A qualitative study exploring adolescents' experiences with a school-based mental health program.
BACKGROUND
Supporting positive mental health development in adolescents is a major public health concern worldwide. Although several school-based programs aimed at preventing depression have been launched, it is crucial to evaluate these programs and to obtain feedback from participating adolescents. This study aimed to explore adolescents' experiences with a -based cognitive-behavioral depression prevention program.


METHODS
Eighty-nine adolescents aged 13-15 years were divided into 12 focus groups. The focus group interviews were analyzed using qualitative content analysis.


RESULTS
Three categories and eight subcategories were found to be related to the experience of the school-based program. The first category, intrapersonal strategies, consisted of the subcategories of directed thinking, improved self-confidence, stress management, and positive activities. The second category, interpersonal awareness, consisted of the subcategories of trusting the group and considering others. The third category, structural constraints, consisted of the subcategories of negative framing and emphasis on performance.


CONCLUSIONS
The school-based mental health program was perceived as beneficial and meaningful on both individual and group levels, but students expressed a desire for a more health-promoting approach.
Department of Health Science, Kristianstad University, Kristianstad, Sweden. pernilla.garmy@hkr.se.|Department of Clinical Sciences, Center for Primary Health Care Research, Malmö, Lund University, Lund, Sweden. pernilla.garmy@hkr.se.
Pernilla
P
Garmy
Department of Health Science, Kristianstad University, Kristianstad, Sweden. agneta.berg@hkr.se.|Department of Nursing, Health and Culture, University West, Trollhättan, Sweden. agneta.berg@hkr.se.
Agneta
A
Berg
Department of Health Science, Kristianstad University, Kristianstad, Sweden. eva.clausson@hkr.se.
Eva K
EK
Clausson
D000223:Adaptation, Psychological; D000293:Adolescent; D001364:Awareness; D003863:Depression / Q000517:prevention & control*; D003866:Depressive Disorder / Q000517:prevention & control*; D004644:Emotions; D005260:Female; D017144:Focus Groups; D006293:Health Promotion; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D008603:Mental Health; D017060:Patient Satisfaction; D011613:Psychotherapy; D036301:Qualitative Research; D012572:School Health Services; D012574:Schools; D020377:Self Efficacy; D013315:Stress, Psychological; D013334:Students / Q000523:psychology; D013548:Sweden