25 juillet 2023

Interventions pour la santé mentale des jeunes enfants : une revue de revues

 Aperçu: G.M.

. 2023 Jul 24.  doi: 10.1007/s10567-023-00443-6. 

Interventions for Young Children's Mental Health: A Review of Reviews

Jennifer L Hudson  1 , Savannah Minihan  2 , Wenting Chen  2 , Talia Carl  2   3 , Michele Fu  2 , Lucy Tully  3 , Maria Kangas  4 , Linda Rosewell  4 , Emma A McDermott  2 , Yiwen Wang  5 , Thomas Stubbs  5 , Alexandra Martiniuk  5
Affiliations

Résumé

Afin de déterminer l'efficacité des programmes d'intervention pour les jeunes enfants (4-9 ans) ayant des besoins émergents en matière de santé mentale, nous avons effectué une revue des revues méta-analytiques et systématiques de la littérature sur les interventions.
Sur les 41 061 résumés identifiés et les 15 076 sélectionnés, 152 articles de synthèse répondaient aux critères d'inclusion. Nous avons examiné les interventions dans plusieurs disciplines ciblant : 

  1. les problèmes généraux de santé mentale ; 
  2. les symptômes d'intériorisatio;
  3. les symptômes d'extériorisation ; 
  4. l'anxiété ; 
  5. la dépression ; 
  6. les traumatismes ; 
  7. les symptômes du trouble déficitaire de l'attention/hyperactivité ; et 
  8. les problèmes de santé mentale associés au trouble du spectre de l'autisme. 

Des preuves substantielles ont été trouvées pour l'efficacité des interventions comportementales et cognitivo-comportementales pour les problèmes généraux de santé mentale, les symptômes d'extériorisation (en général, ainsi que le TDAH, la conduite et d'autres symptômes comportementaux) et les symptômes d'intériorisation (en général, ainsi que l'anxiété) chez les enfants âgés de 4 à 9 ans. 

Des données émergentes ont été identifiées pour les interventions ciblant les symptômes de traumatisme, les symptômes de dépression et les symptômes sociaux, émotionnels et comportementaux des troubles du spectre de l'autisme chez les enfants âgés de 4 à 9 ans. 

À l'heure actuelle, il n'existe que peu de preuves émergentes concernant les interventions non comportementales ou non cognitives pour les programmes ciblant les enfants âgés de 4 à 9 ans et dont l'objectif est d'offrir un programme fondé sur des preuves pour améliorer le fonctionnement social, émotionnel et/ou comportemental de l'enfant. 

Compte tenu de l'augmentation récente des besoins en matière de santé mentale chez les enfants, les interventions ciblées basées sur la thérapie comportementale et/ou cognitive devraient être largement accessibles aux enfants (et à leurs familles) qui présentent des symptômes élevés.

Abstract

To determine the efficacy of intervention programs for young children (4-9 years) with emerging mental health needs, we conducted a review of meta-analytic and systematic reviews of the intervention literature. Of 41,061 abstracts identified and 15,076 screened, 152 review articles met the inclusion criteria. We reviewed interventions across multiple disciplines targeting: (1) general mental health concerns; (2) internalizing symptoms; (3) externalizing symptoms; (4) anxiety; (5) depression; (6) trauma; (7) symptoms of attention-deficit/hyperactivity disorder; and (8) mental health concerns associated with autism spectrum disorder. Substantial evidence was found for the efficacy of behavioral and cognitive behavioral interventions for general mental health concerns, externalizing symptoms (generally, as well as ADHD, conduct, and other behavioral symptoms) and internalizing symptoms (generally, as well as anxiety) aged 4-9 years. Emerging evidence was identified for interventions targeting trauma symptoms, depression symptoms, and social, emotional and behavioral symptoms in autism spectrum disorder in children aged 4-9 years. Currently there is only limited emerging evidence regarding non-behavioral or non-cognitive behavioral interventions for programs targeting children ages 4-9 years where the aim is to deliver an evidence-based program to improve child social, emotional and/or behavioral functioning. Given the recent rises in mental health needs reported in children, targeted behavioral-and/or cognitive behavior therapy-based interventions should be made widely available to children (and their families) who experience elevated symptoms.

Keywords: Behavioral problems; Childhood; Emotional problems; Intervention; Mental health; Social problems.

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