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Intergenerational Co-parenting and Children's Screen Use: A Scoping Review. 代际共同抚养和儿童屏幕使用:范围审查。
IF 6.1 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2026-02-27 DOI: 10.1007/s10567-026-00560-y
Zhaoyang Xie, Joanna Ting Wai Chu, Arush Goel, Hiran Thabrew

Children's screen use is an increasingly prominent global public health concern. However, existing guidance has largely focused on immediate caregivers, with limited attention paid to grandparents and other forms of intergenerational co-parenting (ICP). We conducted this scoping review to examine current knowledge about ICP and children's screen use with four research questions: (1) How have ICP and children's screen use been measured in existing studies?; (2) How does ICP affect children's screen use?; (3) Are there any identifiable patterns of ICP that seem to be related to children's screen use?; and (4) Within an ICP context, what factors have been found to influence children's screen use? We searched five databases for articles published in English and Chinese between 2000-2025 and included 17 relevant studies. Nine were conducted in Western countries and eight in non-Western contexts such as China and Brazil. Ten were published in the past three years. We found that these studies had several methodological limitations, including inconsistencies in conceptualisation, a lack of methodological diversity, and limited use of multiple informants. Findings on the association between ICP and children's screen use were mixed, although most studies suggested that ICP was linked to longer children's screen use time. Different ICP patterns related to children's screen use were also identified. Finally, five categories of influencing factors emerged: (i) children's characteristics, (ii) parent's characteristics, (iii) grandparent characteristics, (iv) media-related characteristics, and (v) family environment characteristics. Future research should prioritise this understudied area to better inform guidance for healthy screen use among children.

儿童使用屏幕是一个日益突出的全球公共卫生问题。然而,现有的指导主要侧重于直接照顾者,对祖父母和其他形式的代际共同抚养(ICP)的关注有限。我们进行了这一范围综述,以四个研究问题来检查目前关于ICP和儿童屏幕使用的知识:(1)在现有研究中如何测量ICP和儿童屏幕使用?(2) ICP如何影响儿童的屏幕使用?(3)是否有任何可识别的ICP模式似乎与儿童使用屏幕有关?(4)在ICP背景下,发现了哪些因素影响儿童的屏幕使用?我们检索了5个数据库,检索了2000-2025年间发表的中英文文章,纳入了17项相关研究。其中九项在西方国家进行,八项在中国和巴西等非西方国家进行。其中十本是在过去三年出版的。我们发现这些研究有几个方法学上的局限性,包括概念化的不一致,缺乏方法学的多样性,以及对多个被调查者的有限使用。虽然大多数研究表明ICP与儿童屏幕使用时间较长有关,但关于ICP与儿童屏幕使用时间之间关系的研究结果好坏参半。还确定了与儿童使用屏幕有关的不同ICP模式。最后,出现了五类影响因素:(i)儿童特征、(ii)父母特征、(iii)祖父母特征、(iv)媒体相关特征和(v)家庭环境特征。未来的研究应优先考虑这一研究不足的领域,以便更好地为儿童健康使用屏幕提供指导。
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引用次数: 0
A Living Scoping Review of Universal Interventions for Promoting Relational Health in Childhood, Adolescence and Young Adulthood. 促进儿童、青少年和青年期关系健康的普遍干预措施的生活范围审查。
IF 6.9 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2026-01-30 DOI: 10.1007/s10567-025-00553-3
Jacqueline Allen,Ross Homel,Shaun McLaws,Tracy Evans-Whipp,Craig A Olsson,
Investing in relational health across childhood, adolescence and young adulthood not only promotes health and development within a generation, but may have cascading benefits to the next generation. Here we review the literature on universal interventions designed to promote relational health from childhood to young adulthood (4-24 years), just prior to the normative transition to parenthood and raising next generation offspring. This review was conducted in accordance with the JBI methodology for scoping reviews. Electronic databases (MEDLINE [EBSCOhost], PsycINFO [EBSCOhost], and Embase [EBSCOhost] databases) were searched using terms that combined concepts: (1) outcomes pertaining to child, family and community relational ecology; (2) childhood, adolescence, and young adulthood; (3) RCT study design; (4) universal prevention approach. This yielded 3,396 articles, of which 113 were eligible for inclusion. A further 12 articles were identified via expert knowledge resulting in 125 articles reporting on 85 universal interventions (including nine population interventions). Most (90%) interventions were designed for children and adolescents, and most (97%) targeted family, school and community microsystems including aggressive/disruptive behaviour, parenting, peer relationships, and social competence using mostly classroom/school and parenting/family interventions. The few mesosystem interventions focused mostly on family-school connections. Only nine made changes to exosystems, for instance through community coalitions. Key features of population trials included: (1) multiple components; (2) involvement of the community, and; (3) integration into existing service systems. Efforts to promote relational health could be strengthened by a focus on improving the the interlocking social infrastructure which enables relational health to flourish at the microsystem level.
投资于童年、青春期和青年期的人际关系健康,不仅能促进一代人的健康和发展,还可能对下一代产生连锁效应。在这里,我们回顾了旨在促进从童年到青年(4-24岁)的关系健康的普遍干预措施的文献,就在规范过渡到父母和抚养下一代后代之前。这项审查是按照JBI范围审查的方法进行的。电子数据库(MEDLINE [EBSCOhost]、PsycINFO [EBSCOhost]和Embase [EBSCOhost]数据库)使用以下概念进行搜索:(1)与儿童、家庭和社区关系生态学有关的结果;(2)童年、青春期和青年期;(3) RCT研究设计;(4)普遍预防方法。这产生了3,396篇文章,其中113篇符合纳入条件。通过专家知识确定了另外12篇文章,从而形成125篇文章,报告了85项普遍干预措施(包括9项人口干预措施)。大多数(90%)干预措施是为儿童和青少年设计的,大多数(97%)针对家庭、学校和社区微系统,包括攻击/破坏性行为、父母养育、同伴关系和社会能力,主要使用课堂/学校和父母养育/家庭干预措施。为数不多的中系统干预主要集中在家庭与学校的联系上。只有9个对外部系统进行了改变,例如通过社区联盟。总体试验的主要特征包括:(1)多组分;(2)社会的参与,以及;(3)融入现有的服务体系。促进关系健康的努力可以通过着重改善使关系健康在微系统一级蓬勃发展的相互联系的社会基础设施来加强。
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引用次数: 0
Systematic Literature Review on Public Health Impacts of Persistent Tic Disorders: Education and Employment 持续性抽动障碍对公共卫生影响的系统文献综述:教育和就业
IF 6.9 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2026-01-03 DOI: 10.1007/s10567-025-00537-3
Helena J. Hutchins, Patricia Whalen, Jorge Verlenden, Hidayat Ogunsola, Brooke S. Staley, Rebecca T. Leeb, Wendy Wegman, Rebecca H. Bitsko
Tourette syndrome and persistent tic disorders (TS/PTD) begin in childhood and can contribute to negative outcomes across the lifespan. A systematic review was conducted to summarize current evidence on education and employment outcomes among individuals with TS/PTD. The review summarized education and/or employment outcomes from 69 articles published between 2003 and March 5, 2025 that reported these outcomes for individuals with TS/PTD and a comparison group without TS/PTD. Of these studies, most included small samples of individuals with TS/PTD (less than 100), and those that reported on race or ethnicity were predominantly White. Only five studies on adult employment status and no studies on the transition to higher education were identified for inclusion. Children and adolescents with TS/PTD may experience poorer school-related quality of life, lower school competence, and more parent-reported school problems compared to those without TS/PTD. Although evidence was less robust, children and adolescents with TS/PTD may also be more likely to experience other negative school outcomes, including poor attitudes about school and low pass rates/frequent grade retention. Findings can be used by healthcare providers and school personnel to inform supports for students with TS/PTD. Adult employment status and transition to higher education for individuals with TS/PTD, and studies with larger, more heterogeneous samples, may be important directions for future research.
抽动秽语综合征和持续性抽动障碍(TS/PTD)始于儿童时期,并可能导致整个生命周期的负面结果。本研究对TS/PTD患者的教育和就业结果进行了系统回顾,总结了目前的证据。该综述总结了2003年至2025年3月5日期间发表的69篇文章的教育和/或就业结果,这些文章报道了TS/PTD患者和非TS/PTD对照组的这些结果。在这些研究中,大多数包括患有TS/PTD的个体的小样本(少于100人),而那些报告种族或民族的主要是白人。只有五项关于成人就业状况的研究,没有一项关于向高等教育过渡的研究被列入其中。与没有TS/PTD的儿童和青少年相比,患有TS/PTD的儿童和青少年可能经历较差的学校相关生活质量,较低的学校能力,以及更多家长报告的学校问题。尽管证据不那么有力,患有TS/PTD的儿童和青少年也可能更有可能经历其他负面的学校结果,包括对学校的不良态度和低及格率/经常留级。研究结果可用于卫生保健提供者和学校工作人员,为患有TS/PTD的学生提供支持。TS/PTD个体的成人就业状况和向高等教育的过渡,以及更大、更异质性样本的研究,可能是未来研究的重要方向。
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引用次数: 0
Preconception Predictors of Next Generation Early Relational Health: A Living Review of Prospective Cohort Studies. 下一代早期关系健康的先入为主预测因素:前瞻性队列研究的生活回顾。
IF 6.9 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-12-23 DOI: 10.1007/s10567-025-00554-2
Jacqui A Macdonald,Kayla Mansour,Tracy Evans-Whipp,Elizabeth A Spry,Primrose Letcher,Lisa Ritland,Gessica Misuraca,Sumudu Mallawaarachchi,Annalee L Cobden,Melissa Green,Delyse Hutchinson,Kimberly C Thomson,Christopher J Greenwood,Tina Kretschmer,Robert J Hancox,Craig A Olsson,
Intergenerational studies suggest that the developmental foundations of children's early relational health are seeded well before conception. Here, we present studies that report on associations between factors in the parental preconception life course (across childhood, adolescence, and young adulthood), and indicators of the child's early relational ecology (e.g., infant-to-parent attachment, parent-to-infant bonds). We searched MEDLINE, PsycINFO and Embase databases for peer-reviewed articles, published in English, that reported on prospectively assessed factors at any stage of a parent's life course prior to conception, and associations with offspring relational health from conception to end of age 3 years. No date restrictions were imposed. A total of 13,594 articles were screened of which 30 met inclusion criteria, reporting data from 17 separate cohorts. Next generation child relational health was assessed using both coded observations and parent reports, with most studies focused on the mother-child relationship (70%). Most preconception predictors were assessed at the individual level (63%) or within the family microsystem (53%) and were measured during adolescence (60%). Few studies assessed other microsystems or broader ecological systems, with no studies investigating workplaces, online interactions, or cultural belief systems as predictors of next generation relational health. We conclude that longitudinal cohorts that track individuals into parenthood can provide critical insights into the preconception origins of early relational health; however, the existing body of prospective studies is heterogeneous and reflects a nascent field of enquiry. We present five recommendations for future investment in public health approaches that promote early relational health.
代际研究表明,儿童早期关系健康的发展基础在怀孕前就已经奠定了。在这里,我们提出的研究报告了父母孕前生命过程(童年、青春期和青年期)因素与儿童早期关系生态指标之间的关联(例如,婴儿对父母的依恋,父母对婴儿的纽带)。我们检索了MEDLINE, PsycINFO和Embase数据库中发表的同行评议的英文文章,这些文章报道了在怀孕前父母生命过程中任何阶段的前瞻性评估因素,以及从怀孕到3岁结束与后代关系健康的关系。没有日期限制。共筛选了13594篇文章,其中30篇符合纳入标准,报告了来自17个单独队列的数据。下一代儿童关系健康评估使用编码观察和父母报告,大多数研究集中在母子关系(70%)。大多数孕前预测因子在个体水平(63%)或家庭微系统内(53%)进行评估,并在青春期(60%)进行测量。很少有研究评估其他微系统或更广泛的生态系统,没有研究调查工作场所、在线互动或文化信仰系统作为下一代关系健康的预测因素。我们得出的结论是,跟踪个体成为父母的纵向队列可以为早期关系健康的先入为主的起源提供重要的见解;然而,现有的前瞻性研究是异质的,反映了一个新兴的研究领域。我们提出五项建议,未来投资的公共卫生方法,促进早期关系健康。
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引用次数: 0
A Compassion-Focused Approach to Support Parents After Preterm Birth. 一种以同情为中心的方法来支持早产后的父母。
IF 6.1 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-12-01 Epub Date: 2025-10-06 DOI: 10.1007/s10567-025-00549-z
Teagan M Lloyd-Collins, Grace C Fitzallen, James N Kirby

Preterm birth remains a global health challenge with significant implications for neonatal outcomes and parental mental health. This paper explores the complex psychological experiences and intrapersonal processes of parents after preterm birth, highlighting their heightened risk for mental health difficulties such as postpartum depression, anxiety, and post-traumatic stress disorder (PTSD). Existing mental health interventions are medicalised, primarily focusing on infant care. As a result, there is currently a lack of emotionally-focused interventions aimed at supporting parents after preterm birth. The current conceptual review proposes a compassion-focused framework to address the unique challenges faced by these parents. The paper aims to: (1) examine common experiences of parents of preterm-born infants, (2) explore the complex psychological processes that underpin these experiences, (3) present theoretical models that can be applied to understand parent's psychological responses, (4) critically review existing interventions aimed at supporting parent mental health following preterm birth, (5) introduce a compassion-focused approach as a novel framework for support, (6) review existing compassion-based interventions aimed at perinatal populations, and (7) outline directions for future research. By integrating a compassion-focused approach, this paper aims to provide actionable insights to support parents' mental health following preterm birth.Clinical Trial Number not applicable.

早产仍然是一个全球性的健康挑战,对新生儿结局和父母心理健康有重大影响。本文探讨了早产后父母复杂的心理体验和个人过程,强调了他们出现产后抑郁、焦虑和创伤后应激障碍(PTSD)等心理健康问题的高风险。现有的精神卫生干预措施是医疗化的,主要侧重于婴儿护理。因此,目前缺乏以情感为重点的干预措施,旨在支持早产后的父母。目前的概念审查提出了一个以同情为重点的框架,以解决这些父母面临的独特挑战。本文旨在:(1)研究早产儿父母的共同经历;(2)探索支撑这些经历的复杂心理过程;(3)提出可用于理解父母心理反应的理论模型;(4)批判性地回顾现有旨在支持早产后父母心理健康的干预措施;(5)引入以同情为中心的方法作为一种新的支持框架。(6)回顾现有的针对围产期人群的基于同情的干预措施;(7)概述未来的研究方向。通过整合以同情为中心的方法,本文旨在提供可操作的见解,以支持早产后父母的心理健康。临床试验编号不适用。
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引用次数: 0
The Efficacy of Acceptance and Commitment Therapy for Transitional-Age Youth: A Meta-analysis. 接纳与承诺治疗对过渡年龄青年的疗效:一项元分析。
IF 6.1 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-12-01 Epub Date: 2025-09-03 DOI: 10.1007/s10567-025-00543-5
Janna Keulen, Maja Deković, Matthijs Oud, Jacqueline A-Tjak, Denise Bodden

This meta-analysis integrated the findings on the efficacy of acceptance and commitment therapy (ACT) for transitional-age youth (TAY; youth aged 15 to 25) on psychopathology (i.e., internalizing, externalizing and other psychological problems), ACT related processes (i.e., psychological flexibility and self-compassion), well-being (i.e., general and social well-being) and coping (i.e., emotional and cognitive coping). Additionally, we used meta-regression analyses to examine whether effect sizes varied based on the type of (sub) outcome, timing of assessment, various intervention characteristics, type of control group and several sample characteristics. We executed a three-level meta-analytic model in R. Based on 65 studies (n = 5283), we found a moderate effect (Hedges's g = 0.72) of ACT compared to the control conditions on psychopathology, ACT related processes, well-being and coping. The quality of the evidence was very low due to a relatively high risk of bias in the selected studies, considerable heterogeneity in effect sizes and a risk of publication bias. Regarding the meta-regression analyses, we found that ACT was more effective than waitlist and TAU conditions, but equally effective compared to CBT, other treatments (e.g., Rational Emotive Behavior Therapy) and other control conditions (e.g., educational intervention). Our results suggest that ACT is an effective intervention for reducing psychopathology and increasing ACT related processes, well-being and coping in TAY with diverse types and severity of psychological problems. We recommend future research to conduct more high quality research, including larges samples, active control conditions, longer follow-up periods and measures of treatment integrity, in more diverse populations of TAY.

本meta分析综合了接受与承诺治疗(ACT)对过渡年龄青年(TAY; 15 - 25岁青年)在精神病理(即内化、外化和其他心理问题)、ACT相关过程(即心理灵活性和自我同情)、幸福感(即一般幸福感和社会幸福感)和应对(即情绪应对和认知应对)方面的疗效。此外,我们使用元回归分析来检验效应大小是否根据(子)结局类型、评估时间、各种干预特征、对照组类型和几个样本特征而变化。基于65项研究(n = 5283),我们发现与对照条件相比,ACT在精神病理、ACT相关过程、幸福感和应对方面具有中等影响(Hedges g = 0.72)。由于所选研究的偏倚风险相对较高,效应大小存在相当大的异质性,并且存在发表偏倚的风险,因此证据的质量非常低。关于meta回归分析,我们发现ACT比候补名单和TAU条件更有效,但与CBT、其他治疗(如理性情绪行为治疗)和其他控制条件(如教育干预)相比同样有效。我们的研究结果表明,ACT是一种有效的干预措施,可以减少心理病理,增加与ACT相关的过程,幸福感和应对不同类型和严重心理问题的TAY。我们建议未来的研究进行更多高质量的研究,包括大样本、主动控制条件、更长的随访期和治疗完整性措施,在更多样化的TAY人群中进行。
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引用次数: 0
A Systematic Review on Parent–Child Synchrony: The Role of Stress, Resilience and Psychopathology 亲子同步性:应激、心理弹性和精神病理的作用
IF 6.9 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-11-13 DOI: 10.1007/s10567-025-00550-6
Michel Sfeir, Mélanie De Leener, Mandy Rossignol, Matias M. Pulopulos, Rudi De Raedt, Federico Cassioli, Sarah Galdiolo
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引用次数: 0
A Systematic Review of Parenting Programs for Southeast Asian Families. 东南亚家庭育儿计划的系统回顾。
IF 6.9 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-10-15 DOI: 10.1007/s10567-025-00546-2
Sun-Kyung Lee,Qiyue Cai,Vijaya M Nandiwada-Hofer,Tiffany Tran,Kyong Ah Kim,Joanna J Kim
Evidence-based parenting interventions are proven to prevent problematic substance use and mental health problems by promoting parent-child communication, positive parenting, and parental self-efficacy. However, the effectiveness of parenting interventions for Southeast Asian (SEA) families from low-and middle-income countries (LMICs) is understudied. This review aimed to identify parenting programs available for the SEA population and synthesize the evidence of efficacy.METHODThe study was conducted in accordance with synthesis without meta-analysis (SWiM) guidelines. The study utilized five databases to conduct a comprehensive literature search and yielded 2,270 initial records.RESULTSThirty-nine intervention studies from 41 peer-reviewed articles met eligibility, including 29 in-region studies (i.e., intervention delivery within SEA, e.g., Thailand, Vietnam) and ten diaspora studies (i.e., interventions delivered to SEA families outside SEA LMICs, e.g., the United States). Out of 31 distinct programs, 13 programs were adapted from prior interventions, 13 were newly developed, and 5 were previously developed for SEA-heritage families. Most studies (n = 34) reported adaptations, with variation found between in-region and diaspora studies. Programs addressed multiple child and family outcomes. Across all studies, preliminary evidence supported effectiveness in enhancing positive parenting, reducing negative parenting, and improving child behavior.CONCLUSIONSOverall, the current review provides support that parenting programs promote child and family well-being among SEA families. It also highlights the need to conduct rigorous research with active controls and well-established measures, document adaptation processes clearly for future implementation, and the potential for public health impact in multiple domains through new and adapted parenting programs for SEA families.
以证据为基础的育儿干预措施已被证明可以通过促进亲子沟通、积极育儿和父母自我效能来预防有问题的物质使用和心理健康问题。然而,对来自低收入和中等收入国家(LMICs)的东南亚(SEA)家庭的父母干预措施的有效性尚未得到充分研究。本综述旨在确定适用于东南亚裔人群的育儿方案,并综合其有效性的证据。方法本研究按照综合无荟萃分析(SWiM)指南进行。该研究利用5个数据库进行了全面的文献检索,获得了2270条初始记录。结果41篇同行评议文章中的39项干预研究符合入选条件,包括29项区域内研究(即在东南亚实施干预,如泰国、越南)和10项散居研究(即向东南亚低收入国家以外的东南亚家庭实施干预,如美国)。在31个不同的项目中,13个项目改编自先前的干预措施,13个是新开发的,5个是以前为sea遗产家庭开发的。大多数研究(n = 34)报告了适应性,在区域内和散居研究之间发现了差异。项目涉及多个儿童和家庭的结果。在所有的研究中,初步证据支持在加强积极父母教育、减少消极父母教育和改善儿童行为方面的有效性。总的来说,本综述支持父母教育计划促进东南亚家庭的儿童和家庭福祉。报告还强调,需要开展严格的研究,采取积极的控制措施和完善的措施,明确记录适应过程,以便今后实施,并通过针对东南亚家庭的新的和经过调整的养育方案,在多个领域对公共卫生产生潜在影响。
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引用次数: 0
A Systematic Review and Evidence Gap Map Evaluation of Rhythmic and/or Complex Movement Interventions and Child Cognitive Outcomes. 节奏和/或复杂运动干预与儿童认知结果的系统回顾和证据缺口图评估。
IF 6.9 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-10-11 DOI: 10.1007/s10567-025-00547-1
Bronwyn M Theroux,Elizabeth Eggins,Jessica Paynter,Sharon Dawe,Kate E Williams
Optimal child cognitive developmental outcomes occur when the environment provides opportunities for challenge, development, and structure. For some children, additional support is required, with many interventions including a rhythmic element (e.g. instrumental music or group singing), or complex coordinated physical movement (e.g. structured sport or physical activity classroom breaks), to support cognitive development. While many studies examine the impact of these interventions, and some existing reviews examine effectiveness in discrete topic areas, the field requires a comprehensive overview and consolidation of the extant evaluation literature to guide future meta-analyses and primary studies (including replications). This systematic review and Evidence Gap Map identifies and synthesises studies that evaluate interventions where rhythmic and/or complex coordinated physical components are explicitly included. A systematic search of 17 databases yielded 402 studies that evaluate the impact of these interventions on cognition (including executive function and memory) using a randomised, quasi-experimental, or single group design in children aged birth to 12 years. Findings suggest that there is high saturation in the literature for interventions that include complex coordinated movement (62.70% of total sample) and moderate representation of rhythmic interventions (21.80% of total sample). Interventions that included both complex coordinated movement and rhythmic elements, such as martial arts, dance, or gymnastics, were sparse (15.50% of total sample). Children in the early primary school years (ages six to ten years) are the most common target population, and executive function is the most commonly measured outcome. Findings identified gaps in the literature for further research and evaluation to include interventions that incorporate both a complex coordinated movement element and a rhythmic element; incorporate the use of more rigorous randomised controlled study designs when evaluating these interventions; and use of a broader range of measures to capture different aspects of cognitive functioning (e.g. memory). These findings should inform the development and focus of future intervention studies, which in due course will lead to systematic reviews and network meta-analysis.PROSPERO Registration Number: CRD42021248436.
当环境为挑战、发展和结构提供机会时,儿童认知发展的最佳结果就会出现。对于一些儿童,需要额外的支持,包括许多干预措施,包括节奏元素(如器乐或集体歌唱),或复杂的协调身体运动(如有组织的运动或体育课课间休息),以支持认知发展。虽然许多研究检查了这些干预措施的影响,一些现有的综述检查了离散主题领域的有效性,但该领域需要对现有评估文献进行全面的概述和巩固,以指导未来的荟萃分析和初步研究(包括重复研究)。本系统综述和证据差距图确定并综合了评估明确包括节奏和/或复杂协调物理成分的干预措施的研究。通过对17个数据库的系统搜索,得出402项研究,这些研究采用随机、准实验或单组设计,对出生至12岁儿童的认知(包括执行功能和记忆)进行了评估。研究结果表明,文献中对复杂的协调运动干预(占总样本的62.70%)和适度的节奏性干预(占总样本的21.80%)存在较高的饱和度。包括复杂协调运动和节奏元素的干预措施,如武术、舞蹈或体操,很少(占总样本的15.50%)。小学早期阶段的儿童(6至10岁)是最常见的目标人群,执行功能是最常见的测量结果。研究结果确定了文献中的空白,以供进一步研究和评估,包括结合复杂协调运动元素和节奏元素的干预措施;在评估这些干预措施时,采用更严格的随机对照研究设计;并使用更广泛的测量方法来捕捉认知功能的不同方面(例如记忆)。这些发现应该为未来干预研究的发展和重点提供信息,在适当的时候,这些研究将导致系统评价和网络荟萃分析。普洛斯彼罗注册号:CRD42021248436。
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引用次数: 0
Prevalence, Aetiology and Treatment of Comorbid Post-traumatic Stress Disorder and Eating Disorders in Children and Young People: A Systematic Review. 儿童和青少年共病性创伤后应激障碍和饮食失调的患病率、病因学和治疗:系统综述。
IF 6.9 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-10-10 DOI: 10.1007/s10567-025-00548-0
Atia Fatimah,Rebecca Hodge,Vanessa E Cobham
Childhood trauma exposure is associated with the development of psychiatric disorders including Eating Disorders (EDs) and Post-Traumatic Stress Disorder (PTSD). A systematic review of comorbid PTSD and EDs in adults found relatively high prevalence rates of this comorbidity and more severe ED symptoms associated with this comorbidity. However, there has been less focus on comorbid PTSD and ED in children and young people, despite this group's increased susceptibility to psychiatric conditions due to their neurodevelopmental sensitivity. This systematic review aimed to synthesise research on co-occurring PTSD and EDs in children and young people (the latter group defined by the World Health Organisation-WHO-as aged 10-25 years), examining prevalence, aetiology, and treatment. Six electronic databases (PubMed, PsychInfo, Scopus, APA PsychNET, Web of Science and Embase) were searched for articles published from 1990 to 2024 which included participants aged under and up to 25 years who were either assessed as meeting criteria for both an ED and PTSD in the study, or were reported to have had a pre-existing diagnosis of ED and PTSD. Data from 24 studies were extracted and synthesised. PTSD prevalence among young people with EDs ranged from 0% to 46.4%, with higher rates observed in binging and purging-related EDs such as Bulimia Nervosa and binge-purge type anorexia. Risk factors associated with the comorbidity included trauma severity, binge-purging behaviours, and poor emotion regulation. No studies assessed treatment outcomes for this population. Overall, the current review highlights that, while co-occurring PTSD and EDs represents a relatively common psychiatric comorbidity in young people, the existing body of literature does not adequately explain the development of this comorbidity or how it impacts response to treatment. Future research is needed to clarify causal pathways, understand developmental trajectories of this comorbidity, and evaluate the impact of this psychiatric comorbidity on treatment outcomes.
儿童创伤暴露与精神疾病的发展有关,包括饮食失调(EDs)和创伤后应激障碍(PTSD)。一项对成人PTSD和ED合并症的系统综述发现,这种合并症的患病率相对较高,并且与这种合并症相关的ED症状更严重。然而,尽管儿童和年轻人由于神经发育的敏感性,对精神疾病的易感性增加,但对PTSD和ED合并症的关注却较少。本系统综述旨在综合儿童和年轻人(后者由世界卫生组织定义为10-25岁)中并发PTSD和ed的研究,检查患病率、病因和治疗。六个电子数据库(PubMed, PsychInfo, Scopus, APA PsychNET, Web of Science和Embase)检索了1990年至2024年发表的文章,其中包括年龄在25岁以下的参与者,他们要么在研究中被评估为符合ED和PTSD的标准,要么被报道患有ED和PTSD。从24项研究中提取并综合了数据。PTSD在年轻ed患者中的患病率从0%到46.4%不等,暴饮暴食和排泻性ed患者的患病率更高,如神经性贪食症和暴饮暴食型厌食症。与合并症相关的危险因素包括创伤严重程度、狂饮行为和情绪调节不良。没有研究评估这一人群的治疗结果。总的来说,当前的综述强调,虽然同时发生的PTSD和EDs在年轻人中是一种相对常见的精神共病,但现有的文献并没有充分解释这种共病的发展或它如何影响对治疗的反应。未来的研究需要澄清因果途径,了解这种共病的发展轨迹,并评估这种精神共病对治疗结果的影响。
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Clinical Child and Family Psychology Review
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