Universal and selective interventions to promote good mental health in young people: Systematic review and meta-analysis
Year: 2020
Type: review
Study designs: Systematic Review, Meta-Analysis
Abstract: Promotion of good mental health in young people is important. Our aim was to evaluate the consistency and magnitude of the efficacy of universal/selective interventions to promote good mental health. A systematic PRISMA/RIGHT-compliant meta-analysis (PROSPERO: CRD42018088708) search of Web of Science until 04/31/2019 identified original studies comparing the efficacy of universal/selective interventions for good mental health vs a control group, in samples with a mean age <35 years. Meta-analytical random-effects model, heterogeneity statistics, assessment of publication bias, study quality and sensitivity analyses investigated the efficacy (Hedges' g=effect size, ES) of universal/selective interventions to promote 14 good mental health outcomes defined a-priori. 276 studies were included (total participants: 159,508, 79,142 interventions and 80,366 controls), mean age=15.0 (SD=7.4); female=56.0%. There was a significant overall improvement in 10/13 good mental health outcome categories that could be meta-analysed: compared to controls, interventions significantly improved (in descending order of magnitude) mental health literacy (ES=0.685, p<0.001), emotions (ES=0.541, p<0.001), self-perceptions and values (ES=0.49, p<0.001), quality of life (ES=0.457, p=0.001), cognitive skills (ES=0.428, p<0.001), social skills (ES=0.371, p<0.001), physical health (ES=0.285, p<0.001), sexual health (ES=0.257, p=0.017), academic/occupational performance (ES=0.211, p<0.001) and attitude towards mental disorders (ES=0.177, p=0.006). Psychoeducation was the most effective intervention for promoting mental health literacy (ES=0.774, p<0.001) and cognitive skills (ES=1.153, p=0.03). Physical therapy, exercise and relaxation were more effective than psychoeducation and psychotherapy for promoting physical health (ES=0.498, p<0.001). In conclusion, several universal/selective interventions can be effective to promote good mental health in young people. Future research should consolidate and extend these findings.
Source: European Neuropsychopharmacology
Authors: Gonzalo Salazar de Pablo, Andrea De Micheli, Dorien H. Nieman, Christoph U. Correll, Lars Vedel Kessing, Andrea Pfennig, Andreas Bechdolf, Stefan Borgwardt, Celso Arango, Therese van Amelsvoort, Eduard Vieta, Marco Solmi, Dominic Oliver, Ana Catalan, Valeria Verdino, Lucia Di Maggio, Ilaria Bonoldi, Julio Vaquerizo-Serrano, Ottone Baccaredda Boy, Umberto Provenzani, Francesca Ruzzi, Federica Calorio, Guido Nosari, Benedetto Di Marco, Irene Famularo, Silvia Molteni, Eleonora Filosi, Martina Mensi, Umberto Balottin, Pierluigi Politi, Jae Il Shin, Paolo Fusar-Poli
Institutions: King's College London, Hospital General Universitario Gregorio Marañón, Centro de Investigación Biomédica en Red de Salud Mental, Instituto de Investigación Sanitaria Gregorio Marañón, South London and Maudsley NHS Foundation Trust, National Institute for Health and Care Research, NIHR Maudsley Biomedical Research Centre, Amsterdam UMC Location University of Amsterdam, Amsterdam University Medical Centers, Northwell Health, Feinstein Institute for Medical Research, Hofstra University, Donald & Barbara Zucker School of Medicine at Hofstra/Northwell, Zucker Hillside Hospital, Charité – Universitätsmedizin Berlin, Rigshospitalet, University Hospital Carl Gustav Carus, Technische Universität Dresden, University of Cologne, Vivantes Klinikum, Orygen, Klinikum im Friedrichshain, University of Basel, Universitäre Psychiatrische Kliniken Basel, University of Lübeck, Maastricht University, Consorci Institut D'Investigacions Biomediques August Pi I Sunyer, Universitat de Barcelona, University of Padua, University of the Basque Country, BioCruces Health research Institute, Hospital de Basurto, University of Siena, University of Pavia, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Yonsei University, Yonsei University Health System
Language: English
Subfield: Speech and Hearing
Field: Health Professions
Domain: Health Sciences
Open Access status: hybrid
Estimated APC paid: $3,000
Funder: Wellcome Trust
OpenAlex ID: W3095238552