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Exploring Students’ Participation in Universal, Depression and Anxiety, Prevention Programmes at School: A Meta-aggregation

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Abstract

Mental health promotion in schools is a key priority for national governments. The aim of this meta-aggregation is to synthesise the findings from universal, depression and/or anxiety, cognitive behavioural therapy and/or interpersonal therapy-based, programmes implemented in schools, which are focused on reducing depression and anxiety in student populations aged 8–17 years. Electronic databases were searched for published original qualitative studies which assess students’ perceptions and experiences from participating in universal, school-based, depression and/or anxiety, prevention programmes. Extraction and synthesis of findings were assisted by NVivo qualitative data analysis software. The Joanna Briggs Institute-Qualitative Assessment and Review Instrument (JBI QARI) Critical Appraisal Checklist for Interpretative and Critical Research was used for assessing methodological quality of the included studies. The confidence of synthesised qualitative findings (ConQual) approach was followed for assessing the confidence in the estimates of syntheses output. Five studies from Australia, Sweden, and UK met the inclusion criteria. Modification in the structure and mode of implementation of universal prevention programmes is required in order to enhance programmes’ applicability and impact. The study provides key practical recommendations to stakeholders and policy makers about the content, delivery, and implementation of school-based, universal, prevention programmes.

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Moher et al. (2009b)

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References

*References marked with an asterisk indicate studies included in the meta-aggregation

  • Ahlen, J., Lenhard, F., & Ghaderi, A. (2015). Universal prevention for anxiety and depressive symptoms in children: A meta-analysis of randomized and cluster-randomized trials. The Journal of Primary Prevention, 36(6), 387–403.

    Article  PubMed  Google Scholar 

  • Arora, P. G., Baker, C. N., Marchette, L. K., & Stark, K. D. (2017). Components analyses of a school-based cognitive behavioral treatment for youth depression. Journal of Clinical Child & Adolescent Psychology, 16, 1–14.

    Article  Google Scholar 

  • Bastounis, A., Callaghan, P., Banerjee, A., & Michail, M. (2016). The effectiveness of the Penn Resiliency Programme (PRP) and its adapted versions in reducing depression and anxiety and improving explanatory style: A systematic review and meta-analysis. Journal of Adolescence, 52, 37–48.

    Article  PubMed  Google Scholar 

  • Brunwasser, S. M., & Garber, J. (2016). Programs for the prevention of youth depression: Evaluation of efficacy, effectiveness, and readiness for dissemination. Journal of Clinical Child & Adolescent Psychology, 45(6), 763–783.

    Article  Google Scholar 

  • Cook, C. R., Frye, M., Slemrod, T., Lyon, A. R., Renshaw, T. L., & Zhang, Y. (2015). An integrated approach to universal prevention: Independent and combined effects of PBIS and SEL on youths’ mental health. School Psychology Quarterly, 30(2), 166.

    Article  PubMed  PubMed Central  Google Scholar 

  • Coverdale, G. E., & Long, A. F. (2015). Emotional wellbeing and mental health: An exploration into health promotion in young people and families. Perspectives in Public Health, 135(1), 27–36.

    Article  PubMed  Google Scholar 

  • Calear, A. L., & Christensen, H. (2010). Systematic review of school-based prevention and early intervention programs for depression. Journal of Adolescence, 33, 429–438. https://doi.org/10.1016/j.adolescence.2009.07.004.

    Article  PubMed  Google Scholar 

  • De Loach McCutcheon, K., George, W. M., Mancil, E., Taylor, K. L., Paternite, C., & Weist, D. M. (2014). Partnering with youth in school mental health: Recommendations from students. In M. D. Weist, N. A. Lever, P. C. Bradshaw, & J. S. Owens (Eds.), Handbook of school mental health, research, training, practice, and policy (pp. 185–193). New York: Springer.

    Chapter  Google Scholar 

  • Durlak, J. A., Weissberg, R. P., Dymnicki, A. B., Taylor, R. D., & Schellinger, K. B. (2011). The impact of enhancing students’ social and emotional learning: A meta-analysis of school-based universal interventions. Child Development, 82(1), 405–432.

    Article  PubMed  Google Scholar 

  • Enns, J., Holmqvist, M., Wener, P., Halas, G., Rothney, J., Schultz, A., et al. (2016). Mapping interventions that promote mental health in the general population: A scoping review of reviews. Preventive Medicine, 87, 70–80.

    Article  PubMed  Google Scholar 

  • Farrell, L. J., & Barrett, P. M. (2007). Prevention of childhood emotional disorders: Reducing the burden of suffering associated with anxiety and depression. Child and Adolescent Mental Health, 12(2), 58–65. https://doi.org/10.1111/j.1475-3588.2006.00430.x.

    Article  Google Scholar 

  • Fink, E., Patalay, P., Sharpe, H., Holley, S., Deighton, J., & Wolpert, M. (2015). Mental health difficulties in early adolescence: A comparison of two cross-sectional studies in England from 2009 to 2014. Journal of Adolescent Health, 56(5), 502–507.

    Article  PubMed  Google Scholar 

  • Fisak, B. J., Jr., Richard, D., & Mann, A. (2011). The prevention of child and adolescent anxiety: A meta-analytic review. Prevention Science, 12, 255–268. https://doi.org/10.1007/s11121-011-0210-0.

    Article  PubMed  Google Scholar 

  • Garber, J., Brunwasser, S. M., Zerr, A. A., Schwartz, K. T., Sova, K., & Weersing, V. R. (2016). Treatment and prevention of depression and anxiety in youth: Test of cross-over effects. Depression and Anxiety, 33(10), 939–959.

    Article  PubMed  PubMed Central  Google Scholar 

  • *Garmy, P., Berg, A., & Clausson, E. K. (2015). A qualitative study exploring adolescents’ experiences with a school-based mental health program. BMC Public Health, 15(1), 1074.

    Article  PubMed  PubMed Central  Google Scholar 

  • Gore, F. M., Bloem, P. J., Patton, G. C., Ferguson, J., Joseph, V., Coffey, C., et al. (2011). Global burden of disease in young people aged 10–24 years: A systematic analysis. The Lancet, 377(9783), 2093–2102.

    Article  Google Scholar 

  • Greenberg, M. T., Weissberg, R. P., O’brien, M. U., Zins, J. E., Fredericks, L., Resnik, H., et al. (2003). Enhancing school-based prevention and youth development through coordinated social, emotional, and academic learning. American Psychologist, 58(6–7), 466.

    Article  PubMed  Google Scholar 

  • Hankin, B. L., Abramson, L. Y., Moffitt, T. E., Silva, P. A., McGee, R., & Angell, K. E. (1998). Development of depression from preadolescence to young adulthood: Emerging gender differences in a 10-year longitudinal study. Journal of Abnormal Psychology, 107(1), 128.

    Article  PubMed  Google Scholar 

  • Hannes, K., & Pearson, A. (2012). Obstacles to the implementation of evidence-based practice in Belgium: A worked example of meta-aggregation. In K. Hannes & C. Lockwood (Eds.), Synthesizing qualitative research: Choosing the right approach (pp. 21–40). New York: Wiley.

    Chapter  Google Scholar 

  • Hetrick, S. E., Cox, G. R., Fisher, C. A., Bhar, S. S., Rice, S. M., Davey, C. G., et al. (2015a). Back to basics: could behavioural therapy be a good treatment option for youth depression? A critical review. Early Intervention in Psychiatry, 9(2), 93–99.

    Article  PubMed  Google Scholar 

  • Hetrick, S. E., Cox, G. R., & Merry, S. N. (2015b). Where to go from here? An exploratory meta-analysis of the most promising approaches to depression prevention programs for children and adolescents. International Journal of Environmental Research and Public Health, 12(5), 4758–4795.

    Article  PubMed  PubMed Central  Google Scholar 

  • Hetrick, S. E., Cox, G. R., Witt, K. G., Bir, J. J., & Merry, S. N. (2016). Cognitive behavioural therapy (CBT), third‐wave CBT and interpersonal therapy (IPT) based interventions for preventing depression in children and adolescents. The Cochrane Library.

  • Joanna Briggs Institute. (2014). Joanna Briggs Institute reviewers’ manual 2014 edition [Internet]. Adelaide: JBI [cited 2015 May 15].

  • Jones, P. B. (2013). Adult mental health disorders and their age at onset. The British Journal of Psychiatry, 202(s54), s5–s10.

    Article  Google Scholar 

  • Jones, S. M., Brown, J. L., & Lawrence Aber, J. (2011). Two-year impacts of a universal school-based social-emotional and literacy intervention: An experiment in translational developmental research. Child Development, 82(2), 533–554. https://doi.org/10.1111/j.1467-8624.2010.01560.x.

    Article  PubMed  Google Scholar 

  • Kessler, R. C., Avenevoli, S., & Ries Merikangas, K. (2001). Mood disorders in children and adolescents: An epidemiologic perspective. Biological Psychiatry, 49(12), 1002–1014. https://doi.org/10.1016/S0006-3223(01)01129-5.

    Article  PubMed  Google Scholar 

  • *Kvist Lindholm, S., & Zetterqvist Nelson, K. (2015). “Apparently I’ve Got Low Self-Esteem”: Schoolgirls’ perspectives on a school-based public health intervention. Children and Society, 29(5), 473–483.

    Article  Google Scholar 

  • Langley, A. K., Nadeem, E., Kataoka, S. H., Stein, B. D., & Jaycox, L. H. (2010). Evidence-based mental health programs in schools: Barriers and facilitators of successful implementation. School Mental Health, 2(3), 105–113.

    Article  PubMed  PubMed Central  Google Scholar 

  • Lewin, S., Glenton, C., & Oxman, A. D. (2009). Use of qualitative methods alongside randomised controlled trials of complex healthcare interventions: methodological study. BMJ, 339, b3496.

    Article  PubMed  PubMed Central  Google Scholar 

  • Lockwood, C., Munn, Z., & Porritt, K. (2015). Qualitative research synthesis: Methodological guidance for systematic reviewers utilizing meta-aggregation. International Journal of Evidence-Based Healthcare, 13(3), 179–187.

    Article  PubMed  Google Scholar 

  • Luecken, L. J., & Roubinov, D. S. (2012). Pathways to lifespan health following childhood parental death. Social and Personality Psychology Compass, 6(3), 243–257.

    Article  PubMed  PubMed Central  Google Scholar 

  • Macklem, G. L. (2013). Preventive mental health at school: Evidence-based services for students (pp. 1–16). Newton, Massachusetts: Springer.

    Google Scholar 

  • McLaughlin, K. A., & King, K. (2015). Developmental trajectories of anxiety and depression in early adolescence. Journal of Abnormal Child Psychology, 43(2), 311–323.

    Article  PubMed  PubMed Central  Google Scholar 

  • Merikangas, K. R., He, J. P., Burstein, M., Swanson, S. A., Avenevoli, S., Cui, L., et al. (2010). Lifetime prevalence of mental disorders in US adolescents: Results from the National Comorbidity Survey Replication-Adolescent Supplement (NCS-A). Journal of American Academy of Child and Adolescent Psychiatry, 49(10), 980–989. https://doi.org/10.1016/j.jaac.2010.05.017.

    Article  Google Scholar 

  • Merry, S. N., Hetrick, S. E., Cox, G. R., Brudevold-Iversen, T., Bir, J. J., & McDowell, H. (2012). Cochrane review: Psychological and educational interventions for preventing depression in children and adolescents. Evidence-Based Child Health: A Cochrane Review Journal, 7(5), 1409–1685.

    Article  Google Scholar 

  • Modecki, K. L., Zimmer-Gembeck, M. J., & Guerra, N. (2017). Emotion regulation, coping, and decision making: Three linked skills for preventing externalizing problems in adolescence. Child Development, 88(2), 417–426.

    Article  PubMed  Google Scholar 

  • Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & The PRISMA Group (2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. Annals of Internal Medicine, 151, 264–269.

    Article  PubMed  Google Scholar 

  • Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & The PRISMA Group (2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLOS ONE, 6(7), e1000097. https://doi.org/10.1371/journal.pmed1000097

    Google Scholar 

  • Moore, G. F., Audrey, S., Barker, M., Bond, L., Bonell, C., Hardeman, W., et al. (2015). Process evaluation of complex interventions: Medical Research Council guidance. BMJ, 350, h1258.

    Article  PubMed  PubMed Central  Google Scholar 

  • Mufson, L., Dorta, K. P., Moreau, D., & Weissman, M. M. (2011). Interpersonal psychotherapy for depressed adolescents. New York: Guilford Press.

    Google Scholar 

  • Munn, Z., Porritt, K., Lockwood, C., Aromataris, E., & Pearson, A. (2014). Establishing confidence in the output of qualitative research synthesis: the ConQual approach. BMC Medical Research Methodology, 14(1), 108.

    Article  PubMed  PubMed Central  Google Scholar 

  • Neil, A. L., & Christensen, H. (2009). Efficacy and effectiveness of school-based prevention and early intervention programs for anxiety. Clinical Psychology Review, 29(3), 208–215. https://doi.org/10.1016/j.cpr.2009.01.002.

    Article  PubMed  Google Scholar 

  • NVivo. (2012). Qualitative data analysis Software. QSR International Pty Ltd. Version 10.

  • Sandler, I., Wolchik, S. A., Cruden, G., Mahrer, N. E., Ahn, S., Brincks, A., et al. (2014). Overview of meta-analyses of the prevention of mental health, substance use, and conduct problems. Annual Review of Clinical Psychology, 10, 243–273.

    Article  PubMed  PubMed Central  Google Scholar 

  • *Shochet, I., Montague, R., Smith, C., & Dadds, M. (2014). A qualitative investigation of adolescents’ perceived mechanisms of change from a universal school-based depression prevention program. International Journal of Environmental Research and Public Health, 11(5), 5541–5554.

    Article  PubMed  PubMed Central  Google Scholar 

  • *Skryabina, E., Morris, J., Byrne, D., Harkin, N., Rook, S., & Stallard, P. (2016). Child, teacher and parent perceptions of the FRIENDS classroom-based Universal Anxiety Prevention Programme: A qualitative study. School Mental Health, 8(4), 486–498.

    Article  PubMed  PubMed Central  Google Scholar 

  • Stallard, P., Phillips, R., Montgomery, A. A., Spears, M., Anderson, R., Taylor, J., et al. (2013). A cluster randomised controlled trial to determine the clinical effectiveness and cost-effectiveness of classroom-based cognitive-behavioural therapy (CBT) in reducing symptoms of depression in high-risk adolescents. Health Technology Assessment, 17(47), 1–109.

    Article  Google Scholar 

  • Stallard, P., Skryabina, E., Taylor, G., Phillips, R., Daniels, H., Anderson, R., et al. (2014). Classroom-based cognitive behaviour therapy (FRIENDS): A cluster randomised controlled trial to Prevent Anxiety in Children through Education in Schools (PACES). The Lancet Psychiatry, 1(3), 185–192.

    Article  PubMed  Google Scholar 

  • Stice, E., Shaw, H., Bohon, C., Marti, C. N., & Rohde, P. (2009). A meta-analytic review of depression prevention programs for children and adolescents: Factors that predict magnitude of intervention effects. Journal of Consulting and Clinical Psychology, 77, 486–503. https://doi.org/10.1037/a0015168.

    Article  PubMed  PubMed Central  Google Scholar 

  • Stockings, E. A., Degenhardt, L., Dobbins, T., Lee, Y. Y., Erskine, H. E., Whiteford, H. A., et al. (2016). Preventing depression and anxiety in young people: A review of the joint efficacy of universal, selective and indicated prevention. Psychological Medicine, 46(01), 11–26.

    Article  PubMed  Google Scholar 

  • *Taylor, J. A., Phillips, R., Cook, E., Georgiou, L., Stallard, P., & Sayal, K. (2014). A qualitative process evaluation of classroom-based cognitive behaviour therapy to reduce adolescent depression. International Journal of Environmental Research and Public Health, 11(6), 5951–5969.

    Article  PubMed  PubMed Central  Google Scholar 

  • Teubert, D., & Pinquart, M. (2011). A meta-analytic review on the prevention of symptoms of anxiety in children and adolescents. Journal of Anxiety Disorders, 25(1046), 59.

    Google Scholar 

  • Thapar, A., Collishaw, S., Pine, D. S., & Thapar, A. K. (2012). Depression in adolescence. The Lancet, 379(9820), 1056–1067. https://doi.org/10.1016/S0140-6736(11)60871-4.

    Article  Google Scholar 

  • Tong, A., Flemming, K., McInnes, E., Oliver, S., & Craig, J. (2012). Enhancing transparency in reporting the synthesis of qualitative research: ENTREQ. BMC Medical Research Methodology, 12(1), 181.

    Article  PubMed  PubMed Central  Google Scholar 

  • Weare, K., & Nind, M. (2014). Promoting Mental Health and Wellbeing in Schools. In F. A. Huppert & C. L. Cooper (Eds.), Wellbeing: A complete reference guide, interventions and policies to enhance wellbeing (pp. 93–140). Hoboken: Wiley.

    Google Scholar 

  • Weersing, V. R., Shamseddeen, W., Garber, J., Hollon, S. D., Clarke, G. N., Beardslee, W. R., et al. (2016). Prevention of depression in at-risk adolescents: Predictors and moderators of acute effects. Journal of the American Academy of Child and Adolescent Psychiatry, 55(3), 219–226.

    Article  PubMed  PubMed Central  Google Scholar 

  • Werner-Seidler, A., Perry, Y., Calear, A. L., Newby, J. M., & Christensen, H. (2017). School-based depression and anxiety prevention programs for young people: A systematic review and meta-analysis. Clinical Psychology Review, 51, 30–47.

    Article  PubMed  Google Scholar 

  • Woodward, L. J., & Fergusson, D. M. (2001). Life course outcomes of young people with anxiety disorders in adolescence. Journal of the American Academy of Child and Adolescent Psychiatry, 40(9), 1086–1093.

    Article  PubMed  Google Scholar 

  • World Health Organization. (2013). Mental health action plan 2013–2020: Report of the World Health Organization. Geneva.

  • Zhao, Y., & Zhao, G. (2015). Emotion regulation and depressive symptoms: Examining the mediation effects of school connectedness in Chinese late adolescents. Journal of Adolescence, 40, 14–23.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. B33 Office, School of Health Sciences, Queen’s Medical Centre (QMC), University of Nottingham, Derby Rd, Nottingham, NG7 2UH, UK

    Anastasios Bastounis & Aimee Aubeeluck

  2. School of Applied Sciences, London South Bank University, London, SE1 0AA, UK

    Patrick Callaghan

  3. Nottingham, UK

    Foteini Lykomitrou

  4. School of Psychology, University of Birmingham, Birmingham, B15 2TT, UK

    Maria Michail

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  1. Anastasios Bastounis
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Bastounis, A., Callaghan, P., Lykomitrou, F. et al. Exploring Students’ Participation in Universal, Depression and Anxiety, Prevention Programmes at School: A Meta-aggregation. School Mental Health 9, 372–385 (2017). https://doi.org/10.1007/s12310-017-9230-7

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