Bogdan Theodora, Xie Weiyi, Talaat Habeba, Mir Hafsa, Venkataraman Bhargavi, Banfield Laura E, Georgiades Katholiki, Duncan Laura
Department of Psychiatry and Behavioural Neurosciences Offord Centre for Child Studies McMaster University Hamilton Ontario Canada.
School of Nursing McMaster University Hamilton Ontario Canada.
JCPP Adv. 2023 Aug 11;3(3):e12186. doi: 10.1002/jcv2.12186. eCollection 2023 Sep.
Longitudinal studies of child mental disorders in the general population (herein study) investigate trends in prevalence, incidence, risk/protective factors, and sequelae for disorders. They are time and resource intensive but offer life-course perspectives and examination of causal mechanisms. Comprehensive syntheses of the methods of existing studies will provide an understanding of studies conducted to date, inventory studies, and inform the planning of new longitudinal studies.
A systematic review of the research literature in MEDLINE, EMBASE, and PsycINFO was conducted in December 2022 for longitudinal studies of child mental disorders in the general population. Records were grouped by study and assessed for eligibility. Data were extracted from one of four sources: a record reporting study methodology, a record documenting child mental disorder prevalence, study websites, or user guides. Narrative and tabular syntheses of the scope and design features of studies were generated.
There were 18,133 unique records for 487 studies-159 of these were eligible for inclusion. Studies occurred from 1934 to 2019 worldwide, with data collection across 1 to 68 time points, with 70% of studies ongoing. Baseline sample sizes ranged from = 151 to 64,136. Studies were most frequently conducted in the United States and at the city/town level. Internalizing disorders and disruptive, impulse control, and conduct disorders were the most frequently assessed mental disorders. Of studies reporting methods of disorder assessment, almost all used measurement scales. Individual, familial and environmental risk and protective factors and sequelae were examined.
These results summarize characteristics of existing longitudinal studies of child mental disorders in the general population, provide an understanding of studies conducted to date, encourage comprehensive and consistent reporting of study methodology to facilitate meta-analytic syntheses of longitudinal evidence, and offer recommendations and suggestions for the design of future studies. Registration DOI: 10.17605/OSF.IO/73HSW.
对普通人群中儿童精神障碍的纵向研究(以下简称本研究)调查了疾病的患病率、发病率、风险/保护因素及后遗症的趋势。这些研究耗费时间和资源,但能提供生命历程视角并考察因果机制。对现有研究方法进行全面综合将有助于理解迄今开展的研究、梳理研究情况,并为新的纵向研究规划提供参考。
2022年12月,我们对MEDLINE、EMBASE和PsycINFO中的研究文献进行了系统综述,以查找普通人群中儿童精神障碍的纵向研究。记录按研究进行分组,并评估其纳入资格。数据从以下四个来源之一提取:报告研究方法的记录、记录儿童精神障碍患病率的记录、研究网站或用户指南。对研究的范围和设计特征进行了叙述性和表格性综合。
共检索到487项研究的18,133条独特记录,其中159项符合纳入标准。这些研究于1934年至2019年在全球范围内开展,数据收集时间点为1至68个,70%的研究仍在进行中。基线样本量从n = 151到64,136不等。研究最常在美国以及城市/城镇层面开展。内化性障碍以及破坏性行为、冲动控制和品行障碍是最常评估的精神障碍。在报告疾病评估方法的研究中,几乎所有研究都使用了测量量表。研究考察了个体、家庭和环境方面的风险、保护因素及后遗症。
这些结果总结了普通人群中现有儿童精神障碍纵向研究的特征,有助于理解迄今开展的研究,鼓励全面且一致地报告研究方法以促进对纵向证据的荟萃分析综合,并为未来研究设计提供建议。注册DOI:10.17605/OSF.IO/73HSW。