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Barriers and Facilitators to The Involvement of Under-Represented Children and Young People (aged 8-25) in Mental Health Research - a Systematic Review. 代表性不足的儿童和青少年(8-25岁)参与心理健康研究的障碍和促进因素-系统综述。
IF 6.9 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-09-22 DOI: 10.1007/s10567-025-00544-4
Rachel Perowne,Sarah Rowe,Azin Lajevardi,Luke Bingham,Ella Parry,Gabrielle Grey,Pamela Carien Thomas,Leslie Morrison Gutman
Young people's involvement in mental health research enhances its relevance and impact. Involvement means conducting research with young people rather than just about them. However, under-representation persists among certain groups of young people, including ethnic minorities, those with disabilities, from lower-income households, with immigrant backgrounds and young people communicating in a language other than their first language. This systematic review applies the Behaviour Change Wheel (BCW) to explore barriers and facilitators to involving under-represented young people in mental health research and identify potential strategies for improvement. Five electronic databases and grey literature were systematically searched. Included studies focussed on children and young people (aged 8-25) from under-represented backgrounds involved in mental health research. The BCW was used to categorise barriers and facilitators as well as to map strategies to Intervention Functions. Five young people formed an oversight group, with three serving as co-researchers, contributing to search design, screening, data extraction and discussion. Twenty-seven studies from seven countries met the inclusion criteria. The majority of barriers and facilitators were linked to physical and social opportunity. Digital exclusion, time constraints, bureaucratic hurdles and mistrust of researchers were all barriers. Facilitators included flexible structures, inclusive communication and relationship building. Reported strategies to improve involvement aligned with enablement and environmental restructuring. Inclusive, adaptive research practices and improved reporting are needed to meaningfully engage under-represented young people in mental health research. Future research should prioritise perspectives of under-represented young people to better understand and address the barriers they face.
青年人参与精神卫生研究可增强其相关性和影响。参与意味着与年轻人一起进行研究,而不仅仅是研究他们。然而,某些青年群体的代表性仍然不足,包括少数民族、残疾人、低收入家庭、移民背景和使用母语以外的语言进行交流的青年。本系统综述应用行为改变轮(BCW)来探索让代表性不足的年轻人参与心理健康研究的障碍和促进因素,并确定潜在的改进策略。系统检索了5个电子数据库和灰色文献。纳入的研究侧重于参与心理健康研究的背景不足的儿童和年轻人(8-25岁)。BCW用于对障碍和促进因素进行分类,并将策略映射到干预功能。五名年轻人组成了一个监督小组,其中三人作为共同研究人员,参与搜索设计、筛选、数据提取和讨论。来自7个国家的27项研究符合纳入标准。大多数障碍和促进因素与物质和社会机会有关。数字排斥、时间限制、官僚障碍和对研究人员的不信任都是障碍。促进因素包括灵活的结构、包容的沟通和关系的建立。报告的改善参与的策略与实施和环境重组相一致。要有意义地让代表性不足的年轻人参与精神卫生研究,需要包容性、适应性强的研究实践和改进报告。未来的研究应该优先考虑代表性不足的年轻人的观点,以更好地理解和解决他们面临的障碍。
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引用次数: 0
Early Relational Health and its Impact on the Developing Brain: A Scoping Review. 早期关系健康及其对大脑发育的影响:范围综述。
IF 6.9 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-09-17 DOI: 10.1007/s10567-025-00545-3
Lu Zhang,Daniel Liontos,Craig A Olsson,Tracy Evans-Whipp,Jennifer E McIntosh,Felicity Painter,Jacquelyn Harverson,Sarah Whittle,
The formation of secure parent-child bonds in early life, hereto referred to as early relational health, plays a central role in healthy development. However, the evidence on how early relational health 'gets under the skin' to impact the developing brain remains unclear. Here, we provide a scoping review of the extant literature and synthesize evidence on the link between relational health from conception to age three and subsequent brain structure, function, and connectivity. Literature searches in MEDLINE, PsycINFO, and Embase databases yielded 7156 studies. Screening of studies was conducted on the Living Knowledge System (an AI-assisted screening tool), which resulted in 79 studies being included in the review. Results were synthesized based on the type of relational health examined, type of imaging modality (e.g., electroencephalogram, structural, and functional magnetic resonance imaging), and developmental stage. We identified studies of the relationship between early relational health and brain structure, function, and connectivity that spanned from childhood to young adulthood, with no research beyond this age period. There was evidence for early relational health to be associated with patterns of brain activation that may reflect the experience of more positive emotions and reduced risk for psychopathology. However, few studies examined longitudinal changes in brain structure, function, and connectivity. Even fewer have examined relational health beyond the mother-infant bond. Future research is needed to improve understanding of the impact of relational health on brain development and to ascertain whether such impacts reflect a mechanism linking relational health with health and wellbeing across the lifespan.
在生命早期形成安全的亲子关系,这里称为早期关系健康,在健康发展中起着核心作用。然而,关于早期关系健康如何“深入皮肤”影响发育中的大脑的证据尚不清楚。在此,我们对现有文献进行了综述,并综合了从怀孕到三岁的关系健康与随后的大脑结构、功能和连通性之间的联系的证据。在MEDLINE、PsycINFO和Embase数据库中进行文献检索,得到7156项研究。在Living Knowledge System(一种人工智能辅助筛选工具)上对研究进行筛选,结果有79项研究被纳入本综述。结果是根据相关健康检查的类型、成像方式的类型(如脑电图、结构和功能磁共振成像)和发育阶段综合得出的。我们确定了早期关系健康与大脑结构、功能和连通性之间关系的研究,这些研究跨越了童年到青年期,没有超过这个年龄段的研究。有证据表明,早期的人际关系健康与大脑激活模式有关,这种模式可能反映出更积极的情绪体验,并降低患精神病理的风险。然而,很少有研究考察大脑结构、功能和连通性的纵向变化。甚至很少有人研究过母子关系之外的关系健康。未来的研究需要提高对关系健康对大脑发育影响的理解,并确定这种影响是否反映了一种将关系健康与整个生命周期的健康和幸福联系起来的机制。
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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 6.9 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub 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
Assessing Psychological Harms on Parents and Primary Caregivers of Children Living with a Rare Disease: A Systematic Review of the Scope and Validity of Surveys Utilized. 评估对患有罕见疾病儿童的父母和主要照顾者的心理危害:对所使用调查的范围和有效性的系统回顾。
IF 6.1 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-09-01 Epub Date: 2025-06-30 DOI: 10.1007/s10567-025-00533-7
Lochlan J Bull, Guy D Eslick, Suzy M Teutsch, Elizabeth J Elliott

Rare childhood diseases can impose significant burden on the lives of affected children, their parents or primary caregivers, and their families. Evaluating the extent and scope of this burden is vital to yield reliable data to inform better support for families. The aim of this systematic review was to identify specific surveys and questionnaires used to assess the psychological harms of rare diseases on parents/primary caregivers and families, and to summarize the harms described by studies that have administered these surveys. MEDLINE, Embase, PsycINFO, and Google Scholar electronic databases were comprehensively searched in 2024 for published studies evaluating psychological harms on parents/primary caregivers and families caring for a child or young person aged 0-21 years and living with a rare disease, using both validated and non-validated surveys. Full text articles were screened and assessed by two independent reviewers. From the initial search, 350 studies were included after removing duplicates. Following full text review, 14 cross-sectional studies were included that used surveys to assess the psychological harms on parents/primary caregivers. Of the 22 surveys identified, 17 had been validated. Anxiety and stress were the most frequent and significant psychological conditions experienced by parents/primary caregivers of a child with a rare disease. More awareness of the psychological harms on parents and primary caregivers of children with rare diseases is needed to ensure they receive adequate support.

罕见儿童疾病可对受影响儿童、其父母或主要照顾者及其家庭的生活造成重大负担。评估这一负担的程度和范围对于提供可靠数据以更好地为家庭提供支持至关重要。本系统综述的目的是确定用于评估罕见病对父母/主要照顾者和家庭的心理危害的具体调查和问卷,并总结实施这些调查的研究所描述的危害。MEDLINE、Embase、PsycINFO和谷歌Scholar电子数据库在2024年全面检索了已发表的研究,评估了照顾0-21岁儿童或患有罕见疾病的年轻人的父母/主要照顾者和家庭的心理危害,使用了经过验证和未经验证的调查。全文文章由两名独立审稿人进行筛选和评估。从最初的搜索中,剔除重复项后,纳入了350项研究。在全文回顾之后,纳入了14项横断面研究,这些研究使用调查来评估对父母/主要照顾者的心理伤害。在确定的22项调查中,有17项已得到证实。焦虑和压力是患有罕见疾病儿童的父母/主要照顾者经历的最常见和最重要的心理状况。需要更多地认识到罕见病儿童的父母和主要照顾者受到的心理伤害,以确保他们得到充分的支持。
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引用次数: 0
The Role of Goals, Outcome Expectations, and Normative Beliefs in the Occurrence of Aggressive Behavior in Children and Adolescents. 目标、结果期望和规范性信念在儿童和青少年攻击行为发生中的作用。
IF 6.1 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-09-01 Epub Date: 2025-06-04 DOI: 10.1007/s10567-025-00529-3
Walter Matthys, Dennis J L G Schutter

Goals, outcome expectations, and normative beliefs constitute schemas which are thought to affect social information processing and behavior. The aim of this review is to enhance the theoretical framework that elucidates the role of schemas in the occurrence of aggressive behavior in children and adolescents. Empirical and meta-analytic studies on goals, outcome expectations, and normative beliefs in children and adolescents with aggressive behavior are first discussed. Next, areas for future research are specified, in particular the mechanisms involved in the relation between social experiences, schemas, social information processing, and aggressive behavior. According to extant research, we suggest that schemas help elucidate the impact of aggressive children's and adolescents' social experiences on their social information processing and, ultimately, their behavior. Therefore, we consider how schemas can be integrated in cognitive behavioral therapy with the objective of achieving long-term changes in adaptive social behavior among children and adolescents with aggressive behavior.

目标、结果预期和规范性信念构成了影响社会信息加工和行为的图式。本综述的目的是加强图式在儿童和青少年攻击行为发生中的作用的理论框架。本文首先讨论了儿童和青少年攻击行为的目标、结果期望和规范性信念的实证和元分析研究。在此基础上,提出了今后的研究方向,特别是社会经验、图式、社会信息加工与攻击行为之间的关系机制。根据已有的研究,我们认为图式有助于阐明攻击性儿童和青少年的社会经历对其社会信息加工并最终影响其行为的影响。因此,我们考虑如何将图式整合到认知行为治疗中,以实现具有攻击行为的儿童和青少年适应性社会行为的长期改变。
{"title":"The Role of Goals, Outcome Expectations, and Normative Beliefs in the Occurrence of Aggressive Behavior in Children and Adolescents.","authors":"Walter Matthys, Dennis J L G Schutter","doi":"10.1007/s10567-025-00529-3","DOIUrl":"10.1007/s10567-025-00529-3","url":null,"abstract":"<p><p>Goals, outcome expectations, and normative beliefs constitute schemas which are thought to affect social information processing and behavior. The aim of this review is to enhance the theoretical framework that elucidates the role of schemas in the occurrence of aggressive behavior in children and adolescents. Empirical and meta-analytic studies on goals, outcome expectations, and normative beliefs in children and adolescents with aggressive behavior are first discussed. Next, areas for future research are specified, in particular the mechanisms involved in the relation between social experiences, schemas, social information processing, and aggressive behavior. According to extant research, we suggest that schemas help elucidate the impact of aggressive children's and adolescents' social experiences on their social information processing and, ultimately, their behavior. Therefore, we consider how schemas can be integrated in cognitive behavioral therapy with the objective of achieving long-term changes in adaptive social behavior among children and adolescents with aggressive behavior.</p>","PeriodicalId":51399,"journal":{"name":"Clinical Child and Family Psychology Review","volume":" ","pages":"541-554"},"PeriodicalIF":6.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12634742/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Supporting Queer and Trans Youth Who Hold BIPOC Identities: A Literature Review and Model to Inform Intersectional, Liberation-Focused Clinical Practice. 支持持有BIPOC身份的酷儿和跨性别青年:一项文献综述和模型,以告知交叉,解放为重点的临床实践。
IF 6.1 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-09-01 Epub Date: 2025-08-18 DOI: 10.1007/s10567-025-00538-2
A Khan, Christina F Mondi, Jonathan L Poquiz, Stephanie M Romo, B Nilaja Green

Despite increasing focus on the mental well-being of Queer and Trans (QT) youth, as well as those who hold BIPOC (Black, Indigenous, People of Color) identities, the existing research literature lacks intersectionality in describing the experiences of youth who hold both these identities (QTBIPOC youth). Further, there is sparse clinical guidance in how best to support these youth within therapeutic settings. This article aims to provide a foundation for psychologists and other clinicians to support QTBIPOC youth's mental health and well-being, while also centering community, joy, and liberation. First, the literature surrounding best clinical practices for working with BIPOC and Queer and Trans youth populations is broadly reviewed and synthesized. Second, we draw on this literature to present a conceptual model for psychologists and other clinicians to conceptualize and sensitively respond to the ecologies, strengths, and needs of QTBIPOC youth. Finally, we provide practical recommendations on how to apply this conceptual model in clinical settings.

尽管越来越多的人关注酷儿和跨性别(QT)青年以及那些拥有BIPOC(黑人、土著、有色人种)身份的青年的心理健康,但现有的研究文献在描述拥有这两种身份的青年(QTBIPOC青年)的经历时缺乏交叉性。此外,在如何在治疗环境中最好地支持这些年轻人方面,临床指导很少。本文旨在为心理学家和其他临床医生提供基础,以支持QTBIPOC青少年的心理健康和福祉,同时也以社区,快乐和解放为中心。首先,对有关BIPOC、酷儿和跨性别青年人群的最佳临床实践的文献进行了广泛的回顾和综合。其次,我们利用这些文献为心理学家和其他临床医生提供了一个概念性模型,以概念化和敏感地回应QTBIPOC青年的生态、优势和需求。最后,我们就如何在临床环境中应用这一概念模型提供了实用的建议。
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引用次数: 0
Culturally Relevant Coparenting Interventions for Diverse Families: A Scoping Review. 不同家庭的文化相关父母干预:范围审查。
IF 6.1 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-09-01 Epub Date: 2025-07-15 DOI: 10.1007/s10567-025-00536-4
Isha Dua, Parker Grant, Jazzmin Demy, Heather Prime

The current study is a scoping review on coparenting interventions with diverse families to assess how the characteristics, needs, and perspectives of participating coparents are addressed. We followed the PRISMA-ScR guidelines. Eligibility criteria: participants belonged to racially minoritized groups (≥ 50% sample); studies reported on an intervention; the intervention targeted the coparental relationship OR assessed coparenting as an outcome. Demographics, study, and intervention characteristics, and the process and content of cultural adaptation were extracted. A systematic search was last executed in April 2025 in PsycINFO and MEDLINE, which yielded 1875 records. Following abstract/title screening, 409 full-text articles were assessed for eligibility, and 35 studies were included in the review. Studies prioritized surface-level (e.g., language) over deep-level dimensions (e.g., goals). Few studies used an adaptation framework. We discuss how researchers and clinicians can consider the unique experiences of coparenting in diverse communities.

当前的研究是对不同家庭的父母干预进行范围审查,以评估参与父母的特征,需求和观点是如何解决的。我们遵循PRISMA-ScR指南。入选标准:参与者属于少数种族群体(≥50%样本);有关干预措施的研究报告;干预的目标是父母之间的关系或评估作为结果的父母。提取了人口统计学特征、研究和干预特征以及文化适应的过程和内容。最后一次系统搜索是在2025年4月,在PsycINFO和MEDLINE上进行的,得到了1875条记录。摘要/标题筛选后,409篇全文文章被纳入评估,35项研究被纳入综述。研究将表层(如语言)优先于深层(如目标)。很少有研究使用了适应框架。我们讨论了研究人员和临床医生如何考虑不同社区中养育子女的独特经历。
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引用次数: 0
Parental Differential Treatment of Siblings and Child Psychopathology: A Network Meta-analysis. 父母差别对待兄弟姐妹与儿童精神病理:网络荟萃分析。
IF 6.1 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-09-01 Epub Date: 2025-06-16 DOI: 10.1007/s10567-025-00530-w
Zixin Jiang, Yuqing Yang, Bin-Bin Chen

To determine the associations between parental differential treatment (PDT) and various psychopathological symptoms in children and its mechanisms, this systematic review integrated 26 studies spanning more than three decades, involving 37,025 participants. A network meta-analysis was employed to calculate correlations between absolute and relative PDT and specific symptoms (including anxiety, depression, aggression, and rule-breaking behavior), as well as broad-band symptoms (including internalizing and externalizing behavior) in children. Meta-analytic structural equation modelling was used to examine the mediating effect between PDT and psychopathology. Results indicated that a greater amount of PDT in the family (absolute PDT) was significantly associated with depression (r = 0.14, 95% CI [0.06, 0.22]), internalizing behavior (r = 0.14, 95% CI [0.06, 0.22]), aggression (r = 0.11, 95% CI [0.03, 0.19]), rule-breaking behavior (r = 0.21, 95% CI [0.08, 0.33]) and externalizing behavior (r = 0.13, 95% CI [0.04, 0.21]). Compared to favored siblings, disfavored children (relative PDT) displayed more anxiety (r = 0.11, 95% CI [0.01, 0.21]), depression (r = 0.10, 95% CI [0.00, 0.18]), internalizing behavior (r = 0.12, 95% CI [0.01, 0.23]), aggression (r = 0.12, 95% CI [0.02, 0.21]) and externalizing behavior (r = 0.20, 95% CI [0.10, 0.29]). Children who received less favoritism were at higher risk for psychopathology in cultures with higher levels of individualism. Furthermore, the sibling relationship factor mediated the association between absolute PDT and child psychopathology. These findings highlight that PDT may be a risk factor for both specific and broad-band symptoms of psychopathology and offer insights into its potential mechanisms.

为了确定父母差别治疗(PDT)与儿童各种精神病理症状之间的关系及其机制,本系统综述整合了26项研究,涉及37,025名参与者,时间跨度超过30年。采用网络荟萃分析计算绝对和相对PDT与儿童特定症状(包括焦虑、抑郁、攻击和违反规则行为)以及宽带症状(包括内化和外化行为)之间的相关性。采用元分析结构方程模型检验PDT与精神病理之间的中介作用。结果表明,家庭中较多的PDT(绝对PDT)与抑郁(r = 0.14, 95% CI[0.06, 0.22])、内化行为(r = 0.14, 95% CI[0.06, 0.22])、攻击(r = 0.11, 95% CI[0.03, 0.19])、违反规则行为(r = 0.21, 95% CI[0.08, 0.33])和外化行为(r = 0.13, 95% CI[0.04, 0.21])显著相关。与受宠爱的兄弟姐妹相比,不受宠爱的孩子(相对PDT)表现出更多的焦虑(r = 0.11, 95% CI[0.01, 0.21])、抑郁(r = 0.10, 95% CI[0.00, 0.18])、内化行为(r = 0.12, 95% CI[0.01, 0.23])、攻击(r = 0.12, 95% CI[0.02, 0.21])和外化行为(r = 0.20, 95% CI[0.10, 0.29])。在个人主义程度较高的文化中,受到较少偏袒的儿童患精神病理学的风险更高。此外,兄弟姐妹关系因素在绝对PDT与儿童精神病理之间起中介作用。这些发现强调PDT可能是精神病理特异性和广泛性症状的危险因素,并为其潜在机制提供了见解。
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引用次数: 0
A Systematic Review and Meta-Analysis of the Mental Health of Immigrant Parents. 移民父母心理健康的系统回顾与元分析。
IF 6.9 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-08-12 DOI: 10.1007/s10567-025-00542-6
Yangdi Han,Xiaoxia Luo,Ying Xiong,Xinyi Peng,Lin Wang
Recent studies have shown that immigrant parents are at risk for various mental health issues, but there is a lack of meta-analyses on their prevalence. This systematic review aims to determine the prevalence of mental health problems (e.g., stress, anxiety, depression, and psychiatric disorders) in immigrant parents and identify contributing factors. We systematically searched multiple databases up to July 2023 and evaluated the quality of studies using AHRQ criteria. Pooled prevalence and 95% CI were used to assess mental health issues among immigrant parents, with subgroup analysis performed to examine influencing factors. A total of 33 studies with 214,536 participants found that mental health issues affected immigrant parents at a rate of about 25%, peaking at depression with a rate of about 24%. In the Middle East, this rate rose to 35%. Non-random sampling resulted in rates up to 43%, while cross-sectional study designs led to rates around 23%. Refugee parents and immigrant parents with lower educational attainment, reduced socioeconomic status, or limited host-country language proficiency demonstrated significantly elevated prevalence rates of psychological morbidity. The psychological challenges faced by immigrant parents are widespread. Future research should focus on the mental well-being of specific subgroups, such as immigrants from the Middle East, fathers, and low-income families. More rigorous survey methods and study designs (such as random sampling and cohort studies) are necessary to improve their mental health.
最近的研究表明,移民父母有各种心理健康问题的风险,但缺乏对其流行程度的荟萃分析。本系统综述旨在确定移民父母中心理健康问题(如压力、焦虑、抑郁和精神疾病)的患病率,并确定影响因素。我们系统地检索了截至2023年7月的多个数据库,并使用AHRQ标准评估了研究的质量。合并患病率和95% CI用于评估移民父母的心理健康问题,并进行亚组分析以检查影响因素。共有33项涉及214,536名参与者的研究发现,心理健康问题影响移民父母的比例约为25%,抑郁症的比例最高,约为24%。在中东,这一比例上升到35%。非随机抽样的发生率高达43%,而横断面研究设计的发生率约为23%。受教育程度较低、社会经济地位较低或东道国语言能力有限的难民父母和移民父母的心理发病率显著升高。移民父母面临的心理挑战是普遍存在的。未来的研究应该集中在特定亚群体的心理健康上,比如来自中东的移民、父亲和低收入家庭。需要更严格的调查方法和研究设计(如随机抽样和队列研究)来改善他们的心理健康。
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引用次数: 0
Systematic Review of Parent-Youth Discrepancies in Exposures to Community Violence. 社区暴力暴露中父母与青少年差异的系统回顾。
IF 6.9 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-08-11 DOI: 10.1007/s10567-025-00532-8
Kajung Hong,Nicholas M Morelli,Dalia R Tabibian,Michelle G Jimenez,David Straub,Miguel T Villodas
Past studies have consistently found that different informants disagree on ratings of youth's experiences. For instance, parents and youth report different prevalence and frequency ratings of youth's exposure to community violence (ECV), with past studies demonstrating that parents typically underreport youth's ECV compared to the youth. However, recent studies with advanced statistical analyses revealed more nuanced patterns of reports, with some parents overreporting their youth's ECV, some underreporting it, and other parent-youth dyads agreeing that the youth either did or did not experience ECV. These report patterns are theorized to provide valuable insight into parent-child relationships and family functioning and have implications for youth emotional and behavioral development. The current systematic review synthesized 14 existing studies (N = 12,824 parent-youth dyads) on parent-youth discrepancies in youth ECV to elucidate patterns of informant discrepancies and their correlates to parent-youth relationship quality, family functioning, and youth outcomes. Studies that used advanced analytic approaches (k = 2), such as latent class analysis and polynomial regression, identified multiple patterns of parent-youth reports (e.g., parent-youth agreement on either low or high levels of youth ECV, parental underreporting, parental overreporting compared to youth). Poor parent-youth relationship and family functioning (e.g., lower parental warmth, higher parental hostility) were associated with higher parent-youth discrepancies in youth ECV. There were mixed findings with patterns of informant discrepancies in youth ECV and youth functioning. Suggestions for future directions for research on parent-youth discrepancies in youth ECV were made.
过去的研究一致发现,不同的信息提供者对青少年经历的评分存在分歧。例如,父母和青少年报告的青少年遭受社区暴力(ECV)的流行程度和频率评级不同,过去的研究表明,与青少年相比,父母通常少报青少年的ECV。然而,最近的研究与先进的统计分析揭示了更微妙的报告模式,一些父母夸大了他们的孩子的ECV,一些少报,和其他父母-青年双同意年轻人或有或没有经历过ECV。这些报告模式是理论化的,为亲子关系和家庭功能提供了有价值的见解,并对青少年的情感和行为发展有启示。本系统综述综合了14项关于青少年ECV中父母-青少年差异的现有研究(N = 12,824对父母-青少年对),以阐明信息差异的模式及其与父母-青少年关系质量、家庭功能和青少年结局的相关性。使用先进分析方法(k = 2)的研究,如潜类分析和多项式回归,确定了父母-青少年报告的多种模式(例如,父母-青少年对青少年ECV的低水平或高水平的一致,父母少报,父母与青少年相比多报)。不良的亲子关系和家庭功能(例如,较低的父母温暖,较高的父母敌意)与青少年ECV中较高的亲子差异相关。青少年ECV和青少年功能的信息差异模式有不同的发现。最后,对青少年ECV中亲子差异的研究方向提出了建议。
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Clinical Child and Family Psychology Review
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