Determining the Effectiveness of Group Cognitive Behavioral Therapy on Self-esteem of 9-12 Years Children with Stuttering

Jafarinasab Ashkezari, Mohadeseh; Saeidmanesh , Mohsen; Yousefi , MohammadReza

Volume 14 - Articles-1403 MEJDS (2024) 14: 141 | Back to browse issues page

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Jafarinasab Ashkezari M, Saeidmanesh M, Yousefi M. Determining the Effectiveness of Group Cognitive Behavioral Therapy on Self-esteem of 9-12 Years Children with Stuttering. MEJDS 2024; 14 :141-141
URL: http://jdisabilstud.org/article-1-3510-en.html

Determining the Effectiveness of Group Cognitive Behavioral Therapy on Self-esteem of 9-12 Years Children with Stuttering

Mohadeseh Jafarinasab Ashkezari¹

, Mohsen Saeidmanesh ^*²

, MohammadReza Yousefi³

1- MA in Clinical Psychology of Children and Adolescents, Science and Arts University, Yazd, Iran
2- Associate Professor, Science and Arts University, Yazd, Iran
3- Assistant Professor, Science and Arts University, Yazd, Iran

Abstract: (368 Views)

Abstract
Background & Objectives: Stuttering is a neuropsychiatric disorder. In individuals who stutter, speech incoherence can significantly impact emotional and social well–being on a daily basis. There is a relationship between mood, emotions, and stuttering. For example, children who stutter exhibit less adjustment and more negative moods than children who do not stutter. Children who stutter experience a variety of psychological problems, including problems with self–esteem. Self–esteem is a very determining factor in the treatment of stuttering. Research on the effect of cognitive behavioral therapy on stuttering is very limited. Therefore, it is necessary to conduct research in this field. Treating self–esteem in children who stutter can significantly help the treatment team to be more optimistic about the treatment results. However, no study has examined the effectiveness of cognitive behavioral therapy on the self–esteem of children who stutter. Therefore, this study aimed to examine the effectiveness of group cognitive behavioral therapy on the self–esteem of 9–12 years old children with stuttering.
Methods: This quasi–experimental study employed a pretest–posttest design with a control group. A total of 30 eligible volunteers aged 9 to 12 years were selected from among children with stuttering in Yazd City, Iran, in 2023. The sample was randomly assigned to 15 people in the intervention group and 15 in the control group. Based on the therapist's discussions with the children's parents, the sample individuals pledged to cooperate during the research, and there was no dropout. The inclusion criteria were as follows: having stuttering and confirmation from a speech therapist, having a history of at least two years since the onset of stuttering, being between 9 and 12 years old, and not simultaneously using other treatment methods such as medication, psychotherapy, and speech therapy. The exclusion criteria were absent from multiple treatment sessions, and the questionnaire was not completed during the study. During the initial assessment of the children, information such as family medical history and previous treatments were recorded in the patient's file. Parents of the children participating in the study completed an informed consent form, and all parents were assured that information about their children would remain confidential. The scores of the self–esteem variable were compared using the Rosenberg Self–esteem Scale (Rosenberg, 1965) in two groups at two time points before and after treatment. The treatment protocol for each patient in the intervention group was eight 60–minute group cognitive behavioral therapy sessions over four weeks. However, no treatment was given to the control group. Data analysis was performed using analysis of covariance in SPSS version 23. The significance level of the tests was set at 0.05.
Results: Data analysis showed that the self–esteem test scores in children with stuttering in the intervention group and after treatment increased significantly compared to the control group (p<0.001). Also, based on the effect size results, 59% of the difference between the intervention group and the control group in the self–esteem variable was due to cognitive behavioral therapy.
Conclusion: The results of the present study showed that group cognitive behavioral therapy has a significant effect on the self–esteem of children with stuttering, and group cognitive behavioral therapy can be used as a complementary treatment alongside other therapeutic methods to treat the self–esteem of children with stuttering.

Keywords: Cognitive behavioral therapy, Self–esteem, Stuttering, Children

Full-Text [PDF 241 kb] (137 Downloads)

Type of Study: Original Research Article | Subject: Psychology

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