幼儿创伤及其对认知和情感发展的长期影响:系统性审查和元分析
1Department of School of Nursing, Gansu University of Traditional Chinese Medicine/Department of School of Education Science, Northwest Normal University, Lanzhou, China.
Annals of medicine
|July 29, 2025
概括
童年创伤显著影响认知和情感发展,特别是注意力和工作记忆. 早期查和创伤信息化的护理对于减轻长期影响至关重要.
科学领域:
- 心理学 心理学 心理学
- 神经科学是一个神经科学.
- 公共卫生 公共卫生
背景情况:
- 童年创伤对认知和情感发展有深刻而持久的影响.
- 了解这些长期影响对于制定有效的干预措施和公共卫生战略至关重要.
研究的目的:
- 系统地审查和综合儿童创伤对认知和情感领域的长期影响的证据.
- 通过澄清童年创伤和发展结果之间的关系,为干预和公共卫生战略提供信息.
主要方法:
- 这是一份从PubMed,Cochrane图书馆和谷歌学者的465项研究的系统综述.
- 包括9项专注于美国低收入人口的研究,其中提取了创伤类型和认知/情绪结果的数据.
- 使用R软件进行的随机效应元分析和子组分析,使用NOS和RoB 2工具评估研究质量.
主要成果:
- 与童年创伤相关的显著缺陷在注意力 (SMD = 2.37),工作记忆 (SMD = 3.55),情绪调节 (SMD = 1.25) 和执行功能 (SMD = 1.61) 中被发现.
- 处理速度显示较小的缺陷 (SMD = -0.48).
- 观察到高异质性 (I2:77-98%),反映了创伤类型和评估的变化,聚合效应大小 (SMD = 1.57) 表明创伤的普遍影响.
结论:
- 童年创伤不成比例地损害了注意力和工作记忆.
- 调查结果强调了早期查,创伤知情护理和针对性干预措施以应对长期后果的重要性.
- 未来的研究应该解决方法的变化,并探索弹性因素.
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