DOI: 10.4103/jehp.jehp_96_26 ISSN: 2277-9531

School-based mental health promotion and behavioral modification in pubertal adolescents: A controlled intervention study

Madhurima Chongder, Suchismita Pahantasingh, Ritarani Nayak, Jhunilata Pradhan

BACKGROUND:

Adolescence represents a period of rapid physical, emotional, and cognitive transition. Early pubertal changes, hormonal fluctuations, and psychosocial pressures increase vulnerability to behavioral disturbances. School-based mental health programs have been shown to enhance coping ability, emotional regulation, and adaptive behavior among adolescents. To evaluate the effect of a school-based mental health program on behavioral modifications during puberty among school students in Bhubaneswar.

MATERIALS AND METHODS:

A quasi-experimental pre-test post-test control group design was adopted among 92 adolescents aged 9–15 years selected through purposive sampling. A socio-demographic proforma and a 30-item Behavioral Modification Scale were used. The experimental group received a structured five-session mental health program; the control group received no intervention. Data were analyzed using Mann–Whitney U, Wilcoxon signed-rank test, and Chi-square statistics.

RESULTS:

Pre-test maladaptive behavior was high in both groups (experimental 82.6%, control 87%). Post-intervention, adaptive behavior increased to 76.1% in the experimental group, with negligible change in the control group. Between-group differences were statistically significant ( U = 147.5, P < 0.001). Behavioral improvement within the experimental group was significant (Z = –5.9, P < 0.001). Behavior was significantly associated with age, gender, pubertal stage, educational level, and family type.

CONCLUSION:

The school-based mental health program effectively improved behavioral modification among early adolescents. Findings highlight the necessity of integrating structured mental health education into school curricula.

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