ArticleEpidemiology and psychiatric sciences2023
Strengthening self-regulation and reducing poverty to prevent adolescent depression and anxiety: Rationale, approach and methods of the ALIVE interdisciplinary research collaboration in Colombia, Nepal and South Africa.
Article in Epidemiology and psychiatric sciences, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 20 citations in OpenAlex.
- Poverty-reduction interventions combined with psychological interventions: A systematic literature review.Scientific reports · 2025Pooled it
- Effectiveness of combining psychological prevention interventions with interventions that address the social determinants of mental health in low- and middle-income countries: a systematic review and meta-analysis.BMJ mental health · 2025Pooled it
- Combining self-regulation and poverty reduction to prevent depression and anxiety among adolescents experiencing multi-dimensional poverty in Colombia, Nepal and South Africa: study protocol of a pilot 4-arm cluster randomised controlled trial.Pilot and feasibility studies · 2026Article
- Implementing Problem Management Plus (PM+) in Haiti: qualitative study.BJPsych open · 2026Article
- Relationship between poverty and symptoms of depression and anxiety among adolescents in Nepal: Examining the mediating effect of external and internal resilience.Journal of affective disorders · 2026Article
- Adolescent advisory groups in the ALIVE study: Feasibility and acceptability in global mental health prevention research.Global mental health (Cambridge, England) · 2026Article
- Impact of social risk factors on TF-CBT engagement and strategies to mitigate the impact: A qualitative analysis.PLOS mental health · 2026Article
- Recognition of depression by nurses in primary healthcare in Zimbabwe: Cross-sectional study.Global mental health (Cambridge, England) · 2026Article
- Translation and Adaptation of the Child and Youth Resilience Measure-Revised and Rugged Resilience Measure: A Mixed-Method Study Among Adolescents in Nepal.Child psychiatry and human development · 2025Article
- Coping strategies among poverty-affected adolescents experiencing or at risk of depression and anxiety in Nepal: a qualitative study.BMC psychology · 2025Article
- Rethinking Resting Heart Rate Variability: No Evidence of Association With Self-Regulation and Psychopathology in a Cross-Sectional Study Among Adolescents in Colombia, Nepal, and South Africa.Psychophysiology · 2025Article
- Assessment and management of suicidality in a mental health survey among poverty affected adolescents in Nepal.BMC public health · 2025Article
- Exploring the role of resilience in selective prevention intervention for adolescents at risk of depression and anxiety in Nepal: findings from a pilot cluster randomized controlled trial.Child and adolescent psychiatry and mental health · 2025Article
- "I take a deep breath first": Adolescent self-regulation and co-regulation in contexts of urban poverty in Bogotá, Colombia.Journal of research on adolescence : the official journal of the Society for Research on Adolescence · 2025Article
- Annual Research Review: Cash transfer programs and young people's mental health - a review of studies in the United States.Journal of child psychology and psychiatry, and allied disciplines · 2025Review
- Global Trends in the Epidemiologic Burden of Anxiety Disorders Among Women of Childbearing Age (1990-2021): Associations with Sociodemographic Index.International journal of women's health · 2025Article
- Applying systems theory to global mental health.Global mental health (Cambridge, England) · 2025Article
- War exposure, daily stressors, and mental health 15 years on: implications of an ecological framework for addressing the mental health of conflict-affected populations.Epidemiology and psychiatric sciences · 2024Article
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Corrections and comments
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Authors and funding
28 authors at 11 institutions in 8 countries.
Funding
Abstract
aimsDepression and anxiety are the leading contributors to the global burden of disease among young people, accounting for over a third (34.8%) of years lived with disability. Yet there is limited evidence for interventions that prevent adolescent depression and anxiety in low- and middle-income countries (LMICs), where 90% of adolescents live. This article introduces the 'Improving Adolescent mentaL health by reducing the Impact of poVErty (ALIVE)' study, its conceptual framework, objectives, methods and expected outcomes. The aim of the ALIVE study is to develop and pilot-test an intervention that combines poverty reduction with strengthening self-regulation to prevent depression and anxiety among adolescents living in urban poverty in Colombia, Nepal and South Africa.
methodsThis aim will be achieved by addressing four objectives: (1) develop a conceptual framework that identifies the causal mechanisms linking poverty, self-regulation and depression and anxiety; (2) develop a multi-component selective prevention intervention targeting self-regulation and poverty among adolescents at high risk of developing depression or anxiety; (3) adapt and validate instruments to measure incidence of depression and anxiety, mediators and implementation parameters of the prevention intervention; and (4) undertake a four-arm pilot cluster randomised controlled trial to assess the feasibility, acceptability and cost of the selective prevention intervention in the three study sites.
resultsThe contributions of this study include the active engagement and participation of adolescents in the research process; a focus on the causal mechanisms of the intervention; building an evidence base for prevention interventions in LMICs; and the use of an interdisciplinary approach.
conclusionsBy developing and evaluating an intervention that addresses multidimensional poverty and self-regulation, ALIVE can make contributions to evidence on the integration of mental health into broader development policy and practice.
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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.