학술논문

Barriers to a classroom‐based universal prevention program for depressive symptoms in Chinese adolescents: A qualitative study.
Document Type
Article
Source
Health & Social Care in the Community. Sep2022, Vol. 30 Issue 5, pe2226-e2235. 10p. 1 Chart.
Subject
*PREVENTION of mental depression
*PREVENTION of psychological stress
*SCHOOL environment
*HIGH schools
*COGNITIVE restructuring therapy
*FOCUS groups
*EVALUATION of human services programs
*PSYCHOLOGY
*INTERVIEWING
*ADOLESCENT health
*HUMAN services programs
*QUALITATIVE research
*AVOIDANCE (Psychology)
*COMPARATIVE studies
*PRE-tests & post-tests
*EXPERIENCE
*PSYCHOLOGY of high school students
*HEALTH attitudes
*DESCRIPTIVE statistics
*SOUND recordings
*STUDENTS
*STUDENT attitudes
*THEMATIC analysis
*PSYCHOLOGICAL adaptation
*EMOTION regulation
*ADOLESCENCE
Language
ISSN
0966-0410
Abstract
Universal prevention is a practical approach to preventing depressive symptoms in adolescents, but barriers might reduce its effectiveness. This study explored possible barriers to universal prevention of depressive symptoms in Chinese adolescents. We interviewed thirteen adolescents who participated in the program. Thematic analysis was used to analyse the data. The results revealed three categories of barriers. The first category was participants' maladaptive coping strategies and beliefs about negative emotions. They tended to use avoidance coping, did not believe that negative emotions can be regulated, and had an unrealistic wish for a quick fix. The second category originated from the prevention contents. The complexity of the psychological techniques and the lack of proficiency among the participants were important barriers. The third category was the setting of the psychological course. Participants were reluctant to invest cognitive effort in the psychological course. The large‐size class also made it challenging to have an in‐depth exploration into emotions and thoughts. Our study added to the existing literature by providing more knowledge of barriers to universal prevention. Future research and practice need to adequately address these barriers so that universal prevention can be conducted more effectively. [ABSTRACT FROM AUTHOR]