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新冠疫情与儿童精神病理学——危机管理期间促进心理健康的单次干预计划:一项系统综述

COVID-19 and Psychopathologies in Children-A Single Session Intervention Plan to Promote Mental Health during Crises Management: A Systematic Review.

作者信息

Rehman Sana, Ghazali Siti Raudzah, Elklit Ask

机构信息

Department of Psychological Medicine, Faculty of Medicine and Health Sciences, Universiti Malaysia Sarawak, Sarawak, Kota Samarahan 94300 Sarawak, Malaysia.

Department of Psychology, Faculty of Health Sciences, University of Southern Denmark, Campusvej 55 DK-5230 Odense M, Denmark.

出版信息

Iran J Public Health. 2025 Apr;54(4):688-700. doi: 10.18502/ijph.v54i4.18408.

DOI:10.18502/ijph.v54i4.18408
PMID:40321932
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12045880/
Abstract

BACKGROUND

The world has experienced numerous natural and man-made disasters throughout history. Due to these unforeseen circumstances, children and adolescents have reported significant psychopathologies in response to traumatic experiences. We aimed to investigate the surge of internalizing and externalizing psychopathologies during COVID-19 and to assess the efficacy of single-session therapies used to treat mental health issues during this period.

METHODS

Overall, 270 articles were retrieved across both phases of the study, with 250 articles identified in Phase I and 20 in Phase II. Following the PRISMA flowchart guidelines, approximately 30 studies were selected to meet the objective of Phase I, while 10 studies were chosen to address the objective of Phase II. The articles were retrieved from various databases, including PubMed, Google Scholar, Scopus, Ovid, CENTRAL, JSTOR, NCBI, and Science Direct. Only articles published between 2019 and 2022 were included in the study.

RESULTS

The findings of first phase of study indicated a surge in internalizing psychopathologies (such as anxiety, depression, loneliness, and somatic problems) and externalizing psychopathologies (including conduct/oppositional disorders, sleep disturbances, suicidal ideation, ADHD, and substance abuse) over the past four years. Additionally, according to the findings of the second phase of the study, single-session therapies were found to be effective in mitigating symptoms of depression and anxiety.

CONCLUSION

The study's findings are discussed in the context of counseling adolescents, highlighting the importance of addressing mental health issues in this demographic.

摘要

背景

纵观历史,世界经历了无数自然和人为灾害。由于这些不可预见的情况,儿童和青少年在经历创伤性事件后出现了明显的精神病理学症状。我们旨在调查新冠疫情期间内化和外化精神病理学症状的激增情况,并评估在此期间用于治疗心理健康问题的单次治疗的疗效。

方法

在研究的两个阶段共检索到270篇文章,其中第一阶段识别出250篇,第二阶段识别出20篇。按照PRISMA流程图指南,约30项研究被选中以满足第一阶段的目标,10项研究被选中以满足第二阶段的目标。这些文章从包括PubMed、谷歌学术、Scopus、Ovid、CENTRAL、JSTOR、NCBI和科学Direct在内的各种数据库中检索。该研究仅纳入2019年至2022年发表的文章。

结果

研究第一阶段的结果表明,在过去四年中,内化精神病理学症状(如焦虑、抑郁、孤独和躯体问题)和外化精神病理学症状(包括品行/对立违抗障碍、睡眠障碍、自杀意念、注意力缺陷多动障碍和药物滥用)激增。此外,根据研究第二阶段的结果,发现单次治疗在减轻抑郁和焦虑症状方面有效。

结论

在为青少年提供咨询的背景下讨论了该研究的结果,强调了在这一人群中解决心理健康问题的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d16/12045880/a2e0e86f4e49/IJPH-54-688-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d16/12045880/a2e0e86f4e49/IJPH-54-688-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d16/12045880/a2e0e86f4e49/IJPH-54-688-g001.jpg

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本文引用的文献

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Healthcare (Basel). 2022 Oct 30;10(11):2171. doi: 10.3390/healthcare10112171.
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Adolescent Loneliness during the COVID-19 Pandemic: The Role of Pre-Pandemic Risk Factors.新冠疫情期间青少年的孤独感:疫情前风险因素的作用
Child Indic Res. 2023;16(2):617-639. doi: 10.1007/s12187-022-09984-8. Epub 2022 Oct 22.
3
One session treatment (OST) is equivalent to multi-session cognitive behavioral therapy (CBT) in children with specific phobias (ASPECT): results from a national non-inferiority randomized controlled trial.
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J Child Psychol Psychiatry. 2023 Jan;64(1):39-49. doi: 10.1111/jcpp.13665. Epub 2022 Aug 1.
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Single session therapy in pediatric healthcare: the value of adopting a strengths-based approach for families living with neurological disorders.儿科医疗中的单次治疗:对患有神经疾病的家庭采用基于优势方法的价值。
Child Adolesc Psychiatry Ment Health. 2022 Jul 22;16(1):59. doi: 10.1186/s13034-022-00495-6.
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Eating Disorder Diagnoses in Children and Adolescents in Norway Before vs During the COVID-19 Pandemic.挪威儿童和青少年在 COVID-19 大流行前后的饮食障碍诊断。
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