Evidence map›Paper›PMID 40458775›Full record

ReviewFrontiers in psychiatry2025

School-based interventions for resilience in children and adolescents: a systematic review and meta-analysis of randomized controlled trials.

Chenyi Cai, Zhengyang Mei, Zirui Wang, Shi Luo

Abstract readReview
In one paragraph

Review in Frontiers in psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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

10 citing papers in PubMed.

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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

4 authors.

Chenyi Cai *School of Physical Education, Southwest University, Chongqing, China.
Zhengyang Mei *School of Physical Education, Southwest University, Chongqing, China.
Zirui WangCollege of Horticulture and Landscape Architecture, Southwest University, Chongqing, China.
Shi LuoSchool of Physical Education, Southwest University, Chongqing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This systematic review and meta-analysis aimed to evaluate the overall efficacy of school-based interventions (SBIs) in promoting resilience in children and adolescents and to provide evidence for advancing mental health care for children and adolescents. Methods: A search was conducted in seven electronic databases, including PubMed, Embase, EBSCOhost, Scopus, Web of Science, APA PsycINFO, and Google Scholar. The Revised Cochrane risk-of-bias tool for randomized trials (RoB 2) was used for the quality appraisal. The standardized mean difference (SMD; Cohen's d) combined with 95% confidence intervals (CIs) was used to pool the effect sizes. Results: A total of 38 RCTs involving 15,730 participants were included in the systematic review, 21 of which were selected for inclusion in the meta-analysis. In terms of quality appraisal, the included trials were classified as having low risk, some concerns, or high risk, with proportions of 5.2%, 71.1%, and 23.7%, respectively. The pairwise meta-analyses indicated that SBIs significantly enhanced resilience in children and adolescents compared to the control group (SMD = 0.17, 95% Cl 0.06-0.29, Conclusions: SBIs have a positive effect on the resilience of children and adolescents. In the context of limited medical resources, SBIs could serve as a promising approach to promote the ability of children and adolescents to adapt to stressors. Given the considerable heterogeneity identified, SBIs should be personalized on the basis of variations in demographic characteristics, intervention implementation, and actual dose-response to improve the overall well-being of children and adolescents and reduce the risk of maladaptive psychological and behavioral responses.

Indexed as

adolescentschildrenmental healthresilienceschool-based interventions

Identifiers

PMID40458775
PMCPMC12127306

What OpenQuestion holds

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Registered trials

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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.