Liu Xiao, Chen Honglin, Joubert Natalie, Tiirola Heli
Department of Social Sciences, Faculty of Social Science and Business Studies, University of Eastern Finland, FI-70210 Kuopio, Finland.
Healthcare (Basel). 2025 May 8;13(10):1094. doi: 10.3390/healthcare13101094.
: Psychosocial interventions bring mental and social benefits to paediatric and young adult patients. Gaining insight into the optimal psychosocial intervention strategies and their process mechanisms can contribute to the deepening of practice in this field. : This systematic review evaluates the psychosocial interventions that promote adaptability, resilience, and positive changes among paediatric and young adult patients. Following the Cochrane guidelines, the literature from 2000 to 2024 was reviewed, focusing on randomised controlled trials (RCTs). : Eighteen studies were included and analysed using a logic model framework. Therapeutic interventions that involved the reframing of cognition activities shaped personality changes, including resilience and adaptation, requiring significant investment, and they were influenced by individual characteristics and background. Process-oriented activities, such as art-, play-, and music-based therapies, improved emotional well-being and were affected by pain, cognitive abilities, and language skills. Behavioural changes are best achieved through interactive interventions, particularly group-based and parent-involved approaches, which improve social integration and physical abilities. : Psychosocial interventions lead to positive changes in paediatric and young adult patients in terms of personality, emotion, and behaviour. Although the sample size for the behavioural changes is insufficient, understanding the mechanisms underlying these interventions benefits practice.
心理社会干预为儿科和青年患者带来心理和社会效益。深入了解最佳心理社会干预策略及其过程机制有助于深化该领域的实践。:本系统评价评估了促进儿科和青年患者适应性、恢复力和积极变化的心理社会干预措施。遵循Cochrane指南,对2000年至2024年的文献进行了综述,重点关注随机对照试验(RCT)。:纳入了18项研究,并使用逻辑模型框架进行分析。涉及重新构建认知活动的治疗性干预塑造了人格变化,包括恢复力和适应能力,这需要大量投入,并且受到个体特征和背景的影响。以过程为导向的活动,如艺术、游戏和音乐疗法,改善了情绪健康,并受到疼痛、认知能力和语言技能的影响。行为改变最好通过互动干预来实现,特别是基于小组和家长参与的方法,这些方法改善了社会融合和身体能力。:心理社会干预在儿科和青年患者的人格、情绪和行为方面带来了积极变化。尽管行为改变的样本量不足,但了解这些干预措施的潜在机制有利于实践。