Adolescent Research Review最新文献

{"title":"Chatbots for Children and Adolescents: A Meta-analysis of Chatbots for Mental Health Issues and Psychosocial Well-Being Outcomes","authors":"Qiyang Zhang,&nbsp;Yiying Xiong,&nbsp;Yuan Sui,&nbsp;Chang Tong,&nbsp;Renwen Zhang","doi":"10.1007/s40894-026-00284-8","DOIUrl":"10.1007/s40894-026-00284-8","url":null,"abstract":"<div><p>Children and adolescents experience rapid developmental changes that shape both the opportunities and challenges of using chatbots for mental health support. Younger children are still developing emotion regulation and social learning skills, while adolescents navigate identity formation and autonomy. These transitions influence how youth understand, trust, and engage with chatbots. Existing reviews on mental health chatbots tend to focus on young adults, leaving little evidence for younger users. This pre-registered meta-analysis extends existing reviews by synthesizing experimental evidence focused on youth below 18 years old. Through seven databases and backward citation tracking searched between January, 2014 and March, 2025, 2,398 studies were retrieved. After double-blinded screening, 12 studies were included (Range_age = 3 ~ 18 years old, N_total = 2,961, N_ES = 51). Meta-analysis results showed that chatbots are effective for reducing mental health issues (ES = 0.47, <i>p</i> = .027), but no evidence for improvement in psychosocial well-being outcomes. Moderator analysis showed that, compared to text-based chatbots, audio-based ones are more effective for children and adolescents. These findings advance developmental science by specifying which design features enhance mental health chatbots’ effectiveness, providing guidance for creating digital tools that align with children’s and adolescents’ developmental needs. Lastly, readers must interpret the results with some key limitations in mind, including the small sample size, treatments’ short durations, significant heterogeneity, self-reported outcome measures, and publication bias.</p></div>","PeriodicalId":45912,"journal":{"name":"Adolescent Research Review","volume":"11 2","pages":"249 - 271"},"PeriodicalIF":8.1,"publicationDate":"2026-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148214978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Digital Behavioral Addictions in Adolescents and Psychotherapeutic Interventions: A Systematic Review","authors":"Özge Canoğulları","doi":"10.1007/s40894-026-00283-9","DOIUrl":"10.1007/s40894-026-00283-9","url":null,"abstract":"<div><p>A significant research gap exists regarding the comparative effectiveness of psychotherapeutic models across diverse digital addiction types in youth. This systematic review synthesizes 21 studies (2018–2025) examining interventions for internet gaming, social media, and smartphone addictions among adolescents aged 12–19. Participants included mixed-gender samples primarily drawn from school-based and clinical settings across Asia, Europe, and Turkey. Following PRISMA guidelines and using the Joanna Briggs Institute appraisal tools, the review evaluated cognitive behavioral therapy, mindfulness-based interventions, and peer-led models. Findings indicate that cognitive behavioral therapy is the most frequently studied approach, with evidence of effectiveness across addiction types, although substantial heterogeneity exists in intervention formats and outcome measures. Mindfulness-based approaches show particular promise for social media addiction, while structured behavioral components appear central to interventions targeting internet gaming disorder. However, the evidence base is limited by short follow-up periods and methodological variability. While individual studies generally demonstrated moderate to high methodological quality, the overall strength of evidence is moderated by small sample sizes and heterogeneity. This review underscores the need for high-quality longitudinal research to clarify the long-term effectiveness of psychotherapeutic mechanisms for adolescent digital addiction.</p></div>","PeriodicalId":45912,"journal":{"name":"Adolescent Research Review","volume":"11 2","pages":"273 - 287"},"PeriodicalIF":8.1,"publicationDate":"2026-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s40894-026-00283-9.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148214975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Efficacy of Interventions for Test Anxiety in Adolescents: A Bayesian Network Meta-Analysis of Randomized Controlled Trials","authors":"Congrong Shi,&nbsp;Qiannan Hou,&nbsp;Nixi Zhou,&nbsp;Jin Zhou,&nbsp;Kongliang He","doi":"10.1007/s40894-025-00278-y","DOIUrl":"10.1007/s40894-025-00278-y","url":null,"abstract":"<div><p>Although various interventions exist to address adolescent test anxiety, their comparative efficacy remains unclear, creating a gap in evidence-based guidance for researchers, clinicians, and educators. This study aimed to provide the first comprehensive evidence on the comparative efficacy of interventions for test anxiety in adolescents using a Bayesian network meta-analysis, a method that allows for the simultaneous comparison of multiple treatments. A systematic search of eight English and Chinese databases up to June 17, 2025 identified 16 studies (17 randomized controlled trials) involving 1,973 adolescents. The participants were predominantly high school students (11/17 trials), with a majority of studies conducted in China (10/17 trials). The results demonstrated that mindfulness-based interventions, multi-component interventions, and cognitive behavioral therapy were significantly more effective than non-active controls. Mindfulness-based interventions showed the largest effect size (<i>g</i> = -1.82, 95% CrI [-3.02, -0.64]), though this was based on a limited number of trials. Among the interventions with statistically significant effects, mindfulness-based interventions ranked first, followed by multi-component interventions and cognitive behavioral therapy. These findings suggest that mindfulness-based approaches are a particularly promising, though preliminary, first-line treatment for adolescent test anxiety, highlighting the need for more high-quality trials to solidify this preliminary evidence hierarchy.</p></div>","PeriodicalId":45912,"journal":{"name":"Adolescent Research Review","volume":"11 2","pages":"317 - 329"},"PeriodicalIF":8.1,"publicationDate":"2025-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148215010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Healing Online or Onsite? A Meta-analysis of Online Mental Health RCTs and a Comparison with In-person RCTs Among Children and Adolescents","authors":"Qiyang Zhang,&nbsp;Li Li,&nbsp;Yuan Sui,&nbsp;Fu-Hung Lin,&nbsp;Zixuan Huang","doi":"10.1007/s40894-025-00277-z","DOIUrl":"10.1007/s40894-025-00277-z","url":null,"abstract":"<div><p>Mental health interventions delivered through the internet are more scalable, affordable, and demand less training. Yet, the effects of these online programs and factors contributing to the effectiveness, especially for children and adolescents, remain unclear. This meta-analysis aims to not only understand the impact of online mental health interventions for both positive and negative mental health outcomes, but also compare online programs to school-based programs to provide practical implications. The research team applied meticulous search strategies, including database queries, handsearching, forward and backward citation tracking. Double-blinded screening against stringent inclusion criteria identified 28 eligible studies. Overall, online interventions effectively reduced negative outcomes, such as depression and anxiety (<i>ES</i> = 0.19, <i>p</i> &lt; .001, N_ES = 135, 95% PI = [− 0.10, 0.53], 95% CI = [0.12, 0.27], I² = 71.4%, τ² = 0.0186). However, no evidence was found for online interventions’ effect on positive outcomes, such as well-being. In the negative outcomes’ model, studies with smaller sample sizes, non-clinical populations, and elementary students produced larger effect sizes. In addition, the analysis compared online interventions targeting depression and anxiety with school-based in-person interventions, based on data collected in a previously published meta-analysis. Results showed that both online and school-based interventions are effective, although in-person programs produced a slightly larger weighted average effect size. Differences between online and in-person randomized controlled trials were not statistically significant. These findings suggest that online mental health interventions can be a viable alternative to supplement in-person interventions, especially for schools and communities with limited resources dedicated to student mental health.</p></div>","PeriodicalId":45912,"journal":{"name":"Adolescent Research Review","volume":"11 2","pages":"289 - 315"},"PeriodicalIF":8.1,"publicationDate":"2025-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148214976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of Physical Education Interventions on Mental Health in Children and Adolescents: A Systematic Review of Wellbeing and Distress Across Educational Levels","authors":"Gracia Cristina Villodres,&nbsp;Miriam Rodríguez-Mérida,&nbsp;Rocío Vizcaíno-Cuenca,&nbsp;José Joaquín Muros","doi":"10.1007/s40894-025-00276-0","DOIUrl":"10.1007/s40894-025-00276-0","url":null,"abstract":"<div><p>Although physical activity is known to support mental health, the specific effects of structured Physical Education interventions across different school levels remain insufficiently understood, limiting evidence-based guidance for educators and policymakers. To address this gap, a systematic review was performed of studies published between 2014 and 2024 that examined the effectiveness of Physical Education interventions in improving mental health outcomes among students aged six to 18 years. The review focused on differences in well-being constructs (e.g., self-esteem, body image) and distress-related outcomes (e.g., anxiety, stress), across educational stages. In accordance with the 2020 PRISMA guidelines, studies were retrieved from PubMed, Cochrane Library, Web of Science, Scopus, SPORTDiscus, PsycINFO, and ERIC. A total of 22 studies including 23,730 participants met inclusion criteria, and risk of bias and methodological quality were assessed using Cochrane tools. Findings indicate that Physical Education interventions positively influence mental health in schoolchildren and adolescents, with effects varying according to activity type and educational stage. In primary school, programs involving yoga, mindfulness, gymnastics, active games, and innovative pedagogical models mainly enhanced resilience, mood, self-esteem and physical self-concept, and reduced anxiety. In secondary school, interventions based on sports, dance, physical circuits and pedagogical models promoted emotional intelligence, emotion regulation, self-esteem and body self-concept, and decreased anxiety. In baccalaureate, yoga, mindfulness and physical training programs improved emotional regulation, self-regulation and body image perception. These results demonstrate that targeted Physical Education programs can effectively promote psychological well-being and alleviate stress across educational stages, providing evidence-based guidance for educators and policymakers to design age-appropriate interventions that address this previously underexplored area.</p></div>","PeriodicalId":45912,"journal":{"name":"Adolescent Research Review","volume":"11 2","pages":"385 - 413"},"PeriodicalIF":8.1,"publicationDate":"2025-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148214977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Resilience Interventions for Adolescents and Young Adults Without Psychiatric Diagnoses: A Systematic Review and Network Meta-analysis of Randomized Controlled Trials","authors":"Zhuoma Ciren,&nbsp;Harry Kam Hung Tsui,&nbsp;Sherry Kit Wa Chan","doi":"10.1007/s40894-025-00270-6","DOIUrl":"10.1007/s40894-025-00270-6","url":null,"abstract":"<div><p>Although numerous resilience interventions have been developed for adolescents (age 10–19) and young adults (age 20–25), their comparative effectiveness remains unclear. This systematic review and network meta-analysis aimed to compare the efficacy of different resilience interventions and further investigate whether the intervention effects differed based on participants’ condition (at-risk or non-at-risk) and age group (adolescents or young adults). A systematic search across PsycINFO, Embase, PubMed, and Web of Science was conducted from inception to October 31, 2024. A total of 46 randomized controlled trials involving 8729 participants were identified (mean age = 15.61 years; 54.18% female). The main results indicate that physical activity, psychotherapy, mindfulness, and skill training significantly enhanced resilience compared to treatment as usual. However, the effectiveness of mindfulness should be interpreted with caution, as its effect was not significant in the sensitivity analysis. Subgroup network meta-analyses suggest that physical activity, psychotherapy, and skill training were particularly effective for adolescents, while psychotherapy, psychoeducation, mindfulness, and skill training were effective for young adults. Additionally, physical activity and skill training were effective for non-at-risk populations, whereas psychotherapy, skill training, mindfulness, and psychological placebo were effective for at-risk populations. Psychotherapy was more effective than skill training for at-risk individuals. Notably, there were no studies on psychoeducation for at-risk populations and no studies on physical activity for at-risk populations and young adults. Meta-regression revealed that the level of individualism and duration per session can influence the effectiveness of these interventions. This study provides valuable insights for clinicians to tailor interventions to specific populations of adolescents and young adults and highlights the need to consider cultural factors when designing interventions.</p></div>","PeriodicalId":45912,"journal":{"name":"Adolescent Research Review","volume":"11 2","pages":"331 - 350"},"PeriodicalIF":8.1,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s40894-025-00270-6.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148215011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health Literacy among Socioeconomically Disadvantaged Adolescents: A Systematic Review of Interventions in Schools","authors":"Vivian Rueskov,&nbsp;Mette Korshøj,&nbsp;Thomas Lund,&nbsp;Claus D. Hansen,&nbsp;Amalie Eibak Frausing,&nbsp;Caroline Sofie Lindstrøm Larsen,&nbsp;Johanne Nielsen Sommer,&nbsp;Ole Steen Mortensen","doi":"10.1007/s40894-025-00273-3","DOIUrl":"10.1007/s40894-025-00273-3","url":null,"abstract":"<div><p>Health literacy is critical for health promotion and equity, yet limited evidence exists on how it can be supported among socioeconomically disadvantaged adolescents. Given the importance of schools in promoting adolescent health, this study reviewed school-based health literacy interventions targeting socioeconomically disadvantaged adolescents aged 13–24, with a secondary focus on participatory implementation strategies. A comprehensive search across six databases identified 7152 records published between 2010 and 2024, of which 26 met the inclusion criteria. Eligible studies included randomized controlled trials, non-randomized studies, qualitative studies, and mixed-methods designs. Study quality was assessed using the Mixed Methods Appraisal Tool. Most interventions focused on physical activity, diet, or mental health, but none explicitly measured health literacy. However, health literacy-relevant components were common, especially functional health literacy, while critical health literacy was nearly absent. While educational, hands-on learning and participatory approaches were often employed, student involvement was limited, and few interventions addressed the broader social and structural context influencing adolescent health literacy. The findings underscore the need for youth-centered approaches, improved conceptual clarity, and greater attention to the socioeconomic and cultural context. Strengthening school-based strategies in this way is crucial for supporting health equity during a key developmental period.</p></div>","PeriodicalId":45912,"journal":{"name":"Adolescent Research Review","volume":"11 1","pages":"1 - 47"},"PeriodicalIF":8.1,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s40894-025-00273-3.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147388559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lifestyle Interventions for Multiple Behavioral Risk Factors Among Adolescents in Asia: A Systematic Review of Randomized Controlled Trials","authors":"Aprezo Pardodi Maba,&nbsp;Kazi Rumana Ahmed,&nbsp;Ting Zhou,&nbsp;Elizabeth J. Edwards,&nbsp;Asaduzzaman Khan","doi":"10.1007/s40894-025-00272-4","DOIUrl":"10.1007/s40894-025-00272-4","url":null,"abstract":"<div><p>Given the rising prevalence in Asian adolescents who engage in multiple risk behaviors and the lack of a consolidated evaluation of multibehavior intervention outcomes, this systematic review examined the effectiveness of lifestyle interventions targeting two or more of the “Big 6” behavioral risk factors: physical inactivity, excessive sedentary time, poor sleep, unhealthy diet, smoking, and alcohol use. A comprehensive search of seven databases (Public Medline, Embase, Psychological Information Database, Scopus, Web of Science, Cumulative Index to Nursing and Allied Health Literature, Cochrane Central Register of Controlled Trials) identified 28 eligible randomized controlled trials. Of these, 13 demonstrated effectiveness in addressing two or more of the target behaviors, most commonly addressing combinations of physical activity and diet (<i>n</i> = 5), and physical activity and sedentary behavior (<i>n</i> = 3). Effective interventions were delivered over 3 to 39 weeks, with weekly durations ranging from 0.5 to 5 h, and all were school-based. Seven interventions incorporated active family involvement, and two included digital components either independently or alongside family engagement. Nine interventions were guided by explicit theoretical frameworks and consistently applied behavior change techniques that provided clear and actionable guidance. The evidence suggests that multibehavior interventions show potential for improving adolescent health behaviors in Asia, particularly when delivered in school settings, supported by families, enhanced through accessible digital technologies, and grounded in theory-based strategies.</p></div>","PeriodicalId":45912,"journal":{"name":"Adolescent Research Review","volume":"11 2","pages":"351 - 383"},"PeriodicalIF":8.1,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s40894-025-00272-4.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148215009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Non-consensual Dissemination of Sexts: A Scoping Review of Associated Factors with Perpetration and Victimization","authors":"Silke Van den Eynde,&nbsp;Stefaan Pleysier,&nbsp;Michel Walrave","doi":"10.1007/s40894-025-00269-z","DOIUrl":"10.1007/s40894-025-00269-z","url":null,"abstract":"<div><p>Non-consensual dissemination of sexts refers to the non-consensual sharing of intimate or sexual photos or videos of an individual previously obtained through sexting. This scoping review examines the factors associated with perpetration and victimization of this behavior among adolescents and young adults. The analysis of 63 quantitative, qualitative and mixed-methods studies revealed that non-consensual dissemination of sexts is a form of online sexual gender-based violence and that a variety of factors related to sociodemographics, interpersonal relations, personal characteristics, mental health, sexuality, online behavior, perceptions of non-consensual dissemination of sexts, deviant and criminal behavior, and other factors are associated with it. Furthermore, the review shows that most of the identified factors are associated with perpetration of the behavior. Fewer factors have been found to be associated with victimization of non-consensual dissemination of sexts. Overall, more attention has been paid to risk factors than to protective factors for involvement in these behaviors. Based on these findings, some recommendations for future research are formulated. In terms of education and prevention, it would be particularly interesting to focus on peer norms and pressure, gender and sexual role dynamics and stereotypes, and ideas, norms and attitudes towards sexting and non-consensual dissemination of sexts in particular. In terms of support, it is particularly important to focus on the (mental health) vulnerabilities of young people involved in the behavior.</p></div>","PeriodicalId":45912,"journal":{"name":"Adolescent Research Review","volume":"11 1","pages":"49 - 93"},"PeriodicalIF":8.1,"publicationDate":"2025-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147388569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceived Mother and Father Parenting and Adolescent Social Anxiety Symptoms: A Meta-Analysis.","authors":"Cullin J Howard, Assaf Oshri, Noel Card, Morgan Muñoz, Clare R Thomas, Geoffrey L Brown","doi":"10.1007/s40894-025-00268-0","DOIUrl":"10.1007/s40894-025-00268-0","url":null,"abstract":"","PeriodicalId":45912,"journal":{"name":"Adolescent Research Review","volume":" ","pages":""},"PeriodicalIF":8.3,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13465957/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148722777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}