Search results for ‘Subject term:"mental health problems"’ Sort:
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Mothers with mental health problems: a systematic review
- Authors:
- BLEGEN Nina E., HUMMELVOLL Jan K., SEVERINSSON Elisabeth
- Journal article citation:
- Nursing and Health Sciences, 12(4), December 2010, pp.519-528.
- Publisher:
- Wiley
Three major themes were examined in the 19 studies included in the review: the vulnerability of mothers with mental health problems, fears of not being considered a good enough mother, and concern that the children might develop mental health problems. The tendency to view the mothers in medical terms rather than as women with their own voices is identified as a barrier to providing help and support to mothers with mental health problems. The need for further research on lived experiences and existential concerns of the mothers is stressed.
Perinatal mental health and risk of child maltreatment: a systematic review and meta-analysis
- Authors:
- AYERS Susan, et al
- Journal article citation:
- Child Abuse and Neglect, 98, 2019, p.104172.
- Publisher:
- Elsevier
Background: Mental health problems in parents have been identified as a risk factor for child maltreatment. The perinatal period (from conception to 1 year) is a critical period but it is unclear whether perinatal mental health problems are also associated with increased risk. Objective: To review evidence on perinatal mental health and risk of child maltreatment. Methods: Searches were conducted on six databases and 24 studies reported in 30 papers identified. Studies were conducted in seven countries, mainly the USA (n = 14). Sample sizes ranged from 48-14,893 and most examined mothers (n = 17). Studies were conducted in community (n = 17) or high-risk (n = 7) samples. Results: The majority of studies found a relationship between parental perinatal mental health problems and risk of child maltreatment, but inconsistent findings were observed between and within studies. The few studies that examined fathers (n = 6) all found a relationship between fathers’ mental health and risk of child maltreatment. Meta-analysis of 17 studies (n = 22,042) showed perinatal mental health problems increased risk of child maltreatment by OR 3.04 (95% CI 2.29–4.03). This relationship was moderated by type of sample, with larger effects for risk of child maltreatment in high-risk samples. The relationship was not moderated by type of mental illness, child maltreatment; methodological or measurement factors. Conclusion: The association between perinatal mental health and risk of child maltreatment is similar to that observed at other times during childhood. Methodological heterogeneity and inconsistent findings mean conclusions are tentative and need to be considered alongside other individual, family and social/cultural risk factors. (Publisher abstract)
Families' and healthcare professionals' perceptions of healthcare services for children and young people with medically unexplained symptoms: a narrative review of the literature
- Authors:
- HINTON Denise, KIRK Susan
- Journal article citation:
- Health and Social Care in the Community, 24(1), 2016, pp.12-26.
- Publisher:
- Wiley
Children and young people frequently report physical complaints that have no observable physical pathology known as medically unexplained symptoms (MUS). Research suggests that MUS are associated with substantial physical and psychological impairments and may have a negative impact on children's and young people's functional status and well-being in the long term. Due to the potentially complex needs of this group, children and young people with MUS may require timely access to suitable health and social care services to effectively manage symptoms and achieve their academic, social and personal potential. Families and professionals can offer important insights into the availability and appropriateness of current community and specialist health and social care services. This review is the first critical evaluation and synthesis of research that has examined families' and healthcare professionals' (HCP) perceptions of healthcare services for children and young people with (MUS). A systematic search of electronic databases and manual searches of key journals and reference lists identified 17 papers from 15 studies for inclusion in the review. The review highlights the paucity of rigorously conducted research on this topic. Studies have been narrowly focused on the views of a homogeneous group of mothers and young people attending single centres. There has been some attempt to examine doctors' views, but the perceptions of children, fathers and health and social care professionals are absent or under-represented, and multi-site and longitudinal studies are lacking. Thematic analysis of the results from the included studies suggests that knowledge, communication, health beliefs and healthcare settings are factors that influence families' and HCPs' perceptions of services. Families report dissatisfaction with some HCPs' approach to managing MUS. The findings suggest that children and young people with MUS are at risk of receiving suboptimal care and support because there is insufficient research to inform high-quality, evidence-based practice. (Publisher abstract)
Linkages between HIV/AIDS, HIV/AIDS-psychoses and parenting: a systematic literature review
- Authors:
- SPIES R., et al
- Journal article citation:
- Vulnerable Children and Youth Studies, 9(2), 2014, pp.174-192.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
In 2010, 30% of South African women who were pregnant had HIV. In addition to possible loss of their mother in the future, children may also be affected by the secondary symptoms of AIDS. Psychotic symptoms are one such consequence that might disrupt the attachment relationship with children. This study was aimed to examine the published evidence on the linkages between HIV, psychosis and parenting. Databases were searched for studies on HIV/AIDS, psychosis and parenting; 51 relevant empirical studies were reliably identified and coded. No study simultaneously linked HIV/AIDS, psychosis and parenting. Twenty-three studies reported on the links between HIV infection and parenting, yielding various protective and risk factors, but not psychosis. Thirteen studies reported on the links between HIV and psychosis, with psychosis being a secondary outcome of later stages of AIDS, a side effect of medication or a comorbid disease because of common risk factors. Fourteen studies reported associations between psychosis and parenting. The impact of HIV infection of mothers on their parenting is beginning to be understood, but many underlying factors are still unknown. Psychosis appears to be a potent, but overlooked factor in supporting families affected by HIV/AIDS (Publisher abstract)
Change in child psychopathology with improvement in parental depression: a systematic review
- Authors:
- GUNLICKS Meredith L., WEISSMAN Myrna M.
- Journal article citation:
- Journal of the American Academy of Child and Adolescent Psychiatry, 47(4), May 2008, pp.379-389.
- Publisher:
- Lippincott Williams and Wilkins
- Place of publication:
- Baltimore
Ten studies met the broad inclusion criteria of this review, which focused on trials and observational studies of depressed parents that also included psychological and behavioural assessments of children aged 18 or under. The studies varied considerably in samples, treatments, assessment and analysis, but provided some evidence of a link between the successful treatment of parental depression and improvement in the mental health and psychosocial symptoms and functioning of children. However, it also appears that the treatment of post partum depression may not be sufficient for improving attachment, cognitive development and temperament in infants and toddlers. Further studies are needed to explore the precise relationship between parental and child symptoms (including any mediators or moderators), the differential effects of parental treatment with medication versus psychotherapy, and the effects of fathers’ as well as mothers’ symptomatic improvement on children.
Parenting interventions for mothers with problematic substance use: a systematic review of research and community practice
- Authors:
- MILLIGAN Karen, et al
- Journal article citation:
- Child Maltreatment, 25(3), 2020, pp.247-262.
- Publisher:
- Sage
Women with problematic substance use are frequently referred to interventions to promote positive parenting. Parenting interventions that attend to the unique risks faced by this population may enhance engagement and outcomes. While reviews of extant parenting interventions in the research literature have been undertaken, no studies have examined parenting interventions being implemented in community practice and the extent to which these are informed by current research. This study systematically compared parenting interventions offered in 12 maternal substance use treatment programs in one Canadian province with those described in the research literature (K = 21). Few parenting interventions were replicated, either within or across the two samples. However, parenting interventions within both samples were largely similar in their objectives. Across both research and community samples, approximately half of the interventions were developed or adapted for a problematic substance use population. Parenting knowledge, psychosocial risk, and maternal emotional regulation were most commonly addressed. Risks pertaining to the impact of drug craving and substance-related changes in neurobiology associated with parenting were less commonly addressed. Findings highlight current strengths and limitations of parenting interventions within research and community settings, with recommendations offered for future research and knowledge translation. (Publisher abstract)