QUESTION Depression and anxiety are common among children and young people and can impact on the well-being of their parents/carers. Dominant intervention approaches include parent training; however, this approach does not directly address parents' well-being. Our objective was to examine the effect of interventions, with at least a component to directly address the parents' own well-being, on parents' well-being outcomes, including stress, depression and anxiety. STUDY SELECTION AND ANALYSIS A systematic search was performed in the following: MEDLINE, EMBASE, CINAHL, AMED, PsycINFO, Scopus, CENTRAL, Web of Science Core Collection (six citation indexes) and WHO ICTRP from inception to 30 December 2023. Interventions that aimed to support parents/carers managing the impact of their child's/young person's mental health were eligible. EPHPP (Effective Public Health Practice Project) was used to quality appraise the included studies. A meta-analysis of relevant outcomes was conducted. FINDINGS Fifteen studies were eligible comprising 812 parents/carers. Global methodological quality varied. Seven outcomes (anxiety, depression, stress, burden, self-efficacy, quality of life and knowledge of mood disorders) were synthesised at post-intervention. A small reduction in parental/carer anxiety favouring intervention was indicated in one of the analyses (g=-0.26, 95% CI -0.44 to -0.09, p=0.02), when excluding an influential case. Three outcomes were synthesised at follow-up, none of which were statistically significant. CONCLUSIONS Interventions directly addressing the well-being for parents of children with anxiety and/or depression appear not to be effective overall. Clearer conceptualisation of factors linked to parental distress is required to create more targeted interventions. PROSPERO REGISTRATION NUMBER CRD42022344453.

中文翻译：

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对改善焦虑和/或抑郁儿童父母或照顾者结局的干预措施进行系统评价和荟萃分析。


问题 抑郁和焦虑在儿童和年轻人中很常见，会影响他们父母/照顾者的福祉。主要的干预方法包括家长培训;然而，这种方法并不能直接解决父母的福祉问题。我们的目的是检查干预措施对父母的幸福感结局的影响，包括压力、抑郁和焦虑，至少包括一个直接解决父母自身健康状况的组成部分。研究选择和分析 对以下内容进行了系统检索，检索时间从建库到 2023 年 12 月 30 日：MEDLINE、EMBASE、CINAHL、AMED、PsycINFO、Scopus、CENTRAL、Web of Science 核心合集（六个引文索引）和 WHO ICTRP。旨在支持父母/照顾者管理其儿童/年轻人心理健康影响的干预措施符合条件。EPHPP （Effective Public Health Practice Project） 用于对纳入的研究进行质量评价。对相关结局进行了荟萃分析。结果 15 项研究符合条件，包括 812 名父母/照顾者。总体方法学质量参差不齐。干预后综合了 7 个结局 （焦虑、抑郁、压力、负担、自我效能感、生活质量和情绪障碍知识）。其中一项分析表明，当排除有影响力的病例时，有利于干预的父母/照顾者焦虑略有减少 （g=-0.26,95% CI -0.44 至 -0.09，p=0.02）。在随访时综合了 3 个结局，均无统计学意义。结论 直接解决焦虑和/或抑郁儿童父母福祉的干预措施总体上似乎无效。需要更清楚地概念化与父母痛苦相关的因素，以制定更有针对性的干预措施。 PROSPERO 注册号 CRD42022344453。