Effects of parental mental illness on children's physical health: systematic review and meta-analysis: systematic review and meta-analysis
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| Titel: | Effects of parental mental illness on children's physical health: systematic review and meta-analysis: systematic review and meta-analysis |
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| Autoren: | Pierce, Matthias, Hope, Holly F., Kolade, Adekeye, Gellatly, Judith, Osam, Cemre Su, Perchard, Reena, Kosidou, Kyriaki, Dalman, Christina, Morgan, Vera, Di Prinzio, Patricia, Abel, Kathryn M. |
| Quelle: | Pierce, M, Hope, H F, Kolade, A, Gellatly, J, Osam, C S, Perchard, R, Kosidou, K, Dalman, C, Morgan, V, Di Prinzio, P & Abel, K M 2019, 'Effects of parental mental illness on children's physical health : systematic review and meta-analysis', The British journal of psychiatry : the journal of mental science, vol. 217, no. 1, pp. 354-363. https://doi.org/10.1192/bjp.2019.216 The British Journal of Psychiatry |
| Verlagsinformationen: | Royal College of Psychiatrists, 2019. |
| Publikationsjahr: | 2019 |
| Schlagwörter: | Family Health, Parents, 2. Zero hunger, Mental Disorders, Child Health, Mothers, Child Health/statistics & numerical data, Child of Impaired Parents/statistics & numerical data, Mothers/psychology, 3. Good health, 03 medical and health sciences, Mental Health, 0302 clinical medicine, Mental Health/statistics & numerical data, Child of Impaired Parents, Family Health/statistics & numerical data, Humans, 10. No inequality, Mental Disorders/epidemiology, Parents/psychology |
| Beschreibung: | BackgroundChildren of parents with mental disorder face multiple challenges.AimsTo summarise evidence about parental mental disorder and child physical health.MethodWe searched seven databases for cohort or case–control studies quantifying associations between parental mental disorders (substance use, psychotic, mood, anxiety, obsessive–compulsive, post-traumatic stress and eating) and offspring physical health. Studies were excluded if: they reported perinatal outcomes only (ResultsSearches revealed 15 945 non-duplicated studies. Forty-one studies met our inclusion criteria: ten investigated accidents/injuries; eight asthma; three other atopic diseases; ten overweight/obesity; ten studied other illnesses (eight from low-and middle-income countries (LMICs)). Half of the studies investigated maternal perinatal mental health, 17% investigated paternal mental disorder and 87% examined maternal depression. Meta-analysis revealed significantly higher rates of injuries (OR = 1.15, 95% CI 1.04–1.26), asthma (OR = 1.26, 95% CI 1.12–1.41) and outcomes recorded in LMICs (malnutrition: OR = 2.55, 95% CI 1.74–3.73; diarrhoea: OR = 2.16, 95% CI 1.65–2.84). Evidence was inconclusive for obesity and other atopic disorders.ConclusionsChildren of parents with mental disorder have health disadvantages; however, the evidence base is limited to risks for offspring following postnatal depression in mothers and there is little focus on fathers in the literature. Understanding the physical health risks of these vulnerable children is vital to improving lives. Future work should focus on discovering mechanisms linking physical and mental health across generations.Declaration of interestNone. |
| Publikationsart: | Article |
| Sprache: | English |
| ISSN: | 1472-1465 0007-1250 |
| DOI: | 10.1192/bjp.2019.216 |
| Zugangs-URL: | https://www.cambridge.org/core/services/aop-cambridge-core/content/view/25B5458F1686C6FB8FB4830D862DD247/S0007125019002162a.pdf/div-class-title-effects-of-parental-mental-illness-on-children-s-physical-health-systematic-review-and-meta-analysis-div.pdf https://pubmed.ncbi.nlm.nih.gov/31610824 https://research.manchester.ac.uk/en/publications/0eeafd7e-1db5-47ca-a3fa-8ae2e6804668 https://doi.org/10.1192/bjp.2019.216 https://www.cambridge.org/core/journals/the-british-journal-of-psychiatry/article/effects-of-parental-mental-illness-on-childrens-physical-health-systematic-review-and-metaanalysis/25B5458F1686C6FB8FB4830D862DD247 https://europepmc.org/article/MED/31610824 https://pubmed.ncbi.nlm.nih.gov/31610824/ https://www.ncbi.nlm.nih.gov/pubmed/31610824 https://research-repository.uwa.edu.au/en/publications/effects-of-parental-mental-illness-on-childrens-physical-health-s https://www.research.manchester.ac.uk/portal/en/publications/effects-of-parental-mental-illness-on-childrens-physical-health-systematic-review-and-metaanalysis(0eeafd7e-1db5-47ca-a3fa-8ae2e6804668)/export.html |
| Rights: | Cambridge Core User Agreement |
| Dokumentencode: | edsair.doi.dedup.....653a4e9517ad36e0de7440b2c657d3b4 |
| Datenbank: | OpenAIRE |
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Nájsť tento článok vo Web of Science | Abstract: | BackgroundChildren of parents with mental disorder face multiple challenges.AimsTo summarise evidence about parental mental disorder and child physical health.MethodWe searched seven databases for cohort or case–control studies quantifying associations between parental mental disorders (substance use, psychotic, mood, anxiety, obsessive–compulsive, post-traumatic stress and eating) and offspring physical health. Studies were excluded if: they reported perinatal outcomes only (ResultsSearches revealed 15 945 non-duplicated studies. Forty-one studies met our inclusion criteria: ten investigated accidents/injuries; eight asthma; three other atopic diseases; ten overweight/obesity; ten studied other illnesses (eight from low-and middle-income countries (LMICs)). Half of the studies investigated maternal perinatal mental health, 17% investigated paternal mental disorder and 87% examined maternal depression. Meta-analysis revealed significantly higher rates of injuries (OR = 1.15, 95% CI 1.04–1.26), asthma (OR = 1.26, 95% CI 1.12–1.41) and outcomes recorded in LMICs (malnutrition: OR = 2.55, 95% CI 1.74–3.73; diarrhoea: OR = 2.16, 95% CI 1.65–2.84). Evidence was inconclusive for obesity and other atopic disorders.ConclusionsChildren of parents with mental disorder have health disadvantages; however, the evidence base is limited to risks for offspring following postnatal depression in mothers and there is little focus on fathers in the literature. Understanding the physical health risks of these vulnerable children is vital to improving lives. Future work should focus on discovering mechanisms linking physical and mental health across generations.Declaration of interestNone. |
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| ISSN: | 14721465 00071250 |
| DOI: | 10.1192/bjp.2019.216 |