基于文化敏感的行为-属于-承诺的学校干预减少了青少年焦虑和抑郁的负担:乌干达的一项试点集群随机试验
Davy Vancampfort1, Philip B Ward2, Japheth Nkiriyehe Kwiringira3
1Department of Rehabilitation Sciences, KU Leuven, Leuven, Belgium; University Psychiatric Center, KU Leuven, Leuven, Belgium; Leuven Brain Institute, Leuven, Belgium.
Journal of affective disorders
|April 25, 2025
概括
一个文化适应的行动-长期-承诺干预措施显著减少了乌干达青少年的焦虑和抑郁症. 这种全校的方法显示了改善低收入环境中的青少年心理健康的前景.
科学领域:
- 全球心理健康全球心理健康
- 青少年心理学 青少年心理学
- 公共卫生干预 公共卫生干预
背景情况:
- 学校对于解决青少年心理健康问题至关重要,特别是在像乌干达这样的低收入国家.
- 针对青少年心理健康的文化定制的随机对照试验有限.
- 这项研究试行了乌干达中学对文化敏感的干预措施.
研究的目的:
- 评价文化适应的ACT干预措施对乌干达青少年焦虑和抑郁症的影响.
- 评估将ACT与生活方式因素相结合的全校心理健康方法的可行性.
- 为未来更大规模的试验提供初步数据.
主要方法:
- 一个试点集群随机试验,涉及四所中学2598名青少年.
- 干预组接受了为期12周的,由教师和同行领导的ACT计划,包括体力活动,睡眠和压力管理组件.
- 对照组接受标准护理;使用GAD-7和PHQ-9-A测量焦虑和抑郁.
主要成果:
- 干预组在心理健康结果方面显示出显著的改善.
- 在减轻焦虑方面观察到适度效果大小 (科恩d = 0.50).
- 观察到抑郁症减轻的小效果大小 (科恩d = 0.44).
结论:
- 文化适应的ACT干预,与生活方式战略相结合,显示出作为全校心理健康战略的潜力.
- 这种干预可以有效地减少资源较少的环境中青少年的焦虑和抑郁.
- 建议使用更大的样本大小进行进一步研究,以证实这些发现.
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