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Posts tagged systemic review
The Efficacy of Nutritional Interventions in Reducing Childhood/Youth Aggressive and Antisocial Behavior: A Mixed‐Methods Systematic Review and Meta‐Analysis

By Barna Konkolÿ Thege|, Chaz Robitaille, Lujayn Mahmoud, Eden A. Kinzel, Rameen Qamar, Jamie Hartmann‐Boyce, Oliia Choy

Aggressive/antisocial behaviors in children and youth may result in impairments in family, social, or academic functioning and lead to long‐term negative consequences for both the individual and society as a whole. The potential of healthy dietand nutritional supplements to reduce aggression and antisocial behavior is an active area of study in nutritional mental health sciences. The goal of this systematic review is to (1) investigate the effectiveness/efficacy of nutritional interventions(dietary manipulation, fortification or supplementation) in reducing excessive aggression, antisocial behaviors, and criminal offending in children/youth (systematic review and meta‐analysis); and (2) provide an overview of implementation barriers and facilitators regarding nutritional interventions in children/youth (qualitative/narrative synthesis). After consulting theCampbell Collaboration's methodological guidelines, a comprehensive search for published and unpublished papers on controlled intervention studies was performed (up to February 26, 2024) using both electronic databases (MEDLINE,Embase, Cochrane Library, APA PsycInfo, Scopus, and the Allied and Complementary Medicine Database) and otherresources (e.g., Google Scholar, reference list of included studies and other reviews, websites of public health agencies). Thisstudy focuses on children and youth (up to the age of 24) presenting with an above‐average level of aggression/antisocial behavior. In terms of the intervention, we considered both dietary manipulation and nutritional supplementation with aduration long enough (minimum of 1 week) that a significant change in the individual's nutritional status could be expected.We included studies with a controlled design if, for outcomes, they reported on (1) behavioral‐level violence/aggression toward others in real‐life (non‐simulated) settings, (2) antisocial behaviors, or (3) criminal offending. Initial screening,checking for eligibility criteria, data extraction from, and risk of bias assessment for each eligible study were conducted independently by two reviewers. To perform the meta‐analysis, data from each original report were standardized(transformed into Hedges' g) so that results across studies could be meaningfully combined and interpreted. Data con-versions, computation of pooled effect sizes, and estimation of publication bias were conducted using the Comprehensive Meta‐analysis software (Version 4). Altogether, 51 reports (describing 50 individual studies) met our inclusion criteria, and72 effect sizes were extracted from these reports. Nutritional interventions with a broad target (e.g., broad‐spectrummicronutrient supplementation or general improvement in diet quality) had the most consistent and largest interventionThis is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.© 2025 The Author(s). Campbell Systematic Campbell Systematic Reviews, 2025; 21:e70059

Campbell Systematic Reviews, 2025; 21:e70059 1 of 42

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A Systematic Review of Literature on Substance Use in Nightlife Settings Utilizing In Situ Data Collection

By Renata Glavak-Tkalić, Mike Vuolo, Anja Wertag

Background: Nightlife environments, including nightclubs, bars, and entertainment districts, are associated with elevated substance use and related harms. In situ nightlife studies offer an opportunity to capture real-time data on substance use from targeted populations. Despite the growing number of studies, no systematic review has yet been conducted on this topic. Therefore, the aim of this systematic review is to explore empirical in situ research in nightlife settings, with a focus on substance use. Methods: A systematic search was conducted across four databases (WOS, PsycInfo, PubMed, and Google Scholar) for English-language peer-reviewed journal articles published between 2014 and 2023 that involved in situ primary data collection about substance use in nightlife settings. In total, 55 articles met the inclusion criteria. Detailed data were extracted on various aspects, such as study design, recruitment methods, substances reported, and key findings. Results: Included studies represented the United States, Europe, Brazil, and Oceania. Most (93%) employed surveys; over half (56%) also collected biomarkers. Substance use was highest among males, young adults, and sexual minorities, with polydrug use and high-risk behavior particularly prevalent in Electronic Dance Music scenes. Included articles varied substantially in their focus, including prevalence, correlates, patterns, harms, and interventions. Recruitment and reporting methods varied widely, complicating cross-study comparisons. Conclusions: This review highlights both the value and challenges of in situ research. Biomarker data enhance the reliability of self-report measures, while inconsistent reporting and non-random sampling limit generalizability. Future research should adopt standardized reporting guidelines that would allow for stronger evidence, permit reproducibility, and increase transparency

Drug and Alcohol Dependence Reports 8 October 2025, 100387 In Press, Journal Pre-proof

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Mixed methods systematic review on effects of arts interventions for children and young people at-risk of offending, or who have offended on behavioral, psychosocial, cognitive and offending outcomes

By Louise Mansfield, Norma Daykin, Neil E. O'Connell, Daniel Bailey, Louise Forde, Robyn Smith, Jake Gifford, Garcia Ashdown-Franks

Background

Young people who enter the justice system experience complex health and social needs, and offending behaviour is increasingly recognised as a public health problem. Arts interventions can be used with the aim of preventing or reducing offending or reoffending.

Objectives

1. To evaluate evidence on the effectiveness and impact of arts interventions on keeping children and young people safe from involvement in violence and crime. 2. To explore factors impacting the implementation of arts interventions, and barriers and facilitators to participation and achievement of intended outcomes. 3. To develop a logic model of the processes by which arts interventions might work in preventing offending behaviours.

Search Methods

We searched AMED, Academic Search Complete; APA PsycInfo; CINAHL Plus; ERIC; SocIndex; SportDiscus, Medline, CENTRAL, Web of Science, Scopus, PTSDPubs and Performing Arts Periodicals Database, Sage, the US National Criminal Justice Reference Service, the Global Policing and British Library EThOS databases, and the National Police Library from inception to January 2023 without language restrictions.

Selection Criteria

We included randomised and non-randomised controlled trials and quasi-experimental study designs. We included qualitative studies conducted alongside intervention trials investigating experiences and perceptions of participants, and offering insight into the barriers and facilitators to delivering and receiving arts interventions. We included qualitative and mixed methods studies focused on delivery of arts interventions. We included studies from any global setting. We included studies with CYP (8–25 years) who were identified as at-risk of offending behaviour (secondary populations) or already in the criminal justice system (tertiary populations). We included studies of interventions involving arts participation as an intervention on its own or alongside other interventions. Primary outcomes were: (i) offending behaviour and (ii) anti-pro-social behaviours. Secondary outcomes were: participation/attendance at arts interventions, educational attainment, school attendance and engagement and exclusions, workplace engagement, wellbeing, costs and associated economic outcomes and adverse events.

Data Collection and Analysis

We included 43 studies (3 quantitative, 38 qualitative and 2 mixed methods). We used standard methodological procedures expected by The Campbell Collaboration. We used GRADE and GRADE CERQual to assess the certainty of and confidence in the evidence for quantitative and qualitative data respectively.

Main Results

We found insufficient evidence from quantitative studies to support or refute the effectiveness of arts interventions for CYP at-risk of or who have offended for any outcome. Qualitative evidence suggested that arts interventions may lead to positive emotions, the development of a sense of self, successful engagement in creative practices, and development of positive personal relationships. Arts interventions may need accessible and flexible delivery and are likely to be engaging if they have support from staff, family and community members, are delivered by professional artists, involve culturally relevant activity, a youth focus, regularity and a sustainable strategy. We found limited evidence that a lack of advocacy, low funding, insufficient wider support from key personnel in adjacent services could act as barriers to success. Methodological limitations resulted in a judgement of very low confidence in these findings.

Authors' Conclusions

We found insufficient evidence from quantitative studies to support or refute the effectiveness of arts interventions for CYP at-risk of offending or who have offended for any outcome. We report very low confidence about the evidence for understanding the processes influencing the successful design and delivery of arts interventions in this population of CYP and their impact on behavioural, psychosocial, cognitive and offending outcomes.

Campbell Systematic Reviews Volume20, Issue1 March 2024 e1377

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