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Withdrawal From the Civil Court Protection Process by Female Survivors of Domestic Violence: A Scoping Review of the Literature 家庭暴力女性幸存者退出民事法院保护程序:文献综述
IF 6.4 1区 社会学 Q1 CRIMINOLOGY & PENOLOGY Pub Date : 2025-12-18 DOI: 10.1177/15248380251395103
Francis Barchi, Millan A. AbiNader, Ajanee Russell Hopkins, Tarisai Mchuchu-MacMillan
In many countries, protection orders are the civil court system’s primary response to domestic violence. While there is significant evidence as to their effectiveness, as many as half of all temporary protection orders are withdrawn or dismissed before being finalized, with limited empirical research as to why. As the first step in a multi-phased research-community partnership to improve a counseling and service program for survivors of domestic violence in South Africa, we undertook a systematic review of the literature to identify what is known about why some female survivors finalize protection orders and others do not. Using a keyword search strategy in academic databases, we included peer-reviewed studies published from January 2004 to June 2024 that focused on case attrition and the factors associated with retention and/or withdrawal. Of the eight studies that met the eligibility criteria, six reported findings from the United States, one from Ecuador, and one from South Africa. Key reasons for attrition were emotional attachment, concerns for children, perceived behavior change in partner, fear of retaliation, challenges in the court processes, default at hearing, financial dependence, gender stereotypes, and lack of opportunities for economic independence. Most of the data supporting these findings were more than a decade old. Without more contemporary research on why female survivors remain in or exit protective order processes, communities may miss opportunities for intervention to reduce personal, procedural, and structural impediments to safety.
在许多国家,保护令是民事法院系统对家庭暴力的主要反应。虽然有大量证据表明其有效性,但多达一半的临时保护令在最终确定之前被撤回或驳回,对其原因的实证研究有限。为了改善南非家庭暴力幸存者的咨询和服务项目,我们开展了多阶段的研究与社区合作,作为第一步,我们对文献进行了系统的回顾,以确定为什么一些女性幸存者最终敲定了保护令,而另一些女性幸存者却没有。我们在学术数据库中使用关键字搜索策略,纳入了2004年1月至2024年6月期间发表的同行评议研究,这些研究的重点是案例流失以及与保留和/或退出相关的因素。在符合资格标准的八项研究中,有六项来自美国,一项来自厄瓜多尔,一项来自南非。流失的主要原因是情感依恋、对孩子的担忧、感知到伴侣的行为改变、害怕报复、法庭程序中的挑战、缺席听证会、经济依赖、性别刻板印象和缺乏经济独立的机会。支持这些发现的大多数数据都是十多年前的。如果没有更多关于女性幸存者留在或退出保护令程序的当代研究,社区可能会错过干预的机会,以减少对安全的个人、程序和结构障碍。
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引用次数: 0
Corrigendum to “Gender Differences in Sports-Related Child Maltreatment: A Systematic Review” “与运动有关的儿童虐待的性别差异:系统回顾”的更正
IF 6.4 1区 社会学 Q1 CRIMINOLOGY & PENOLOGY Pub Date : 2025-12-11 DOI: 10.1177/15248380251407422
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引用次数: 0
The Impact of Gender-Based Violence on Bodily Perceptions and Connections: A Qualitative Metasynthesis 基于性别的暴力对身体感知和联系的影响:一个定性的综合
IF 6.4 1区 社会学 Q1 CRIMINOLOGY & PENOLOGY Pub Date : 2025-12-02 DOI: 10.1177/15248380251393686
Kayleigh Izzo, Jaimie Harley, Travis Nace, Laura Sinko
Gender-based violence (GBV) is a violation of human rights, referring to harmful acts directed towards another, rooted in unequal power dynamics within and beyond the gender binary. While we know that GBV greatly impacts survivor health, research has not been synthesized to articulate its impact on survivor bodily connections and perceptions. The purpose of this qualitative metasynthesis is to synthesize how GBV impacts survivors body image, bodily connections, and subsequent behaviors. Empirical studies were identified by a search of peer-reviewed articles via electronic databases (PubMed, Web of Science, CINAHL, Academic Search Complete, Applied Social Sciences Index and Abstracts) with the help of a library scientist to define key search terms. Studies were included if they were qualitative and directly engaged survivors of GBV about the impact of GBV on their bodies or perceptions about their bodies. After our initial search, 5,124 articles were reviewed by title and abstract independently blinded by two authors. Thirty-six articles were reviewed for full text, with 17 included in the current review. Articles were analyzed using meta-ethnography. Key findings of our review included the impact of GBV on survivors bodily connections (e.g., disconnection, dissociation, and connections to identity), bodily perceptions (e.g., body image, feelings towards the body, and bodily feelings), and resulting behaviors (e.g., disordered eating, adaptive and maladaptive coping, and preoccupation with the body). These findings focus attention on the multidimensional nature of healing after GBV and the need to provide more integrative care for survivors of abuse.
基于性别的暴力是对人权的侵犯,指的是针对他人的有害行为,植根于性别二元之内和之外的不平等权力动态。虽然我们知道性别暴力极大地影响幸存者的健康,但尚未有综合研究阐明其对幸存者身体联系和感知的影响。这个定性综合的目的是综合GBV如何影响幸存者的身体形象、身体联系和随后的行为。在图书馆科学家的帮助下,通过电子数据库(PubMed、Web of Science、CINAHL、Academic search Complete、Applied Social Sciences Index和Abstracts)搜索同行评议的文章来确定实证研究。如果研究是定性的,并且直接涉及性别暴力幸存者关于性别暴力对其身体的影响或对其身体的看法,则纳入研究。在我们最初的搜索之后,5124篇文章被两位作者独立盲法地按标题和摘要进行了审查。对36篇文章进行了全文审查,其中17篇纳入了本次审查。文章用元人种志进行分析。我们回顾的主要发现包括性别暴力对幸存者身体联系(例如,断开、分离和与身份的联系)、身体感知(例如,身体形象、对身体的感觉和身体感觉)以及由此产生的行为(例如,饮食失调、适应和不适应的应对以及对身体的关注)的影响。这些发现将注意力集中在性别暴力后康复的多层面性质以及为虐待幸存者提供更多综合护理的必要性上。
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引用次数: 0
Theoretical Analysis of the Cycle of Intimate Partner Violence: A Systematic Review. 亲密伴侣暴力循环的理论分析:系统回顾。
IF 5.4 1区 社会学 Q1 CRIMINOLOGY & PENOLOGY Pub Date : 2025-12-01 Epub Date: 2024-12-11 DOI: 10.1177/15248380241301781
Brittney McCloud, Alhassan Abdullah

Research on the intergenerational transmission of intimate partner violence (IPV), or the "cycle of violence," from childhood exposure (G1) to the perpetration of IPV in adulthood relationships (G2), has increased over the past decades. The link between childhood exposure to interparental violence and future IPV perpetration is largely explained by postulations from social and psychological theories, such as social learning theory. These theories provide claims regarding IPV transmission pathways and the mechanisms underpinning the transmission. However, evidence from extant theory-informed studies on the cycle of violence has generated several null and counter-predictive findings, which raises questions about the nature of the theory-informed research, as well as methodological questions. This systematic review sought to analyze how existing studies applied specific theories to research IPV transmission, and the mechanisms underpinning these transmissions. Following the PRISMA procedure for systematic reviews, we reviewed empirical articles from five databases (Scopus, Web of Science, CINAHL, Informit, and PubMed) published between 1990 and 2024. Results from the 30 included studies were synthesized under three theoretical categories, namely: social, psychological, and cultural theories. Under each theoretical category, we found inconsistent evidence, lack of empirical examination of theory-driven variables, and reductionist approaches, in terms of how claims from the theories are applied in research on IPV transmission. Research guided by a singular theoretical framework presented inconsistencies compared to those applying a multi-theory approach. As a result, we recommend an integrated theoretical model that considers the comprehensive and transactional process/factors that underpin IPV transmission.

过去几十年来,关于亲密伴侣暴力(IPV)的代际传播或“暴力循环”的研究有所增加,从童年暴露(G1)到成年关系中IPV的实施(G2)。童年暴露于父母间暴力与未来IPV犯罪之间的联系在很大程度上可以通过社会和心理学理论的假设来解释,例如社会学习理论。这些理论提供了关于IPV传播途径和支持传播机制的主张。然而,现有的基于理论的关于暴力循环的研究的证据产生了一些无效和反预测的发现,这提出了关于基于理论的研究的性质以及方法问题的问题。本系统综述旨在分析现有研究如何应用特定理论来研究IPV传播,以及支持这些传播的机制。按照PRISMA程序进行系统评价,我们回顾了1990年至2024年间发表的5个数据库(Scopus、Web of Science、CINAHL、Informit和PubMed)中的实证文章。纳入的30项研究的结果在三个理论类别下进行了综合,即:社会、心理和文化理论。在每个理论类别下,我们发现证据不一致,缺乏对理论驱动变量的实证检验,以及在如何将理论主张应用于IPV传播研究方面的还原论方法。单一理论框架指导下的研究与多理论指导下的研究存在不一致性。因此,我们推荐一个综合的理论模型,该模型考虑了支持IPV传播的综合和交易过程/因素。
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引用次数: 0
Children's Pathways into Commercial Sexual Exploitation in the United States: A Systematic Review. 美国儿童陷入商业性剥削的途径:系统回顾。
IF 5.4 1区 社会学 Q1 CRIMINOLOGY & PENOLOGY Pub Date : 2025-12-01 Epub Date: 2024-11-21 DOI: 10.1177/15248380241297420
Sarah M Godoy, William J Hall, Teresa Cal, Eraka P Bath, Laura S Abrams, Rachel W Goode, Todd M Jensen, Mimi V Chapman

This study examined current evidence on children's pathways into commercial sexual exploitation (CSE) in the United States to determine if characteristics, vulnerabilities, and social contexts were distinguishable by age, gender, race/ethnicity, and location. Using Preferred Reporting Items for Systematic Review and Meta-Analyses guidelines, peer-reviewed studies and grey literature were included if they were focused on CSE pathways prior to age 18, available in English, U.S. based, and published in or after 2013. In total, 1,989 articles were screened and 306 were eligible for full-text review. In total, 22 studies were analyzed. Nine studies focused on cis girls or women. No studies exclusively focused on CSE among cis boys, gender diverse children, children identifying as LGBTQ+, or children initiated from infancy through preadolescence. Findings indicate that boys and girls at different life stages were initiated into CSE by five pathways, including: (a) family members and caregivers' paramours; (b) romantic partners; (c) peers, friends, and acquaintances; (d) strangers; and (e) circumstantial need. Girls and boys in infancy, toddlerhood, and preadolescence and across rural-urban classifications were exploited by family members, parent's romantic partners, and acquaintances known to their family. Adolescent girls, including those with intellectual disabilities, were trafficked by boyfriends, strangers, and out of circumstantial needs. This is the first review to provide a contemporary overview of dynamics that marked children's CSE pathways from infancy through adolescence. Findings revealed need for future research on CSE-impacted boys, gender diverse and LGBTQ+ children, and intellectually challenged children across early life stages and geographic areas.

本研究考察了美国儿童遭受商业性剥削 (CSE) 的现有证据,以确定儿童的特征、脆弱性和社会背景是否可按年龄、性别、种族/民族和地点进行区分。根据《系统综述和元分析的首选报告项目》(Preferred Reporting Items for Systematic Review and Meta-Analyses)指南,如果同行评议研究和灰色文献关注的是 18 岁以前的 CSE 途径,以英语提供,以美国为基地,且发表于 2013 年或之后,则将其纳入研究范围。共筛选出 1,989 篇文章,其中 306 篇符合全文审阅条件。共分析了 22 项研究。九项研究关注的是顺式女孩或女性。没有研究专门针对顺式男孩、不同性别儿童、LGBTQ+ 儿童或从婴儿期到青春期前的儿童中的 CSE。研究结果表明,处于不同生命阶段的男孩和女孩是通过五种途径开始 CSE 的,包括:(a)家庭成员和照顾者的姘头;(b)恋爱伴侣;(c)同伴、朋友和熟人;(d)陌生人;以及(e)环境需要。在婴儿期、学步期和青春期前,以及在城乡分类中,女童和男童受到家庭成员、父母的恋爱伴侣和家人认识的熟人的剥削。少女,包括有智力障碍的少女,则被男朋友、陌生人和出于环境需要而贩运。这是首次对儿童从婴儿期到青春期的 CSE 途径动态进行当代综述。研究结果表明,今后需要对受 CSE 影响的男孩、不同性别和 LGBTQ+ 儿童以及智力有缺陷的儿童进行跨生命早期阶段和跨地域的研究。
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引用次数: 0
A Systematic Review of Theories of Stress as a Predictor of Intimate Partner Violence. 作为亲密伴侣暴力预测因子的压力理论系统综述。
IF 5.4 1区 社会学 Q1 CRIMINOLOGY & PENOLOGY Pub Date : 2025-12-01 Epub Date: 2024-12-11 DOI: 10.1177/15248380241297325
Sarah R Meyer, Selina Hardt, Rebecca Brambilla, Heidi Stöckl

Literature on stress and intimate partner violence (IPV) has primarily focused on stress as an outcome of women's experience of IPV. However, stress may also be a predictor of male-perpetrated IPV. To improve our understanding of how theoretical approaches to stress have been applied to IPV research, we conducted a sub-analysis of a broader systematic review to identify published literature that examines theoretical approaches to stress as a predictor of male-perpetrated IPV. We conducted a search of nine electronic databases and assessed title/abstract and full texts according to pre-defined inclusion and exclusion criteria. Two reviewers categorized included studies into different theoretical groupings and sub-groupings. Data were extracted according to a data extraction template developed for the review, establishing consistency in a pilot data extraction phase. The review identified 27 articles that addressed the following theories of stress: general stress theory, life course theory, occupational stress theory, vulnerability theory, and family stress theory. Each of these sub-theories focuses on different forms of stress, for example, life course theory specifically focuses on stressful early life experiences, including adverse childhood events, whereas occupational stress theory focuses on workplace-related stressors that may result in increased male-perpetrated IPV. Analysis of measurement of stress variables indicated that measurement of stress varies widely across studies and primarily relies on self-reports. Consideration of stress as a predictor of IPV provides important insights into preventable and modifiable targets for intervention. Additional research on mechanisms and pathways between stress and IPV is needed.

关于压力和亲密伴侣暴力(IPV)的文献主要侧重于作为妇女经历IPV的结果的压力。然而,压力也可能是男性IPV的一个预测因素。为了提高我们对压力理论方法如何应用于IPV研究的理解,我们对一项更广泛的系统综述进行了子分析,以确定已发表的文献,这些文献将压力理论方法作为男性IPV的预测因素。我们检索了9个电子数据库,并根据预先定义的纳入和排除标准评估了标题/摘要和全文。两位审稿人将纳入的研究分为不同的理论组和亚组。根据为审查开发的数据提取模板提取数据,在试点数据提取阶段建立一致性。该综述确定了27篇文章,涉及以下压力理论:一般压力理论、生命历程理论、职业压力理论、脆弱性理论和家庭压力理论。这些子理论中的每一个都关注不同形式的压力,例如,生命历程理论特别关注压力的早期生活经历,包括不利的童年事件,而职业压力理论则关注与工作场所相关的压力源,这些压力源可能导致男性犯下的IPV增加。对压力变量测量的分析表明,不同研究的压力测量差异很大,主要依赖于自我报告。考虑压力作为IPV的预测因素,为预防和改变干预目标提供了重要的见解。应力与IPV之间的机制和途径有待进一步研究。
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引用次数: 0
Risk and Protective Factors for Experiencing Domestic Violence in Children with Disabilities: A Scoping Review. 残疾儿童遭受家庭暴力的风险和保护因素:一项范围审查。
IF 6.4 1区 社会学 Q1 CRIMINOLOGY & PENOLOGY Pub Date : 2025-12-01 DOI: 10.1177/15248380251397412
Wei Du,Xi-Yuan Peng,Wei Li, Attiq-Ur-Rehman,Meng-Wei Ge,Lu-Ting Shen,Rui Feng,Kang Zhong,Si-Qi Gao,Hong-Lin Chen
The incidence of domestic violence (DV) in children with disabilities (CWD) is increasing, making it crucial to assess associated risk and protective factors. Following the PRISMA-ScR guidelines, this scoping review aimed to assess the risk and protective factors for DV in CWD, review the current research progress, and highlight knowledge gaps to guide future studies. Six electronic databases were searched for studies published up to July 2025. Preliminary searches identified 1,564 records. After removing duplicates, non-English publications, and studies that did not meet the inclusion criteria, 19 articles were included. Given publication bias and lack of formal quality appraisal, findings should be interpreted as a map of current evidence rather than definitive effect estimates. The results demonstrate that risk factors across individual, microsystem (familial), and macrosystem (societal) levels can interact to compound vulnerability. Specific disability types (especially cognitive and neurodevelopmental disorders), certain child-related characteristics (especially disability severity, physical/mental comorbidities), family-originated characteristics (especially poor parental health, substance abuse, low education, violence history, economic difficulties), and societal risk factors (living in conflict-affected areas) may increase victimization risks. Higher parental education, greater family affluence, and positive parent-child relationships appear to mitigate the risk of violence. This study underscores the critical need for a multi-tiered intervention framework to safeguard CWD from DV. This necessitates integrated measures encompassing: enhancing legal protections and policy enforcement, establishing robust violence assessment and identification protocols specifically for CWD, providing targeted economic assistance to disadvantaged families, and implementing comprehensive societal awareness campaigns against violence.
残疾儿童的家庭暴力发生率正在增加,因此评估相关风险和保护因素至关重要。根据PRISMA-ScR指南,本综述旨在评估CWD中DV的风险和保护因素,回顾当前的研究进展,并强调知识空白,以指导未来的研究。在六个电子数据库中检索了截至2025年7月发表的研究。初步搜索确定了1564条记录。在剔除重复、非英文出版物和不符合纳入标准的研究后,共纳入了19篇文章。鉴于发表偏倚和缺乏正式的质量评估,研究结果应被解释为当前证据的地图,而不是确定的效果估计。结果表明,个体、微系统(家族)和宏观系统(社会)层面的风险因素可以相互作用,从而加剧脆弱性。特定残疾类型(特别是认知和神经发育障碍)、某些与儿童有关的特征(特别是残疾严重程度、身体/精神共病)、家庭起源特征(特别是父母健康状况不佳、药物滥用、受教育程度低、暴力史、经济困难)和社会风险因素(生活在受冲突影响的地区)可能会增加受害风险。较高的父母教育程度、较高的家庭富裕程度和积极的亲子关系似乎可以降低暴力的风险。这项研究强调了建立多层干预框架以保护CWD免受DV侵害的迫切需要。这需要采取综合措施,包括:加强法律保护和政策执行,建立专门针对儿童暴力的强有力的暴力评估和识别协议,向弱势家庭提供有针对性的经济援助,以及开展全面的反暴力社会意识运动。
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引用次数: 0
The Relationship Between Speech and Language Disorders and Violence Against Women: A Scoping Review. 言语和语言障碍与暴力侵害妇女行为之间的关系:一项范围审查。
IF 5.4 1区 社会学 Q1 CRIMINOLOGY & PENOLOGY Pub Date : 2025-12-01 Epub Date: 2024-11-30 DOI: 10.1177/15248380241299432
Cheryl Y T Tan, Ai Leen Choo, Valerie P C Lim, Ingrid M Wilson

Violence against women with disabilities has received more attention in recent years recognizing the intersectionality of experiences of abuse, yet little is known about the less visible forms of disability such as speech and language disorders. This review aimed to identify and synthesize existing literature exploring the relationship between speech and language disorders and victimization, including child sexual abuse (CSA), exposure to domestic violence in childhood, and intimate partner violence (IPV) and sexual assault in adulthood. Five electronic databases were systematically searched using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses for Scoping Reviews guidelines. Studies were included if they were English-language peer-reviewed articles or grey literature publications focusing on domestic violence and/or sexual assault and speech and language disorders. Twenty studies met the inclusion criteria. The findings showed a clear link between childhood exposure to domestic violence and/or CSA and speech and language disorders. Women with speech and language disorders appear to be at heightened risk of IPV and sexual assault relative to the general population. Nonfatal strangulation emerged as a growing area of concern in the literature with acute and chronic symptoms requiring treatment from speech and language therapists. Practice implications include enhanced training at the undergraduate and professional level for therapists to better identify and respond to suspected abuse in their patients. Emergency and specialist support services need protocols and training to better support women with speech and language disorders. Future research should examine the help-seeking behavior of women with speech and language disorders post-victimization and collect longitudinal data to understand the long-term consequences of abuse.

近年来,对残疾妇女的暴力行为受到了更多的关注,认识到虐待经历的交叉性,但对言语和语言障碍等不太明显的残疾形式知之甚少。本综述旨在梳理和综合现有研究语言障碍与受害关系的文献,包括儿童性虐待(CSA)、儿童期家庭暴力暴露、成年期亲密伴侣暴力(IPV)和性侵犯。使用系统评价的首选报告项目和范围评价的元分析指南系统地检索了五个电子数据库。如果研究是关于家庭暴力和/或性侵犯以及言语和语言障碍的英文同行评议文章或灰色文献出版物,则纳入研究。20项研究符合纳入标准。研究结果表明,儿童时期遭受家庭暴力和/或CSA与语言障碍之间存在明显的联系。与一般人群相比,患有言语和语言障碍的妇女患IPV和性侵犯的风险似乎更高。在文献中,非致死性勒死作为一个日益受到关注的领域出现,其急性和慢性症状需要言语和语言治疗师的治疗。实践意义包括加强本科和专业水平的培训,使治疗师更好地识别和应对疑似虐待患者。紧急和专家支助服务需要规程和培训,以便更好地支助有言语和语言障碍的妇女。未来的研究应检查言语和语言障碍妇女受害后的求助行为,并收集纵向数据,以了解虐待的长期后果。
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引用次数: 0
Effectiveness of Trauma-Focused Interventions in Reducing Externalizing Behaviors Among Traumatized Adolescents: A Systematic Review and Meta-Analysis. 以创伤为中心的干预措施在减少创伤青少年外化行为方面的有效性:一项系统回顾和荟萃分析。
IF 6.4 1区 社会学 Q1 CRIMINOLOGY & PENOLOGY Pub Date : 2025-12-01 DOI: 10.1177/15248380251388127
Shan Jiang,Yuhang Cheng,Wenjie Qian,Ziyi Dong,Zixuan Chen,Linhui Shui
Despite existing literature suggesting the effectiveness of trauma-focused interventions in reducing trauma-related symptoms, notably post-traumatic stress disorder, depression, and anxiety, few studies have specifically evaluated the effectiveness of such interventions on externalizing behaviors-a prevalent concern among traumatized adolescents. Aiming to fulfill this research gap, this systematic review and meta-analysis conducted a thorough search in eight electronic databases, including EBSCO, ERIC, MEDLINE, PubMed, ProQuest, PsycINFO, Scopus, and Web of Science. Twelve studies, which included a total number of 1251 participants, were finalized, and we performed meta-analyses based on a random effect model on Review Manager software (Version 5.4). By systematically reviewing the included studies, we identified trauma-focused interventions-such as Trauma-Focused Cognitive Behavioral Therapy, Narrative Exposure Therapy, Prolonged Exposure Therapy, MASTR/EMDR therapy, and Cognitive Processing Therapy-as effective approaches for reducing externalizing behaviors in traumatized adolescents. Results of the meta-analysis showed a significant effect of trauma-focused interventions in reducing externalizing behaviors (SMD = -0.70, 95% CI [-0.98, -0.41], Z = 4.74, p < .001). Subgroup analyses identified several key factors influencing the effectiveness of interventions, including adolescent age, intervention duration, intervention methods, participant number, and intervention settings. Practical implications were also discussed according to the findings presented.
尽管现有文献表明,以创伤为重点的干预措施在减少创伤相关症状(尤其是创伤后应激障碍、抑郁和焦虑)方面的有效性,但很少有研究专门评估此类干预措施对外化行为的有效性——外化行为是受创伤青少年普遍关注的问题。为了填补这一研究空白,本系统综述和荟萃分析对EBSCO、ERIC、MEDLINE、PubMed、ProQuest、PsycINFO、Scopus和Web of Science等8个电子数据库进行了全面检索。最终确定了12项研究,共1251名参与者,我们在Review Manager软件(Version 5.4)上基于随机效应模型进行了meta分析。通过系统地回顾纳入的研究,我们确定了以创伤为重点的干预措施,如以创伤为重点的认知行为治疗、叙事暴露治疗、延长暴露治疗、MASTR/EMDR治疗和认知加工治疗,作为减少创伤青少年外化行为的有效方法。meta分析结果显示,以创伤为重点的干预措施在减少外化行为方面有显著效果(SMD = -0.70, 95% CI [-0.98, -0.41], Z = 4.74, p < .001)。亚组分析确定了影响干预有效性的几个关键因素,包括青少年年龄、干预持续时间、干预方法、参与者人数和干预环境。还根据提出的调查结果讨论了实际影响。
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引用次数: 0
Adverse Childhood Experiences and Oral Health of Children and Adolescents: A Systematic Review and Meta-Analysis. 童年的不良经历与儿童和青少年的口腔健康:系统回顾与元分析》。
IF 5.4 1区 社会学 Q1 CRIMINOLOGY & PENOLOGY Pub Date : 2025-12-01 Epub Date: 2024-11-21 DOI: 10.1177/15248380241297423
Lucas Alves Jural, Fabio Anevan Fagundes, Patrícia de Andrade Risso, Antonio Jose Ledo Alves da Cunha, Marcela Baraúna Magno, Saul Martins Paiva, Lucianne Cople Maia

Adverse childhood experiences (ACEs) can be extremely traumatic, and their impact on health throughout the life course has been a public policy issue all around the world. Oral health conditions significantly influence quality of life, but its relationship with ACEs among children and adolescents is not well defined. This systematic review investigated the association between ACEs and oral health outcomes in children and adolescents. The search was conducted across six databases and the gray literature, with no restrictions. It included studies evaluating the association between ACEs and oral health outcomes (oral health condition, utilization of dental services, oral hygiene habits, or oral health related to quality of life) in individuals aged 0 to 19. Data of included studies were extracted and methodological quality was assessed. Meta-analysis was used for quantitative synthesis, and the Grading of Recommendations Assessment, Development and Evaluation approach assessed evidence certainty. From the 12 included studies, 11 had a cross-sectional design, and 1 was a cohort study. Seventeen types of ACEs were investigated, including neglect; violence between parents or caregivers; alcohol and substance abuse; and peer, community, and collective violence. The methodological quality compliance ranged between 38% and 100%. The meta-analysis revealed associations between ACEs and lower use of dental services, toothache, gingival bleeding, and dental cavities. Cumulative exposure to more than three ACEs was associated with poorer oral health. The certainty of the evidence varied from low to very low. These results highlight that children and adolescents with ACEs are more likely to present higher oral health problems, including decreased use of dental services.

童年的不良经历(ACEs)可能会给人带来极大的创伤,它们对人的一生健康的影响一直是全世界的公共政策问题。口腔健康状况对生活质量有重大影响,但其与儿童和青少年的 ACE 之间的关系尚未得到很好的界定。本系统综述调查了儿童和青少年的 ACE 与口腔健康结果之间的关系。检索范围包括六个数据库和灰色文献,没有任何限制。它包括评估 0 至 19 岁个体中 ACE 与口腔健康结果(口腔健康状况、牙科服务利用率、口腔卫生习惯或与生活质量相关的口腔健康)之间关系的研究。对纳入研究的数据进行提取,并对研究方法的质量进行评估。采用元分析法进行定量综合,并采用建议分级评估、发展和评价法评估证据的确定性。在纳入的 12 项研究中,11 项为横断面研究,1 项为队列研究。共调查了 17 种 ACE,包括忽视、父母或照顾者之间的暴力、酗酒和药物滥用,以及同伴、社区和集体暴力。研究方法的质量符合率在 38% 到 100% 之间。荟萃分析显示,ACE 与牙科服务使用率较低、牙痛、牙龈出血和龋齿之间存在关联。累计暴露于三种以上的 ACE 与较差的口腔健康有关。证据的确定性从低到极低不等。这些结果突出表明,有 ACE 的儿童和青少年更有可能出现较高的口腔健康问题,包括减少牙科服务的使用。
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Trauma Violence & Abuse
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