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International Journal of Nursing Education and Research
Year : 2021, Volume : 9, Issue : 1
First page : ( 17) Last page : ( 23)
Print ISSN : 2347-8640. Online ISSN : 2454-2660.
Article DOI : 10.5958/2454-2660.2021.00005.3

Effect of a multicomponent depression prevention intervention on depressive symptoms, anxiety and well-being among adolescents with risk for depression: A pilot study

Paul Besi1,*, Dr. Usha K. V.2

1Asst. Professor, Dept. of Mental Health Nursing, MOSC College of Nursing, Kolenchery, Kerala

2Vice Principal, Govt. Nursing College, Kottayam, Kerala

*Corresponding Author E-mail: besipaul87@gmail.com

Online published on 27 April, 2021.

Abstract

Background

Prevention of an initial episode of depression among adolescents at risk prevents the personal, social and societal effects of a Major Depressive Episode.

Methodology

The study was conducted among adolescents with age between 12 to 18 years, studying in two selected schools of Ernakulam district. A total of 400 adolescents from two selected schools were screened using Center for Epidemiological Studies-Depression Scale (CESD) for sub-clinical depression. 40 adolescents with scores between 8 and 17 were included in the study. For the experimental group, pre-test was conducted using Screen for Child Anxiety Related Disorders (SCARED) and WHO 5 well -being index. After the pre-test the adolescents were given a structured intervention program with four sessions administered over four consecutive weeks. The post test was conducted immediately after the last session of the intervention, and at 1 month following the intervention using the same tools. For the control group, after pre- test, post -test was conducted after four weeks and at 8 weeks following the pre- test without intervention.

Results

The study result showed that there was a significant statistical difference in the average depression scores before intervention and after first post test (p = 0.00) and also after second post- test (p = 0.00). A significant statistical difference was also identified between depression scores of intervention and control group (p = 0.00). A similar effect was noted for anxiety and depression as well.

Conclusion

The study concluded that the multi-component intervention was effective in reducing depressive symptoms and anxiety among adolescents.

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Keywords

Subclinical depression, Adolescents, Multi-component depression prevention intervention, School based intervention, Anxiety, Well-being.

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