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Mobilising social support to improve mental health for children and adolescents: A systematic review using principles of realist synthesis

Social support is a well-recognised protective factor for children’s mental health. Whilst many interventions exist that seek to mobilise social support to improve children’s mental health, not much is known about how to best do this. We sought to generate knowledge about the ways in which social su...

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Autores principales: Bauer, Annette, Stevens, Madeleine, Purtscheller, Daniel, Knapp, Martin, Fonagy, Peter, Evans-Lacko, Sara, Paul, Jean
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8136658/
https://www.ncbi.nlm.nih.gov/pubmed/34015021
http://dx.doi.org/10.1371/journal.pone.0251750
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author Bauer, Annette
Stevens, Madeleine
Purtscheller, Daniel
Knapp, Martin
Fonagy, Peter
Evans-Lacko, Sara
Paul, Jean
author_facet Bauer, Annette
Stevens, Madeleine
Purtscheller, Daniel
Knapp, Martin
Fonagy, Peter
Evans-Lacko, Sara
Paul, Jean
author_sort Bauer, Annette
collection PubMed
description Social support is a well-recognised protective factor for children’s mental health. Whilst many interventions exist that seek to mobilise social support to improve children’s mental health, not much is known about how to best do this. We sought to generate knowledge about the ways in which social support can be mobilised to improve children’s mental health. We conducted a systematic review, which followed the principles of a realist synthesis. The following databases were searched: PubMed, CINAHL, Ovid MEDLINE, PsychINFO, EMBASE, Child and Adolescent Studies, EconLit and SocINDEX. Studies were included if the age of participants was between 0 and 18 years and they evaluated or described programme theories of interventions that sought to improve children’s mental health by mobilising social support. Relevance and quality of studies were assessed, and data were extracted and analysed narratively. Thirty-three articles were included. Studies varied substantially with regard to the detail in which they described the processes of mobilising social support and expected mechanisms to improve children’s mental health. Those that provided this detail showed the following: Intervention components included explaining the benefits of social support and relationships to families and modelling friendly relationships to improve social skills. Pathways to improved outcomes reflected bi-directional and dynamic relationships between social support and mental health, and complex and long-term processes of establishing relationship qualities such as trust and reciprocity. Parents’ ability to mobilise social support for themselves and on behalf of children was assumed to impact on their children’s mental health, and (future) ability to mobilise social support. Although interventions were considered affordable, some required substantial human and financial resources from existing systems. Mobilising social support for vulnerable children can be a complex process that requires careful planning, and theory-informed evaluations can have an important role in increasing knowledge about how to best address social support and loneliness in children.
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spelling pubmed-81366582021-06-02 Mobilising social support to improve mental health for children and adolescents: A systematic review using principles of realist synthesis Bauer, Annette Stevens, Madeleine Purtscheller, Daniel Knapp, Martin Fonagy, Peter Evans-Lacko, Sara Paul, Jean PLoS One Research Article Social support is a well-recognised protective factor for children’s mental health. Whilst many interventions exist that seek to mobilise social support to improve children’s mental health, not much is known about how to best do this. We sought to generate knowledge about the ways in which social support can be mobilised to improve children’s mental health. We conducted a systematic review, which followed the principles of a realist synthesis. The following databases were searched: PubMed, CINAHL, Ovid MEDLINE, PsychINFO, EMBASE, Child and Adolescent Studies, EconLit and SocINDEX. Studies were included if the age of participants was between 0 and 18 years and they evaluated or described programme theories of interventions that sought to improve children’s mental health by mobilising social support. Relevance and quality of studies were assessed, and data were extracted and analysed narratively. Thirty-three articles were included. Studies varied substantially with regard to the detail in which they described the processes of mobilising social support and expected mechanisms to improve children’s mental health. Those that provided this detail showed the following: Intervention components included explaining the benefits of social support and relationships to families and modelling friendly relationships to improve social skills. Pathways to improved outcomes reflected bi-directional and dynamic relationships between social support and mental health, and complex and long-term processes of establishing relationship qualities such as trust and reciprocity. Parents’ ability to mobilise social support for themselves and on behalf of children was assumed to impact on their children’s mental health, and (future) ability to mobilise social support. Although interventions were considered affordable, some required substantial human and financial resources from existing systems. Mobilising social support for vulnerable children can be a complex process that requires careful planning, and theory-informed evaluations can have an important role in increasing knowledge about how to best address social support and loneliness in children. Public Library of Science 2021-05-20 /pmc/articles/PMC8136658/ /pubmed/34015021 http://dx.doi.org/10.1371/journal.pone.0251750 Text en © 2021 Bauer et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Bauer, Annette
Stevens, Madeleine
Purtscheller, Daniel
Knapp, Martin
Fonagy, Peter
Evans-Lacko, Sara
Paul, Jean
Mobilising social support to improve mental health for children and adolescents: A systematic review using principles of realist synthesis
title Mobilising social support to improve mental health for children and adolescents: A systematic review using principles of realist synthesis
title_full Mobilising social support to improve mental health for children and adolescents: A systematic review using principles of realist synthesis
title_fullStr Mobilising social support to improve mental health for children and adolescents: A systematic review using principles of realist synthesis
title_full_unstemmed Mobilising social support to improve mental health for children and adolescents: A systematic review using principles of realist synthesis
title_short Mobilising social support to improve mental health for children and adolescents: A systematic review using principles of realist synthesis
title_sort mobilising social support to improve mental health for children and adolescents: a systematic review using principles of realist synthesis
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8136658/
https://www.ncbi.nlm.nih.gov/pubmed/34015021
http://dx.doi.org/10.1371/journal.pone.0251750
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