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婴儿心理健康预防与治疗项目的系统评价

A Systematic Review of Infant Mental Health Prevention and Treatment Programs.

作者信息

Hare Megan M, Landis Taylor D, Hernandez Melissa L, Graziano Paulo A

机构信息

Center for Children and Families, Department of Psychology, Florida International University.

出版信息

Evid Based Pract Child Adolesc Ment Health. 2024;9(1):138-161. doi: 10.1080/23794925.2022.2140458. Epub 2023 Jan 31.

Abstract

Although many prevention and treatment programs exist for children and families, there have been no reviews specifically examining their impact on infant mental health at the program level. Therefore, the purpose of the current review was to a) systematically examine prevention and treatment programs targeting infant mental health outcomes (i.e., internalizing problems, externalizing problems, social-emotional development, trauma) or the parent-infant relationship/ attachment in children from pregnancy to 2 years; b) classify each program by level of empirical support; and c) highlight strengths and identify gaps in the existing literature to inform future mental health intervention science. From over 121,341 publications initially identified, 60 prevention and treatment programs met inclusion criteria for this review. Each program was reviewed for level of scientific evidence. Of the 60 programs reviewed, 29 (48.33%) were classified as promising, while only six (10.0%) were classified as effective. Lastly, only two programs (3.33%; Attachment and Biobehavioral Catch-Up and Video-feedback Intervention Parenting Program) were classified as evidence-based specific to infant mental health and/or parent-infant relationship/attachment outcomes. Implications related to disseminating evidence-based prevention/treatment programs are discussed.

摘要

尽管有许多针对儿童及其家庭的预防和治疗项目,但尚未有专门在项目层面审查其对婴儿心理健康影响的综述。因此,本次综述的目的是:a)系统审查针对婴儿心理健康结果(即内化问题、外化问题、社会情感发展、创伤)或从孕期到2岁儿童的亲子关系/依恋的预防和治疗项目;b)根据实证支持水平对每个项目进行分类;c)突出现有文献的优势并找出差距,为未来的心理健康干预科学提供参考。从最初确定的超过121341篇出版物中,有60个预防和治疗项目符合本次综述的纳入标准。对每个项目的科学证据水平进行了审查。在审查的60个项目中,29个(48.33%)被归类为有前景的项目,而只有6个(10.0%)被归类为有效的项目。最后,只有两个项目(3.33%;依恋与生物行为追赶项目和视频反馈干预育儿项目)被归类为针对婴儿心理健康和/或亲子关系/依恋结果有循证依据的项目。文中讨论了与传播循证预防/治疗项目相关的意义。

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