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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。
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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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引用次数: 0
Mapping the Influence of Infant-Parent Relational Quality on Life Course Relationships: A Scoping Review of Prospective Cohort Studies. 绘制亲子关系质量对生命历程关系的影响:前瞻性队列研究的范围综述。
IF 5.5 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-06-08 DOI: 10.1007/s10567-025-00527-5
Felicity Painter, Jacquelyn Harverson, Gabriella King, Tracy Evans-Whipp, Melissa J Green, Kayla Mansour, Lu Zhang, Sarah Whittle, Daniel Liontos, Craig A Olsson, Jennifer McIntosh

This review is part of a series of scoping reviews of population-based cohort studies, designed to inform public health approaches to strengthening the relational ecology of early child development. Here, we scoped prospective cohort studies that have assessed the association between infant-parent relational health during the first years of life (from conception to age three years) and relationship quality across the life course. Studies were included if they explored predictor measurement of infant relational behaviors with their parent (e.g., attachment status) or parent relational behaviors with their infant (e.g., parental sensitivity), and a relational health outcome across the whole social ecology. A systematic search of the literature was conducted in September 2023. The search identified 15,454 articles, of which 108 studies were deemed eligible for inclusion. An additional nine articles were identified via citation searching resulting in 117 included studies. We examined associations across four developmental periods (early childhood, middle childhood, adolescence, and adulthood), in a range of affiliative relationships, disaggregating outcomes in intra-familial and extra-familial relationships. Despite considerable variation in measurement and sampling, we found consistent evidence of enduring influence of infant-parent relationship quality for relational functioning well into adolescence. For some relationship forms, this extended into adulthood. Understanding the reach of early parent-infant relational quality onto life course relational outcomes has potential to inform public health policy settings.

本综述是一系列以人群为基础的队列研究的范围综述的一部分,旨在为加强儿童早期发育相关生态学的公共卫生方法提供信息。在这里,我们纳入了前瞻性队列研究,这些研究评估了生命最初几年(从受孕到三岁)婴儿-父母关系健康与整个生命过程中关系质量之间的关系。如果研究探索了婴儿与父母的关系行为(如依恋状态)或父母与婴儿的关系行为(如父母敏感性)的预测测量,以及整个社会生态的关系健康结果,则将研究纳入其中。我们于2023年9月对相关文献进行了系统检索。检索确定了15454篇文章,其中108篇研究被认为符合纳入条件。通过引文检索确定了另外9篇文章,共纳入了117篇研究。我们研究了四个发育时期(幼儿期、童年中期、青春期和成年期)的关联,以及一系列从属关系,分解了家庭内和家庭外关系的结果。尽管在测量和抽样方面存在相当大的差异,但我们发现了一致的证据,表明亲子关系质量对关系功能的持久影响一直持续到青春期。对于某些关系形式,这种情况会延续到成年期。了解早期亲子关系质量对生命历程关系结果的影响,有可能为公共卫生政策的制定提供信息。
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引用次数: 0
Reporting, Forgetting, or Reimagining: A Developmental Theory of Traumatic and Adverse Childhood Memories. 报告、遗忘或重新想象:创伤性和不良童年记忆的发展理论。
IF 5.5 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-06-01 DOI: 10.1007/s10567-025-00528-4
Carl F Weems

The reliability of child and youth reports of traumatic events and adverse experiences (TRACEs) is a critically important but highly contentious issue. This paper presents a developmental perspective for understanding reporting, forgetting, and reimagining such experiences. This perspective addresses the targeted question of how to conceptualize correspondence in reports across time (i.e., the reliability of reports) and applies a developmental lens (both theory and data) to these data while also integrating relevant neuroscience data. This review provides 1) a critical summary of recent meta-analyses and data on consistency in reports of TRACEs and 2) a critical summary of systematic reviews of autobiographical memory in TRACEs and integrates 3) emerging developmental and neuroscience research and theory to support this perspective. The perspective emphasizes that there may be an evolution of the memory of a traumatic event and evolution in the perception of an event as traumatic over time. The perspective thereby implies that awareness of an event as traumatic is not limited to a strict dichotomy-either something traumatic happened or it did not-but can also be understood as a continuum, ranging from a strong memory or perception of the event as traumatic to weaker recollections and evolving interpretations over time.

儿童和青少年创伤性事件和不良经历报告(TRACEs)的可靠性是一个极其重要但极具争议性的问题。本文提出了一个发展的视角来理解报告、遗忘和重新想象这些经历。这种观点解决了如何概念化报告中随时间的对应关系(即报告的可靠性)的目标问题,并将发展视角(理论和数据)应用于这些数据,同时整合相关的神经科学数据。这篇综述提供了1)最近的荟萃分析和关于TRACEs报告一致性的数据的关键总结,2)对TRACEs中自传式记忆的系统综述的关键总结,并整合了3)新兴的发展和神经科学研究和理论来支持这一观点。该观点强调,随着时间的推移,创伤性事件的记忆可能会进化,对创伤性事件的感知也会进化。因此,这一观点意味着,对创伤性事件的意识并不局限于严格的二分法——要么发生了创伤性事件,要么没有发生创伤性事件——而是可以被理解为一个连续体,从对创伤性事件的强烈记忆或感知到较弱的回忆,以及随着时间的推移不断演变的解释。
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引用次数: 0
Measures of Sleep-Related Fears in Children: A Systematic Review of Psychometric Properties Using COSMIN. 儿童睡眠相关恐惧的测量:使用COSMIN对心理测量特性的系统回顾。
IF 6.9 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-05-21 DOI: 10.1007/s10567-025-00526-6
Melissa Aji,Xiaomin Xu,Emma A McDermott,Madeline Metz,Annabel Songco,Maddison O'Gradey-Lee,Chloe Y S Lim,Gemma Sicouri,Laura Parrish,Jennifer L Hudson
Sleep-related fears (i.e. fears related to sleep, nighttime and/or occurring before sleep) are linked to the development of anxiety and sleep problems in children. Parent- and child-report measurement tools are key to increasing understanding and facilitating better identification for treatment to prevent disorder development. We conducted a systematic review with the aim of identifying the breadth of parent- and child-report measures that include an assessment of sleep-related fears in children from 7 to 12 years old (stage 1) and reviewing the psychometric properties of measures that more comprehensively assess sleep-related fears (i.e. 3 or more items) using the COSMIN checklist (stage 2) to provide recommendations for measures (stage 3). A systematic search was performed using MEDLINE, EMBASE, ERIC and PsycINFO in accordance with PRISMA guidelines. At stage 1, we retrieved 14,495 records. Of these, 66 papers met eligibility and included 43 distinct measures. At stage 2, 11 out of the 43 measures met criteria for more comprehensive measurement of sleep-related fears. Findings demonstrated mixed and incomplete data and very little high-quality evidence. No measures met criteria for recommendation and the majority of measures require further validation studies.
与睡眠有关的恐惧(即与睡眠、夜间和/或睡前有关的恐惧)与儿童焦虑和睡眠问题的发展有关。家长和儿童报告的测量工具是增进了解和促进更好地确定治疗以预防障碍发展的关键。我们进行了一项系统回顾,目的是确定父母和儿童报告措施的广度,包括对7至12岁儿童睡眠相关恐惧的评估(第一阶段),并使用COSMIN清单(第二阶段)审查更全面评估睡眠相关恐惧(即3个或更多项目)的措施的心理测量特性,以提供措施建议(第三阶段)。按照PRISMA指南,使用MEDLINE、EMBASE、ERIC和PsycINFO进行系统检索。在阶段1,我们检索了14,495条记录。其中,66篇论文符合资格,包括43项不同的指标。在第二阶段,43项测量中有11项符合更全面测量睡眠相关恐惧的标准。研究结果显示数据混杂且不完整,高质量证据很少。没有措施符合推荐标准,大多数措施需要进一步的验证研究。
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引用次数: 0
The Role of Extended Family Members in the Lives of Autistic Individuals and Their Parents: A Systematic Review and Meta-Synthesis 大家庭成员在自闭症个体及其父母生活中的作用:系统回顾和元综合
IF 6.9 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-05-20 DOI: 10.1007/s10567-025-00525-7
Jia-Ling Li, Melissa Washington-Nortey, Tsegereda Haile Kifle, Francesca Cotier, Rosa A. Hoekstra

Extended family members play an important role in meeting the care needs of autistic individuals, yet family support policies and practices often overlook this role. We aimed to synthesise qualitative research on the role played by extended family members in the lives of autistic individuals and their parents and identify cultural patterns. We searched eight databases and selected relevant studies through a two-stage screening process. We synthesised the results and discussions described in the selected studies using template analysis. The review included 42 studies (40 qualitative; 2 mixed methods), reporting on 1048 parents and 2140 grandparents. While aunts, uncles, and cousins were not direct participants, their roles were described in participants’ narratives. Three main themes were developed: (1) types of support from extended family members, including emotional, financial, instrumental, and informational support; (2) unhelpful or lack of support from extended family members, including misunderstanding about autism, absence of support with caregiving, and negative attitudes and discriminatory behaviours against autistic individuals as well as their parents; (3) factors influencing the role of extended family members, including individuals, family unit, family interaction characteristics, and a journey towards acceptance and cultural influences. Novel findings on the influence of culture suggested in cultures highly valuing family interdependence, extended relatives play a more prominent support role, yet the emphasis on family reputation might hinder the acceptance of autism by extended relatives. Based on a family systems approach, we recommend priorities for intervention development and clinical practice to support the effective involvement of extended family members.

大家庭成员在满足自闭症患者的护理需求方面发挥着重要作用,但家庭支持政策和做法往往忽视了这一作用。我们的目的是对大家庭成员在自闭症患者及其父母的生活中所扮演的角色进行综合定性研究,并确定文化模式。我们检索了8个数据库,并通过两阶段筛选过程选择了相关研究。我们使用模板分析综合了所选研究中描述的结果和讨论。该综述包括42项研究(40项定性研究;(2种混合方法),报告了1048名父母和2140名祖父母。虽然阿姨、叔叔和堂兄弟姐妹不是直接参与者,但他们的角色是在参与者的叙述中描述的。研究发展了三个主要主题:(1)来自大家庭成员的支持类型,包括情感、经济、工具和信息支持;(2)大家庭成员的不帮助或缺乏支持,包括对自闭症的误解、缺乏照顾方面的支持、对自闭症个体及其父母的消极态度和歧视行为;(3)影响大家庭成员角色的因素,包括个体、家庭单位、家庭互动特征、接受过程和文化影响。关于文化影响的新发现表明,在高度重视家庭相互依赖的文化中,远亲发挥了更突出的支持作用,但对家庭声誉的强调可能会阻碍远亲对自闭症的接受。基于家庭系统方法,我们推荐干预发展和临床实践的优先事项,以支持大家庭成员的有效参与。
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引用次数: 0
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Clinical Child and Family Psychology Review
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