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Shayganfard M, Kaboudi B, Arabsheibani K, Shakiba E, Cheshmekaboudi S. Effectiveness of cognitive-behavioral group play therapy on anxiety-based school refusal and behavioral problems in elementary school boys: a preliminary randomized controlled trial. Arch Psychiatr Nurs 2024; 50:108-114. [PMID: 38789222 DOI: 10.1016/j.apnu.2024.03.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/29/2023] [Revised: 03/06/2024] [Accepted: 03/17/2024] [Indexed: 05/26/2024]
Abstract
This study aimed to examine the effectiveness of cognitive-behavioral group play therapy on anxiety-based school refusal and behavioral issues in elementary school boys. A randomized controlled trial design (pretest-posttest with a control group) was utilized. Thirty elementary school boys with school refusal issues were randomly assigned to intervention (n = 15) and control (n = 15) groups. The intervention group received ten sessions of cognitive-behavioral group play therapy. The Screen for Child Anxiety-Related Emotional Disorders (SCARED) questionnaire and Rutter's Children's Behavior Questionnaire were used as assessment tools. Mean scores for anxiety-based school refusal and behavioral problems in the intervention group showed a significant decrease (p < 0.001). Cognitive-behavioral group play therapy is a practical approach to reducing anxiety levels and behavior problems in children with anxiety-based school refusal in primary school grades.
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Affiliation(s)
- Mahsa Shayganfard
- Clinical Psychology Fattahi Clinic, Kermanshah University of Medical Sciences, Kermanshah, Iran.
| | - Bijan Kaboudi
- Cardiology Research Center of Imam Ali Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Khadijeh Arabsheibani
- Clinical Psychology Department of Psychology, Payame Noor Tehran University, Tehran, Iran
| | - Ebrahim Shakiba
- Biochemistry Behavioral Disease Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Sepide Cheshmekaboudi
- Medical Sciences Students Research Committee, Kermanshah University of Medical Sciences, Kermanshah, Iran
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Teng E, Anthony V, Helen W, Shona C. Is Knowledge Enough? The Relationship Between Mental Health Knowledge and Stigmatising Attitudes Among Australian Adolescents. ADOLESCENT PSYCHIATRY 2020. [DOI: 10.2174/2210676609666181204145835] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Background:
Young people carry mental health problems disproportionate to the
size of their population, and rates of help-seeking are low. School mental health programs
have been developed to address these issues, founded on an educational approach to target
mental health literacy, and indirectly improve help-seeking. However, it has been suggested
that knowledge does not necessarily predict health behaviour in young people.
Objective/Methods:
A cross-sectional study was conducted to explore whether knowledge
about mental illness was related to attitudes towards mental illness and intentions to seek
help in a sample of adolescent girls (N=327).
Results:
Results indicated a weak negative relationship between knowledge about mental
health and stigmatising attitudes about mental illness, but no relationship between
knowledge about mental health and intentions to seek help for mental health problems.
When mental health was categorised (e.g., optimal vs. poorer mental health), a negative
relationship between knowledge about and stigmatising attitudes toward mental health was
shown in those with poor mental health, but not for adolescents categorised as having
moderate or optimal mental health.
Conclusion:
Findings suggest that while the traditional adage - more information on mental
health equals better attitude to mental health - may be true for those with ‘poorer’ levels of
mental health (e.g., high levels of psychological distress), it may not reduce stigma
associated with mental illness or motivate positive health behaviour in adolescent girls with
‘optimal’ mental health (e.g., low or no levels of psychological distress).
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Affiliation(s)
- Emmelin Teng
- School of Psychology, The University of Adelaide, North Terrace, Adelaide, South Australia 5005, Australia
| | - Venning Anthony
- Faculty of Medicine, Nursing and Health Sciences, Flinders University, Sturt Road, Bedford Park, South Australia, 5042, Australia
| | - Winefield Helen
- School of Psychology, The University of Adelaide, North Terrace, Adelaide, South Australia 5005, Australia
| | - Crabb Shona
- School of Population Health, The University of Adelaide, North Terrace, Adelaide, South Australia 5005, Australia
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Morshed N, Babamiri M, Zemestani M, Alipour N. A Comparative Study on the Effectiveness of Individual and Group Play Therapy on Symptoms of Oppositional Defiant Disorder among Children. Korean J Fam Med 2019; 40:368-372. [PMID: 30625268 PMCID: PMC6887760 DOI: 10.4082/kjfm.18.0045] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2018] [Accepted: 07/26/2018] [Indexed: 11/03/2022] Open
Abstract
BACKGROUND This research compared the effectiveness of play therapy provided individually or in groups for oppositional defiant disorder (ODD) symptoms among children. METHODS This was a randomized controlled trial that used a multi-stage random sampling method. Participants included 45 children aged 6 to 10 years old with ODD, all of whom had been referred to medical consultation centers in Ahvaz, Iran in 2012. Experimental groups consisted of 15 children receiving individual play therapy and 15 receiving group play therapy, while the control group consisted of 15 randomly selected children. Data were collected using the child behavior checklist parent report form and teacher report form, along with clinical interviews with the parents. Play therapy took place weekly for eight total sessions; individual sessions lasted 45 minutes each, while group sessions were each 60 minutes in duration. Participants were assessed in three stages, including preintervention, post-intervention, and at 2-month follow-up. PASW SPSS ver. 18.0 software (SPSS Inc., Chicago, IL, USA) and analysis of covariance analysis methods were used to analyze data. RESULTS Results showed meaningful decreases in ODD symptoms in the experimental groups in comparison with the control group, based on parent reporting (P≤0.001 and F=129.40) and the teacher reports additionally showed meaningful decreases in ODD symptoms in the experimental groups compared to the control group, (P≤0.001 and F=93.14). Furthermore, the effects were maintained after 2 months. CONCLUSION This research supports the efficacy of individual and group play therapy for the treatment of ODD in children, as well as the consistency of the effects at 2-month follow-up.
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Affiliation(s)
- Narges Morshed
- Department of Psychology, Islamic Azad University, Tehran Science and Research Branch, Tehran, Iran
| | - Mohammad Babamiri
- Department of Ergonomics, Social Determinants of Health Research Center, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Mehdi Zemestani
- Department of Clinical Psychology, University of Kurdistan, Sanandaj, Iran
| | - Nasim Alipour
- Department of Anesthesiology, School of Paramedicine, Hamadan University of Medical Sciences, Hamadan, Iran
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Gowdini R, Pourmohamdreza-Tajrishi M, Tahmasebi S, Biglarian A. Effect of Emotion Management Training to Mothers on the Behavioral Problems of Offspring: Parents’ View. JOURNAL OF REHABILITATION 2017. [DOI: 10.21859/jrehab-180113] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
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Teng E, Crabb S, Winefield H, Venning A. Crying wolf? Australian adolescents’ perceptions of the ambiguity of visible indicators of mental health and authenticity of mental illness. QUALITATIVE RESEARCH IN PSYCHOLOGY 2017. [DOI: 10.1080/14780887.2017.1282566] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- Emmelin Teng
- The University of Adelaide, School of Psychology, Adelaide, Australia
| | - Shona Crabb
- The University of Adelaide, Adelaide, School of Population Health, Adelaide, Australia
| | - Helen Winefield
- The University of Adelaide, School of Psychology, Adelaide, Australia
| | - Anthony Venning
- Flinders University, Faculty of Medicine, Nursing and Health Sciences, Bedford Park, Australia
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Fernandez A, Moreno-Peral P, Zabaleta-del-Olmo E, Bellon JA, Aranda-Regules JM, Luciano JV, Serrano-Blanco A, Rubio-Valera M. Is there a case for mental health promotion in the primary care setting? A systematic review. Prev Med 2015; 76 Suppl:S5-11. [PMID: 25475684 DOI: 10.1016/j.ypmed.2014.11.019] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/24/2014] [Revised: 11/11/2014] [Accepted: 11/24/2014] [Indexed: 11/18/2022]
Abstract
OBJECTIVES To evaluate the effectiveness of mental health promotion (MHP) interventions by primary health care professionals in the adult population. METHODS Systematic review of literature in English and Spanish for randomized controlled trials (RCTs) and observational studies evaluating the impact of interventions carried out by primary care professionals explicitly to promote and improve the overall mental health of adult patients. PubMed, PsycINFO, and Web of Science were independently searched by two investigators to identify all MHP articles from inception to October 2013 (no restrictions). RESULTS We retrieved 4262 records and excluded 4230 by a review of title and abstract. Of 32 full-text articles assessed, 3 RCTs were selected (2 in USA, 1 in UK); two focused on the mental health of parents whose children have behavioral problems, the other on older people with disabilities. One study reported a MHP intervention that improved participants' mental health at 6-month follow-up. All studies had low-moderate quality (2 of 5 points) on the Jadad Scale. CONCLUSION There is a lack of implementation and/or evaluation of mental health promotion activities conducted by primary care professionals. More research is needed to clearly understand the benefits of promoting mental health in this setting.
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Affiliation(s)
- Ana Fernandez
- Centre for Disability Research and Policy/Brain and Mind Research Institute, Faculty of Health Sciences, University of Sydney, Australia; Research and Development Unit, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Spain; Network for Prevention and Health Promotion in Primary Care (RedIAPP, ISCIII), Spain; Department of Pharmacology and Therapeutic Chemistry, School of Pharmacy, Universitat de Barcelona, Spain.
| | - Patricia Moreno-Peral
- Network for Prevention and Health Promotion in Primary Care (RedIAPP, ISCIII), Spain; Instituto de Investigación Biomédica de Málaga (IBIMA), Unidad de Investigación del Distrito de Atención Primaria de Málaga, Spain
| | - Edurne Zabaleta-del-Olmo
- Network for Prevention and Health Promotion in Primary Care (RedIAPP, ISCIII), Spain; Institut Universitari d'Investigació en Atenció Primària (IDIAP) Jordi Gol, Barcelona, Spain; Universitat Autònoma de Barcelona, Bellaterra, Cerdanyola del Vallès, Spain
| | - Juan Angel Bellon
- Network for Prevention and Health Promotion in Primary Care (RedIAPP, ISCIII), Spain; Instituto de Investigación Biomédica de Málaga (IBIMA), Unidad de Investigación del Distrito de Atención Primaria de Málaga, Spain; Centro de Salud El Palo, Distrito de Atención Primaria Málaga-Guadalohorce, Departamento de Medicina Preventiva, Universidad de Málaga, Spain
| | - Jose Manuel Aranda-Regules
- Network for Prevention and Health Promotion in Primary Care (RedIAPP, ISCIII), Spain; Instituto de Investigación Biomédica de Málaga (IBIMA), Unidad de Investigación del Distrito de Atención Primaria de Málaga, Spain; Centro de Salud San Andrés Torcal, Distrito Sanitario Málaga-Guadalhorce, Servicio Andaluz de Salud, Málaga, Spain
| | - Juan Vicente Luciano
- Research and Development Unit, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Spain; Network for Prevention and Health Promotion in Primary Care (RedIAPP, ISCIII), Spain; Open University of Catalonia, Barcelona, Spain
| | - Antoni Serrano-Blanco
- Research and Development Unit, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Spain; Network for Prevention and Health Promotion in Primary Care (RedIAPP, ISCIII), Spain
| | - Maria Rubio-Valera
- Research and Development Unit, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Spain; Network for Prevention and Health Promotion in Primary Care (RedIAPP, ISCIII), Spain; Open University of Catalonia, Barcelona, Spain
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