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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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引用次数: 0
Relationship Between Bullying, Victimization, and the Big Five Personality Traits in Children and Adolescents: A Meta-Analysis. 霸凌、受害与儿童青少年五大人格特质的关系:一项元分析。
IF 6.9 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-07-26 DOI: 10.1007/s10567-025-00541-7
Linghan Sun,Jiaying Fan,Weixiao Wang,Zhongming Zhang
Previous research on the Big Five personality traits has produced inconsistent findings regarding their role in bullying. This study is the first to use a three-level meta-analysis to investigate the associations between the Big Five personality traits and bullying and victimization among children and adolescents, considering moderators such as mean age, female percent, and type of bullying (traditional vs. cyberbullying). We included 29 studies (67 effect sizes) with 26,328 participants, spanning from 2002 to 2024 across multiple countries. The results showed that conscientiousness and agreeableness were negatively associated with bullying and victimization, while neuroticism was positively associated with both. Openness was unrelated to victimization but negatively associated with bullying. Extraversion was not associated with bullying or victimization. The moderating effects of mean age and female percent were not significant; however, the type of bullying moderated some of these associations. Specifically, victimization in cyberbullying was not significantly associated with extraversion or neuroticism, but in traditional bullying, victimization showed a significant negative association with extraversion and a significant positive association with neuroticism. Regarding bullying, conscientiousness and agreeableness exhibited significantly stronger associations with bullying in traditional bullying compared to cyberbullying. The study also found that publication year did not significantly moderate most of the relationships, indicating that the associations between personality traits and bullying behaviors have remained stable across time. These results could help for the early identification of bullies and victims in children and adolescents to ensure timely interventions.
之前对五大人格特质的研究得出了不一致的结论,即它们在欺凌中的作用。本研究首次使用三层次元分析来调查儿童和青少年中五大人格特征与欺凌和受害之间的关系,并考虑了平均年龄、女性比例和欺凌类型(传统欺凌与网络欺凌)等调节因素。我们纳入了29项研究(67种效应大小),涉及26328名参与者,时间跨度从2002年到2024年,跨越多个国家。结果表明,尽责性和亲和性与霸凌和受害呈负相关,而神经质与霸凌和受害呈正相关。开放性与受害无关,但与欺凌负相关。外向性与欺凌或受害无关。平均年龄和女性比例的调节作用不显著;然而,欺凌的类型缓和了其中的一些关联。其中,网络欺凌中的受害行为与外向性和神经质性无显著相关,而传统欺凌中的受害行为与外向性呈显著负相关,与神经质性呈显著正相关。在欺凌方面,尽责性和亲和性与传统欺凌的关联显著强于网络欺凌。研究还发现,出版年份并没有显著调节大多数关系,这表明人格特质和欺凌行为之间的联系一直保持稳定。这些结果有助于早期识别儿童和青少年中的欺凌者和受害者,以确保及时干预。
{"title":"Relationship Between Bullying, Victimization, and the Big Five Personality Traits in Children and Adolescents: A Meta-Analysis.","authors":"Linghan Sun,Jiaying Fan,Weixiao Wang,Zhongming Zhang","doi":"10.1007/s10567-025-00541-7","DOIUrl":"https://doi.org/10.1007/s10567-025-00541-7","url":null,"abstract":"Previous research on the Big Five personality traits has produced inconsistent findings regarding their role in bullying. This study is the first to use a three-level meta-analysis to investigate the associations between the Big Five personality traits and bullying and victimization among children and adolescents, considering moderators such as mean age, female percent, and type of bullying (traditional vs. cyberbullying). We included 29 studies (67 effect sizes) with 26,328 participants, spanning from 2002 to 2024 across multiple countries. The results showed that conscientiousness and agreeableness were negatively associated with bullying and victimization, while neuroticism was positively associated with both. Openness was unrelated to victimization but negatively associated with bullying. Extraversion was not associated with bullying or victimization. The moderating effects of mean age and female percent were not significant; however, the type of bullying moderated some of these associations. Specifically, victimization in cyberbullying was not significantly associated with extraversion or neuroticism, but in traditional bullying, victimization showed a significant negative association with extraversion and a significant positive association with neuroticism. Regarding bullying, conscientiousness and agreeableness exhibited significantly stronger associations with bullying in traditional bullying compared to cyberbullying. The study also found that publication year did not significantly moderate most of the relationships, indicating that the associations between personality traits and bullying behaviors have remained stable across time. These results could help for the early identification of bullies and victims in children and adolescents to ensure timely interventions.","PeriodicalId":51399,"journal":{"name":"Clinical Child and Family Psychology Review","volume":"26 1","pages":""},"PeriodicalIF":6.9,"publicationDate":"2025-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144719999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Systematic Review and Meta-Synthesis: Coping Strategies of Children, Adolescents, and Young Adults of Parents with a Mental Illness. 系统回顾与元综合:父母有精神疾病的儿童、青少年和年轻人的应对策略。
IF 6.9 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-07-26 DOI: 10.1007/s10567-025-00540-8
Franziska Sawitzki,Lina Kinzenbach,Hanna Christiansen,Nicola Großheinrich
To examine and integrate the current state of knowledge regarding qualitative literature on the coping strategies employed by children, adolescents, and young adults of parents with a mental illness. A systematic literature search was conducted in November 2023 in the following databases: APA PsycInfo, PubMed, Web of Science, CINAHL Ultimate, and Psychology and Behavioral Science Collection. Peer-reviewed studies utilizing a qualitative or mixed-method design were eligible for inclusion. After quality assessment, a total of 14 articles were included. These studies were analyzed following a qualitative research synthesis, and the reported coping instances were extracted and classified into higher-order families of coping, as conceptualized by Skinner and colleagues (Skinner et al., Psychological Bulletin 129:216-269, 2003). Children, adolescents, and young adults of parents with a mental illness predominantly used support seeking and accommodation as coping strategies. This was followed by strategies such as escape, isolation, and self-reliance. A significant finding was the prominence of role reversal as a coping strategy, which did not fit into the existing system of higher-order families of coping. The established categories for classifying coping in normative samples require modification to better reflect the specific experiences of offspring of parents with a mental illness. Consequently, a new model of coping of COPMI (children of parents with a mental illness) is proposed, building on previous models and integrating findings from this review.
目的:研究和整合目前关于儿童、青少年和父母患有精神疾病的年轻人所采用的应对策略的定性文献。我们于2023年11月在APA PsycInfo、PubMed、Web of Science、CINAHL Ultimate和Psychology and Behavioral Science Collection数据库中进行了系统的文献检索。采用定性或混合方法设计的同行评议研究符合纳入条件。经质量评价,共纳入14篇文献。这些研究在定性研究综合的基础上进行了分析,报告的应对实例被提取出来,并被斯金纳及其同事(Skinner et al., Psychological Bulletin, 129:216-269, 2003)概念化为应对的高阶家庭。父母患有精神疾病的儿童、青少年和年轻人主要使用寻求支持和住宿作为应对策略。紧随其后的是逃避、孤立和自力更生等策略。一个重要的发现是角色转换作为一种应对策略的重要性,这与现有的高阶应对家庭体系不相适应。在规范样本中建立的应对分类类别需要修改,以更好地反映患有精神疾病的父母的后代的具体经历。因此,在以往模型的基础上,结合本综述的研究结果,提出了一个新的COPMI(父母患有精神疾病的孩子)应对模型。
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引用次数: 0
Caught in the Web of the Net? Part II: A Motivation-Based Developmental Psychopathology Model for the Aberrant Internet Use in (Young) People with Autism Spectrum Disorder. 深陷网络之网?第二部分:一个基于动机的发展精神病理学模型:自闭症谱系障碍(年轻)患者的异常网络使用。
IF 6.9 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-07-18 DOI: 10.1007/s10567-025-00539-1
Peter Muris,Henry Otgaar,Franc Donkers,Thomas Ollendick,Anne Deckers
In Part I (Muris et al. in Clinical Child and Family Psychology Review 22:549-561, 2025), we provided meta-analytic evidence showing that individuals with autism spectrum disorder (ASD) or high levels of autistic traits exhibit higher rates of problematic internet use (PIU), but paradoxically have lower levels of social media use compared to typically developing individuals or those with lower levels of autistic traits. The current theoretical article introduces a motivation-based developmental psychopathology model aimed at clarifying the motives behind the atypical internet and social media use observed in people with ASD or with high levels of autistic traits. We argue that excessive online activities, such as gaming and watching videos, can be understood through specific social, coping, and enhancement motives for internet use, which are especially prominent in ASD due to disorder-specific characteristics such as narrow interests and challenges in face-to-face interactions. In contrast, when it comes to social media use, these three motives operate differently, leading individuals with ASD to exhibit lower motivation to engage in online social interactions compared to neurotypical individuals. The current article emphasizes adolescence as a critical developmental period where internet use can easily become maladaptive and explores the role of parents in regulating the online behaviors of young people with ASD. Finally, the clinical implications of the model are briefly discussed.
在第一部分(Muris et al. In Clinical Child and Family Psychology Review 22:54 -561, 2025)中,我们提供了荟萃分析证据,表明患有自闭症谱系障碍(ASD)或高水平自闭症特征的个体表现出更高的问题网络使用率(PIU),但与典型发展个体或低水平自闭症特征的个体相比,他们的社交媒体使用水平较低。目前的理论文章介绍了一个基于动机的发展精神病理学模型,旨在澄清在ASD患者或具有高水平自闭症特征的人群中观察到的非典型互联网和社交媒体使用背后的动机。我们认为,过度的在线活动,如游戏和观看视频,可以通过特定的社交、应对和增强互联网使用动机来理解,这在ASD中尤其突出,因为障碍的特定特征,如狭隘的兴趣和面对面互动的挑战。相比之下,当涉及到社交媒体的使用时,这三种动机的运作方式不同,导致自闭症患者与神经正常的人相比,表现出更低的参与在线社交互动的动机。目前的文章强调青春期是一个关键的发展时期,在这个时期,互联网的使用很容易变得不适应,并探讨了父母在规范自闭症青少年上网行为方面的作用。最后,简要讨论了该模型的临床意义。
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引用次数: 0
Youth Justice Services: Relationships, Rehabilitation and the Reality of the Young People Involved-A Meta-synthesis of the Qualitative Literature. 青少年司法服务:关系、康复与青少年的现实——质性文献的元综合。
IF 6.9 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-07-09 DOI: 10.1007/s10567-025-00534-6
Kerri Moore,Elayne Ahern,Eoin O'Meara Daly,Sharon Houghton,Hannah McAuliffe,Elaine Rogers
Rehabilitative approaches to working with young people in the youth justice system have been identified as effective in reducing recidivism, with the centrality of relationships being core to these approaches. There is a limited evidence base exploring young people's experience of professional relationships within youth justice systems. This review aims to explore young peoples' experience of relationships with professionals within youth justice services and understand what is important to their engagement. Five databases were systematically searched for relevant peer-reviewed qualitative and mixed-method journal articles. Seven papers were included in this review. Data were analysed using a meta-synthesis approach. PRISMA and ENTREQ guidelines were followed. Analyses yielded four themes: Feeling valued and finding worth in the system; The reciprocal nature of understanding and respect; nobody trying to help and no one to try for; and the importance of having one good person. The importance of the relationships between youth justice professionals and young people are discussed. Limitations and implications for research, practice and policy are also discussed.
在青年司法系统中与年轻人一起工作的康复方法已被确定为减少再犯的有效方法,其中关系的中心地位是这些方法的核心。在青年司法系统中,探索年轻人职业关系经历的证据基础有限。这项审查旨在探索年轻人与青年司法服务专业人员的关系经验,并了解对他们的参与至关重要的是什么。系统地检索了5个数据库,检索了相关的同行评议的定性和混合方法期刊文章。本综述共收录了7篇论文。使用综合方法对数据进行分析。遵循PRISMA和ENTREQ指南。分析产生了四个主题:感觉被重视并发现系统中的价值;理解和尊重的相互性质;没有人试图帮助,也没有人去尝试;还有一个好人的重要性。讨论了青年司法专业人员与年轻人之间关系的重要性。本文还讨论了对研究、实践和政策的限制和影响。
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引用次数: 0
Perinatal Mental Health Interventions with a Parent-Child Relational Component: A Systematic Review of the Effects on Mothers and Dyads. 具有亲子关系成分的围产期心理健康干预:对母亲和双代影响的系统回顾。
IF 6.9 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-07-07 DOI: 10.1007/s10567-025-00535-5
Sarah E Freeman,Joely Reznik,Maitri Jain,Emily E Sokol,Dana Manning,Haley Rohde,Tamara M Loverich,Jamie M Lawler
Perinatal mental health challenges are associated with deleterious next-generation outcomes due in part to their impact on early parent-child relationships. Many perinatal interventions for caregivers with mental health difficulties target either parental mental health or parent-child relationships, despite ample evidence that these are related. This systematic review aimed to examine mental health and relational outcomes associated with perinatal interventions targeting caregiver and relational wellbeing. Seven electronic databases were searched to identify studies meeting the following criteria: (a) intervention targets parental mental health and parent-infant relational wellbeing (b) study design includes a comparison group, (c) study reports mental health and observed relational outcomes for all groups, (d) intervention is delivered to perinatal mothers by a professional, and (e) article is written in English. Data were tabulated to facilitate narrative synthesis and risk of bias analysis. Sixteen articles evaluating 13 interventions delivered to 1070 participants were included. Four interventions exhibited improvements in both outcomes, four demonstrated improvements in only one outcome, and five demonstrated improvements in neither. Clinical implications include support for the use of brief group and individual interventions that target mental health outcomes via support for emotion expression and problem-solving, and relational outcomes via in vivo guidance for sensitive parent-child interactions, promotion of reflective functioning, and addressing caregiver perceptions of parent-child relationships. Limitations related to study quality, design heterogeneity, and participant demographic homogeneity demand caution in interpretation of results and there is a need for higher quality research in this area. The review protocol was pre-registered with Prospero (ID: CRD42022380278).
围产期心理健康挑战与有害的下一代结果有关,部分原因是它们对早期亲子关系的影响。许多针对有心理健康困难的照料者的围产期干预措施既针对父母的心理健康,也针对亲子关系,尽管有充分证据表明这些是相关的。本系统综述旨在检查心理健康和相关结果与围产期干预针对照顾者和关系健康。检索了七个电子数据库,以确定符合以下标准的研究:(a)干预目标是父母心理健康和亲子关系健康;(b)研究设计包括一个比较组;(c)研究报告所有组的心理健康和观察到的关系结果;(d)由专业人员向围产期母亲提供干预;(e)文章以英语撰写。数据被制成表格,以方便叙述综合和偏见风险分析。纳入了16篇文章,评估了向1070名参与者提供的13种干预措施。4个干预措施对两种结果都有改善,4个干预措施只对一种结果有改善,5个干预措施对两种结果都没有改善。临床意义包括支持使用简短的团体和个人干预措施,通过支持情绪表达和解决问题来实现心理健康结果,并通过体内指导敏感的亲子互动、促进反思功能和解决照顾者对亲子关系的看法来实现关系结果。与研究质量、设计异质性和参与者人口统计学同质性相关的局限性要求在解释结果时谨慎,并且需要在该领域进行更高质量的研究。审查方案已在Prospero (ID: CRD42022380278)进行预注册。
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引用次数: 0
ADHD and Suicidality in Adolescents: A Systematic Review of Moderators and Mediators. 青少年ADHD与自杀:调节因子与调节因子的系统回顾。
IF 6.9 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-06-19 DOI: 10.1007/s10567-025-00531-9
Yvette Rother,Carissa M Orlando,Peter Warren,Kate Flory
In the United States, suicide is the second leading cause of death for those aged 10-14 and the third for those aged 15-24. Adolescents with attention-deficit/hyperactivity disorder (ADHD) are at an increased risk for suicide compared to adolescents without ADHD. However, the strength of the relation between ADHD and suicide and the mechanisms at play in this association are unclear and need further investigation. This systematic review examined the literature to determine whether there is a direct association between ADHD and suicidality in adolescents, and which factors moderate or mediate this relation. A systematic literature search, adhering to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, was carried out on December 20th, 2024. Relevant publications were identified via electronic searches of PsycInfo and Web of Science databases. Studies were included if they assessed ADHD, suicidality, and at least one additional construct analyzed as a moderator or mediator. Studies had to include participants with a mean age between 10 and 19 years (i.e., an adolescent sample). The literature search yielded 405 articles, with 28 included in the final study selection. ADHD emerged as an independent risk factor for suicide among adolescents. Various constructs, including psychological, demographic, family, peer and social, subjective well-being, and trauma and adversity factors, served as moderators or mediators to varying degrees. Our review can inform adolescent suicide prevention efforts by highlighting the importance of addressing specific risk factors. Further research is needed to examine understudied factors, with emphasis on strengths-based factors to improve well-being.
在美国,自杀是10-14岁人群的第二大死因,是15-24岁人群的第三大死因。与没有注意缺陷多动障碍的青少年相比,患有注意缺陷多动障碍的青少年自杀的风险更高。然而,ADHD和自杀之间的关系强度以及在这种关联中起作用的机制尚不清楚,需要进一步调查。本系统综述对文献进行了检查,以确定ADHD与青少年自杀之间是否存在直接关联,以及哪些因素调节或调节了这种关系。按照系统评价和荟萃分析(PRISMA)指南的首选报告项目,于2024年12月20日进行了系统文献检索。通过PsycInfo和Web of Science数据库的电子检索确定了相关出版物。如果研究评估了ADHD、自杀倾向,并且至少有一个额外的构念被分析为调节或调节因素,则纳入研究。研究必须包括平均年龄在10到19岁之间的参与者(即青少年样本)。文献检索产生405篇文章,其中28篇纳入最终研究选择。ADHD成为青少年自杀的独立风险因素。心理因素、人口因素、家庭因素、同伴与社会因素、主观幸福感因素、创伤与逆境因素等构念在不同程度上起调节或中介作用。我们的综述可以通过强调处理特定风险因素的重要性,为青少年自杀预防工作提供信息。需要进一步的研究来检查未被充分研究的因素,重点是基于优势的因素来提高幸福感。
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Clinical Child and Family Psychology Review
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