家长的抑郁是否与家长的精神化有关? 一个系统的审查和三级元分析
Anna K Georg1, Sebastian Meyerhöfer2, Svenja Taubner1
1Institute for Psychosocial Prevention, University Hospital Heidelberg, Germany.
Clinical psychology review
|August 12, 2023
概括
父母抑郁症与父母心理水平较低有很弱的联系,特别是在自我报告措施上. 需要对临床样本进行更多的研究,以更好地理解这种关系.
科学领域:
- 心理学 心理学 心理学
- 发展心理学 发展心理学
- 临床心理学 临床心理学
背景情况:
- 父母的思维化,即理解自己和孩子的心理状态的能力,对于孩子的发展至关重要.
- 父母抑郁症是儿童不良结果的重要风险因素,但它对父母心理的影响尚未完全理解.
研究的目的:
- 系统地审查和对现有的关于父母抑郁症和父母心态化之间的联系的研究进行元分析.
- 探索不同的概念化和家长思维方式如何影响这种关系.
主要方法:
- 进行了全面的文献搜索,截至2023年3月13日.
- 用三级元分析建模来分析来自63项研究的数据,总共有12,665名参与者和233个效果大小.
- 研究了家长心理化的各种措施,包括反射功能,心态和洞察力的调查问卷和采访评估.
主要成果:
- 在家长抑郁症和家长心态化之间发现了一个弱的整体负相关性 (r = -0.06).
- 较高的父母抑郁症与父母反射功能 (r = -0.11) 和前精神化 (r = -0.23) 的自我报告测量结果的得分较低有关.
- 对于反射性功能,思维意识或洞察力的采访措施,没有观察到显著的相关性. 在各个研究中发现了大量的异质性.
结论:
- 父母抑郁症与父母心态的联系很弱,特别是在依赖自我报告问卷时.
- 需要在临床人群中进行进一步的研究,以阐明这种关系.
- 未来的研究应该调查诸如共患病症,共同育儿动态和儿童行为等调节因素,以解释研究结果的变化.
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