The prevalence of mental health problems in sub-Saharan adolescents: A systematic review

• Published in: PloS one 2021-05, Vol.16 (5), p.e0251689-e0251689
• Main Authors: Jörns-Presentati, Astrid, Napp, Ann-Kathrin, Dessauvagie, Anja S, Stein, Dan J, Jonker, Deborah, Breet, Elsie, Charles, Weslin, Swart, Renier L, Lahti, Mari, Suliman, Sharain, Jansen, Ronelle, van den Heuvel, Leigh L, Seedat, Soraya, Groen, Gunter
• Format: Article
• Language: English
• Subjects: Adolescent psychopathology; Adolescents; Anxiety; Brain; Child & adolescent mental health; Child psychopathology; Children; Data analysis; Editing; Flow charts; Genomics; Health problems; HIV; Human immunodeficiency virus; Living conditions; Medicine and Health Sciences; Mental disorders; Mental health; Methodology; Morbidity; Nervous system; Pediatric research; People and Places; Post traumatic stress disorder; Posttraumatic stress disorder; Psychiatry; Psychopathology; Research and Analysis Methods; Reviews; Risk analysis; Risk factors; Social Sciences; Statistics; Suicidal behavior; Teenagers
• ISSN: 1932-6203; 1932-6203
• DOI: 10.1371/journal.pone.0251689

Most research regarding child and adolescent mental health prevention and promotion in low-and middle-income countries is undertaken in high-income countries. This systematic review set out to synthesise findings from epidemiological studies, published between 2008 and 2020, documenting the prevalence of mental health problems in adolescents from across sub-Saharan Africa. A systematic search of multiple databases (MEDLINE, PsycINFO, Scopus) and Google Scholar was conducted guided by the Joanna Briggs Institute (JBI) Reviewer's manual for systematic reviews of observational epidemiological studies. Studies included reported prevalence outcomes for adolescents aged 10-19 using either clinical interviews or standardized questionnaires to assess psychopathology. Clinical samples were excluded. The search yielded 1 549 records of which 316 studies were assessed for eligibility and 51 met the inclusion criteria. We present a qualitative synthesis of 37 of these 51 included articles. The other 14 studies reporting prevalence rates for adolescents living with HIV are published elsewhere. The prevalence of depression, anxiety disorders, emotional and behavioural difficulties, posttraumatic stress and suicidal behaviour in the general adolescent population and selected at-risk groups in 16 sub-Saharan countries (with a total population of 97 616 adolescents) are reported.