Adolescent Research Review最新文献

In research, participatory approaches involve engaging in the research with people and empower co-researchers to have a voice. The aim of this review was to synthesize the methods and approaches used to enable children, adolescents, and families to be involved in a participatory approach in research conducted to inform development of health resources and interventions aimed at children and adolescents. Key databases were searched systematically using key word and subject heading searches and included studies were appraised for both methodological quality and sufficiency of reporting of their participatory approach. Findings were synthesized using a critical narrative approach. Among 26 eligible studies, commonly reported participatory approaches involved community-based participatory research, codesign, participatory design, coproduction, and user-centred design. A need was identified to involve co-researchers more in the later stages of participatory approaches. Most studies were of low to moderate methodological quality. A wide variety of methods and activities were used in the studies to enable children to participate in the research, but few studies provided sufficient evidence of their participatory approach. This review concludes that reporting of participatory approaches might benefit from the guidelines that acknowledge the dual nature of participatory approaches as both a research method and an approach that enables action and change.

Community gun violence persists as a daily reality for many youth in low-income urban communities. While most gun violence research has focused on the direct victims of firearm homicide, exploration into the broader public health repercussions of community gun violence on youth has lagged. This systematic review aimed to synthesize and critically assess the state of evidence on indirect exposure to community gun violence among low-income urban youth in the U.S. PubMed, Web of Science, ProQuest, and SCOPUS were searched for peer-reviewed articles exploring the scope, risk factors, and impacts of community gun violence exposure on this population. Of the 143 studies identified and screened, 13 studies were ultimately included. The broad themes emerging include (1) a lack of consensus regarding the range of experiences that constitute community gun violence, (2) exposure to violence involving a firearm as distinct from that with other weapons, (3) a need to conceptualize multiple dimensions of gun violence exposure, (4) differential impacts of exposure to community gun violence across developmental stages, and (5) how indirect gun violence exposure uniquely contributes to cycles of community violence. Future research must move toward a consistent typology, multidimensional conceptualization, and developmental- and context-specific examination of community gun violence exposure.

Sharing and viewing photos on social networking sites (SNSs) have been identified as particularly problematic for body image. Although correlational research to date has established that SNS use is associated with increased body dissatisfaction, only experimental studies can enhance confidence in the conclusions drawn. For this reason, this systematic review synthesizes data from 43 experimental studies (N = 8637; %F = 89.56; mean age = 21.58 ± 1.78) examining the effect of viewing idealized images (i.e., attractive, thin, and fit) and body positive content on SNSs on body image. Two studies were conducted on adolescents. Each study had slight variations in how the images were presented for each category (e.g., selfies and photos taken by others). The wide variability in experimental stimuli and psychological moderators used in the published research make a systematic review more feasible and meaningful than a meta-analysis. Findings indicate that viewing idealized images on SNSs lead to increased body dissatisfaction among young women and men. State appearance comparison (i.e., engaging in social comparison while viewing images) significantly mediated the effect, whereas trait appearance comparison (i.e., the relatively stable general tendency to engage in social comparison) was a significant moderator. Mixed results were found regarding the exposure to body positive images/captions. Viewing images on SNSs depicting unattainable beauty ideals leads young people to feel dissatisfied about their bodies, with appearance comparison processing playing an important role. More research is required to assess the long-term effects.

Sexual minority adolescents’ disclosure of sexual identity to family plays a significant role in their identity development. Studies have identified various predictors of coming out to family, yet these findings have yet to be systematically integrated to identify gaps and directions of future research. The goal of this study was to conduct a systematic review of predictors of sexual minority adolescents’ and young adults’ disclosure to family about their sexual identity. Drawing upon an existing conceptual model of antecedents of disclosure of stigmatized identities to organize the findings, this review focused on individual characteristics and proximal (e.g., familial and social) and distal (e.g., historical) environmental factors that influence disclosure to family. A total of 35 empirical studies were included. Regarding individual factors, less internalized homonegativity and greater identification of sexual identity promoted disclosure. Among familial and social factors, positive family relationship quality and friend support predicted greater disclosure. Distal environmental factors included differences in the proportion of disclosure by historical periods. The findings highlight the important role of acceptance and visibility of sexual minorities within family and social environments in promoting youth’s disclosure of sexual identity to family.

Adolescents get insufficient sleep, adversely affecting health. Mind–body integrative health interventions for adolescents have been shown to reduce stress, a barrier to good sleep. This scoping review aimed to synthesize mind–body integrative health interventions for adolescents, how interventions were implemented, who was reached. A systematic search of four online databases was conducted. Randomized, quasi-experimental, and single-group designs with participants ages 10–24 years were included. Twelve studies covering 10 interventions using mindfulness, qigong, aromatherapy, or yoga were identified. Participants were predominantly female; only one study reported participants’ race or ethnicity (81% non-Hispanic white). Most (n = 6) interventions were delivered in groups, and half reported significant improvements in subjective sleep quality. Mindfulness-based stress reduction and mindfulness-based cognitive therapy were the most commonly used modalities, with reported impact on sleep outcomes measured objectively. The two interventions that found statistically significant, moderate improvements in objectively-measured sleep onset latency and sleep efficiency were of higher intensity and used mindfulness. Four interventions were self-directed; participants in these struggled with adherence; significant impacts on sleep were not found. While findings were mixed, stemming in part from the quality of the underlying studies, this review identified several promising features of interventions, including using mindfulness, ensuring sufficient intervention dose, and targeting interventions towards adolescents with poor sleep at baseline (rather than a general population of adolescents). The findings suggests that sleep interventions for adolescents may improve psychological well-being as an intermediate effect, as sleep improvements were observed mostly among participants with poor sleep quality or anxiety symptoms at baseline. This review identified several gaps in the literature. Despite documented racial and ethnic disparities in sleep quality among adolescents, published evidence of mind–body integrative health-based sleep interventions among Black and Latinx adolescents is lacking. None of the studies in this review assessed developmental stage or age differences, despite documented differences in sleep across age groups of adolescents. These two gaps in the evidence should be addressed in future intervention research.

Mental health practitioners provide therapeutic interventions to youth on a daily basis, yet sparse research exists to inform ethical decision-making. It is commonly understood that therapeutic work with youth is ethically complex especially when considering informed consent and confidentiality, both of which have practical limitations. This review synthesized literature which reported practitioners’ perspectives (e.g., psychologists, social workers) on ethical decision-making about informed consent and confidentiality in therapeutic work with youth. Specifically, this review aimed to amalgamate relevant professional perspectives on work with youth who may be considered “Mature Minors” or “Gillick Competent,” indications of capacity to consent to intervention. Included studies (n = 25) largely originated in North America (40%), suggesting an underrepresentation of culturally diverse practitioners and help-seeking youth in available literature. Most studies concentrated on confidentiality (72%) and few considered decision-making related to informed consent. Adolescent risk-behavior and related potential for harm were prevalent factors in practitioners’ decision-making. This review demonstrates that practitioners endorse disparate decision-making factors and are limited in consensus to breach confidentiality. As such, practitioners demonstrate variance in approach to working with this developmentally vulnerable population.

Migration may lead to changing power dynamics between parents and children in families. Children may change their behavior in order to exercise agency to respond to migration of family members or themselves. This systematic review seeks to understand how children exercise agency within families in the context of migration. The authors searched ten databases to collect English-written articles published in academic journals in or after 2010. The studies were coded to generate a quality indicator. 65 Articles with moderate and strong quality were included in this review, including 41 qualitative studies, 16 quantitative studies, and 8 mixed-methods studies. Children and adolescents with demographically and culturally diverse backgrounds were analyzed in these studies. The systematic review shows that children have different levels of behavioral agency in the migration decision-making process; they also exercise agency in different aspects of family life. For example, left-behind children exercise agency in care provision and information nondisclosure, and migrant children in media and language brokering. Children’s behavioral agency is place-specific. Adults working with children need to pay more attention to children’s behavioral agency in order to support children’s healthy development and facilitate their adaptation in the context of migration.

Electronic mentoring (e-mentoring), the integration of digital technology in mentoring relationships, has recently grown in popularity; however, the effectiveness of e-mentoring in addressing youth health has not been synthesized to date. The current study synthesizes the literature on e-mentoring to affect the health and well-being of youth (10–24 years) through a systematic review and evidence quality assessment. A total of 833 records were identified, of which 14 met eligibility criteria (published in English since 1995, targeted youth health and/or youth with health issues, and communication was entirely digital or combined with in-person interaction). The results showed that the majority of health-focused e-mentoring studies were conducted with young people with existing health conditions rather than on the use of e-mentoring to promote overall health and wellness. The included programs focused largely on bringing mentoring to youth subpopulations that may be challenged by in-person models. Quality assessments of the included studies showed that the strength of the evidence is mediocre. The findings suggest that e-mentoring has the potential to reach youth with unique health concerns and to promote independent management of health conditions as youth transition to adulthood; however, more rigorous evaluation of e-mentoring programs with larger sample sizes is needed.