Strength-based capacity-building interventions to promote adolescents' mental health: A systematic review and meta-analysis.

Strength-based capacity-building interventions have the potential to enhance an individual's capacity to improve their mental health. A systematic review and meta-analysis was conducted to examine the effectiveness of these interventions on mental health literacy, resilience, self-efficacy, and posi...

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Publicado en:European Child & Adolescent Psychiatry Vol. 34; no. 10; pp. 2975 - 3016
Autores principales: Fu, Cong, Chien, Wai Tong, Zhang, Yu, Lam, Kam Ki
Formato: meta analysis research systematic review tables/charts Journal Article
Publicado: Springer Nature Oct2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2025
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      pub: Springer Nature
      place: New York, New York
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        atl: Strength-based capacity-building interventions to promote adolescents' mental health: A systematic review and meta-analysis.
      aug:
        au:
          Fu, Cong
          Chien, Wai Tong
          Zhang, Yu
          Lam, Kam Ki
        affil: https://ror.org/00t33hh48 The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, New Territories, Shatin, Hong Kong SAR, China
      sug:
        subj:
          Mental Health Education
          Health Literacy
          Self-Efficacy Evaluation
          Psychotherapy Methods
          Health Promotion
          Hardiness
          Optimism
          Adolescent Psychology
          Treatment Outcomes
          Human
          Systematic Review
          PubMed
          CINAHL Database
          Psycinfo
          Embase
          Cochrane Library
          Meta Analysis
          Descriptive Statistics
          Confidence Intervals
          Child
          Adolescence
          Adolescent Behavior
          Depression
          Anxiety
          Child: 6-12 years
          Adolescent: 13-18 years
      ab: Strength-based capacity-building interventions have the potential to enhance an individual's capacity to improve their mental health. A systematic review and meta-analysis was conducted to examine the effectiveness of these interventions on mental health literacy, resilience, self-efficacy, and positive thinking in adolescents without pre-existing mental/psychiatric diagnoses/conditions. CINAHL, Embase, PsycINFO, PubMed, Web of Science, the Cochrane Library, and CNKI were searched from inception to June 2024. Two reviewers independently conducted the study screening, risk of bias assessment, and data extraction. Leave-one-out sensitivity and subgroup analyses were used to reduce the heterogeneity of the studies and their findings. Forty-seven interventional studies were included, with approaches mainly consisting of psychoeducation, individual skill training (e.g., emotional regulation, mindfulness), and supportive peer feedback. Capacity-building interventions (in 27 studies) improved the levels of mental health literacy (SMD = 1.70, 95% CI[0.57, 2.84], I2 = 97%, n = 4) and resilience (SMD = 0.51, 95% CI[0.26, 0.76], I2 = 89%, n = 16) in the short-term (< 1 month) and resilience in the long-term (> 6 months; SMD = 0.29, 95% CI[0.03, 0.55], I2 = 39%, n = 3) post-intervention. While there were limited studies evaluated on positive thinking and self-efficacy and thus unable to perform meta-analysis on these outcomes, the medium-term effects on resilience show no statistical significance (1–6 months; n = 4). However, the effects on depression and anxiety were nonsignificant. Combined approaches to capacity-building interventions that incorporate two or more theoretical frameworks/models within one intervention could enhance adolescents' resilience (SMD = 0.24, 95% CI[0.13, 0.35], I2 = 22%, n = 3). Combining positive psychology with other mental health approaches in interventions might boost adolescents' resilience in short-term but there were limited studies and thus insufficient evidence to evaluate the medium- and long-term effectiveness of these combined approaches. Further rigorous large-scale randomized controlled trials are recommended to provide stronger evidence.
      pubtype: Academic Journal
      doctype:
        meta analysis
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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