QUESTION For parents of children and young people (CYP) with diagnosed mental health difficulties, what are the levels of parents' well-being and psychological need? STUDY SELECTION AND ANALYSIS Medline, PsycINFO, EMBASE, AMED, CINAHL, Web of Science and Cochrane Library of Registered Trials were searched from inception to June 2023. INCLUSION CRITERIA parents of CYP aged 5-18 years with formal mental health diagnosis. Data were extracted from validated measures of well-being or psychological needs with established cut-off points or from a controlled study. FINDINGS 32 of the 73 310 records screened were included. Pooled means showed clinical range scores for one measure of depression, and all included measures of anxiety, parenting stress and general stress. Meta-analyses showed greater depression (g=0.24, 95% CI 0.11 to 0.38) and parenting stress (g=0.34, 95% CI 0.20 to 0.49) in parents of CYP with mental health difficulties versus those without. Mothers reported greater depression (g=0.42, 95% CI 0.18 to 0.66) and anxiety (g=0.73, 95% CI 0.27 to 1.18) than fathers. Narrative synthesis found no clear patterns in relation to CYP condition. Rates of parents with clinically relevant levels of distress varied. Typically, anxiety, parenting stress and general stress scored above clinical threshold. Quality appraisal revealed few studies with a clearly defined control group, or attempts to control for important variables such as parent gender. CONCLUSIONS The somewhat mixed results suggest clinical anxiety, parenting and general stress may be common, with sometimes high depression. Assessment and support for parents of CYP with mental health problems is required. Further controlled studies, with consideration of pre-existing parental mental health difficulties are required. PROSPERO REGISTRATION NUMBER CRD42022344453.

中文翻译：

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有心理健康困难的儿童和青少年的父母和照顾者的心理健康和需求：荟萃分析的定量系统评价。


问题 对于被诊断患有心理健康困难的儿童和青少年 (CYP) 的父母来说，父母的幸福感和心理需求水平如何？研究选择和分析 从开始到 2023 年 6 月，对 Medline、PsycINFO、EMBASE、AMED、CINAHL、Web of Science 和 Cochrane 注册试验图书馆进行了检索。纳入标准 5-18 岁、有正式心理健康诊断的 CYP 父母。数据是从已确定的截止点的幸福感或心理需求的有效测量中提取的，或者是从对照研究中提取的。结果 筛选了 73 310 份记录中的 32 份。汇总平均值显示了一项抑郁症指标的临床范围评分，所有指标均包括焦虑、育儿压力和一般压力的指标。荟萃分析显示，与没有心理健康困难的 CYP 父母相比，有心理健康困难的 CYP 父母有更大的抑郁症（g=0.24，95% CI 0.11 至 0.38）和养育压力（g=0.34，95% CI 0.20 至 0.49）。母亲报告的抑郁症（g=0.42，95% CI 0.18 至 0.66）和焦虑症（g=0.73，95% CI 0.27 至 1.18）高于父亲。叙事综合没有发现与 CYP 条件相关的明确模式。患有临床相关痛苦程度的父母的比例各不相同。通常，焦虑、养育压力和一般压力的得分高于临床阈值。质量评估显示，很少有研究有明确定义的对照组，或试图控制父母性别等重要变量。结论 有点复杂的结果表明，临床焦虑、养育子女和一般压力可能很常见，有时还伴有高度抑郁。需要对有心理健康问题的 CYP 父母进行评估和支持。需要进一步的对照研究，考虑到父母先前存在的心理健康问题。 普洛斯彼罗注册号 CRD42022344453。