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Effectiveness of life skills intervention on depression, anxiety and stress among children and adolescents: a systematic review

Children and adolescents are at a significantly high risk of mental health problems during their lifetime, among which are depression and anxiety, which are the most common. Life skills education is one of the intervention programmes designed to improve mental wellbeing and strengthen their ability...

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Main Authors:	Sherif, Yosra, Azman, Ahmad Zaid Fattah, Awang, Hamidin, Mokhtar, Siti Aisha, Mohammadzadeh, Marjan, Alimuddin, Aisha Siddiqah
Format:	Article
Published:	Universiti Sains Malaysia Press 2023
Online Access:	http://psasir.upm.edu.my/id/eprint/107463/ http://www.mjms.usm.my/MJMSvol30no3.html
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spelling	my.upm.eprints.1074632024-10-15T05:51:07Z http://psasir.upm.edu.my/id/eprint/107463/ Effectiveness of life skills intervention on depression, anxiety and stress among children and adolescents: a systematic review Sherif, Yosra Azman, Ahmad Zaid Fattah Awang, Hamidin Mokhtar, Siti Aisha Mohammadzadeh, Marjan Alimuddin, Aisha Siddiqah Children and adolescents are at a significantly high risk of mental health problems during their lifetime, among which are depression and anxiety, which are the most common. Life skills education is one of the intervention programmes designed to improve mental wellbeing and strengthen their ability to cope with the daily stresses of life. This review aimed to identify and evaluate the effect of life skills intervention on the reduction of depression, anxiety and stress among children and adolescents. Following the Population, Intervention, Comparison and Outcome (PICO) model and the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) 2009 checklist, eight databases (Academic Search Complete, CINAHL, Cochrane, MEDLINE, Psychology and Behavioural Sciences Collection, PubMed, Scopus and Web of Science) were systematically reviewed from 2012 to 2020. The search was limited to English papers only. It included published experimental and quasi-experimental studies addressing the effect of life skills interventions on the reduction of at least one of the following mental health disorders: depression, anxiety and stress among children and adolescents (from the age of 5 years old to 18 years old). We used the Joanna Briggs Institute checklist for experimental and quasi-experimental studies to evaluate the quality of the included studies. This study was registered in PROSPERO CRD42021256603. The search identified only 10 studies (three experimental and seven quasi-experimental) from 2,160 articles. The number of the participants was 6,714 aged between 10 years old and 19 years old. Three studies in this review focused on depression and anxiety, whereas one study investigated depression and the other anxiety. Three studies targeted only stress and two examined the three outcomes, namely, depression, anxiety and stress. Almost in all studies, the life skills intervention positively impacted mental disorders, considering the differences among males and females. The overall methodological quality of the findings was deemed to be moderate to high. Our results clearly indicated the advantages of life skills programmes among adolescents in different settings and contexts. Nonetheless, the results highlight some important policy implications by emphasising the crucial roles of developers and policymakers in the implementation of appropriate modules and activities. Further research examining life skills intervention with a cultural, gender perspective, age-appropriate and longterm effect is recommended. Universiti Sains Malaysia Press 2023-06 Article PeerReviewed Sherif, Yosra and Azman, Ahmad Zaid Fattah and Awang, Hamidin and Mokhtar, Siti Aisha and Mohammadzadeh, Marjan and Alimuddin, Aisha Siddiqah (2023) Effectiveness of life skills intervention on depression, anxiety and stress among children and adolescents: a systematic review. Malaysian Journal of Medical Sciences, 30 (3). pp. 42-59. ISSN 1394-195X; ESSN: 2180-4303 http://www.mjms.usm.my/MJMSvol30no3.html 10.21315/mjms2023.30.3.4
institution	Universiti Putra Malaysia
building	UPM Library
collection	Institutional Repository
continent	Asia
country	Malaysia
content_provider	Universiti Putra Malaysia
content_source	UPM Institutional Repository
url_provider	http://psasir.upm.edu.my/
description	Children and adolescents are at a significantly high risk of mental health problems during their lifetime, among which are depression and anxiety, which are the most common. Life skills education is one of the intervention programmes designed to improve mental wellbeing and strengthen their ability to cope with the daily stresses of life. This review aimed to identify and evaluate the effect of life skills intervention on the reduction of depression, anxiety and stress among children and adolescents. Following the Population, Intervention, Comparison and Outcome (PICO) model and the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) 2009 checklist, eight databases (Academic Search Complete, CINAHL, Cochrane, MEDLINE, Psychology and Behavioural Sciences Collection, PubMed, Scopus and Web of Science) were systematically reviewed from 2012 to 2020. The search was limited to English papers only. It included published experimental and quasi-experimental studies addressing the effect of life skills interventions on the reduction of at least one of the following mental health disorders: depression, anxiety and stress among children and adolescents (from the age of 5 years old to 18 years old). We used the Joanna Briggs Institute checklist for experimental and quasi-experimental studies to evaluate the quality of the included studies. This study was registered in PROSPERO CRD42021256603. The search identified only 10 studies (three experimental and seven quasi-experimental) from 2,160 articles. The number of the participants was 6,714 aged between 10 years old and 19 years old. Three studies in this review focused on depression and anxiety, whereas one study investigated depression and the other anxiety. Three studies targeted only stress and two examined the three outcomes, namely, depression, anxiety and stress. Almost in all studies, the life skills intervention positively impacted mental disorders, considering the differences among males and females. The overall methodological quality of the findings was deemed to be moderate to high. Our results clearly indicated the advantages of life skills programmes among adolescents in different settings and contexts. Nonetheless, the results highlight some important policy implications by emphasising the crucial roles of developers and policymakers in the implementation of appropriate modules and activities. Further research examining life skills intervention with a cultural, gender perspective, age-appropriate and longterm effect is recommended.
format	Article
author	Sherif, Yosra Azman, Ahmad Zaid Fattah Awang, Hamidin Mokhtar, Siti Aisha Mohammadzadeh, Marjan Alimuddin, Aisha Siddiqah
spellingShingle	Sherif, Yosra Azman, Ahmad Zaid Fattah Awang, Hamidin Mokhtar, Siti Aisha Mohammadzadeh, Marjan Alimuddin, Aisha Siddiqah Effectiveness of life skills intervention on depression, anxiety and stress among children and adolescents: a systematic review
author_facet	Sherif, Yosra Azman, Ahmad Zaid Fattah Awang, Hamidin Mokhtar, Siti Aisha Mohammadzadeh, Marjan Alimuddin, Aisha Siddiqah
author_sort	Sherif, Yosra
title	Effectiveness of life skills intervention on depression, anxiety and stress among children and adolescents: a systematic review
title_short	Effectiveness of life skills intervention on depression, anxiety and stress among children and adolescents: a systematic review
title_full	Effectiveness of life skills intervention on depression, anxiety and stress among children and adolescents: a systematic review
title_fullStr	Effectiveness of life skills intervention on depression, anxiety and stress among children and adolescents: a systematic review
title_full_unstemmed	Effectiveness of life skills intervention on depression, anxiety and stress among children and adolescents: a systematic review
title_sort	effectiveness of life skills intervention on depression, anxiety and stress among children and adolescents: a systematic review
publisher	Universiti Sains Malaysia Press
publishDate	2023
url	http://psasir.upm.edu.my/id/eprint/107463/ http://www.mjms.usm.my/MJMSvol30no3.html
_version_	1814054636336709632
score	13.211869

Effectiveness of life skills intervention on depression, anxiety and stress among children and adolescents: a systematic review

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