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ORIGINAL ARTICLE
Year : 2019  |  Volume : 8  |  Issue : 1  |  Page : 253

Impact of holistic stress management program on academic stress and well-being of Indian adolescent girls: A randomized controlled trial


1 Department of Nursing, Dharwad Institute of Mental Health and Neurosciences, Dharwad, Karnataka, India
2 Department of Biostatistics, Indian Red Cross Society Bel-Air College of Nursing, Panchgani, Maharastra, India
3 Department of Psychiatry, Dharwad Institute of Mental Health and Neurosciences, Dharwad, Karnataka, India
4 Department of Nursing, Shreya College of Nursing, Dharwad, Karnataka, India

Correspondence Address:
Dr. Sreevani Rentala
Department of Nursing, Dharwad Institute of Mental Health and Neurosciences, Belgaum Road, Dharwad . 580 008, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jehp.jehp_233_19

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CONTEXT: Academic stress among adolescents is a significant contributor to a variety of mental and behavioral disorders. Holistic stress management interventions equip adolescents with good mental health and improve academic performance. AIM: The aim of the study is to evaluate the effectiveness of holistic group-based stress management program in reducing academic stress, depression, anxiety, and improving well-being among adolescent girls. SETTINGS AND DESIGN: Randomized control trial was adopted and the study was conducted at selected colleges of Dharwad city, Karnataka, India. MATERIALS AND METHODS: Two hundred and thirty adolescent girls were randomly selected and assigned to either experimental (n = 115) or control group (n = 115). Both group participants were initially assessed for academic stress, depression, anxiety, general stress, and well-being. The experimental group participants participated in eight sessions of holistic group-based stress management program over a period of 1 month. The intervention comprises of body–mind–spirit strategies focusing on techniques to handle stressful situations, accept responsibility for their own well-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 6 months. RESULTS: Over 6 months follow-up compared to control group, the experimental group participants showed 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), general stress (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 positive effect on reducing stress, anxiety, depression, and improving well-being.


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