整体压力管理计划对印度少女学业压力和幸福感的影响：一项随机对照试验。
Impact of holistic stress management program on academic stress and well-being of Indian adolescent girls: A randomized controlled trial.
作者信息
Rentala Sreevani, Thimmajja Sunanda Govinder, Tilekar Swanand Dattatraya, Nayak Raghavendra Bheemappa, Aladakatti Rajashree
机构信息
Department of Nursing, Dharwad Institute of Mental Health and Neurosciences, Dharwad, Karnataka, India.
Department of Biostatistics, Indian Red Cross Society Bel-Air College of Nursing, Panchgani, Maharastra, India.
出版信息
J Educ Health Promot. 2019 Dec 31;8:253. doi: 10.4103/jehp.jehp_233_19. eCollection 2019.
CONTEXT
Academic stress among adolescents is a significant contributor to a variety of mental and behavioral disorders. Holistic stress management interventions equip adolescents with good mental health and improve academic performance.
AIM
The aim of the study is to evaluate the effectiveness of holistic group-based stress management program in reducing academic stress, depression, anxiety, and improving well-being among adolescent girls.
SETTINGS AND DESIGN
Randomized control trial was adopted and the study was conducted at selected colleges of Dharwad city, Karnataka, India.
MATERIALS AND METHODS
Two hundred and thirty adolescent girls were randomly selected and assigned to either experimental ( = 115) or control group ( = 115). Both group participants were initially assessed for academic stress, depression, anxiety, general stress, and well-being. The experimental group participants participated in eight sessions of holistic group-based stress management program over a period of 1 month. The intervention comprises of body-mind-spirit strategies focusing on techniques to handle stressful situations, accept responsibility for their own well-being, and take charge of self-health. Control group participants did not receive any intervention. Postintervention assessments were conducted for all the participants on monthly intervals for 6 months.
RESULTS
Over 6 months follow-up compared to control group, the experimental group participants showed statistically significant decrease in academic stress ( = 131.60, < 0.01, n = 0.14), depression ( = 156.70, < 0.01, n = 0.13), anxiety ( = 190.50, < 0.01, n = 0.16), general stress ( = 166.10, < 0.01, n = 0.16), and improvement in well-being ( = 156.40, < 0.01, n = 0.13).
CONCLUSIONS
These findings indicate that holistic stress management program has a positive effect on reducing stress, anxiety, depression, and improving well-being.
背景
青少年的学业压力是导致多种心理和行为障碍的重要因素。整体压力管理干预措施能使青少年拥有良好的心理健康并提高学业成绩。
目的
本研究旨在评估基于团体的整体压力管理项目在减轻青少年女孩的学业压力、抑郁、焦虑以及改善幸福感方面的有效性。
设置与设计
采用随机对照试验，研究在印度卡纳塔克邦达尔瓦德市的选定学院进行。
材料与方法
随机选取230名青少年女孩，分为实验组（n = 115）和对照组（n = 115）。两组参与者均首先接受学业压力、抑郁、焦虑、一般压力和幸福感的评估。实验组参与者在1个月内参加了8次基于团体的整体压力管理项目课程。干预包括身心灵策略，重点是应对压力情境的技巧、对自身幸福感负责以及掌控自我健康。对照组参与者未接受任何干预。对所有参与者进行为期6个月的每月一次的干预后评估。
结果
与对照组相比，在6个月的随访中，实验组参与者在学业压力（t = 131.60，p < 0.01，η² = 0.14）、抑郁（t = 156.70，p < 0.01，η² = 0.13）、焦虑（t = 190.50，p < 0.01，η² = 0.16）、一般压力（t = 166.10，p < 0.01，η² = 0.16）方面有统计学显著下降，幸福感有所改善（t = 156.40，p < 0.01，η² = 0.13）。
结论
这些研究结果表明，整体压力管理项目对减轻压力、焦虑、抑郁以及改善幸福感有积极作用。
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