基于儿童心理复原力提升的学校普遍性心理干预随机对照试验研究方案

黄文娟; 吴霈霈; 孙莹

doi:10.16835/j.cnki.1000-9817.2023.07.003

基于儿童心理复原力提升的学校普遍性心理干预随机对照试验研究方案

doi: 10.16835/j.cnki.1000-9817.2023.07.003

黄文娟¹,
吴霈霈¹,
孙莹^{1, 2, ,}

1.
安徽医科大学公共卫生学院儿少卫生与妇幼保健学系，合肥 230032
2.
出生人口健康教育部重点实验室/人口健康与优生安徽省重点实验室

基金项目:

国家自然科学基金项目 82173537

安徽省教育科学研究重点项目 JKZ22001

详细信息

作者简介:
黄文娟(1998-)，女，安徽安庆人，在读硕士，主要研究方向为青少年心理健康促进

通讯作者:
孙莹，E-mail：yingsun@ahmu.edu.cn

利益冲突声明 所有作者声明无利益冲突。
中图分类号: B844.1 G478
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- 文章访问数: 713
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- 被引次数: 0
出版历程
- 收稿日期: 2023-03-29
- 修回日期: 2023-04-19
- 网络出版日期: 2023-07-25
- 刊出日期: 2023-07-25

Universal mental intervention for children in school based on mental resilience-forced enhancement: a randomized controlled trial study protocol

HUANG Wenjuan¹,
WU Peipei¹,
SUN Ying^{1, 2
, ,}

1.
Department of Maternal with Child and Adolescent Health, School of Public Health, Anhui Medical University, Hefei(230032), China

摘要

摘要: 精神障碍占全球10~24岁儿童青少年总疾病负担的45%。制定有效的干预措施，将心理干预机制融入校园日常教学体系，可为师生提供方便、可及的心理健康服务。研究计划开展针对全体儿童的普遍性心理健康促进的随机对照实验，设计以心理复原力提升为重点干预方案，教授儿童管理与调节情绪的方法以及解决问题的应对技巧，将安徽省天长市2所小学四至五年级20个班级的学生随机分配到干预组和对照组，将心理干预课程融入所选学校教学课程体系，每周1次、每次40 min且持续14周，以期提升儿童心理复原力，在基线及干预后通过问卷对儿童抑郁症状、焦虑症状、心理复原力、对立违抗及品行问题等指标进行随访，以探讨本方案促进儿童心理健康水平的有效性。
- 精神卫生 /
- 干预 /
- 随机对照试验 /
- 儿童
Abstract: Mental disorders represent 45% of the global disease burden among children and adolescents aged 10-24 years old. It is crucial to develop effective interventions that can be integrated into daily school activities in order to provide convenient and accessible mental health services for students and faculty members. The study conducts a randomized controlled trial to examine universal mental health promotion among children. The current protocol aims to develop a universal resilience-focused program, which focuses on emotional regulation, coping, and problem-solving. A total of 20 classes from two primary schools in grades 4-5 in Anhui, Tianchang were randomly assigned to either the intervention or waitlist group. This training consisted of 14 weekly 40-minute sessions of manualized interventions that were compatible with regular curricular activities. It is expected that this current intervention will enhance the psychological resilience of children and evaluate the effectiveness of promoting mental health among children followed up on indicators of depressive and anxiety symptoms, psychological resilience, oppositional defiant and conduct problems by questionnaires at baseline and after the intervention.
- Mental health /
- Intervention /
- Randomized controlled trial /
- Child
注释:

1) 利益冲突声明 所有作者声明无利益冲突。

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表 1 干预组与对照组学生心理复原力基线得分比较(x±s)

Table 1. Comparison of scores of psychological resilience in students between intervention group and control group(x±s)

组别	人数	情绪控制	目标专注	人际协助	家庭支持	积极认知	总分
干预组	391	22.18±5.72	19.90±3.97	21.52±5.33	22.08±4.86	14.43±3.42	100.13±16.51
对照组	384	22.48±5.25	20.40±4.14	22.15±5.41	22.58±4.66	14.38±3.66	101.99±16.03
t值		-0.75	-1.71	-1.62	-1.45	0.21	-1.59
P值		0.46	0.09	0.11	0.15	0.83	0.11

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表 2 干预组与对照组学生情绪症状和行为问题基线检出率比较

Table 2. Comparison of detection rates of emotional and behavioral problems in students between intervention group and control group

组别	人数	抑郁症状	焦虑症状	自伤行为	自杀意念	对立违抗	品行问题
干预组	391	40(10.23)	48(12.28)	10(2.56)	22(5.63)	54(13.81)	42(10.74)
对照组	384	42(10.94)	39(10.16)	14(3.65)	18(4.69)	46(11.98)	47(12.24)
χ²值		0.10	0.87	0.77	0.35	0.58	0.43
P值		0.75	0.35	0.38	0.56	0.45	0.51
注：()内数字为检出率/%。

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