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Using Arksey and O\u2019Malley\u2019s framework, and incorporating revisions from Levac, Colquhoun and O\u2019Brien, Joanna Briggs Institute (JBI) methodology for scoping reviews, and PRISMA Extension for Scoping Reviews (PRISMA-ScR) recommendations, the review explored academic literature using five databases, as well as grey literature sources and clinical trial registries. Twenty-eight sources of evidence met the inclusion criteria and highlighted three main approaches to PA integration within the interventions: concurrent integration, asynchronous integration, and integration through PA planning and psychoeducation. A mixed pattern emerged, with six of twelve randomised controlled trials (RCTs) demonstrating statistically significant improvements in mental health and well-being outcomes. This review also raises critical questions about the development of theoretically grounded PA components and exploration of strategies for long-term sustainability and highlights the need for a structured approach to PA integration. Future research should prioritise understanding CYP\u2019s perspectives on the feasibility and acceptability of multi-component interventions. Addressing these areas will support the development of more robust and sustainable interventions, which could become vital in future CYP mental health initiatives. Overall, this review offers novel insights into the integration of psychotherapy and PA in CYP mental health interventions and informs future research and practice in this area.<\/jats:p>","DOI":"10.1371\/journal.pmen.0000227","type":"journal-article","created":{"date-parts":[[2025,6,16]],"date-time":"2025-06-16T17:28:58Z","timestamp":1750094938000},"page":"e0000227","update-policy":"https:\/\/doi.org\/10.1371\/journal.pmen.corrections_policy","source":"Crossref","is-referenced-by-count":2,"title":["Multi-component interventions combining psychotherapy and physical activity for children and young peoples\u2019 mental health: A scoping review"],"prefix":"10.1371","volume":"2","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-7865-9739","authenticated-orcid":true,"given":"Maurelle","family":"D\u2019Sa","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicola","family":"Relph","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6419-8552","authenticated-orcid":true,"given":"Shaun","family":"Liverpool","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4137-7528","authenticated-orcid":true,"given":"Gary","family":"Tebble","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7960-2404","authenticated-orcid":true,"given":"Michael","family":"Owen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2025,6,16]]},"reference":[{"key":"pmen.0000227.ref001","doi-asserted-by":"crossref","first-page":"106033","DOI":"10.1016\/j.childyouth.2021.106033","article-title":"Mental health and care needs of British children and young people aged 6\u201317","volume":"126","author":"J Fledderjohann","year":"2021","journal-title":"Children and Youth Services Review"},{"key":"pmen.0000227.ref002","author":"World Health Organisation","year":"2024"},{"issue":"4","key":"pmen.0000227.ref003","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1111\/camh.12113","article-title":"Review: Effectiveness of mindfulness in improving mental health symptoms of children and adolescents: a meta-analysis","volume":"20","author":"K Kallapiran","year":"2015","journal-title":"Child Adolesc Ment Health"},{"key":"pmen.0000227.ref004","doi-asserted-by":"crossref","first-page":"1034","DOI":"10.3389\/fpsyg.2018.01034","article-title":"Effects of mindfulness-based stress reduction on depression in adolescents and young adults: a systematic review and meta-analysis","volume":"9","author":"X Chi","year":"2018","journal-title":"Front Psychol"},{"issue":"11","key":"pmen.0000227.ref005","article-title":"Cognitive behavioural therapy for anxiety disorders in children and adolescents","volume":"11","author":"AC James","year":"2020","journal-title":"Cochrane Database Syst Rev"},{"issue":"1","key":"pmen.0000227.ref006","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s40359-021-00655-x","article-title":"Behavioral Activation as an \u2018active ingredient\u2019 of interventions addressing depression and anxiety among young people: a systematic review and evidence synthesis","volume":"9","author":"K Malik","year":"2021","journal-title":"BMC Psychology"},{"issue":"2","key":"pmen.0000227.ref007","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1111\/camh.12572","article-title":"Review: Meta-analysis on mindfulness-based interventions for adolescents\u2019 stress, depression, and anxiety in school settings: a cautionary tale","volume":"28","author":"N Fulambarkar","year":"2023","journal-title":"Child Adolesc Ment Health"},{"issue":"3","key":"pmen.0000227.ref008","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0265542","article-title":"\u201cYou\u2019re on the waiting list\u201d: An interpretive phenomenological analysis of young adults\u2019 experiences of waiting lists within mental health services in the UK","volume":"17","author":"G Punton","year":"2022","journal-title":"PLoS One"},{"issue":"6","key":"pmen.0000227.ref009","doi-asserted-by":"crossref","DOI":"10.1192\/bjo.2020.103","article-title":"Problem severity and waiting times for young people accessing mental health services","volume":"6","author":"J Edbrooke-Childs","year":"2020","journal-title":"BJPsych Open"},{"key":"pmen.0000227.ref010","unstructured":"NHS Digital. 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