Institute for Life Course Health Research, Department of Global Health, Stellenbosch University, Cape Town 7505, South Africa.
International Centre for Evidence on Disability, London School of Hygiene and Tropical Medicine, London WC1E 7HT, UK.
Int J Environ Res Public Health. 2023 Jan 19;20(3):1895. doi: 10.3390/ijerph20031895.
Adolescents who are socially excluded are at increased risk of mental health problems such as depression and anxiety. Promoting social inclusion could be an effective strategy for preventing and treating adolescent depression and anxiety.
We conducted a systematic review of intervention studies which aimed to prevent or treat adolescent depression and/or anxiety by promoting social inclusion. Throughout the review we engaged a youth advisory group of 13 young people (aged 21-24) from Uganda, Turkey, Syria, South Africa, and Egypt.
We identified 12 studies relevant to our review. The interventions tested use a range of different strategies to increase social inclusion and reduce depression and anxiety, including social skills training, psychoeducation, teaching life skills training, and cash transfers. Pooled standardised mean differences (SMDs) based on random-effects models showed medium-to-large benefits of interventions on improving depression and anxiety symptoms (n = 8; SMD = -0.62; 95% CI, -1.23 to -0.01, < 0.05).
Although there are not many studies, those which have been done show promising results that strongly suggest that social inclusion could be an important component of programmes to promote adolescent mental health.
社会排斥的青少年患抑郁和焦虑等心理健康问题的风险增加。促进社会包容可能是预防和治疗青少年抑郁和焦虑的有效策略。
我们对旨在通过促进社会包容来预防或治疗青少年抑郁和/或焦虑的干预研究进行了系统评价。在整个审查过程中，我们与来自乌干达、土耳其、叙利亚、南非和埃及的 13 名年轻人（年龄在 21-24 岁之间）组成了一个青年咨询小组。
我们确定了 12 项与我们的审查相关的研究。测试的干预措施使用了一系列不同的策略来增加社会包容度并降低抑郁和焦虑程度，包括社交技能培训、心理教育、教授生活技能培训和现金转移。基于随机效应模型的合并标准化均数差（SMD）显示，干预措施在改善抑郁和焦虑症状方面具有中到大的益处（n = 8；SMD = -0.62；95%CI，-1.23 至 -0.01，<0.05）。
尽管研究不多，但已有的研究结果表明，社会包容可能是促进青少年心理健康计划的一个重要组成部分。
