A Comprehensive Approach Integrating Resilience Theory and Satir Model Nursing Skills Training for Adolescent Depression: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 182
- 试验地点
- 1
- 主要终点
- Change in Depressive Symptoms as measured by the 17-item Hamilton Depression Scale (HAMD-17)
研究概览
简要总结
This randomized controlled trial aims to assess the effectiveness of an intervention combining resilience theory with Satir model nursing skills training compared to routine nursing care for adolescents with depression. The study evaluates changes in depressive symptoms, psychological resilience, self-esteem, coping styles, and medication adherence.
详细描述
Adolescent depression is a growing mental health concern with significant impacts on academic and social functions. While psychological interventions are crucial, conventional methods may have limitations. This study introduces and evaluates a novel intervention that integrates resilience theory, focusing on patients' strengths and potential, with the Satir model, which addresses psychological issues from individual, family, and social systems. The study randomized 182 adolescents with depression into two groups: a research group receiving the integrated intervention and a control group receiving routine nursing care. The primary objective is to determine if the comprehensive intervention is more effective in alleviating depressive symptoms and improving psychological well-being, including resilience, self-esteem, and coping mechanisms. The findings aim to provide evidence for a new, effective therapeutic strategy for this vulnerable population.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 13 Years 至 18 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Diagnosis aligning with the ICD-10 criteria for depressive episodes.
- •First onset with a course between 4 weeks and 12 months.
- •Age between 13 and 18 years.
- •Normal communication ability.
- •No antidepressant use in the four weeks preceding admission, and no prior psychological treatment.
- •HAMD-24 score exceeding 20 points.
- •Informed consents from family members or guardians.
排除标准
- •Participants withdrawing prematurely.
- •Presence of organic lesions.
- •Antidepressant or psychological treatment before enrollment.
- •Allergic constitution.
- •Depression induced by physical illness.
- •Suicide ideation score ≥4 points in MADRS with suicidal tendency.
- •Diagnosis of bipolar affective disorder.
- •Coexistence of other mental illnesses.
- •Neurological diseases or substance dependence/abuse.
研究组 & 干预措施
Experimental: Resilience Theory and Satir Model Nursing Skills Training Group
Participants in this group received routine nursing care plus a specialized intervention combining resilience theory and Satir model nursing skills training. The intervention was delivered in a hospital setting and included 15 group activity sessions (2 hours each). Activities were conducted in a workshop format with fixed themes such as "I am a unique existence," "resilient beliefs," and "identifying inner sources of resilience." The sessions incorporated experiential interactive learning, progressive muscle relaxation training, and guided imagery. After each activity, participants completed tasks and shared experiences. Post-discharge follow-up was conducted to monitor progress.
干预措施: Resilience Theory and Satir Model Nursing Skills Training (Behavioral)
Active Comparator: Routine Intervention Group
Participants in this group received routine nursing intervention. This included observation of the illness condition, guidance on daily life and diet, psychological care, and health education about the disease for both patients and their families. They were also guided on emotion regulation, sleep, and medication routines, with encouragement for regular outpatient follow-ups.
干预措施: Routine Nursing Intervention (Behavioral)
结局指标
主要结局
Change in Depressive Symptoms as measured by the 17-item Hamilton Depression Scale (HAMD-17)
时间窗: Baseline (at admission) and 3 Months Post-intervention
The HAMD-17 is a clinician-rated scale with 17 items scored on a 0-4 or 0-2 point scale. A higher total score indicates more severe depressive symptoms.
Change in Depressive Symptoms as measured by the Montgomery-Åsberg Depression Rating Scale (MADRS)
时间窗: Baseline (at admission) and 3 Months Post-intervention
The MADRS is a 10-item clinician-rated scale, with each item scored from 0-6. The total score ranges from 0-60, with higher scores indicating more severe depression.
Change in Depressive Symptoms as measured by the Beck Depression Inventory (BDI)
时间窗: Baseline (at admission) and 3 Months Post-intervention
The BDI is a 13-item self-report questionnaire where items are scored from 0-3. Higher total scores indicate more severe depression.
次要结局
- Change in Psychological Resilience as measured by the Resilience Scale for Chinese Adolescents (RSCA)(Baseline (at admission) and 3 Months Post-intervention)
- Change in Self-Esteem Level as measured by the Feelings of Inferiority Scale (FIS)(Baseline (at admission) and 3 Months Post-intervention)
- Change in Coping Styles as measured by the Simplified Coping Style Questionnaire (SCSQ)(Baseline (at admission) and 3 Months Post-intervention)
- Change in Medication Compliance as measured by the Medication Adherence Rating Scale (MARS)(Baseline (at admission) and 3 Months Post-intervention)
- Change in Self-Esteem Level as measured by the Feelings of Inferiority Scale (FIS)(Baseline (at admission) and 3 Months Post-intervention)
- Change in Medication Compliance as measured by the Medication Adherence Rating Scale (MARS)(Baseline (at admission) and 3 Months Post-intervention)
- Change in Coping Styles as measured by the Simplified Coping Style Questionnaire (SCSQ)(Baseline (at admission) and 3 Months Post-intervention)
- Change in Psychological Resilience as measured by the Resilience Scale for Chinese Adolescents (RSCA)(Baseline (at admission) and 3 Months Post-intervention)
研究者
Kenan Ren
Principal investigator
The First Hospital of Hebei Medical University