meta-analytic review

荟萃分析综述
  • 文章类型: Meta-Analysis
    理论和经验证据表明,儿童虐待受害与排斥敏感性有关。然而,关于这种关联的经验证据是不一致的。因此,这项荟萃分析旨在检查儿童虐待与排斥敏感性之间的整体关联,并调查可能影响这种关联强度的变量。符合入选条件的研究在以下数据库中进行了搜索:WebofScience,科学直接,PubMed,MEDLINE,和中国国家知识基础设施,之后对相关研究进行了编码。在R中的高级三级荟萃分析模型中合成了研究。总共包括16项研究(N=5,335名参与者),产生41个效应大小。结果显示,儿童虐待与排斥反应敏感性呈显著正相关(平均r=0.230;p<.001)。在很小的程度上。此外,情感虐待(r=0.275)比身体虐待(r=0.157)的这种关联更强。它不受主要研究样本的平均年龄和性别分布的影响,也不受样本类型(社区样本与临床样本)的影响。结论是,虐待儿童是以后生活中产生排斥敏感性的危险因素。因此,对排斥反应敏感性的干预措施应考虑先前儿童虐待经历造成的潜在创伤.
    Theoretical and empirical evidence has suggested that child maltreatment victimization is associated with rejection sensitivity. However, empirical evidence on this association is inconsistent. Therefore, this meta-analysis aimed to examine the overall association between child maltreatment and rejection sensitivity, and to investigate variables that may affect the strength of this association. Studies eligible for inclusion were searched in the databases: Web of Science, Science Direct, PubMed, MEDLINE, and China National Knowledge Infrastructure after which relevant studies were coded. Studies were synthesized in advanced three-level meta-analytic models in R. A total of 16 studies (N = 5,335 participants) yielding 41 effect sizes were included. Results showed that child maltreatment is significantly and positively related to rejection sensitivity (mean r = 0.230; p < .001), and to a small extent. Furthermore, this association is stronger for emotional abuse (r = 0.275) than for physical abuse (r = 0.157). It is not affected by the mean age and gender distribution of primary study samples nor by sample type (community sample versus clinical sample). It is concluded that child maltreatment is a risk factor for developing rejection sensitivity later in life. Therefore, interventions for rejection sensitivity should consider potential trauma resulting from prior child maltreatment experiences.
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  • 文章类型: Systematic Review
    这项系统的回顾和荟萃分析研究了父母之间侵入式育儿的异同以及侵入式育儿与幼儿发展之间的关系。作者整合了55项研究,并将不同的认知技能和社会情绪问题作为发展结果。本研究采用三级荟萃分析来可靠地估计效果大小并检查一系列调节剂。发现家庭中侵入式育儿的相似性具有中等影响大小(r=0.256,置信区间[CI]=[0.180,0.329])。母亲和父亲之间的侵入性水平没有显着差异(g=0.035,CI=[-0.034,0.103])。侵入式育儿与儿童的社会情绪问题有显著正相关(rmother=0.098,CI母亲=[0.051,0.145];rfather=0.094,CI父亲=[0.032,0.154]),但与认知技能无关。主持人分析表明,东亚母亲比父亲表现出更高的侵入性水平,而西方父母没有显着差异。总的来说,这些结果揭示了更多的相似性比差异在侵入式育儿和文化可能扮演了一个角色在塑造性别特定的育儿行为.
    This systematic review and meta-analysis examines similarities and differences in intrusive parenting between mothers and fathers and relations between intrusive parenting and early childhood development. The authors integrated 55 studies and differentiated cognitive skills and socio-emotional problems as developmental outcomes. The present study employs three-level meta-analyses to reliably estimate effect sizes and examine a range of moderators. It finds a moderate effect size of similarities in intrusive parenting within a family (r = 0.256, confidence interval [CI] = [0.180, 0.329]). No significant differences were observed in intrusiveness level between mothers and fathers (g = 0.035, CI = [-0.034, 0.103]). Intrusive parenting had a significant positive association with children\'s socio-emotional problems (rmother  = 0.098, CImother  = [0.051, 0.145]; rfather  = 0.094, CI father  = [0.032, 0.154]) but was not related to cognitive skills. Moderator analyses suggest that East Asian mothers exhibit higher intrusiveness levels than fathers, whereas Western parents display no significant differences. Overall, these results reveal more similarities than differences in intrusive parenting and that culture likely plays a role in shaping gender-specific parenting behaviors.
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  • 文章类型: Systematic Review
    背景:越来越多的研究记录了心理僵化(PI)与心理健康问题之间的正相关关系(即,抑郁,焦虑,和压力症状)在COVID-19大流行期间。然而,记录在案的协会一直不一致。因此,这篇综述旨在定量总结主要研究,以获得对这些关联的更好估计。
    方法:在六个数据库中进行了系统的文献综述,并使用三级荟萃分析模型来统计综合效应大小,并检查PI与抑郁之间的相关性的调节因素,焦虑,和压力症状。
    结果:共有22项研究对PI和抑郁之间的关联产生了63种效应大小,焦虑,或压力症状。三个独立的荟萃分析的结果显示PI和抑郁之间有很大的显著关联(r=0.580,95%CI[0.549;0.775]),焦虑(r=0.548,95%CI[0.468;0.761]),和应激症状(r=0.548,95%CI[0.506;0.725])。男性的PI和抑郁症状之间的关联比女性更强,PI和应激症状之间的关联因主要研究用于评估PI和应激症状的测量类型而异。
    结论:由于荟萃分析中包含的关联的横断面性质,不允许有时间或因果结论。具有高水平压力的临床样品代表性不足。
    结论:PI似乎是抑郁症状的重要危险因素,焦虑,和压力,因此,应针对COVID-19大流行期间及以后的精神健康问题进行干预。
    An increasing number of research has documented the positive associations between psychological inflexibility (PI) and mental health problems (i.e., depressive, anxiety, and stress symptoms) during the COVID-19 pandemic. However, the documented associations have been inconsistent. This review thus aimed to quantitatively summarize primary research to gain better estimates of these associations.
    A systematic literature review was conducted in six databases and three-level meta-analytic models were used to statistically synthesize effect sizes and to examine moderators of the associations between PI and depressive, anxiety, and stress symptoms.
    A total of 22 studies yielded 63 effect sizes on associations between PI and depressive, anxiety, or stress symptoms. The results of three separate meta-analyses revealed a large and significant association between PI and depressive (r = 0.580, 95 % CI [0.549; 0.775]), anxiety (r = 0.548, 95 % CI [0.468; 0.761]), and stress symptoms (r = 0.548, 95 % CI [0.506; 0.725]). The association between PI and depressive symptoms is stronger for males than for females, and the association between PI and stress symptoms varies by type of measure that primary studies use to assess PI and stress symptoms.
    Temporal or causal conclusions are not allowed due to cross-sectional nature of the associations included in meta-analyses. Clinical samples with high levels of stress were underrepresented.
    PI seems an important risk factor for symptoms of depression, anxiety, and stress, and should therefore be targeted in interventions addressing mental health problems during the COVID-19 pandemic and beyond.
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  • 文章类型: Journal Article
    自我厌恶是一种消极的自我意识情绪,反映了对自己的厌恶或厌恶。越来越多的研究证明了自我厌恶之间的联系,抑郁症,和焦虑。然而,这些协会的力量在不同的研究中差异很大,这表明需要进行荟萃分析以产生综合的更真实的估计。这篇综述旨在总结主要文献,提高我们对这些关联的认识。本研究使用三级荟萃分析模型来综合效果大小,并研究自我厌恶与抑郁和焦虑之间的关联的潜在调节因素。结果显示,自我厌恶与抑郁之间存在显着关联(合并r=0.520,95%CI[0.485;0.669],p<.001)。结果还显示了自我厌恶和焦虑之间的显着和中度关联(汇总r=0.452,95%CI[0.419;0.556],p<.001)。这些协会是根据性别和年龄举行的。总之,这项荟萃分析支持自我厌恶之间的中等到大的关联,抑郁症,和焦虑,提示在研究和临床实践中值得考虑。
    Self-disgust is a negative self-conscious emotion that reflects disgust or revulsion directed toward oneself. A growing body of research has demonstrated a link between self-disgust, depression, and anxiety. However, the strength of these associations varied considerably across studies, suggesting the need to conduct a meta-analysis to produce a synthesized truer estimate. This review aimed to summarize the primary literature and improve our insight into these associations. The present study used three-level meta-analytic models to synthesize effect sizes and investigate potential moderators of the associations of self-disgust with depression and anxiety. The results revealed a significant association between self-disgust and depression (pooled r = 0.520, 95 % CI [0.485; 0.669], p < .001). The results also showed a significant and moderate association between self-disgust and anxiety (pooled r = 0.452, 95 % CI [0.419; 0.556], p < .001). These associations were held according to sex and age. In conclusion, this meta-analysis supports a moderate-to-large association between self-disgust, depression, and anxiety, suggesting that it is worthy of consideration in research and clinical practice.
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  • 文章类型: Systematic Review
    简介:使用定量方法研究家庭干预对2岁儿童身体活动(PA)和久坐行为(SB)的影响。5-12年。方法:PubMed,OVID,WebofScience,其他人从成立之初到2020年5月进行了搜索。这项荟萃分析纳入了调查家庭干预对2.5-12岁儿童PA影响的干预研究。最后,我们进行了亚组分析,以检查家庭干预的特征和研究质量的潜在改变效应。结果:11篇文章符合本次综述的纳入标准。研究调查了一系列PA结果,包括中度至重度PA(MVPA),总PA(TPA),每天的步骤,SB级别。Meta分析显示,家庭干预对PA有显著影响[标准化均差(SMD)=0.10;95%CI=0.01-0.19],特别是对于每日步数[体重均值差(WMD)=1,006;95%CI=209-1,803],但不适用于SB(WMD=-0.38;95%CI=-7.21-6.46)。亚组分析表明,当儿童在6-12岁时,PA的改善发生。仅针对PA的干预,干预持续时间≤10周,和“低偏倚风险”研究。结论:家庭干预可能是提高儿童PA水平的一种有希望的方法。尤其是日常步骤。试验注册:Meta分析方案在PROSPERO:CRD42020193667上注册。
    Introduction: To use a quantitative approach to examine the effects of family interventions on physical activity (PA) and sedentary behavior (SB) in children aged 2. 5-12 years. Methods: PubMed, OVID, Web of Science, and others were searched from their inception to May 2020. Intervention studies that examined the effects of family interventions on PA among children aged 2.5-12 years were included in this meta-analysis. Lastly, subgroup analyses were conducted to examine the potential modifying effects of family intervention\'s characteristics and study quality. Results: Eleven articles met the inclusion criteria for this review. Studies investigated a range of PA outcomes, including moderate-to-vigorous PA (MVPA), total PA (TPA), daily steps, and SB levels. Meta-analysis showed that family intervention had a significant effect on PA [standardized mean difference (SMD) = 0.10; 95% CI = 0.01-0.19], especially for daily steps [weight means difference (WMD) = 1,006; 95% CI = 209-1,803], but not for SB (WMD = -0.38; 95% CI = -7.21-6.46). Subgroup analyses indicated the improvements in PA occurred when children were 6-12 years old, intervention focused on PA only, intervention duration ≤ 10 weeks, and \"low risk of bias\" study performed. Conclusions: Family intervention may be a promising way to promote children\'s PA levels, especially for daily steps. Trial Registration: Meta-analysis protocol was registered on PROSPERO: CRD42020193667.
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  • 文章类型: Journal Article
    这项研究旨在评估成年人体力活动(PA)中断长时间坐着(PS)对餐后血糖和胰岛素反应的有效性。
    PubMed,EMBASE,科克伦图书馆,WebofScience,CINAHL,PsycINFO,并在2020年9月30日之前搜索了中国国家知识基础设施数据库。这项研究包括随机对照试验(RCT),该试验检查了所有形式的PA中断PS对无慢性疾病的成年人餐后血糖和/或胰岛素反应的影响。基于Cochrane工具评估纳入研究的偏倚风险。进行了网络荟萃分析,以95%置信区间(95CIs)估算具有随机效应的汇总标准化平均差(SMD)。
    我们的综述中包括了30个交叉随机对照试验。这些随机对照试验包括9种中断PS的干预措施。与PS本身相比,光强度PA间歇性中断(LPA-INT)PS和中等强度PA间歇性中断(MPA-INT)PS显着降低餐后血糖(SMD=-0.46,95CI:-0.70至-0.21;SMD=-0.69,95CI:-1.00至-0.37),显着降低餐后胰岛素反应(SMD=-0.46,95CI:-0.66-0.26);SMCI-聚类排序图的结果表明,MPA-INT是降低餐后血糖和胰岛素反应的最有效干预措施。
    用MPA-INT或LPA-INT替代PS在降低餐后血糖和胰岛素反应方面具有积极作用。MPA-INT是最佳干预策略。
    This study aimed to evaluate the effectiveness of physical activity (PA) interrupting prolonged sitting (PS) on postprandial glycemia and insulin responses among adults.
    PubMed, EMBASE, Cochrane Library, Web of Science, CINAHL, PsycINFO, and the China National Knowledge Infrastructure databases were searched through September 30, 2020. Randomized controlled trials (RCTs) that examined the effect of all forms of PA interrupting PS on postprandial glycemia and/or insulin responses among adults without chronic diseases were included in this study. The risk of bias of included studies was evaluated based on the Cochrane tool. A network meta-analysis was performed to estimate the summary standardized mean differences (SMDs) with 95% confidence intervals (95%CIs) with random effects.
    Thirty crossover RCTs were included in our review. These RCTs included 9 types of interventions that interrupted PS. When compared to PS by itself, light-intensity PA intermittent interrupting (LPA-INT) PS and moderate-intensity PA intermittent interrupting (MPA-INT) PS significantly lowered postprandial glycemia (SMD = -0.46, 95%CI: -0.70 to -0.21; SMD = -0.69, 95%CI: -1.00 to -0.37, respectively) and significantly reduced postprandial insulin response (SMD = -0.46, 95%CI: -0.66 to -0.26; SMD = -0.47, 95%CI: -0.77 to -0.17, respectively). Results of the clustered ranking plot indicated that MPA-INT was the most effective intervention in lowering postprandial glycemia and insulin responses.
    Replacing PS with MPA-INT or LPA-INT has a positive effect in reducing postprandial glycemia and insulin responses, with MPA-INT being the optimal intervention strategy.
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  • 文章类型: Journal Article
    步行速度与中风风险降低的程度尚不清楚。这项研究基于前瞻性队列研究检查了步行速度与卒中风险之间的关系。
    PubMed的数据库,EMBASE,WebofScience,Scopus,本研究从开始日期至2019年1月31日,对中国国家知识互联网进行了前瞻性队列研究,重点关注成人步行速度和卒中风险.两名评审员独立提取数据并评估研究质量。依赖性测量是中风发生率。使用随机效应模型,进行了荟萃分析,以估计步行速度最快的个体与中风发生率的总体相对风险(RR)和95%置信区间(CI)。步行速度最慢的人。还检查了剂量-反应关系。
    在筛选了搜索中确定的1294篇标题/摘要和14篇全文研究之后,7项研究(来自8个队列)被纳入荟萃分析。7项研究共纳入135,645名参与者(95.2%为女性;平均年龄63.6岁)和2229例卒中事件(中位随访时间=8.0年)。与步行速度最慢的人相比(中位数=1.6km/h),步行速度最快类别(中位数=5.6km/h)的个体卒中风险降低44%(合并RR=0.56,95CI:0.48~0.65).还存在线性剂量反应关系(RR=0.87;95CI:0.83-0.91),基线步行步速每增加1km/h,卒中风险降低13%。我们在步行速度评估中观察到类似的结果,中风类型确定,中风亚型,性别,样本量,和随访时间。
    这项荟萃分析的结果表明,步行速度与卒中风险呈负相关。
    The extent to which walking pace is associated with a reduced risk for stroke remains unclear. This study examined the association between walking pace and stroke risk based on prospective cohort studies.
    Databases of PubMed, EMBASE, Web of Science, Scopus, and China National Knowledge Internet were searched from the inception dates to January 31, 2019, for prospective cohort studies focusing on walking pace and risk of stroke in adults. Two reviewers independently extracted data and assessed the quality of the studies. The dependent measure was stroke incidence. Using random-effects models, a meta-analysis was performed to estimate the overall relative risks (RR) of stroke incidence and 95% confidence intervals (CIs) for the individuals with the fastest walking paces vs. individuals with the slowest walking paces. A dose-response relationship was also examined.
    After screening 1294 titles/abstracts and 14 full-text studies identified in the search, 7 studies (from 8 cohorts) were included in the meta-analysis. The 7 studies included a total of 135,645 participants (95.2% women; mean age 63.6 years) and 2229 stroke events (median follow-up time = 8.0 years). Compared to individuals in the slowest walking-pace category (median = 1.6 km/h), individuals in the fastest walking-pace category (median = 5.6 km/h) had a 44% lower risk of stroke (pooled RR = 0.56, 95%CI: 0.48-0.65). There was also a linear dose-response relationship (RR = 0.87; 95%CI: 0.83-0.91), with the risk of stroke decreased by 13% for every 1 km/h increment in baseline walking pace. We observed similar results across walking-pace assessment, type of stroke ascertainment, stroke subtypes, sex, sample size, and duration of follow-up.
    Findings from this meta-analysis indicate that walking pace is inversely associated with the risk of stroke.
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  • 文章类型: Journal Article
    这项研究报告了一项荟萃分析,以研究双语学习者如何与英语单语学习者在两种英语拼写结果上进行比较:真实单词拼写和伪单词拼写。检索了1990年至2014年间发表在同行评审期刊上的18项研究。研究水平的变量和特征(例如样本量,研究设计和研究仪器)被编码,并分析了18项检索到的研究中的29个独立效应大小。我们发现,双语者在实际单词拼写方面的表现优于单语者,在早期年级更是如此,但是单语者在伪词拼写方面优于双语者。Further,面临阅读困难风险的双语者在真实单词拼写方面比面临阅读困难风险的单语者表现更好。在调查了效应大小变化的系统来源后,我们得出的结论是,与他们的单语同龄人相比,双语学习者,尤其是那些来自字母L1背景的人,能够掌握有限的技能,如英语拼写,在当前的教学背景下。版权所有©2016JohnWiley&Sons,Ltd.
    This study reports on a meta-analysis to examine how bilingual learners compare with English monolingual learners on two English spelling outcomes: real-word spelling and pseudo-word spelling. Eighteen studies published in peer-reviewed journals between 1990 and 2014 were retrieved. The study-level variables and characteristics (e.g. sample size, study design and research instruments) were coded, and 29 independent effect sizes across the 18 retrieved studies were analysed. We found that bilinguals outperformed monolinguals on real-word spelling overall and more so in early grades, but monolinguals outperformed bilinguals on pseudo-word spelling. Further, bilinguals at risk for reading difficulties did better on real-word spelling than monolinguals at risk for reading difficulties. Having investigated systematic sources of variability in effect sizes, we conclude that in comparison with their monolingual peers, bilingual learners, especially those from alphabetic L1 backgrounds, are able to master constrained skills, such as English spelling, in the current instructional context. Copyright © 2016 John Wiley & Sons, Ltd.
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