TY - JOUR PY - 2021// TI - Non-pharmaceutical interventions for self-regulatory failures in adolescents suffering from externalizing symptoms: a scoping review JO - Biomedicines A1 - Constanty, Lauriane A1 - Lepage, Caroline A1 - Rosselet Amoussou, Joelle A1 - Wouters, Emilie A1 - Decoro, Velia A1 - De-Paz, Lisa A1 - Hans, Charlotte A1 - Ergüneş, Hazal A1 - Sangra, Jonas A1 - Plessen, Kerstin Jessica A1 - Urben, Sébastien SP - e1081 EP - e1081 VL - 9 IS - 9 N2 - INTRODUCTION: Deficits of self-regulation (SR) are a hallmark of externalizing (EXT: offending or aggressive behaviors) symptoms in adolescence.

OBJECTIVES: This scoping review aims (1) to map non-pharmaceutical interventions targeting SR processes to reduce EXT symptoms in adolescents and (2) to identify research gaps, both of which will provide recommendations for future studies.

METHODS: Systematic searches were carried out in eight bibliographic databases up to March 2021, combining the following concepts: self-regulation, externalizing symptoms, adolescents, and non-pharmaceutical interventions.

RESULTS: We identified 239 studies, including 24,180 youths, mainly from North America, which described a plethora of non-pharmaceutical interventions targeting SR to alleviate EXT symptoms in adolescents (10-18 years of age). The majority of studies (about 70%, k = 162) represent samples with interventions exposed to "selective" or "indicated" prevention. Curriculum-based (i.e., multiple approaches targeting several domains such as emotion, cognition, and social) interventions (31.4%) were the most common type of intervention. Moreover, studies on cognitive-based interventions, mind-based interventions, and emotional-based interventions have increased over the last decades. Network analyses allowed us to identify several hubs between curriculum-based interventions, cognitive SR processes, as well as aggressiveness, conduct problems, and irritability/anger dysregulation. In addition, we identified gaps of studies concerning the physiological SR processes and on some types of interventions (i.e., body-based interventions and externally mediated interventions) or, more specifically, on promising tools, such as biofeedback, neurofeedback, as well as programs targeting neuropsychological processes (e.g., cognitive remediation).

CONCLUSIONS: This scoping review stresses the plethora of interventions, identified hubs, and emerging fields, as well as some gaps in the literature, which together may orient future studies.

Language: en

LA - en SN - 2227-9059 UR - http://dx.doi.org/10.3390/biomedicines9091081 ID - ref1 ER -