Promotive and preventive interventions for adolescent mental health in Sub-Saharan Africa: a combined scoping and systematic review
Promotive and preventive interventions for adolescent mental health in Sub-Saharan Africa: a combined scoping and systematic review
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撒哈拉以南非洲青少年心理健康的促进和预防干预措施：综合范围界定和系统评价
DOI：
10.1136/bmjph-2023-000037
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发表时间：
2023
期刊：
影响因子：
--
通讯作者：
Seekles M
中科院分区：
文献类型：
--
作者：
Seekles M
简介 青春期心理健康状况不佳与以后生活中的心理、身体和社会问题有关。因此，青春期是促进心理健康和预防精神疾病的关键时期，特别是在撒哈拉以南非洲地区，那里的青少年面临多种导致心理健康状况不佳的危险因素。本综述旨在绘制该地区促进/预防性青少年心理健康干预措施的当前使用情况、有效性和文化敏感性。方法使用 Arksey 和 O’Malley 框架，通过 MEDLINE、CINAHL、Global Health、PsycINFO 和 Cochrane 系统评价数据库进行搜索，进行综合范围界定和系统评价，涵盖 2000 年 1 月至 2021 年 12 月。结果该评价确定了 79 篇论文，涉及 61 篇独特的论文。干预措施。仅确定了五个普遍的、以学校为基础的计划；大多数研究针对孤儿或艾滋病毒阳性青少年。旨在加强知识、表达和心理社会技能的社会心理干预措施产生了好坏参半的结果。结构性干预措施通常以社区为基础，且心理社会规划有限。那些关注艾滋病毒预防、性别平等和养育子女的项目也产生了好坏参半的结果；经济生计方案的证据最为有力。很少有研究详细描述文化敏感性。一些人解释了干预措施如何与当地的世界观/价值观相一致；具有特定上下文的内容；基于对相关概念的探索；结论撒哈拉以南非洲地区青少年心理健康的预防性/促进性干预措施在地理分布上有限，但在干预类型上却很广泛。有针对性的方法反映了该地区青少年面临的社会经济贫困、家庭破裂和身体健康状况不佳等现实情况。然而，关注总体福祉的普遍干预措施是有限的，并且缺乏对该地区当代发展的考虑，例如社交媒体使用增加、自杀和肥胖等。经济生计干预措施显示出最一致的有效性证据。未来的研究可以做更多的工作来考虑/报告文化敏感性。
IntroductionPoor mental health in adolescence is associated with mental, physical and social problems in later life. Adolescence is, therefore, a critical time for promoting mental well-being and preventing mental illness, particularly in sub-Saharan Africa, where adolescents are exposed to a multitude of risk factors for poor mental health. This review aimed to map the current use, effectiveness and cultural sensitivity of promotive/preventive adolescent mental health interventions in the region.MethodsA combined scoping and systematic review was conducted using the Arksey and O’Malley framework through searches in MEDLINE, CINAHL, Global Health, PsycINFO and the Cochrane Database of Systematic Reviews, covering January 2000 to December 2021.ResultsThis review identified 79 papers, related to 61 unique interventions. Only five universal, school-based programmes were identified; most studies targeted orphans or HIV positive adolescents. Psychosocial interventions—aimed at strengthening knowledge, expression and psychosocial skills—produced mixed results. Structural interventions were often community-based and had limited psychosocial programming. Those that focused on HIV prevention, gender equity and parenting also produced mixed results; evidence was strongest for economic-livelihood programmes. Few studies described cultural sensitivity in detail. Some explained how the intervention aligned with local worldviews/values; had context-specific content; were based on explorations of relevant concepts; or integrated spiritual/cultural practices.ConclusionPreventive/promotive interventions for adolescent mental health in sub-Saharan Africa are limited in terms of geographical spread, but broad in terms of intervention types. Targeted approaches reflect realities that adolescents in the region face in relation to socioeconomic deprivation, family disruption and poor physical health. Yet, universal interventions that focus on general well-being are limited and lack a consideration of contemporary developments in the region such as increased social media use, suicide and obesity. Economic livelihood interventions showed most consistent evidence of effectiveness. Future studies could do more to consider/report cultural sensitivity.
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影响因子：
3.7
作者：
Rosen JG;Phiri L;Chibuye M;Namukonda ES;Mbizvo MT;Kayeyi N
通讯作者：
Kayeyi N
影响因子：
1.7
作者：
Bhana A;Mellins CA;Petersen I;Alicea S;Myeza N;Holst H;Abrams E;John S;Chhagan M;Nestadt DF;Leu CS;McKay M
通讯作者：
McKay M
影响因子：
4.7
作者：
Mabrouk, Adam;Mbithi, Gideon;Chongwo, Esther;Too, Ezra;Sarki, Ahmed;Namuguzi, Mary;Atukwatse, Joseph;Ssewanyana, Derrick;Abubakar, Amina
通讯作者：
Abubakar, Amina
试验阶段、开发人员参与和国际可转移性对普遍社交和情感学习项目结果的影响：荟萃分析
影响因子：
2.3
作者：
Michael Wigelsworth;Ann Lendrum;Jeremy Oldfield;A. Scott;I. T. Bokkel;K. Tate;Carl Emery
通讯作者：
Carl Emery
对乌干达中学生由教师主导的生活技能干预的评估。
DOI：
--
发表时间：
2018
期刊：
Social Science & Medicine (1967)
影响因子：
--
作者：
J. McMullen;N. McMullen
通讯作者：
N. McMullen