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Data were collected using an interviewing questionnaire (socio-demographic characteristics and psychiatric and physical history), the Rosenberg Self-Esteem Scale (RSES), and the Adolescent-Coping Orientation for Problem Experiences (A-COPE). The intervention program focused on enhancing self-esteem and fostering adaptive coping patterns. Data were analyzed using Wilcoxon signed-rank tests and Spearman\u2019s correlation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Statistically significant changes in median scores for self-esteem and coping domains were observed following implementation of the nursing intervention. Significant positive correlations between self-esteem and coping patterns pre- and post-intervention were also observed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>While the quasi-experimental one-group pre- and post-test design limits causal inferences, the observed improvements in self-esteem and coping patterns suggest that the nursing intervention may benefit adolescents with depressive and anxiety disorders. These findings support incorporating such interventions into mental health services and highlight the importance of future randomized controlled trials to confirm its effectiveness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration<\/jats:title>\n                    <jats:p>The study was retrospectively registered with the Pan African Clinical Trial Registry (PACTR) (PACTR 202508828331881) on 21 August 2025.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s40359-026-05345-0","type":"journal-article","created":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T01:14:07Z","timestamp":1787274847000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Nursing intervention for improving self-esteem and coping patterns among adolescents with depressive and anxiety disorders"],"prefix":"10.1186","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7558-0965","authenticated-orcid":false,"given":"Salma Bakry","family":"Attia","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ghada Mohamed","family":"Mourad","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hoda Sayed","family":"Mohamed","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asmaa Mohamed","family":"Khalifa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,8,21]]},"reference":[{"issue":"4","key":"5345_CR1","doi-asserted-by":"publisher","first-page":"263","DOI":"10.3390\/bs14040263","volume":"14","author":"J Lin","year":"2024","unstructured":"Lin J, Guo W. 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Ethical approval (no.\n                      24.04.292\n                      ) for this study was obtained from the Research Ethics Committee of the Faculty of Nursing, Ain Shams University on 19 February 2023. Additional administrative and ethical permissions were obtained from the hospital ethics committee and the Patient Rights Department of the participating hospital prior to data collection. Written informed consent was obtained from all participants and their caregivers prior to participation. Participant confidentiality and anonymity were strictly maintained throughout the study. Also, this study was retrospectively registered with the Pan African Clinical Trial Registry (PACTR) (PACTR 202508828331881) on 21 August 2025.","order":1,"name":"Ethics","label":"Ethical approval and consent to participate","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","label":"Consent for publication","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"1239"}}