Impact of holistic stress management program on academic stress and well‑being of Indian adolescent girls: A randomized controlled trial
نویسندگان
1 Department of Biostatistics, Indian Red Cross Society Bel‑Air College of Nursing, Panchgani, Maharastra, India
2 Departments of Nursing and Psychiatry, Dharwad Institute of Mental Health and Neurosciences,
3 Department of Nursing, Shreya College of Nursing, Dharwad, Karnataka
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چکیده
CONTEXT: Academic stress among adolescents is a significant contributor to a variety of mentaland behavioral disorders. Holistic stress management interventions equip adolescents with goodmental health and improve academic performance.AIM: The aim of the study is to evaluate the effectiveness of holistic group‑based stress managementprogram in reducing academic stress, depression, anxiety, and improving well‑being amongadolescent girls.SETTINGS AND DESIGN: Randomized control trial was adopted and the study was conducted atselected colleges of Dharwad city, Karnataka, India.MATERIALS AND METHODS: Two hundred and thirty adolescent girls were randomly selectedand assigned to either experimental (n = 115) or control group (n = 115). Both group participantswere initially assessed for academic stress, depression, anxiety, general stress, and well‑being.The experimental group participants participated in eight sessions of holistic group‑based stressmanagement program over a period of 1 month. The intervention comprises of body–mind–spiritstrategies focusing on techniques to handle stressful situations, accept responsibility for their ownwell‑being, and take charge of self‑health. Control group participants did not receive any intervention.Postintervention assessments were conducted for all the participants on monthly intervals for 6months.RESULTS: Over 6 months follow‑up compared to control group, the experimental group participantsshowed statistically significant decrease in academic stress (F = 131.60, P < 0.01, n2G = 0.14),depression (F = 156.70, P < 0.01, n2G = 0.13), anxiety (F = 190.50, P < 0.01, n2G = 0.16), generalstress (F = 166.10, P < 0.01, n2G = 0.16), and improvement in well‑being (F = 156.40, P < 0.01,n2G = 0.13).CONCLUSIONS: These findings indicate that holistic stress management program has a positiveeffect on reducing stress, anxiety, depression, and improving well‑being.
