摘要
目的系统评价青春发育进程与情绪行为问题的关系。方法计算机检索CBM、VIP、CNKI、WanFang Data、PubMed、Web of Science和EBSCO数据库,搜集青春发育速度或发育轨迹与情绪行为关系的临床研究,检索时限均从建库到2019年12月31日。由2名研究者独立筛选文献、提取资料并评价纳入研究的偏倚风险后,采用定性分析方法进行归纳总结。结果共纳入14个队列研究。系统评价结果显示:抑郁是研究报告最多的情绪问题,3个研究中有2个发现较快的青春发育速度与男童抑郁显著相关;而在女童中,4个研究中有3个未发现二者关联。行为问题的研究涉及内容较多,包括内化和外化问题、物质滥用、注意力问题、自我控制、初次性行为、不良行为、品行障碍和同伴关系等,但研究相同行为的研究较少,研究内容分散,青春发育速度与各行为问题的关系尚不明确。结论较快的青春发育速度可能与男童抑郁相关。但青春发育速度与男女童行为问题的关系尚待进一步研究。
Objectives To systematically review the association between pubertal development progression and emotional and behavioral problems. Methods VIP, CNKI, CBM, WanFang Data, PubMed, Web of Science and EBSCO databases were electronically searched to collect studies on the relationship between pubertal tempo or trajectory and emotional and behavioral problems from inception to December 31st, 2019. Two reviewers independently screened literature, extracted data and assessed risk of bias of included studies. Qualitative methods were then used to analyze the data. Results A total of 14 cohort studies were included. The results showed that depression was the most studied emotional problem, and 2 of the 3 studies found a significant association between faster pubertal tempo and more depressive symptoms in juvenile males. However, no association was found in 3 of the 4 studies on juvenile females. The content of behavioral problems of included studies was broad, including internalizing and externalizing problems,substance abuse, attention problem, self-control, first-sexual experience, delinquency, conduct disorder, peer relationship,etc. However, few studies on the same behaviors, and the relationship between behavioral problems was unclear.Conclusions The faster pubertal tempo may be associated with depression in juvenile males. The association between pubertal tempo and behavioral problems in males and females remain to be determined by more studies.
作者
黄欣
刘琴
李月月
方波
杨博
盛露露
HUANG Xin;LIU Qin;LI Yueyue;FANG Bo;YANG Bo;SHENG Lulu(School of Public Health and Management,Research Center for Medicine and Social Development,Collaborative Innovation Center of Social Risks Governance in Health,Chongqing Medical University,Chongqing 400016,P.R.China)
出处
《中国循证医学杂志》
CSCD
北大核心
2020年第9期1052-1058,共7页
Chinese Journal of Evidence-based Medicine
基金
国家自然科学基金项目(编号:81973067、81502825)
2018年留创计划创新类项目(编号:cx2018105)
重庆市科学技术委员会基础与前沿研究计划项目(编号:cstc2013jcyjA10001)。
关键词
青春期
情绪问题
行为问题
系统评价
Pubertal tempo
Emotional problem
Behavioral problem
Systematic review
