Guidelines

Domestic Abuse, Recovering Together (DART): DART, a robustly evaluated intervention is designed to support mothers and their children to overcome the adverse effects of domestic abuse, together. DART aims to help children to share their experiences of the abuse with their mother and to help mothers to understand and address related difficulties their child may have. The programme’s theory of change is that increasing mothers’ understanding of how their child is affected, whilst helping to improve the mother-child relationship and mothers’ self-esteem. This will better equip mothers to support their children and lead to better outcomes for both mother and child. This shared learning relates to the domestic violence and abuse: multi-agency working (PH50) of the NICE guidelines.

Reports and evidence briefings

Genetics and early intervention: This report by the Early Intervention Foundation explores whether genetic data can be used to improve outcomes for children and families, without marginalising individuals, entrenching disadvantage, or increasing inequalities? This report outlines the key risks and challenges they identified, highlights areas of consensus and disagreement, and draws out a set of recommendations for the political, social policy and research communities.

Research

Global Prevalence of Depressive and Anxiety Symptoms in Children and Adolescents During COVID-19: The authors sought to understand the global prevalence of clinically elevated child and adolescent anxiety and depression during COVID-19. The authors conducted a meta-analysis of 29 studies which included 80879 youths globally. The pooled prevalence estimates of clinically elevated child and adolescent depression and anxiety were 25.2% and 20.5%, respectively. The study shows that the prevalence of depression and anxiety symptoms during COVID-19 have doubled, compared with pre-pandemic estimates. The analysis also suggested that the prevalence rates were higher when collected later in the pandemic, in older adolescents, and in girls. These findings merit attention for mental health recovery planning.

Dose-dependent and joint associations between screen time, physical activity, and mental wellbeing in adolescents: The authors sought to examine the gender-stratified dose-dependent and joint associations of screen time and physical activity with mental wellbeing in adolescents. The authors used data from the Health Behaviour in School-aged Children cross-sectional surveys from 42 European and North American countries. The analysis of 577475 adolescents reported detrimental associations between screen time and mental wellbeing started when screen time exceeded 1 h per day. Multilevel modelling showed that screen time levels were negatively associated with life satisfaction and positively associated with psychosomatic complaints in a dose-dependent manner. Lower levels of physical activity were associated with lower life satisfaction and higher psychosomatic complaints. Joint associations of screen time–physical activity with mental wellbeing showed that, compared with the least active participants with more than 8 h per day of screen time and no physical activity, most of the other screen time–physical activity groups had considerably higher life satisfaction and lower psychosomatic complaints. Public health strategies to promote adolescents’ mental wellbeing should aim to decrease screen time and increase physical activity simultaneously.

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