Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital of Wuerzburg, Würzburg, Germany.
German Centre of Prevention Research in Mental Health, University of Wuerzburg, Würzburg, Germany.
Trials. 2023 Jan 19;24(1):44. doi: 10.1186/s13063-022-06970-x.
Chronic stress is detrimental to health, and children and young people have had to cope with significantly more stress since the start of the COVID-19 pandemic. In particular, stress at school and in relation to learning is a major problem in this age group. Studies in Germany have indicated that the pandemic has led to a reduced quality of life (QoL) and an increased risk for psychiatric disorders in children and adolescents. Schools are an ideal setting for interventions against stress, which is one of the strongest predictors for the development of psychosocial problems. The present study seeks to address stress by means of a short prevention training programme in schools, including emotion regulation, mindfulness, and self-compassion. In addition to information material for self-study, students should have the opportunity to actively deal with the topic of stress and develop coping strategies within a short space of time. In contrast to very long stress reduction programmes that often last several weeks, the programme is delivered in just 90 min.
The effectiveness of the short and economical prevention programme LessStress will be examined in a cluster-randomised controlled trial (RCT) encompassing 1894 students. At several measurement time points, students from two groups (intervention and control) will be asked about their subjectively perceived stress levels, among other aspects. Due to the clustered nature of the data, mainly multilevel analyses will be performed.
In Germany, there are no nationwide universal prevention programmes for students against stress in schools, and this gap has become more evident since the outbreak of the pandemic. Universal stress prevention in schools may be a starting point to promote resilience. By dealing with stress in a healthy way, mental health can be strengthened and maintained. Moreover, to reach at-risk students at an early stage, we advocate for a stronger networking between child psychiatry and schools.
German Clinical Trials Register (DRKS) DRKS00025721 . Registered on November 4, 2021.
慢性压力对健康有害，自 COVID-19 大流行开始以来，儿童和年轻人不得不应对更多的压力。特别是，学校和学习方面的压力是该年龄段的主要问题。德国的研究表明，大流行导致儿童和青少年的生活质量（QoL）下降和精神障碍风险增加。学校是针对压力进行干预的理想场所，压力是导致心理社会问题发展的最强预测因素之一。本研究旨在通过在学校中进行短期预防培训计划来解决压力问题，该计划包括情绪调节、正念和自我同情。除了自学的信息材料外，学生应该有机会在短时间内积极处理压力主题并制定应对策略。与通常持续数周的非常长的减压计划不同，该计划仅在 90 分钟内完成。
将在一项包含 1894 名学生的群组随机对照试验（RCT）中检查短期和经济有效的预防计划 LessStress 的有效性。在几个测量时间点，将询问来自两个组（干预组和对照组）的学生对其主观感知的压力水平等方面的情况。由于数据的聚类性质，主要将进行多层次分析。
在德国，学校没有针对学生的全国性普遍压力预防计划，而自大流行爆发以来，这一差距变得更加明显。在学校进行普遍的压力预防可能是促进适应力的起点。通过以健康的方式应对压力，可以增强和维持心理健康。此外，为了尽早接触到高危学生，我们主张儿童精神病学和学校之间建立更强大的网络。
德国临床试验注册处（DRKS）DRKS00025721 。于 2021 年 11 月 4 日注册。
