Whole-family programmes for families living with parental mental illness: a systematic review and meta-analysis.
Several interventions have been developed to support families living with parental mental illness (PMI). Recent evidence suggests that programmes with whole-family components may have greater positive effects for families, thereby also reducing costs to health and social care systems. This review ai...
| Publicado en: | European Child & Adolescent Psychiatry Vol. 33; no. 9; pp. 3203 - 3247 |
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| Autores principales: | , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Springer Nature
Sep2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=179873003&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 179873003 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10188827 EJ3 jtl: European Child & Adolescent Psychiatry issn: 10188827 maglogo: N pubinfo: dt: Sep2024 vid: 33 iid: 9 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 179873003 175593063 179873003 179873003 10.1007/s00787-024-02380-3 179873003 ppf: 3203 ppct: 44 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Whole-family programmes for families living with parental mental illness: a systematic review and meta-analysis. aug: au: Moltrecht, B. Lange, Aurelie M. C. Merrick, H. Radley, J. affil: Evidence-Based Practice Unit, Anna Freud Centre, University College London, London, UK sug: subj: Mental Disorders Children of Impaired Parents Psychosocial Factors Family Therapy Treatment Outcomes Human Systematic Review Meta Analysis CINAHL Database Embase Medline Psycinfo Mental Health Checklists Family Attitudes Funding Source ab: Several interventions have been developed to support families living with parental mental illness (PMI). Recent evidence suggests that programmes with whole-family components may have greater positive effects for families, thereby also reducing costs to health and social care systems. This review aimed to identify whole-family interventions, their common characteristics, effectiveness and acceptability. A systematic review was conducted according to PRISMA 2020 guidelines. A literature search was conducted in ASSIA, CINAHL, Embase, Medline, and PsycINFO in January 2021 and updated in August 2022. We double screened 3914 abstracts and 212 papers according to pre-set inclusion and exclusion criteria. The Mixed Methods Appraisal Tool was used for quality assessment. Quantitative and qualitative data were extracted and synthesised. Randomised-control trial data on child and parent mental health outcomes were analysed separately in random-effects meta-analyses. The protocol, extracted data, and meta-data are accessible via the Open Science Framework (https://osf.io/9uxgp/). Data from 66 reports—based on 41 independent studies and referring to 30 different interventions—were included. Findings indicated small intervention effects for all outcomes including children's and parents' mental health (dc = −0.017, −027; dp = −0.14, −0.16) and family outcomes. Qualitative evidence suggested that most families experienced whole-family interventions as positive, highlighting specific components as helpful, including whole-family components, speaking about mental illness, and the benefits of group settings. Our findings highlight the lack of high-quality studies. The present review fills an important gap in the literature by summarising the evidence for whole-family interventions. There is a lack of robust evidence coupled with a great need in families affected by PMI which could be addressed by whole-family interventions. We recommend the involvement of families in the further development of these interventions and their evaluation. pubtype: Academic Journal doctype: meta analysis research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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