Table1_The Long-Term Effectiveness of Interventions Addressing Mental Health Literacy and Stigma of Mental Illness in Children and Adolescents: Systematic Review and Meta-Analysis.DOCX
Objectives: This study aims to provide a systematic review and meta-analysis of the literature on the long-term effects of interventions addressing children’s and adolescents’ mental health literacy and/or stigmatizing attitudes.
Methods: Articles in English or German published between January 1997 and May 2020 were retrieved from five databases, leading to a total of 4,375 original articles identified.
Results: 25 studies were included after applying exclusion criteria, 13 of which were eligible for meta-analysis. The overall average of the follow-up period was about 5 months. Long-term improvements were sustained for mental health literacy, d = 0.48, 95% CI = (0.34, 0.62), as well as for stigmatizing attitudes, d = 0.30, 95% CI = (0.24, 0.36), and social distance, d = 0.16, 95% CI = (0.03, 0.29). The combination of educational and contact components within interventions led to worse results for mental health literacy, but not stigmatizing attitudes or social distance.
Conclusion: Interventions targeting children and adolescents generally have a brief follow-up period of an average of 5 months. They show a stable improvement in mental health literacy, but are to a lesser degree able to destigmatize mental illness or improve social distance.
History
References
- https://doi.org//10.1001/archpsyc.62.6.593
- https://doi.org//10.1016/s0140-6736%2807%2960368-7
- https://doi.org//10.1073/pnas.1016970108
- https://doi.org//10.1007/s11920-017-0780-z
- https://doi.org//10.5694/j.1326-5377.1997.tb140071.x
- https://doi.org//10.1097/nmd.0000000000000488
- https://doi.org//10.1177/0004867418821440
- https://doi.org//10.1080/18374905.2014.11081898
- https://doi.org//10.1093/clipsy.7.1.48
- https://doi.org//10.1093/clipsy.9.1.35
- https://doi.org//10.1016/j.eurpsy.2005.04.004
- https://doi.org//10.1111/j.1600-0447.2012.01826.x
- https://doi.org//10.1007/s00127-018-1530-1
- https://doi.org//10.1007/s00127-017-1341-9
- https://doi.org//10.1016/S0140-6736%2815%2900298-6
- https://doi.org//10.1176/appi.ps.201100529
- https://doi.org//10.1111/eip.12010
- https://doi.org//10.1111/tmi.13449
- https://doi.org//10.1111/eip.13109
- https://doi.org//10.1080/09638237.2018.1437613
- https://doi.org//10.1136/bmj.h1435
- https://doi.org//10.1037/sah0000193
- https://doi.org//10.3389/fpsyg.2017.01608
- https://doi.org//10.3390/ijerph15071426
- https://doi.org//10.1080/00048670802512065
- https://doi.org//10.1177/0046958020902332
- https://doi.org//10.1371/journal.pone.0149854
- https://doi.org//10.1186/s12888-019-2085-8
- https://doi.org//10.1016/j.adolescence.2014.08.001
- https://doi.org//10.1016/j.socscimed.2011.04.006
- https://doi.org//10.1007/s12310-009-9022-9
- https://doi.org//10.1080/1754730x.2011.9715632
- https://doi.org//10.5463/sra.v1i1.17
- https://doi.org//10.1136/bmjopen-2015-009435
- https://doi.org//10.1108/09654280910970893
- https://doi.org//10.1177/0020764011413678
- https://doi.org//10.2174/2210676605666150521232049
- https://doi.org//10.1177/0004867419885450
- https://doi.org//10.1080/10413200.2019.1653404
- https://doi.org//10.1111/jcpp.12853
- https://doi.org//10.1515/ijamh.2002.14.3.215
- https://doi.org//10.1034/j.1600-0447.2003.02444.x
- https://doi.org//10.2105/ajph.2017.304088
- https://doi.org//10.1002/mpr.1433
- https://doi.org//10.1016/j.jpsychires.2019.08.002
- https://doi.org//10.1192/bjp.bp.114.151944
- https://doi.org//10.1016/s0140-6736%2899%2904149-5
- https://doi.org//10.3205/zma001103
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