学校出勤问题的认知行为干预:系统性审查和元分析
Sarah Jakobsen1, Katrine B Tølbøll2,3, Mikael Thastum4
1Department of Psychology and Behavioral Sciences, Aarhus University, Aarhus, Denmark. Sarahj@psy.au.dk.
Child psychiatry and human development
|May 7, 2025
概括
认知行为干预 (CBIs) 显示出改善年轻人上学率的前景. 虽然在不受控制的研究中有效,但与对照组相比,对心理健康的影响不那么明显.
科学领域:
- 儿童和青少年心理学 儿童和青少年心理学
- 临床心理学 临床心理学
- 教育心理学教育心理学
背景情况:
- 学校出勤问题 (SAPs) 显著影响年轻人的发展和学业成功.
- 认知行为干预 (CBI) 是一种潜在的治疗方法来解决SAPs.
- 需要综合证据来评估以SAP为中心的CBIs的有效性.
研究的目的:
- 系统地审查和综合关于CBI对SAPs青年有效性的证据.
- 对包括上学时间,焦虑,抑郁和行为问题在内的结果进行元分析.
- 评估随访时效应的维持情况,并将CBT效应与对照条件进行比较.
主要方法:
- 1985-2024年出版的随机对照试验 (RCT),非RCT和开放试验 (OT) 的系统审查.
- 在 PsycINFO,PubMed,ERIC 和 Scopus 数据库中进行的搜索.
- 来自涉及932名年轻人的合格研究数据的叙述综合和元分析.
主要成果:
- 未经控制的干预前后的元分析显示,对学校上学 (g=1.02),焦虑 (g=-0.57),抑郁 (g=-0.66) 和行为问题 (g=-0.40) 的小到大的影响在随访时保持不变.
- 与对照组相比,CBI对学校上学有中等影响 (g=0.44),但对焦虑 (g=-0.09) 和抑郁 (g=-0.14) 没有显著影响.
- 包括4个RCT和11个OTs.
结论:
- 专注于SAP的CBI显示了改善学校上学和相关心理困难的潜力.
- 证据受到研究异质性,偏见风险,方法上的弱点和不一致的结果措施的限制.
- 需要进一步进行高质量的RCT来确认CBI对SAP的有效性.
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