Claire Davidson, Shahela Islam, Enrico Venturini, Anja Lowit, Christopher Gillberg, Helen Minnis
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引用次数: 0
摘要
背景患有抑制性社交参与障碍（Disinhibited Social Engagement Disorder，DSED）的儿童在不加区分的社交方面有特殊的困难，但人们对他们更广泛的社交能力知之甚少，因为在更广泛的 "虐待文献 "中，DSED往往不会在样本中被识别出来。 目的 系统回顾文献以确定 DSED 儿童的社交能力。 方法 按照 PRISMA 指南，使用 PsycINFO、Medline、Embase 和 Cumulative Index to Nursing & Allied Health 进行全面检索。 结果 从总共 553 篇文章中筛选出 16 项研究并对其进行了严格评估。据报道，患有 DSED 的儿童的社交能力一直低于未接受治疗的同龄人和环境对照组。他们的同伴问题也越来越多，而且他们的自尊心/与社会接纳有关的观念也可能很差。有关社会交往/沟通技能的研究结果不一。 局限性 由于抽样和可能的混杂变量，50%的研究质量中等。 结论 DSED 患儿除患有该障碍的核心症状外，还存在社会关系问题，但并发神经发育疾病的相对影响尚不明确。此外，实用语言和沟通技能也需要进一步研究。
Social competencies of children with disinhibited social engagement disorder: A systematic review
Background
Children with Disinhibited Social Engagement Disorder (DSED) have specific difficulties with indiscriminate sociability, yet little is known about their broader social competencies as DSED tends not to be identified within samples in the wider ‘maltreatment literature.’
Aim
To systematically review the literature to determine the social competencies of children with DSED.
Methods
A comprehensive search following PRISMA guidelines was undertaken using PsycINFO, Medline, Embase, and Cumulative Index to Nursing & Allied Health.
Results
From a total of 553 articles, 16 studies were selected and critically evaluated. Children with DSED were consistently reported to have poorer social competencies than non-maltreated peers and environmental controls. Greater peer problems were consistently found, and they may present with poor self-esteem/concept related to social acceptance. Findings regarding social interaction/communication skills were mixed.
Limitations
50% of studies were of moderate quality due to sampling and possible confounding variables.
Conclusion
Children with DSED present with social relationship problems, beyond the core symptoms of the disorder, but the relative impact of co-occurring neurodevelopmental conditions is not yet clear. In addition, pragmatic language and communication skills require further research.
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