Digital psychological interventions in youth with neurological disorders: a systematic review.

IF 2.1 3区心理学 Q2 PSYCHOLOGY, DEVELOPMENTAL

Journal of Pediatric Psychology Pub Date : 2026-04-11 DOI:10.1093/jpepsy/jsaf109

Yvette Keevers, Asmitha Sivaneswaran, Joanne Dudeney, Thomas Woldhuis, Milena Gandy

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引用次数: 0

Abstract

Objective: Youth with neurological disorders (NDs) face increased risk of psychological difficulties and poor quality of life. This research aimed to systematically review the current state of evidence of digital psychological interventions (DPIs) for improving (1) psychological and/or (2) health-related outcomes in children and adolescents with NDs.

Methods: Systematic searches were performed in four databases CENTRAL, EMBASE, PsycINFO, MEDLINE, and NeuroBITE between inception and 27 November 2024. Included studies were clinical trials (e.g., randomized controlled trials or single-group pre-post designs) investigating the efficacy of a DPI aimed at improving psychological and/or health-related outcomes in youth (<18 years) with NDs. Risk of bias was assessed via the Cochrane Risk of Bias Assessment Tool (RoB2) by two authors. Psychological outcomes included internalizing (e.g., depression), behavioral (e.g., externalizing symptoms), and/or cognitive symptoms (e.g., executive function). Health-related outcomes included physical symptoms (e.g., tics), adherence, and quality of life.

Results: Twenty studies (total participants = 1,508) met criteria and were included. Most studies (k = 10; 50%) focused on youth with traumatic brain injury. Findings revealed mixed trends of efficacy with 12 studies (60%) indicating that DPIs improved outcomes, mainly in behavioral outcomes. Limitations included multiple trials rated as having some concerns (k = 8; 47%) or high risk of bias (k = 5; 29%) due to poor methodological quality.

Conclusions: DPIs may improve psychological and health-related outcomes; however, higher-quality research is needed to explore the potential of DPIs to address the psychological needs of youth with NDs.

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青少年神经系统疾病的数字心理干预：系统综述。

目的：青少年神经系统疾病（NDs）面临心理困难和生活质量差的风险增加。本研究旨在系统地回顾数字心理干预（DPIs）改善NDs儿童和青少年(1)心理和/或(2)健康相关结果的证据现状。方法：在中心、EMBASE、PsycINFO、MEDLINE和NeuroBITE四个数据库中进行系统检索，检索时间为成立至2024年11月27日。纳入的研究是临床试验（例如，随机对照试验或单组岗前设计），旨在调查旨在改善青少年心理和/或健康相关结果的DPI的疗效(结果：20项研究（总参与者= 1,508）符合标准并被纳入。大多数研究（k = 10; 50%）集中在创伤性脑损伤的青少年身上。研究结果显示，12项研究（60%）的疗效趋势不一，表明DPIs改善了预后，主要是行为预后。局限性包括多个试验被评为存在一些问题（k = 8; 47%）或由于方法学质量差而存在高偏倚风险（k = 5; 29%）。结论：dpi可能改善心理和健康相关结果；然而，需要更高质量的研究来探索DPIs解决NDs青年心理需求的潜力。

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.