Evidence map›Paper›PMID 33196654›Full record

SynthesisPloS one2020

Long-term outcomes of psychological interventions on children and young people's mental health: A systematic review and meta-analysis.

Stephen Pilling, Peter Fonagy, Elizabeth Allison, Phoebe Barnett, Chloe Campbell, Matthew Constantinou, Tessa Gardner, Nicolas Lorenzini, Hannah Matthews, Alana Ryan and 6 more

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  18. Interventions for Young Children's Mental Health: A Review of Reviews.Clinical child and family psychology review · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Stephen PillingResearch Department of Clinical, Educational and Health Psychology, University College London, London, United Kingdom.ORCID 0000-0002-7361-8202
Peter FonagyResearch Department of Clinical, Educational and Health Psychology, University College London, London, United Kingdom.ORCID 0000-0003-0229-0091
Elizabeth AllisonResearch Department of Clinical, Educational and Health Psychology, University College London, London, United Kingdom.
Phoebe BarnettResearch Department of Clinical, Educational and Health Psychology, University College London, London, United Kingdom.ORCID 0000-0001-6521-3101
Chloe CampbellResearch Department of Clinical, Educational and Health Psychology, University College London, London, United Kingdom.
Matthew ConstantinouResearch Department of Clinical, Educational and Health Psychology, University College London, London, United Kingdom.ORCID 0000-0002-1323-5103
Tessa GardnerResearch Department of Clinical, Educational and Health Psychology, University College London, London, United Kingdom.
Nicolas LorenziniResearch Department of Clinical, Educational and Health Psychology, University College London, London, United Kingdom.ORCID 0000-0001-9805-0150
Hannah MatthewsResearch Department of Clinical, Educational and Health Psychology, University College London, London, United Kingdom.
Alana RyanResearch Department of Clinical, Educational and Health Psychology, University College London, London, United Kingdom.
Sofia SacchettiResearch Department of Clinical, Educational and Health Psychology, University College London, London, United Kingdom.
Alexandra TruscottResearch Department of Clinical, Educational and Health Psychology, University College London, London, United Kingdom.
Tamara VenturaResearch Department of Clinical, Educational and Health Psychology, University College London, London, United Kingdom.
Kate WatchornResearch Department of Clinical, Educational and Health Psychology, University College London, London, United Kingdom.
Craig WhittingtonRWE Literature Synthesis and Biostatistics, Sanofi, Swiftwater, Pennsylvania, United States of America.
Tim KendallRoyal College of Psychiatrists National Collaborating Centre for Mental Health, London, United Kingdom.

Funding

Department of Health 510388
6 · The paper itself

Abstract

backgroundOver 600 RCTs have demonstrated the effectiveness of psychosocial interventions for children and young people's mental health, but little is known about the long-term outcomes. This systematic review sought to establish whether the effects of selective and indicated interventions were sustained at 12 months.

methodWe conducted a systematic review and meta-analysis focusing on studies reporting medium term outcomes (12 months after end of intervention).

findingsWe identified 138 trials with 12-month follow-up data, yielding 165 comparisons, 99 of which also reported outcomes at end of intervention, yielding 117 comparisons. We found evidence of effect relative to control at end of intervention (K = 115, g = 0.39; 95% CI: 0.30-0.47 I2 = 84.19%, N = 13,982) which was maintained at 12 months (K = 165, g = 0.31, CI: 0.25-0.37, I2 = 77.35%, N = 25,652) across a range of diagnostic groups. We explored the impact of potential moderators on outcome, including modality, format and intensity of intervention, selective or indicated intervention, site of delivery, professional/para-professional and fidelity of delivery. We assessed both risk of study bias and publication bias.

conclusionsPsychosocial interventions provided in a range of settings by professionals and paraprofessionals can deliver lasting benefits. High levels of heterogeneity, moderate to high risk of bias for most studies and evidence of publication bias require caution in interpreting the results. Lack of studies in diagnostic groups such as ADHD and self-harm limit the conclusions that can be drawn. Programmes that increase such interventions' availability are justified by the benefits to children and young people and the decreased likelihood of disorder in adulthood.

Indexed as

Mental HealthAdolescentAdultChildHumansMental DisordersPrognosisPsychosocial InterventionPsychotherapyYoung Adult

Identifiers

PMID33196654
PMCPMC7668611

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.