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Abstract: (244 Views)
Background & Objective: Conduct disorder is a psychiatric disorder in children and adolescents that is characterized by frequent and persistent norm-breaking behavior and violation of the rights of others. Affecting approximately 2% of children and adolescents worldwide, this disorder is responsible for 1% of all years lived with disability. A combination of genetic, family-related, and environmental factors and their interaction may lead to conduct disorder. In addition, adolescents with behavioral problems are more likely to commit crimes, be sexually abused, or use drugs, which may worsen their mental health. Poor academic achievement and career failure may negatively affect the health-related quality of life of these individuals in adulthood. Psychological problems in adolescents with behavioral disorders lead to many problems in their future, and it seems necessary to follow up on their problems and treat them. Cognitive-behavioral group therapy for adolescents with conduct disorder has been less studied, and in these studies, its effect on psychological adjustment has received less attention and investigation. The psychological problems of adolescents with behavioral disorders have a great impact on the quality of life of these people and affect their career and personal life. Since so far no study has investigated the effectiveness of group cognitive behavioral therapy on the psychological adjustment of adolescents with conduct disorder, therefore, the purpose of this study was to investigate the effectiveness of group cognitive behavioral therapy on the psychological adjustment of adolescents with conduct disorder.
Methods: This study was a semi-experimental type with pre-test and post-test with control group. The statistical population included adolescents with behavioral disorders referring to psychological and psychiatric clinics in Ahvaz city. Among the community members, 30 available qualified volunteers were included in the study, and 15 of them were randomly assigned to the intervention group and 15 to the control group. The inclusion criteria were having a conduct disorder with the approval of a psychiatrist, age range of 14 to 18 years, not using other psychotherapy methods and drug therapy. The criteria for leaving the research included absence in a treatment session and failure to complete the questionnaire during the research. Each of the sample people completed the consent form to participate in the research. The scores of the adjustment questionnaire (Bell, 1961) were compared before and after cognitive behavioral therapy. Data analysis was done using covariance analysis. The significance level of the tests was 0.05.
Results: Data analysis showed that the psychological adjustment test score in adolescents with conduct disorder in the intervention group and after receiving treatment decreased significantly compared to the control group (P=0.001).
Conclusion: The aim of this study was to investigate the effectiveness of group cognitive behavioral therapy on the psychological adjustment of adolescents with conduct disorder. The results of the present study showed that group cognitive behavioral therapy has a significant effect on the psychological adjustment of adolescents with conduct disorder in Ahvaz city and can lead to the improvement of psychological adjustment in these adolescents. The results of this research are in line with Amirkhanlou et al., who showed that cognitive behavioral therapy is effective in reducing aggression and the components of physical anger and hostility in adolescents with behavioral disorders. It is also in line with the study of Qadri et al., who stated that the cognitive-behavioral game reduces aggression in children with behavioral disorders. The consistency of the results of this research with the research of Matis et al., who showed that cognitive behavioral therapy is effective for behavioral problems in children and adolescents, especially conduct disorder, was also confirmed.
In explaining the results of this research, it can be said that cognitive behavioral therapy is especially relevant for children from 7 years old and for adolescents because cognitive behavioral therapy provides them with anger management and social problem solving skills that enable them behave in more independent ways and more suitable for the situation. Anger management and social problem solving are core elements of evidence-based practice for children with behavioral problems. Early cognitive behavioral therapy programs such as anger management programs and problem solving skills training were developed as the only interventions for children with behavioral problems. The results of the present study showed that 8 90-minute group cognitive behavioral therapy sessions lead to the improvement of the psychological adjustment of adolescents with behavioral disorders in Ahvaz city, and it is possible to use group cognitive behavioral therapy as a complementary treatment along with other treatment methods to treat psychological problems of adolescents. Used with behavioral disorder.
Methods: This study was a semi-experimental type with pre-test and post-test with control group. The statistical population included adolescents with behavioral disorders referring to psychological and psychiatric clinics in Ahvaz city. Among the community members, 30 available qualified volunteers were included in the study, and 15 of them were randomly assigned to the intervention group and 15 to the control group. The inclusion criteria were having a conduct disorder with the approval of a psychiatrist, age range of 14 to 18 years, not using other psychotherapy methods and drug therapy. The criteria for leaving the research included absence in a treatment session and failure to complete the questionnaire during the research. Each of the sample people completed the consent form to participate in the research. The scores of the adjustment questionnaire (Bell, 1961) were compared before and after cognitive behavioral therapy. Data analysis was done using covariance analysis. The significance level of the tests was 0.05.
Results: Data analysis showed that the psychological adjustment test score in adolescents with conduct disorder in the intervention group and after receiving treatment decreased significantly compared to the control group (P=0.001).
Conclusion: The aim of this study was to investigate the effectiveness of group cognitive behavioral therapy on the psychological adjustment of adolescents with conduct disorder. The results of the present study showed that group cognitive behavioral therapy has a significant effect on the psychological adjustment of adolescents with conduct disorder in Ahvaz city and can lead to the improvement of psychological adjustment in these adolescents. The results of this research are in line with Amirkhanlou et al., who showed that cognitive behavioral therapy is effective in reducing aggression and the components of physical anger and hostility in adolescents with behavioral disorders. It is also in line with the study of Qadri et al., who stated that the cognitive-behavioral game reduces aggression in children with behavioral disorders. The consistency of the results of this research with the research of Matis et al., who showed that cognitive behavioral therapy is effective for behavioral problems in children and adolescents, especially conduct disorder, was also confirmed.
In explaining the results of this research, it can be said that cognitive behavioral therapy is especially relevant for children from 7 years old and for adolescents because cognitive behavioral therapy provides them with anger management and social problem solving skills that enable them behave in more independent ways and more suitable for the situation. Anger management and social problem solving are core elements of evidence-based practice for children with behavioral problems. Early cognitive behavioral therapy programs such as anger management programs and problem solving skills training were developed as the only interventions for children with behavioral problems. The results of the present study showed that 8 90-minute group cognitive behavioral therapy sessions lead to the improvement of the psychological adjustment of adolescents with behavioral disorders in Ahvaz city, and it is possible to use group cognitive behavioral therapy as a complementary treatment along with other treatment methods to treat psychological problems of adolescents. Used with behavioral disorder.
Type of Study: Original Research Article |
Subject:
Psychology
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