青少年意识到心理健康(YAM)计划与得克萨斯州青少年:抑郁,焦虑,和物质使用的结果。

M. Trivedi, Karabi Nandy, T. Mayes, Tianyi Wang, Kathryn Forbes, Jacqueline R. Anderson, A. Fuller, Jennifer L. Hughes
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引用次数: 0

摘要

目的:了解普通青少年人群的心理健康状况,评估青少年心理健康意识(YAM)干预是否能改善抑郁和焦虑症状。方法:从2017年8月至2019年6月,我们在北德克萨斯州的29所中学和高中采用聚类准实验研究设计实施了YAM。学生完成抑郁症状快速量表,青少年版;广泛性焦虑障碍筛查;以及在YAM交付前和实施后3-6个月额外的物质使用问卷。采用学生嵌套在学校内的多层次模型来模拟抑郁和焦虑的差异得分,控制各种学生水平和学校水平的特征。在分析过程中输入缺失数据。对非输入数据进行敏感性分析。结果:在3302名青少年中,27%的人有中重度抑郁,22%的人有中重度焦虑,4%的人有自杀意念。我们发现,在控制模型中所有其他因素的情况下,平均而言,与前测无抑郁者相比,前测重度至极重度抑郁者的抑郁在后测时减少了(a) 4.62个单位(P < 0.05),前测中度抑郁者的抑郁在后测时减少了(b) 2.92个单位(P < 0.0001),前测轻度抑郁者的抑郁在后测时减少了(c) 1.5个单位(P < 0.001)。在控制学生水平特征的情况下,在焦虑方面也观察到类似的显著下降。结论:这些发现证明了YAM在减轻北德克萨斯州青少年抑郁和焦虑症状方面的有效性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Youth Aware of Mental Health (YAM) Program With Texas Adolescents: Depression, Anxiety, and Substance Use Outcomes.
Objective: To determine the state of mental health problems among a general youth population and assess whether the Youth Aware of Mental Health (YAM) intervention can improve symptoms of depression and anxiety. Methods: We implemented YAM with a cluster quasi-experimental study design from August 2017 through June 2019 in 29 middle schools and high schools in North Texas. Students completed the Quick Inventory of Depressive Symptomatology, Adolescent version; the Generalized Anxiety Disorder Screener; and additional substance use questionnaires before YAM delivery and 3-6 months after implementation. Multilevel models, with students nested within schools, were used to model difference scores of depression and anxiety, controlling for various student-level and school-level characteristics. Missing data were imputed during analysis. Sensitivity analyses were performed on non-imputed data. Results: Among 3,302 adolescents at pre-test, 27% had moderate-to-severe depression, 22% had moderate-to-severe anxiety, and 4% expressed suicidal ideation. We found that on average, compared to those who had no depression at pre-test, depression decreased at post-test by (a) 4.62 units (P < .05) for those who had severe to very severe depression at pre-test, (b) 2.92 units (P < .0001) for those who had moderate depression at pre-test, and (c) 1.5 units (P < .001) for those who had mild depression at pre-test, controlling for all other factors in the model. Similar significant decreases were observed in anxiety, controlling for student-level characteristics. Conclusions: These findings demonstrate the effectiveness of YAM in reducing symptoms of depression and anxiety among adolescents in North Texas.
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