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Strength-based capacity-building interventions to promote adolescents' mental health: A systematic review and meta-analysis

Forfatter(e)
Fu, C., Chien, W. T., Zhang, Y., Lam, K. K.
År
2025
DOI
10.1007/s00787-025-02741-6
Tidsskrift
European Child & Adolescent Psychiatry
Volum
28
Sider
28
Kategori(er)
Depresjon og nedstemthet (inkl. både vansker og lidelse) Angst og engstelighet (inkl. både vansker og lidelse) Livskvalitet og trivsel
Tiltakstype(r)
Kognitiv atferdsterapi, atferdsterapi og kognitiv terapiPsykoedukative tiltak (inkl. videobasert modellæring)Rådgiving/støttesamtalerFysisk aktivitet
Abstract

Strength-based capacity-building interventions have the potential to enhance an individual's capacity to improve their mental health. A systematic review and meta-analysis was conducted to examine the effectiveness of these interventions on mental health literacy, resilience, self-efficacy, and positive thinking in adolescents without pre-existing mental/psychiatric diagnoses/conditions. CINAHL, Embase, PsycINFO, PubMed, Web of Science, the Cochrane Library, and CNKI were searched from inception to June 2024. Two reviewers independently conducted the study screening, risk of bias assessment, and data extraction. Leave-one-out sensitivity and subgroup analyses were used to reduce the heterogeneity of the studies and their findings. Forty-seven interventional studies were included, with approaches mainly consisting of psychoeducation, individual skill training (e.g., emotional regulation, mindfulness), and supportive peer feedback. Capacity-building interventions (in 27 studies) improved the levels of mental health literacy (SMD = 1.70, 95% CI[0.57, 2.84], I

= 97%, n = 4) and resilience (SMD = 0.51, 95% CI[0.26, 0.76], I

= 89%, n = 16) in the short-term (< 1 month) and resilience in the long-term (> 6 months; SMD = 0.29, 95% CI[0.03, 0.55], I

= 39%, n = 3) post-intervention. While there were limited studies evaluated on positive thinking and self-efficacy and thus unable to perform meta-analysis on these outcomes, the medium-term effects on resilience show no statistical significance (1-6 months; n = 4). However, the effects on depression and anxiety were nonsignificant. Combined approaches to capacity-building interventions that incorporate two or more theoretical frameworks/models within one intervention could enhance adolescents' resilience (SMD = 0.24, 95% CI[0.13, 0.35], I

= 22%, n = 3). Combining positive psychology with other mental health approaches in interventions might boost adolescents' resilience in short-term but there were limited studies and thus insufficient evidence to evaluate the medium- and long-term effectiveness of these combined approaches. Further rigorous large-scale randomized controlled trials are recommended to provide stronger evidence.