检查患有慢性疾病的儿童父母的心理健康问题:一个系统性审查
Nadia Coscini1,2, Grace McMahon3, Madison Schulz3
1Department of Paediatrics, The University of Melbourne, Parkville, Victoria, Australia nadia.coscini@mcri.edu.au.
Archives of disease in childhood
|February 20, 2025
概括
患有慢性疾病 (CC) 的孩子的父母经常遇到心理健康 (MH) 困难. 儿科诊所的查计划可能有助于识别这些问题,但需要对其有效性和对服务推和吸收的影响进行更多研究.
科学领域:
- 儿科医疗保健服务 儿科医疗保健服务
- 心理健康服务研究 心理健康服务研究
- 父母的福祉 父母的福祉
背景情况:
- 患有慢性疾病 (CC) 的孩子的父母表现出高水平的心理健康 (MH) 挑战.
- 目前在儿科环境中对父母的MH困难进行查的做法并不成熟.
- 了解查计划的有效性对于改善支持至关重要.
研究的目的:
- 为患有CC的儿童的父母确定常规心理健康查计划的方法.
- 为了确定这群人群中家长MH症状的流行率.
- 评估查对转诊和采用MH服务的影响.
主要方法:
- 在Medline,Embase,PsycINFO,CINAHL和PubMed的系统文献搜索 (2000年1月至2023年12月).
- 包括涉及对18岁以下儿童患有CC的父母进行常规MH查的研究.
- 提取对查工具,MH症状流行率和转诊途径的数据.
主要成果:
- 在8673项选中,有8项研究符合纳入标准.
- 提高家长焦虑的患病率从9.6%到62.9%不等;抑郁症从7.7%到57.0%.
- 家长的痛苦温度计在3.3%-57.0%的家长中发现了"临床痛苦"的升高,对转诊和吸收的数据有限.
结论:
- 升高的MH症状在患有CCs的儿童的父母中很普遍,但高度可变.
- 需要进一步的研究来优化识别,查和支持策略.
- 了解推途径和服务采用对于有效的 MH 支持至关重要.
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