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 青少年心理健康与有效护理的发展 促进青少年心理健康和增强应对能力的干预措施 是公共卫生优先事项。 因此，本次活动的两个目标 纵向研究的目的是：（1）衡量心理和身体健康状况 农村青少年样本，以及（2）测试方法的有效性 护士管理的干预措施旨在提高自尊、应对能力和 学生的社会支持。 心理健康将通过措施进行评估 自尊、吸毒、乐观、支持、应对、抑郁 症状学和愤怒。 将通过措施评估身体健康状况 身体机能、身体疼痛、活力、总体健康、健康 需求、担忧以及与疾病相关的缺勤； (3) 检查 生活事件与心理健康和身体健康的关联 在基线处测量； (4)评估应对技巧的效果 对农村青少年心理健康的干预； (5) 评估 CSI对农村青少年身体健康的影响 在 该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组和对照组。 仪器包括雷诺青少年抑郁量表、儿童 行为检查表、愤怒表达量表、罗森伯格的自尊 量表、药物使用筛查量表、生活取向测试、 应对反应量表、感知社会支持量表、生活 事件清单、青少年健康调查表和兰德健康 民意调查。 在第二阶段，将实施干预措施并 将进行干预效果的纵向评估。 这 样本将包括来自三个农村地区的新生、二年级学生和三年级学生 宾夕法尼亚州西南部的高中。 心理和身体健康 所有受试者将在基线时进行评估，然后进行干预 和对照组受试者在干预后立即，在 6 个月时，和一名 干预后一年。 教师干预和控制的评分 受试者的行为将在基线、6 个月、12 个月和 一年。 干预小组将获得应对技巧 干预，一项为期 10 周的小组方案，已被证明是 有效减少抑郁症状并增强应对能力 正常和住院青少年的技能。