精神障碍青少年心理治疗干预疗效的社会人口学预测因素和调节因素:系统回顾

IF 4.7 2区 心理学 Q1 PSYCHOLOGY, DEVELOPMENTAL Adolescent Research Review Pub Date : 2023-10-17 DOI:10.1007/s40894-023-00228-6
Vera Gergov, Tamara Prevendar, Eleni Vousoura, Randi Ulberg, Hanne-Sofie J. Dahl, Clémence Feller, Celia Faye Jacobsen, Alexia Karain, Branka Milic, Elena Poznyak, Rosemarie Sacco, Bogdan Tudor Tulbure, Nigel Camilleri, Iliana Liakea, Ioana Podina, Andrea Saliba, Sandra Torres, Stig Poulsen
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引用次数: 0

摘要

尽管青少年精神障碍的发病率令人担忧,但有关治疗效果预测因素的证据仍然很少。系统性综述主要针对特定的疾病或治疗方式,并没有特别针对这一年龄段的人群。本系统性综述概述了各种治疗模式下青少年精神障碍患者心理治疗干预结果的社会人口学预测因素和调节因素。研究按照 PICOS 策略在 PubMed 和 PsycINFO 上进行了检索。所纳入的研究都是针对患有特定精神障碍的青少年(12-30 岁)的心理治疗干预的临床结果研究,并发表在同行评审期刊上。经过四步筛选程序,共评估了 17359 篇文章,其中 114 篇符合纳入标准。大部分纳入的研究涉及情绪障碍、饮食障碍或药物使用障碍患者。年龄、性别和种族是最常报道的预测因素。关于年龄和性别的研究结果不一,因此无法说明哪个年龄组或性别的人从不同障碍组的治疗中获益最多。少数民族身份和创伤事件史可能预示着较差的治疗效果。然而,研究结果主要不支持社会人口变量与预测治疗结果的相关性。
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Sociodemographic Predictors and Moderators of Treatment Outcomes of Psychotherapeutic Interventions for Young People with Mental Disorders: A Systematic Review

Despite the worrying prevalence of mental disorders among adolescents and young people, evidence on predictors of treatment outcome remains scarce. Systematic reviews have focused on specific disorders or treatment modalities and have not targeted this age group in particular. This systematic review presents an overview of the sociodemographic predictors and moderators on the outcome of psychotherapeutic interventions for adolescents and young people with mental disorders across treatment modalities. The search was conducted in PubMed and PsycINFO following the PICOS strategy. The included studies were clinical outcome studies on psychotherapeutic interventions, targeted for young people (aged 12–30 years) with specified mental disorders and published in peer-reviewed journals. During a four-step screening process, 17,359 articles were assessed, among which 114 met the inclusion criteria. Most included studies involved patients with mood, eating, or substance use disorders. Age, gender, and ethnicity were the most frequently reported predictors. For age and gender the findings were mixed, so it is not possible to state which age group or gender would benefit most from treatment across disorder groups. Ethnic minority status and history of traumatic events may predict poorer outcomes. However, the results mainly did not support the relevance of sociodemographic variables for predicting treatment outcome.

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来源期刊
Adolescent Research Review
Adolescent Research Review PSYCHOLOGY, DEVELOPMENTAL-
CiteScore
10.40
自引率
0.00%
发文量
17
期刊介绍: Adolescent Research Review publishes articles that review important contributions to the understanding of adolescence.  The Review draws from the many subdisciplines of developmental science, psychological science, education, criminology, public health, medicine, social work, and other allied disciplines that address the subject of youth and adolescence. The editors are especially interested in articles that bridge gaps between disciplines or that focus on topics that transcend traditional disciplinary boundaries.  Reviews must be cutting edge and comprehensive in the way they advance science, practice or policy relating to adolescents.
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