Department of Social Work, University of Applied Sciences, Hamburg, Germany.
Department of Psychiatry and Neuroscience Institute, SAMRC Unit on Risk & Resilience in Mental Disorders, University of Cape Town, Cape Town, Western Cape, South Africa.
PLoS One. 2021 May 14;16(5):e0251689. doi: 10.1371/journal.pone.0251689. eCollection 2021.
Most research regarding child and adolescent mental health prevention and promotion in low-and middle-income countries is undertaken in high-income countries. This systematic review set out to synthesise findings from epidemiological studies, published between 2008 and 2020, documenting the prevalence of mental health problems in adolescents from across sub-Saharan Africa.
A systematic search of multiple databases (MEDLINE, PsycINFO, Scopus) and Google Scholar was conducted guided by the Joanna Briggs Institute (JBI) Reviewer's manual for systematic reviews of observational epidemiological studies. Studies included reported prevalence outcomes for adolescents aged 10-19 using either clinical interviews or standardized questionnaires to assess psychopathology. Clinical samples were excluded.
The search yielded 1 549 records of which 316 studies were assessed for eligibility and 51 met the inclusion criteria. We present a qualitative synthesis of 37 of these 51 included articles. The other 14 studies reporting prevalence rates for adolescents living with HIV are published elsewhere. The prevalence of depression, anxiety disorders, emotional and behavioural difficulties, posttraumatic stress and suicidal behaviour in the general adolescent population and selected at-risk groups in 16 sub-Saharan countries (with a total population of 97 616 adolescents) are reported.
大多数关于中低收入国家儿童和青少年心理健康预防和促进的研究都是在高收入国家进行的。本系统评价旨在综合 2008 年至 2020 年间发表的流行病学研究结果，记录撒哈拉以南非洲各地青少年心理健康问题的流行情况。
根据乔安娜·布里格斯研究所（JBI）的系统评价观察性流行病学研究评论员手册，对多个数据库（MEDLINE、PsycINFO、Scopus）和 Google Scholar 进行了系统搜索。研究包括使用临床访谈或标准化问卷评估精神病理学的 10-19 岁青少年的报告流行率结果。排除临床样本。
搜索结果产生了 1549 条记录，其中有 316 项研究被评估为合格，51 项符合纳入标准。我们对其中的 37 篇文章进行了定性综合分析。其他 14 篇报告艾滋病毒感染者青少年患病率的研究发表在其他地方。报告了 16 个撒哈拉以南非洲国家（共有 97616 名青少年）普通青少年人群和特定高危人群的抑郁、焦虑障碍、情绪和行为困难、创伤后应激和自杀行为的流行率。
