J Korean Acad Nurs.  2012 Dec;42(7):984-991. 10.4040/jkan.2012.42.7.984.

Effects of a School-based Intervention Program for Middle School Adolescent Girls with Depression: As Part of the School Health Services

Affiliations
  • 1College of Nursing & Institute of Health Sciences, Gyeongsang National University, Jinju, Korea. sungkyungmi7@gmail.com

Abstract

PURPOSE
The purpose of this study was to evaluate the effects of a school-based intervention program for middle school adolescent girls with depression.
METHODS
The study was a pretest-posttest repeated-measure design with a nonequivalent control group. Fifty eight students with depressive symptoms were recruited from two middle schools in Seoul, Korea. The data were collected from the intervention (n=30) and the comparison group (n=28). The research instrument was Reynolds Adolescent Depression Scale.
RESULTS
The intervention group greatly improved from baseline to 10 weeks and then saw a slight positive change between 10 and 13 weeks.
CONCLUSION
The results of this research show that depression intervention programs are effective for young female adolescents. Thus the investigation has important school-based treatment implications, and should be integrated into school curriculums by school health nurses for early intervention of depressive symptoms in middle school adolescent girls.

Keyword

Adolescent; Female; Depression; School health services

MeSH Terms

Adolescent
*Adolescent Psychology
Depression/*prevention & control
Female
Humans
Program Evaluation
School Health Services/*utilization
Self Concept
Social Support
Students/*psychology

Figure

  • Figure 1. Participant flow chart.

  • Figure 2. Changes in intervention and comparison groups of depressive symptoms.


Reference

References

Balaji M.., Andrews T.., Andrew G.., Patel, V. 2011. The acceptability, feasibility, and effectiveness of a population-based intervention to promote youth health: An exploratory study in Goa, India. Journal of Adolescent Health. 48(5):453–460. http://dx.doi.org/10.1016/j.jadohealth.2010.07.029.
Article
Birndorf S.., Ryan S.., Auinger P.., Aten, M. 2005. High self-esteem among adolescents: Longitudinal trends, sex differences, and protective factors. Journal of Adolescent Health. 37(3):194–201. http://dx.doi.org/10.1016/j.jadohealth.2004.08.012.
Article
Cole D. A.., Jacquez F. M.., Truss A. E.., Pineda A. Q.., Weitlauf A. S.., Tilghman -Osborne C. E., et al2009. Gender differences in the longitudinal structure of cognitive diatheses for depression in children and adolescents. Journal of Clinical Psychology. 65(12):1312–1326. http://dx.doi.org/10.1002/jclp.20631.
Article
Costello E. J.., Mustillo S.., Keeler G.., Angold, A. 2004. Children and adolescents. Levin B.L., Petrila J., Hennessy K., editorsMental Health Services: A public health perspective. New York: Oxford University Press.
Collins K. A.., Westra H. A.., Dozois D. J. A.., Burns D.D. 2004. Gaps in accessing treatment for anxiety and depression: Challenges for the delivery of care. Clinical Psychology Review. 24(5):583–616. http://dx.doi.org/10.1016/j.cpr.2004.06.001.
Article
Daughters S. B.., Reynolds E. K.., MacPherson L.., Kahler C. W.., Danielson C. K.., Zvolensky M., et al2009. Distress tolerance and early adolescent externalizing and internalizing symptoms: The moderating role of gender and ethnicity. Behaviour Research and Therapy. 47(3):198–205. http://dx.doi.org/10.1016/j.brat.2008.12.001.
Article
Faul F.., Erdfelder E.., Lang A. G.., Buchner, A. 2007. G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods. 39(2):175–191. http://dx.doi.org/10.3758/BF03193146.
Article
Fergusson D. M.., Horwood L. J.., Ridder E. M.., Beautrais A.L. 2005. Subthreshold depression in adolescence and mental health outcomes in adulthood. Archives of General Psychiatry. 62(1):66–72. http://dx.doi.org/10.1001/archpsyc.62.1.66.
Article
Frydenberg, E. 2008. Adolescent Coping: Advances in theory, research and practice. Routledge;New York:
Health P. A.., Camarena P.M. 2002. Patterns of depressed affect during early adolescence. Journal of Early Adolescence. 22(3):252–276. http://dx.doi.org/10.1177/02731602022003002.
Hess S. G.., Cox T. S.., Gonzales L. C.., Kastelic E. A.., Mink S. P.., Rose L. E., et al2004. A survey of adolescents’ knowledge about depression. Archives of Psychiatric Nursing. 18(6):228–234. http://dx.doi.org/10.1016/j.apnu.2004.09.005.
Article
Jaycox L. H.., Asarnow J. R.., Sherbourne C. D.., Rea M. M.., LaBorde A. P.., Wells K.B. 2006. Adolescent primary care patients’ preferences for depression treatment. Administration and Policy in Mental Health and Mental Health Services Research. 33(2):198–207. http://dx.doi.org/10.1007/s10488-006-0033-7.
Article
Kowalenko N.., Rapee R. M.., Simmons J.., Wignall A.., Hoge R.., Whitefield K., et al2005. Short-term effectiveness of a school-based early intervention program for adolescent depression. Clinical Child Psychology and Psychiatry. 10(4):493–507. http://dx.doi.org/10.1177/1359104505056311.
Merry S.., McDowell H.., Wild C. J.., Bir J.., Cunliffe, R. 2004. A randomized placebo-controlled trial of a school-based depression prevention program. Journal of American Academy Child and Adolescent Psychiatry. 43(5):538–547. http://dx.doi.org/10.1097/00004583-200405000-00007.
Article
Reynolds, W. 2002. Reynolds Adolescent Depression Scale: Professional manual. 2nd ed.Odessa, FL: Psychological Assessment Resources, Inc., Odessa, FL.
Robins R. W.., Trzesniewski K.H. 2005. Self-esteem development across the lifespan. American Psychological Society. 14(3):158–162.
Article
Rohde P.., Beevers C. G.., Stice E.., O'Neil, K. 2009. Major and minor depression in female adolescents: Onset, course, symptom presentation, and demographic associations. Journal of Clinical Psychology. 65(12):1339–1349. http://dx.doi.org/10.1002/jclp.20629.
Article
Sawyer M. G.., Harchak T. F.., Spence S. H.., Bond L.., Graetz B.., Kay D., et al2010. School based prevention of depression: A 2-year follow-up of a randomized controlled trial of the beyondblue schools research initiative. Journal of Adolescent Health. 47(3):297–304. http://dx.doi.org/10.1016/j.jadohealth.2010.02.007.
Schultz J. L.., Mueller, D. 2007. Effective interventions for the prevention and treatment of depression and adolescent girls: A review of relevant research. Saint Paul, MN: Wilder Research.
Statistics Korea. 2011a. 2008 Adolescent health report. Retrieved December 20, 2011, from. http://stat.mw.go.kr/stat/data/cm_data_view.jsp?menu_code=MN02010000&cont_seq=10322.
Statistics Korea. 2011b. 2009 Mortality data base. Retrieved December 20, 2011, from. http://kostat.go.kr/portal/korea/kor_nw/2/6/2/index.board?bmode=read&aSeq=179505.
Swartz K. L.., Kastelic E. A.., Hess S. G.., Cox T. S.., Gonzales L. C.., Mink S. P., et al2007. The effectiveness of a school-based adolescent depression education program. Health Education Behavior. 37:11–22. http://dx.doi.org/10.1177/1090198107303313.
Article
Tandon D. S.., Solomon B.S. 2009. Risk and protective factors for depressive symptoms in urban African American adolescents. Youth & Society. 41(1):80–99. http://dx.doi.org/10.1177/0044118X08327520.
Article
Tanielian T.., Jaycox L. H.., Paddock S. M.., Chandra A.., Meredith L. S.., Burnam M.A. 2009. Improving treatment seeking among adolescents with depression: Understanding readiness for treatment. Journal of Adolescent Health. 45(5):490–498. http://dx.doi.org/10.1016/j.jado-health200903.005.
Article
Weeks A.., Swerissen H.., Belfrage, J. 2007. Issues, challenges, and solutions in translating study instruments. Evaluation Review. 31(2):153–165. http://dx.doi.org/10.1177/0193841X06294184.
Article
Full Text Links
  • JKAN
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr