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评估初级预防对减轻青春期前儿童大流行压力效果的预演。

A Dress Rehearsal for Assessment of Potency of Primordial Prevention for Reduction of Pandemic Stress Among Preadolescents.

作者信息

Sahu Nirupam N, Gawai Jaya

机构信息

Child Health Nursing, Smt. Radhikabai Meghe Memorial College of Nursing, Datta Meghe Institute of Medical Sciences, Wardha, IND.

Mental Health Nursing, Smt. Radhikabai Meghe Memorial College of Nursing, Datta Meghe Institute of Medical Sciences, Wardha, IND.

出版信息

Cureus. 2023 Jun 30;15(6):e41173. doi: 10.7759/cureus.41173. eCollection 2023 Jun.

Abstract

Background Stress can have a significant impact on the mental health of both adults and children. Adolescents, in particular, are a vulnerable group, and the stress brought on by the pandemic may impact their prospects. This study serves as a preliminary assessment of the effectiveness of primordial prevention in mitigating pandemic-related stress among preadolescents. Aim and objective To perform a dress rehearsal to assess the effectiveness of primary prevention strategies in mitigating pandemic-related stress among preadolescents, the Perceived Stress Scale (PSS) in its English version was employed to measure the magnitude of stress experienced by the participants. Material and methods The study comprised a total of 100 preadolescent students who attended school in two distinct sections of Maharashtra, India. Each group consisted of 50 students initially, but after applying the inclusion and exclusion criteria, the number of students in each group was reduced to 35. The preadolescents in the experimental group underwent a pre-test using the PSS. Following this, they received training in a specific intervention that focused on five exercises related to positive psychology, namely, values and beliefs, self-compassion, knowing one's character strengths, and expressing gratitude. On the other hand, the control group did not receive any intervention. A post-test was conducted using the PSS checklist, and the scores were evaluated on the seventh day following the intervention. Results The preadolescents attending school had an average age of 12.5 years and were enrolled in the 7th and 8th grades. In the experimental group, most students identified as Hindus (30 individuals, accounting for 85.7% of the group), while a smaller portion identified as Buddhists (five individuals, making up 14.3%). In the control group, 25 students (71.4%) identified as Hindus, nine (25.7%) identified as Buddhists, and only one (2.9%) identified as Muslim. During the pre-test, 30 students (85.7%) from the experimental group and 28 (80%) from the control group exhibited moderate stress levels. Following the intervention, there was a significant improvement in the PSS scores from the pre-test to the seventh day. Specifically, in the experimental group, only eight individuals (22.9%) reported experiencing moderate stress; in the control group, the number was 28 (80%). The X2 value was calculated to be 22.88, with a level of significance set at p=0.0001. Conclusion Our dress rehearsal demonstrated the effectiveness of primordial prevention in mitigating pandemic-induced stress among preadolescent students attending schools in Maharashtra. The intervention employed five exercises rooted in positive psychology: emphasizing values and beliefs, cultivating self-compassion, fostering self-awareness of character strengths, and practicing gratitude. These interventions offer promising avenues for addressing stress among preadolescents in an educational setting. However, further research with larger sample sizes and longer follow-up periods is necessary to validate the effectiveness of these primordial preventive measures.

摘要

背景 压力会对成年人和儿童的心理健康产生重大影响。青少年尤其属于弱势群体,疫情带来的压力可能会影响他们的未来。本研究是对初级预防在减轻青春期前儿童与疫情相关压力方面有效性的初步评估。

目的 为了进行一次预演,以评估初级预防策略在减轻青春期前儿童与疫情相关压力方面的有效性,采用英文版的感知压力量表(PSS)来测量参与者所经历的压力程度。

材料与方法 该研究共有100名在印度马哈拉施特拉邦两个不同地区上学的青春期前学生。最初每组有50名学生,但在应用纳入和排除标准后,每组学生人数减少到35人。实验组的青春期前儿童使用PSS进行了预测试。在此之后,他们接受了一项特定干预的培训,该干预侧重于与积极心理学相关的五项练习,即价值观和信念、自我同情、了解自己的性格优势以及表达感激之情。另一方面,对照组未接受任何干预。使用PSS清单进行了后测试,并在干预后的第七天对分数进行了评估。

结果 上学的青春期前儿童平均年龄为12.5岁,就读于七年级和八年级。在实验组中,大多数学生认定为印度教徒(30人,占该组的85.7%),而一小部分认定为佛教徒(5人,占14.3%)。在对照组中,25名学生(71.4%)认定为印度教徒,9名(25.7%)认定为佛教徒,只有1名(2.9%)认定为穆斯林。在预测试中,实验组的30名学生(85.7%)和对照组的28名学生(80%)表现出中度压力水平。干预后,从预测试到第七天,PSS分数有显著改善。具体而言,在实验组中,只有8人(22.9%)报告经历中度压力;在对照组中,这一数字为28人(80%)。计算得出的X2值为22.88,显著性水平设定为p = 0.0001。

结论 我们的预演证明了初级预防在减轻马哈拉施特拉邦上学的青春期前学生疫情引发的压力方面的有效性。所采用的干预措施基于五项积极心理学练习:强调价值观和信念、培养自我同情、增强对性格优势的自我认知以及践行感恩。这些干预措施为在教育环境中解决青春期前儿童的压力提供了有前景的途径。然而,需要进行更大样本量和更长随访期的进一步研究,以验证这些初级预防措施的有效性。

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