对改善逆境对大脑发育影响的干预措施进行系统审查
Cassidy L McDermott1, Elizabeth S Norton2, Allyson P Mackey1
1Department of Psychology, University of Pennsylvania, Philadelphia, PA, United States.
Neuroscience and biobehavioral reviews
|September 14, 2023
概括
儿童时期的逆境影响大脑发育,但心理社会干预措施显示出有前途. 这些干预措施可以积极影响大脑的可塑性和发育,为减轻负面神经发育结果提供希望.
科学领域:
- 神经科学是一个神经科学.
- 发展心理学 发展心理学
- 儿童精神病学 儿童精神病学
背景情况:
- 童年的逆境 (虐待,忽视,贫困) 显著影响大脑发育.
- 发育中的大脑表现出可塑性,这表明通过干预可以缓解干预的潜力.
- 心理社会干预旨在解决早期生活压力的神经发育后果.
研究的目的:
- 系统地审查和综合有关心理干预在暴露于逆境的儿童神经结果的文献.
- 为了检查经验依赖于经验的可塑性在经过干预后发育的大脑的证据.
主要方法:
- 系统的文献搜索产生了来自13个不同的干预措施的36份报告.
- 综合基于三个关键主题的研究:干预年龄,对功能和结构大脑发育的影响以及干预反应的预测因素.
主要成果:
- 有证据表明,干预措施可以促进经验依赖的大脑可塑性.
- 干预措施通常加速了功能性大脑发育,对结构性发育的影响不那么明显.
- 预测干预反应的个体差异是具有挑战性的,因为样本大小小和研究设计的变化.
结论:
- 心理社会干预措施有望改善童年逆境对神经发育的影响.
- 需要对更大的样本和标准化的方法进行进一步的研究,以优化干预策略并了解个体反应的可变性.
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