Systematic Review of Universal Resilience-Focused Interventions Targeting Child and Adolescent Mental Health in the School Setting
Julia Dray,Jenny Bowman,Elizabeth Campbell,Megan Freund,Luke Wolfenden,Rebecca K Hodder,Kathleen McElwaine,Danika Tremain,Kate Bartlem,Jacqueline Bailey,Tameka Small,Kerrin Palazzi,Christopher Oldmeadow,John Wiggers +13 more
TLDR
The findings may suggest most promise for using universal resilience-focused interventions at least for short-term reductions in depressive and anxiety symptoms for children and adolescents, particularly if a cognitive-behavioral therapy-based approach is used.Abstract:
Objective To examine the effect of universal, school-based, resilience-focused interventions on mental health problems in children and adolescents. Method Eligible studies were randomized controlled trials (RCTs) of universal, school-based interventions that included strategies to strengthen a minimum of 3 internal resilience protective factors, and included an outcome measure of mental health problems in children and adolescents aged 5 to 18 years. Six databases were searched from 1995 to 2015. Results were pooled in meta-analyses by mental health outcome (anxiety symptoms, depressive symptoms, hyperactivity, conduct problems, internalizing problems, externalizing problems, and general psychological distress), for all trials (5−18 years). Subgroup analyses were conducted by age (child: 5−10 years; adolescent: 11−18 years), length of follow-up (short: post-≤12 months; long: >12 months), and gender (narrative). Results A total of 57 included trials were identified from 5,984 records, with 49 contributing to meta-analyses. For all trials, resilience-focused interventions were effective relative to a control in reducing 4 of 7 outcomes: depressive symptoms, internalizing problems, externalizing problems, and general psychological distress. For child trials (meta-analyses for 6 outcomes), interventions were effective for anxiety symptoms and general psychological distress. For adolescent trials (meta-analyses for 5 outcomes), interventions were effective for internalizing problems. For short-term follow-up, interventions were effective for 2 of 7 outcomes: depressive symptoms and anxiety symptoms. For long-term follow-up (meta-analyses for 5 outcomes), interventions were effective for internalizing problems. Conclusion The findings may suggest most promise for using universal resilience-focused interventions at least for short-term reductions in depressive and anxiety symptoms for children and adolescents, particularly if a cognitive-behavioral therapy−based approach is used. The limited number of trials providing data amenable for meta-analysis for some outcomes and subgroups, the variability of interventions, study quality, and bias mean that it is not possible to draw more specific conclusions. Identifying what intervention qualities (such as number and type of protective factor) achieve the greatest positive effect per mental health problem outcome remains an important area for future research. Systematic review protocol and registration Systematic Review of Universal Resilience Interventions Targeting Child and Adolescent Mental Health in the School Setting; http://dx.doi.org/10.1186/s13643-015-0172-6 ; PROSPERO CRD42015025908.read more
Citations
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Factors Contributing to the Efficacy of Universal Mental Health and Wellbeing Programs in Secondary Schools: A Systematic Review
TL;DR: In this paper , a systematic review of 47 studies found that wellbeing programs delivered in schools tended to show small effect sizes for mental health and wellbeing outcomes with effects often not sustained, and the influence of various program factors on effectiveness, and consistent with previous findings, program-based factors like theoretical framework, program length, and session duration did not show reliable patterns for influencing effectiveness.
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Does the Delivery System Matter? The Scaling-Out of a School-Based Resilience Curriculum to the Social Services Sector
TL;DR: In this article, the Resilience Curriculum (RESCUR) program was developed to foster the psychosocial development of children in early and primary education, and it was implemented in schools and social services in Sweden 2017-2019.
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Linkages Between Parenting Practices and Adolescents’ Life Satisfaction: The Mediating Role of Resilience
TL;DR: Wang et al. as mentioned in this paper examined whether parenting practices were closely associated with life satisfaction among Chinese adolescents and whether these associations were mediated by adolescents' resilience, and found that parental responsiveness, demandingness, and autonomy granting positively predicted adolescents' life satisfaction.
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“It’s Not Easy, But It Needs to Be Done”: Educators’ Perceptions of Preparedness to Teach Students With Internalizing Mental Health Needs
TL;DR: In this paper , a mixed methods study surveyed 209 K-12 special education teachers about their perceptions of preparedness to teach students with mental health needs that manifest internally (e.g., quiet distress, withdrawal, excessive worry).
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