Display options
Cite
Das JK, Salam RA, Lassi ZS, et al. Interventions for Adolescent Mental Health: An Overview of Systematic Reviews. J Adolesc Health. 2016;59(4):S49-S60doi: 10.1016/j.jadohealth.2016.06.020.
Das, J. K., Salam, R. A., Lassi, Z. S., Khan, M. N., Mahmood, W., Patel, V., & Bhutta, Z. A. (2016). Interventions for Adolescent Mental Health: An Overview of Systematic Reviews. The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 59(4), S49-S60. https://doi.org/10.1016/j.jadohealth.2016.06.020
Das, Jai K, et al. "Interventions for Adolescent Mental Health: An Overview of Systematic Reviews." The Journal of adolescent health : official publication of the Society for Adolescent Medicine vol. 59,4 (2016): S49-S60. doi: https://doi.org/10.1016/j.jadohealth.2016.06.020
Das JK, Salam RA, Lassi ZS, Khan MN, Mahmood W, Patel V, Bhutta ZA. Interventions for Adolescent Mental Health: An Overview of Systematic Reviews. J Adolesc Health. 2016 Oct;59(4):S49-S60. doi: 10.1016/j.jadohealth.2016.06.020. PMID: 27664596; PMCID: PMC5026677.
Copy Download .nbib Format: NLM
Share it on

J Adolesc Health. 2016 Oct;59(4):S49-S60. doi: 10.1016/j.jadohealth.2016.06.020.

Interventions for Adolescent Mental Health: An Overview of Systematic Reviews.

The Journal of adolescent health : official publication of the Society for Adolescent Medicine

Jai K Das, Rehana A Salam, Zohra S Lassi, Marium Naveed Khan, Wajeeha Mahmood, Vikram Patel, Zulfiqar A Bhutta

Affiliations

  1. Division of Women and Child Health, Aga Khan University, Karachi, Pakistan.
  2. Robinson Research Institute, University of Adelaide, Adelaide, Australia.
  3. Ziauddin University, Karachi, Pakistan.
  4. London School of Hygiene & Tropical Medicine, London, United Kingdom; Public Health Foundation of India, New Delhi, India; Sangath, Goa, India.
  5. Centre for Global Child Health, The Hospital for Sick Children, Toronto, Canada; Center of Excellence in Women and Child Health, The Aga Khan University, Karachi, Pakistan. Electronic address: [email protected].

PMID: 27664596 PMCID: PMC5026677 DOI: 10.1016/j.jadohealth.2016.06.020

Abstract

Many mental health disorders emerge in late childhood and early adolescence and contribute to the burden of these disorders among young people and later in life. We systematically reviewed literature published up to December 2015 to identify systematic reviews on mental health interventions in adolescent population. A total of 38 systematic reviews were included. We classified the included reviews into the following categories for reporting the findings: school-based interventions (n = 12); community-based interventions (n = 6); digital platforms (n = 8); and individual-/family-based interventions (n = 12). Evidence from school-based interventions suggests that targeted group-based interventions and cognitive behavioral therapy are effective in reducing depressive symptoms (standard mean difference [SMD]: -.16; 95% confidence interval [CI]: -.26 to -.05) and anxiety (SMD: -.33; 95% CI: -.59 to -.06). School-based suicide prevention programs suggest that classroom-based didactic and experiential programs increase short-term knowledge of suicide (SMD: 1.51; 95% CI: .57-2.45) and knowledge of suicide prevention (SMD: .72; 95% CI: .36-1.07) with no evidence of an effect on suicide-related attitudes or behaviors. Community-based creative activities have some positive effect on behavioral changes, self-confidence, self-esteem, levels of knowledge, and physical activity. Evidence from digital platforms supports Internet-based prevention and treatment programs for anxiety and depression; however, more extensive and rigorous research is warranted to further establish the conditions. Among individual- and family-based interventions, interventions focusing on eating attitudes and behaviors show no impact on body mass index (SMD: -.10; 95% CI: -.45 to .25); Eating Attitude Test (SMD: .01; 95% CI: -.13 to .15); and bulimia (SMD: -.03; 95% CI: -.16 to .10). Exercise is found to be effective in improving self-esteem (SMD: .49; 95% CI: .16-.81) and reducing depression score (SMD: -.66; 95% CI: -1.25 to -.08) with no impact on anxiety scores. Cognitive behavioral therapy compared to waitlist is effective in reducing remission (odds ratio: 7.85; 95% CI: 5.31-11.6). Psychological therapy when compared to antidepressants have comparable effect on remission, dropouts, and depression symptoms. The studies evaluating mental health interventions among adolescents were reported to be very heterogeneous, statistically, in their populations, interventions, and outcomes; hence, meta-analysis could not be conducted in most of the included reviews. Future trials should also focus on standardized interventions and outcomes for synthesizing the exiting body of knowledge. There is a need to report differential effects for gender, age groups, socioeconomic status, and geographic settings since the impact of mental health interventions might vary according to various contextual factors.

Copyright © 2016 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

Keywords: Adolescent health; Anxiety; Depression; Eating disorders; Mental health; Suicide

References

  1. Cochrane Database Syst Rev. 2001;(2):CD003015 - PubMed
  2. Fam Pract. 2001 Aug;18(4):373-82 - PubMed
  3. Cochrane Database Syst Rev. 2002;(2):CD002891 - PubMed
  4. J Psychiatr Ment Health Nurs. 2003 Oct;10(5):625-6 - PubMed
  5. Cochrane Database Syst Rev. 2004;(1):CD003683 - PubMed
  6. Cochrane Database Syst Rev. 2006 Jan 25;(1):CD002206 - PubMed
  7. World Psychiatry. 2005 Jun;4(2):114-20 - PubMed
  8. Cochrane Database Syst Rev. 2006 Jul 19;(3):CD004691 - PubMed
  9. BMJ. 2006 Sep 2;333(7566):472 - PubMed
  10. J Child Psychol Psychiatry. 2006 Dec;47(12):1263-71 - PubMed
  11. BMC Med Res Methodol. 2007 Feb 15;7:10 - PubMed
  12. Curr Opin Psychiatry. 2007 Jul;20(4):359-64 - PubMed
  13. Can J Public Health. 2007 May-Jun;98(3):166-73 - PubMed
  14. J Child Psychol Psychiatry. 2008 Oct;49(10):1009-19 - PubMed
  15. Cochrane Database Syst Rev. 2009 Apr 15;(2):CD006410 - PubMed
  16. J Adolesc. 2010 Jun;33(3):429-38 - PubMed
  17. Cochrane Database Syst Rev. 2010 Mar 17;(3):CD003680 - PubMed
  18. Med J Aust. 2010 Jun 7;192(11 Suppl):S12-4 - PubMed
  19. Public Health. 2010 Sep;124(9):500-11 - PubMed
  20. Patient Educ Couns. 2011 Nov;85(2):e108-19 - PubMed
  21. Lancet. 2011 Jun 18;377(9783):2093-102 - PubMed
  22. Health Promot Int. 2011 Dec;26 Suppl 1:i10-28 - PubMed
  23. Cochrane Database Syst Rev. 2012 Feb 15;(2):CD008225 - PubMed
  24. Br J Psychiatry. 2012 Aug;201:101-8 - PubMed
  25. Syst Rev. 2012 Oct 26;1:49 - PubMed
  26. Cochrane Database Syst Rev. 2012 Nov 14;11:CD007504 - PubMed
  27. Cochrane Database Syst Rev. 2012 Nov 14;11:CD008324 - PubMed
  28. Br J Psychiatry Suppl. 2013 Jan;54:s5-10 - PubMed
  29. Perspect Public Health. 2013 Jan;133(1):44-52 - PubMed
  30. Crisis. 2013 Jan 1;34(4):223-32 - PubMed
  31. Depress Anxiety. 2013 Oct;30(10):1030-45 - PubMed
  32. J Med Internet Res. 2013 May 27;15(5):e101 - PubMed
  33. Cochrane Database Syst Rev. 2013 Jun 03;(6):CD004690 - PubMed
  34. Clin Child Psychol Psychiatry. 2014 Jul;19(3):412-38 - PubMed
  35. JAMA Psychiatry. 2013 Jul;70(7):750-61 - PubMed
  36. Cochrane Database Syst Rev. 2013 Jul 23;(7):CD009453 - PubMed
  37. BMC Public Health. 2013 Sep 11;13:835 - PubMed
  38. Cochrane Database Syst Rev. 2013 Sep 12;(9):CD004366 - PubMed
  39. Cochrane Database Syst Rev. 2013 Oct 16;(10):CD008696 - PubMed
  40. Int J Epidemiol. 2014 Apr;43(2):407-33 - PubMed
  41. J Med Internet Res. 2014 Mar 04;16(3):e66 - PubMed
  42. Psychol Med. 2014 Nov;44(15):3137-50 - PubMed
  43. J Dev Orig Health Dis. 2012 Dec;3(6):395-408 - PubMed
  44. J Youth Adolesc. 2015 Jan;44(1):90-113 - PubMed
  45. Crisis. 2014;35(5):310-21 - PubMed
  46. Cochrane Database Syst Rev. 2014 Oct 29;(10):CD009439 - PubMed
  47. Cochrane Database Syst Rev. 2015 Jan 08;1:CD010534 - PubMed
  48. J Adolesc Health. 2016 Oct;59(4S):S11-S28 - PubMed
  49. J Adolesc Health. 2016 Oct;59(4S):S29-S39 - PubMed
  50. J Adolesc Health. 2016 Oct;59(4S):S4-S10 - PubMed
  51. J Adolesc Health. 2016 Oct;59(4S):S40-S48 - PubMed
  52. J Adolesc Health. 2016 Oct;59(4S):S61-S75 - PubMed
  53. J Adolesc Health. 2016 Oct;59(4S):S76-S87 - PubMed
  54. J Adolesc Health. 2016 Oct;59(4S):S88-S92 - PubMed
  55. Am J Community Psychol. 1997 Apr;25(2):115-52 - PubMed
  56. J Am Acad Child Adolesc Psychiatry. 1998 Sep;37(9):915-23 - PubMed

Publication Types