Adolescent Research Review最新文献

A developing evidence base suggests that dramatherapy, a creative form of psychotherapy, is a useful treatment for child and adolescent emotional disorders. However, little is known regarding the therapeutic benefits (“active ingredients”) of this intervention. A systematic search and meta-synthesis of secondary qualitative data reflecting participants’ perceptions of active ingredients of dramatherapy for symptoms of emotional disorders (anxiety, depression and trauma-related stress) was conducted. Six analytical themes emerged from eight studies. Dramatherapy as a learning (1) and social (2) experience and dramatherapy as a positive intervention (3) which supports self-expression (4) and emotion regulation (5) were identified as active ingredients. The skill and professionalism of dramatherapists (6) were also identified. This study is limited as the data available were not collected for the primary purpose of identifying active ingredients, more focused investigations may reveal different findings. In addition, studies contributed unequal amounts of data thus, findings may be skewed. The findings of this synthesis were benchmarked against other interventions commonly offered to children and young people with emotional distress. Three active ingredients (dramatherapy is fun, dramatherapy builds confidence, participants process difficulties through drama) were deemed unique to dramatherapy. Further research could employ mediation analysis to determine therapeutic mechanisms of change of this intervention.

Typical school provision of physical education, physical activity and sports, which is reflective of the school’s response to the national curriculum, available resources and school ethos, may impact adolescent mental health and wellbeing. Systematic literature reviews have not yet considered this impact. The Web of Science, SPORTDiscus, PsychINFO, ERIC and MEDLINE databases were searched for relevant literature (2000–2022) pertaining to adolescents aged 12–18 years in secondary schools. Twenty studies met the inclusion criteria, including thirteen interventions, five cross-sectional and two longitudinal studies. Included studies contributed 108 reported effects, that examined depression, anxiety, self-esteem, self-efficacy, wellbeing, life satisfaction and positive mental health. Anxiety was the most frequently reported outcome, with 59% of the reported findings found to be non-significant, 24% significantly positive, 12% significantly negative and 6% reporting a negative trend but with no test of significance. Evidence supported the impact of physical education on adolescent mental health and wellbeing. Significantly positive effects were linked to interventions with minor modifications to typical provision such as the integration of teacher workshops and/or implementation of curriculum models. This suggests the importance of supplementing typical school provision of physical education to positively influence future impact.

In everyday life, adolescents’ authenticity and inauthenticity (sense of, and being, the real me/true self; or false self/not the real me) are assumed to be general indicators of their psychosocial health as they navigate developmental processes of identity exploration and relational connectedness on their way to adulthood. Authenticity is important for psychological thriving in adolescents and inauthenticity is considered maladaptive, but there was no broad and systematic evidence-based resource on the topic. Therefore, this scoping review maps: (1) how authenticity and inauthenticity in adolescents (12–18 years old) have been understood, defined, and characterized; (2) what is known about authenticity and inauthenticity; (3) contexts authenticity and inauthenticity have been explored in; and (4) methodological approaches utilized. This review followed a pre-registered protocol (2852 records identified; 39 peer-reviewed primary research studies included). The review revealed authenticity and inauthenticity are typically: characterized as dispositional, involving thoughts, feelings, awareness, and a sense of being one’s true self or a false self; investigated quantitatively; and contextualized in close social relationships (parents, friends, classmates). Authenticity and inauthenticity outcomes included friendship quality, wellbeing, self-esteem, depressive symptoms, internet addiction, and moral disengagement. Adolescents’ authenticity generally increases over time and social support is very important for that process. Adolescents can be more authentic if parents facilitate adolescents’ increasing independence and support role experimentation. Future research should target state (here-and-now) authenticity, as a critical finding was that autonomy satisfaction has an immediate and positive influence on adolescents’ state authenticity, which implies people interacting with adolescents can promptly boost their capacity for positive psychological development.

The ability to recognize emotion is important to wellbeing and building relationships with others, making this skill important in adolescence. Research investigating adolescents’ ability to recognize facial and vocal emotion expressions has reported differing conclusions about the pattern of emotion recognition across this developmental period. This systematic review aimed to clarify the pattern of recognition for facial and vocal emotion expressions, and the relationship of performance to different task and emotion expression characteristics. A comprehensive and systematic search of the literature was conducted using six databases. To be eligible for inclusion, studies had to report data for adolescents between 11 and 18 years of age and measure accuracy of the recognition of emotion cues in either the face or voice. A total of 2333 studies were identified and 47 met inclusion criteria. The majority of studies focused on facial emotion recognition. Overall, early, mid-, and late-adolescents showed a similar pattern of recognition for both facial and vocal emotion expressions with the exception of Sad facial expressions. Sex of the participant also had minimal impact on the overall recognition of different emotions. However, analysis showed considerable variability according to task and emotion expression characteristics. Future research needs to increase focus on recognition of complex emotions, and low-intensity emotion expressions as well as the influence of the inclusion of Neutral as a response option.

A lack of research exists about the development of disordered eating in adolescent males. A systematic review was undertaken with the primary aim of identifying psychosocial risk factors that are prospectively associated with the development of disordered eating attitudes and behavior in adolescent males. The review’s secondary aim was to appraise the appropriateness of the psychometric assessment measures used to identify those risk factors. Electronic databases Scopus (Elsevier), PsycINFO (EBSCO), PsycARTICLES, Medline (Ovid), Web of Science Core Collection and Pubmed (Thomson Reuters) were searched for prospective longitudinal research involving 11–19 year-old adolescents that was published between 2010 and 2022. Twenty-one publications met inclusion criteria and thirty-five factors including fourteen psychological factors, ten body appearance factors, four sociocultural factors, three familial and four peer factors were identified as prospectively associated with the development of disordered eating attitudes and behavior in male adolescents. The psychometric assessment measures used to identify those factors, together with the proportion of female respondents upon whose data the measures were based, were critically appraised. Accurate assessment is imperative in generating reliable and valid research and informing clinical practice. Existing female-centric psychometric assessments normed predominantly on female participants may not be appropriate for use with adolescent males.

There is growing evidence that adolescents in high socioeconomic status groups may be at increased risk for some mental health concerns. This scoping review aims to synthesize empirical literature from 2010 to 2021 on mental health concerns and help-seeking behaviors among this adolescent group. Six comprehensive electronic databases yielded 1316 studies that were systematically reviewed in Covidence to identify relevant research. PRISMA-ScR analysis was used. Eighty-three studies met the eligibility requirements. NVivo was employed for coding, data extraction, and analysis. Key findings suggest substance use, in particular, alcohol, is the main mental health concern among adolescents in high socioeconomic status groups. Other main mental health concerns were externalizing and risk behaviors, bullying, depression, anxiety and stress. These concerns were shown to be influenced by parents, peers, school, and neighborhood contextual factors. Three emerging subgroups were identified as being at higher risk of mental health concerns among adolescents in high socioeconomic status groups. Specifically, adolescents residing in boarding schools, those with high subjective social status (e.g., popular) or low academic performance. Being pressured by parents to perform well academically was identified as a risk-factor for substance use, depression and anxiety. Albeit limited, areas explored for help-seeking behaviors centered on formal, semi-formal and informal support. Further research examining multi-level socioeconomic status factors and mental health concerns and help-seeking behaviors are urgently needed to inform appropriate interventions for this under-represented group.

Cyberbullying is an increasingly problematic psychosocial health risk, particularly in youth. Electroencephalography (EEG) is commonly utilized to investigate the potential effects of social behaviors on brain activity. Hence, the current paper provides a systematic review of EEG-related studies that have addressed cyberbullying-like behaviors. Initial searches from 4 databases returned 1150 unique articles, which were screened according to PRISMA guidelines. The 29 articles remaining after full text screening investigated online social exclusion, a method of cyberbullying. Across these studies, there was evidence of links between social exclusion and abnormalities in a range of event related potential (ERP) and EEG measures representative of deviance detection (“N2” ERP), response to detection (“P3” ERP), emotional attention (“late slow wave” ERP) and emotional regulation (“frontal theta” EEG). Meta-analysis demonstrated increased P3 and late slow wave amplitudes in response to social exclusion, as well as increases in frontal-medial theta power, particularly in child and adolescent samples. However, many studies had small sample sizes, and lacked longitudinal insight into the effects of recurrent ostracism on brain function. Future research should explore the effects of a broader range of cyberbullying behaviors on psychophysiology longitudinally, particularly in vulnerable populations such as adolescents.

What function does parental self-efficacy have for parenting behaviors and children’s adjustment, and what explains individual variations in parents’ self-efficacy? Parental self-efficacy involves parents’ beliefs about their influence on their children and this systematic review presents results from 35 empirical studies published between 2003 and 2022 among parents of school-aged children and adolescents. First, the studies in this review show a bi-directional association between parental self-efficacy and positive parenting, and some empirical evidence that parental self-efficacy influences children indirectly, via parenting. The few longitudinal studies examining associations between parental self-efficacy and child behaviors suggest that self-efficacy might emerge as a reaction to children’s behaviors. Second, many child, parent, and sociocultural factors were shown to predict parental self-efficacy (e.g., child gender and age, parents’ psychological well-being, and socio-economic status), and results suggest that these associations are similar across multiple countries and age groups. Finally, studies reporting on parental self-efficacy at different time points or a correlation between self-efficacy and the child’s age suggested that parental self-efficacy decreases over the school-age and adolescent period. This review shows the complex role of parental self-efficacy in associations with parent and child factors, and it also highlight questions to address for future research.

While there are a number of systematic reviews on school-based mental health programs, there appears to be heterogeneity in their overall findings and conclusions, possibly due to the tendency to combine evidence from primary school and high school programs. To investigate the evidence for the effectiveness of targeted (for specific groups) and universal (for all students) mental health programs delivered in secondary schools, a systematic review of systematic reviews was conducted. A systematic search for reviews published from 2015 included outcomes for depression and anxiety—the most common mental health conditions—and quality appraisal of original studies in majority secondary school settings. A total of 395 references were screened and 14 systematic reviews were included. Of reviews that were assessed in full, most were excluded for not clearly separating studies in secondary school settings from primary school settings. Findings were generally positive but heterogenous in terms of quality and long-term outcomes. Interventions were mainly based on cognitive behavioural therapy (CBT), with results showing that targeted interventions are generally effective in the short-term for both anxiety and depression, while universal programs may be effective in some situations, typically in the short term and when programs were CBT-based; where reviews focused on universal resilience programs there were no significant effects. The overview shows a need for systematic reviews focused on secondary school settings, which consider contextual and individual factors that can influence the implementation and effectiveness of programs.