Efficacy of school-based interventions for mental health problems in children and adolescents in low and middle-income countries: A systematic review and meta-analysis.
Efficacy of school-based interventions for mental health problems in children and adolescents in low and middle-income countries: A systematic review and meta-analysis.
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DOI：
10.3389/fpsyt.2022.1012257
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发表时间：
2022
影响因子：
4.7
通讯作者：
Ribeiro, Wagner Silva
中科院分区：
文献类型：
--
作者：
Grande, Antonio Jose;Hoffmann, Mauricio Scopel;Evans-Lacko, Sara;Ziebold, Carolina;de Miranda, Claudio Torres;Mcdaid, David;Tomasi, Cristiane;Ribeiro, Wagner Silva
在学校实施干预措施来治疗儿童和青少年心理健康问题，可以帮助填补低收入和中等收入国家（LMIC）的心理健康保健差距。现有的大多数证据来自对心理健康预防和促进的系统评价，关于可以在学校有效提供的治疗策略的证据较少。本次审查的目的是确定以学校为基础的干预措施已被测试，以治疗LMICs的儿童和青少年，以及他们是如何有效的。我们进行了系统的审查，包括7个电子数据库。搜索于2022年10月进行。我们纳入了随机或非随机研究，这些研究评估了生活在LMIC的6-18岁儿童或青少年的学校干预措施，这些儿童或青少年有一种或多种心理健康问题或有发展风险。我们发现了39项研究，43个不同的成对比较，治疗注意力缺陷和多动（ADHD），焦虑，抑郁，创伤后应激障碍（PTSD），行为障碍（CD）。汇总SMD具有统计学显著性，表明总体而言，干预措施上级对照药物治疗PTSD（SMD = 0.61; 95% CI = 0.37-0.86），焦虑无统计学显著性（SMD = 0.11; 95%CI =-0.13至0.36），ADHD（SMD = 0.36; 95%CI =-0.15至0.87）和抑郁症（SMD = 0.80; 95%CI =-0.47至2.07）。对于CD，样本量非常小，因此结果不精确。一个显着的效果，发现如果我们把所有的干预措施相比，控制，这表明，总体而言，在学校环境中提供的干预措施是有效的，减少儿童和青少年的心理健康问题。[网址：https://www.crd.york.ac.uk/prospero/display_record.php? RecordID=129376]，标识符[CRD 42019129376]。
Implementation of interventions to treat child and adolescent mental health problems in schools could help fill the mental health care gap in low- and middle-income countries (LMICs). Most of the evidence available come from systematic reviews on mental health prevention and promotion, and there is less evidence on treatment strategies that can be effectively delivered in schools. The aim of this review was to identify what school-based interventions have been tested to treat children and adolescents in LMICs, and how effective they are. We conducted a systematic review including seven electronic databases. The search was carried out in October 2022. We included randomised or non-randomised studies that evaluated school-based interventions for children or adolescents aged 6–18 years living in LMICs and who had, or were at risk of developing, one or more mental health problems. We found 39 studies with 43 different pairwise comparisons, treatment for attention-deficit and hyperactivity (ADHD), anxiety, depression, and posttraumatic stress disorder (PTSD), Conduct disorder (CD). Pooled SMD were statistically significant and showed that, overall, interventions were superior to comparators for PTSD (SMD = 0.61; 95% CI = 0.37–0.86), not statistically significant for anxiety (SMD = 0.11; 95% CI = −0.13 to 0.36), ADHD (SMD = 0.36; 95% CI = −0.15 to 0.87), and for depression (SMD = 0.80; 95% CI = −0.47 to 2.07). For CD the sample size was very small, so the results are imprecise. A significant effect was found if we add up all interventions compared to control, suggesting that, overall, interventions delivered in the school environment are effective in reducing mental health problems among children and adolescents. [https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=129376], identifier [CRD42019129376].
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影响因子：
3
作者：
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通讯作者：
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影响因子：
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DOI：
10.1111/j.1469-7610.2008.02026.x
发表时间：
2009-05-01
影响因子：
7.6
作者：
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通讯作者：
Pickles, Andrew
影响因子：
4.5
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通讯作者：
Patel V