对非临床创伤性干预对学龄青年进行系统审查
Flo Avery1, Natasha Kennedy1, Michaela James1
1National Centre for Population Health and Wellbeing, School of Medicine, Swansea University, Swansea, United Kingdom.
PloS one
|September 6, 2024
概括
童年不良经历 (ACE) 影响长期健康. 这次审查发现学校非临床创伤干预的证据有限,这表明认知行为疗法 (CBT) 需要更多的研究.
科学领域:
- 儿童心理学 儿童心理学
- 创伤研究 创伤研究
- 教育干预教育干预
背景情况:
- 童年不良经历 (ACE) 是晚年健康问题的全球风险因素.
- 学校越来越多地认识到ACE和创伤,要求提供支持服务.
- 缺乏针对青少年创伤的有效,非临床干预的证据.
研究的目的:
- 系统地审查非临床医师提供的基于创伤的干预的证据.
- 评估使用ACEs改善学龄青年 (4-18岁) 心理健康的有效性.
- 确定学校工作人员实施的有效干预措施.
主要方法:
- 对5个电子数据库进行系统审查 (2013年1月至2023年4月).
- 包括关于非临床医生的分娩,英语语言,有ACE的学龄青年的研究.
- 在质量评估后使用叙事合成分析了25项研究.
主要成果:
- 在研究设计,结果和干预措施 (CBT,正念,以艺术为基础) 中存在相当大的异质性.
- 对非临床创伤干预缺乏高质量的研究证据.
- 由于采样偏差和潜在偏差,许多研究的质量很差.
结论:
- 在学校的非临床创伤知情干预方面,高质量的证据存在重大差距.
- 基于认知行为疗法 (CBT) 的方法对未来的严格评估有暂时的希望.
- 需要进一步的研究来验证对青少年ACE相关创伤恢复的有效干预措施.
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