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Behavioural interventions targeting the prevention and treatment of young children's mental health problems in low- and middle-income countries: a scoping review.

作者信息

Kassa Getachew Mullu, Yu Zhiyuan, Minwuyelet Fentahun, Gross Deborah

机构信息

Johns Hopkins University School of Nursing, Baltimore, Maryland, USA.

University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA.

出版信息

J Glob Health. 2025 Jan 24;15:04018. doi: 10.7189/jogh.15.04018.


DOI:10.7189/jogh.15.04018
PMID:39849969
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11758180/
Abstract

BACKGROUND: Globally, 10% of children and adolescents live with mental health problems and often lack high-quality care. Over 80% of people facing mental health issues reside in low- and middle-income countries (LMICs). Failing to address children's mental health may prolong these challenges into adulthood, impeding their chances for a healthy life. This scoping review aims to describe the types, implementation strategies, effectiveness, and gaps of existing interventions for preventing and treating mental health problems in early childhood (<10 years) in LMICs. METHODS: The study employed a scoping review of experimental studies published 2007-2023. Major databases including PubMed, Embase, Web of Science, and PsycINFO were searched using key terms related to the population (children), intervention (mental and/or behavioural health programmes), and outcome (mental health problems). Three authors independently conducted search strategy, article screening, data extraction, and quality assessment. The findings were presented using descriptive analysis and narrative synthesis. RESULTS: Of 39 499 identified articles, 33 were included in the study, covering 7629 children and published between 2009-2022. Seventeen studies (51.5%) were from upper-middle-income countries, 13 (39.4%) were from lower-middle-income, and three (9.1%) were from low-income countries. Enrolment was community-based in 23 studies and health-facility based in 10 studies; the majority (79%) focused on children aged 3-8 years old. Almost two-third (63.6%) of studies were conducted in urban settings. Programmes encompassed various interventions such as parenting programmes (33.3%). A majority of studies (57.5%) employed group therapy for delivering the programme, with mental health professionals (21.2%) acting as the primary intervention providers. Interventions were primarily received by children (39.4%), followed by mothers/caregivers (33.3%). Most studies explored disruptive disorders (20 studies), social and behavioural problems (16 studies), and anxiety disorders (12 studies). Statistically significant intervention effects on child mental health outcomes were reported for 90% of published studies. CONCLUSIONS: Diverse behavioural programmes that improve the mental health of young children are available and effective in LMICs. Most interventions were delivered in urban settings and focus was on the use of health care professionals. Diverse intervention approaches, including parenting programmes and group therapy, were effective in addressing various mental health issues among young children.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a14/11758180/a612a2de5229/jogh-15-04018-F6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a14/11758180/74a05d6052e0/jogh-15-04018-F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a14/11758180/8a95810661b6/jogh-15-04018-F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a14/11758180/8fc3bf931437/jogh-15-04018-F3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a14/11758180/c1a5ede96101/jogh-15-04018-F4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a14/11758180/29cf42bb97f7/jogh-15-04018-F5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a14/11758180/a612a2de5229/jogh-15-04018-F6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a14/11758180/74a05d6052e0/jogh-15-04018-F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a14/11758180/8a95810661b6/jogh-15-04018-F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a14/11758180/8fc3bf931437/jogh-15-04018-F3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a14/11758180/c1a5ede96101/jogh-15-04018-F4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a14/11758180/29cf42bb97f7/jogh-15-04018-F5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a14/11758180/a612a2de5229/jogh-15-04018-F6.jpg

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本文引用的文献

[1]
Effect of male partners' involvement and support on reproductive, maternal and child health and well-being in East Africa: A scoping review.

Health Sci Rep. 2024-7-29

[2]
Mindfulness-based interventions for improving mental health of frontline healthcare professionals during the COVID-19 pandemic: a systematic review.

Syst Rev. 2024-6-20

[3]
Community-based mental health interventions in low- and middle-income countries: a qualitative study with international experts.

Int J Equity Health. 2024-2-2

[4]
Expanding mental health services in low- and middle-income countries: A task-shifting framework for delivery of comprehensive, collaborative, and community-based care.

Glob Ment Health (Camb). 2023-2-27

[5]
Interventions for Young Children's Mental Health: A Review of Reviews.

Clin Child Fam Psychol Rev. 2023-9

[6]
Mental Health and Psychosocial Support Interventions for Children Affected by Armed Conflict in low-and middle-income Countries: A Systematic Review.

Child Youth Care Forum. 2023-3-7

[7]
Expansion of Telehealth Availability for Mental Health Care After State-Level Policy Changes From 2019 to 2022.

JAMA Netw Open. 2023-6-1

[8]
Associations of Internalizing and Externalizing Problems in Childhood and Adolescence With Adult Labor Market Marginalization.

JAMA Netw Open. 2023-6-1

[9]
: An R package and Shiny app for producing PRISMA 2020-compliant flow diagrams, with interactivity for optimised digital transparency and Open Synthesis.

Campbell Syst Rev. 2022-3-27

[10]
The revised JBI critical appraisal tool for the assessment of risk of bias for randomized controlled trials.

JBI Evid Synth. 2023-3-1

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