1
|
Du Toit S, Tomlinson M, Laurenzi CA, Gordon S, Hartmann L, Abrahams N, Bradshaw M, Brand A, Melendez-Torres GJ, Servili C, Dua T, Ross DA, Lai J, Skeen S. Psychosocial Interventions for Preventing Mental Health Conditions in Adolescents With Emotional Problems: A Meta-Analysis. J Adolesc Health 2025; 76:187-209. [PMID: 39556075 DOI: 10.1016/j.jadohealth.2024.09.030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/29/2023] [Revised: 09/11/2024] [Accepted: 09/27/2024] [Indexed: 11/19/2024]
Abstract
Mental health conditions constitute a major burden of disease for adolescents globally and can lead to significant adverse consequences. This systematic review aimed to identify if psychosocial interventions are effective in preventing mental health conditions in adolescents already experiencing emotional problems. We searched for randomized controlled trials comparing psychosocial interventions for preventing mental health conditions with care as usual in adolescents aged 10-19 who are experiencing symptoms of emotional problems. We searched PubMed/Medline, PsycINFO, ERIC, EMBASE, and ASSIA databases to identify studies. We found 82 eligible studies (n = 13,562 participants). Findings show that interventions can reduce mental health conditions and increase positive mental health. Across all reported time points, psychosocial interventions showed significant, small-to moderate-sized beneficial effects on preventing mental health conditions (SMD: -0.26, 95% CI [-0.42, -0.19] and small positive effects on positive mental health (SMD: 0.17, 95% CI [0.097, 0.29]. There were no statistically significant pooled findings suggesting that psychosocial interventions had either a positive or negative effect on self-harm or suicide; aggressive, disruptive and oppositional behavior; substance use; or school attendance. Despite the positive findings, a critical gap exists in the design of effective psychosocial interventions to reduce self-harm and suicide, and other risk behaviors in adolescents with symptoms of emotional problems.
Collapse
Affiliation(s)
- Stefani Du Toit
- Department of Global Health, Institute for Life Course Health Research, Stellenbosch University, Cape Town, South Africa.
| | - Mark Tomlinson
- Department of Global Health, Institute for Life Course Health Research, Stellenbosch University, Cape Town, South Africa; School of Nursing and Midwifery, Queens University Belfast, Belfast, United Kingdom
| | - Christina A Laurenzi
- Department of Global Health, Institute for Life Course Health Research, Stellenbosch University, Cape Town, South Africa
| | - Sarah Gordon
- Department of Global Health, Institute for Life Course Health Research, Stellenbosch University, Cape Town, South Africa
| | - Laura Hartmann
- Department of Global Health, Institute for Life Course Health Research, Stellenbosch University, Cape Town, South Africa
| | - Nina Abrahams
- Department of Global Health, Institute for Life Course Health Research, Stellenbosch University, Cape Town, South Africa
| | - Melissa Bradshaw
- Department of Global Health, Institute for Life Course Health Research, Stellenbosch University, Cape Town, South Africa
| | - Amanda Brand
- Peninsula Technology Assessment Group, Faculty of Health and Life Sciences, University of Exeter, Exeter, United Kingdom
| | - G J Melendez-Torres
- Peninsula Technology Assessment Group, Faculty of Health and Life Sciences, University of Exeter, Exeter, United Kingdom
| | | | - Tarun Dua
- World Health Organization, Geneva, Switzerland
| | - David A Ross
- Department of Global Health, Institute for Life Course Health Research, Stellenbosch University, Cape Town, South Africa
| | - Joanna Lai
- Maternal, Newborn and Adolescent Health Unit, Health Section, UNICEF Headquarters, New York, New York
| | - Sarah Skeen
- Department of Global Health, Institute for Life Course Health Research, Stellenbosch University, Cape Town, South Africa; Faculty of Social and Behavioural Sciences, Amsterdam Institute for Social Science Research, University of Amsterdam, Amsterdam, Netherlands
| |
Collapse
|
2
|
Editorial Introduction to Technological Approaches for the Treatment of Mental Health in Youth. SOCIAL SCIENCES 2021. [DOI: 10.3390/socsci10120461] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
According to the World Health Organization (WHO), 10–20% of adolescents (10–19 years old) worldwide suffer from mental health conditions, with 50% starting at the age of 14 (World Health Organization 2020) [...]
Collapse
|