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Universal and selective interventions to promote good mental health in young people: Systematic review and meta-analysis

Authors
 Gonzalo Salazar de Pablo  ;  Andrea De Micheli  ;  Dorien H Nieman  ;  Christoph U Correll  ;  Lars Vedel Kessing  ;  Andrea Pfennig  ;  Andreas Bechdolf  ;  Stefan Borgwardt  ;  Celso Arango  ;  Therese van Amelsvoort  ;  Eduard Vieta  ;  Marco Solmi  ;  Dominic Oliver  ;  Ana Catalan  ;  Valeria Verdino  ;  Lucia Di Maggio  ;  Ilaria Bonoldi  ;  Julio Vaquerizo-Serrano  ;  Ottone Baccaredda Boy  ;  Umberto Provenzani  ;  Francesca Ruzzi  ;  Federica Calorio  ;  Guido Nosari  ;  Benedetto Di Marco  ;  Irene Famularo  ;  Silvia Molteni  ;  Eleonora Filosi  ;  Martina Mensi  ;  Umberto Balottin  ;  Pierluigi Politi  ;  Jae Il Shin  ;  Paolo Fusar-Poli 
Citation
 EUROPEAN NEUROPSYCHOPHARMACOLOGY, Vol.41 : 28-39, 2020-11 
Journal Title
 EUROPEAN NEUROPSYCHOPHARMACOLOGY 
ISSN
 0924-977X 
Issue Date
2020-11
Keywords
Good mental health ; Intervention ; Outcomes ; Promotion ; Selective ; Universal
Abstract
Promotion of good mental health in young people is important. Our aim was to evaluate the consistency and magnitude of the efficacy of universal/selective interventions to promote good mental health. A systematic PRISMA/RIGHT-compliant meta-analysis (PROSPERO: CRD42018088708) search of Web of Science until 04/31/2019 identified original studies comparing the efficacy of universal/selective interventions for good mental health vs a control group, in samples with a mean age <35 years. Meta-analytical random-effects model, heterogeneity statistics, assessment of publication bias, study quality and sensitivity analyses investigated the efficacy (Hedges' g=effect size, ES) of universal/selective interventions to promote 14 good mental health outcomes defined a-priori. 276 studies were included (total participants: 159,508, 79,142 interventions and 80,366 controls), mean age=15.0 (SD=7.4); female=56.0%. There was a significant overall improvement in 10/13 good mental health outcome categories that could be meta-analysed: compared to controls, interventions significantly improved (in descending order of magnitude) mental health literacy (ES=0.685, p<0.001), emotions (ES=0.541, p<0.001), self-perceptions and values (ES=0.49, p<0.001), quality of life (ES=0.457, p=0.001), cognitive skills (ES=0.428, p<0.001), social skills (ES=0.371, p<0.001), physical health (ES=0.285, p<0.001), sexual health (ES=0.257, p=0.017), academic/occupational performance (ES=0.211, p<0.001) and attitude towards mental disorders (ES=0.177, p=0.006). Psychoeducation was the most effective intervention for promoting mental health literacy (ES=0.774, p<0.001) and cognitive skills (ES=1.153, p=0.03). Physical therapy, exercise and relaxation were more effective than psychoeducation and psychotherapy for promoting physical health (ES=0.498, p<0.001). In conclusion, several universal/selective interventions can be effective to promote good mental health in young people. Future research should consolidate and extend these findings.
Full Text
https://www.sciencedirect.com/science/article/pii/S0924977X20309159
DOI
10.1016/j.euroneuro.2020.10.007
Appears in Collections:
1. College of Medicine (의과대학) > Others (기타) > 1. Journal Papers
Yonsei Authors
Shin, Jae Il(신재일) ORCID logo https://orcid.org/0000-0003-2326-1820
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/181407
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