Jin Jonathan, Goud Rachel, Al-Shamali Huda, Dzunic Anja, Lyons Tirzah, Reeson Matthew, Pazderka Hannah, Dennett Liz, Polzin Wanda, Wei Yifeng, Silverstone Peter H, Greenshaw Andrew J
Department of Psychiatry, University of Alberta, Edmonton, Canada.
University of Toronto, Temerty Faculty of Medicine, Toronto, Canada.
Psychiatry Clin Psychopharmacol. 2023 Mar 1;33(1):58-69. doi: 10.5152/pcp.2023.22549. eCollection 2023 Mar.
International public health strategies indicate a need for equitable resources for wellness in younger children and their caregivers. Reflective functioning, a proxy for emotional regulation abilities, is a key area in this domain. As an emerging area, reflective functioning has not been mapped comprehensively and requires systematic investigation. This review examines "what qualitative and quantitative evidence is there for the value of reflective functioning assessment and intervention studies in caregiver-child dyads?" This scoping review focused on data published to September 2021, focusing on caregivers of children ≤36 months of age (including Medline, PsycINFO, CINAHL, ERIC, Scopus, Web of Science, and Embase). Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews guidelines were followed. From 5162 initial articles, 608 papers were screened for full text yielding a final 181 papers. Only 69 studies included multiple ethnicities. Seven of the 69 studies included at least 1 Indigenous person. No studies were conducted in low- to middle-income countries, and no studies reported data on gender identity. This review comprises a novel and comprehensive mapping of the reflective functioning literature in terms of both assessment and intervention studies. The present mapping of the reflective functioning literature indicates the importance of health disparities in caregiver-child dyads (these include gaps and needs for future research). In relation to gaps, studies of adverse childhood experience, consideration of equity, diversity, and inclusion, and global mental health are underrepresented. Future research is needed to provide information on the relevance of gender identity and low- to middle-income countries in relation to the impact on reflective functioning in this context.
国际公共卫生战略表明，需要为年幼儿童及其照顾者提供公平的健康资源。反思功能作为情绪调节能力的一个指标，是这一领域的关键方面。作为一个新兴领域，反思功能尚未得到全面的梳理，需要进行系统的研究。本综述探讨了“关于反思功能评估及照顾者与儿童二元组干预研究的价值，有哪些定性和定量证据？” 这项范围综述聚焦于截至2021年9月发表的数据，关注36个月及以下儿童的照顾者（包括医学期刊数据库、心理学文摘数据库、护理学与健康领域数据库、教育资源信息中心数据库、Scopus数据库、科学引文索引数据库和荷兰医学文摘数据库）。遵循了系统评价和Meta分析扩展版的范围综述指南。从5162篇初始文章中，筛选出608篇进行全文阅读，最终得到181篇文章。只有69项研究涵盖了多个种族。这69项研究中有7项至少纳入了1名原住民。没有在低收入和中等收入国家开展的研究，也没有研究报告关于性别认同的数据。本综述对反思功能文献在评估和干预研究方面进行了新颖而全面的梳理。目前对反思功能文献的梳理表明了照顾者与儿童二元组中健康差异的重要性（这些包括未来研究的差距和需求）。关于差距，童年不良经历、公平、多样性和包容性以及全球心理健康方面的研究代表性不足。需要未来的研究来提供关于性别认同以及低收入和中等收入国家在此背景下对反思功能影响的相关信息。
