Efficacy of Early Adolescent Skill for Emotions Intervention in Psychological Distress among Low- and Middle-Income Countries: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
- Forfatter(e)
- Astori, V., Westphalen Pomianoski, B., Lopes Vieira, D., Pratzel Ellwanger, M., Frizzo Messinger, M., Prates-Baldez, D.
- År
- 2025
- Tidsskrift
- Child Psychiatry & Human Development
- Volum
- 18
- Sider
- 18
- Kategori(er)
- Depresjon og nedstemthet (inkl. både vansker og lidelse) Angst og engstelighet (inkl. både vansker og lidelse) Kognisjon (hukommelse, oppmerksomhet og eksekutive funksjoner)
- Tiltakstype(r)
- Abstract
INTRODUCTION
Disparities in mental health services in low- and middle-income countries (LMIC) profoundly affect adolescent's well-being. To address this issue, the Early Adolescent Skills for Emotions (EASE) program may offer enhanced psychological support. Therefore, this study assessed the efficacy of EASE compared to Enhanced Treatment as Usual (ETAU) in adolescents aged 10 to 15 years living in LMIC and experiencing psychological distress.
METHODS
We performed a systematic review with meta-analyses of randomized controlled trials (RCTs), registered in PROSPERO (CRD42024564497). We searched PubMed, Embase, PsycINFO, and Cochrane. The outcomes of interest included the Pediatric Symptom Checklist-Total (PSC-T), with Internalization (PSC-I) as primary outcome, along with Attention (PSC-A), Externalization (PSC-E), and well-being measures (WEMWBS and SWEMWBS).
RESULTS
We included seven RCTs. The groups that received EASE showed significantly reduced PSC-I scores compared with ETAU (MD = - 0.38; 95% CI [- 0.63, -0.13]; P < 0.01). However, there were no significant differences between these groups in PSC-T (MD = 0.26; 95% CI [-2.35-1.84]; P = 0.81), PSC-E (MD = -0.02; 95% CI [- 0.56-0.51]; P = 0.93), PSC-A (MD = -0.04; 95% CI [- 0.53-0.45]; P = 0.88), and Well-being (SMD = -0.01; 95% CI [-0.14-0.13]; P = 0.86) scores.
CONCLUSION
We found that EASE was an intervention that significantly reduced internalizing symptoms in adolescents when compared to ETAU. However, our study did not find that EASE was superior to ETAU in reducing externalizing symptoms, attention, or well-being.