Feasibility of Enhancing Happiness and Resilience Family-Based Program on Depressive Symptoms among Adolescents


  • ชนกพร ศรีประสาร คณะพยาบาลศาสตร์ มหาวิทยาลัยบูรพา
  • จินตนา วัชรสินธุ์ คณะพยาบาลศาสตร์ มหาวิทยาลัยบูรพา
  • ภรภัทร เฮงอุดมทรัพย์ คณะพยาบาลศาสตร์ มหาวิทยาลัยบูรพา


Happiness, Resilience , Resilience, Family Based Program, Depressive symptoms, Adolescents


This pilot study examined the feasibility of implementing the Enhancing Happiness and Resilience Family-Based program. Purposive sampling was used to recruit 10 high-school adolescents with mild to moderate depressive symptoms in Kalasin Province, Northeastern, Thailand. Four measures were used to collect data including a demographic data record form, a Thai version of the Center for Epidemiologic Studies Depression Scale, The enhancing happiness and resilience family-based program, and a program evaluation questionnaire. The participants and family members participated in a weekly program for four weeks, 45-60 minutes per week. Descriptive statistics and a nonparametric test were used to analyze the data. Initial results of the pilot study showed that after completing the Enhancing Happiness and Resilience Family-Based program, participants had significantly decreased depressive symptoms. The participants and family members were satisfied with the program’s content and activities. The feasibility of implementing this program to reduce depressive symptoms among adolescents has been supported. Research beyond the pilot study is needed to examine the program under more controlled conditions. It is anticipated that psychiatric-mental health nurses will be able to implement the program for high-school students after further testing.


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1. Kessler RC, Bromet EJ. The epidemiology of depression across cultures. Annual Review of Public Health. 2013; 34: 119–138. doi:10.1146/annurev-publhealth-031912-114409.

2. Arnarson EO, Craighead WE. Prevention of depression among Icelandic adolescents. Behaviour Research and Therapy. 2009; 47: 577-585.

3. Mojtabai R, Olfson M, Han B. National Trends in the Prevalence and Treatment of Depression in Adolescents and Young Adults. Pediatrics. 2016; 138(6): 1-12. doi: 10.1542/peds. 2016-1878

4. Hyakutake A, Kamijo T, Misawa Y, Washizuka S, Inaba Y, Tsukahara T, et al. Cross-sectional observation of the relationship of depressive symptoms with lifestyles and parents’ status among Japanese junior high school students. Environmental Health and Preventive Medicine. 2016; 21(4): 265-273. doi:10.1007/

5. Vatanasin D, Thapinta D, Thompson EA, Thungjaroenkul P. Testing a model of depression among Thai adolescents. Journal of Child and Adolescent Psychiatric Nursing. 2012; 25:195-206.

6. Gladstone TRG, Beardslee WR, O’Connor EE. The Prevention of adolescent depression. Psychiatric Clinics of North America. 2011; 34(1): 35-52.

7. Kim KJ. The ecology of youth depression. The Prevention Researcher. 2012; 19(4): 3-7.

8. Sadock BJ, Sadock VA. Concise textbook of child and adolescent psychiatry. Philadelphia: Lippincott Williams & Wilkins; 2009.

9. Tuijl LAV, Jong PJD, Sportel BE, Hullu ED, Nauta MH. Implicit and explicit self-esteem and their reciprocal Relationship with symptoms of depression and social anxiety: A longitudinal study inadolescents. Journal of Behavior Therapy and Experimental Psychiatry. 2014; 45: 113-121.

10. MacConville R, Rae T. Building happiness, resilience and motivation in adolescents, A positive psychology curriculum for well-being. Philadelphia: Jessica Kingsley; 2012.

11. Reivich K, Gillham JE, Chaplin TM, Seligman MEP. From helplessness to optimism: The role of resilience in treating and preventing depression in youth. In: Goldstein S, Brooks RB, editors. Handbook of resilience in children. New York: Springer; 2005.

12. Sawyer GM, Pfeiffer S, Spence HS, Bond L, Graetz B, Kay D, et al. School-based prevention of depression: a randomized controlled study of the beyond blue schools research initiative. The Journal of Child Psychology and Psychiatry. 2010; 51(2): 199-209.

13. Rao U, Chen LA. Depression in children and adolescents. In: Fusco JR, editors. Encyclopedia of Depression Research. New York: Nova Science; 2012.

14. Brière FN, Archambault K, Janosz M. Reciprocal prospective associations between depressive symptoms and perceived relationship with parents in early adolescence. The Canadian Journal of Psychiatry. 2013; 58(3): 169-176.

15. Piko BF, Bala´zs MA. Control or involvement? Relationship between authoritative parentingstyle and adolescent depressive symptomatology. European Child and Adolescent Psychiatry. 2012; 21: 149–155.

16. Kititussaranee S, Sontirat S, Surinya T. The relationship between parenting styles and depression of the fourth level students. Ramathibodi Nursing Journal. 2009; 15(1): 36-47.

17. Franklin SS. The Psychology of happiness. USA: Cambridge University Press; 2010.

18. Snyder CR, Lopez SJ, Pedrotti JT. Positive psychology. USA: Sage; 2011.

19. Wright MO, Masten AS, Narayan AJ. Resilience process in development: Four waves of research on positive adaptation in the context of adversity. In: Goldstein S, Brooks RB, editors. Handbook of Resilience in Children. New York: Springer; 2013.

20. Datu JAD, Valdez JP, Cabrera IK, Salanga MG. Subjective happiness optimizes educational outcomes: Evidence from Filipino high school students. Spanish Journal of Psychology. 2017; 20. doi:10.1017/sjp.2017.55

21. Thapar A, Collishaw S, Pine DS, Thapar AK. Depression in adolescence. Lancet. 2012; March 17; 379(9820): 1056–1067. doi:10.1016/S0140-736(11)60871-4.

22. McCarty AC, Violette DH, McCauley E, Feasibility of the Positive Thoughts and Action Prevention Program for Middle Schoolers at Risk for Depression. 2011; 1-9. doi:10.1155/2011/241386

23. Brown HE, Pearson N, Braithwaite RE, Brown WJ, Biddle SJH, Physical Activity Interventions and Depression in Children and Adolescents. Spots Medicine. 2013; 43(3): 195-206.

24. Bolier L, Haverman M, Westerhof JG, Riper H, Smit F, Bohlmeijer E. Positive psychology interventions: a meta-analysis of randomized controlled studies. Bio MedCentral Public Health. 2013; 13(119): 1-20.

25. Freire T, Teixeira A, Silva E, Matias GP. Interventions for youth depression: from symptom reduction to well-being and optimal functioning. Journal of Behavior, Health & Social. 2014; 6(2): 9-19.

26. Wright LM, Leahey M. Nurses and families: A guide to family assessment and intervention. Philadelphia: F.A. Davis; 2013.

27. Conoley CW, Conoley JC. Positive psychology and family therapy: Creative techniques and practical tools for guiding change and enhancing growth. USA: Wiley; 2009.

28. Park N, Peterson C, Brunwasser SM. Positive psychology and therapy. In: Kazantzis N, Reinecke MA, Freeman A, editors. Cognitive and Behavioral Theories in Clinical Practice. New York: Guiford; 2010.

29. Trangkasombat U, Larpboonsarp V, Havanond P. CES-D as a screen for Depression in adolescents. Journal of the Medical Association of Thailand. 1997; 42(1): 2-13.

30. Bidwell DR. Deep listening and virtuous friendship: Spiritual care in the context of religious multiplicity. Buddhist-Christian Studies. 2015; 35: 3–13.

31. Becvar DS. Handbook of family resilience. New York: Sprinker; 2013.

32. Fredrickson B. Positivity. New York: Crown ; 2009. 33. Seligman MEP. Flourish: A new understanding of happiness and well-being and how to achieve
them. London: Nicholas Brearley ; 2011.

34. Emmons RA. Thanks: how the new science of gratitude can make you happier. New York: Houghton Mifflin ; 2007.

35. Rungsang B, Chaimongkol N, Deoisres W. Predictors of Suicidal Ideation among Thai Adolescents. Journal of The Royal Thai Army Nurses. 2017;
18 (1): 64-73. (in Thai)



How to Cite

ศรีประสาร ช, วัชรสินธุ์ จ, เฮงอุดมทรัพย์ ภ. Feasibility of Enhancing Happiness and Resilience Family-Based Program on Depressive Symptoms among Adolescents. J Royal Thai Army Nurses [Internet]. 2018 Apr. 30 [cited 2022 Aug. 12];19:279-88. Available from: https://he01.tci-thaijo.org/index.php/JRTAN/article/view/134537

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