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Parenting interventions for people with schizophrenia or related serious mental illness

Jessica Radley1, Claire Grant2, Jane Barlow3

  • 1Department of Psychiatry, University of Oxford, Oxford, UK.

The Cochrane Database of Systematic Reviews
|October 19, 2021
PubMed

Insights

Parenting interventions for individuals with schizophrenia show limited evidence due to a single trial with inconclusive results. More research is needed to support these interventions for parents with serious mental illness.

Area of Science:

  • Mental Health Research
  • Clinical Psychology
  • Psychiatry

Background:

  • Approximately one-third of individuals with schizophrenia or related serious mental illnesses are parents.
  • Parenting and child-rearing in this population carry increased risks for adverse outcomes.
  • Parenting interventions are recognized for their potential to enhance parenting skills and reduce disruptive child behaviors.

Purpose of the Study:

  • To systematically review and synthesize the evidence for parenting interventions specifically designed for parents with schizophrenia or related serious mental illnesses.
  • To assess the effectiveness of these interventions in improving outcomes for parents and children.

Main Methods:

  • A comprehensive search of multiple trial registries and databases was conducted on February 10, 2021.
  • Eligible studies included randomized controlled trials (RCTs) comparing parenting interventions with control conditions for parents with schizophrenia and children aged 0-18 years.
  • Data extraction and risk of bias assessment were performed independently by researchers.

Main Results:

  • Only one randomized controlled trial (RCT) involving 50 participants met the inclusion criteria.
  • Data extraction was not possible as the authors reported only significance levels, not means and standard deviations.
  • The included trial exhibited a high risk of bias in three assessed domains.

Conclusions:

  • The single included trial provided inconclusive evidence regarding the effectiveness of parenting interventions for parents with schizophrenia.
  • There is insufficient evidence to guide recommendations for individuals, clinicians, or policy changes.
  • Future research, particularly well-designed RCTs, is crucial to build a robust evidence base for parenting interventions in this population.
Abstract

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