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Strategies not accompanied by a mental health professional to address anxiety and depression in children and young people: a scoping review of range and a systematic review of effectiveness.

The lancet. Psychiatry
January 1, 2019
Miranda Wolpert et al. (8 authors)
Journal ArticleResearch Support, Non-U.S. Gov'tSystematic ReviewScoping ReviewHuman Study
Study Details

Study Goal

The researchers aimed to evaluate the effectiveness of light therapy for managing depression or anxiety in children and young people up to age 25 without involving mental health professionals.

Results Summary

The study found evidence suggesting light therapy could be effective for seasonal depression, though certainty was insufficient for definitive conclusions. Only five studies on light therapy met the inclusion criteria, indicating limited but promising data.

Population

Children and young people up to age 25, with most studies focusing on adolescents or young adults.

Effective Dosage

Not available

Duration

Not available

Interactions

None mentioned

Extracted Claims (4)
InterventionDirectionEndpointPopulationDosageImpactClaim #
light therapy
decrease
season depression
children and young people up to the age of 25 years
-
could be effective
#1
digital interventions based on attention bias modification
no change
anxiety
children and young people up to the age of 25 years
-
ineffective
#2
computerised cognitive behavioural therapy
neutral
depression and anxiety
children and young people up to the age of 25 years
-
mixed evidence
#3
physical exercise
neutral
depression
children and young people up to the age of 25 years
-
mixed evidence
#4
Abstract

This Review reports on a scoping review followed by a systematic review to consider interventions designed to address or manage depression or anxiety in children and young people up to the age of 25 years without the need to involve mental health professionals. The scoping review identified 132 approaches, 103 of which referred to children or young people (younger than 25 years). These approaches included social interaction, engagement with nature, relaxation, distraction, sensory stimulation, physical activity, altering perceptions, engaging in hobbies, self-expression, and exploration. A systematic review of effectiveness studies from the literature identified in the scoping review found only 38 studies on seven types of intervention that met the inclusion criteria. 16 studies were based on cognitive or behavioural principles (15 on digital interventions and one on bibliotherapy), ten focused on physical exercise, five on light therapy, three on dietary supplements, two on massage therapy, one on online peer support, and one on contact with a dog. Most studies focused on adolescents or young adults. Evidence suggested that light therapy could be effective for season depression and that digital interventions based on attention bias modification are ineffective for anxiety. Mixed evidence was available on the effectiveness of computerised cognitive behavioural therapy for depression and anxiety, and of physical exercise for depression. All other studies had insufficient certainty to obtain even tentative conclusions about effectiveness. These results highlight the disparity between the extensive range of approaches identified in the scoping review and the restricted number and focus found in the systematic review of effectiveness of these approaches. We call for an expanded research agenda that brings evaluation rigour to a wide range of self or community approaches.

Medical Subject Headings (MeSH)
AdolescentAdultAnxietyChildCognitive Behavioral TherapyDepressionExerciseHumansInterpersonal RelationsTherapy, Computer-AssistedYoung Adult
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality80/10
Citation Metrics
Total Citations24
Citations/Year4.0
Relative Citation Ratio2.07
NIH Percentile75.6%
Research Impact Scores
APT Score0.75
Weight Score2.30
Normalized Score0.66
Related Supplements
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