Community factors influencing child and adolescent depression: A systematic review and meta-analysis

Stirling, Katie, Toumbourou, John W. and Rowland, Bosco 2015, Community factors influencing child and adolescent depression: A systematic review and meta-analysis, Australian and New Zealand journal of psychiatry, vol. 49, no. 10, pp. 869-886, doi: 10.1177/0004867415603129.

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Title Community factors influencing child and adolescent depression: A systematic review and meta-analysis
Author(s) Stirling, Katie
Toumbourou, John W.ORCID iD for Toumbourou, John W.
Rowland, BoscoORCID iD for Rowland, Bosco
Journal name Australian and New Zealand journal of psychiatry
Volume number 49
Issue number 10
Start page 869
End page 886
Total pages 18
Publisher Sage Publications
Place of publication Abingdon, Eng.
Publication date 2015-10
ISSN 1440-1614
Keyword(s) Adolescence
community risk and protective factors
depressive symptoms
emotional disorders
intervention studies
systematic review
Science & Technology
Life Sciences & Biomedicine
Summary OBJECTIVE: Depression has been identified as a priority disorder among children and adolescents. While numerous reviews have examined the individual and family factors that contribute to child and adolescent depressive symptoms, less is known about community-level risk and protective factors. The aim of this study was to complete a systematic review to identify community risk and protective factors for depression in school-aged children (4-18 years). METHOD: The review adopted the procedures recommended by the Cochrane Non-Randomised Studies Methods Working Group and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A comprehensive literature search was conducted to identify both observational and intervention study designs in both peer-reviewed and non-peer reviewed publications. RESULTS: A total of 21 studies met the inclusion criteria. Seventeen of the 18 community association studies and 2 of the 3 intervention studies reported one or more significant effects. Results indicated that community safety and community minority ethnicity and discrimination act as risk factors for depressive symptoms in school-aged children. Community disadvantage failed to achieve significance in meta-analytic results but findings suggest that the role of disadvantage may be influenced by other factors. Community connectedness was also not directly associated with depressive symptoms. CONCLUSION: There is evidence that a number of potentially modifiable community-level risk and protective factors influence child and adolescent depressive symptoms suggesting the importance of continuing research and intervention efforts at the community-level.
Language eng
DOI 10.1177/0004867415603129
Field of Research 11 Medical And Health Sciences
170113 Social and Community Psychology
170106 Health, Clinical and Counselling Psychology
Socio Economic Objective 920501 Child Health
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2015, Sage Publications
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School of Psychology
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