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Risk factors of and interventions for mental health problems in learning disabilities: a systematic review of psychological therapies for parents and children

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Abstract

This systematic review examined studies on interventions for parents and their children with learning disabilities to offer an overview of interventions (psychological and psychosocial therapies) for mental health problems associated with learning disabilities and the risk factors for mental health problems in children with learning disabilities and their parents. CINAHL, PsycINFO, PubMed, MEDLINE, Child Development & Adolescent Studies, APA PsycArticles, ProQuest, Embase, Social Sciences Citation (Web of Science) were searched for scholarly studies published between 2010 and 2021 on psychosocial interventions, and psychological therapies for learning disabilities, and related developmental disorders. Ten papers involving parents and their child with a learning disability were relevant to the review question and the objective of the review as they looked at a variety of interventions namely, cognitive behaviour therapy, problem solving and assertiveness training, individual and group counselling, emotion regulation, stress management, resilience training, and relaxation therapy. These studies demonstrated support for the assertion that parents and their children with learning disabilities present mental health problems including anxiety and depression. Yet, the review revealed that there are few interventional studies addressing the risk factors for mental health problems among parents and their children with learning disabilities. As such, adopting a socio-ecological or contextual approach to identifying the risk and protective factors for psychopathology in families of children with learning disabilities is especially important to the development of interventions to improve behavioural control as well as the motivational and socio-emotional aspects of challenging behaviours exhibited by children with learning disabilities.

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All data generated or analysed during this study are included in this manuscript.

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No funding was received to assist with the preparation of this manuscript.

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All authors contributed to the study conception and design. JG & MS performed the literature search and data analysis. The first draft of the manuscript was written by JG and MS ritically revised the previous versions of the manuscript. All authors read and approved the final manuscript.

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Correspondence to Meenakshi Shukla.

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Disclosure of potential conflicts of interest

The authors have no relevant financial or non-financial interests to disclose. The authors have no competing interests to declare that are relevant to the content of this article.

Ethics approval

This is a systematic review which relies on secondary sources such as published or unpublished research works. Therefore, since no human or animal populations are directly involved in systematic review papers, no ethical approval is required. This notwithstanding, the review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The Effective Public Health Practice Project’s quality assessment tool for quantitative studies and the Critical Appraisal Skills Programme’s Randomised Controlled Trial Standard Checklist were used to assess the quality of the studies involved in the review, while the Cochrane risk of bias assessment tool and the GRADE technique were used to assess risk of bias and evaluate evidence quality, respectively. Further, this systematic review has been registered on the International Prospective Register of Systematic Reviews database (PROSPERO) under the reference number CRD42021296409.

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Informed consent was not required because data from previously published studies in which informed consent was obtained was retrieved and analysed.

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Gyereh, J., Shukla, M. Risk factors of and interventions for mental health problems in learning disabilities: a systematic review of psychological therapies for parents and children. Curr Psychol 43, 3956–3972 (2024). https://doi.org/10.1007/s12144-023-04527-y

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  • DOI: https://doi.org/10.1007/s12144-023-04527-y

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