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针对养父母的心理干预对收养儿童和青少年结局的有效性:一项系统综述。

The effectiveness of psychological interventions with adoptive parents on adopted children and adolescents' outcomes: A systematic review.

作者信息

Ní Chobhthaigh Sorcha, Duffy Fiona

机构信息

School of Health in Social Science, The University of Edinburgh, Scotland.

出版信息

Clin Child Psychol Psychiatry. 2019 Jan;24(1):69-94. doi: 10.1177/1359104518786339. Epub 2018 Jul 12.

Abstract

Adopted children and adolescents are at an increased risk of experiencing emotional, behavioural and relational difficulties compared to their non-adopted peers. This systematic review aimed to establish the effectiveness of interventions with adoptive parents on adopted children and adolescents' psychological well-being, behavioural functioning and parent-child relationship. A systematic search was performed adhering to Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA), including studies that assessed the effects of interventions with adoptive parents on adopted child and adolescent outcomes. Electronic databases, key journals, grey literature sources, reference and citation lists were searched and published authors in the field were contacted; 19 papers describing 15 interventions were included. The findings from this review provide preliminary support for the use of interventions with adoptive parents for improving adopted children's emotional and behavioural outcomes. However, overall, the studies were found to have a high risk of bias, and the significant heterogeneity across the studies limits the conclusions that can be drawn. Further research is required to provide conclusive recommendations regarding the effectiveness of interventions with adoptive parents on the outcomes of adopted children.

摘要

与非收养的同龄人相比,被收养的儿童和青少年出现情绪、行为和人际关系问题的风险更高。本系统评价旨在确定针对养父母的干预措施对被收养儿童和青少年的心理健康、行为功能及亲子关系的有效性。按照系统评价与Meta分析的首选报告项目(PRISMA)进行了系统检索,纳入了评估针对养父母的干预措施对被收养儿童和青少年结局影响的研究。检索了电子数据库、主要期刊、灰色文献来源、参考文献和引文列表,并联系了该领域已发表论文的作者;纳入了19篇描述15项干预措施的论文。本评价的结果为针对养父母的干预措施用于改善被收养儿童的情绪和行为结局提供了初步支持。然而,总体而言,研究存在较高的偏倚风险,且研究间存在显著异质性,限制了所能得出的结论。需要进一步的研究,以就针对养父母的干预措施对被收养儿童结局的有效性提供确凿的建议。

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