Mobilising social support to improve mental health for children and adolescents: A systematic review using principles of realist synthesis.
Mobilising social support to improve mental health for children and adolescents: A systematic review using principles of realist synthesis.
复制标题
动员社会支持，以改善儿童和青少年的心理健康：使用现实主义综合原则的系统评价。
DOI：
10.1371/journal.pone.0251750
复制
发表时间：
2021
期刊：
影响因子：
3.7
通讯作者：
Paul J
中科院分区：
文献类型：
--
作者：
Bauer A;Stevens M;Purtscheller D;Knapp M;Fonagy P;Evans-Lacko S;Paul J
社会支持是公认的儿童心理健康的保护因素。虽然有许多干预措施试图动员社会支持来改善儿童的心理健康，但人们对如何最好地做到这一点知之甚少。我们试图产生知识的方式，可以动员社会支持，以改善儿童的心理健康。我们进行了系统的审查，遵循现实主义综合的原则。检索了以下数据库：PubMed、CINAHL、奥维德MEDLINE、PsychINFO、EMBASE、儿童和青少年研究、EconLit和SocINDEX。如果参与者的年龄在0到18岁之间，他们评估或描述了旨在通过动员社会支持来改善儿童心理健康的干预方案理论，则研究也包括在内。研究的相关性和质量进行了评估，数据提取和分析naradically。共纳入33篇文章。关于动员社会支持的过程和改善儿童心理健康的预期机制的详细描述，研究结果大不相同。提供这一细节的人表明：干预组成部分包括解释社会支持和家庭关系的好处，以及建立友好关系以提高社会技能。改善结果的途径反映了社会支持和心理健康之间的双向和动态关系，以及建立信任和互惠等关系质量的复杂和长期过程。父母为自己和代表孩子动员社会支持的能力被认为会影响孩子的心理健康和（未来）动员社会支持的能力。虽然干预措施被认为是负担得起的，但有些干预措施需要现有系统提供大量人力和财政资源。为弱势儿童调动社会支持可能是一个复杂的过程，需要仔细规划，而基于理论的评估可以在增加有关如何最好地解决儿童社会支持和孤独问题的知识方面发挥重要作用。
Social support is a well-recognised protective factor for children’s mental health. Whilst many interventions exist that seek to mobilise social support to improve children’s mental health, not much is known about how to best do this. We sought to generate knowledge about the ways in which social support can be mobilised to improve children’s mental health. We conducted a systematic review, which followed the principles of a realist synthesis. The following databases were searched: PubMed, CINAHL, Ovid MEDLINE, PsychINFO, EMBASE, Child and Adolescent Studies, EconLit and SocINDEX. Studies were included if the age of participants was between 0 and 18 years and they evaluated or described programme theories of interventions that sought to improve children’s mental health by mobilising social support. Relevance and quality of studies were assessed, and data were extracted and analysed narratively. Thirty-three articles were included. Studies varied substantially with regard to the detail in which they described the processes of mobilising social support and expected mechanisms to improve children’s mental health. Those that provided this detail showed the following: Intervention components included explaining the benefits of social support and relationships to families and modelling friendly relationships to improve social skills. Pathways to improved outcomes reflected bi-directional and dynamic relationships between social support and mental health, and complex and long-term processes of establishing relationship qualities such as trust and reciprocity. Parents’ ability to mobilise social support for themselves and on behalf of children was assumed to impact on their children’s mental health, and (future) ability to mobilise social support. Although interventions were considered affordable, some required substantial human and financial resources from existing systems. Mobilising social support for vulnerable children can be a complex process that requires careful planning, and theory-informed evaluations can have an important role in increasing knowledge about how to best address social support and loneliness in children.
登录
查看更多内容
影响因子：
1.7
作者：
Branch, Sara;Homel, Ross;Freiberg, Kate
通讯作者：
Freiberg, Kate
影响因子：
3.5
作者：
DeWit, David J.;DuBois, David;Lipman, Ellen L.
通讯作者：
Lipman, Ellen L.
影响因子：
3.6
作者：
Auerbach, Randy Patrick;Bigda-Peyton, Joseph S.;Ho, Moon-Ho Ringo
通讯作者：
Ho, Moon-Ho Ringo
影响因子：
1.3
作者：
Ayton, Darshini;Joss, Nerida
通讯作者：
Joss, Nerida
影响因子：
1.9
作者：
Ferguson, KM
通讯作者：
Ferguson, KM