Mazurek Melnyk Bernadette, Kelly Stephanie, Lusk Pamela
The Ohio State University College of Nursing, Columbus, OH, USA.
The Ohio State University College of Medicine, Columbus, OH, USA.
J Child Adolesc Psychiatr Nurs. 2014 Feb;27(1):3-13. doi: 10.1111/jcap.12058. Epub 2013 Oct 16.
Despite the increasing prevalence of depressive and anxiety disorders in adolescents, less than 25% of affected teens receive any treatment.
A preexperimental one-group pre- and posttest pilot study design with 4-week follow-up was used to assess the feasibility and preliminary effects of the COPE (Creating Opportunities for Personal Empowerment) brief-focused manualized seven-session cognitive-behavioral skills building group intervention delivered in two high schools to 16 adolescents referred by a school-based nurse practitioner for depression or elevated anxiety symptoms.
Adolescents reported significant decreases in depression and anxiety on the Beck Youth Inventory as well as increases in personal beliefs about managing negative emotions. Evaluations indicated that the group COPE intervention was a positive experience for the teens.
COPE is a promising brief-focused cognitive behavioral therapy-based intervention that can be delivered effectively to teens in school settings using a group format.
尽管青少年中抑郁和焦虑症的患病率不断上升，但受影响的青少年中接受任何治疗的不到25%。
采用一项单组前后测预实验性试点研究设计，并进行4周随访，以评估“创造个人赋权机会”（COPE）简短聚焦、手册化的七节认知行为技能培养小组干预措施的可行性和初步效果。该干预措施在两所高中对16名由学校护士从业者转介的、有抑郁或焦虑症状加剧的青少年实施。
青少年在贝克青少年量表上报告抑郁和焦虑显著减轻，同时对管理负面情绪的个人信念增强。评估表明，COPE小组干预对青少年来说是一次积极的体验。
COPE是一种有前景的、基于简短聚焦认知行为疗法的干预措施，可采用小组形式在学校环境中有效地提供给青少年。
