Division of Nursing, Midwifery and Social Work, Faculty of Medicine, Biology and Health, School of Health Sciences, University of Manchester, Manchester, UK.
Health Expect. 2022 Feb;25(1):61-79. doi: 10.1111/hex.13407. Epub 2021 Dec 14.
Mental illnesses are the leading causes of global disease burden. The impact is heightened in low- and middle-income countries (LMICs) due to embryonic care systems and extant barriers to healthcare access. Understanding children and adolescents' conceptualisations of mental health wellbeing in these settings is important to optimize health prevention and promotion initiatives.
To systematically review and synthesize children and adolescents' conceptualisations and views of mental health and wellbeing in LMICs.
Ten databases were systematically searched from inception to July 2020 and findings from included studies were synthesized.
Twenty papers met eligibility criteria comprising qualitative, quantitative and mixed methods studies. Children and adolescents identified aspects of mental health and wellbeing, including positive affect and outlook and having sufficient personal resources to face daily challenges. Identified factors recognized the importance of activating both kin and lay networks in supporting and maintaining wellbeing. Conceptualisations of mental health and wellbeing were varied and influenced by culture, developmental stage and gender.
Irrespective of environmental and sociocultural influences on concepts of wellbeing and mental health, children and adolescents in LMICs can conceptualise these constructs and identify how they pursue positive mental health and wellbeing important for developing age and culture-appropriate community mental health strategies. Our review highlights the need to extend inquiry to wider developmental stages and both across and within specific populations in LMICs.
Initial results were presented at stakeholder workshops, which included children, adolescents, parents and health professionals held in Indonesia in January 2019 to allow the opportunity for feedback.
精神疾病是全球疾病负担的主要原因。由于胚胎保健系统和现有的医疗保健获取障碍，中低收入国家（LMICs）的影响更为严重。了解这些环境中儿童和青少年对心理健康和幸福感的概念化对于优化健康预防和促进举措非常重要。
系统回顾和综合中低收入国家儿童和青少年对心理健康和幸福感的概念化和观点。
从成立到 2020 年 7 月，对十个数据库进行了系统搜索，并综合了纳入研究的结果。
有 20 篇论文符合资格标准，包括定性、定量和混合方法研究。儿童和青少年确定了心理健康和幸福感的各个方面，包括积极的情绪和前景，以及拥有足够的个人资源来应对日常挑战。确定的因素认识到激活亲属和非专业网络在支持和维护幸福感方面的重要性。心理健康和幸福感的概念化各不相同，受到文化、发展阶段和性别的影响。
无论对幸福感和心理健康概念的环境和社会文化影响如何，中低收入国家的儿童和青少年都可以对这些结构进行概念化，并确定他们如何追求积极的心理健康和幸福感，这对于制定适合年龄和文化的社区心理健康策略非常重要。我们的综述强调了需要将调查扩展到更广泛的发展阶段，以及中低收入国家特定人群的跨人群和人群内调查。
最初的结果在利益相关者研讨会中进行了介绍，该研讨会于 2019 年 1 月在印度尼西亚举行，包括儿童、青少年、家长和卫生专业人员，让他们有机会提供反馈。
