Journal of child and adolescent psychiatric nursing : official publication of the Association of Child and Adolescent Psychiatric Nurses, Inc · 2026
Factors Predicting Depression Among Thai Adolescents During the Transition From the COVID-19 Pandemic to the Endemic Phase.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Pong-Isawaranan Vacharanan, Thaweekoon Tusana, Napa Wilai
Аннотация
BACKGROUND: Adolescent depression is a major public health issue in Thailand, with post-pandemic rates at 27%-37%. While perceived stress, coping, and social support are linked to depressive symptoms, their combined predictive contributions during the COVID-19 pandemic-to-endemic transition are underexplored among Southeast Asian adolescents.
PURPOSE: This study examined the effects of perceived stress, approach coping, avoidance coping, and social support on depressive symptoms among Thai adolescents during this transition.
METHODOLOGY: A predictive cross-sectional design was used with 605 Thai high school students via multistage sampling from two central Thailand schools (September 2023-March 2024). Measures included the CES-D, Perceived Stress Scale, Self-Report Coping Measure, and revised Thai Multidimensional Scale of Perceived Social Support. Hierarchical multiple regression assessed the variance explained by each predictor.
RESULTS: Depressive symptoms were found in 27.8% of participants. Perceived stress was the strongest predictor (β = 0.664, p < 0.001), accounting for 54.3% of the variance. Avoidance coping was a significant secondary predictor (β = 0.133, p < 0.001; ΔR2 = 0.012). Approach coping and social support did not reach independent significance in the final model after perceived stress and avoidance coping were accounted for.
CONCLUSIONS: Perceived stress and avoidance coping are key modifiable predictors of adolescent depression during Thailand's pandemic-to-endemic transition. School-based psychiatric nurses should integrate stress screening, adaptive coping skills training, and family-inclusive psychoeducation to address the mental health burden among Thai youth.
PURPOSE: This study examined the effects of perceived stress, approach coping, avoidance coping, and social support on depressive symptoms among Thai adolescents during this transition.
METHODOLOGY: A predictive cross-sectional design was used with 605 Thai high school students via multistage sampling from two central Thailand schools (September 2023-March 2024). Measures included the CES-D, Perceived Stress Scale, Self-Report Coping Measure, and revised Thai Multidimensional Scale of Perceived Social Support. Hierarchical multiple regression assessed the variance explained by each predictor.
RESULTS: Depressive symptoms were found in 27.8% of participants. Perceived stress was the strongest predictor (β = 0.664, p < 0.001), accounting for 54.3% of the variance. Avoidance coping was a significant secondary predictor (β = 0.133, p < 0.001; ΔR2 = 0.012). Approach coping and social support did not reach independent significance in the final model after perceived stress and avoidance coping were accounted for.
CONCLUSIONS: Perceived stress and avoidance coping are key modifiable predictors of adolescent depression during Thailand's pandemic-to-endemic transition. School-based psychiatric nurses should integrate stress screening, adaptive coping skills training, and family-inclusive psychoeducation to address the mental health burden among Thai youth.