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.
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
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
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 |
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.