%。意义：为了加强对ASD儿童照顾者的护理支持，需要采取具体的干预措施。护士应将心理健康筛查纳入定期检查，将护理人员与社区资源联系起来，并接受专门培训。促进临时护理并与利益攸关方合作，可进一步解决照顾者压力和心理健康耻辱感问题。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Global prevalence of depression in caregivers of children with autism: A systematic review and meta-analysis

Problem

Depression is reported as the most common disorder among caregivers, especially for caregivers of children with autism. However, limited systematic reviews have investigated the prevalence of depressive symptoms among these caregivers. This systematic review and meta-analysis aim to synthesize the prevalence of global depressive symptoms among caregivers of children with autism and identify associated factors.

Eligibility criteria

Articles were limited to English language and reported on the prevalence of depressive symptoms among formal or informal caregivers, aged 18 or older, of children with ASD, with no publication year restrictions.

Sample

A total of 40 included studies involving 13,853 caregivers of children with autism were included.

Results

Meta-analysis of 40 included studies involving 13,853 caregivers of children with autism showed a pooled prevalence estimate of 45 % (95 % CI: 39.0–51.0). Depressive symptoms were most prevalent in European studies, with a rate of 54 % (N: 980), closely followed by the Eastern Mediterranean region at 53 % (N:1071). The South-East Asia and Western Pacific region exhibited a prevalence of 40 % (N: 5719), while the Americas reported a rate of 38 % (N: 6083).

Conclusion

This review presents compelling evidence of a high global prevalence rate of 45 % for depressive symptoms among caregivers of children with ASD.

Implications

To enhance nursing support for caregivers of children with ASD, specific interventions are needed. Nurses should integrate mental health screenings into regular check-ups, link caregivers to community resources, and receive specialized training. Promoting respite care and collaborating with stakeholders can further address caregiver stress and mental health stigma.

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来源期刊

Journal of Pediatric Nursing-Nursing Care of Children & Families NURSING-PEDIATRICS

CiteScore

3.70

自引率

8.30%

发文量

291

审稿时长

65 days

期刊介绍： Official Journal of the Society of Pediatric Nurses and the Pediatric Endocrinology Nursing Society (PENS) The Journal of Pediatric Nursing: Nursing Care of Children and Families (JPN) is interested in publishing evidence-based practice, quality improvement, theory, and research papers on a variety of topics from US and international authors. JPN is the official journal of the Society of Pediatric Nurses and the Pediatric Endocrinology Nursing Society. Cecily L. Betz, PhD, RN, FAAN is the Founder and Editor in Chief. Journal content covers the life span from birth to adolescence. Submissions should be pertinent to the nursing care needs of healthy and ill infants, children, and adolescents, addressing their biopsychosocial needs. JPN also features the following regular columns for which authors may submit brief papers: Hot Topics and Technology.