Systematic review of assessment instruments measuring outcomes in psychological interventions for pediatric functional neurological disorders.

IF 2.1 3区心理学 Q2 PSYCHOLOGY, DEVELOPMENTAL

Journal of Pediatric Psychology Pub Date : 2025-08-25 DOI:10.1093/jpepsy/jsaf071

Barbara Zuro Jakovac, David Hevey, Phillip Coey, Clare Harris, Gary Byrne

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引用次数: 0

Abstract

Objective: This systematic review focused on identifying and evaluating assessment tools used to measure outcomes of psychological interventions for pediatric functional neurological disorder (FND).

Method: A comprehensive search was conducted on September 24, 2024, across Web of Science, PsycINFO, and Medline. Studies were included if they involved individuals under 18 with FND diagnosis, utilized a psychological intervention, and assessed treatment outcomes using validated measures. Sixteen studies qualified for inclusion, and 26 different assessment instruments were identified. These were assessed against the Core Outcome Measures in Effectiveness Trials framework, covering symptoms, life impact, and resource utilization. The psychometric characteristics of these assessment tools were examined through further searches which concentrated on reliability, validity, and factorial invariance. The Joanna Briggs Institute critical appraisal tools were used to evaluate the risk of bias. Findings were synthesized narratively due to the descriptive and exploratory nature of the research aims.

Results: No outcome assessment tools designed specifically for pediatric FND populations were identified. Most studies employed measures targeting mental health symptoms and life impact, however, none of these tools were validated with FND samples, and several lacked validation in pediatric populations.

Conclusions: This review highlights significant gaps, including the need for psychometric assessment of tools and validation studies on FND samples. The current evidence does not support recommending FND-specific measures due to their limited development and validation. Instead, using existing questionnaires validated on broader pediatric populations is recommended. Research should prioritize the validation of measures in FND populations to establish more robust, standardized tools for clinical and research use.

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对儿童功能性神经障碍心理干预效果评估工具的系统评价。

目的：本系统综述的重点是识别和评估用于衡量儿童功能性神经障碍（FND）心理干预结果的评估工具。方法：于2024年9月24日在Web of Science、PsycINFO和Medline上进行综合检索。如果研究涉及18岁以下诊断为FND的个体，使用心理干预，并使用有效的措施评估治疗结果，则纳入研究。16项研究符合纳入标准，确定了26种不同的评估工具。根据有效性试验框架中的核心结果指标对这些指标进行评估，包括症状、生命影响和资源利用。这些评估工具的心理测量特征通过进一步的搜索来检验，这些搜索集中在信度、效度和因子不变性上。乔安娜布里格斯研究所的关键评估工具被用来评估偏见的风险。由于研究目的的描述性和探索性，研究结果是综合叙述的。结果：没有确定专门为儿童FND人群设计的结局评估工具。大多数研究采用针对心理健康症状和生活影响的措施，然而，这些工具都没有在FND样本中得到验证，而且有几个在儿科人群中缺乏验证。结论：这篇综述强调了显著的差距，包括对FND样本的心理测量评估工具和验证研究的需求。由于开发和验证有限，目前的证据不支持推荐针对fnd的措施。相反，建议使用在更广泛的儿科人群中验证过的现有问卷。研究应优先考虑在FND人群中验证措施，以便为临床和研究使用建立更可靠、标准化的工具。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Pediatric Psychology PSYCHOLOGY, DEVELOPMENTAL-

CiteScore

6.00

自引率

11.10%

发文量

期刊介绍： The Journal of Pediatric Psychology is the official journal of the Society of Pediatric Psychology, Division 54 of the American Psychological Association. The Journal of Pediatric Psychology publishes articles related to theory, research, and professional practice in pediatric psychology. Pediatric psychology is an integrated field of science and practice in which the principles of psychology are applied within the context of pediatric health. The field aims to promote the health and development of children, adolescents, and their families through use of evidence-based methods.