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International journal of environmental research and public health
01 19, 2023;20 (3):

Effectiveness of Social Inclusion Interventions for Anxiety and Depression among Adolescents: A Systematic Review.

Xanthe Hunt, Tom Shakespeare, Gabriele Vilyte, G J Melendez-Torres, Junita Henry, Melissa Bradshaw, Selvan Naidoo, Rachel Mbuyamba, Shahd Aljassem, Esta Suubi, Nawar Aljasem, Moroesi Makhetha, Jason Bantjes
Author Information
  1. Xanthe Hunt: Institute for Life Course Health Research, Department of Global Health, Stellenbosch University, Cape Town 7505, South Africa. ORCID
  2. Tom Shakespeare: International Centre for Evidence on Disability, London School of Hygiene and Tropical Medicine, London WC1E 7HT, UK.
  3. Gabriele Vilyte: Institute for Life Course Health Research, Department of Global Health, Stellenbosch University, Cape Town 7505, South Africa. ORCID
  4. G J Melendez-Torres: College of Medicine, University of Exeter, Exeter EX4 4QJ, UK.
  5. Junita Henry: Institute for Life Course Health Research, Department of Global Health, Stellenbosch University, Cape Town 7505, South Africa.
  6. Melissa Bradshaw: Institute for Life Course Health Research, Department of Global Health, Stellenbosch University, Cape Town 7505, South Africa. ORCID
  7. Selvan Naidoo: Institute for Life Course Health Research, Department of Global Health, Stellenbosch University, Cape Town 7505, South Africa.
  8. Rachel Mbuyamba: Institute for Life Course Health Research, Department of Global Health, Stellenbosch University, Cape Town 7505, South Africa.
  9. Shahd Aljassem: Institute for Life Course Health Research, Department of Global Health, Stellenbosch University, Cape Town 7505, South Africa.
  10. Esta Suubi: Institute for Life Course Health Research, Department of Global Health, Stellenbosch University, Cape Town 7505, South Africa.
  11. Nawar Aljasem: Institute for Life Course Health Research, Department of Global Health, Stellenbosch University, Cape Town 7505, South Africa.
  12. Moroesi Makhetha: Institute for Life Course Health Research, Department of Global Health, Stellenbosch University, Cape Town 7505, South Africa.
  13. Jason Bantjes: Institute for Life Course Health Research, Department of Global Health, Stellenbosch University, Cape Town 7505, South Africa. ORCID
PMID: 36767261 DOI: 10.3390/ijerph20031895

Abstract

BACKGROUND: Adolescents who are socially excluded are at increased risk of mental health problems such as depression and anxiety. Promoting social inclusion could be an effective strategy for preventing and treating adolescent depression and anxiety.
METHODS: We conducted a systematic review of intervention studies which aimed to prevent or treat adolescent depression and/or anxiety by promoting social inclusion. Throughout the review we engaged a youth advisory group of 13 young people (aged 21-24) from Uganda, Turkey, Syria, South Africa, and Egypt.
RESULTS: We identified 12 studies relevant to our review. The interventions tested use a range of different strategies to increase social inclusion and reduce depression and anxiety, including social skills training, psychoeducation, teaching life skills training, and cash transfers. Pooled standardised mean differences (SMDs) based on random-effects models showed medium-to-large benefits of interventions on improving depression and anxiety symptoms (n = 8; SMD = -0.62; 95% CI, -1.23 to -0.01, < 0.05).
CONCLUSION: Although there are not many studies, those which have been done show promising results that strongly suggest that social inclusion could be an important component of programmes to promote adolescent mental health.

Keywords

active ingredients lived experience mental health social inclusion systematic review

References

Soc Sci Med. 2018 Nov;217:10-17 [PMID: 30278413]
Front Psychol. 2017 Jun 28;8:1066 [PMID: 28701980]
Clin Psychol Rev. 2016 Dec;50:80-94 [PMID: 27744168]
Eur Psychiatry. 2019 Apr;57:33-45 [PMID: 30658278]
Front Psychiatry. 2021 Oct 29;12:763005 [PMID: 34777064]
Curr Opin Psychiatry. 2007 Jul;20(4):359-64 [PMID: 17551351]
Psychiatr Serv. 2017 Jan 1;68(1):75-80 [PMID: 27582239]
J Sch Psychol. 2019 Aug;75:41-57 [PMID: 31474280]
J Community Psychol. 2018 Sep;46(7):885-902 [PMID: 30565735]
J Am Coll Health. 2022 Apr;70(3):918-928 [PMID: 32667254]
Schizophr Res. 2013 Aug;148(1-3):12-7 [PMID: 23756297]
JAMA Psychiatry. 2018 May 1;75(5):465-473 [PMID: 29590281]
Psychol Bull. 2009 Jul;135(4):531-54 [PMID: 19586161]
Int J Soc Psychiatry. 2013 Jun;59(4):365-76 [PMID: 22433242]
J Dev Phys Disabil. 2017 Oct;29(5):797-808 [PMID: 29576723]
J Am Acad Child Adolesc Psychiatry. 2019 Jan;58(1):72-79 [PMID: 30577941]
BMC Res Notes. 2017 Nov 9;10(1):584 [PMID: 29121999]
BMC Psychiatry. 2010 Sep 15;10:73 [PMID: 20843301]
Soc Work Public Health. 2015;30(3):225-35 [PMID: 25757693]
Lancet. 2020 Aug 29;396(10251):612-622 [PMID: 32861306]
J Adolesc Health. 2016 Oct;59(4S):S49-S60 [PMID: 27664596]
Issues Ment Health Nurs. 2013 Jul;34(7):539-49 [PMID: 23875556]
Adolesc Res Rev. 2022;7(2):235-266 [PMID: 34250220]
Aust N Z J Psychiatry. 2019 Jan;53(1):15-26 [PMID: 30309242]
Br J Clin Psychol. 2004 Nov;43(Pt 4):421-36 [PMID: 15530212]
Glob Ment Health (Camb). 2022 May 27;9:223-240 [PMID: 36618745]
PLoS Med. 2020 Feb 11;17(2):e1003021 [PMID: 32045409]
Depress Anxiety. 2015 Dec;32(12):909-18 [PMID: 26282454]
J Child Psychol Psychiatry. 2015 Mar;56(3):345-65 [PMID: 25649325]
Soc Sci Med. 2019 Mar;225:108-119 [PMID: 30826585]
BMC Psychiatry. 2018 Aug 3;18(1):250 [PMID: 30075715]
Front Psychol. 2019 Mar 05;10:423 [PMID: 30890979]
Int Rev Psychiatry. 2014 Aug;26(4):392-407 [PMID: 25137105]
J Health Soc Behav. 2019 Sep;60(3):344-361 [PMID: 31526020]
Campbell Syst Rev. 2020 Jan 09;16(1):e1070 [PMID: 37131970]
Psychol Med. 2015 Oct;45(13):2747-56 [PMID: 25994212]
Depress Anxiety. 2015 Mar;32(3):149-57 [PMID: 25449861]
Can J Psychiatry. 2017 Apr;62(4):237-246 [PMID: 27310233]
Depress Anxiety. 2018 Aug;35(8):700-716 [PMID: 29878410]
J Adolesc. 2018 Aug;67:129-139 [PMID: 29957492]
BMJ. 2011 Feb 10;342:d549 [PMID: 21310794]
Campbell Syst Rev. 2021 Jul 29;17(3):e1191 [PMID: 37051452]
Int J Soc Psychiatry. 2019 Aug;65(5):413-424 [PMID: 31159628]
Transcult Psychiatry. 2018 Oct;55(5):601-622 [PMID: 29966499]
J Adolesc Health. 2013 May;52(5):533-8 [PMID: 23499382]
Acta Psychiatr Scand. 2018 Jan;137(1):6-17 [PMID: 28861892]
Community Ment Health J. 2021 Feb;57(2):392-402 [PMID: 32577998]
Am J Orthopsychiatry. 2014;84(1):82-94 [PMID: 24826831]
Am J Orthopsychiatry. 2020;90(3):374-390 [PMID: 31999138]
J Child Adolesc Psychiatr Nurs. 2009 Feb;22(1):23-32 [PMID: 19200289]
Community Ment Health J. 2018 Oct;54(7):1089-1096 [PMID: 30094739]
Epidemiol Psychiatr Sci. 2019 Aug 13;29:e45 [PMID: 31405401]
Nord J Psychiatry. 2020 Apr;74(3):168-180 [PMID: 31738631]
Disabil Rehabil. 2019 Aug;41(16):1974-1980 [PMID: 29701509]

Grants

  1. /Wellcome Trust

MeSH Term

Adolescent
Humans
Depression
Social Inclusion
Anxiety
Anxiety Disorders
Mental Health
Systematic Review Journal Article Research Support, Non-U.S. Gov't

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