The effectiveness of the DNA-V program on reducing anxiety among Chinese adolescents: Outcomes of the face-to-face and web-based versions

IF 3.8 1区心理学 Q1 PSYCHOLOGY, SOCIAL

Journal of School Psychology Pub Date : 2024-08-19 DOI:10.1016/j.jsp.2024.101357

Siyang Shao , Ye Zhang , Mo Yang , Chieh Li , Ruonan Zhao , Zidi Liu , Mengxue Wu , Yinghui Liu , Zhuohong Zhu , Lixia Cui

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引用次数: 0

Abstract

Many studies have indicated an alarming prevalence of anxiety among Chinese adolescents, highlighting the critical need for prevention protocols. DNA-V (Discoverer, Noticer, Advisor-Values model) is an adapted version of Acceptance and Commitment Therapy designed to prevent mental health problems in adolescents. This study investigated the effects and underlying mechanisms of DNA-V. The DNA-V prevention program was culturally adapted and optimized in both content and form specifically for Chinese adolescents, with the aim of reducing anxiety levels. A total of 139 participants (59 females) from six eighth-grade classes at an average middle school in Beijing were randomly assigned to one of three groups consisting of the DNA-V face-to-face group (two classes), the DNA-V web-based group (two classes), or the active control group (two classes). Adolescents' anxiety and cognitive fusion were measured before (Time 1), immediately after (Time 2), and 2 months after (Time 3) the program using the Chinese Secondary School Students Anxiety Scale (CSSSAS) and Cognitive Fusion Questionnaire (CFQ). Results showed that in the DNA-V face-to-face group, the anxiety score at Time 3 was significantly lower than the scores at Time 1 (p < .001, Cohen's d_rm = 0.56) and Time 2 (p = .043, Cohen's d_rm = 0.24). The cognitive fusion score at Time 3 was significantly lower than the scores at Time 1 (p = .001, Cohen's d_rm = 0.51) and Time 2 (p = .003, Cohen's d_rm = 0.37). The results of the study suggest that the DNA-V prevention program could serve as an effective tool for reducing anxiety in adolescents.

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DNA-V项目对减轻中国青少年焦虑的效果：面对面版本和网络版本的结果

许多研究表明，中国青少年焦虑症的发病率令人担忧，因此迫切需要制定预防方案。DNA-V（发现者、注意者、顾问-价值观模型）是接纳与承诺疗法的改良版，旨在预防青少年的心理健康问题。本研究调查了 DNA-V 的效果和内在机制。DNA-V 预防项目针对中国青少年进行了文化调整，并在内容和形式上进行了优化，旨在降低青少年的焦虑水平。来自北京一所普通中学八年级六个班级的 139 名参与者（59 名女性）被随机分配到三个小组中的一个，包括 DNA-V 面对面小组（两个班级）、DNA-V 网络小组（两个班级）或积极对照组（两个班级）。通过中国中学生焦虑量表（CSSSAS）和认知融合问卷（CFQ），分别在课程开始前（时间1）、课程开始后（时间2）和课程开始两个月后（时间3）对青少年的焦虑和认知融合进行测量。结果显示，DNA-V 面对面组在时间 3 的焦虑得分明显低于时间 1（p < .001，Cohen's drm = 0.56）和时间 2（p = .043，Cohen's drm = 0.24）的得分。时间 3 的认知融合得分明显低于时间 1（p = .001，Cohen's drm = 0.51）和时间 2（p = .003，Cohen's drm = 0.37）的得分。研究结果表明，DNA-V 预防计划可作为减少青少年焦虑的有效工具。

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来源期刊

Journal of School Psychology PSYCHOLOGY, EDUCATIONAL-

CiteScore

6.70

自引率

8.00%

发文量

期刊介绍： The Journal of School Psychology publishes original empirical articles and critical reviews of the literature on research and practices relevant to psychological and behavioral processes in school settings. JSP presents research on intervention mechanisms and approaches; schooling effects on the development of social, cognitive, mental-health, and achievement-related outcomes; assessment; and consultation. Submissions from a variety of disciplines are encouraged. All manuscripts are read by the Editor and one or more editorial consultants with the intent of providing appropriate and constructive written reviews.