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Factors Predicting Depression Among Thai Adolescents During the Transition From the COVID-19 Pandemic to the Endemic Phase.

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Τίτλος: Factors Predicting Depression Among Thai Adolescents During the Transition From the COVID-19 Pandemic to the Endemic Phase.
Συγγραφείς: Pong-Isawaranan V; Master of Nursing Science Program in Psychiatric and Mental Health Nursing, Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand., Thaweekoon T; Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand., Napa W; Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Πηγή: Journal of child and adolescent psychiatric nursing : official publication of the Association of Child and Adolescent Psychiatric Nurses, Inc [J Child Adolesc Psychiatr Nurs] 2026 Aug; Vol. 39 (3), pp. e70061.
Τύπος έκδοσης: Journal Article
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Wiley Country of Publication: England NLM ID: 9431738 Publication Model: Print Cited Medium: Internet ISSN: 1744-6171 (Electronic) Linking ISSN: 10736077 NLM ISO Abbreviation: J Child Adolesc Psychiatr Nurs Subsets: MEDLINE
Imprint Name(s): Publication: Oxford : Wiley
Original Publication: Philadelphia, PA : Nursecom, Inc., c1994-
Ιατρικοί όροι (MeSH): COVID-19*/psychology , COVID-19*/epidemiology , Depression*/epidemiology , Depression*/psychology , Stress, Psychological*/psychology , Stress, Psychological*/epidemiology , Adaptation, Psychological* , Social Support*, Thailand/epidemiology ; Humans ; Adolescent ; Coping Skills ; Cross-Sectional Studies ; Female ; Male ; Subjective Stress
Περίληψη: 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.
(© 2026 The Author(s). Journal of Child and Adolescent Psychiatric Nursing published by Wiley Periodicals LLC.)
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Contributed Indexing: Keywords: COVID‐19 endemic transition; Thailand; adolescent depression; coping strategies; perceived stress; social support
Entry Date(s): Date Created: 20260608 Date Completed: 20260612 Latest Revision: 20260726
Update Code: 20260726
PubMed Central ID: PMC13244920
DOI: 10.1111/jcap.70061
PMID: 42257253
Βάση Δεδομένων: MEDLINE
Περιγραφή
ISSN:1744-6171
DOI:10.1111/jcap.70061