TY - JOUR
T1 - Universal and selective interventions to promote good mental health in young people
T2 - Systematic review and meta-analysis
AU - Salazar de Pablo, Gonzalo
AU - De Micheli, Andrea
AU - Nieman, Dorien H
AU - Correll, Christoph U
AU - Kessing, Lars Vedel
AU - Pfennig, Andrea
AU - Bechdolf, Andreas
AU - Borgwardt, Stefan
AU - Arango, Celso
AU - van Amelsvoort, Therese
AU - Vieta, Eduard
AU - Solmi, Marco
AU - Oliver, Dominic
AU - Catalan, Ana
AU - Verdino, Valeria
AU - Di Maggio, Lucia
AU - Bonoldi, Ilaria
AU - Vaquerizo-Serrano, Julio
AU - Baccaredda Boy, Ottone
AU - Provenzani, Umberto
AU - Ruzzi, Francesca
AU - Calorio, Federica
AU - Nosari, Guido
AU - Di Marco, Benedetto
AU - Famularo, Irene
AU - Molteni, Silvia
AU - Filosi, Eleonora
AU - Mensi, Martina
AU - Balottin, Umberto
AU - Politi, Pierluigi
AU - Shin, Jae Il
AU - Fusar-Poli, Paolo
N1 - Copyright © 2020. Published by Elsevier B.V.
PY - 2020/12
Y1 - 2020/12
N2 - 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.
AB - 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.
KW - Good mental health
KW - Intervention
KW - Outcomes
KW - Promotion
KW - Selective
KW - Universal
UR - http://www.scopus.com/inward/record.url?scp=85096386966&partnerID=8YFLogxK
U2 - https://doi.org/10.1016/j.euroneuro.2020.10.007
DO - https://doi.org/10.1016/j.euroneuro.2020.10.007
M3 - Review article
C2 - 33162291
SN - 0924-977X
VL - 41
SP - 28
EP - 39
JO - European neuropsychopharmacology
JF - European neuropsychopharmacology
M1 - 103592
ER -