Research Review: Psychological and psychosocial interventions for children and adolescents with depression, anxiety, and post-traumatic stress disorder in low- and middle-income countries - a systematic review and meta-analysis / Jana R. UPPENDAHL ; Pim CUIJPERS ; Ralph DE VRIES ; Atif RAHMAN ; Ellenor MITTENDORFER-RUTZ ; Aemal AKHTAR ; Zhuoli ZHENG ; Marit SIJBRANDIJ in Journal of Child Psychology and Psychiatry, 64-12 (December 2023)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 64-12 (December 2023) . - p.1776-1788 Titre : Research Review: Psychological and psychosocial interventions for children and adolescents with depression, anxiety, and post-traumatic stress disorder in low- and middle-income countries - a systematic review and meta-analysis Type de document : Texte imprimé et/ou numérique Auteurs : Jana R. UPPENDAHL, Auteur ; Pim CUIJPERS, Auteur ; Ralph DE VRIES, Auteur ; Atif RAHMAN, Auteur ; Ellenor MITTENDORFER-RUTZ, Auteur ; Aemal AKHTAR, Auteur ; Zhuoli ZHENG, Auteur ; Marit SIJBRANDIJ, Auteur Article en page(s) : p.1776-1788 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Background The incidence of depression, anxiety, and post-traumatic stress disorder (PTSD) among children and adolescents residing in low- and middle-income countries (LMICs) poses a significant public health concern. However, there is variation in the evidence of effective psychological interventions. This meta-analysis aims to provide a complete overview of the current body of evidence in this rapidly evolving field. Methods We conducted searches on PubMed, Embase.com, and EBSCO/APA PsycInfo databases up to June 23, 2022, identify randomized controlled trials (RCTs) investigating the effectiveness of psychological interventions in LMICs that targeted children and adolescents with elevated symptoms above a cut-off score for depression, anxiety, and PTSD, comparing a psychological or psychosocial intervention with other control conditions. We conducted random effects meta-analyses for depression, anxiety, and PTSD symptoms. Sensitivity analysis for outliers and high-risk studies, and analyses for the publication bias were carried out. Subgroup analyses investigated how the intervention type, intervention format, the facilitator, study design, and age group of the participant predicted effect sizes. Results Thirty-one RCTs (6,123 participants) were included. We found a moderate effect of interventions on depression outcomes compared to the control conditions (g=0.53; 95% CI: 0.06-0.99; NNT=6.09) with a broad prediction interval (PI) (?1.8 to 2.86). We found a moderate to large effect for interventions on anxiety outcomes (g=0.88; 95% CI: ?0.03 to 1.79; NNT=3.32) with a broad PI (?3.14 to 4.9). Additionally, a moderate effect was observed on PTSD outcomes (g=0.54; 95% CI: 0.19-0.9; NNT=5.86) with a broad PI (?0.64 to 1.72). Conclusions Psychological and psychosocial interventions aimed at addressing depression, anxiety, and PTSD among children and adolescents in LMICs have demonstrated promising results. However, future studies should consider the variation in evidence and incorporate long-term outcomes to better understand the effectiveness of these interventions. En ligne : https://doi.org/10.1111/jcpp.13891 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=517 [article] Research Review: Psychological and psychosocial interventions for children and adolescents with depression, anxiety, and post-traumatic stress disorder in low- and middle-income countries - a systematic review and meta-analysis [Texte imprimé et/ou numérique] / Jana R. UPPENDAHL, Auteur ; Pim CUIJPERS, Auteur ; Ralph DE VRIES, Auteur ; Atif RAHMAN, Auteur ; Ellenor MITTENDORFER-RUTZ, Auteur ; Aemal AKHTAR, Auteur ; Zhuoli ZHENG, Auteur ; Marit SIJBRANDIJ, Auteur . - p.1776-1788. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 64-12 (December 2023) . - p.1776-1788 Index. décimale : PER Périodiques Résumé : Background The incidence of depression, anxiety, and post-traumatic stress disorder (PTSD) among children and adolescents residing in low- and middle-income countries (LMICs) poses a significant public health concern. However, there is variation in the evidence of effective psychological interventions. This meta-analysis aims to provide a complete overview of the current body of evidence in this rapidly evolving field. Methods We conducted searches on PubMed, Embase.com, and EBSCO/APA PsycInfo databases up to June 23, 2022, identify randomized controlled trials (RCTs) investigating the effectiveness of psychological interventions in LMICs that targeted children and adolescents with elevated symptoms above a cut-off score for depression, anxiety, and PTSD, comparing a psychological or psychosocial intervention with other control conditions. We conducted random effects meta-analyses for depression, anxiety, and PTSD symptoms. Sensitivity analysis for outliers and high-risk studies, and analyses for the publication bias were carried out. Subgroup analyses investigated how the intervention type, intervention format, the facilitator, study design, and age group of the participant predicted effect sizes. Results Thirty-one RCTs (6,123 participants) were included. We found a moderate effect of interventions on depression outcomes compared to the control conditions (g=0.53; 95% CI: 0.06-0.99; NNT=6.09) with a broad prediction interval (PI) (?1.8 to 2.86). We found a moderate to large effect for interventions on anxiety outcomes (g=0.88; 95% CI: ?0.03 to 1.79; NNT=3.32) with a broad PI (?3.14 to 4.9). Additionally, a moderate effect was observed on PTSD outcomes (g=0.54; 95% CI: 0.19-0.9; NNT=5.86) with a broad PI (?0.64 to 1.72). Conclusions Psychological and psychosocial interventions aimed at addressing depression, anxiety, and PTSD among children and adolescents in LMICs have demonstrated promising results. However, future studies should consider the variation in evidence and incorporate long-term outcomes to better understand the effectiveness of these interventions. En ligne : https://doi.org/10.1111/jcpp.13891 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=517

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