Effectiveness of Social Inclusion Interventions for Anxiety and Depression among Adolescents: A Systematic Review.


Journal

International journal of environmental research and public health
ISSN: 1660-4601
Titre abrégé: Int J Environ Res Public Health
Pays: Switzerland
ID NLM: 101238455

Informations de publication

Date de publication:
19 01 2023
Historique:
received: 14 12 2022
revised: 16 01 2023
accepted: 17 01 2023
entrez: 11 2 2023
pubmed: 12 2 2023
medline: 15 2 2023
Statut: epublish

Résumé

Adolescents who are socially excluded are at increased risk of mental health problems such as depression and anxiety. Promoting social inclusion could be an effective strategy for preventing and treating adolescent depression and anxiety. We conducted a systematic review of intervention studies which aimed to prevent or treat adolescent depression and/or anxiety by promoting social inclusion. Throughout the review we engaged a youth advisory group of 13 young people (aged 21-24) from Uganda, Turkey, Syria, South Africa, and Egypt. We identified 12 studies relevant to our review. The interventions tested use a range of different strategies to increase social inclusion and reduce depression and anxiety, including social skills training, psychoeducation, teaching life skills training, and cash transfers. Pooled standardised mean differences (SMDs) based on random-effects models showed medium-to-large benefits of interventions on improving depression and anxiety symptoms (n = 8; SMD = -0.62; 95% CI, -1.23 to -0.01, Although there are not many studies, those which have been done show promising results that strongly suggest that social inclusion could be an important component of programmes to promote adolescent mental health.

Sections du résumé

BACKGROUND
Adolescents who are socially excluded are at increased risk of mental health problems such as depression and anxiety. Promoting social inclusion could be an effective strategy for preventing and treating adolescent depression and anxiety.
METHODS
We conducted a systematic review of intervention studies which aimed to prevent or treat adolescent depression and/or anxiety by promoting social inclusion. Throughout the review we engaged a youth advisory group of 13 young people (aged 21-24) from Uganda, Turkey, Syria, South Africa, and Egypt.
RESULTS
We identified 12 studies relevant to our review. The interventions tested use a range of different strategies to increase social inclusion and reduce depression and anxiety, including social skills training, psychoeducation, teaching life skills training, and cash transfers. Pooled standardised mean differences (SMDs) based on random-effects models showed medium-to-large benefits of interventions on improving depression and anxiety symptoms (n = 8; SMD = -0.62; 95% CI, -1.23 to -0.01,
CONCLUSION
Although there are not many studies, those which have been done show promising results that strongly suggest that social inclusion could be an important component of programmes to promote adolescent mental health.

Identifiants

pubmed: 36767261
pii: ijerph20031895
doi: 10.3390/ijerph20031895
pmc: PMC9914997
pii:
doi:

Types de publication

Systematic Review Journal Article Review Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : Wellcome Trust
Pays : United Kingdom

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Auteurs

Xanthe Hunt (X)

Institute for Life Course Health Research, Department of Global Health, Stellenbosch University, Cape Town 7505, South Africa.

Tom Shakespeare (T)

International Centre for Evidence on Disability, London School of Hygiene and Tropical Medicine, London WC1E 7HT, UK.

Gabriele Vilyte (G)

Institute for Life Course Health Research, Department of Global Health, Stellenbosch University, Cape Town 7505, South Africa.

G J Melendez-Torres (GJ)

College of Medicine, University of Exeter, Exeter EX4 4QJ, UK.

Junita Henry (J)

Institute for Life Course Health Research, Department of Global Health, Stellenbosch University, Cape Town 7505, South Africa.

Melissa Bradshaw (M)

Institute for Life Course Health Research, Department of Global Health, Stellenbosch University, Cape Town 7505, South Africa.

Selvan Naidoo (S)

Institute for Life Course Health Research, Department of Global Health, Stellenbosch University, Cape Town 7505, South Africa.

Rachel Mbuyamba (R)

Institute for Life Course Health Research, Department of Global Health, Stellenbosch University, Cape Town 7505, South Africa.

Shahd Aljassem (S)

Institute for Life Course Health Research, Department of Global Health, Stellenbosch University, Cape Town 7505, South Africa.

Esta Suubi (E)

Institute for Life Course Health Research, Department of Global Health, Stellenbosch University, Cape Town 7505, South Africa.

Nawar Aljasem (N)

Institute for Life Course Health Research, Department of Global Health, Stellenbosch University, Cape Town 7505, South Africa.

Moroesi Makhetha (M)

Institute for Life Course Health Research, Department of Global Health, Stellenbosch University, Cape Town 7505, South Africa.

Jason Bantjes (J)

Institute for Life Course Health Research, Department of Global Health, Stellenbosch University, Cape Town 7505, South Africa.
Alcohol, Tabaco and Other Drug Research Unit, South African Medical Research Unit, Cape Town 7505, South Africa.

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