School-based intervention to promote coping in rural teens.

School-based intervention to promote coping in rural teens.
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以学校为基础的干预措施,以促进农村青少年的应对能力。

DOI:
10.1097/00005721-199807000-00005
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发表时间:
1998
期刊:
MCN. The American journal of maternal child nursing
影响因子:
--
通讯作者:
Corcoran,M
Corcoran,M
中科院分区:
--
文献类型:
--
作者:
Lamb,JM;Puskar,KR;Sereika,SM;Corcoran,M

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目的:评估一个旨在帮助有抑郁症状的高中生有效应对的项目。设计:两阶段实验研究。方法:对222名14 ~ 19岁的农村高中学生进行问卷调查,确定青少年抑郁症状,确定压力生活事件和高危被试的应对方式,并评估认知行为团体干预对提高学生应对和抑郁水平的影响。有抑郁症状的学生被随机分为对照组(n= 18)和干预组(n= 23)。干预对象在学校接受由护士领导的为期8周的认知技能组的治疗。结果:在后测中,与对照组相比,干预组显示女性抑郁症状减轻,应对范围更广。临床意义:校本护士在学校的自然环境中提供评估、转诊和干预方案是一个理想的位置。本研究的结果表明,这些项目可以在学校成功实施,并有潜力促进青少年的心理健康。
Purpose:To evaluate a program designed to help high school students with depressive symptomology to effectively cope.Design:Two-phase experimental study.Methods:Rural high school students (N= 222), ages 14 through 19 years, were surveyed to identify teens with depressive symptomatology, identify stressful life events and coping styles of at-risk subjects, and evaluate a cognitive-behavioral group intervention to enhance students' coping and affect levels of depression. Students with depressive symptomatology were randomized into control (n= 18) or intervention (n= 23) groups. Intervention subjects were treated with a nurse-led, 8-week cognitive skills group, conducted at school.Results:On posttesting, the intervention groups demonstrated reduced depressive symptoms in females and a wider range of coping compared with controls.Clinical Implications:School-based nurses are in an ideal position to provide assessment, referral, and intervention programs in the natural setting of the school. Results of this study indicate that such programs can be implemented successfully in schools and have the potential to promote mental health in teenagers.
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