Understanding irritability through the lens of self-regulatory control processes in children and adolescents: a systematic review.

IF 6 2区 医学 Q1 PEDIATRICS
Sébastien Urben, Ana Ochoa Williams, Cécile Ben Jemia, Joëlle Rosselet Amoussou, Sara Machado Lazaro, Julia Giovannini, Marion Abi Kheir, Michael Kaess, Kerstin Jessica Plessen, Ines Mürner-Lavanchy
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引用次数: 0

Abstract

Among youths, pathological irritability is highly prevalent and severely disabling. As a frequent symptom, it often leads to referrals to child and adolescent mental health services. Self-regulatory control (SRC) processes are a set of socio-psycho-physiological processes that allow individuals to adapt to their ever-changing environments. This conceptual framework may enhance the current understanding of the cognitive, emotional, behavioural and social dysregulations underlying irritability. The present systematic review (PROSPERO registration: #CRD42022370390) aims to synthesize existing studies that examine irritability through the lens of SRC processes among youths (< 18 years of age). We conducted a comprehensive literature search among six bibliographic databases: Embase.com, Medline ALL Ovid, APA PsycInfo Ovid, Web of Science Core Collection, the Cochrane Database of Systematic Reviews Wiley and ProQuest Dissertations & Theses A&I. Additional searches were performed using citation tracing strategies. The retrieved reports totalled 2612, of which we included 82 (i.e., articles) from 74 studies. More than 85% of reports were published during the last 6 years, highlighting the topicality of this work. The studies sampled n = 26,764 participants (n = 12,384 girls and n = 12,905 boys, n = 1475 no information) with an average age of 8.08 years (SD = 5.26). The included reports suggest that irritability has an association with lower effortful control, lower cognitive control and delay intolerance. Further, evidence indicates both cross-sectional and longitudinal associations between irritability and a lack of regulation skills for positive and negative emotions, particularly anger. Physiological regulation seems to moderate the association between irritability and psychopathology. Finally, the mutual influence between a child's irritability and parenting practice has been established in several studies. This review uses the lens of SRC to illustrate the current understanding of irritability in psychopathology, discusses important gaps in the literature, and highlights new avenues for further research.

从儿童和青少年自我调节控制过程的角度理解易怒:系统性综述。
病态易怒在青少年中非常普遍,并严重影响其行为能力。作为一种常见症状,它常常导致转诊到儿童和青少年心理健康服务机构。自我调节控制(SRC)过程是一系列社会心理生理学过程,可使个体适应不断变化的环境。这一概念框架可加深当前对易怒背后的认知、情绪、行为和社会失调的理解。本系统综述(PROSPERO 注册号:#CRD42022370390)旨在综合现有的研究,通过 SRC 过程的视角来研究青少年的易怒性 (
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来源期刊
CiteScore
12.80
自引率
4.70%
发文量
186
审稿时长
6-12 weeks
期刊介绍: European Child and Adolescent Psychiatry is Europe''s only peer-reviewed journal entirely devoted to child and adolescent psychiatry. It aims to further a broad understanding of psychopathology in children and adolescents. Empirical research is its foundation, and clinical relevance is its hallmark. European Child and Adolescent Psychiatry welcomes in particular papers covering neuropsychiatry, cognitive neuroscience, genetics, neuroimaging, pharmacology, and related fields of interest. Contributions are encouraged from all around the world.
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