Résumé
"BackgroundWhile 1 in 7 sub-Saharan African children faces significant psychological challenges, access to mental health services for children is limited. The My FRIENDS Youth Program, a universal cognitive-behavioural intervention for anxiety prevention and resilience enhancement, has demonstrated effectiveness across cultures in children and adolescents. This study explored whether the program’s effectiveness extends to Zambian children.MethodsParticipants were 71 children aged 10 to 15 attending schools in low-income communities in Zambia. Four schools were randomly assigned to an intervention (N = 41) or waitlist control group (N =30). Researchers, blind to condition, collected data at 3 waves for the treatment group: baseline (T0), immediately post-intervention (T1), and at 3-month follow-up (T2), and 4 waves for the control group, which included a second baseline (conducted simultaneously with the treatment group’s post-comparison assessment). Data were analyzed using longitudinal multilevel modeling and controlled for child and parent sociodemographic characteristics.ResultsWe found no statistically significant reduction in symptoms of the treatment group, compared to the control group (Anxiety: b = 0.45, p = .696; Depression: b = 0.15, p = .876). However, the treatment group showed a reduction in anxiety symptoms between post-treatment and 3-month follow-up (b = -2.14, p = .004), but not depression symptoms (b = 0.20, p = .785). The control group experienced a reduction in both anxiety and depression symptoms between post-treatment and 3-month follow-up (Anxiety: b = -1.89, p \< .001; Depression: b = -1.22, p = .010).ConclusionsResults from this rigorously designed trial suggest that the My FRIENDS Youth Program was not effective in reducing anxiety and depression symptoms between pre- and post-treatment. However, results do suggest potentially delayed effects of the intervention. Future research may need to further adapt this intervention to better meet the needs of children in Zambia."\
Mots clés (séparés par des virgules)
Anxiety, Depression, Children, Zambia, My FRIENDS Youth, sub-Saharan Africa, Resilience\