Jai K Das|Rehana A Salam|Zohra S Lassi|Marium Naveed Khan|Wajeeha Mahmood|Vikram Patel|Zulfiqar A. Bhutta
Interventions for Adolescent Mental Health: An Overview of Systematic Reviews
Aga Khan University|Aga Khan University|University of Adelaide|Aga Khan University|Ziauddin University|London School of Hygiene & Tropical Medicine|Sangath|Public Health Foundation of India|Hospital for Sick Children|SickKids Foundation|Aga Khan University
many mental health disorders emerge late childhood early adolescence contribute burden disorders among young people later life systematically reviewed literature published december 2015 identify systematic reviews mental health interventions adolescent population total 38 systematic reviews included classified included reviews following categories reporting findings schoolbased interventions n 12 communitybased interventions n 6 digital platforms n 8 individualfamilybased interventions n 12 evidence schoolbased interventions suggests targeted groupbased interventions cognitive behavioral therapy effective reducing depressive symptoms standard mean difference smd 16 95 confidence interval ci 26 05 anxiety smd 33 95 ci 59 06 schoolbased suicide prevention programs suggest classroombased didactic experiential programs increase shortterm knowledge suicide smd 151 95 ci 57245 knowledge suicide prevention smd 72 95 ci 36107 evidence effect suiciderelated attitudes behaviors communitybased creative activities positive effect behavioral changes selfconfidence selfesteem levels knowledge physical activity evidence digital platforms supports internetbased prevention treatment programs anxiety depression however extensive rigorous research warranted establish conditions among individual familybased interventions interventions focusing eating attitudes behaviors show impact body mass index smd 10 95 ci 45 25 eating attitude test smd 01 95 ci 13 15 bulimia smd 03 95 ci 16 10 exercise found effective improving selfesteem smd 49 95 ci 1681 reducing depression score smd 66 95 ci 125 08 impact anxiety scores cognitive behavioral therapy compared waitlist effective reducing remission odds ratio 785 95 ci 531116 psychological therapy compared antidepressants comparable effect remission dropouts depression symptoms studies evaluating mental health interventions among adolescents reported heterogeneous statistically populations interventions outcomes hence metaanalysis could conducted included reviews future trials also focus standardized interventions outcomes synthesizing exiting body knowledge need report differential effects gender age groups socioeconomic status geographic settings since impact mental health interventions might vary according various contextual factors