SynthesisClinical child and family psychology review2018
A Meta-Analysis of Universal School-Based Prevention Programs for Anxiety and Depression in Children.
Synthesis in Clinical child and family psychology review, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 8 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
38 citing papers in PubMed, 8 syntheses or guidelines pooled it, 100 citations in OpenAlex.
- Pooled it
- The use of games in the classroom to promote mental health knowledge and healthy attitudes in adolescents: a systematic review.Frontiers in psychiatry · 2025Pooled it
- Universal, school-based, interventions to improve emotional outcomes in children and young people: a systematic review and meta-analysis.Frontiers in child and adolescent psychiatry · 2025Pooled it
- Does Cognitive-Behavioral Therapy for Youth Anxiety Disorders Improve Social Functioning and Peer Relationships?Clinical child and family psychology review · 2023Pooled it
- Exercise intervention and improvement of negative emotions in children: a meta-analysis.BMC pediatrics · 2023Pooled it
- Systematic review and meta-analysis of the prevention of internalizing disorders in early childhood.Frontiers in psychology · 2023Pooled it
- Assessment of Psychosocial Programs to Prevent Sexual Violence During Adolescence: A Systematic Review and Meta-analysis.JAMA network open · 2022Pooled it
- School-based interventions to prevent anxiety and depression in children and young people: a systematic review and network meta-analysis.The lancet. Psychiatry · 2019Pooled it
- Effect of Yoga and Mindfulness Intervention on Symptoms of Anxiety and Depression in Young Adolescents Attending Middle School: A Pragmatic Community-Based Cluster Randomized Controlled Trial in a Racially Diverse Urban Setting.International journal of environmental research and public health · 2022Trial
- Adolescents' Empowerment for Mental Health Literacy in School: A Pilot Study on ProLiSMental Psychoeducational Intervention.International journal of environmental research and public health · 2021Trial
- Trial
- Trial
- Small Group Instruction Can Improve Adolescent Mental Health and Peer Relations: Findings From A Technology-Assisted Cooperative Learning Intervention.Psychology in the schools · 2026Article
- School-Based Universal Mental Health Prevention Programs for Children Aged 6 to 9 Years in Low- and Middle-Income Countries: Protocol for a Scoping Review.JMIR research protocols · 2026Article
- School entry health examinations by school nurses for early detection of psychiatric disorders: a prospective cohort study.Child and adolescent psychiatry and mental health · 2026Article
- Transdiagnostic prevention in youth mental health, Part II: interventions.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026Review
- Beyond health: a systematic review of cross-sector economic implications of school-based mental health programmes in Europe.BMJ public health · 2026Article
- Article
- Association of problems, coping styles, and preferred online activity with depression, anxiety, and other psychological disorders in Turkish adolescents diagnosed with chronic kidney disease.Pediatric nephrology (Berlin, Germany) · 2024Article
- Subtypes of Depressed Youth Admitted for Inpatient Psychiatric Care: A Latent Profile Analysis.Research on child and adolescent psychopathology · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Anxiety and depression are among the most common mental health issues experienced in childhood. Implementing school-based prevention programs during childhood, rather than adolescence, is thought to provide better mental health outcomes. The present meta-analysis aimed to investigate the efficacy of universal school-based prevention programs that target both anxiety and depression in children (aged 13 years or below), and examine three moderators (i.e., program type, primary target of program, and number of sessions) on prevention effects. PsycINFO, PubMED, and Google Scholar were systematically searched for relevant articles published up to and including January 2018. Fourteen randomised controlled trials, consisting of 5970 children, met eligibility criteria. Prevention programs led to significantly fewer depressive symptoms at post-program (g = 0.172) and at long-term follow-up periods (g = 0.180), but not at short-term follow-up. Programs were not found to prevent anxiety symptoms across any time point. Considerable heterogeneity was observed for all effects. Program type and length were found to moderate the relationship between prevention program and outcomes. Prevention programs were effective in preventing depressive symptoms at post-program and long-term follow-up, while no significant preventative effect on anxiety symptoms was observed. The FRIENDS Program and programs which contained a greater number of sessions showed beneficial effects on anxiety and depressive symptoms. Universal programs aimed at preventing both anxiety and depression in children are limited. Future research should investigate the long-term evaluation of school-based prevention programs for anxiety and depression in children.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.