Psychosocial interventions targeting mental health in pregnant adolescents and adolescent parents : a systematic review

Simple item page
dc.contributor.authorLaurenzi, Christina A.en_ZA
dc.contributor.authorGordon, Sarahen_ZA
dc.contributor.authorAbrahams, Ninaen_ZA
dc.contributor.authorDu Toit, Stefanien_ZA
dc.contributor.authorBradshaw, Melissaen_ZA
dc.contributor.authorBrand, Amandaen_ZA
dc.contributor.authorMelendez-Torres, G. J.en_ZA
dc.contributor.authorTomlinson, Marken_ZA
dc.contributor.authorRoss, David A.en_ZA
dc.contributor.authorServili, Chiaraen_ZA
dc.contributor.authorCarvajal-Aguirre, Lilianaen_ZA
dc.contributor.authorLai, Joannaen_ZA
dc.contributor.authorDua, Tarunen_ZA
dc.contributor.authorFleischmann, Alexandraen_ZA
dc.contributor.authorSkeen, Sarahen_ZA
dc.date.accessioned2020-06-02T08:43:01Z
dc.date.available2020-06-02T08:43:01Z
dc.date.issued2020-05-14
dc.date.updated2020-05-17T04:21:31Z
dc.descriptionCITATION: Laurenzi, C. A., et al. 2020. Psychosocial interventions targeting mental health in pregnant adolescents and adolescent parents : a systematic review. Reproductive Health, 17:65, doi:10.1186/s12978-020-00913-y.
dc.descriptionThe original publication is available at https://reproductive-health-journal.biomedcentral.com
dc.description.abstractBackground: Pregnancy and parenthood are known to be high-risk times for mental health. However, less is known about the mental health of pregnant adolescents or adolescent parents. Despite the substantial literature on the risks associated with adolescent pregnancy, there is limited evidence on best practices for preventing poor mental health in this vulnerable group. This systematic review therefore aimed to identify whether psychosocial interventions can effectively promote positive mental health and prevent mental health conditions in pregnant and parenting adolescents. Methods: We used the standardized systematic review methodology based on the process outlined in the World Health Organization’s Handbook for Guidelines Development. This review focused on randomized controlled trials of preventive psychosocial interventions to promote the mental health of pregnant and parenting adolescents, as compared to treatment as usual. We searched PubMed/Medline, PsycINFO, ERIC, EMBASE and ASSIA databases, as well as reference lists of relevant articles, grey literature, and consultation with experts in the field. GRADE was used to assess the quality of evidence. Results: We included 17 eligible studies (n = 3245 participants). Interventions had small to moderate, beneficial effects on positive mental health (SMD = 0.35, very low quality evidence), and moderate beneficial effects on school attendance (SMD = 0.64, high quality evidence). There was limited evidence for the effectiveness of psychosocial interventions on mental health disorders including depression and anxiety, substance use, risky sexual and reproductive health behaviors, adherence to antenatal and postnatal care, and parenting skills. There were no available data for outcomes on self-harm and suicide; aggressive, disruptive, and oppositional behaviors; or exposure to intimate partner violence. Only two studies included adolescent fathers. No studies were based in low- or middle-income countries. Conclusion: Despite the encouraging findings in terms of effects on positive mental health and school attendance outcomes, there is a critical evidence gap related to the effectiveness of psychosocial interventions for improving mental health, preventing disorders, self-harm, and other risk behaviors among pregnant and parenting adolescents. There is an urgent need to adapt and design new psychosocial interventions that can be pilot-tested and scaled with pregnant adolescents and adolescent parents and their extended networks, particularly in low-income settings. Keywords: Adolescent pregnancy, Adolescent parenthood, Mental health, Psychosocial interventions, Systematic review, Meta-analysisen
dc.description.urihttps://reproductive-health-journal.biomedcentral.com/articles/10.1186/s12978-020-00913-y
dc.description.versionPublisher's version
dc.format.extent15 pages ; illustrations
dc.identifier.citationLaurenzi, C. A., et al. 2020. Psychosocial interventions targeting mental health in pregnant adolescents and adolescent parents : a systematic review. Reproductive Health, 17:65, doi:10.1186/s12978-020-00913-y
dc.identifier.issn1742-4755 (online)
dc.identifier.otherdoi:10.1186/s12978-020-00913-y
dc.identifier.urihttp://hdl.handle.net/10019.1/108637
dc.language.isoen_ZAen_ZA
dc.publisherBMC (part of Springer Nature)
dc.rights.holderAuthors retain copyright
dc.subjectPregnant teenagers -- Mental healthen_ZA
dc.subjectParenting -- Psychological aspectsen_ZA
dc.subjectSystematic reviews (Medical research)en_ZA
dc.titlePsychosocial interventions targeting mental health in pregnant adolescents and adolescent parents : a systematic reviewen_ZA
dc.typeArticle
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
laurenzi_psychosocial_2020.pdf
Size:
1.01 MB
Format:
Adobe Portable Document Format
Description:
Download article
Download
License bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
license.txt
Size:
0 B
Format:
Item-specific license agreed upon to submission
Description:
Download
Collections
Research Articles (Health Systems and Public Health)