Influence of childhood psychosocial stress on pubertal emotional and behavioral problems:a systematic review
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维普
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目的 系统评价儿童心理应激对青春期情绪行为问题的影响.方法 计算机检索PubMed、OVID、EBSCO、Web of Science、CBM、VIP、WanFang Data和CNKI数据库,搜集儿童心理应激对青春期情绪行为问题影响的研究,检索时限均从建库至2024年2月29日.由 2名研究者独立筛选文献、提取资料并评价纳入研究的偏倚风险后,采用定性分析方法进行归纳总结.结果 共纳入41项队列研究,19项研究的结局指标涉及青春期情绪问题,26项研究涉及行为问题,7项研究涉及整体问题.系统评价结果显示:抑郁(14/19)和焦虑(8/19)是报告较多的情绪行为,大多数研究(17/19)表明儿童心理应激对青春期情绪问题有正向预测作用;涉及的行为问题较多,包括吸烟行为、饮酒行为、违法物质使用、自伤行为、自杀行为、外化行为、犯罪行为、霸凌行为、性行为、手机依赖等,但研究相同行为问题的研究较少,研究内容分散,儿童心理应激与各行为问题的关系尚不明确.结论 儿童心理应激可能对青春期抑郁和焦虑有正向预测作用,但儿童心理应激与青春期其他情绪问题及行为问题的关系尚待进一步研究.
Objective To systematically review the influence of childhood psychosocial stress on pubertal emotional and behavioral problems.Methods The PubMed,OVID,EBSCO,Web of Science,CBM,VIP,WanFang Data and CNKI databases were electronically searched to collect studies on the relationships between childhood psychosocial stress and pubertal emotional and behavioral problems from inception to February 29,2024.Two reviewers independently screened the literature,extracted data and assessed the risk of bias in the included studies.Qualitative methods were then used to analyze the data.Results A total of 41 cohort studies were included.The outcomes of 19 studies involved pubertal emotional problems,26 studies involved behavioral problems,and 7 studies involved overall problems.The results showed that depression(14/19)and anxiety(8/19)were the most commonly reported emotional behaviors.Most studies(17/19)showed that childhood psychological stress had a positive predictive effect on pubertal emotional problems.Behavioral problems involved many outcomes,including smoking,drinking,illegal substance use,self-injurious behavior,suicide,externalizing behavior,criminal behavior,bullying behavior,sexual behavior,mobile phone dependence,etc.However,few studies were on the same behaviors,and the relationship between childhood psychosocial stress and behavioral problems was unclear.Conclusion Childhood psychosocial stress may have a positive predictive effect on depression and anxiety.The associations between childhood psychosocial stress and pubertal behavioral problems and other emotional problems remain to be determined by more studies.
维普
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