INTERVENTION TO PROMOTE MENTAL HEALTH IN RURAL YOUTH

描述：（改编自申请人摘要）纵向评估 青少年心理健康和发展有效的护理 采取干预措施，促进青少年心理健康， 是公共卫生的优先事项。 因此，这两个目标 纵向研究是：（1）测量心理和身体健康的一个 样本的农村青少年，（2）测试的有效性， 护士管理的干预措施，旨在提高自尊，应对， 学生的社会支持。 心理健康将通过衡量 自尊，吸毒，乐观，支持，应对，抑郁 心理学和愤怒。 身体健康将通过测量 身体机能、身体疼痛、活力、一般健康、健康 需求，关注和疾病相关的缺勤;（3）检查 生活事件与心理健康和身体健康的关联 （4）评估应对技能的效果 农村青少年心理健康干预;（5）评价 CSI对农村青少年体质健康的影响。 在 研究的第一阶段，农村高中生将接受调查， 建立基线数据，并确定干预组和对照组。 工具包括雷诺兹青少年抑郁量表，儿童 行为检查表，愤怒表达量表，Rosenberg自尊 量表、药物使用筛选量表、生活取向测验、 应付反应量表，领悟社会支持量表，生活质量量表 事件量表、青少年健康量表和兰德健康量表 调查. 在第二阶段，将实施干预措施， 将对干预效果进行纵向评估。 的 样本将包括来自三个农村地区的大一、大二和大三学生。 宾夕法尼亚州西南部的高中。 身心健康 将在基线时评估所有受试者，然后进行干预 和对照组受试者立即干预后，在6个月，和一个 干预后一年。 教师对干预和控制的评价 受试者的行为将在基线、6个月、12个月和 一年 干预组将接受应对技能 干预，一个10周的小组协议，已被证明是 有效减少抑郁症，增加应对能力 正常和住院青少年的技能。

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.