Universal and Selective Interventions to Prevent Poor Mental Health Outcomes in Young People: Systematic Review and Meta-analysis
| العنوان: | Universal and Selective Interventions to Prevent Poor Mental Health Outcomes in Young People: Systematic Review and Meta-analysis |
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| المؤلفون: | Joaquim Radua, Dominic Oliver, Marco Solmi, Umberto Balottin, Benedetto Di Marco, Martina Maria Mensi, Guido Nosari, Ottone Baccaredda Boy, Irene Famularo, Gonzalo Salazar de Pablo, Umberto Provenzani, Jae Il Shin, Ilaria Bonoldi, Silvia Molteni, Iriana Montealegre, Federica Calorio, Andrea De Micheli, Eleonora Filosi, Lucia Di Maggio, Christoph U. Correll, Lorenzo Signorini, Francesca Ruzzi, Celso Arango, Paolo Fusar-Poli, Pierluigi Politi, Valeria Verdino, Ana Catalan |
| المصدر: | Harvard Review of Psychiatry. 29:196-215 |
| بيانات النشر: | Ovid Technologies (Wolters Kluwer Health), 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Adolescent, medicine.medical_treatment, Population, Psychological intervention, MEDLINE, Anxiety, Stress Disorders, Post-Traumatic, 03 medical and health sciences, 0302 clinical medicine, Outcome Assessment, Health Care, Psychoeducation, Humans, Medicine, education, education.field_of_study, business.industry, Anxiety Disorders, Mental health, 030227 psychiatry, Psychotherapy, Psychiatry and Mental health, Posttraumatic stress, Meta-analysis, medicine.symptom, business, Clinical psychology |
| الوصف: | Much is not known about the efficacy of interventions to prevent poor mental health outcomes in young people by targeting either the general population (universal prevention) or asymptomatic individuals with high risk of developing a mental disorder (selective prevention).We conducted a PRISMA/MOOSE-compliant systematic review and meta-analysis of Web of Science to identify studies comparing post-test efficacy (effect size [ES]; Hedges' g) of universal or selective interventions for poor mental health outcomes versus control groups, in samples with mean age35 years (PROSPERO: CRD42018102143). Measurements included random-effects models, I2 statistics, publication bias, meta-regression, sensitivity analyses, quality assessments, number needed to treat, and population impact number.295 articles (447,206 individuals; mean age = 15.4) appraising 17 poor mental health outcomes were included. Compared to control conditions, universal and selective interventions improved (in descending magnitude order) interpersonal violence, general psychological distress, alcohol use, anxiety features, affective symptoms, other emotional and behavioral problems, consequences of alcohol use, posttraumatic stress disorder features, conduct problems, tobacco use, externalizing behaviors, attention-deficit/hyperactivity disorder features, and cannabis use, but not eating-related problems, impaired functioning, internalizing behavior, or sleep-related problems. Psychoeducation had the highest effect size for ADHD features, affective symptoms, and interpersonal violence. Psychotherapy had the highest effect size for anxiety features.Universal and selective preventive interventions for young individuals are feasible and can improve poor mental health outcomes. |
| تدمد: | 1465-7309 1067-3229 4201-8102 |
| DOI: | 10.1097/hrp.0000000000000294 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::b734e4e4da217368d96c7383d7d0098f https://doi.org/10.1097/hrp.0000000000000294 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....b734e4e4da217368d96c7383d7d0098f |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14657309 10673229 42018102 |
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| DOI: | 10.1097/hrp.0000000000000294 |