Effects of parental mental illness on children's physical health: systematic review and meta-analysis

Children of parents with mental disorder face multiple challenges. To summarise evidence about parental mental disorder and child physical health. We searched seven databases for cohort or case-control studies quantifying associations between parental mental disorders (substance use, psychotic, mood...

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Vydáno v:British journal of psychiatry Ročník 217; číslo 1; s. 354 - 363
Hlavní autoři: 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.
Médium: Journal Article
Jazyk:angličtina
Vydáno: Cambridge, UK Cambridge University Press 01.07.2020
Témata:
Accidents
Anxiety
Asthma
Atopic
Atopy
Body weight
Child Health - statistics & numerical data
Child of Impaired Parents - statistics & numerical data
Childhood obesity
Children
Children & youth
Childrens health
Compulsions
Diarrhea
Disease
Disorders
Emotions
Family Health - statistics & numerical data
Fathers
Health risks
Health status
Humans
Illnesses
Injuries
Low income groups
Malnutrition
Maternal characteristics
Maternal depression
Mental depression
Mental disorders
Mental Disorders - epidemiology
Mental health
Mental Health - statistics & numerical data
Meta-analysis
Mood
Mothers
Mothers - psychology
Obesity
Obsessive compulsive disorder
Offspring
Overweight
Parent-child relations
Parents & parenting
Parents - psychology
Perinatal
Post traumatic stress disorder
Postpartum depression
Postpartum period
Psychiatry
Psychosis
Review article
Substance abuse
Substance use
Systematic review
Trauma
perinatal psychiatry
depressive disorders
childhood experience
low- and middle-income countries
Epidemiology
ISSN:0007-1250, 1472-1465, 1472-1465
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Shrnutí:Children of parents with mental disorder face multiple challenges. To summarise evidence about parental mental disorder and child physical health. We 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 (<28 days) or outcomes after age 18; they measured outcome prior to exposure; or the sample was drawn from diseased children. A meta-analysis was conducted. The protocol was registered on the PROSPERO database (CRD42017072620). Searches 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. Children 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. None.
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ObjectType-Evidence Based Healthcare-1
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ISSN:0007-1250
1472-1465
1472-1465
DOI:10.1192/bjp.2019.216