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<p>Perinatal mental health challenges are associated with deleterious next-generation outcomes due in part to their impact on early parent–child relationships. Many perinatal interventions for caregivers with mental health difficulties target <i>either</i> parental mental health <i>or</i> parent–child relationships, despite ample evidence that these are related. This systematic review aimed to examine mental health and relational outcomes associated with perinatal interventions targeting caregiver <i>and</i> relational wellbeing. Seven electronic databases were searched to identify studies meeting the following criteria: (a) intervention targets parental mental health and parent–infant relational wellbeing (b) study design includes a comparison group, (c) study reports mental health and observed relational outcomes for all groups, (d) intervention is delivered to perinatal mothers by a professional, and (e) article is written in English. Data were tabulated to facilitate narrative synthesis and risk of bias analysis. Sixteen articles evaluating 13 interventions delivered to 1070 participants were included. Four interventions exhibited improvements in both outcomes, four demonstrated improvements in only one outcome, and five demonstrated improvements in neither. Clinical implications include support for the use of brief group and individual interventions that target mental health outcomes via support for emotion expression and problem-solving, and relational outcomes via in vivo guidance for sensitive parent–child interactions, promotion of reflective functioning, and addressing caregiver perceptions of parent–child relationships. Limitations related to study quality, design heterogeneity, and participant demographic homogeneity demand caution in interpretation of results and there is a need for higher quality research in this area. The review protocol was pre-registered with Prospero (ID: CRD42022380278).</p>

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Perinatal Mental Health Interventions with a Parent–Child Relational Component: A Systematic Review of the Effects on Mothers and Dyads

  • 期刊论文

  • 发表日期：

    2025年7月7日

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  • Sarah E. Freeman,
  • Joely Reznik,
  • Maitri Jain,
  • Emily E. Sokol,
  • Dana Manning,
  • Haley Rohde,
  • Tamara M. Loverich,
  • Jamie M. Lawler

摘要

Perinatal mental health challenges are associated with deleterious next-generation outcomes due in part to their impact on early parent–child relationships. Many perinatal interventions for caregivers with mental health difficulties target either parental mental health or parent–child relationships, despite ample evidence that these are related. This systematic review aimed to examine mental health and relational outcomes associated with perinatal interventions targeting caregiver and relational wellbeing. Seven electronic databases were searched to identify studies meeting the following criteria: (a) intervention targets parental mental health and parent–infant relational wellbeing (b) study design includes a comparison group, (c) study reports mental health and observed relational outcomes for all groups, (d) intervention is delivered to perinatal mothers by a professional, and (e) article is written in English. Data were tabulated to facilitate narrative synthesis and risk of bias analysis. Sixteen articles evaluating 13 interventions delivered to 1070 participants were included. Four interventions exhibited improvements in both outcomes, four demonstrated improvements in only one outcome, and five demonstrated improvements in neither. Clinical implications include support for the use of brief group and individual interventions that target mental health outcomes via support for emotion expression and problem-solving, and relational outcomes via in vivo guidance for sensitive parent–child interactions, promotion of reflective functioning, and addressing caregiver perceptions of parent–child relationships. Limitations related to study quality, design heterogeneity, and participant demographic homogeneity demand caution in interpretation of results and there is a need for higher quality research in this area. The review protocol was pre-registered with Prospero (ID: CRD42022380278).