ABSTRACT

This scoping review focused on parents’ resolution of their reactions to receiving a diagnosis for their child, based on Marvin and Pianta’s model and Reaction to Diagnosis Interview (RDI). We aimed to map the populations examined, the prevalence of parents’ narrated resolution, and what is known about its outcomes and determinants. A structured search identified 47 peer-reviewed papers published between 1992–2021. All employed the RDI and most had a cross-sectional design. Studies focused on a wide range of children’s health and mental health diagnoses. Days to years after receiving the diagnosis, RDI narratives of 18.43% to 72.49% of the parents (44% on average) indicated lack of resolution. Studies reported associations between unresolved narratives and children’s insecure attachment, higher parenting stress, and poorer parental health. However, findings on the associations of narrated resolution with parents’ representations of their child, sensitivity, and psychological symptoms were equivocal, and findings on factors that may shape narrated resolution were limited. To advance the understanding of parents’ narrated resolution and its effects, we recommend researchers employ prospective and longitudinal designs, evaluate narrated resolution as a continuous phenomenon, focus on outcomes derived from attachment theory, and systematically sample families from heterogenous cultures.

摘要

根据 Marvin 和 Pianta 的模型以及对诊断面谈 (RDI) 的反应，该范围审查侧重于父母对接受孩子诊断的反应的解决方案。我们旨在绘制所检查的人群、父母叙述解决方案的普遍性，以及对其结果和决定因素的了解。结构化搜索确定了 1992 年至 2021 年间发表的 47 篇同行评议论文。所有人都采用了 RDI，并且大多数都采用了横截面设计。研究侧重于广泛的儿童健康和心理健康诊断。在接受诊断数天到数年后，18.43% 至 72.49% 的父母（平均 44%）的 RDI 叙述表明缺乏解决方案。研究报告了未解决的叙述与儿童不安全的依恋、更高的育儿压力和更差的父母健康之间的关联。然而，关于叙述性解决方案与父母对孩子的陈述、敏感性和心理症状的关联的研究结果是模棱两可的，关于可能影响叙述性解决方案的因素的研究结果是有限的。为了促进对父母叙述分辨率及其影响的理解，我们建议研究人员采用前瞻性和纵向设计，将叙述分辨率评估为一种连续现象，关注依恋理论得出的结果，并系统地从异质文化中抽取家庭样本。