School of Psychology, Faculty of Health, Deakin University Geelong, Waterfront Campus, Geelong, Victoria, Australia.
Early Interv Psychiatry. 2021 Dec;15(6):1470-1501. doi: 10.1111/eip.13109. Epub 2021 Jan 3.
The onset of mental illness is most common in adolescence, therefore mental health promotion efforts frequently target this age group. Evaluation literature in this area is largely segmented into specific domains in terms of settings, countries, and/or groups of young people, but an overall understanding and comparison across these areas is lacking. The current review aims to provide such an overview of interventions/programs which attempt to improve adolescents' mental health literacy, attitudes/stigma and behaviours.
A systematic mapping review synthesized the strengths and weaknesses of published interventions/programs to improve mental health outcomes in youth. Ten databases and grey literature sources were searched, and results were categorized according to sample, location/setting, type of information presented, delivery and testing procedures, mental health outcome/s evaluated, and limitations.
One hundred and forty articles met the inclusion criteria; 126 were original records and 14 were reviews. Mental health literacy and attitudes/stigma were examined most frequently, and studies were predominantly conducted in school-based environments and high income economies. Intervention/program effectiveness varied across outcome/s measured, setting, and control group usage, with mental health literacy exhibiting the most positive changes overall. Common limitations included no long-term follow up or control group inclusion.
Despite generally positive changes seen throughout studies in this area, effectiveness differed across a range of methodological domains. Most research is conducted in schools and higher income economies, but the lack of investigation in other contexts (i.e., internet or community) or lower income countries suggests our understanding in this area is constrained.
精神疾病的发病大多在青春期，因此心理健康促进工作经常针对这一年龄段。该领域的评估文献在很大程度上根据环境、国家和/或青年人群体划分为特定领域，但缺乏对这些领域的全面理解和比较。本综述旨在提供对试图提高青少年心理健康素养、态度/耻辱感和行为的干预/计划的概述。
系统制图审查综合了已发表的干预/计划的优缺点，以改善年轻人的心理健康结果。对 10 个数据库和灰色文献来源进行了搜索，并根据样本、地点/环境、呈现的信息类型、交付和测试程序、评估的心理健康结果/和局限性对结果进行了分类。
符合纳入标准的有 140 篇文章；126 篇是原始记录，14 篇是综述。心理健康素养和态度/耻辱感被检查得最频繁，研究主要在学校环境和高收入经济体中进行。干预/计划的有效性因所测量的结果/、环境和对照组的使用而有所不同，心理健康素养总体上显示出最积极的变化。常见的局限性包括没有长期随访或对照组纳入。
尽管该领域的研究普遍看到了积极的变化，但有效性在一系列方法学领域有所不同。大多数研究都在学校和高收入经济体中进行，但在其他环境（即互联网或社区）或低收入国家中缺乏调查表明，我们对这一领域的理解受到限制。
