范围审查:基于学校的群体心理健康干预措施的潜在危害
Carolina Guzman-Holst1, Rowan Streckfuss Davis1, Jack L Andrews1
1Department of Experimental Psychology, University of Oxford, Oxford, UK.
Child and adolescent mental health
|March 18, 2025
概括
学校的心理健康计划可能会造成伤害. 这次审查发现了一些学生的焦虑和抑郁症增加等负面结果,强调了需要谨慎的干预设计的需要.
科学领域:
- 儿童和青少年心理学 儿童和青少年心理学
- 教育心理学教育心理学
- 心理健康干预 心理健康干预
背景情况:
- 越来越多的证据表明,基于学校的心理健康干预可能会造成潜在的伤害.
- 潜在危害被定义为与干预相关的负面结果或不良事件.
- 本综述探讨了伤害类型,有风险的子组,以及学校心理健康计划中潜在伤害的解释.
研究的目的:
- 审查学校心理健康干预中的潜在危害和不良事件.
- 为了确定儿童和青少年的子组,增加了负面结果的风险.
- 探索为这些潜在危害提出的解释.
主要方法:
- 对基于学校的群体心理健康干预 (1960-2023) 的受控试验的范围审查.
- 干预侧重于认知行为疗法和/或正念,以内化症状或福祉.
- 对120项研究中的112项干预措施进行查,重点关注那些报告负面结果的干预措施.
主要成果:
- 8.93%的干预报告了负面结果 (例如,幸福感下降,抑郁/焦虑增加).
- 高质量的研究显示,负面结果的比率为33.33%.
- 负面结果不成比例地影响了有风险的个人,男性,年幼的儿童,以及有资格获得免费学校午餐的人.
结论:
- 在学校心理健康干预中潜在的危害需要仔细考虑.
- 必须解决测量和报告负面结果的挑战.
- 有效的设计和实施需要解决潜在的危害问题.
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