Effectiveness of an Early Depression Prevention Program on Coping Skills and Depression among Pregnant Adolescents: A Randomized Controlled Trial
Keywords:
Adolescents, Antenatal period, Coping skills, Depression, Pregnancy, ThailandAbstract
Depression in pregnant adolescents can be found from the prenatal to the postpartum period and affects both mother and child. Depression can also cause severe postpartum complications. This randomized controlled trial aimed to test the effectiveness of the Early Depression Prevention Program on coping skills and depression during the antenatal period among adolescents. This program promoted social support and self-esteem under the empowerment process depending on the needs of the participants. Seventy-two participants, aged 15-19-years-old attending an antenatal clinic in northeastern Thailand were recruited and randomly assigned to an experimental (n = 36) or control group (n = 36). The experimental groupreceived the intervention program in addition to usual care. The control group received usual care only. The data collection instruments were the Antenatal Depression Scale and
the Coping Skills Scale. One-way Repeated Measures ANOVA was used to analyze data.
The results revealed that, after completing the intervention, the mean depression scores of participants in the experimental group were significantly lower, whereas the coping skill scores were significantly higher than before receiving the program. Moreover, the mean depression scores in the experimental group were statistically lower than the control group over time and the mean coping skill scores were statistically higher than the control group at Week 11. Therefore, nurses and midwives can use this program to promote coping skills and prevent depression during pregnancy in adolescents. However, further testing of the effectiveness in other parts of Thailand is needed.
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