Anger Assessment and Intervention in Rural Youth

农村青少年愤怒评估与干预

• 批准号: 7125103
• 负责人: KATHRYN R PUSKAR
• 金额: $ 30.83万
• 依托单位: UNIVERSITY OF PITTSBURGH AT PITTSBURGH
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-09-01 至 2008-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7125103
• 关键词: adolescence (12-20); aggression; angers; anxiety; behavior therapy; behavioral /social science research tag; clinical research; coping; depression; disease /disorder proneness /risk; health disparity; human subject; human therapy evaluation; medically underserved population; psychodrama; rural area; stress; stress management; violence

DESCRIPTION (provided by applicant): Today's adolescents are living in violent times. The impending war with Iraq, the events of September 11, 2001, and the nations high terror alert prey upon adolescents' coping. The three leading causes of death among adolescents: injuries, homicide, and suicide, all have one thing in common, anger. Unattended anger often leads to violence, a pervasive problem among our nation's teens. An escalation in violence such as that seen in the tragedies at Columbine, Jonesboro, and other rural communities has made instituting coping strategies among this population essential. This project, Teaching Kids to Cope with Anger (TKC-A) is a school based behavioral intervention that addresses anger as a potential signal that may lead to problem behaviors in youth, especially those who live in rural areas for whom access to support is limited. One in six rural families live in poverty; high unemployment, bioterrorism, and other economic pressures put stress on teens, leading to increased risk for anxiety, depression, alcohol and substance use, delinquency, school failure, poor relations with peers, and loss of self esteem. It is no surprise; therefore, that youth who reside in rural areas are susceptible to anger management difficulties, which are compounded by a lack of access to mental health services that are typical of their communities. The goal of this study is to provide an intervention targeting anger as a factor that contributes to high-risk behavior for youth living in rural areas. TKC-A consists of eight one-hour interactive sessions that are led by a trained group leader. Coping skills are taught and practiced through role-playing, group projects, discussions, brainstorming, and handouts. The TKC-A targets freshman, sophomore, and junior level students who attend rural high schools in Southwestern Pennsylvania. Specific aims are to (1) describe anger experience, anger expression and its potential correlates (depressive symptoms, coping strategies, perceived social support, drug use, self-esteem, optimism, anxiety, life events, disciplinary actions, and demographic characteristics; (2) examine the relationship between anger and its potential correlates; and (3) evaluate the effect of the intervention. The intervention reduces a health disparity by providing a service for rural youth.

描述（由申请人提供）：当今的青少年生活在暴力时代。迫在眉睫的伊拉克战争、2001 年 9 月 11 日发生的事件以及国家的高度恐怖警戒令青少年难以应对。青少年死亡的三大主要原因：受伤、他杀和自杀，都有一个共同点：愤怒。不受控制的愤怒往往会导致暴力，这是我们国家青少年中普遍存在的问题。哥伦拜恩、琼斯伯勒和其他农村社区发生的悲剧等暴力事件不断升级，使得在这些人群中制定应对策略至关重要。这个名为“教孩子应对愤怒”（TKC-A）的项目是一项以学校为基础的行为干预措施，旨在将愤怒视为可能导致青少年出现问题行为的潜在信号，尤其是那些生活在农村地区、获得支持机会有限的青少年。六分之一的农村家庭生活贫困；高失业率、生物恐怖主义和其他经济压力给青少年带来压力，导致焦虑、抑郁、酗酒和吸毒、犯罪、学业失败、与同龄人关系不佳以及丧失自尊的风险增加。这并不奇怪；因此，居住在农村地区的青年很容易出现愤怒管理困难，而缺乏获得其社区特有的心理健康服务的机会则使情况变得更加复杂。本研究的目的是针对愤怒这一导致农村地区青少年高风险行为的因素提供干预措施。 TKC-A 由八个一小时的互动课程组成，由经过培训的小组领导者主持。应对技能是通过角色扮演、小组项目、讨论、头脑风暴和讲义来教授和练习的。 TKC-A 针对宾夕法尼亚州西南部农村高中的一年级、二年级和三年级学生。具体目标是 (1) 描述愤怒体验、愤怒表达及其潜在相关因素（抑郁症状、应对策略、感知社会支持、吸毒、自尊、乐观、焦虑、生活事件、纪律处分和人口特征；(2) 检查愤怒及其潜在相关因素之间的关系；(3) 评估干预措施的效果。该干预措施通过为农村青年提供服务来减少健康差距。

项目成果

Teaching kids to cope with anger: peer education.

教孩子应对愤怒：同伴教育。

• DOI: 10.1177/1367493510382932
• 发表时间: 2011
• 期刊: Journal of child health care : for professionals working with children in the hospital and community
• 作者: Puskar,KathrynR;Stark,KirstiH;Northcut,Terri;Williams,Rick;Haley,Tammy
• 通讯作者: Haley,Tammy

Rural adolescents' coping responses: implications for behavioral health nurses.

农村青少年的应对反应：对行为健康护士的影响。

• DOI: 10.1080/01612840801981413
• 发表时间: 2008
• 期刊: Issues in mental health nursing
• 影响因子: 2.1
• 作者: Puskar,KathrynR;Grabiak,BethR
• 通讯作者: Grabiak,BethR

Sex differences in self-reported anxiety in rural adolescents.

农村青少年自述焦虑的性别差异。

• DOI: 10.1111/j.1447-0349.2009.00622.x
• 发表时间: 2009
• 期刊: International journal of mental health nursing
• 影响因子: 5.6
• 作者: Puskar,Kathryn;Bernardo,LisaMarie;Ren,Dianxu;Stark,KirstiHetager;Lester,Suzanne
• 通讯作者: Lester,Suzanne

School Based Mental Health Promotion: Nursing Interventions for Depressive Symptoms in Rural Adolescents.

学校心理健康促进：农村青少年抑郁症状的护理干预。

• DOI: 10.1901/jaba.2006.4-13
• 发表时间: 2006
• 期刊: Californian journal of health promotion
• 作者: Puskar,KathrynR;Stark,KirstiH;Fertman,CarlI;Bernardo,LisaMarie;Engberg,RichardA;Barton,RichardS
• 通讯作者: Barton,RichardS

Psychometric properties of the Screen for Child Anxiety Related Emotional Disorders in a rural high school population.

农村高中人群儿童焦虑相关情绪障碍筛查的心理测量特性。

• DOI: 10.1111/j.1744-6171.2010.00264.x
• 发表时间: 2011
• 期刊: Journal of child and adolescent psychiatric nursing : official publication of the Association of Child and Adolescent Psychiatric Nurses, Inc
• 作者: Haley,Tammy;Puskar,Kathryn;Terhorst,Lauren
• 通讯作者: Terhorst,Lauren