INTERVENTION TO PROMOTE MENTAL HEALTH IN RURAL YOUTH

促进农村青年心理健康的干预措施

• 批准号: 2257545
• 负责人: KATHRYN R PUSKAR
• 金额: $ 16.51万
• 依托单位: UNIVERSITY OF PITTSBURGH AT PITTSBURGH
• 依托单位国家: 美国
• 财政年份: 1995
• 资助国家: 美国
• 起止时间: 1995-05-01 至 1998-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2257545
• 关键词: adolescence (12-20); coping; health; human subject; longitudinal human study; mental health; nursing intervention; rural area; self concept; social support network

DESCRIPTION: (Adapted from applicants abstract) Longitudinal assessment of adolescent mental health and the development of effective nursing interventions to promote adolescent mental health and to enhance coping are public health priorities. Therefore, the two goals of this longitudinal study are: (1) to measure mental and physical health in a sample of rural adolescents, and (2) to test the effectiveness of a nurse-managed intervention designed to increase self-esteem, coping, and social support of students. Mental health will be assessed by measures of self-esteem, drug use, optimism, support, coping, depression symptomatology, and anger. Physical health will be assessed by measures of physical functioning, bodily pain, vitality, general health, health needs, and concerns, and illness related absenteeism; (3) examine the association of life events, with mental health and physical health measured at baseline; (4) evaluate the effect of the coping skills intervention on the mental health of rural adolescents; and (5) evaluate the effects of the CSI on the physical health of rural adolescents. In Phase I of the study, rural high school students will be surveyed to establish baseline data and to identify intervention and control groups. Instruments include the Reynolds Adolescent Depression Scale, the Child Behavior Checklist, the Anger Expression Scale, Rosenberg's Self Esteem Scale, the Drug Use Screening Inventory, the Life Orientation Test, the Coping Responses Inventory, the Perceived Social Support Scale, the Life Events Checklist, the Adolescent Health Inventory and the RAND Health Survey. In Phase II, the intervention will be implemented and longitudinal assessment of intervention efficacy will be done. The sample will include Freshmen, Sophomores, and Juniors from three rural high schools in Southwestern Pennsylvania. Mental and physical health for all subjects will be assessed at baseline and then for intervention and control subjects immediately post intervention, at 6 months, and one year post intervention. Teacher ratings of intervention and control subjects' behavior will be done at baseline, 6 months, 12 months, and one year. The intervention group will receive the coping skills intervention, a 10 week group protocol which has been shown to be effective in decreasing depressive symptomatology and increasing coping skills in normal and hospitalized adolescents.

描述：（改编自申请人摘要）纵向评估 青春期心理健康和有效护理的发展 干预措施以促进青少年心理健康并增强应对 是公共卫生的重点。 因此，这两个目标 纵向研究是：（1）衡量 农村青少年的样本，（2）测试A的有效性 护士管理的干预措施旨在提高自尊，应对和 学生的社会支持。 心理健康将通过措施评估 自尊，毒品使用，乐观，支持，应对，抑郁 症状学和愤怒。 身体健康将通过措施评估 身体功能，身体疼痛，活力，一般健康，健康 需求，关注和与疾病有关的缺勤； （3）检查 生活事件协会，与心理健康和身体健康 在基线时测量； （4）评估应对技巧的效果 干预农村青少年的心理健康； （5）评估 CSI对农村青少年身体健康的影响。 在 研究的第一阶段，将对农村高中生进行调查 建立基线数据并确定干预和对照组。 乐器包括雷诺青少年抑郁量表，孩子 行为清单，愤怒表达量表，罗森伯格的自尊心 比例尺，药物使用筛查清单，生命导向测试， 应对响应库存，感知到的社会支持量表，生活 活动清单，青少年健康清单和兰德健康 民意调查。 在第二阶段，将实施干预措施，并 将对干预功效进行纵向评估。 这 样本将包括来自三个乡村的新生，大二和大三 宾夕法尼亚州西南部的高中。 身心健康 对于所有受试者，将在基线时进行评估，然后进行干预 在干预后，6个月后立即进行控制对象，一个 干预后年。 教师的干预和控制等级 受试者的行为将在基线，6个月零12个月时完成，并且 一年。 干预小组将获得应对技巧 干预，一个为期10周的小组协议，已被证明为 有效减轻抑郁症状和增加应对 正常和住院青少年的技能。