在早产或低出生体重的儿童和青少年中内化和外化症状:元分析
Meng-Wei Ge1, Lu-Ting Shen1, Ur-Rehman Attiq1,2
1School of Nursing and Rehabilitation, Nantong University, Nantong, Jiangsu, PR China.
Journal of youth and adolescence
|July 31, 2025
概括
早产和低出生体重增加了内化和外化症状的风险. 这些风险因地区,年龄和严重程度而异,欧洲样本和极端早产显示出最明显的影响.
科学领域:
- 发展心理学 发展心理学
- 儿科健康 儿科健康
- 心理健康研究 心理健康研究
背景情况:
- 早产和低出生体重的婴儿面临心理和行为问题的风险较高.
- 之前的元分析专注于特定的异常,限制了对更广泛的内化和外化症状发展的理解.
研究的目的:
- 估计与满期婴儿相比,早产和低出生体重婴儿内化和外化症状的风险大小.
- 识别影响这些风险的缓解因素,跨发育阶段和严重程度.
主要方法:
- 在五个主要数据库 (Web of Science,Embase,Scopus,Cochrane Library,PubMed) 进行系统的文献搜索.
- 包括56项评估从童年到成年期症状的研究.
- 调节因素的分析,包括地区,发育阶段和出生条件的严重程度.
主要成果:
- 早产和低出生体重的婴儿表现出更高的内部化 (如焦虑,抑郁) 和外部化 (如冲动性,侵略性) 症状.
- 风险在欧洲样本中最明显,在青春期内化症状,在儿童时期外化症状.
- 这种联系在极度早产或极低出生体重的婴儿中最为强烈.
结论:
- 这一元分析提供了与早产和低出生体重相关的心理和行为风险的全面概述.
- 了解区域,发展和严重程度的调节者对于有针对性的干预至关重要.
- 这些发现提升了对脆弱婴儿群体的长期心理健康轨迹的知识.
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