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      Psychological and social interventions for mental health issues and disorders in Southeast Asia: a systematic review

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          Abstract

          Background

          Mental health issues and disorders are major public health challenges, particularly in low- and middle-income countries in Southeast Asia, where chronic shortages in mental health services and human resources exist. The development of effective and accessible mental health systems in Southeast Asia will require evidence based psychological and social interventions. This systematic review provides a narrative synthesis of the evidence on the effectiveness of such interventions for mental health issues and disorders in Southeast Asia.

          Methods

          A comprehensive literature search of 7 electronic databases (PsycINFO, Medline (Ovid), Cochrane library, EMBASE, SCOPUS, APA PsycArticles, and Social Care Online) was undertaken.

          Results

          Thirty two studies employing RCT designs to evaluate the effectiveness of a range of psychological and social mental health interventions on a number of different mental health outcomes were included in this review. The disparate intervention programmes reviewed were categorised as: lay delivered, yoga, aerobic and/or meditation based, cognitive behavioural therapy oriented, eye movement desensitization and reprocessing based (EMDR), health worker delivered, and hybrid programmes. The majority of the studies included in this review were of low to moderate quality due to the variability in the quality of the study design. The highest quality, and most promising evidence came from the evaluations of lay delivered interventions. This evidence demonstrates the feasibility and potential sustainability of implementing such interventions in resource constrained contexts.

          Conclusions

          The review findings indicate that a disparate array of mental health interventions can be implemented effectively in a range of Southeast Asian mental health and health settings. There is a clear need for significantly more research however, through higher quality and larger scale RCTs before it will be known more definitively, if these interventions are effective, and for whom they are most effective in different Southeast Asian contexts.

          Supplementary Information

          The online version contains supplementary material available at 10.1186/s13033-021-00482-y.

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          The Cochrane Collaboration’s tool for assessing risk of bias in randomised trials

          Flaws in the design, conduct, analysis, and reporting of randomised trials can cause the effect of an intervention to be underestimated or overestimated. The Cochrane Collaboration’s tool for assessing risk of bias aims to make the process clearer and more accurate
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            Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement.

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              Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013

              Up-to-date evidence about levels and trends in disease and injury incidence, prevalence, and years lived with disability (YLDs) is an essential input into global, regional, and national health policies. In the Global Burden of Disease Study 2013 (GBD 2013), we estimated these quantities for acute and chronic diseases and injuries for 188 countries between 1990 and 2013.
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                Author and article information

                Contributors
                a.maddock@qub.ac.uk
                Journal
                Int J Ment Health Syst
                Int J Ment Health Syst
                International Journal of Mental Health Systems
                BioMed Central (London )
                1752-4458
                5 June 2021
                5 June 2021
                2021
                : 15
                : 56
                Affiliations
                [1 ]GRID grid.4777.3, ISNI 0000 0004 0374 7521, School of Social Sciences, Education and Social Work, , Queen’s University Belfast, ; Northern Ireland, Belfast, UK
                [2 ]GRID grid.20440.32, ISNI 0000 0001 1364 8832, Department of Psychology, , Royal University of Phnom Penh, ; Phnom Penh, Cambodia
                Author information
                http://orcid.org/0000-0001-5089-1778
                Article
                482
                10.1186/s13033-021-00482-y
                8178881
                34090491
                3812707e-2791-4523-acd3-d50215344645
                © The Author(s) 2021

                Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

                History
                : 17 December 2020
                : 25 May 2021
                Funding
                Funded by: Department of Economy, Northern Ireland (GB)-Global Research Challenges Award
                Award ID: R3134SES
                Award Recipient :
                Categories
                Review
                Custom metadata
                © The Author(s) 2021

                Neurology
                mental health,disorder,psychological and social,intervention,mental health system,review
                Neurology
                mental health, disorder, psychological and social, intervention, mental health system, review

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