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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Veröffentlicht in: | British journal of psychiatry 2020-07, Vol.217 (1), p.354-363 |
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creator | 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. |
description | 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 ( |
doi_str_mv | 10.1192/bjp.2019.216 |
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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.</description><identifier>ISSN: 0007-1250</identifier><identifier>ISSN: 1472-1465</identifier><identifier>EISSN: 1472-1465</identifier><identifier>DOI: 10.1192/bjp.2019.216</identifier><identifier>PMID: 31610824</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject><![CDATA[Accidents ; Anxiety ; Asthma ; Atopic ; Atopy ; Body weight ; Child Health - statistics & numerical data ; Child of Impaired Parents - statistics & numerical data ; Childhood obesity ; Children ; Children & youth ; Diarrhea ; Disease ; Family Health - statistics & numerical data ; Fathers ; Health risks ; Health status ; Humans ; Illnesses ; Malnutrition ; Maternal characteristics ; Maternal depression ; Medicin och hälsovetenskap ; 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 ; Parents & parenting ; Parents - psychology ; Perinatal ; Post traumatic stress disorder ; Postpartum depression ; Postpartum period ; Psychiatry ; Psychosis ; Review article ; Substance use ; Systematic review]]></subject><ispartof>British journal of psychiatry, 2020-07, Vol.217 (1), p.354-363</ispartof><rights>Copyright © The Authors 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c550t-b24d7c7665544c7b2888fe9cd115b9bebc3602438f24e8af4bbe16bb7b0a81343</citedby><cites>FETCH-LOGICAL-c550t-b24d7c7665544c7b2888fe9cd115b9bebc3602438f24e8af4bbe16bb7b0a81343</cites><orcidid>0000-0002-4834-6719 ; 0000-0003-2182-0369</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S0007125019002162/type/journal_article$$EHTML$$P50$$Gcambridge$$H</linktohtml><link.rule.ids>164,230,314,780,784,885,12846,27924,27925,30999,55628</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31610824$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:144084944$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Pierce, Matthias</creatorcontrib><creatorcontrib>Hope, Holly F.</creatorcontrib><creatorcontrib>Kolade, Adekeye</creatorcontrib><creatorcontrib>Gellatly, Judith</creatorcontrib><creatorcontrib>Osam, Cemre Su</creatorcontrib><creatorcontrib>Perchard, Reena</creatorcontrib><creatorcontrib>Kosidou, Kyriaki</creatorcontrib><creatorcontrib>Dalman, Christina</creatorcontrib><creatorcontrib>Morgan, Vera</creatorcontrib><creatorcontrib>Di Prinzio, Patricia</creatorcontrib><creatorcontrib>Abel, Kathryn M.</creatorcontrib><title>Effects of parental mental illness on children's physical health: systematic review and meta-analysis</title><title>British journal of psychiatry</title><addtitle>Br J Psychiatry</addtitle><description>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.</description><subject>Accidents</subject><subject>Anxiety</subject><subject>Asthma</subject><subject>Atopic</subject><subject>Atopy</subject><subject>Body weight</subject><subject>Child Health - statistics & numerical data</subject><subject>Child of Impaired Parents - statistics & numerical data</subject><subject>Childhood obesity</subject><subject>Children</subject><subject>Children & youth</subject><subject>Diarrhea</subject><subject>Disease</subject><subject>Family Health - statistics & numerical data</subject><subject>Fathers</subject><subject>Health risks</subject><subject>Health status</subject><subject>Humans</subject><subject>Illnesses</subject><subject>Malnutrition</subject><subject>Maternal characteristics</subject><subject>Maternal depression</subject><subject>Medicin och hälsovetenskap</subject><subject>Mental depression</subject><subject>Mental disorders</subject><subject>Mental Disorders - epidemiology</subject><subject>Mental health</subject><subject>Mental Health - statistics & numerical data</subject><subject>Meta-analysis</subject><subject>Mood</subject><subject>Mothers</subject><subject>Mothers - psychology</subject><subject>Obesity</subject><subject>Obsessive compulsive disorder</subject><subject>Offspring</subject><subject>Overweight</subject><subject>Parents & parenting</subject><subject>Parents - psychology</subject><subject>Perinatal</subject><subject>Post traumatic stress disorder</subject><subject>Postpartum depression</subject><subject>Postpartum period</subject><subject>Psychiatry</subject><subject>Psychosis</subject><subject>Review article</subject><subject>Substance use</subject><subject>Systematic review</subject><issn>0007-1250</issn><issn>1472-1465</issn><issn>1472-1465</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp1kUlvFDEQhS0EIpPAjTNqiQM50IP3JTcUhUWKlEs4W7a7mvHgXmh3E82_x6OZJBJKTmXX--qV5YfQO4LXhBj62W_HNcXErCmRL9CKcEVrwqV4iVYYY1UTKvAJOs15W66MU_UanTAiCdaUrxBctS2EOVdDW41ugn52qeoOJabUQy5SX4VNTE1RP-Zq3OxyDEXegEvz5qLKuzxD5-YYqgn-RrirXN8Uj9nVrnep0PkNetW6lOHtsZ6hn1-vbi-_19c3335cfrmugxB4rj3ljQpKSiE4D8pTrXULJjSECG88-MAkppzplnLQruXeA5HeK4-dJoyzM1QffPMdjIu34xQ7N-3s4KI9tn6XE1iuJDOm8OZZfpyG5nHofpBwjjU3fL_r_DBbwD8L5Nl2MQdIyfUwLNlShoXGlDBW0A__odthmcrfFIoTZaQyQhXq04EK05DzBO3Dcwi2-6htidruo7Yl6oK_P5ouvoPmAb7PtgDro5_r_BSbX_C49knHf51MtSI</recordid><startdate>20200701</startdate><enddate>20200701</enddate><creator>Pierce, Matthias</creator><creator>Hope, Holly F.</creator><creator>Kolade, Adekeye</creator><creator>Gellatly, Judith</creator><creator>Osam, Cemre Su</creator><creator>Perchard, Reena</creator><creator>Kosidou, Kyriaki</creator><creator>Dalman, Christina</creator><creator>Morgan, Vera</creator><creator>Di Prinzio, Patricia</creator><creator>Abel, Kathryn M.</creator><general>Cambridge University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7TK</scope><scope>7XB</scope><scope>88G</scope><scope>88J</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HEHIP</scope><scope>M2M</scope><scope>M2O</scope><scope>M2R</scope><scope>M2S</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>ADTPV</scope><scope>AOWAS</scope><orcidid>https://orcid.org/0000-0002-4834-6719</orcidid><orcidid>https://orcid.org/0000-0003-2182-0369</orcidid></search><sort><creationdate>20200701</creationdate><title>Effects of parental mental illness on children's physical health: systematic review and meta-analysis</title><author>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.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c550t-b24d7c7665544c7b2888fe9cd115b9bebc3602438f24e8af4bbe16bb7b0a81343</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Accidents</topic><topic>Anxiety</topic><topic>Asthma</topic><topic>Atopic</topic><topic>Atopy</topic><topic>Body weight</topic><topic>Child Health - statistics & numerical data</topic><topic>Child of Impaired Parents - statistics & numerical data</topic><topic>Childhood obesity</topic><topic>Children</topic><topic>Children & youth</topic><topic>Diarrhea</topic><topic>Disease</topic><topic>Family Health - statistics & numerical data</topic><topic>Fathers</topic><topic>Health risks</topic><topic>Health status</topic><topic>Humans</topic><topic>Illnesses</topic><topic>Malnutrition</topic><topic>Maternal characteristics</topic><topic>Maternal depression</topic><topic>Medicin och hälsovetenskap</topic><topic>Mental depression</topic><topic>Mental disorders</topic><topic>Mental Disorders - epidemiology</topic><topic>Mental health</topic><topic>Mental Health - statistics & numerical data</topic><topic>Meta-analysis</topic><topic>Mood</topic><topic>Mothers</topic><topic>Mothers - psychology</topic><topic>Obesity</topic><topic>Obsessive compulsive disorder</topic><topic>Offspring</topic><topic>Overweight</topic><topic>Parents & parenting</topic><topic>Parents - psychology</topic><topic>Perinatal</topic><topic>Post traumatic stress disorder</topic><topic>Postpartum depression</topic><topic>Postpartum period</topic><topic>Psychiatry</topic><topic>Psychosis</topic><topic>Review article</topic><topic>Substance use</topic><topic>Systematic review</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pierce, Matthias</creatorcontrib><creatorcontrib>Hope, Holly F.</creatorcontrib><creatorcontrib>Kolade, Adekeye</creatorcontrib><creatorcontrib>Gellatly, Judith</creatorcontrib><creatorcontrib>Osam, Cemre Su</creatorcontrib><creatorcontrib>Perchard, Reena</creatorcontrib><creatorcontrib>Kosidou, Kyriaki</creatorcontrib><creatorcontrib>Dalman, Christina</creatorcontrib><creatorcontrib>Morgan, Vera</creatorcontrib><creatorcontrib>Di Prinzio, Patricia</creatorcontrib><creatorcontrib>Abel, Kathryn M.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Psychology Database (Alumni)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Sociology Collection</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Social Science Database</collection><collection>Sociology Database</collection><collection>Research Library (Corporate)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>SwePub</collection><collection>SwePub Articles</collection><jtitle>British journal of psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pierce, Matthias</au><au>Hope, Holly F.</au><au>Kolade, Adekeye</au><au>Gellatly, Judith</au><au>Osam, Cemre Su</au><au>Perchard, Reena</au><au>Kosidou, Kyriaki</au><au>Dalman, Christina</au><au>Morgan, Vera</au><au>Di Prinzio, Patricia</au><au>Abel, Kathryn M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of parental mental illness on children's physical health: systematic review and meta-analysis</atitle><jtitle>British journal of psychiatry</jtitle><addtitle>Br J Psychiatry</addtitle><date>2020-07-01</date><risdate>2020</risdate><volume>217</volume><issue>1</issue><spage>354</spage><epage>363</epage><pages>354-363</pages><issn>0007-1250</issn><issn>1472-1465</issn><eissn>1472-1465</eissn><abstract>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.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>31610824</pmid><doi>10.1192/bjp.2019.216</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-4834-6719</orcidid><orcidid>https://orcid.org/0000-0003-2182-0369</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Accidents Anxiety Asthma Atopic Atopy Body weight Child Health - statistics & numerical data Child of Impaired Parents - statistics & numerical data Childhood obesity Children Children & youth Diarrhea Disease Family Health - statistics & numerical data Fathers Health risks Health status Humans Illnesses Malnutrition Maternal characteristics Maternal depression Medicin och hälsovetenskap 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 Parents & parenting Parents - psychology Perinatal Post traumatic stress disorder Postpartum depression Postpartum period Psychiatry Psychosis Review article Substance use Systematic review |
title | Effects of parental mental illness on children's physical health: systematic review and meta-analysis |
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