非自杀性自伤与依恋之间的关系：系统评价与荟萃分析方案
The Relationship Between Nonsuicidal Self-injury and Attachment: Protocol for a Systematic Review and Meta-analysis.
作者信息
Aghamohammadi Soudeh, Mazaheri M Ali, Fata Ladan, Mootabi Fereshteh
机构信息
Department of Clinical Psychology, Faculty of Education and Psychology, Shahid Beheshti University, Tehran, Iran.
Segal Clinical Center, Tehran, Iran.
出版信息
JMIR Res Protoc. 2023 May 31;12:e40808. doi: 10.2196/40808.
BACKGROUND
The prevalence of nonsuicidal self-injury (NSSI) is a major concern in public health. Two main factors (individual and environmental) cause NSSI. Studies addressing NSSI often consider it as an emotion regulation strategy. Studying NSSI within the framework of attachment theory is reasonable since the capacities to regulate emotion come into existence in the framework of attachment in the first periods of a child's growth. Primary studies addressing this topic are not frequent, and no systematic review has been conducted.
OBJECTIVE
This systematic review and meta-analysis protocol aims to investigate the relationship between NSSI and attachment style and finding its relationship based on study design, study type, different types of attachments, and gender.
METHODS
All studies on the relationship between NSSI and attachment will be included in this systematic review. We will include observational studies (cross-sectional, cohort, and case control) through searches in electronic databases via PubMed, CINAHL, Embase, Web of Science, ProQuest, Scopus, PsycINFO, and Google Scholar as complementary search. Qualitative studies, case studies, case series, and letters to the editor will be excluded. There will be no language limitation. Moreover, there will be no limitations regarding the study participants' age, gender, nationality, sexual orientation, and psychological problems. Funnel plots were examined if 10 or more studies are included, and the Begg and Egger statistical tests were used to assess the risk of bias. All similar data will be combined through the "metan" command by Stata statistical package (StataCorp). A fixed-effects or random-effects model, considering methodological similarities or differences, will be selected to determine a combination model.
RESULTS
We will summarize the selection of the eligible studies using a flowchart. The results will be presented in a table of evidence. The results of the meta-analysis will be depicted using diagrams and tables.
CONCLUSIONS
It seems necessary to carry out such systematic and comprehensive meta-analysis to present a summary of the published articles in terms of the relationship between NSSI and attachment. The results from this review will be used to improve our knowledge of the role of the upbringing of children and NSSI behavior and will help design appropriate interventions to address NSSI.
TRIAL REGISTRATION
PROSPERO CRD42021226455; https://tinyurl.com/yc77wny8.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/40808.
背景
非自杀性自伤（NSSI）的患病率是公共卫生领域的一个主要关注点。两个主要因素（个体因素和环境因素）导致非自杀性自伤。探讨非自杀性自伤的研究通常将其视为一种情绪调节策略。在依恋理论框架内研究非自杀性自伤是合理的，因为情绪调节能力在儿童成长的最初阶段是在依恋框架中形成的。针对这一主题的初步研究并不常见，且尚未进行系统综述。
目的
本系统综述和荟萃分析方案旨在研究非自杀性自伤与依恋风格之间的关系，并根据研究设计、研究类型、不同类型的依恋以及性别来确定它们之间的关系。
方法
所有关于非自杀性自伤与依恋关系的研究都将纳入本系统综述。我们将通过在电子数据库（PubMed、CINAHL、Embase、Web of Science、ProQuest、Scopus、PsycINFO和Google Scholar）中检索来纳入观察性研究（横断面研究、队列研究和病例对照研究）作为补充检索。定性研究、案例研究、病例系列和给编辑的信将被排除。无语言限制。此外，关于研究参与者的年龄、性别、国籍、性取向和心理问题也无限制。如果纳入10项或更多研究，则检查漏斗图，并使用Begg和Egger统计检验来评估偏倚风险。所有相似数据将通过Stata统计软件包（StataCorp）的“metan”命令进行合并。将根据方法学的相似性或差异选择固定效应或随机效应模型来确定合并模型。
结果
我们将使用流程图总结符合条件的研究的选择情况。结果将在证据表中呈现。荟萃分析的结果将用图表展示。
结论
开展这样系统而全面的荟萃分析似乎很有必要，以便就非自杀性自伤与依恋之间的关系对已发表文章进行总结。本综述的结果将用于增进我们对儿童养育与非自杀性自伤行为作用的认识，并有助于设计针对非自杀性自伤的适当干预措施。
试验注册
PROSPERO CRD42021226455；https://tinyurl.com/yc77wny8。
国际注册报告识别号（IRRID）：PRR1-10.2196/40808。
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