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Understanding Mechanisms that Maintain Social Anxiety Disorder in Autistic Individuals Through the Clark and Wells (1995) Model and Beyond: A Systematic Review 通过克拉克和威尔斯(1995 年)模型及其他模型了解自闭症患者社交焦虑症的维持机制:系统回顾
IF 6.9 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-11-19 DOI: 10.1007/s10567-024-00509-z
Jiedi Lei, Charlotte Mason, Ailsa Russell, Matthew J. Hollocks, Eleanor Leigh

Given the high co-occurrence of social anxiety in autism, no reviews to date have explored how cognitive and behavioural mechanisms identified to maintain social anxiety in non-autistic individuals may operate in autistic individuals. This systematic review evaluated: (1) empirical evidence underlying the Clark and Wells (1995) Cognitive Model of Social Anxiety in autistic individuals; (2) how vulnerability factors identified from autism literature (beyond core autistic traits) may be associated with social anxiety beyond the cognitive model. Published peer-reviewed English articles until 27th November 2023 were retrieved from PubMed, EMBASE, Ovid MEDLINE and PsycINFO. Quality appraisal and risk of bias were assessed using The Standard Quality Assessment Criteria for Evaluating Primary Research papers from a Variety of Fields tool. 47 articles met full inclusion criteria and included autistic individuals (with clinical diagnosis), a measure of social anxiety, and a mechanism outlined by either (or both) research questions. The majority of the 3340 participants across studies were male without intellectual disability, White/Caucasian, with 7 studies reporting an average age above 30 years old. Most studies used only self-report measures that may have inflated associations observed between social anxiety and mechanisms. All studies employed cross-sectional design, and no causality inferences could be drawn. Methodological issues around potential construct overlaps between social anxiety and autistic traits are highlighted. Overall, there is evidence in support of the as reported by Clark and Well (in: Heimberg (eds), A cognitive model of social phobia, The Guilford Press, 1995) model, as greater fear of negative evaluation from others, use of safety behaviours and somatic symptoms, and peer victimisation were associated with greater social anxiety. The review contributes evidence in support of autism specific contextual, predisposing/antecedent and maintenance factors of social anxiety beyond the original Clark and Well (in: Heimberg (eds), A cognitive model of social phobia, The Guilford Press, 1995) model. Given the potential for considerable heterogeneity for each highlighted process at an individual level across autistic individuals, clinicians can broaden formulation conversations with autistic clients to understand how autism related factors may influence the development and maintenance of social anxiety symptoms when applying and adapting the Clark and Well (in: Heimberg (eds), A cognitive model of social phobia, The Guilford Press, 1995) model.

鉴于社交焦虑在自闭症患者中的高并发率,迄今为止还没有任何综述探讨过在非自闭症患者中被确定为维持社交焦虑的认知和行为机制如何在自闭症患者中发挥作用。本系统性综述评估了:(1) 克拉克和威尔斯(Clark and Wells,1995 年)社交焦虑认知模型在自闭症患者中的经验证据;(2) 自闭症文献中发现的易感因素(除核心自闭症特征外)如何与认知模型之外的社交焦虑相关联。从 PubMed、EMBASE、Ovid MEDLINE 和 PsycINFO 检索了截至 2023 年 11 月 27 日已发表的经同行评审的英文文章。采用 "评估来自不同领域的初级研究论文的标准质量评估标准 "工具对质量评估和偏倚风险进行了评估。有 47 篇文章符合完整的纳入标准,其中包括自闭症患者(有临床诊断)、社交焦虑的测量方法以及由其中一个(或两个)研究问题所概述的机制。在所有研究的 3340 名参与者中,大多数为无智力障碍的男性、白人/高加索人,其中 7 项研究报告的平均年龄超过 30 岁。大多数研究仅采用自我报告测量方法,这可能会夸大社交焦虑与机制之间的关联。所有研究均采用横断面设计,无法得出因果关系推论。与社交焦虑和自闭症特征之间潜在的结构重叠有关的方法学问题也得到了强调。总体而言,有证据支持 Clark 和 Well(载于 Heimberg(编著)《社交焦虑与自闭症特质》)所报告的观点:Heimberg (eds), A cognitive model of social phobia, The Guilford Press, 1995)所报告的模式,因为对他人负面评价的更大恐惧、安全行为和躯体症状的使用以及同伴伤害与更大的社交焦虑有关。除了克拉克和韦尔(Clark and Well)(见海姆伯格(Heimberg)编著的《社交焦虑症》一书)的原始研究之外,本综述还提供证据支持自闭症的特定环境、倾向/诱因以及社交焦虑的维持因素:海姆伯格(编著),《社交恐惧症认知模型》,吉尔福德出版社,1995 年)模型。鉴于自闭症患者在个体层面上的每个突出过程都可能存在相当大的异质性,临床医生在应用和调整 Clark 和 Well(Heimberg(编著),《社交恐惧症认知模型》,吉尔福德出版社,1995 年)模型时,可以扩大与自闭症患者的配方对话,以了解与自闭症相关的因素可能如何影响社交焦虑症状的发展和维持:海姆伯格(编),《社交恐惧症认知模型》,吉尔福德出版社,1995 年)模型。
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引用次数: 0
Manualised Attachment-Based Interventions for Improving Caregiver-Infant Relationships: A Two-Stage Systematic Review. 改善照顾者与婴儿关系的基于态度的干预措施手册:两阶段系统回顾
IF 5.5 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-11-18 DOI: 10.1007/s10567-024-00497-0
A Wittkowski, C Crompton, M W Wan

As attachment-based interventions can improve caregiver-infant relationships and their subsequent psychological outcomes, the identification of relevant and effective interventions can facilitate their implementation into clinical practice. This systematic review aimed to a) provide an overview of manualised attachment-based interventions, without video-feedback as the main component, for caregivers and infants from conception to two years, and b) determine which of these interventions were effective in demonstrating improvements in caregiver-infant relational outcomes. To identify eligible interventions and their empirical evidence base, two search stages were conducted for 1) relevant interventions and 2) studies of interventions identified in the first stage that focussed on caregiver-infant relational outcomes. All studies included in Stage 2 were quality assessed and findings analysed. Twenty-six interventions were eligible for inclusion at Stage 1 but studies reporting on relational outcomes were identified for 16 interventions only. Forty studies reporting on those 16 interventions met inclusion criteria and were synthesised at Stage 2. Most studies were of good quality. Observer-rated measures were used in 90% of studies. There was evidence for these interventions in relation to improving caregiver-infant relational outcomes: 80% of studies reported a statistically significant positive change in a relational outcome for the intervention compared to pre-intervention or control group. The most promising evidence was identified for Attachment and Biobehavioral Catch-Up (ABC), Minding the Baby (MTB) and Circle of Security (COS). This systematic review offers guidance to healthcare professionals, commissioners and policymakers within perinatal sectors in relation to the training, delivery and implementation of evidenced manualised attachment-based interventions.

由于基于依恋的干预措施可以改善照顾者与婴儿之间的关系及其随后的心理结果,因此确定相关的有效干预措施可以促进其在临床实践中的实施。本系统性综述旨在:a)概述以人工依恋为基础的干预措施(不以视频反馈为主要内容),适用于从受孕到两岁的照护者和婴儿;b)确定这些干预措施中哪些能有效改善照护者与婴儿之间的关系。为了确定符合条件的干预措施及其经验证据基础,我们进行了两个阶段的搜索:1)相关干预措施;2)在第一阶段中确定的干预措施研究,其重点是护理者与婴儿的关系结果。对第二阶段纳入的所有研究进行了质量评估和结果分析。第一阶段有 26 项干预措施符合纳入条件,但仅确定了 16 项干预措施的关系结果研究。报告这 16 项干预措施的 40 项研究符合纳入标准,并在第 2 阶段进行了综合。大多数研究质量良好。90% 的研究采用了观察者评分标准。有证据表明,这些干预措施可改善照顾者与婴儿之间的关系:80%的研究报告称,与干预前或对照组相比,干预后的关系结果出现了统计学意义上的积极变化。最有希望的证据是 "依恋与生物行为强化"(ABC)、"照顾婴儿"(MTB)和 "安全圈"(COS)。本系统综述为围产期部门的医疗保健专业人员、专员和政策制定者提供了有关培训、提供和实施基于依恋的实证手册化干预措施的指导。
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引用次数: 0
Examining the Transition from Single Words to Phrase Speech in Children with ASD: A Systematic Review. 研究 ASD 儿童从单词到短语的过渡:系统回顾。
IF 5.5 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-11-16 DOI: 10.1007/s10567-024-00507-1
Katherine Byrne, Kyle Sterrett, Catherine Lord

"Functional speech" by 5 years of age is widely established as increasing the probability of long-term positive outcomes across a range of domains for autistic individuals. While terms such as "functional" or "useful" speech are often used, what defines these terms is not well established. Furthermore, most research focusing on language development has emphasized the transition from little or no language to use of single words, but much less is known about the transition from single words to phrase speech, which could be equally important. The verb lexicon is foundational to the development of simple, generative phrases and has been linked to prosocial behaviors and general developmental outcomes including better social communication skills, socioemotional reciprocity, and nonverbal communication in autistic children. The current systematic review synthesized information from 20 independent samples to characterize autistic children who transitioned from single words to phrase speech. On average, 48% of the pooled sample transitioned to phrase speech during the study periods. Results were highly variable across studies. Participants under the age of 5 years were more likely to transition to phrases than participants over the age of 5. Though average standard scores were above 50, children who transitioned to phrases generally demonstrated below average adaptive and cognitive skills and moderate-high ASD symptomatology. Variable measures of cognition made it difficult to ascertain patterns in cognitive skills; nonetheless, nonverbal IQ emerged as a salient predictor of the transition to phrases across studies. More research is needed to better understand who transitions beyond single words, clinical benchmarks on the way to generative phrase speech and the factors that predict this transition. Such information can be used to inform clinical decision making and develop or improve targeted interventions based on individual communication profiles. This could make the use of phrases more likely for a greater number of autistic individuals, increasing the likelihood that these individuals communicate independently and effectively with others.

人们普遍认为,自闭症患者在 5 岁前获得 "功能性言语 "会增加其在各领域取得长期积极成果的可能性。虽然 "功能性 "或 "有用 "言语等术语经常被使用,但这些术语的定义并不明确。此外,大多数关于语言发展的研究都强调从很少或没有语言到使用单个词的过渡,但对于从单个词到短语的过渡却知之甚少,而这可能同样重要。动词词库是发展简单短语的基础,并与自闭症儿童的亲社会行为和一般发展结果有关,包括更好的社会沟通技能、社会情感互惠和非语言沟通。目前的系统性综述综合了 20 个独立样本的信息,以描述从单词过渡到短语的自闭症儿童的特点。在研究期间,平均有 48% 的汇总样本过渡到短语。不同研究的结果差异很大。5 岁以下的参与者比 5 岁以上的参与者更有可能过渡到短语。虽然平均标准分高于 50 分,但过渡到短语的儿童一般表现出低于平均水平的适应能力和认知能力,以及中等偏上的 ASD 症状。对认知能力的衡量标准各不相同,因此很难确定认知能力的模式;不过,非言语智商在各项研究中都成为向短语过渡的显著预测因素。我们需要进行更多的研究,以更好地了解哪些人可以过渡到单词以外的语言、过渡到生成短语的临床基准以及预测这种过渡的因素。这些信息可用于为临床决策提供依据,并根据个人的交流情况制定或改进有针对性的干预措施。这将使更多的自闭症患者更有可能使用短语,从而提高这些患者独立、有效地与他人交流的可能性。
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引用次数: 0
Multi-Informant Universal Mental Health Screening for Preschool-Aged Children by Parents and Educators: A PRISMA Systematic Review 家长和教育工作者对学龄前儿童进行多信息通用心理健康筛查:PRISMA 系统综述
IF 6.9 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-11-14 DOI: 10.1007/s10567-024-00506-2
R. K. McLean, L. A. Tully, S. K. Brinley, T. Carl, A. Turnell, J. C. Northam, M. R. Dadds

Children develop rapidly in the preschool period, making accurate appraisals of mental health (MH) difficult. The preschool years are a key period for early identification of MH concerns and could benefit from multi-informant, universal MH screening (UMHS). This systematic review aimed to identify multi-informant UMHS measures for preschool-aged children, and to examine their clinical utility, effectiveness, and acceptability. Studies reporting the predictive and incremental validity, effectiveness or acceptability of parent and educator-report UMHS measures for children aged 3–5 years were identified through CINAHL, Embase, ERIC, Medline, PsycINFO, Scopus and Web of Science. Studies were excluded if screening was not the primary focus, not universal, single informant, or primarily focussed on Autism Spectrum Disorder. A total of 11 studies using 10 measures was identified. Ten studies screened for broad MH difficulties. Three educator-report and one parent- and educator-report measures had acceptable predictive validity. One study reporting incremental validity found that adding educator-report to parent ratings significantly improved the identification of MH concerns. No studies reported on effectiveness. Three studies that explored acceptability reported strong support for either UMHS in general or specific measures. There are promising results that UMHS can accurately identify child MH concerns in the preschool period using parent and educator reports. However, with few of the examined measures reaching the benchmark standards for predictive validity and only one study examining incremental validity, further research is needed to establish clinical utility. UMHS with preschool populations appears to be acceptable; future studies should further examine multi-informant screening in preschool populations. This systematic review was registered with the International Prospective Register of Systematic Reviews (PROSPERO; https://www.crd.york.ac.uk/prospero; registration number: CRD 42022383426).

学龄前儿童发育迅速,因此很难准确评估其心理健康(MH)状况。学龄前时期是早期识别心理健康问题的关键时期,可以从多信息通用心理健康筛查(UMHS)中获益。本系统综述旨在确定针对学龄前儿童的多信息通用心理健康筛查方法,并研究其临床实用性、有效性和可接受性。我们通过 CINAHL、Embase、ERIC、Medline、PsycINFO、Scopus 和 Web of Science 查找了报告 3-5 岁儿童家长和教育者报告的 UMHS 测量的预测和增量有效性、有效性或可接受性的研究。如果筛查不是主要重点、不具有普遍性、由单一信息提供者提供或主要针对自闭症谱系障碍,则排除这些研究。共确定了 11 项研究,使用了 10 种测量方法。十项研究筛查了广泛的心理健康障碍。三项由教育者报告的测量方法和一项由家长和教育者报告的测量方法具有可接受的预测有效性。一项报告增量有效性的研究发现,在家长评分的基础上增加教育者报告,可显著提高对心理健康问题的识别能力。没有关于有效性的研究报告。三项探讨可接受性的研究报告称,无论是总体上还是具体措施上,统一监测和健康服务都得到了强有力的支持。有研究结果表明,使用家长和教育工作者的报告,统一监测和健康调查可以准确识别学龄前儿童的精神健康问题,这一点很有希望。然而,由于所研究的测量方法很少达到预测有效性的基准标准,而且只有一项研究对增量有效性进行了研究,因此还需要进一步的研究来确定其临床效用。针对学龄前人群的 UMHS 似乎是可以接受的;未来的研究应进一步检查学龄前人群的多信息筛查。本系统性综述已在国际系统性综述前瞻性注册中心 (PROSPERO; https://www.crd.york.ac.uk/prospero; 注册号:CRD 420223834) 注册:CRD 42022383426)。
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引用次数: 0
A Systematic Review of Parent Socialization of Negative Affect in Clinical Child Samples: Relations to Youth Emotion Regulation Abilities 临床儿童样本中父母消极情绪社会化的系统回顾:与青少年情绪调节能力的关系
IF 6.9 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-11-13 DOI: 10.1007/s10567-024-00508-0
Katelyn M. Garcia, Delshad M. Shroff, Ainsley Patrick, Thomas H. Ollendick, Rosanna Breaux

Emotion-focused parenting practices, known as parent emotion socialization, play a crucial role in shaping youth’s emotion regulation (ER) abilities. The impact of parent emotion socialization behaviors (ESB) on youth ER has been studied extensively in community samples. However, research on these relations in clinical samples is more limited, albeit growing. The current systematic review sought to evaluate the existing literature examining parent ESB of negative affect in various clinical child and adolescent samples. A literature search was conducted in April 2023, resulting in 1153 abstracts being reviewed. Two reviewers independently screened the titles and abstracts to identify relevant papers, with 152 articles being independently reviewed in full, of which 26 articles met inclusion criteria and are included in the current review. Studies (16 cross-sectional, 6 longitudinal, 4 intervention) utilized multi-methods of assessing youth ER, including questionnaires, physiological, and observational measures in a range of clinical samples, including youth diagnosed with internalizing, externalizing, and neurodevelopmental disorders, as well as youth at-risk for clinical diagnoses such as physically abused children. Overall, results support significant, negative associations between parent ESB practices and youth emotion dysregulation (rs = .22–.35) and negativity/lability (rs = .19–.60), and positive associations with youth ER abilities (rs = .18–.76). Some studies highlighted varying impacts of parental ESB on children with versus without clinical disorders/symptomology, with effects being more pronounced within clinical populations. Implications for these findings and future research directions are discussed, including the significance of focusing on parent ESB in intervention work with clinical child populations.

以情感为重点的养育方式,即父母的情感社会化,在塑造青少年的情感调节(ER)能力方面起着至关重要的作用。父母情绪社会化行为(ESB)对青少年情绪调节能力的影响已在社区样本中进行了广泛研究。然而,在临床样本中,有关这些关系的研究虽然在不断增加,但却较为有限。本系统性综述旨在评估现有文献,研究父母在各种临床儿童和青少年样本中的负面情绪社会化行为。我们于 2023 年 4 月进行了文献检索,共审查了 1153 篇摘要。两名审稿人分别独立筛选了标题和摘要,以确定相关论文,共独立审阅了 152 篇文章的全文,其中 26 篇文章符合纳入标准,被纳入本次综述。这些研究(16 篇横断面研究、6 篇纵向研究、4 篇干预研究)采用了多种方法评估青少年急迫感,包括对一系列临床样本进行问卷调查、生理测量和观察测量,这些临床样本包括被诊断为内化、外化和神经发育障碍的青少年,以及被诊断为临床风险的青少年,如遭受身体虐待的儿童。总体而言,研究结果表明,父母的 ESB 实践与青少年情绪失调(rs = .22-.35)和消极/易怒(rs = .19-.60)之间存在明显的负相关,而与青少年的 ER 能力(rs = .18-.76)之间存在正相关。一些研究强调了父母ESB对有临床障碍/症状和无临床障碍/症状儿童的不同影响,在临床人群中影响更为明显。本文讨论了这些发现的意义和未来的研究方向,包括在临床儿童群体的干预工作中关注父母 ESB 的意义。
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引用次数: 0
A Systematic Review of Parental Involvement in Digital Cognitive Behavioural Therapy Interventions for Child Anxiety 父母参与儿童焦虑症数字认知行为疗法干预的系统性综述
IF 6.9 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-11-07 DOI: 10.1007/s10567-024-00505-3
Meri M. V. Grajdan, Evren Etel, Lara J. Farrell, Caroline L. Donovan

Cognitive behavioural therapy (CBT) is an efficacious intervention for child anxiety that has been translated into accessible digital formats, many of which involve parents in treatment. However, the value of parental involvement in treatment is not clearly understood. This systematic review examined characteristics of parental involvement (i.e., format and content of sessions, level of therapist guidance, and parent session compliance) in digital CBT for child anxiety (mean child age ≤ 12 years) and their relation to child outcomes (primary disorder remission, clinician-, parent-, and child-rated anxiety, and global functioning). Systematic searches in CINAHL, Embase, ERIC, PsychINFO, PubMed, and Scopus up to 14th August 2023, and citation searching, identified 27 articles (as 23 studies) assessing 14 interventions. Two were parent-only programmes for 3–6-year-old children, with the remaining being parent–child programmes targeting older children. Parents were actively involved as coaches/collaborators, assisting their children with anxiety management and exposure, and less often as co-clients working on their own difficulties. Benefits of treatment were observed across interventions, except for one, psychoeducation-based programme. Higher remission rates were more frequently observed in interventions delivered in controlled settings, those with fewer parent-only sessions, or those incorporating more parent- or therapist-led exposure sessions. Most studies were conducted with affluent samples, limiting generalisability, and several received a high risk of bias rating. Future research should examine parent and family related mechanisms of change and modify interventions for improved adherence, such as restricting the number of modules parents are required to complete and teaching key therapeutic strategies such as exposure early in the programme.

认知行为疗法(CBT)是一种治疗儿童焦虑症的有效干预方法,已被转化为易于使用的数字格式,其中许多都有家长参与治疗。然而,家长参与治疗的价值并没有得到清楚的认识。本系统性综述研究了家长参与儿童焦虑(平均年龄小于 12 岁)数字化 CBT 治疗的特点(即疗程的形式和内容、治疗师的指导水平以及家长对疗程的依从性)及其与儿童治疗结果(主要障碍缓解、临床医生、家长和儿童评价的焦虑以及整体功能)的关系。截至 2023 年 8 月 14 日,在 CINAHL、Embase、ERIC、PsychINFO、PubMed 和 Scopus 中进行了系统检索,并进行了引文检索,共发现 27 篇文章(作为 23 项研究),评估了 14 项干预措施。其中两项是针对 3-6 岁儿童的家长计划,其余是针对较大儿童的亲子计划。家长作为教练/合作者积极参与其中,协助孩子进行焦虑管理和暴露,但较少作为共同客户解决自身的困难。除了一项以心理教育为基础的项目外,其他干预项目的治疗效果都很好。在有控制的环境中进行的干预、仅由家长进行的治疗次数较少的干预,或包含更多由家长或治疗师主导的暴露治疗的干预,都能观察到较高的缓解率。大多数研究都是以富裕人群为样本进行的,这限制了研究的普遍性,其中几项研究的偏差风险较高。未来的研究应检查与家长和家庭相关的变化机制,并修改干预措施以提高坚持率,例如限制要求家长完成的模块数量,以及在计划早期教授暴露等关键治疗策略。
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引用次数: 0
Implementation of Measurement-Based Care in Mental Health Service Settings for Youth: A Systematic Review. 在青少年心理健康服务机构中实施基于测量的护理:系统回顾。
IF 5.5 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-10-30 DOI: 10.1007/s10567-024-00498-z
Emma D Whitmyre, Christianne Esposito-Smythers, Roberto López, Debora G Goldberg, Freda Liu, Annamarie B Defayette

Measurement-Based Care (MBC) is the systematic use of patient-reported data to inform care decisions and monitor treatment progress. MBC has been shown to improve patient outcomes across medical and mental health treatment settings for adults and youth. While many studies have examined the use of MBC in specific care settings, few have focused on the implementation of MBC among youth populations or across care settings. While a review has shown that use of MBC benefits youth, no published reviews exist that summarize the successful strategies and barriers to implementation models across studies in youth service settings. To address these gaps, the present systematic review (N = 25 studies) focuses on the implementation of MBC across four youth service settings, including outpatient mental health centers, medical centers/pediatric clinics, schools, and clinical psychology training clinics. Results suggest that few studies employ consistent implementation models or strategies to guide efforts. Further, there is significant overlap in the successful strategies employed as well as the barriers to implementation of MBC across youth service settings, at the client, clinician, and organizational levels. Broadly, the authors recommend on the basis of findings that future implementation work in youth service settings: incorporate comprehensive training in the use of MBC for clinicians; incorporate stakeholder feedback into the implementation process for initial and sustained use; employ digital measurement feedback systems to deliver MBC that allow for real-time feedback and continuous technical support; and employ a health equity lens in implementation efforts to help address disparities in access to and use of MBC so that all youth and families may benefit from this evidence-based practice.

基于测量的护理(MBC)是指系统地使用患者报告的数据来为护理决策提供信息并监测治疗进展。事实证明,在成人和青少年的医疗和心理健康治疗环境中,MBC 可以改善患者的治疗效果。虽然许多研究都考察了 MBC 在特定医疗环境中的使用情况,但很少有研究关注 MBC 在青少年群体或不同医疗环境中的实施情况。虽然有综述显示,使用 MBC 对青少年有益,但目前还没有公开发表的综述总结了在青少年服务环境中各项研究的成功策略和实施模式的障碍。为了弥补这些不足,本系统性综述(N = 25 项研究)重点关注了 MBC 在四种青少年服务环境中的实施情况,包括门诊心理健康中心、医疗中心/儿科诊所、学校和临床心理学培训诊所。结果表明,很少有研究采用一致的实施模式或策略来指导工作。此外,在不同的青少年服务环境中,在客户、临床医生和组织层面上,所采用的成功策略以及实施 MBC 的障碍都有很大的重叠。总的来说,作者根据研究结果建议,未来在青少年服务机构中的实施工作应包括:为临床医生提供使用 MBC 的全面培训;将利益相关者的反馈纳入实施过程,以实现初始和持续使用;采用数字测量反馈系统提供 MBC,以实现实时反馈和持续的技术支持;在实施工作中采用健康公平视角,以帮助解决获得和使用 MBC 方面的差异,从而使所有青少年和家庭都能从这一循证实践中受益。
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引用次数: 0
Digital Location Tracking of Children and Adolescents: A Theoretical Framework and Review. 儿童和青少年的数字定位追踪:理论框架与回顾》。
IF 5.5 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-10-28 DOI: 10.1007/s10567-024-00500-8
Isabella S Davis, Makayla A Thornburg, Herry Patel, William E Pelham

Many parents in the U.S. have begun using GPS-based digital location tracking (DLT) technologies (smartphones, tags, wearables) to track the whereabouts of children and adolescents. This paper lays the foundation for an emerging science of DLT by performing the first theoretical analysis and review of empirical literature on DLT. First, we develop a framework to clarify how DLT should be conceptualized and measured, how it compares to historical strategies for monitoring youths' location, and the mechanisms by which it might affect youth adjustment. Second, we review what is known about DLT today, finding that (1) DLT use is now common from childhood to emerging adulthood, with 33-69% of U.S. families using it; (2) there are sociodemographic differences in DLT use; (3) DLT use has significant cross-sectional associations with other parenting behaviors, with family functioning, and with youth adjustment; and (4) there is much speculation, but minimal data, about the new ethical and developmental issues that might arise from DLT use (e.g., privacy invasions). Third, we critique the existing evidence base to outline priorities for future research, emphasizing the need for longitudinal data, better measurement, and moving beyond convenience samples. We conclude that DLT is a new, common, and vastly understudied parenting behavior of clinical and developmental relevance.

在美国,许多家长已经开始使用基于 GPS 的数字定位追踪(DLT)技术(智能手机、标签、可穿戴设备)来追踪儿童和青少年的行踪。本文首次对 DLT 进行了理论分析并回顾了实证文献,从而为新兴的 DLT 科学奠定了基础。首先,我们建立了一个框架,以明确 DLT 应如何概念化和测量,它与以往的青少年位置监控策略相比有何不同,以及它可能影响青少年适应的机制。其次,我们回顾了目前对数字定位系统的了解,发现:(1) 数字定位系统的使用现在已从儿童期普及到成年期,33%-69%的美国家庭都在使用该系统;(2) 数字定位系统的使用存在社会人口差异;(3) 数字定位系统的使用与其他养育行为、家庭功能和青少年适应性有显著的横截面关联;(4) 关于数字定位系统的使用可能产生的新的伦理和发展问题(例如,隐私侵犯),有很多猜测,但数据极少、隐私侵犯)。第三,我们对现有的证据基础进行了批判,概述了未来研究的重点,强调需要纵向数据、更好的测量方法以及超越便利样本。我们的结论是,DLT 是一种新的、常见的、研究远远不够的、与临床和发展相关的养育行为。
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引用次数: 0
The Effectiveness of Trauma-Informed Parenting Programs for Traumatized Parents and Their Components: A Meta-Analytic Study. 针对受创伤父母及其子女的创伤感知育儿计划的有效性:一项元分析研究。
IF 5.5 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-10-27 DOI: 10.1007/s10567-024-00503-5
Amy Yinan Liu, Jeanne Gubbels, Bram Orobio de Castro

Parents who have been exposed to trauma face distinct challenges in parenting that can lead to negative child developmental outcomes and intergenerational transmission of trauma. Parenting programs for traumatized parents seem promising, but the existing evidence on their effectiveness has not yet been synthesized. This study aimed to examine the overall effect of trauma-informed parenting programs on (a) parenting and (b) parental mental health outcomes by conducting two three-level meta-analyses. Moderator analyses were performed to identify whether program components, delivery techniques, and other study and program characteristics were associated with effectiveness. A literature search conducted up to August 2024 yielded 15 studies reporting on 110 effect sizes. Significant overall effects were found of trauma-informed parenting programs on both parenting outcomes (d = 0.75, 95% CIs = [0.09, 1.15], p = .027) and parental mental health outcomes (d = 0.21, 95% CIs = [0.09, 0.32], p < .001). The first meta-analysis on parenting found no significant moderators, while the second meta-analysis on parental mental health indicated that programs emphasizing child disciplining skills yielded smaller effects (d = 0.04) compared to programs without this component (d = 0.31). Programs using modeling techniques yielded larger effects (d = 0.32) compared to programs without (d = 0.14). Larger program effects on parental mental health were also found for programs with longer durations and when individual sessions were used. Thus, evidence supports the effectiveness of trauma-informed parenting programs in improving parenting and reducing parental mental health problems.

遭受过心理创伤的父母在养育子女方面面临着独特的挑战,这可能会导致不良的儿童发展结果和心理创伤的代际传播。针对受过创伤的父母的亲职教育项目似乎很有前景,但有关其有效性的现有证据尚未得到综合。本研究旨在通过进行两个三级荟萃分析,考察创伤知情亲职教育项目对(a)亲职教育和(b)父母心理健康结果的总体影响。此外,还进行了调节因素分析,以确定计划的组成部分、实施技术以及其他研究和计划特征是否与有效性相关。截至 2024 年 8 月的文献检索结果显示,有 15 项研究报告了 110 个效应大小。研究发现,创伤知情养育计划对养育结果(d = 0.75,95% CIs = [0.09,1.15],p = .027)和父母心理健康结果(d = 0.21,95% CIs = [0.09,0.32],p = .027)均有显著的整体效果。
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引用次数: 0
An Interpersonal and Meta-analytic Approach to Parenting Behaviors and Adolescent Sleep. 父母行为与青少年睡眠的人际关系和元分析方法。
IF 5.5 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-10-21 DOI: 10.1007/s10567-024-00504-4
Emily L Ewing, Julia E Mackaronis, Elaine M Poole, Kenneth L Critchfield, Heather E Gunn

Two dimensions of parenting behaviors-affiliative/non-affiliative and autonomy/control- are each consistently linked to adolescent sleep health. Parenting behaviors that facilitate good sleep likely involve affiliation (i.e., warmth) and some degree of parental guidance and appropriate autonomy-granting to the adolescent; however, these domains are often confounded in parenting assessments, which limits understanding and specificity of recommendations for providers and families on how to optimize adolescents' sleep. Thus, we categorized existing literature according to an interpersonal developmental framework to identify parenting behaviors most strongly linked to adolescent sleep health. Studies (k = 42) included 43,293 participants (M age = 14.84, SD age = 2.04). Structural analysis of social behavior (SASB) interpersonal coding was applied to define and operationalize parenting behaviors (independent variables). Dependent variables included measures of sleep health (i.e., sleep regularity, duration, efficiency, latency, timing, quality, alertness/sleepiness) and sleep disturbance. The final effect size of interest for analysis was a correlation coefficient r. Optimal parenting behaviors (e.g., warm, autonomy-granting, moderately controlling) were associated with longer sleep duration, earlier bedtime, less daytime sleepiness, shorter sleep latency, and fewer sleep disturbances. Suboptimal parenting behaviors (e.g., hostile, controlling) were associated with more daytime sleepiness and more sleep disturbances. This is one of the first studies to specify that, when paired with affiliation, both moderate control and moderate autonomy-granting were associated with better adolescent sleep health. Findings indicate that the importance of parental interpersonal warmth extends into adolescence and further suggest that the interpersonal security necessary for good sleep includes appropriate use of control and autonomy-granting behaviors.

父母养育行为的两个维度--亲和性/非亲和性和自主性/控制性--都与青少年的睡眠健康息息相关。促进良好睡眠的养育行为可能包括亲和性(即温暖)、一定程度的父母指导以及给予青少年适当的自主权;然而,这些领域在养育评估中经常被混淆,这限制了对提供者和家庭如何优化青少年睡眠的建议的理解和具体性。因此,我们根据人际发展框架对现有文献进行了分类,以确定与青少年睡眠健康关系最密切的养育行为。研究(k = 42)包括 43,293 名参与者(平均年龄 = 14.84 岁,平均年龄 = 2.04 岁)。采用社会行为结构分析(SASB)人际编码来定义和操作养育行为(自变量)。因变量包括睡眠健康(即睡眠规律性、持续时间、效率、潜伏期、时间、质量、警觉性/睡意)和睡眠障碍。最佳养育行为(如温暖、给予自主权、适度控制)与较长的睡眠时间、较早的就寝时间、较少的白天嗜睡、较短的睡眠潜伏期和较少的睡眠障碍有关。次优养育行为(如敌意、控制)则与白天嗜睡和睡眠障碍增多有关。这项研究首次明确指出,当与附属关系配对时,适度的控制和适度的自主与更好的青少年睡眠健康相关。研究结果表明,父母人际温暖的重要性一直延续到青少年时期,并进一步表明,良好睡眠所需的人际安全包括适当使用控制和自主行为。
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引用次数: 0
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Clinical Child and Family Psychology Review
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