听障儿童青少年焦虑或抑郁情绪心理干预效果的系统综述

doi:10.3969/j.issn.1006-9771.2023.09.002

《中国康复理论与实践》 ›› 2023, Vol. 29 ›› Issue (9): 1004-1011.doi: 10.3969/j.issn.1006-9771.2023.09.002

听障儿童青少年焦虑或抑郁情绪心理干预效果的系统综述

张婧雅¹, 邹敏¹^,²(), 孙宏伟¹^,², 孙昌隆¹, 朱峻同¹

1.潍坊医学院心理学院，山东潍坊市 261053
2.中国ICF研究院，山东潍坊市 261053

收稿日期:2023-09-05 出版日期:2023-09-25 发布日期:2023-10-26
通讯作者: 邹敏 E-mail:zou_min@163.com
作者简介:张婧雅(1993-)，女，汉族，山东济南市人，硕士研究生，主要研究方向：发展与教育心理学。
基金资助:
1.中国残疾人联合会研究课题(20&ZC022);2.证据科学教育部重点实验室(中国政法大学)开放基金课题(2018KFKT07);3.潍坊医学院思政示范课程项目(00133913)

Effect of psychological intervention on anxiety or depression in children and adolescents with hearing impairment: a systematic review

ZHANG Jingya¹, ZOU Min¹^,²(), SUN Hongwei¹^,², SUN Changlong¹, ZHU Juntong¹

1. School of Psychology, Weifang Medical University, Weifang, Shandong 261053, China
2. China Academy of ICF, Weifang Medical University, Weifang, Shandong 261053, China

Received:2023-09-05 Published:2023-09-25 Online:2023-10-26
Contact: ZOU Min E-mail:zou_min@163.com
Supported by:
China Disabled Persons' Federation Project(20&ZC022);Key Laboratory of Evidence Science (China University of Political Science and Law, Ministry of Education) Opening Project(2018KFKT07);Ideological and Political Theories Teaching in Weifang Medical University(00133913)

摘要/Abstract

摘要：

目的系统综述心理干预对听障儿童青少年焦虑和抑郁情绪的效果。

方法采用主题词方法，在PubMed、Web of Science、Embase、中国知网和万方数据库检索听障儿童青少年焦虑、抑郁情绪问题心理干预的相关文献，时间为建库至2023年7月。筛选文献并提取作者、国家、研究对象、研究设计、干预方式、结局指标、测量工具。

结果最终纳入8篇文献，来自3个国家，包含8项随机对照试验，涉及404例被试，发表日期主要集中在2013年至2023年。心理干预方式包括家庭支持教育、情绪智力训练、认知行为疗法、自信团体训练和游戏治疗等。干预效果包括有效改善社交焦虑情绪，降低听障儿童青少年的焦虑和抑郁水平。

结论心理干预可以有效缓解听障儿童青少年的焦虑和抑郁情绪。

关键词: 儿童, 青少年, 听力障碍, 焦虑, 抑郁, 干预, 系统综述

Abstract:

Objective To systematically review the effect of psychological intervention on anxiety and depression in hearing-impaired children and adolescents.

Methods The literature was researched from the databases of PubMed, Web of Science, Embase, CNKI, and Wanfang Database on psychological intervention on anxiety and depression for hearing-impaired children and adolescents until July, 2023. After screening, author, country, study object, study design, intervention mode, outcome, and measurement tools were extracted from the literature.

Results Eight articles from three countries were included, including eight randomized controlled trials, involving 404 participants, publishing mainly from 2013 to 2023. The types of psychological intervention included family support education, emotional intelligence training, cognitive behavioral therapy, self-confidence group training, and play therapy, and so on, which improved social phobia, and relieved the levels of anxiety and depression of children and adolescents with hearing impairment.

Conclusion Psychological intervention can effectively alleviate the anxiety and depression of children and adolescents with hearing impairment.

Key words: children, adolescent, hearing impairment, anxiety, depression, intervention, systematic review

中图分类号:

R764.44

张婧雅, 邹敏, 孙宏伟, 孙昌隆, 朱峻同. 听障儿童青少年焦虑或抑郁情绪心理干预效果的系统综述[J]. 《中国康复理论与实践》, 2023, 29(9): 1004-1011.

ZHANG Jingya, ZOU Min, SUN Hongwei, SUN Changlong, ZHU Juntong. Effect of psychological intervention on anxiety or depression in children and adolescents with hearing impairment: a systematic review[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 1004-1011.

图/表 4

表1

图1

表2

表3

纳入文献的基本特征"

纳入文献	国家	样本特征	情绪问题	干预方式	比较	结局指标	测量工具
肖小静等^[10](2021)	中国	对照组：n = 52，年龄5~12岁，中、重度听力损失观察组：n = 52，年龄6~12岁，中、重度听力损失	抑郁焦虑	对照组采用常规干预(交流、安抚)，观察组采用TF-CBT 每次60 min，每天1次，每周4 d。共12周	与对照组相比，观察组焦虑、抑郁等情绪改善	干预后，观察组SAS评分和SDS评分均降低	SAS、SDS
许京菁等^[11](2022)	中国	单侧人工耳蜗植入术后对照组：n = 52，年龄3~6岁，助听听阈18~46 dBHL 观察组：n = 51，年龄3~6岁，助听听阈18~44 dBHL	抑郁	两组均采用语言康复干预，观察组另外采用家庭支持教育干预频率等未说明	与对照组相比，观察组抑郁情绪改善	干预后，观察组DSRSC得分降低	DSRSC
安秀蓉等^[12](2023)	中国	单侧人工耳蜗植入术后对照组：n = 32，年龄3~8岁，助听听阈24~57 dBHL 观察组：n = 31，年龄3~9岁，助听听阈27~59 dBHL	社交焦虑	两组均采用听觉言语训练，观察组另外采用共享决策引导下的家庭参与管理干预6个周期	与对照组相比，观察组社交焦虑心理状态改善	干预后，观察组SASC总分、害怕否定、社交回避及苦恼评分均降低	SASC
Pourmohamadreza-Tajrishi等^[13](2013)	伊朗	听力损失程度不详对照组：n = 20，年龄12~14岁观察组：n = 20，年龄12~14岁	焦虑抑郁	对照组无干预观察组采用情绪智力训练，每次50 min，每周2次，共6周	观察组促进心理健康，焦虑和抑郁情绪改善	干预后，观察组焦虑、抑郁和心理健康评分均降低	GHQ-28
Ahmadi等^[14](2017)	伊朗	听力损失程度不详对照组：n = 12，年龄12~16岁观察组：n = 12，年龄12~16岁	社交焦虑	对照组无干预观察组采用自信团体训练，共10次	与对照组相比，观察组社交焦虑改善	干预后，观察组社交焦虑总分降低	SPIN
Gharashi等^[15](2018)	伊朗	听力损失程度不详对照组：n = 15，年龄7~11岁观察组：n = 15，年龄7~11岁	焦虑抑郁	对照组无干预观察组采用CBT，每周2 h，共8周	观察组听障儿童焦虑、抑郁情绪改善	干预后，观察组焦虑和抑郁评分均降低	HADS
Nakpong 等^[16](2019)	泰国	听力损失程度不详对照组：n = 5，年龄3~15岁研究组：n = 5，年龄3~15岁	焦虑	对照组无干预观察组采用互动多媒体游戏，每周1 h，共12周	观察组情绪自我控制、同理心、生活满意度和平静改善	观察组情绪自我控制、同理心、生活满意度和平静评分升高	TEIST
Mahmoodi等^[17](2022)	伊朗	对照组：n = 15，年龄7~12岁，较好耳听力损失35~90 dBHL 观察组：n = 15，年龄7~12岁，较好耳听力损失35~90 dBHL	焦虑	对照组无干预观察组采用认知行为团体游戏治疗，共10次	观察组焦虑情绪改善	观察组分离焦虑、社交恐惧、强迫冲动行为、惊恐障碍、广泛性焦虑障碍和躯体伤害障碍评分均降低	SCAS

表3

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人群(Population)	干预(Intervention)	比较(Comparison)	结局(Outcome)
研究对象：听障儿童、听障青少年疾病或残疾：听力障碍、焦虑、抑郁	干预方式家庭参与类干预；认知行为训练类；游戏治疗类；心理健康及相关因素的干预	不同情绪状态干预方法比较；不同干预的效果比较	焦虑水平测量；抑郁水平测量
	干预场所家庭、学校；康复机构

纳入文献	资格标准	随机分配	分配隐藏	基线相似	流失率< 15%	ITT意向治疗分析	组间统计比较	报告点测量和变异量值	总分
肖小静等^[10](2021)	√	√	√	√	√	√	√	√	7
许京菁等^[11](2022)	√	√		√	√	√	√	√	6
安秀蓉等^[12](2023)	√	√		√	√	√	√	√	6
Pourmohamadreza-Tajrishi等^[13](2013)	√	√	√	√	√	√	√	√	7
Ahmadi等^[14](2017)	√	√	√	√	√	√	√	√	7
Gharashi等^[15](2018)	√	√		√	√	√	√	√	6
Nakpong 等^[16](2019)	√	√	√	√	√	√	√	√	7
Mahmoodi等^[17](2022)	√	√		√	√	√	√	√	6

听障儿童青少年焦虑或抑郁情绪心理干预效果的系统综述

Effect of psychological intervention on anxiety or depression in children and adolescents with hearing impairment: a systematic review

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