Improving adolescent mental health and resilience through a resilience-based intervention in schools: study protocol for a randomised controlled trial

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• 作者：Julia Dray (22) (23) (24)
  Jenny Bowman (23) (24)
  Megan Freund (22) (23) (24)
  Elizabeth Campbell (22) (23) (24)
  Luke Wolfenden (22) (23) (24)
  Rebecca K Hodder (22) (23) (24)
  John Wiggers (22) (23) (24)
  
  22. Hunter New England Population Health ; Hunter New England Local Health District ; Locked Bag 10 ; Wallsend ; NSW ; 2287 ; Australia
  23. The University of Newcastle ; Callaghan ; NSW ; 2308 ; Australia
  24. Hunter Medical Research Institute ; Locked Bag 1 ; Hunter Region Mc ; NSW ; 2310 ; Australia
  
• 关键词：adolescence ; resilience ; school ; mental health ; risk ; intervention ; prevention
• 刊名：Trials
• 出版年：2014
• 出版时间：December 2014
• 年：2014
• 卷：15
• 期：1
• 全文大小：482 KB
• 参考文献：1. Buckley, S, Cannon, M, Chambers, D, Coughlan, H, Duffy, M, Gavin, B, Keeley, H, McGorry, P, Power, P, Shiers, D (2011) The International Declaration on Youth Mental Health. International Association of Youth Mental Health, Killarney, Ireland
  2. Kieling, C, Baker-Henningham, H, Belfer, M, Conti, G, Ertem, I, Omigbodun, O, Rohde, LA, Srinat, S, Ulkuer, N, Rahman, A (2011) Child and adolescent mental health worldwide: evidence for action. Lancet 378: pp. 1515-1525 CrossRef
  National Survey of Mental Health and Wellbeing: Summary of Results. Volume 4326. Canberra, Australia
  Truth Hurts: Report of the National Inquiry into Self-Harm Among Young People.
  3. Stice, E, Hayward, C, Cameron, RP, Killen, JD, Taylor, CB (2000) Body-image and eating disturbances predict onset of depression among female adolescents: a longitudinal study. J Abnorm Psychol 109: pp. 438-444 CrossRef
  4. Gordon, A (2008) Comorbidity of Mental Disorders and Substance Use: A Brief Guide for the Primary Care Clinician. ACT, Australia, Department of Health and Ageing, Australian Government
  5. Arseneault, L, Cannon, M, Poulton, R, Murray, R, Caspi, A, Moffitt, TE (2002) Cannabis use in adolescence and risk for adult psychosis: longitudinal prospective study. Br Med J 325: pp. 1212-1213 CrossRef
  6. Moore, THM, Zammit, S, Lingford-Hughes, A, Barnes, TRE, Jones, PB, Burke, M, Lewis, G (2007) Cannabis use and risk of psychotic or affective mental health outcomes: a systematic review. Lancet 370: pp. 319-328 CrossRef
  7. Turner, HA, Butler, MJ (2003) Direct and indirect effects of childhood adversity on depressive symptoms in young adults. J Youth Adolesc 32: pp. 89-103 CrossRef
  8. Arnow, BA (2004) Relationships between childhood maltreatment, adult health and psychiatric outcomes, and medical utilization. J Clin Psychiatry 65: pp. 10-15
  9. Kim-Cohen, J, Caspi, A, Moffitt, TE, Harrington, H, Milne, BJ, Poulton, R (2003) Prior juvenile diagnoses in adults with mental disorder: developmental follow-back of a prospective-longitudinal cohort. Arch Gen Psychiatry 60: pp. 709-717 CrossRef
  10. Kessler, RC, Angermeyer, M, Anthony, JC, Graaf, RD, Demyttenaere, K, Gasquet, I, Girololamo, GD, Gluzman, S, Gureje, O, Haro, JM, Kawakami, N, Karam, A, Levinson, D, Mora, MEM, Browne, MAO, Posada-Villa, J, Stein, DJ (2007) Lifetime prevalence and age-of-onset distributions of mental disorders in the World Health Organization鈥檚 World Mental Health Survey Initiative. World Psychiatry 6: pp. 168-176
  11. Masten, AS (2001) Ordinary magic: resilience processes in development. Am Psychol 56: pp. 227-238 CrossRef
  12. Doll, B, Lyon, MA (1998) Risk and resilience: implications for the delivery of educational and mental health services in schools. Sch Psychol Rev 27: pp. 348-363
  13. Harvey, J, Delfabbro, PH (2004) Psychological resilience in disadvantaged youth: a critical overview. Aust Psychol 39: pp. 3-13 CrossRef
  14. Noltemeyer, AL, Bush, KR (2013) Adversity and resilience: a synthesis of international research. Sch Psychol Int 34: pp. 474-487 3034312472758" target="_blank" title="It opens in new window">CrossRef
  15. Benard, B (1991) Fostering Resiliency in Kids: Protective Factors in the Family, School, and Community. Western Center for Drug-Free Schools and Communities, Portland, OR, USA
  16. Benard, B (1993) Fostering resiliency in kids. Educ Leadership 51: pp. 44-48
  17. Hanson, TL, Kim, JO (2007) Measuring resilience and youth development: the psychometric properties of the healthy kids survey. Issues & Answers Report, REL 2007, No. 034. US Department of Education, Institute of Education Sciences, National Center for Education Evaluation and Regional Assistance, Regional Educational Laboratory West, Washington, DC, USA
  18. Hjemdal, O, Friborg, O, Stiles, TC, Rosenvinge, JH, Martinussen, M (2006) Resilience predicting psychiatric symptoms: a prospective study of protective factors and their role in adjustment to stressful life events. Child Psychol Psychother 13: pp. 194-201 CrossRef
  19. Fergus, S, Zimmerman, MA (2005) Adolescent resilience: a framework for understanding healthy development in the face of risk. Annu Rev Public Health 26: pp. 399-419 304.144357" target="_blank" title="It opens in new window">CrossRef
  20. Patel, V, Goodman, A (2007) Researching protective and promotive factors in mental health. Int J Epidemiol 36: pp. 703-707 CrossRef
  21. Hjemdal, O, Vogel, PA, Solem, S, Hagen, K, Stiles, TC (2011) The relationship between resilience and levels of anxiety, depression, and obsessive鈥揷ompulsive symptoms in adolescents. Clin Psychol Psychother 18: pp. 214-321 CrossRef
  22. Hjemdal, O, Aune, T, Reinfjell, T, Stiles, TC (2007) Resilience as a predictor of depressive symptoms: a correlational study with young adolescents. Clin Child Psychol Psychiatry 12: pp. 91-104 CrossRef
  23. Patton, GC, Bond, L, Carlin, JB, Thomas, L, Butler, H, Glover, S, Catalano, R, Bowes, G (2006) Promoting social inclusion in schools: a group-randomised trial of effects on student health risk behaviour and well-being. Am J Public Health 96: pp. 1582-1587 CrossRef
  24. Cutuli, JJ, Chaplin, TM, Gillham, JE, Reivich, KJ, Seligman, MEP (2006) Preventing co-occurring depression symptoms in adolescents with conduct problems: the Penn Resiliency Program. NY Acad Sci 1094: pp. 282-286 CrossRef
  25. Brunwasser, SM, Gillham, JE, Kim, ES (2009) A meta-analytic review of the Penn Resiliency Program鈥檚 effect on depressive symptoms. Am Psychol Assoc 77: pp. 1045-1054
  26. Sun, J, Stewart, DE Promoting student resilience and wellbeing: Asia-Pacific resilient children and communities project. In: Lovat, T, Toomey, R, Clement, N eds. (2010) International Research Handbook on Values Education and Student Wellbeing. Springer Science + Business Media, New York, NY, pp. 409-426 CrossRef
  27. Hodder, R, Freund, M, Bowman, J, Wolfenden, L, Campbell, E, Wye, P, Hazell, T, Gillham, K, Wiggers, J (2012) A cluster randomised trial of a school-based resilience intervention to decrease tobacco, alcohol and illicit drug use in secondary school students: study protocol. BMC Public Health 12: pp. 1009 CrossRef
  Annual Report 2010/11: NSW Health Districts. Volume 2.
  28. Hunter New England Local Health District: about us [http://www.hnehealth.nsw.gov.au/about_us]
  29. Trewin, D (2003) Information Paper Census of Population and Housing Socio-Economic Indexes for Areas: Australia 2001. Australian Bureau of Statistics, Canberra
  Planning Meeting in Health Promoting Schools Project: Background, Development and Strategy Outline of the Health Promoting Schools Project. Copenhagen, Denmark
  Low Socio-Economic Status School Communities National Partnership. Department of Education and Training, Sydney, NSW, Australia
  30. Wolfenden, L, Kypri, K, Freund, M, Hodder, R (2009) Obtaining active parental consent for school-based research: a guide for researchers. Aust NZ J Public Health 33: pp. 270-275 CrossRef
  31. Stewart-Brown, S (2006) What is the Evidence on School Health Promotion in Improving Health or Preventing Disease and, Specifically, What is the Effectiveness of the Health Promoting Schools Approach?. WHO Regional Office for Europe (Health Evidence Network Report), Copenhagen, Denmark
  32. Wyn, J, Cahill, H, Holdsworth, R, Rowling, L, Carson, S (2000) MindMatters, a whole-school approach promoting mental health and wellbeing. Aust NZ J Psychiatry 34: pp. 594-601 CrossRef
  Evaluation consortium: MindMatters: a mental health promotion resource for secondary schools. Report of the MindMatters (National Mental Health in Schools Project) Evaluation Project. Volume 1鈥?. Hunter Institute of Mental Health, Newcastle, Australia
  33. Resourceful adolescent program [http://www.rap.qut.edu.au/]
  34. Hodgson, R, Abbasi, T, Clarkson, J (1996) Effective mental health promotion: a literature review. Health Educ J 55: pp. 55-74 CrossRef
  35. Bond, L, Glover, S, Godfrey, C, Butler, H, Patton, GC (2001) Building capacity for system-level change in schools: lessons from the gatehouse project. Health Educ Behav 28: pp. 368-383 CrossRef
  Whole School Matters 鈥?Draft Manuscript. Canberra, Australia
  Mental Health First Aid. Orygen Youth Health, Melbourne, Australia
  36. SenseAbility communications portal [http://www.beyondblue.org.au/resources/schools-and-universities/secondary-schools-and-tertiary/senseability]
  37. Rock and Water Program: psycho-physical social competency training [http://www.rockandwaterprogram.com/]
  38. Rock and water [http://www.newcastle.edu.au/research-and-innovation/centre/fac/workshops/rock-and-water]
  39. Goodman, R (1997) The Strengths and Difficulties Questionnaire: a research note. J Child Psychol Psychiatry 38: pp. 581-586 CrossRef
  40. Goodman, R, Meltzer, H, Bailey, V (1998) The Strengths and Difficulties Questionnaire: a pilot study on the validity of the self-report version. Eur Child Adolesc Psychiatry 7: pp. 125-130 CrossRef
  41. Muris, P, Meesters, C, van den Berg, F (2003) The Strengths and Difficulties Questionnaire (SDQ): further evidence for its reliability and validity in a community sample of Dutch children and adolescents. Eur Child Adolesc Psychiatry 12: pp. 1-8 CrossRef
  42. Goodman, R (2001) Psychometric properties of the Strengths and Difficulties Questionnaire. J Am Acad Child Adolesc Psychiatry 40: pp. 1337-1345 CrossRef
  43. Goodman, A, Goodman, R (2009) Strengths and Difficulties Questionnaire as a dimensional measure of child mental health. J Am Acad Child Adolesc Psychiatry 48: pp. 400-403 CrossRef
  California Healthy Kids Survey. Resilience & Youth Development Module: Supplement 1. California Department of Education, California, USA
  44. California Healthy Kids Survey [http://chks.wested.org/]
  45. Windle, G, Bennett, KM, Noyes, J (2011) A methodological review of resilience measurement scales. Health Qual Life Outcomes 9: pp. 1-18
  46. Mellor, D (2005) Normative data for the Strengths and Difficulties Questionnaire in Australia. Aust Psychol 40: pp. 215-222 CrossRef
  47. Salzer, S, Cropp, C, Jaeger, U, Masuhr, O, Streeck-Fischer, A (2014) Psychodynamic therapy for adolescents suffering from co-morbid disorders of conduct and emotions in an in-patient setting: a randomized controlled trial. Psychol Med 44: pp. 2213-2222 300278X" target="_blank" title="It opens in new window">CrossRef
  48. Mathai, J, Anderson, P, Bourne, A (2003) Use of the Strengths and Difficulties Questionnaire as an outcome measure in a child and adolescent mental health service. Australasian Psychiatry 11: pp. 334-337 CrossRef
  49. SDQ: normative school-age SDQ data from Britain [http://www.sdqinfo.org/UKSchoolNorm.html]
  50. Chisholm, KE, Patterson, P, Torgerson, C, Turner, E, Birchwood, M (2012) A randomised controlled feasibility trial for an educational school-based mental health intervention: study protocol. BMC Psychiatry 12: pp. 23-29 CrossRef
  51. Database of intra-correlation coefficients [http://www.abdn.ac.uk/hsru/research/research-tools/study-design]
  52. Coombs, T (2005) Australian Mental Health Outcomes and Classification Network: Strengths and Difficulties Questionnaire: Training Manual. NSW Institute of Psychiatry and Australian Mental Health Outcomes and Classification Network, Parramatta, NSW, Australia
  53. Hedeker, D, Gibbons, RD (1997) Application of random-effects pattern-mixture models for missing data in longitudinal studies. Psychol Methods 2: pp. 64-78 CrossRef
  SAS Software Version 9.3 for Windows. SAS Institute Inc, Carry, NC, USA
  54. Luthar, SS, Cicchetti, D (2000) The construct of resilience: implications for interventions and social policies. Dev Psychopathol 12: pp. 857-885 CrossRef
  
• 刊物主题：Medicine/Public Health, general; Biomedicine general; Statistics for Life Sciences, Medicine, Health Sciences;
• 出版者：BioMed Central
• ISSN：1745-6215

文摘

Background Research investigating the effectiveness of universal interventions to reduce the risk of mental health problems remains limited. Schools are a promising setting within which adolescents can receive interventions aimed at promoting their mental health. The aim of this study is to assess the effectiveness of a resilience-based prevention-focused intervention in reducing the risk of mental health problems among adolescents attending secondary school in socio-economically disadvantaged areas. Methods/design A cluster randomised control trial will be conducted, with schools as the unit of randomisation. Initially, 32 secondary schools will be randomly allocated to a control or intervention group (12 control and 20 intervention). An intervention focused on improving student internal and external resilience factors will be implemented in intervention schools. A survey of students in Grade 7 in both intervention and control schools will be conducted (baseline) and repeated three years later when the students are in Grade 10. The Strengths and Difficulties Questionnaire will be used to measure the risk of mental health problems. At follow-up, the risk of mental health problems will be compared between Grade 10 students in intervention and control schools to determine intervention effectiveness. Discussion The study presents an opportunity to determine the effectiveness of a comprehensive resilience-based intervention in reducing the risk of mental health problems in adolescents attending secondary schools. The outcomes of the trial are of importance to youth, schools, mental health clinicians and policymakers. Trial registration Australian New Zealand Clinical Trials Registry, ACTRN12611000606987, registered 14 June 2011.