以证据为基础的认知行为疗法在学校环境中对青少年的干预效果

Sarah E. Gray BSN, RN, Michaela Carter BSN, RN, Amanda Harper DNP, RN, CPNP
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引用次数: 0

摘要

问题 青少年时期是荷尔蒙和身体快速变化刺激心智发育的时期。贫困、虐待、暴力以及缺乏同伴和社会支持等因素都会导致青少年更容易出现心理健康问题。COVID-19 大流行也加剧了抑郁和焦虑症状。无论风险因素如何,焦虑和抑郁仍然是严重的健康问题,每年影响着美国成千上万的青少年。控制焦虑和抑郁症状的一线治疗建议是认知行为疗法(CBT)。然而,由于种种原因,接受 CBT 治疗的医疗服务提供者并不总能找到。 方法 该试点循证实践项目旨在通过在学校环境中实施简短、循证的 CBT 项目,增加青少年获得 CBT 技能的机会,并改善他们的心理健康。本项目采用的 CBT 项目是 "为青少年创造个人赋权机会(COPE)"项目,该项目包括七节课,每节课 50-55 分钟。COPE 计划的实施对象是七年级健康班的 22 名学生。在基线、干预后和两个月的随访中,"广泛性焦虑症 7 项目 "和 "青少年患者健康问卷-9 修订版 "对焦虑和抑郁的得分进行了测量。 结果 结果表明,焦虑和抑郁评分有明显的临床改善,并显示出参与者的满意度。 结论 学校环境中的 COPE 为改善行为和情商提供了一种低风险的解决方案。COPE 是解决心理健康服务提供者短缺问题的一种具有成本效益的方法。
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Effectiveness of an evidenced-based cognitive behavioral therapy intervention for adolescents in a school setting

Problem

The adolescent years are a formative time when rapid hormonal and physical changes stimulate the developing mind. Exposure to poverty, abuse, violence, and lack of peer and social support causes an increase in vulnerability to the development of mental health problems. The COVID-19 pandemic has also exacerbated symptoms of depression and anxiety. Regardless of the risk factors, anxiety and depression continue to be significant health problems, affecting thousands of adolescents yearly in the United States. The first-line treatment recommendation for managing anxiety and depression symptoms is cognitive behavioral therapy (CBT). However, access to a provider for CBT treatment is not always an option for many reasons.

Methods

This pilot evidenced-based practice project aims to increase access to skills acquired through CBT and improve adolescents' mental health by implementing a brief and evidenced-based CBT program in a school setting. The CBT program for this project is the Creating Opportunities for Personal Empowerment (COPE) for Teens program consisting of seven 50−55-min sessions. The COPE program was delivered to 22 students in a 7th-grade health class. The Generalized Anxiety Disorder 7-Item and Patient Health Questionnaire-9 Modified for Adolescents measured anxiety and depression scores at baseline, post-intervention, and 2-month follow-up.

Findings

Results indicate clinically significant improvements in anxiety and depression scores and showed participant satisfaction.

Conclusions

COPE in the school setting offers a low-risk solution to improving behaviors and emotional intelligence. COPE is a cost-effective solution to the mental health provider shortage.

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来源期刊
CiteScore
2.90
自引率
6.70%
发文量
41
期刊介绍: Journal of Child and Adolescent Psychiatric Nursing (JCAPN) is the only nursing journal to focus exclusively on issues of child and adolescent mental health around the world. As a primary resource for nurses and other healthcare professionals in clinical practice, educator roles, and those conducting research in mental health and psychiatric care, the journal includes peer-reviewed, original articles from a wide range of contributors in a broad variety of settings.
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