Improving emotional health and self-esteem of Malaysian adolescents living in orphanages through Life Skills Education program: A multi-centre randomized control trial
Autoři:
Marjan Mohammadzadeh aff001; Hamidin Awang aff002; Suriani Ismail aff001; Hayati Kadir Shahar aff001
Působiště autorů:
Department of Community Health, Faculty of Medicine and Health sciences, Universiti Putra Malaysia, Serdang, Malaysia
aff001; Department of Psychiatry, Faculty of Medicine and Health sciences, Universiti Putra Malaysia, Serdang, Malaysia
aff002
Vyšlo v časopise:
PLoS ONE 14(12)
Kategorie:
Research Article
doi:
https://doi.org/10.1371/journal.pone.0226333
Souhrn
Generally speaking, institutionalised children and adolescents are at greatly increased risk of serious mental and behavioural problems, up to seven times more than their peers. Life skills- based interventions using peer enforcement have been introduced as effective program to improve adolescents’ emotional and behavioral health. Therefore, the current randomized control study aimed to determine, if a life skills-based intervention could improve the emotional health and self-esteem among Malaysian adolescents in orphanages. Overall, 271 male and female adolescents (13–18 years old) from 8 orphanages in Klang valley, Malaysia participated in the study. Comparing the intervention to control group within 3 points of time, the finding of the study showed that immediately after finishing the interventional sessions (post-test), the mean scores of depression (F = 33.80, P<0.001, η2 = 0.11), anxiety (F = 6.28, P = 0.01, η2 = 0.02), stress (F = 32.05, P<0.001, η2 = 0.11) and self-esteem (F = 54.68, P<0.001, η2 = 0.17) were significantly decreased compared to the pre-test values. However, there was no significant difference between two groups in the depression mean scores (F = 2.33, P = 0.13). Regarding to the interaction between group and test a significant change was seen in the mean score of all 4 variables including depression (F = 31.04, P<0.001, η2 = 0.10), anxiety (F = 14.21, P<0.001, η2 = 0.05), stress (F = 15.67, P<0.001, η2 = 0.06) and self-esteem (F = 13.29, P<0.001, η2 = 0.05). Furthermore, except depression (Δmean = -1.37, P<0.001), no significant difference was seen between study variables’ mean scores between post- and follow-up test (p>0.001). These results provide preliminary approve for LSE to enhance emotional health and self-esteem in orphanages.
Klíčová slova:
Adolescents – Anxiety – Behavior – Behavioral and social aspects of health – Depression – Emotions – Mental health and psychiatry – Psychological stress
Zdroje
1. Greydanus DE, Joav Merrick M. Adolescent mental health. International Journal of Child Health and Human Development. 2012;5(2):143–8.
2. Waddell C, Hua JM, Garland OM, Peters RD, McEwan K. Preventing mental disorders in children: A systematic review to inform policy-making. Canadian Journal of Public Health. 2007;98(3):166–73. 17626378.
3. Lawrence D, Johnson S, Hafekost J, Sawyer M, Ainley J. The mental health of children and adolescents: Report on the second Australian child and adolescent survey of mental health and wellbeing. Australia: Department of Health, 2015. doi: 10.1177/1363459314555240
4. Mohammadzadeh M, Awang H, Kadir Shahar H, Ismail S. The effects of a life skills-based intervention on emotional health, self-esteem and coping mechanisms in Malaysian institutionalised adolescents: Protocol of a multi-centre randomized controlled trial. International Journal of Educational Research. 2017;83:32–42.
5. Mohammadzadeh M, Awang H, Tajik E. Life skills needs assessment among Iranian immigrant students in Malaysia Iranian Journal of Public Health. 2017;46(1):43–146.
6. Waddell C, McEwan K, Shepherd CA, Offord DR, Hua JM. A Public Health Strategy to Improve the Mental Health of Canadian Children. Canadian Journal of Psychiatry. 2005;50(4):226–33. doi: 10.1177/070674370505000406 15898462.
7. Caring for children and adolescents with mental disorders: Setting WHO directions. Geneva: World Health Organization, 2003.
8. Tajik E, Latiff L, Mohammadzadeh M. Stress, Depression and Obesity among Adolescents: A Narrative Review. Pyrex Journal of Nutrition and Metabolism. 2015;1(1):1–6.
9. Patel V, Flisher AJ, Hetrick S, McGorry P. Mental health of young people: A global public-health challenge. The Lancet. 2007;369(9569):1302–13.
10. Orphan statistics, facts and figures 2012 [25/03/2013]. Available from: http://www.sos-usa.org/about-sos/what-we-do/orphan-statistics/pages/default.aspx.
11. Mohammadzadeh M, Awang H, Kadir Shahar H, Suriani I. Influence of coping mechanisms on emotional problems among adolescents in Malaysian orphanages. Asia Pac Psychiatry. 2017;9(4).
12. Polihronakis T. Mental health care issues of children and youth in foster care. United state: U.S. Department of Health and Human Services, 2008.
13. Nair S. Of the 8 million kids in institutions worldwide, more than 90% aren't orphans 2014 [1.10.2015]. Available from: http://www.thestar.com.my/Lifestyle/Family/Features/2014/07/25/Of-the-8-million-kids-in-institutions-worldwide-more-than-90percent-arent-orphans/.
14. Margoob MA, Rather YH, Khan AY, Singh GP, Malik YA, Firdosi MM, et al. Psychiatric disorders among children living in orphanages—Experience from Kashmir. International Journal of Current Medical Science & Practice. 2006;13(1):53–5.
15. Mohammadzadeh M, Awang H, Kadir Shahar H, Ismail S. Life skills education for Malaysian institutionalised adolescents: Knowledge, needs and priorities: A qualitative pilot study. Iranian Journal of Public Health. 2017;46(12):1739–41. 29259951
16. Kaur S, Rani MC. Exploring psychological health of orphan adolescents: A comparative analysis. International Journal of English Language, English Literature and Humanities. 2015;3(4):27–47.
17. Gaviţa OA, David D, Bujoreanu S, Tiba A, Ionuţiu DR. The efficacy of a short cognitive-behavioral parent program in the treatment of externalizing behavior disorders in Romanian foster care Children: Building parental emotion-regulation through Uunconditional self-and child-acceptance strategies. Children and Youth Services Review. 2012;43(7):1290–7.
18. Monitoring the situation of children and women, orphan estimates 2010 [updated 2013; cited 20/03/2013]. Available from: http://www.childinfo.org/hiv_aids_orphanestimates.php.
19. Lakshiny M. Adoption is always an option, but are you ready to commit to it? 2015.
20. Mohammadzadeh M, Latiff LA, Tajik E, Awang H. Emotional health and coping mechanisms among adolescents in Malaysian residential foster care homes: A comparative study with adolescents living with families. Asian Journal of Psychiatry. 2018;(32):156–8.
21. Mohammadzadeh M, Awang H, Shahar HK, Ismail S. Emotional Health and Self-esteem Among Adolescents in Malaysian Orphanages. Community Ment Health J. 2018;54(1):117–25. doi: 10.1007/s10597-017-0128-5 28315972
22. Ramli J, Yahaya A, Lazin SZ. Depression among residents In orphanage In Kota Bharu, Kelantan 2010. Available from: http://eprints.utm.my/10127/1/JOURNAL_DALAM_SITI_ZAINAB.pdf.
23. Ram S. How Malaysia's OrphanCARE is making sure dumped babies don't end up dead. 2015.
24. WHO. Life skills education for children and adolescents in schools: Introduction and guidelines to facilitate the development and implementation of life skills programmes. 1997.
25. UNICEF. Life skills-based education in South Asia. Bangladesh: 2005.
26. Kuldas S, Hashim S, Ismail HN. Malaysian adolescent students' needs for enhancing thinking skills, counteracting risk factors and demonstrating academic resilience. International Journal of Adolescence and Youth. 2015;20(1):32–47. doi: 10.1080/02673843.2014.973890 25663734
27. Adolescence [Internet]. 2012 [cited 16.6.2016]. Available from: http://www.unicef.org/malaysia/children_adolescence.html.
28. Rodgers RF, Donovan E, Cousineau T, Yates K, McGowan K, Cook E, et al. BodiMojo: Efficacy of a mobile-based intervention in improving body image and self-compassion among adolescents. Journal of Youth and Adolescence. 2018;47(7):1363–72 doi: 10.1007/s10964-017-0804-3 29349593
29. Lazarus RS, Folkman S. Stress, appraisal, and coping. New York, NY: Springer publishing company; 1984.
30. Lwanga SK, Lemeshow S. Sample size determination in health studies: A practical manual. Geneva: World Health Organization; 1991.
31. WHO. The Ottawa charter for health promotion. Ottawa: 1986.
32. Mohammadzadeh M, Awang H, Ismail S, Kadir Shahar H. Establishing content and face validity of a developed educational module: Life skill-based education for improving emotional health and coping mechanisms among adolescents in Malaysian Orphanages. Journal of Community Health Research. 2017;6(4):223–8.
33. Azmawati MN, Aniza I. Evaluation of Communication for Behavioral Impact (COMBI) program in dengue prevention: a qualitative and quantitative study in Selangor, Malaysia. Iranian Journal of Public Health. 2013;42(5):538–9. 23802114
34. Szabó M. The short version of the Depression Anxiety Stress Scales (DASS-21): Factor structure in a young adolescent sample. J Adolesc. 2010;33(1):1–8. doi: 10.1016/j.adolescence.2009.05.014 19560196
35. Hashim HA, Golok F, Ali R. Factorial validity and internal consistency of Malaysian adapted Depression Anxiety Stress Scale-21 in an adolescent sample. Journal of Collaborative Research on Internal Medicine & Public Health. 2011;3(1):29–39.
36. Jamil MB. Validity and reliability study of Rosenberg Self-esteem Scale in Seremban school children. Malaysian Journal of Psychiatry. 2006;15(2):35–9.
37. Farid MF, Akhtar M. Self-esteem of secondary school students in Pakistan. Middle-East Journal of Scientific Research. 2013;14(10):1325–30.
38. IBM-Corp. IBM SPSS Statistics for Windows, Version 21.0. IBM SPSS Statistics for Windows,. Armonk, NY: IBM Corp; 2012.
39. Bakeman R. Recommended effect size statistics for repeated measures designs. Behavior Research Methods. 2005;37(3):379–84. doi: 10.3758/bf03192707 16405133
40. Del Re A, Maisel NC, Blodgett JC, Finney JW. Intention-to-treat analyses and missing data approaches in pharmacotherapy trials for alcohol use disorders. BMJ open. 2013;3(11). doi: 10.1136/bmjopen-2013-003464 24227870
41. Missing Values Analysis and Data Imputation [Internet]. Statistical Associates Publishing. 2015 [cited 5.5.2013]. Available from: http://www.statisticalassociates.com/missingvaluesanalysis_p.pdf.
42. Graham JW. Missing data analysis: Making it work in the real world. Tutorials in Quantitative Methods for Psychology. 2012;8(1):23–34. doi: 10.20982/tqmp.08.1.p023
43. Butler AC, Chapman JE, Forman EM, Beck AT. The empirical status of cognitive-behavioral therapy: A review of meta-analyses. Clin Psychol Rev. 2006;26(1):17–31. doi: 10.1016/j.cpr.2005.07.003 16199119
44. Ahmadi Gatab T, Seyednezhad Jeludar S, Vahedi Ghajari A, Ahy Jeludar Z. Effects of the education of life skills on the reduction of mental-behavioral disorders of depression, anxiety, stress in students. European Psychiatry. 2013;28 (1):1–2. doi: 10.1016/j.eurpsy.2011.07.002
45. Massoumi A, Mohebi S, Tabaraie Y, Botlani S, Shahsiah M. The study of the effect of life skills training on students' mental health and self-esteem. Bulletin of Applied and Research Science. 2014;4(1):120–7.
46. Barry MM, Clarke AM, Jenkins R, Patel V. A systematic review of the effectiveness of mental health promotion interventions for young people in low and middle income countries. BMC Public Health. 2013;13(1):835–54.
47. Heshmati A. The effects of life skills training on emotion regulation among adopted students in Tabriz Child and Adolesent Health; Tabriz, Iran2009.
48. Yankey T, Biswas UN. Life skills training as an effective intervention strategy to reduce stress among Tibetan refugee adolescents. Journal of Refugee Studies. 2012;25(4):514–36.
49. Hajamini Z, Ajalli A, Fathi-Ashtiani A, Ebadi A, Dibaei M, Delkhosh M. The effect of life skills training on emotional reactions in adolescents. Journal of Behavioral Sciences. 2008;2(3):263–70.
50. Khoshkonesh A, Sharifi A. Effectiveness of teaching life skills to increase of communication skills in elementary school students in the second and third base in Tehran. International Journal of Psychology. 2012;47:60. WOS:000307377701088.
51. Vatankhah H, Daryabari D, Ghadami V, KhanjanShoeibi E. Teaching how life skills (anger control) affect the happiness and self-esteem of Tonekabon female students. Procedia—Social and Behavioral Sciences. 2014;116(0):123–6. http://dx.doi.org/10.1016/j.sbspro.2014.01.178.
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