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新生儿筛查假阳性结果的社会心理影响:一项范围综述

Psychosocial Impact of False-Positive Newborn Screening Results: A Scoping Review.

作者信息

Chudleigh Jane, Holder Pru

机构信息

Cicely Saunders Institute, King's College London, London SE5 9PJ, UK.

出版信息

Children (Basel). 2024 Apr 24;11(5):507. doi: 10.3390/children11050507.

Abstract

Psychosocial consequences of false-positive results following newborn bloodspot screening have been identified as a potential risk to this highly successful public health initiative. A scoping review was undertaken in October 2023 underpinned by the Arksey and O'Malley framework. Twenty-four papers were included in the review, many of which focused on cystic fibrosis. The results indicated that impact of false-positive results is variable; some studies suggest false-positive results have the potential to result in negative sequelae including increased stress and changes in parental perceptions of their child, while others suggest these impacts are transient and, in some instances, may even lead to positive outcomes. Further evidence is needed to ensure the representation of other conditions included in newborn bloodspot screening and to support strategies to overcome potential negative sequela.

摘要

新生儿血斑筛查出现假阳性结果的社会心理后果已被确定为这一非常成功的公共卫生举措的潜在风险。2023年10月,在阿克西和奥马利框架的支持下进行了一项范围审查。该审查纳入了24篇论文,其中许多聚焦于囊性纤维化。结果表明,假阳性结果的影响各不相同;一些研究表明,假阳性结果有可能导致负面后果,包括压力增加和父母对孩子看法的改变,而另一些研究则表明这些影响是短暂的,在某些情况下甚至可能带来积极结果。需要进一步的证据来确保新生儿血斑筛查所涵盖的其他病症得到体现,并支持克服潜在负面后果的策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb39/11120117/2c56606466b8/children-11-00507-g001.jpg

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