Effect of multi-level interventions on mental health outcomes among adolescents in sub-Saharan Africa: a systematic review.
Effect of multi-level interventions on mental health outcomes among adolescents in sub-Saharan Africa: a systematic review.
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多层次干预措施对撒哈拉以南非洲青少年心理健康结果的影响：系统评价。
DOI：
10.1136/bmjopen-2022-066586
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发表时间：
2023-10-03
期刊：
影响因子：
2.9
通讯作者：
中科院分区：
文献类型：
--
作者：
在撒哈拉以南非洲（SSA），多种因素造成了青少年精神健康障碍的巨大负担，突出表明需要采取干预措施，在多个层面解决潜在风险。我们回顾了社区或家庭层面干预（有或没有个人层面干预）对SSA青少年心理健康障碍有效性的证据。采用推荐、评估、发展和评估分级方法进行系统评审。系统检索Cochrane Library、MEDLINE、EMBASE、PSYCINFO和Web of Science，检索截止日期为2021年3月31日。如果研究是在撒哈拉以南非洲国家进行的随机对照试验（rct）或对照准实验研究，并测量了干预对10-24岁青少年常见精神障碍的影响，则有资格纳入本综述。我们纳入了评估干预对抑郁、焦虑、创伤后应激障碍和药物滥用影响的研究。药物滥用只有在与精神健康障碍一起衡量时才会被考虑。使用综合方法对研究结果进行总结，而不使用荟萃分析，其中根据干预类型（多层次，社区水平）和参与者对研究进行分组。在鉴定的1197项研究中，有30项研究（17项随机对照试验和3项准实验研究）被纳入综述，其中10项提供了多层次干预，20项提供了社区层面的干预。综合研究结果表明，包括经济赋权、同伴支持、认知行为疗法在内的多层次干预措施对改善弱势青少年的心理健康是有效的。大多数向社区群体提供干预措施的研究报告称，心理健康结果发生了显著的积极变化。本综述的证据表明，多层次的干预可以减少青少年的心理健康障碍。需要进一步的研究来了解这些有希望的干预措施在非洲不同情况下的可靠性和可持续性。CRD42021258826。
In sub-Saharan Africa (SSA), multiple factors contribute to the considerable burden of mental health disorders among adolescents, highlighting the need for interventions that address underlying risks at multiple levels. We reviewed evidence of the effectiveness of community or family-level interventions, with and without individual level interventions, on mental health disorders among adolescents in SSA. Systematic review using the Grades of Recommendation, Assessment, Development and Evaluation approach. A systematic search was conducted on Cochrane Library, MEDLINE, EMBASE, PSYCINFO and Web of Science up to 31 March 2021. Studies were eligible for inclusion in the review if they were randomised controlled trials (RCTs) or controlled quasi-experimental studies conducted in sub-Saharan African countries and measured the effect of an intervention on common mental disorders in adolescents aged 10–24 years. We included studies that assessed the effect of interventions on depression, anxiety, post-traumatic stress disorder and substance abuse. Substance abuse was only considered if it was measured alongside mental health disorders. The findings were summarised using synthesis without meta-analysis, where studies were grouped according to the type of intervention (multi-level, community-level) and participants. Of 1197 studies that were identified, 30 studies (17 RCTs and 3 quasi-experimental studies) were included in the review of which 10 delivered multi-level interventions and 20 delivered community-level interventions. Synthesised findings suggest that multi-level interventions comprise economic empowerment, peer-support, cognitive behavioural therapy were effective in improving mental health among vulnerable adolescents. Majority of studies that delivered interventions to community groups reported significant positive changes in mental health outcomes. The evidence from this review suggests that multi-level interventions can reduce mental health disorders in adolescents. Further research is needed to understand the reliability and sustainability of these promising interventions in different African contexts. CRD42021258826.
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影响因子：
3.5
作者：
Bevan Jones R;Thapar A;Stone Z;Thapar A;Jones I;Smith D;Simpson S
通讯作者：
Simpson S
影响因子：
7.6
作者：
Green, Eric P.;Cho, Hyunsan;Puffer, Eve S.
通讯作者：
Puffer, Eve S.
DOI：
10.1192/bjp.bp.112.119164
发表时间：
2013-01-01
期刊：
The British journal of psychiatry. Supplement
影响因子：
--
作者：
Jones, P B
通讯作者：
Jones, P B
DOI：
10.1016/j.jadohealth.2020.07.022
发表时间：
2021-04
期刊：
The Journal of adolescent health : official publication of the Society for Adolescent Medicine
影响因子：
--
作者：
Cavazos-Rehg P;Byansi W;Xu C;Nabunya P;Sensoy Bahar O;Borodovsky J;Kasson E;Anako N;Mellins C;Damulira C;Neilands T;Ssewamala FM
通讯作者：
Ssewamala FM
影响因子：
4.5
作者：
Barry MM;Clarke AM;Jenkins R;Patel V
通讯作者：
Patel V