Allostatic Load in Children and Adolescents: A Systematic Review.

IF 16.3 1区 医学 Q1 PSYCHIATRY Psychotherapy and Psychosomatics Pub Date : 2023-01-01 Epub Date: 2023-09-04 DOI:10.1159/000533424
Marcella Lucente, Jenny Guidi
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Abstract

Introduction: The concept of allostatic load encompasses the cumulative effects of both ordinary daily life events as well as major challenges, and also includes related health-damaging behavior. Allostatic overload ensues when environmental challenges exceed the individual's ability to cope. Identification of allostatic load is carried out through the use of biomarkers and clinimetric criteria. Studies are increasingly reported on allostatic load in younger populations, yet a systematic review is missing.

Objective: The aim of the present systematic review was to summarize the current knowledge on allostatic load/overload among children and adolescents.

Methods: PubMed, PsycINFO, Web of Science, and the Cochrane Library were searched from inception to April 2023. A manual search of the literature was also performed. We considered only studies in which allostatic load or overload were adequately described and assessed in either clinical or non-clinical populations younger than 18 years.

Results: A total of 38 original investigations were included in this systematic review. Studies reported an association between allostatic load and sociodemographic characteristics (e.g., poverty, ethnicity, perceived discrimination, adverse childhood experiences) and environmental factors, as well as consequences of allostatic load on both physical and mental health among children and adolescents.

Conclusions: The findings indicate that greater allostatic load is associated with poorer health outcomes in both clinical and non-clinical pediatric populations, with possible enduring effects. The results support the clinical utility of the transdiagnostic identification of allostatic load and overload in children and adolescents across a variety of settings, with a number of potential clinical implications.

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儿童和青少年的代谢负荷:系统回顾
简介静态负荷的概念既包括普通日常生活事件和重大挑战的累积效应,也包括相关的健康损害行为。当环境挑战超过个人的应对能力时,就会出现异质负荷过重。通过使用生物标志物和临床测量标准来确定异质负荷。越来越多的研究报道了年轻群体的静态负荷,但却缺乏系统性综述:本系统性综述旨在总结目前有关儿童和青少年异动负荷/超负荷的知识:方法:检索了 PubMed、PsycINFO、Web of Science 和 Cochrane 图书馆从开始到 2023 年 4 月的所有文献。我们还对文献进行了人工检索。我们只考虑了对 18 岁以下临床或非临床人群的异位负荷或超负荷进行了充分描述和评估的研究:本系统综述共纳入了 38 项原创性研究。研究报告了异质负荷与社会人口特征(如贫困、种族、感知到的歧视、不良童年经历)和环境因素之间的关系,以及异质负荷对儿童和青少年身心健康的影响:结论:研究结果表明,在临床和非临床儿科人群中,较高的静态负荷与较差的健康状况相关,并可能产生持久影响。这些结果支持在各种环境下对儿童和青少年的异质负荷和超负荷进行跨诊断识别的临床实用性,并具有许多潜在的临床意义。
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来源期刊
Psychotherapy and Psychosomatics
Psychotherapy and Psychosomatics 医学-精神病学
CiteScore
29.40
自引率
6.10%
发文量
46
期刊介绍: Psychotherapy and Psychosomatics is a reputable journal that has been published since 1953. Over the years, it has gained recognition for its independence, originality, and methodological rigor. The journal has been at the forefront of research in psychosomatic medicine, psychotherapy research, and psychopharmacology, and has contributed to the development of new lines of research in these areas. It is now ranked among the world's most cited journals in the field. As the official journal of the International College of Psychosomatic Medicine and the World Federation for Psychotherapy, Psychotherapy and Psychosomatics serves as a platform for discussing current and controversial issues and showcasing innovations in assessment and treatment. It offers a unique forum for cutting-edge thinking at the intersection of medical and behavioral sciences, catering to both practicing clinicians and researchers. The journal is indexed in various databases and platforms such as PubMed, MEDLINE, Web of Science, Science Citation Index, Social Sciences Citation Index, Science Citation Index Expanded, BIOSIS Previews, Google Scholar, Academic Search, and Health Research Premium Collection, among others.
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