Elizabeth Hutson, PhD, APRN-CNP, PMHNP-BC, Texas Tech University Health Sciences Center, Lubbock, TX, USA.
Bernadette Mazurek Melnyk, PhD, APRN-CNP, FAANP, FNAP, FAAN, Ohio State University, Columbus, OH, USA.
J Am Psychiatr Nurses Assoc. 2022 Nov-Dec;28(6):433-443. doi: 10.1177/10783903221127687. Epub 2022 Oct 6.
One in five children report experiencing bullying. Bullying in childhood affects the physical and emotional health and functioning of youth with immediate consequences, including depression, anxiety, somatic complaints, and suicidal ideation. Schools overwhelmingly are tasked with addressing bullying; however, school-based programs are often focused on preventing bullying from occurring. There is a paucity of evidence-based interventions for adolescents who have directly experienced bullying and suffer from adverse health outcomes, especially when they present to the mental health setting.
This pre-experimental study examined the feasibility, acceptability, and preliminary effects of the MINDSTRONG to Combat Bullying Program for adolescents who have experienced bullying with concurrent mental health symptoms.
Twenty adolescents and their parent dyads enrolled in the MINDSTRONG to Combat Bullying program. Significant reductions were found over time in adolescent self-reported depressive, anxiety and somatic symptoms as well as bullying victimization frequency, with large positive effect sizes for the intervention. Significant increases in adolescent personal beliefs also were found.
Although several of the intervention sessions needed to be rescheduled and many of the adolescents did not complete their weekly skills building homework, MINDSTRONG to Combat Bullying was found to be a highly acceptable intervention for adolescents that was effective in reducing physical and mental health symptoms as well as perceptions of bullying victimization.
五分之一的儿童报告曾遭受欺凌。儿童时期的欺凌行为会影响青少年的身心健康和功能,其直接后果包括抑郁、焦虑、躯体抱怨和自杀意念。学校承担着解决欺凌问题的重任;然而,学校为基础的项目通常侧重于预防欺凌事件的发生。对于那些直接遭受欺凌并出现不良健康后果的青少年,尤其是当他们出现在心理健康环境中时,缺乏基于证据的干预措施。
本预实验研究调查了针对经历过欺凌且伴有心理健康症状的青少年的 MINDSTRONG 抗击欺凌项目的可行性、可接受性和初步效果。
共有 20 名青少年及其家长参加了 MINDSTRONG 抗击欺凌项目。随着时间的推移,青少年自我报告的抑郁、焦虑和躯体症状以及欺凌受害频率均显著降低,干预措施的效果显著。青少年的个人信念也显著增强。
尽管需要重新安排几个干预课程,而且许多青少年没有完成每周的技能培养作业,但 MINDSTRONG 抗击欺凌项目被发现对青少年来说是一种高度可接受的干预措施,能够有效减少身心健康症状以及对欺凌受害的认知。