Prevalence and risk factors of parental mental health problems: A cross-sectional study.

Anne Grant, Claire McCartan, Gavin Davidson, Lisa Bunting, Julie Cameron, Orla McBride, Ciaran Mulholland, Jamie Murphy, Emma Nolan, Dirk Schubotz, Mark Shevlin
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Abstract

An understanding of the prevalence and risk factors of parental mental health problems is important for early intervention and prevention measures and shaping services for parents and their children. However, large representative surveys of parental mental health problems and associated risk factors are lacking. The aim of this study was to estimate prevalence rates of parental mental health problems using a standardised measure of psychiatric morbidity (General Health Questionnaire; GHQ-12), in a representative sample of parents and caregivers of children and young people (2-19 years) in Northern Ireland. Further, this study explored associated risk factors of parental mental health problems. A random household survey of parents and children was conducted between June 2019 and March 2020. Parental responses on demographic, economic, familial and psychological measures were collected (N = 2815) and 22% of parents and caregivers screened positive for mental health problems. The STROBE checklist for observational research was adhered to. Multivariate logistic regression indicated that being in receipt of benefits, having poor family support, a history of adverse childhood experiences, a history of exposure to politically motivated violence (the Troubles), and a child with conduct problems and poor health were all independent risk factors of increased parental mental health problems. Findings will help to inform future commissioning and development of services and broaden understanding of the correlates of parental mental health problems.

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父母心理健康问题的发生率和风险因素:一项横断面研究。
了解父母心理健康问题的发生率和风险因素对于早期干预和预防措施以及为父母及其子女提供服务非常重要。然而,目前还缺乏对父母心理健康问题及相关风险因素的大规模代表性调查。本研究的目的是使用精神疾病发病率的标准化测量方法(一般健康问卷;GHQ-12),在北爱尔兰具有代表性的儿童和青少年(2-19 岁)的父母和看护者样本中估算父母精神健康问题的患病率。此外,本研究还探讨了父母精神健康问题的相关风险因素。在 2019 年 6 月至 2020 年 3 月期间,对父母和儿童进行了随机家庭调查。调查收集了父母对人口、经济、家庭和心理测量的反馈(N = 2815),22% 的父母和看护人的心理健康问题筛查结果呈阳性。观察研究采用了 STROBE 检查表。多变量逻辑回归结果表明,领取补助金、家庭支持不足、童年不良经历、曾遭受政治暴力(动乱)、子女有行为问题且健康状况差,这些都是导致父母心理健康问题增加的独立风险因素。研究结果将有助于为未来服务的委托和发展提供信息,并扩大对父母心理健康问题相关因素的理解。
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