Evidence map›Paper›PMID 39540075›Full record

ReviewClinical neuropsychiatry2024

Psychopathological Correlates and Psychosocial Functioning in Children and Adolescents with Syncope: A Systematic Review.

Gaia Cuzzocrea, Andrea Fontana, Marta Mascanzoni, Francesco Manca, Riccardo Pecora, Lucrezia Trani, Cristiana Guido, Alberto Spalice, Paolo Versacci, Lucia Sideli and 1 more

Abstract readReview
In one paragraph

Review in Clinical neuropsychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Gaia CuzzocreaDepartment of Human Sciences, LUMSA University, Piazza delle Vaschette 101, 00193 Rome, Italy.
Andrea FontanaDepartment of Human Sciences, LUMSA University, Piazza delle Vaschette 101, 00193 Rome, Italy.
Marta MascanzoniDepartment of Human Sciences, LUMSA University, Piazza delle Vaschette 101, 00193 Rome, Italy.
Francesco MancaDepartment of Human Sciences, LUMSA University, Piazza delle Vaschette 101, 00193 Rome, Italy.
Riccardo PecoraDepartment of Human Sciences, LUMSA University, Piazza delle Vaschette 101, 00193 Rome, Italy.
Lucrezia TraniDepartment of Human Sciences, LUMSA University, Piazza delle Vaschette 101, 00193 Rome, Italy.
Cristiana GuidoPediatric Neurology Division, Department of Maternal Sciences, Sapienza University, Italy.
Alberto SpalicePediatric Neurology Division, Department of Maternal Sciences, Sapienza University, Italy.
Paolo VersacciPediatric Cardiology, Department of Pediatrics, Obstetrics and Gynecology, Sapienza University of Rome, Rome, Italy.
Lucia SideliDepartment of Human Sciences, LUMSA University, Piazza delle Vaschette 101, 00193 Rome, Italy.
Vincenzo CarettiDepartment of Human Sciences, LUMSA University, Piazza delle Vaschette 101, 00193 Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Syncope is defined as a spontaneous and transient loss of consciousness and postural tone due to brief and reversible cerebral hypoperfusion. This review aimed to summarize the research findings regarding the psychological correlates associated with pediatric syncope. Moreover, the study aimed to deepen the understanding of the relationship between psychological disorders and the onset of syncopal episodes in childhood, focusing on clinical features and different clinical classifications. Method: A systematic review was carried out from inception to January 2023, according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, using the CINAHL Plus, APA PsycArticles, APA PsycInfo, MEDLINE, and Psychology and Behavioral Sciences Collection databases. The study search and selection were based on the Population Intervention Comparison Outcome Study Design (PICOS) strategy and the Quality Assessment was carried out using Critical Appraisal Skills Programme (CASP) scales. A combination of keywords related to a) syncope; b) psycho*; and c) child* (Subjects) was used. Studies concerning epilepsy-related syncope were excluded. Results: Overall, 912 records were identified. After excluding non-English, non-original, and duplicate studies, 579 records were selected for the title screening, 88 for the abstract screening, 37 full-text articles were assessed for eligibility and a total of 14 were included. The Risk of Bias in the included studies was assessed and 78,6% of the studies satisfied robustness quality criteria. The findings highlighted that children and adolescents with syncope showed a higher rate of psychopathology as compared to the healthy and clinical controls. Furthermore, patients reported social withdrawal and poor quality of life. Conclusions: The findings suggest that there is a robust relationship between psychopathology and syncope. Children and adolescents with syncope frequently report clinical symptoms related to emotional, relational, and psychosomatic dysregulation. Psychological assessment should be routinely included in the integrated care to identify potential targets for treatment and improve early differential diagnosis.

Indexed as

adolescentschildrenpsychopathologysyncopesystematic review

Identifiers

PMID39540075
PMCPMC11555659

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