College of Nursing, The Ohio State University , Columbus , OH , USA.
Department of Pediatrics & Psychiatry, College of Nursing and College of Medicine, The Helene Fuld Health Trust National Institute for EBP, The Ohio State University , Columbus , OH , USA.
Issues Ment Health Nurs. 2019 Nov;40(11):932-941. doi: 10.1080/01612840.2019.1639087. Epub 2019 Aug 12.
Recently identified as the top concern of teens, mental health issues now compete with sexual health risks as major threats to the well-being of adolescent females. Depression and anxiety can lead to or compound the negative repercussions of sexual behavior choices that result in disproportionately high rates of sexually-transmitted infections (STIs), hetero-sexually acquired HIV, and unplanned pregnancy rates in girls ages 15-19. There are a limited number of CDC- and DHHS-recognized HIV/STI and teen pregnancy evidence-based interventions (EBIs) targeted to adolescent girls of diverse races/ethnicities and none that simultaneously address common mental health disorders. The Health Improvement Project for Teens (HIPTeens), a manualized gender-specific sexual risk reduction intervention, and the Creating Opportunities for Personal Empowerment (COPE) Program, a manualized cognitive-behavioral skills intervention that reduces depression and anxiety, are recognized by national agencies as strong EBIs that have successfully improved their targeted outcomes. Baseline data from the HIPTeens clinical trial revealed that a substantial portion of the more than 700 girls enrolled had moderate to high levels of depressive symptoms as well as other mental health challenges (e.g., binge drinking and eating, cannabis use). Thus, there is an urgent need to combine EBIs, such as HIPTeens and COPE, to curtail these leading public health problems confronting today's adolescents.
最近被确定为青少年最关注的问题，心理健康问题现在与性健康风险一起成为威胁青春期女性健康的主要因素。抑郁和焦虑可能导致或加剧性行为选择的负面后果，这些后果导致性传播感染 (STI)、异性获得的 HIV 和 15-19 岁女孩意外怀孕的比率过高。只有少数针对不同种族/族裔的青少年女孩的 CDC 和 DHHS 认可的 HIV/性传播感染和青少年怀孕循证干预措施 (EBI)，并且没有同时解决常见的心理健康障碍。健康促进青少年项目 (HIPTeens) 是一种针对特定性别的性行为减少干预措施，而创建个人赋权机会项目 (COPE) 是一种减少抑郁和焦虑的认知行为技能干预措施，这些项目都被国家机构认可为有效的 EBI，已经成功地改善了其目标结果。HIPTeens 临床试验的基线数据显示，超过 700 名入组的女孩中，相当一部分女孩存在中度至重度抑郁症状以及其他心理健康问题（例如，酗酒和暴食、大麻使用）。因此，迫切需要将 HIPTeens 和 COPE 等 EBI 结合起来，以遏制当今青少年面临的这些主要公共卫生问题。
