Despite progress in research on evidence-based treatments (EBTs) for youth psychopathology, many youths with mental health needs do not receive services, and EBTs are not always effective for those who access them. Wise interventions (WIs) may help address needs for more disseminable, potent youth mental health interventions. WIs are single-component, social–psychological interventions designed to foster adaptive meaning-making. They have improved health-related and interpersonal youth outcomes, yet their potential to reduce youth psychopathology has not been systematically explored. Accordingly, we conducted a systematic, descriptive review characterizing WIs’ potential to reduce youth mental health problems. Across 25 RCTs (N = 9219 youths, ages 11–19) testing 13 intervention types, 7 WIs qualified as “Well-Established,” “Probably Efficacious,” or “Possibly Efficacious” for reducing one or more types of youth psychopathology, relative to controls. Among these, 5 WIs significantly reduced youth depressive symptoms; 3, general psychological distress; and 1 each, eating problems, anxiety, and substance use. Three of these 7 WIs were self-administered by youths, and four by trained interventionists; collectively, they were 30–168 min in length and targeted clinic-referred and non-referred samples in clinical, school, and laboratory settings. Overall, certain WIs show promise in reducing mild-to-severe youth psychopathology. Given their brevity and low cost relative to traditional (i.e., therapist-delivered, 12- to 16-week, clinic-based) EBTs, WIs may represent beneficial additions to the youth mental healthcare ecosystem. Priorities for future research are proposed, including testing WIs for parents, younger children, and externalizing problems; as EBT adjuncts; and in schools and primary care clinics to increase access to brief, effective supports.

中文翻译：

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利用明智的干预措施来提高青年精神卫生服务的效力和影响力。

尽管在针对青年精神病理学的循证疗法（EBT）方面的研究取得了进展，但许多有精神健康需求的青年仍未获得服务，而EBT并不总是对那些获得这种服务的人有效。明智的干预措施（WIs）可能有助于满足对更可传播，有效的青年心理健康干预措施的需求。WI是旨在促进适应性意义形成的单成分社会心理干预措施。他们改善了与健康有关的人际关系，并改善了人际关系，但尚未有系统地探讨其减少青年心理疾病的潜力。因此，我们进行了系统的描述性审查，描述了智障人士减少青少年心理健康问题的潜力。跨25个RCT（N = 9219名年轻人（11至19岁）测试了13种干预类型，7个被认为具有“健全”，“大概有效”或“可能有效”的WI，以减少相对于对照的一种或多种青年心理病理学。其中，5个WI显着减轻了青年的抑郁症状；3，一般的心理困扰；以及饮食问题，焦虑症和药物滥用各一项。这7个WI中有3个是由年轻人自我管理的，有4个是由训练有素的干预人员管理的；总体而言，它们的长度为30–168分钟，并且针对临床，学校和实验室环境中的临床参考和非参考样本。总体而言，某些WI在减少轻度至重度的青少年心理病理方面显示出希望。相对于传统的（即由治疗师提供的12至16周，基于临床的）EBT而言，它们既简洁又成本低，智慧可能代表了青年精神保健生态系统的有益补充。提出了未来研究的重点，包括为父母，年幼的孩子测试智力测验和外部化问题；作为EBT的辅助；并在学校和初级保健诊所增加获得简短有效支持的机会。