Sistema de Salut de Catalunya
[Llistosella M] Servei de Primers Auxilis, Hospital de Terrassa, Consorci Sanitari de Terrassa, Terrassa, Spain. Servei d’Infermeria, Universitat Internacional de Catalunya, Sant Cugat del Vallès, Spain. [Goni-Fuste B, Martín-Delgado L] Department of Nursing, Universitat International de Catalunya, Sant Cugat del Vallés, Spain. [Miranda-Mendizabal A] Teaching, Research and Innovation Unit, Fundació Sant Joan de Déu, Sant Boi de Llobregat, Spain. Mental Health Networking Biomedical Research Centre, Madrid, Spain. Department of Medicine, Universitat International de Catalunya, Sant Cugat del Vallés, Spain. [Franch Martinez B] Department of Medicine, Universitat International de Catalunya, Sant Cugat del Vallés, Spain. [Pérez-Ventana C] Servei de Primers Auxilis, Hospital de Terrassa, Consorci Sanitari de Terrassa, Terrassa, Spain
Consorci Sanitari de Terrassa
2023-11-10T13:54:01Z
2023-11-10T13:54:01Z
2023-10-06
Adolescence; Meta-analysis; Resilience
Adolescencia; Metanálisis; Resiliencia
Adolescència; Metaanàlisi; Resiliència
Introduction: Resilience has been identified as a dynamic process that provides capabilities to face adversity. Considering the many protective factors involved in resilience and that the school is a key context to promote resilience, this review aimed to examine the effect of school-based interventions on resilience in adolescents. Methods: A systematic literature review and meta-analysis were conducted in July 2021 on four databases. The risk of bias was assessed using the Cochrane risk of bias tool. Random-effects meta-analysis was used to obtain pooled estimates. Stratified analyses were done according to population type (general, at risk), intervention type, and follow-up assessments. Results: Of the 1,667 articles obtained, 27 were included in the systematic review and 16 in the meta-analysis. The random effects indicated a significant increase in resilience after the intervention [SMD = 0.58, 95% CI (0.29-0.87)]. Subgroup analysis showed effectiveness only in the population at risk [SMD = 1.28, 95% CI (0.53-2.03)] and early adolescence [SMD = 1.28, 95% CI (0.42-2.14), PI (-7.44 to 10.33)]. Multicomponent intervention [SMD = 1.45, 95% CI (0.11-2.80)] and Cognitive Behavioural Therapy (CBT) [SMD = 0.20, 95% CI (0.06-0.34)] demonstrated substantial effectiveness. Significant results were observed within 8-week follow-ups or less [SMD = 1.55, 95% CI (0.61-2.48)]. Discussion: These findings provide evidence that multicomponent and CBT interventions increase resilience in early at-risk adolescents only in the short term. Developing resilience interventions is useful in schools exposed to unfavourable socioeconomic contexts. Furthermore, long-term interventions should be redesigned to improve their effectiveness.
This study was funded by a grant from the Strategic Plan for Research and Innovation in Health from the Departament de Salut de la Generalitat de Catalunya (Spain; SLT017/20/000070).
Article
Published version
English
Metaanàlisi; Resiliència (Tret de la personalitat) en els adolescents; NAMED GROUPS::Persons::Age Groups::Adolescent; PUBLICATION CHARACTERISTICS::Study Characteristics::Meta-Analysis; PSYCHIATRY AND PSYCHOLOGY::Psychological Phenomena::Resilience, Psychological; DENOMINACIONES DE GRUPOS::personas::Grupos de Edad::adolescente; CARACTERÍSTICAS DE PUBLICACIONES::características del estudio::metaanálisis; PSIQUIATRÍA Y PSICOLOGÍA::fenómenos psicológicos::resiliencia psicológica
Frontiers Media
Frontiers in Psychology;14
https://doi.org/10.3389/fpsyg.2023.1211113
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
