Pinto Tatiana Matheus, Laurence Paulo Guirro, Macedo Cristiane Rufino, Macedo Elizeu Coutinho
Social and Cognitive Neuroscience Laboratory and Developmental Disorders Program, Center for Health and Biological Sciences, Mackenzie Presbyterian University, São Paulo, Brazil.
Brazilian Cochrane Center, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brazil.
Front Psychol. 2021 Nov 22;12:754115. doi: 10.3389/fpsyg.2021.754115. eCollection 2021.
Resilience may be defined as the ability to recover and adapt to adverse situations. Given that resilience involves cognitive and behavioral aspects, it could be promoted based on strategies that favor them, especially during childhood and adolescence. As a result, several resilience-focused programs have been developed and studied. This systematic review of Randomized Controlled Trials (RCTs) aimed to assess resilience-focused programs for children (<12 years old) and adolescents (12-22 years old) compared to active (treatment as usual, other program modalities, and educational curriculum at school) or inactive (waiting list, no treatment) control groups. We performed a systematic review of meta-analyses of RCTs. The following databases were searched: Cochrane Central Register of Controlled Trials (CENTRAL), PubMed, Embase, and PsycINFO. Two authors independently selected the studies, extracted the data, and assessed the studies' risk of bias. Meta-analyses of random effects were conducted to calculate the standard mean differences (SMD) and 95% confidence interval (CI) of program effectiveness. Of the 17 RCTs that met the inclusion criteria, 13 provided sufficient data to assess the effectiveness of the programs after their implementation. Meta-analyses indicated overall effectiveness of the programs in promoting resilience (SMD = 0.48, 95% CI [0.15, 0.81], = 0.0077). The subgroup analysis indicated effectiveness only among adolescents' resilience (SMD = 0.48, 95% CI [0.08, 0.88], = 0.02). The follow-up analysis also indicated evidence of continuation of results within a period of up to 6 months up (SMD = 0.12, 95% CI [-0.44, 0.69], = 0.02). These results indicated the effectiveness of promoting resilience, especially in adolescents, and its continuation in follow-up analyses. These findings are promising in the field of resilience programs; however, further studies are necessary to analyze the different possible characteristics of programs and their results. [https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42020179874], [CRD42020179874].
复原力可被定义为恢复并适应不利情况的能力。鉴于复原力涉及认知和行为方面，基于有利于这些方面的策略，尤其是在儿童期和青少年期，可以促进复原力的发展。因此，已经开发并研究了多个以复原力为重点的项目。本随机对照试验（RCT）的系统评价旨在评估针对儿童（<12岁）和青少年（12 - 22岁）的以复原力为重点的项目，并与积极对照组（常规治疗、其他项目模式以及学校教育课程）或消极对照组（等候名单、不治疗）进行比较。我们对RCT的荟萃分析进行了系统评价。检索了以下数据库：Cochrane对照试验中心注册库（CENTRAL）、PubMed、Embase和PsycINFO。两位作者独立选择研究、提取数据并评估研究的偏倚风险。进行随机效应荟萃分析以计算项目有效性的标准均值差（SMD）和95%置信区间（CI）。在符合纳入标准的17项RCT中，13项提供了足够的数据来评估项目实施后的有效性。荟萃分析表明项目在促进复原力方面总体有效（SMD = 0.48，95% CI [0.15, 0.81]，P = 0.0077）。亚组分析表明仅在青少年的复原力方面有效（SMD = 0.48，95% CI [0.08, 0.88]，P = 0.02）。随访分析还表明在长达6个月的时间段内有结果持续存在的证据（SMD = 0.12，95% CI [-0.44, 0.69]，P = 0.02）。这些结果表明促进复原力是有效的，尤其是在青少年中，并且在随访分析中其效果持续存在。这些发现在复原力项目领域很有前景；然而，有必要进一步研究以分析项目的不同可能特征及其结果。[https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42020179874]，[CRD42020179874]
