Stress Management Interventions Among U.S. High School Adolescents : A Meta-Analysis

BACKGROUND: Adolescent ineffective stress management has been associated with negative health outcomes, such as anxiety and depression. Comprehensively evaluating the effects of stress management interventions is needed.

AIMS: The aim of this study was to quantitatively evaluate the effects of stress management interventions on mental health outcomes (stress, anxiety, depression, and positive and negative affect) and perform moderation analysis to identify moderators of intervention effects on stress, anxiety, and depression among U.S. high school adolescents.

METHODS: Four databases (CINAHL, ERIC, PubMed, and PsycINFO) were searched. After literature screening, 24 articles describing 25 studies were retained. Hedge's g was calculated using random-effects models. Exploratory moderation analyses were performed to identify moderators.

RESULTS: The pooled effects on reducing stress were -0.36. The interventions had small effects on decreasing anxiety (g = -0.31) and depression (g = -0.23). Long-term follow-up effects were -0.77 on perceived stress, -0.08 on anxiety, and -0.19 on depression. Mind-body and cognitive-behavioral interventions had moderate effects on reducing anxiety (g = -0.51). Interventions with longer duration (>8 weeks) were more effective in reducing anxiety (-0.39 vs. -0.26) and depression (-0.36 vs. -0.17).

CONCLUSIONS: These findings support the short-term effectiveness of stress management interventions in improving mental health among high school adolescents in the United States. Subsequent research efforts should focus on sustaining long-term effects.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:30

Enthalten in:

Journal of the American Psychiatric Nurses Association - 30(2024), 2 vom: 03. März, Seite 252-278

Sprache:

Englisch

Beteiligte Personen:

Ng, Teresa J [VerfasserIn]
Ling, Jiying [VerfasserIn]
Robbins, Lorraine B [VerfasserIn]
Kao, Tsui-Sui A [VerfasserIn]

Links:

Volltext

Themen:

Anxiety
Depression
High school adolescents
Intervention
Journal Article
Mental health
Meta-Analysis
Stress
Systematic Review

Anmerkungen:

Date Completed 21.03.2024

Date Revised 28.03.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1177/10783903231161608

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM354763857