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Published on: June 12, 2020
[Preventive and therapeutic interventions for children of mentally ill parents]
Mirko Döhnert1, Silke Wiegand-Grefe2
1Universitätsklinikum Leipzig AöR, Klinik und Poliklinik für Psychiatrie, Psychotherapie und Psychosomatik des Kindes- und Jugendalters, Leipzig.
Insights
Interventions for children with mentally ill parents show limited effectiveness. More high-quality, cost-effective research is needed to improve outcomes for these vulnerable youth.
Area of Science:
- Child and adolescent mental health
- Psychiatry
- Developmental psychology
Background:
- Children of mentally ill parents face significantly higher risks for developing mental disorders.
- Identified risk factors offer targets for preventive and therapeutic interventions.
- Existing interventions vary widely in content and methodology.
Purpose of the Study:
- To review the efficacy of current preventive and therapeutic interventions for children with mentally ill parents.
- To identify gaps in research regarding intervention quality and cost-effectiveness.
- To inform future research directions for improved child mental health outcomes.
Main Methods:
- Systematic review of studies on interventions for infants of depressed/substance-addicted mothers and children/adolescents of parents with various mental disorders.
- Analysis of existing meta-analyses on intervention efficacy.
- Assessment of study quality and identification of research gaps.
Main Results:
- Meta-analyses indicate small effect sizes for current interventions in preventing psychological symptoms or disorders.
- A notable lack of high-quality studies was identified.
- Current interventions demonstrate inadequate efficacy in improving the situation for affected children and adolescents.
Conclusions:
- Preventive and therapeutic interventions for children of mentally ill parents are currently of inadequate efficacy.
- There is a critical need for more high-quality research to develop and evaluate cost-effective interventions.
- Future research should focus on improving the effectiveness of support for this vulnerable population.
Abstract:
Preventive and therapeutic interventions for children of mentally ill parents Abstract. The risk of developing mental disorders increases markedly in children of mentally ill parents. Several risk factors have been identified and become possible targets of preventive and therapeutic interventions. Numerous studies investigated the efficacy of these interventions, which are very heterogeneous regarding content and methodology. One part of these studies focuses on infants of depressed and substance-addicted mothers; the other part focuses on children and adolescents of parents suffering from various mental disorders. Today, we have several meta-analyses at our disposal which yielded small effect sizes concerning the development of psychological symptoms or disorders in these affected children. The current review reveals a lack of high-quality studies, and analyses on cost-effectiveness are also needed. The preventive and therapeutic interventions now available show inadequate efficacy to effectively improve the situation of these children and adolescents. Future research is needed to develop and implement cost-effective interventions as well as high-quality studies to investigate the efficacy of these interventions.
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