{"title":"加勒比英语区青少年心理健康和行为问题的患病率：系统综述和荟萃分析。","authors":"Shaun Liverpool, Jamal Prescod, Brent Pereira, Catherine Trotman","doi":"10.1007/s44192-023-00037-2","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>Children and young people (CYP) from low-and-middle-income and developing countries are at risk of poor mental health and wellbeing. Yet these regions are generally under-resourced in terms of mental health services. As a first step to inform service planning and delivery in the English-speaking Caribbean we pooled the available evidence to estimate the prevalence of common mental health problems.</p><p><strong>Methods: </strong>A comprehensive search of CINAHL, Cochrane Library, EMBASE, MEDLINE, PsycINFO, LILACS, and Web of Science databases, supplemented by grey literature searches was performed until January 2022. Studies conducted in the English-speaking Caribbean that reported prevalence estimates of mental health symptomology or diagnoses in CYP were included. The Freeman-Tukey transformation was applied to calculate the weighted summary prevalence under a random-effects model. Subgroup analyses were also performed to observe emerging patterns in the data. Studies were quality assessed using the Joanna Briggs Institute Prevalence Critical Appraisal Checklist and the GRADE approach. The study protocol was registered with PROSPERO, CRD42021283161.</p><p><strong>Results: </strong>33 publications from 28 studies representing 65,034 adolescents from 14 countries met the eligibility criteria. Prevalence estimates ranged from 0.8 to 71.9% with most subgroup estimates between 20 and 30%. The overall pooled prevalence of mental health problems was 23.5% (95% CI 0.175-0.302; I<sup>2</sup> = 99.7%). There was limited evidence of significant variation in prevalence estimates among subgroups. The quality of the body of evidence was judged as moderate.</p><p><strong>Conclusion: </strong>It is estimated that between 1 in 4 and 1 in 5 adolescents in the English-speaking Caribbean experience symptoms of mental health problems. These findings highlight the importance of sensitisation, screening, and provision of appropriate services. Ongoing research identifying risk factors and validating outcome measures is also needed to inform evidence-based practice.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s44192-023-00037-2.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10196301/pdf/","citationCount":"1","resultStr":"{\"title\":\"Prevalence of mental health and behaviour problems among adolescents in the English-speaking Caribbean: systematic review and meta-analysis.\",\"authors\":\"Shaun Liverpool, Jamal Prescod, Brent Pereira, Catherine Trotman\",\"doi\":\"10.1007/s44192-023-00037-2\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>Children and young people (CYP) from low-and-middle-income and developing countries are at risk of poor mental health and wellbeing. Yet these regions are generally under-resourced in terms of mental health services. As a first step to inform service planning and delivery in the English-speaking Caribbean we pooled the available evidence to estimate the prevalence of common mental health problems.</p><p><strong>Methods: </strong>A comprehensive search of CINAHL, Cochrane Library, EMBASE, MEDLINE, PsycINFO, LILACS, and Web of Science databases, supplemented by grey literature searches was performed until January 2022. Studies conducted in the English-speaking Caribbean that reported prevalence estimates of mental health symptomology or diagnoses in CYP were included. The Freeman-Tukey transformation was applied to calculate the weighted summary prevalence under a random-effects model. Subgroup analyses were also performed to observe emerging patterns in the data. Studies were quality assessed using the Joanna Briggs Institute Prevalence Critical Appraisal Checklist and the GRADE approach. 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引用次数: 1
摘要
目标：来自中低收入国家和发展中国家的儿童和年轻人（CYP）面临心理健康和幸福感不佳的风险。然而，这些地区在心理健康服务方面通常资源不足。作为为英语加勒比地区的服务规划和提供提供提供信息的第一步，我们汇集了现有证据，以估计常见心理健康问题的流行率。方法：在2022年1月之前，对CINAHL、Cochrane Library、EMBASE、MEDLINE、PsycINFO、LILACS和Web of Science数据库进行全面搜索，并辅以灰色文献搜索。包括在英语加勒比地区进行的研究，这些研究报告了CYP的心理健康症状或诊断的患病率估计。应用Freeman-Tuckey变换计算随机效应模型下的加权总患病率。还进行了分组分析，以观察数据中出现的模式。使用乔安娜·布里格斯研究所患病率关键评估清单和GRADE方法对研究进行质量评估。该研究方案已在PROSPERO注册，CRD42021283161。结果：来自14个国家的65034名青少年的28项研究中的33份出版物符合资格标准。患病率估计值在0.8%至71.9%之间，大多数亚组估计值在20%至30%之间。心理健康问题的总体合并患病率为23.5%（95%CI 0.175-0.302；I2 = 99.7%）。亚组间流行率估计值存在显著差异的证据有限。证据的质量被判定为中等。结论：据估计，在讲英语的加勒比地区，四分之一到五分之一的青少年有心理健康问题的症状。这些发现突出了宣传、筛查和提供适当服务的重要性。还需要不断进行研究，确定风险因素并验证结果衡量标准，为循证实践提供信息。补充信息：在线版本包含补充材料，可访问10.1007/s44192-023-00037-2。
Prevalence of mental health and behaviour problems among adolescents in the English-speaking Caribbean: systematic review and meta-analysis.
Objective: Children and young people (CYP) from low-and-middle-income and developing countries are at risk of poor mental health and wellbeing. Yet these regions are generally under-resourced in terms of mental health services. As a first step to inform service planning and delivery in the English-speaking Caribbean we pooled the available evidence to estimate the prevalence of common mental health problems.
Methods: A comprehensive search of CINAHL, Cochrane Library, EMBASE, MEDLINE, PsycINFO, LILACS, and Web of Science databases, supplemented by grey literature searches was performed until January 2022. Studies conducted in the English-speaking Caribbean that reported prevalence estimates of mental health symptomology or diagnoses in CYP were included. The Freeman-Tukey transformation was applied to calculate the weighted summary prevalence under a random-effects model. Subgroup analyses were also performed to observe emerging patterns in the data. Studies were quality assessed using the Joanna Briggs Institute Prevalence Critical Appraisal Checklist and the GRADE approach. The study protocol was registered with PROSPERO, CRD42021283161.
Results: 33 publications from 28 studies representing 65,034 adolescents from 14 countries met the eligibility criteria. Prevalence estimates ranged from 0.8 to 71.9% with most subgroup estimates between 20 and 30%. The overall pooled prevalence of mental health problems was 23.5% (95% CI 0.175-0.302; I2 = 99.7%). There was limited evidence of significant variation in prevalence estimates among subgroups. The quality of the body of evidence was judged as moderate.
Conclusion: It is estimated that between 1 in 4 and 1 in 5 adolescents in the English-speaking Caribbean experience symptoms of mental health problems. These findings highlight the importance of sensitisation, screening, and provision of appropriate services. Ongoing research identifying risk factors and validating outcome measures is also needed to inform evidence-based practice.
Supplementary information: The online version contains supplementary material available at 10.1007/s44192-023-00037-2.
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