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Common mental health problems among adolescents in sub-Saharan Africa: A systematic review and meta-analysis

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  • Adewuya, A. O., Ola, B. A., & Adewumi, T. A. (2007). The 12-month prevalence of DSM-IV anxiety disorders among Nigerian secondary school adolescents aged 13-18 years. Journal of Adolescence, 30(6), 1071–1076. https://doi.org/10.1016/j.adolescence.2007.08.002
  • Alem, A., Zergaw, A., Kebede, D., Araya, M., Desta, M., Muche, T. et al. (2006). Child labor and childhood behavioral and mental health problems in Ethiopia. The Ethiopian Journal of Health Development, 20(2), 119–126.
  • Amoran, O. E., Lawoyin, T. O., & Oni, O. O. (2005). Risk factors associated with mental illness in Oyo State, Nigeria: A community based study. Annals of General Psychiatry, 4(1), 19. https://doi.org/10.1186/1744-859X-4-19
  • Anyan, F., & Hjemdal, O. (2016). Adolescent stress and symptoms of anxiety and depression: Resilience explains and differentiates the relationships. Journal of Affective Disorders, 203, 213–220. https://doi.org/10.1016/j.jad.2016.05.031
  • Arslan, G. (2016). Psychological maltreatment, emotional and behavioral problems in adolescents: The mediating role of resilience and self-esteem. Child Abuse & Neglect, 52, 200–209. https://doi.org/10.1016/j.chiabu.2015.09.010
  • Ashenafi, Y., Kebede, D., Desta, M., & Alem, A. (2001). Prevalence of mental and behavioural disorders in Ethiopian children. East African Medical Journal, 78(6), 308–311. https://doi.org/10.4314/eamj.v78i6.9024
  • Ayano, G., Yohannes, K., & Abraha, M. (2020). Epidemiology of attention-deficit/hyperactivity disorder (ADHD) in children and adolescents in Africa: A systematic review and meta-analysis. Annals of General Psychiatry, 19(1), 21. https://doi.org/10.1186/s12991-020-00271-w
  • Balvin, N. B. P. (Ed.). (2017). The adolescent brain: a second window of opportunity – a compendium. UNICEF Office of Research – Innocenti.
  • Belfer, M. L. (2008). Child and adolescent mental disorders: The magnitude of the problem across the globe. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 49(3), 226–236. https://doi.org/10.1111/j.1469-7610.2007.01855.x
  • Blakemore, S.-J. (2019). Adolescence and mental health. Lancet, 393(10185), 2030–2031. https://doi.org/10.1016/S0140-6736(19)31013-X
  • Copeland, W. E., Adair, C. E., Smetanin, P., Stiff, D., Briante, C., Colman, I. et al. (2013). Diagnostic transitions from childhood to adolescence to early adulthood. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 54(7), 791–799. https://doi.org/10.1111/jcpp.12062
  • Cortina, M. A., Fazel, M., Hlungwani, T. M., Kahn, K., Tollman, S., Cortina-Borja, M., & Stein, A. (2013). Childhood psychological problems in school settings in rural Southern Africa. PLoS One, 8(6), e65041. https://doi.org/10.1371/journal.pone.0065041
  • Cortina, M. A., Sodha, A., Fazel, M., & Ramchandani, P. G. (2012). Prevalence of child mental health problems in sub-Saharan Africa: A systematic review. Archives of Pediatrics & Adolescent Medicine, 166(3), 276–281. https://doi.org/10.1001/archpediatrics.2011.592
  • Costello, E. J. (2015). Commentary: ‘Diseases of the world’: from epidemiology to etiology of child and adolescent psychopathology—a commentary on Polanczyk et al. (2015). Journal of Child Psychology and Psychiatry, and Allied Disciplines, 56(3), 366–369. https://doi.org/10.1111/jcpp.12402
  • Das-Munshi, J., Lund, C., Mathews, C., Clark, C., Rothon, C., & Stansfeld, S. (2016). Mental health ine-qualities in adolescents growing up in post-apartheid South Africa: Cross-sectional survey, SHaW study. PLoS One, 11(5), e0154478. https://doi.org/10.1371/journal.pone.0154478
  • Demoze MB, Angaw DA, & Mulat H. (2018). Prevalence and associated factors of depression among orphan adolescents in Addis Ababa, Ethiopia. Psychiatry Journal, Article 5025143. https://doi.org/10.1155/2018/5025143
  • DerSimonian, R., & Laird, N. (1986). Meta-analysis in clinical trials. Controlled Clinical Trials, 7(3), 177–188. https://doi.org/10.1016/0197-2456(86)90046-2
  • Egger, M., Davey Smith, G., Schneider, M., & Minder, C. (1997). Bias in meta-analysis detected by a simple, graphical test. BMJ (Clinical Research Ed.), 315(7109), 629–634. https://doi.org/10.1136/bmj.315.7109.629
  • Evans, D. L., Foa, E. B., Gur, R. E., Hendin, H., O’Brien, C. P., Seligman, M. E., et al. (2005). Treating and preventing adolescent mental health disorders: What we know and what we don’t know. Oxford University Press.
  • Fatoye, F., & Morakinyo, O. (2003). Psychopathology among senior secondary school students in Ilesa, Southwestern Nigeria. The Nigerian Postgraduate Medical Journal, 10(3), 182–187. doi: 10.4103/1117-1936.174150
  • Glozah, F. N., & Pevalin, D. J. (2017). Association between psychosomatic health symptoms and common mental illness in Ghanaian adolescents: Age and gender as potential moderators. Journal of Health Psychology, 22(11), 1376–1386. https://doi.org/10.1177/1359105316628736
  • Gore, F. M., Bloem, P. J., Patton, G. C., Ferguson, J., Joseph, V., Coffey, C., Sawyer, S. M., & Mathers, C. D. (2011). Global burden of disease in young people aged 10-24 years: A systematic analysis. Lancet, 377(9783), 2093–2102. https://doi.org/10.1016/S0140-6736(11)60512-6
  • Greenfield, P. M. (2009). Linking social change and developmental change: Shifting pathways of human development. Developmental Psychology, 45(2), 401–418. https://doi.org/10.1037/a0014726
  • Higgins, J., Thompson, S., Deeks, J., & Altman, D. (2002). Statistical heterogeneity in systematic reviews of clinical trials: A critical appraisal of guidelines and practice. Journal of Health Services Research & Policy, 7(1), 51–61. https://doi.org/10.1258/1355819021927674
  • Higgins, J. P., Thompson, S. G., Deeks, J. J., & Altman, D. G. (2003). Measuring inconsistency in meta-analyses. BMJ, 327(7414), 557–560. https://doi.org/10.1136/bmj.327.7414.557
  • Hiramura, H., Shono, M., Tanaka, N., Nagata, T., & Kitamura, T. (2008). Prospective study on suicidal ideation among Japanese undergraduate students: Correlation with stressful life events, depression, and depressogenic cognitive patterns. Archives of Suicide Research, 12(3), 238–250. https://doi.org/10.1080/13811110802100924
  • Hurrelmann, K., & Richter, M. (2006). Risk behaviour in adolescence: The relationship between developmental and health problems. Zeitschrift für Gesundheitswissenschaften, 14(1), 20–28. https://doi.org/10.1007/s10389-005-0005-5
  • Ismayilova, L., Gaveras, E., Blum, A., Tô-Camier, A., & Nanema, R. (2016). Maltreatment and mental health outcomes among ultra-poor children in Burkina Faso: A latent class analysis. PLoS One, 11(10), e0164790. https://doi.org/10.1371/journal.pone.0164790
  • JBI. (2017). The Joanna Briggs Institute critical appraisal tools for use in JBI systematic reviews: checklist for prevalence studies. http://joannabriggs.org/research/critical-appraisal-tools.html
  • Jörns-Presentati, A., Napp, A.-K., Dessauvagie, A. S., Stein, D. J., Jonker, D., Breet, E. et al. (2021). The prevalence of mental health problems in sub-Saharan adolescents: A systematic review. PLoS One, 16(5), e0251689. https://doi.org/10.1371/journal.pone.0251689
  • Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R., & Walters, E. E. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62(6), 593–602. https://doi.org/10.1001/archpsyc.62.6.593
  • Kinghorn, A., Shanaube, K., Toska, E., Cluver, L., & Bekker, L.-G. (2018). Defining adolescence: Priorities from a global health perspective. The Lancet. Child & Adolescent Health, 2(5), e10. https://doi.org/10.1016/S2352-4642(18)30096-8
  • Kinyanda, E., Kizza, R., Abbo, C., Ndyanabangi, S., & Levin, J. (2013). Prevalence and risk factors of depression in childhood and adolescence as seen in four districts of North-Eastern Uganda. BMC International Health and Human Rights, 13(1), 19. https://doi.org/10.1186/1472-698X-13-19
  • Kivumbi, A., Byansi, W., Damulira, C., Namatovu, P., Mugisha, J., Sensoy Bahar, O. et al. (2019). Prevalence of behavioral disorders and attention deficit/hyperactive disorder among school going children in Southwestern Uganda. BMC Psychiatry, 19(1), 105. https://doi.org/10.1186/s12888-019-2069-8
  • Lemstra, M., Neudorf, C., D’Arcy, C., Kunst, A., Warren, L. M., & Bennett, N. R. (2008). A systematic review of depressed mood and anxiety by SES in youth aged 10-15 years. Canadian Journal of Public Health, 99(2), 125–129. https://doi.org/10.1007/BF03405459
  • Luciana, M., Bjork, J. M., Nagel, B. J., Barch, D. M., Gonzalez, R., Nixon, S. J., & Banich, M. T. (2018). Adolescent neurocognitive development and impacts of substance use: Overview of the adolescent brain cognitive development (ABCD) baseline neurocognition battery. Developmental Cognitive Neuroscience, 32, 67–79. https://doi.org/10.1016/j.dcn.2018.02.006
  • Magai, D. N., Malik, J. A., & Koot, H. M. (2018). Emotional and behavioral problems in children and ad-olescents in Central Kenya. Child Psychiatry and Human Development, 49(4), 659–671. https://doi.org/10.1007/s10578-018-0783-y
  • Malhotra, S., & Patra, B. N. (2014). Prevalence of child and adolescent psychiatric disorders in India: A systematic review and meta-analysis. Child and Adolescent Psychiatry and Mental Health, 8(1), 22. https://doi.org/10.1186/1753-2000-8-22
  • Materu, J., Kuringe, E., Nyato, D., Galishi, A., Mwanamsangu, A., Katebalila, M. et al. (2020). The psychometric properties of PHQ-4 anxiety and depression screening scale among out of school adolescent girls and young women in Tanzania: A cross-sectional study. BMC Psychiatry, 20(1), 321. https://doi.org/10.1186/s12888-020-02735-5
  • McGowan, J., Sampson, M., Salzwedel, D. M., Cogo, E., Foerster, V., & Lefebvre, C. (2016). PRESS peer review of electronic search strategies: 2015 guideline statement. Journal of Clinical Epidemiology, 75, 40–46. https://doi.org/10.1016/j.jclinepi.2016.01.021
  • Mental Health Foundation. (2018). What new statistics show about children’s mental health. https://www.mentalhealth.org.uk/explore-mental-health/blogs/what-new-statistics-show-about-childrens-mental-health
  • Mohammadi, M.-R., Salmanian, M., & Keshavarzi, Z. (2021). The Global Prevalence of Conduct Disorder: A Systematic Review and Meta-Analysis. Iranian Journal of Psychiatry, 16(2), 205–225. https://doi.org/10.18502/ijps.v16i2.5822
  • Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., Group, P., & the PRISMA Group. (2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLoS Medicine, 6(7), e1000097. https://doi.org/10.1371/journal.pmed.1000097
  • Moher, D., Shamseer, L., Clarke, M., Ghersi, D., Liberati, A., Petticrew, M. et al. (2015). Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Systematic Reviews, 4(1), 1–9. https://doi.org/10.1186/2046-4053-4-1
  • Mutahi, J., Larsen, A., Cuijpers, P., Peterson, S. S., Unutzer, J., McKay, M. et al. (2022). Mental health problems and service gaps experienced by pregnant adolescents and young women in Sub-Saharan Africa: A systematic review. EClinicalMedicine, 44, 101289. https://doi.org/10.1016/j.eclinm.2022.101289
  • Nalugya-Sserunjogi, J., Rukundo, G. Z., Ovuga, E., Kiwuwa, S. M., Musisi, S., & Nakimuli-Mpungu, E. (2016). Prevalence and factors associated with depression symptoms among school-going adolescents in Central Uganda. Child and Adolescent Psychiatry and Mental Health, 10(1), 39. https://doi.org/10.1186/s13034-016-0133-4
  • Ndetei, D. M., Mutiso, V., Musyimi, C., Mokaya, A. G., Anderson, K. K., McKenzie, K., & Musau, A. (2016). The prevalence of mental disorders among upper primary school children in Kenya. Social Psychiatry and Psychiatric Epidemiology, 51(1), 63–71. https://doi.org/10.1007/s00127-015-1132-0
  • Nduna, M., Jewkes, R. K., Dunkle, K. L., Jama Shai, N. P., & Colman, I. (2013). Prevalence and factors associated with depressive symptoms among young women and men in the Eastern Cape Province, South Africa. Journal of Child and Adolescent Mental Health, 25(1), 43–54. https://doi.org/10.2989/17280583.2012.731410
  • Nkuba, M., Hermenau, K., Goessmann, K., & Hecker, T. (2018). Mental health problems and their association to violence and maltreatment in a nationally representative sample of Tanzanian secondary school students. Social Psychiatry and Psychiatric Epidemiology, 53(7), 699–707. https://doi.org/10.1007/s00127-018-1511-4
  • Nsereko, J. R. (2018). The prevalence and risk factors of symptoms of depression, anxiety and somatic syndromes among secondary school students in Kampala, Uganda. Stellenbosch University.
  • Olweus, D. (1991). Bully/victim problems among schoolchildren: Basic facts and effects of a school based intervention program. The development and treatment of childhood aggression, 17(17), 411–448.
  • Osborn, T. L., Venturo-Conerly, K. E., Wasil, A. R., Schleider, J. L., & Weisz, J. R. (2020). Depression and anxiety symptoms, social support, and demographic factors among Kenyan high school students. Journal of Child and Family Studies, 29(5), 1432–1443. https://doi.org/10.1007/s10826-019-01646-8
  • Osman, A. M., Omer, I. M., Mohammed, A. A., & Abdalla, S. E. (2015). The prevalence and factors affecting attention deficit hyperactivity disorder among school children in Khartoum State. Sudanese Journal of Paediatrics, 15(2), 29–36.
  • Palfreyman, A., & Gazeley, U. (2022). Adolescent perinatal mental health in South Asia and Sub-Saharan Africa: A systematic review of qualitative and quantitative evidence. Social Science & Medicine, 313, 115413. https://doi.org/10.1016/j.socscimed.2022.115413
  • Plüddemann, A., Morojele, N., Myers, B., Townsend, L., Lombard, C. J., Petersen Williams, P. et al. (2014). The prevalence of risk for mental health problems among high school students in the Western Cape Province, South Africa. South African Journal of Psychology, 44(1), 30–35. https://doi.org/10.1177/0081246313516264
  • Polanczyk, G., & Rohde, L. A. (2007). Epidemiology of attention-deficit/hyperactivity disorder across the lifespan. Current Opinion in Psychiatry, 20(4), 386–392. https://doi.org/10.1097/YCO.0b013e3281568d7a
  • Polanczyk, G. V., Salum, G. A., Sugaya, L. S., Caye, A., & Rohde, L. A. (2015). Annual research review: A meta-analysis of the worldwide prevalence of mental disorders in children and adolescents. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 56(3), 345–365. https://doi.org/10.1111/jcpp.12381
  • Polanczyk, G. V., Willcutt, E. G., Salum, G. A., Kieling, C., & Rohde, L. A. (2014). ADHD prevalence estimates across three decades: An updated systematic review and meta-regression analysis. International Journal of Epidemiology, 43(2), 434–442. https://doi.org/10.1093/ije/dyt261
  • Romano, E., Tremblay, R. E., Vitaro, F., Zoccolillo, M., & Pagani, L. (2005). Sex and informant effects on diagnostic comorbidity in an adolescent community sample. Canadian Journal of Psychiatry, 50(8), 479–489. https://doi.org/10.1177/070674370505000808
  • Sequeira, M., Singh, S., Fernandes, L., Gaikwad, L., Gupta, D., Chibanda, D., & Nadkarni, A. (2022). Adolescent Health Series: The status of adolescent mental health research, practice and policy in sub-Saharan Africa: A narrative review. Tropical Medicine & International Health, 27(9), 758–766. https://doi.org/10.1111/tmi.13802
  • Shaffer, D., Fisher, P., Lucas, C. P., Dulcan, M. K., & Schwab-Stone, M. E. (2000). NIMH Diagnostic Interview Schedule for Children Version IV (NIMH DISC-IV): Description, differences from previous versions, and reliability of some common diagnoses. Journal of the American Academy of Child and Adolescent Psychiatry, 39(1), 28–38. https://doi.org/10.1097/00004583-200001000-00014
  • Silva, S. A., Silva, S. U., Ronca, D. B., Gonçalves, V. S. S., Dutra, E. S., & Carvalho, K. M. B. (2020). Common mental disorders prevalence in adolescents: A systematic review and meta-analyses. PLoS One, 15(4), e0232007. https://doi.org/10.1371/journal.pone.0232007
  • Sleet, D. A., Ballesteros, M. F., & Borse, N. N. (2010). A review of unintentional injuries in adolescents. Annual Review of Public Health, 31, 195–212, 4, 212. https://doi.org/10.1146/annurev.publhealth.012809.103616
  • Squeglia, L. M., Jacobus, J., & Tapert, S. F. (2009). The influence of substance use on adolescent brain development. Clinical EEG and Neuroscience, 40(1), 31–38. https://doi.org/10.1177/155005940904000110
  • Steinberg, L. (2002). Clinical adolescent psychology: What it is, and what it needs to be. Journal of Consulting and Clinical Psychology, 70(1), 124–128. https://doi.org/10.1037/0022-006X.70.1.124
  • Sterne, J. A., Sutton, A. J., Ioannidis, J. P., Terrin, N., Jones, D. R., Lau, J. et al. (2011). Recommendations for examining and interpreting funnel plot asymmetry in meta-analyses of randomised controlled trials. BMJ, 343, d4002. https://doi.org/10.1136/bmj.d4002
  • Stroup, D. F., Berlin, J. A., Morton, S. C., Olkin, I., Williamson, G. D., Rennie, D. et al. (2000). Meta-analysis of observational studies in epidemiology: A proposal for reporting. Meta-analysis Of Observational Studies in Epidemiology (MOOSE) group. Journal of the American Medical Association, 283(15), 2008–2012. https://doi.org/10.1001/jama.283.15.2008
  • Tadesse, B., Kebede, D., Tegegne, T., & Alem, A. (1999). Childhood behavioural disorders in Arnbo district, western Ethiopia. I. Prevalence estimates. Acta Psychiatrica Scandinavica, 100, 92–97. https://doi.org/10.1111/j.1600-0447.1999.tb10700.x
  • Thomas, R., Sanders, S., Doust, J., Beller, E., & Glasziou, P. (2015). Prevalence of attention-deficit/hyperactivity disorder: A systematic review and meta-analysis. Pediatrics, 135(4), e994–e1001. https://doi.org/10.1542/peds.2014-3482
  • Thumann, B. F., Nur, U., Naker, D., & Devries, K. M. (2016). Primary school students’ mental health in Uganda and its association with school violence, connectedness, and school characteristics: A cross-sectional study. BMC Public Health, 16(1), 662. https://doi.org/10.1186/s12889-016-3351-z
  • Whiteford, H. A., Degenhardt, L., Rehm, J., Baxter, A. J., Ferrari, A. J., Erskine, H. E. et al. (2013). Global burden of disease attributable to mental and substance use disorders: Findings from the Global Burden of Disease Study 2010. Lancet, 382(9904), 1575–1586. https://doi.org/10.1016/S0140-6736(13)61611-6
  • WHO. (2003). The World Health Report 2003: Shaping the Future. WHO.
  • WHO. (2015). Global strategy for women’s, children’s and adolescent’s health 2016-2030. https://www.who.int/publications/i/item/A71-19
  • WHO. (2016). mhGAP Intervention Guide Mental Health Gap Action Programme Version 2.0 for mental, neurological and substance use disorders in non-specialized health settings. https://www.who.int/publications/i/item/9789241549790
  • WHO. (2017). Global accelerated action for the health of adolescents (AA-HA!)↱: guidance to support country implementation. https://www.who.int/publications-detail-redirect/WHO-FWC-MCA-17.05
  • WHO. (2018). Global Health Estimates 2016: Deaths by Cause, Age, Sex, by Country and by Region, 2000–2016. https://www.who.int/data/gho/data/themes/mortality-and-global-health-estimates/ghe-leading-causes-of-death
  • WHO. (2020a). Adolescent mental health. https://www.who.int/news-room/fact-sheets/detail/adolescent-mental-health
  • WHO. (2020b). Guidelines on mental health promotive and preventive interventions for adolescents: helping adolescents thrive. https://www.who.int/publications/i/item/9789240011854
  • WHO. (2021). Adolescent and young adult health. https://www.who.int/news-room/fact-sheets/detail/adolescents-health-risks-and-solutions
  • Zia, Y., Mugo, N., Ngure, K., Odoyo, J., Casmir, E., Ayiera, E. et al. (2021). Psychosocial experiences of adolescent girls and young women subsequent to an abortion in sub-Saharan Africa and globally: A systematic review. Frontiers in Reproductive Health, 3, 638013. https://doi.org/10.3389/frph.2021.638013

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