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School-based intervention to promote coping in rural teens
J M Lamb1, K R Puskar, S M Sereika
1University of Pittsburgh School of Nursing, Pennsylvania 15261, USA. jla100+@pitt.edu
MCN. the American Journal of Maternal Child Nursing
|July 14, 1998
Summary
A school-based cognitive-behavioral program effectively reduced depressive symptoms and improved coping skills in rural high school students. Nurse-led interventions in schools can successfully promote adolescent mental health.
Area of Science:
- Adolescent mental health
- School-based interventions
- Depression symptomology
Background:
- High school students experience significant depressive symptoms.
- Effective coping strategies are crucial for adolescent mental well-being.
- Early intervention programs can mitigate the impact of depression.
Purpose of the Study:
- To evaluate a cognitive-behavioral group intervention for high school students with depressive symptoms.
- To assess the program's effectiveness in enhancing coping skills and reducing depression.
- To determine the feasibility of school-based nurse-led mental health programs.
Main Methods:
- A two-phase experimental study involving 222 rural high school students (ages 14-19).
- Identification of students with depressive symptomatology and assessment of their coping styles.
- Randomization of students into a control group (n=18) or an 8-week nurse-led cognitive skills intervention group (n=23).
Main Results:
- The intervention group showed a significant reduction in depressive symptoms among female students.
- Students in the intervention group demonstrated a wider range of coping strategies compared to the control group.
- Posttesting indicated positive effects of the cognitive-behavioral intervention.
Conclusions:
- School-based nurses are well-positioned to deliver mental health interventions.
- Nurse-led, school-based programs can be successfully implemented to support adolescent mental health.
- This intervention shows potential for promoting positive mental health outcomes in teenagers.