Psychological and social interventions for mental health issues and disorders in Southeast Asia: a systematic review

BACKGROUND: Mental health issues and disorders are major public health challenges, particularly in low- and middle-income countries in Southeast Asia, where chronic shortages in mental health services and human resources exist. The development of effective and accessible mental health systems in Sou...

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Autores principales: Maddock, Alan, Blair, Carolyn, Ean, Nil, Best, Paul
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8178881/
https://www.ncbi.nlm.nih.gov/pubmed/34090491
http://dx.doi.org/10.1186/s13033-021-00482-y
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author Maddock, Alan
Blair, Carolyn
Ean, Nil
Best, Paul
author_facet Maddock, Alan
Blair, Carolyn
Ean, Nil
Best, Paul
author_sort Maddock, Alan
collection PubMed
description BACKGROUND: Mental health issues and disorders are major public health challenges, particularly in low- and middle-income countries in Southeast Asia, where chronic shortages in mental health services and human resources exist. The development of effective and accessible mental health systems in Southeast Asia will require evidence based psychological and social interventions. This systematic review provides a narrative synthesis of the evidence on the effectiveness of such interventions for mental health issues and disorders in Southeast Asia. METHODS: A comprehensive literature search of 7 electronic databases (PsycINFO, Medline (Ovid), Cochrane library, EMBASE, SCOPUS, APA PsycArticles, and Social Care Online) was undertaken. RESULTS: Thirty two studies employing RCT designs to evaluate the effectiveness of a range of psychological and social mental health interventions on a number of different mental health outcomes were included in this review. The disparate intervention programmes reviewed were categorised as: lay delivered, yoga, aerobic and/or meditation based, cognitive behavioural therapy oriented, eye movement desensitization and reprocessing based (EMDR), health worker delivered, and hybrid programmes. The majority of the studies included in this review were of low to moderate quality due to the variability in the quality of the study design. The highest quality, and most promising evidence came from the evaluations of lay delivered interventions. This evidence demonstrates the feasibility and potential sustainability of implementing such interventions in resource constrained contexts. CONCLUSIONS: The review findings indicate that a disparate array of mental health interventions can be implemented effectively in a range of Southeast Asian mental health and health settings. There is a clear need for significantly more research however, through higher quality and larger scale RCTs before it will be known more definitively, if these interventions are effective, and for whom they are most effective in different Southeast Asian contexts. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13033-021-00482-y.
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spelling pubmed-81788812021-06-07 Psychological and social interventions for mental health issues and disorders in Southeast Asia: a systematic review Maddock, Alan Blair, Carolyn Ean, Nil Best, Paul Int J Ment Health Syst Review BACKGROUND: Mental health issues and disorders are major public health challenges, particularly in low- and middle-income countries in Southeast Asia, where chronic shortages in mental health services and human resources exist. The development of effective and accessible mental health systems in Southeast Asia will require evidence based psychological and social interventions. This systematic review provides a narrative synthesis of the evidence on the effectiveness of such interventions for mental health issues and disorders in Southeast Asia. METHODS: A comprehensive literature search of 7 electronic databases (PsycINFO, Medline (Ovid), Cochrane library, EMBASE, SCOPUS, APA PsycArticles, and Social Care Online) was undertaken. RESULTS: Thirty two studies employing RCT designs to evaluate the effectiveness of a range of psychological and social mental health interventions on a number of different mental health outcomes were included in this review. The disparate intervention programmes reviewed were categorised as: lay delivered, yoga, aerobic and/or meditation based, cognitive behavioural therapy oriented, eye movement desensitization and reprocessing based (EMDR), health worker delivered, and hybrid programmes. The majority of the studies included in this review were of low to moderate quality due to the variability in the quality of the study design. The highest quality, and most promising evidence came from the evaluations of lay delivered interventions. This evidence demonstrates the feasibility and potential sustainability of implementing such interventions in resource constrained contexts. CONCLUSIONS: The review findings indicate that a disparate array of mental health interventions can be implemented effectively in a range of Southeast Asian mental health and health settings. There is a clear need for significantly more research however, through higher quality and larger scale RCTs before it will be known more definitively, if these interventions are effective, and for whom they are most effective in different Southeast Asian contexts. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13033-021-00482-y. BioMed Central 2021-06-05 /pmc/articles/PMC8178881/ /pubmed/34090491 http://dx.doi.org/10.1186/s13033-021-00482-y Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Review
Maddock, Alan
Blair, Carolyn
Ean, Nil
Best, Paul
Psychological and social interventions for mental health issues and disorders in Southeast Asia: a systematic review
title Psychological and social interventions for mental health issues and disorders in Southeast Asia: a systematic review
title_full Psychological and social interventions for mental health issues and disorders in Southeast Asia: a systematic review
title_fullStr Psychological and social interventions for mental health issues and disorders in Southeast Asia: a systematic review
title_full_unstemmed Psychological and social interventions for mental health issues and disorders in Southeast Asia: a systematic review
title_short Psychological and social interventions for mental health issues and disorders in Southeast Asia: a systematic review
title_sort psychological and social interventions for mental health issues and disorders in southeast asia: a systematic review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8178881/
https://www.ncbi.nlm.nih.gov/pubmed/34090491
http://dx.doi.org/10.1186/s13033-021-00482-y
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