Data_Sheet_1_Twenty years of emotional-behavioral problems of community adolescents living in Italy measured through the Achenbach system of empirically based assessment (ASEBA): a systematic review and meta-analysis.DOCX

BackgroundThis is a systematic review and meta-analysis of emotional and behavioral problems among Italian community adolescents in the last 20 years, as assessed through the ASEBA questionnaires CBCL 6–18, YSR 11–18 and TRF 6–18. Research questions address: (1) pooled means of problems’ scores in questionnaires scales; (2–3) variations in scores according to sociodemographic and time-related factors, and studies’ quality; (4) trends in research with ASEBA instruments along with other outcomes, e.g., psychopathological symptoms.
MethodsA systematic literature review of Scopus, EBSCO, PubMed, Web of Science, and ProQuest databases using the PRISMA 2020 guidelines was conducted on November, 2021, and of grey literature on December, 2021. The quality of studies was assessed through the Newcastle-Ottawa Scale.
ResultsForty-four studies were eligible for the systematic review, of which 34 were included for meta-analysis. Results showed that: (1) emotional-behavioral problems were higher when assessed by the CBCL and lower when assessed by the YSR compared to normative data; (2) there were no gender and age differences, except for higher scores of Anxious/Depression symptoms, in girls. (3) internalizing and attention problems increased over the last two decades. (4) major trends of Italian research investigate adolescents’ emotional behavioral problems concerning attachment, comorbid symptoms, especially internet addictions, and eating disorders.
DiscussionDespite some limitations (e.g., low-medium quality of most studies, no data on the TRF, under-representation of some geographical areas, some search-related choices), these data provides Italian practitioners and international researchers of some parameter to evaluate Italian adolescents emotional-behavioral problems. Registered on PROSPERO N. CRD42022299999.

【研究背景】本研究为系统综述（systematic review）与元分析（meta-analysis），旨在探讨近20年间意大利社区青少年的情绪与行为问题，评估工具采用ASEBA问卷的CBCL 6–18、YSR 11–18及TRF 6–18版本。本研究拟解决以下研究问题：(1) 各问卷量表中问题行为得分的合并均值；(2-3) 得分随社会人口学特征、时间相关因素以及研究质量的变化情况；(4) 采用ASEBA工具开展的相关研究趋势，以及其他结局指标（如精神病理症状）的相关研究动态。
【研究方法】本研究于2021年11月遵循PRISMA 2020指南，对Scopus、EBSCO、PubMed、Web of Science及ProQuest数据库开展系统文献检索，并于2021年12月完成灰色文献（grey literature）的检索。研究质量采用纽卡斯尔-渥太华量表（Newcastle-Ottawa Scale）进行评估。
【研究结果】本系统综述共纳入44项符合纳入标准的研究，其中34项被纳入元分析。结果显示：(1) 相较于常模数据，采用CBCL评估得到的情绪行为问题得分更高，而采用YSR评估得到的得分更低；(2) 除女孩的焦虑/抑郁症状得分更高外，未发现情绪行为问题存在性别与年龄差异；(3) 近20年间，内化问题与注意问题得分呈上升趋势；(4) 意大利现有相关研究的主流方向为探讨青少年情绪行为问题与依恋、共病症状（尤其是网络成瘾）及进食障碍的关联。
【讨论】尽管本研究存在一定局限性（如多数研究质量为中低水平、无TRF相关数据、部分地理区域代表性不足、部分检索策略存在局限性等），但本研究结果可为意大利临床从业者与国际研究者评估意大利青少年情绪行为问题提供若干参考参数。本研究已在PROSPERO平台注册，编号为CRD42022299999。