Resilience and Satir Model Training for Adolescent Depression

A Comprehensive Approach Integrating Resilience Theory and Satir Model Nursing Skills Training for Adolescent Depression: A Randomized Controlled Trial

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.

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.

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.