Effectiveness of cognitive empowerment training in depression and anxiety of high school female students in Isfahan
Subject Areas : Sociological Studies of YouthKazem Ghojavand 1 , Ghasem Ghojavand 2
1 - Assistant Professor of Social Work, Department of Humanities, Islamic Azad University Khominishahr Branch, Khominishahr Iran
2 - مددکاری اجتماعی، دانشکده علوم انسانی، دانشگاه شاهد، تهران ، ایران
Keywords: cognitive empowerment training, depression, anxiety, female high school students,
Abstract :
This research aimed to investigate the effectiveness of cognitive empowerment training in depression and anxiety of high school female students in Isfahan city. The research design of the current study was semi-experimental with a pre-test-post-test design with a control group. The statistical population included all female students of the third grade of secondary school in Isfahan city in the academic year of 2023, which was selected by multi-stage cluster random sampling method and 40 students were randomly selected into two experimental groups (20 people) and a control group. (20 people) were appointed. The experimental group received fourteen ninety-minute sessions with a weekly frequency of one session of cognitive empowerment training. For data analysis was used in descriptive statistics section including (mean, standard deviation) and in inferential statistics, analysis of covariance test and Kolmogorov-Smironov test was used for data normalization and SPSS version 20 software. Research tools include anxiety questionnaire, Beck (1988) and Beck depression questionnaire (1961). The findings of the research showed that there was a significant difference between students' depression and anxiety in the post-test stage (p<0.01). Therefore, it can be concluded that cognitive empowerment training has an effect in reducing the level of depression and anxiety of female students, and counselors, social workers, teachers and school coaches should use this approach for the social, personal and academic development of students.
References
Abbasi, A. (2010). Investigating the relationship between cognitive styles and coping styles with psychological stress and academic achievement of students at the University of Tabriz. Master's thesis, Faculty of Psychology and Educational Sciences, Teacher Training University.
Abbasi, Fa. (2010). The effect of coping styles training on stress reduction. Quarterly Journal of Cognitive Sciences, 4(4).
Abet, K.L. (2005). The effect of a group exercise intervention in the adjunctive treatment of depression. University of Pittsburgh,7-10. [PhD thesis]
Abramson, L. Y., Seligman, M.E.P., & Teasdale. J.D. (2003). Learned helplessness in humans: Critique and reformulation. Journal of Abnormal Psychology, 87, 49-74.
American Psychiatric Association. (2001). Classification of Mental Disorders According to DSM-IV (Translated by Pour Afkari), Tehran: Azad Publications.
Bakhshaish, A; and Dehghan Zardini, R. (2013). The Effectiveness of Problem Solving Skills Training on Reducing Students' Behavioral Problems. Journal of Behavioral Sciences, (4), 353-347.
Bech, A. T. (2000). The Hopelessness Scale. Consulting; Psychologists Press.
Beck, A. T., Steer, R., & Garbin, M. G. (1988). Psychometric property of the Beck depression inventory, Twenty-five Years evaluation. Clinical psychology Review, 8, 77 -100
Blackburn, I.M., & Smyth. P. (2000). A test of cognitive vulnerability in individuals prone to depression. British Journal of Clinical Psychology, 24, 61-62.
Blankstein, K.R., Flett, G.L., & Watson, M.S. (1992). Coping and academic problem – solving ability in test anxiety. Journal of Clinical Psychology, 48(1), 37 – 45.
Borkovec, T.D. (1995a). Cognitive behavioral treatment of generalized anxiety disorder: Applied relaxation, self – control desensitization، and cognitive therapy, with special reference to the integration of clinical experience and basic research in their application. Paper Presented at World Congress of Cognitive – Behavioral Therapists. Copenhagen, Denmark, 1995.
Brown, R.F., Bylund, C.L., Kline, N., De La Cruz, A., Solan, .J, Kelvin, J., & et al. (2009). Identifying and responding to depression in adult cancer patients: evaluating the efficacy of a pilot communication skills training program for oncology nurses. Cancer Nursing, 32(3), E1-7.
Carr, S.J., Teasdale, J. D., & Broadbent, D. (2004). Effects of induced elated and depressed mood on self – focused attention. British Journal of Clinical Psychology, 3,، 273- 275.
Cassidy, T., & Long, C. (1996). Problem – solving style، style، stress and psychological illness: Devolopment of a multifactorial measure. British Journal of Clinical Psychology, 35, 265-277.
Costello, T. and Costello, J. (1994). Abnormal Psychology (translated by Pour Afkari). Tehran: Azadeh Publications.
Cassidy, T., & Lynn, R. (1989). A multifactorial approach to achievement motivation: The development of a comprehensive measure. Journal of Occupational Psycholog, 62, 301-312.
Clarke, D.M., & Currie, K.C. (2009). Depression, anxiety and their relationship with chronic diseases: A review of epidemiology, risk and treatment evidence. Med J Aust, 190 (7 Supp):S54-S60. OpenUR.
Dubow, E.F., Tisak, J., Causey, D., Hryshko, A., & Reid, G. (2005). A two – year longitudinal study of stressful Life events, social support and social problem- solving Contributions to children’x behavioral and academic adjustment, Child Development, 62،583-599.
Elliott, T.R., Sherwin, E., Harkins, S.W., & Marmarosh, C. (2000). Journal of Counseling psychology, 42(1), 105-115.
Emberhart, N.K. (2009). Interpersonal predictor of stress generation and depressed mood. Pers SocPsychol Bull, 35(5), 544-556.
Esmaeili, M. (2002). Studying the effect of life skills lessons in interaction with parenting styles on the self-esteem of students in Ardabil province, Payam Menghar Quarterly, Year 3, Issue 6, Varay Danesh Publications.
Fakhari, A; Minashir, A; and Alizadeh Goradal, J. (2013). Comparison of Theory of Mind and Emotion Regulation Deficits in Depressed and Normal Individuals. Journal of Babol University of Medical Sciences, 1(16), 92-98.
Fergusson, D.M., Horwood, L.J., Lynskey, M.T. (1993). Early dentine leads levels and subsequent cognitive and behavioral development. Child Psychology Psychiatry Journal, 34(2), 215-27.
Ghaedi, Moyed Taher; Gh, Shiroudi, S. (2016). The effectiveness of group hope therapy on depression, loneliness and self-efficacy of female students. Journal of Child Mental Health, 3(2), 65-75.
Ghadampour, A. (2016). Determining the relationship between academic burnout and academic enthusiasm and performance in students of Lorestan University of Medical Sciences. Research in Medical Sciences, 8(2), 60-78.
Ghamari Givi, H; N, Maghsoud; and Dehghani, Fe. (2014). Investigating the effectiveness of cognitive rehabilitation in restoring executive functions of obsessive-compulsive patients. Journal of Clinical Psychology Studies, 16(4), 101-128.
Ghanbarian, M; Rajabzadeh, Z. (2016). The relationship between happiness and life expectancy in students of Behbahan Faculty of Medical Sciences. Journal of Principles of Mental Health, Special Issue of the Third International Conference on Educational Sciences, pp. 6-553.
Haj Rasoul, F. (2011). A study of problem-solving styles in depressed and normal individuals. Quarterly Journal of Psychological Sciences, 6(1), 24-42.
Harris, A. E., Curtin, L. (2008). Parental Perceptions, Early Maladaptive Schemas, and Depressive Symptoms in Young Adult. Cognitive Therapy and Research, 26(3), 405-416.
Heppner, P.P., & Petersen, C .H. (2000). The development and implications of a personal problem-solving Inventory. Journal of Counseling Psychology, 29،66-75.
Heppner, P.P., Baumgardner, A.,& Jackson, J. (1985). The relationship between problem – solving self-appraisal، depression, and attributional style. Are they related cognitive Therapy and ressarch, 105-113.
Hoffman, U., & Levy. (1988). Social support and self – esteem. Journal of youth and adolescence, 17(218).
Holdsworth, L, & Cartwrightm S. (2003). Empowerment, stress and satisfaction: an exploratory study of a call centre. Leadership and Organization Development Journal, 24(3), 131-40.
Ingram, E.I. (1990). Self- focused attention in clinical disorders: Review and a conceptual model. Psychological bulletin, 107,156-175.
Jafari, D; Salehi, M; and Mohammadkhani, P. (2013). Comparing the effectiveness of mindfulness-based cognitive therapy with behavioral activation group therapy on depression and quality of life of depressed individuals. Thought and Behavior, Volume 8, Issue 29.
Jin Huang, MSN R., Jiang, D., Wang, X., Liu, Y., & Fennie, K. (2002). Changing knowledge, behavior, and practice related to universal precautions among hospital nurses in China. The Journal of Continuing Education in Nursing, 33(5), 217.
Kant, G. L., D’zurilla, T.J., & Maydeu – Olivares, A. (1997). Social problem – solving as a mediator of stress- related depression and anxiety in middle- aged and elderly community residents. Cognitive Therapy and Research, 21(1), 73-96.
Kaplan, H.I., & Sadock B. J. (1988). Synopsis of Psychiatry. New York: Williams & Wilkins.
Kadivar, P. (2001). Attributional Styles and Their Importance in Mental Health. Scientific and Research Quarterly, Faculty of Psychology and Educational Sciences, University of Tehran. No. 2.
Karimi, Yousef. (1991). Social Psychology. Tehran: Payam Noor Publications.
Klineke, Chris. (1993). Life Skills (translated by Shahram Mohammadkhani). Tehran: Espand Honar Publications.
Kiani, Q. and Kakavand, A. (1993). The Effectiveness of Emotional Intelligence Training on the Academic Achievement of First-Year High School Students in Zanjan. Psychological Studies, 9(2), 154-174.
Kuyken, W., Brewin, C.R. (2004). Stress and coping in depressed women. Cognitive Therapy and Research, 18(5), 403-412.
Leach, L.S., Christensen, H. (2008). Gender differences in depression and anxiety across the adult lifespan: the role of psychosocial mediators. Soc Psychiatry Psychiatr Epidemiol, 43(12), 983-998. OpenURL.
Mash, A. J. and Wolf (2014). Child Abnormal Psychology (translated by Mozaffar Mokri Abedi and Forough Eldin Adl). Tehran: Roshd Publications.
Mahmoud Alilou, M. (1999). Experimental study of the effect of mood on performance. Quarterly Journal of Psychological Research, 5 (3 and 4).
Mesbah, N; and Abedian, A. (2014). The relationship between stress level and hopelessness in students living in dormitories. Journal of Psychology, 3(6), 11-21.
Mehdianfar, F; Kimiai, Seyed A; and Ghanbari Hashemabadi, Bahram A. (2015). Reducing depression and aggression in women with imprisoned husbands in 2013. Iranian Journal of Forensic Medicine, 3(21), 167-177.
Mehryar, A H. (2001). Depression, perceptions and cognitive therapy. Tehran: Roshd Publications.
Meyer, T.J., Miller، M. L., Metger. R.L., & Borkovec, T.D. (1990). Development & validation of the penn state worry questionnaire. Behavior Research and Therapy, 28, 487 – 495.
Ming To, S. (2016). Loneliness, the search for meaning, and the psychological well-being of economically disadvantaged Chinese adolescents living in Hong Kong: Implications for life skills development programs. Children and Youth Services Review, 71, 52- 60.
Mobini, S. (2000). Depression and its cognitive-behavioral therapy, theories, concepts and clinical applications. Tabriz: Tabriz University of Medical Sciences Publications.
Mobini, S. (2000). Investigating the role of attentional focus in memory bias in depressed patients. Quarterly Journal of First Year Psychological Research, No. 1 and 2.
Mohammad, M., Maryam, H., & Ali, N. (2010). The effect of psychological empowerment training on the job adjustment and vitality Apadana hospital nurses in Ahvaz. Second Biennial Congress of Industrial and Organizational Psychology 3 and 4 March 2010, Islamic Azad University, Isfahan, 38-42.
Molina, S., & Borkoec, T. D. (1993). The penn State Worry Questionnaire: Psychometric properties & associated characteristics In. G. C. L. Davey& F. Tallis (Eds). Worring: Perpectives on theory, assessment, and treatmet, Sussex, England: Wilcy.In press.
Nayeri, N.D., Adibhajbagheri, M. (2006). The effect of stress relaxation and quality of life of dormitory students. Feyz,10(2), 50-7. [Persian]
Nathaniel, B. (2001). The Psychology of Self-Esteem (translated by Mehdi Gharacheh Daghi). Second edition, Tehran: First Publications.
Narimani, M; and Soleimani, E. (2013). The Effectiveness of Rehabilitation on Executive Functions (Working Memory and Attention) and Academic Achievement of Students with Mathematical Learning Disorder. Journal of Learning Disabilities, 2(3), 115-91.
Nezu, A. M. (1986). Efficacy of a social problem – solving therapy approach for unipolar depression. Jounal of consulting and Clinical Psychology, 54(2), 196-202.
Nezu, A.M. (1985). Differences in psychological distress between effective and ineffective problem- solvers. Jounal of Counseling psychology, 32(1), 135-138.
Nezu, A.M., & Perri, M.G. (2001). Social problem – solving therapy for unipolar depression: An initial dismantling investigation. Journal of Consulting and Clinical Psychology, 57(3), 408- 413.
Nezu, A.M., & Ronan, G.F. (1987). Social problem – solving and dipression: rating.
Nunnally, J. C. (1978). Psychometric Theory. 2 nd ed, New York: Mcgraw- Hill.
Nunnally, J.C. (1967). Psychometric Theory. MewYork: McGraw- Hill.
Parkes, K.R. (1994). Locus of control, cognitive appraisal, and coping in stressful episodes. Journal of Personality and Social Psychology, 46(3), 655 -668.
Pasha Sharifi, H; and Najafi Zand, J. (2001). Statistical Methods in Behavioral Sciences. Tehran: Sokhan Publications.
Petersen, C., Semmel, A., Von Baeyer, C., Abramson, L.Y., Metalsky, G.I. & Seligman, M.E.P. (1982). The Attributional Sryle Questionnaire. Cognitive Therapy and Ressarch, 6, 287-299.
Pouraboli, B.; Esfandiari, S.; Ramezani, T.; Miri, S.; Jahani, Younes; and Sohrabi, N. (2016). The Effectiveness of Psychological Empowerment Skills Training on Occupational Stress of Intensive Care Unit Nurses. Clinical Journal of Nursing and Midwifery, 1(5), 23-35.
Potter, P.A., Perry, A.G., Stockert, P., Hall, A. (2013). Fundamentals of nursing: Elsevier Health Sciences.
Pretorius, T. B. (1993). Assessing the problem – solving appraisal of black south African students. International Jouvnal of Psychology, 28(6), 861-870.
Priester, M. J., & Clum, G.A. (1993). Perceived problem – solving ability as a predictor of depression, hopelessness and suicide ideation in a college population. Journal of Counseling psychology, 40(1), 79-85.
Rezaee, N., Behbahani, N., Yarandi, A.N., & Hosseini, F. (2006). Relationship between job stress and social support in nurses. Iranian Journal of Nursing, 49(19), 71-8. [Persian]
Roger, J; and Petermak, W. (1996). Negative Thinking (translated by Mehdi Gharacheh Daghi). Tehran: Mina Publications.
Rahmati, R; Mohammadkhani, Sh; and Mohsenpour, M R. (2015). The Effectiveness of Psychosocial Empowerment Training on Adolescents’ Cognitive and Emotional Attitudes to Drug Use. Quarterly Journal of Military Psychology, 6(23), 17-26.
Rostami, M; Abolghasemi, A; and Narimani, M. (2013). The Effectiveness of Quality of Life-Based Therapy on the Psychological Well-Being of Dysfunctional Couples. Quarterly Journal of Family Counseling and Psychotherapy, 1(3), 105-123.
Rafiei, M; and Seifi, A. (2013). A Study of the Reliability and Validity of the Beck Anxiety Scale in Students. Thought and Behavior, 7(27): 46-37.
Ryff, C.D., Keyes, C. L. M., Hughes, D. L. (2003). Status inequalities, perceived discrimination, and eduaimonic well-being: Do the challenges of minority life hone purpose and growth?. Journal of Health Social and Behavior, 44, 275- 291.
Rylands, K., & Rickwood, D.J. (2001), Ego-integrity versus ego-despair: the effect of "accepting the past" on depression in older women. Int Journal Aging Hum Dev, 53(1),75-89, OpenURL Return to text.
Sarason, I. J.; and Barbara, R., Sarason. (2002). Medical Psychology (translated by Najarian et al.), Tehran: Roshd Publishing.
Sam Khaniani, N. (2001). Investigating Schematic Mental Patterns of Perfectionism and Approval Seeking in Depression. Master's Thesis in Clinical Psychology. Iran University of Medical Sciences, Tehran Institute of Psychiatry.
Seyed Nozadi, M. (2012). Comparing Anxiety Levels in Rural and Urban High School Students in Mashhad. Journal of Principles of Mental Health, 14(4), 301-294.
Schechtman, Z. (2010). Impact of Life Skills Training on teachers perceived environment and self-efficacy. Journal of Educational Research, 3, 144-154.
Seligman, M. E. P. (1975). Helplessness: On depression, development and death. San Franisco,CA: Freeman.
Sherwood, A., & Blumenthal, J.A. (2013). Relationship of depression to death or hospitalization in patients with heart failure. Arch Intern Med, 167(4), 367-373
Sheykhi, M.R., Sarichlou, M.E., Javadi, A., & Moradi, M. (2009). Effect of nurse’s empowerment on coping with job stresses. Journal of Quazvin University of Medical Sciences, 12(4), 38-42. [Persian]
Siegel, L. J., & Griffin, N.J. (1984). Correlates of depressive symptoms in adolescents.
Tiu Wright, L., Harrison, T., Waite, K., Hunter, G.L. (2006). The internet, information and empowerment. European Journal of Marketing, 40(9/10): 972-93.
Thomson, C. and Rudolph, L. (2016). Counseling with Children (translated by Javad Tahorian). Tehran: Roshd Publishing.
Watten, David A. and Cameron, Kim S. (2002). Empowerment and Delegation (translated by Badr al-Din Orei Yazdi). Management Research and Education Institute Publications, Tehran: Second Edition.
Weiner, B. (1985). An attributional theory of achievement Motivation and Emotion. Psychological Review, 92, 548-573.
Weiner, B. (1986). An- Attributional Theory of Motivation and Emotion. New York:Springer –Verlag.
Wenzlaff, R. M., Wegner, D.M., & Ropper, D.W. (2005). Depression and mental control: The resurgence of unwanted negative thoughts. Journal of personality and Social Psychology, 88(6), 882-892.
Windle, M., & Windle, R.C. (1996). Coping strategies, drinking motives, and stressful life events among middle adolescents: Associations with emotional and behavioral problems and with academic functioning. Journal of Abnormal psychology, 105(4), 551-560.
Zanganeh, K. (2016). Investigating and comparing the level of rational beliefs among depressed patients referred to the Isfahan Psychiatric Center with normal individuals. Master's thesis, Allameh Tabatabaei University.
Zautra, A.J., & Wrabetz, A.B. (1991). Coping success and its relationship to psychological distress for older adults. Journal of Personality and Social psychology, 61(5), 801-810.
Zeidner, M., & Hammer, A. (1990). Life events and coping resources as predictors of stress symptoms in adolescents. Personality and Individual Difference, 11(7), 693-703.
Zuckermann. M., Lubin, B, & Rinck, C.M. (1983). Construction of new scales for the Multiple Affect Adjective Checklist. Journal of Behavioral Assessment, 58,119-129.