Resilience and Satir Model Training for Adolescent Depression

Hebei Medical University

Status: Completed

Conditions: Adolescent Depression

Treatments: Behavioral: Routine Nursing Intervention; Behavioral: Resilience Theory and Satir Model Nursing Skills Training

Study type: Interventional

Funder types: Other

Identifiers

NCT07063485

2021S00495

Details and patient eligibility

About

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.

Full description

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.

Enrollment: 182 patients

Sex: All

Ages: 13 to 18 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• 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.

Exclusion criteria

• 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.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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182 participants in 2 patient groups

Experimental: Resilience Theory and Satir Model Nursing Skills Training Group

Experimental group

Description:

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.

Treatment:

Behavioral: Resilience Theory and Satir Model Nursing Skills Training

Active Comparator: Routine Intervention Group

Active Comparator group

Description:

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.

Treatment:

Behavioral: Routine Nursing Intervention