Effect of Cognitive Behavioral Treatment Program on Anxiety and Self-Esteem among Secondary School Students
American Journal of Nursing Science
Volume 6, Issue 3, June 2017, Pages: 193-201
Received: Feb. 27, 2017; Accepted: Mar. 13, 2017; Published: Mar. 28, 2017
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Sayeda Mohamed Mohamed, Psychiatric Mental Health Nursing Department, Faculty of Nursing, Cairo University, Cairo, Egypt
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Aim of this study was to investigate the effect of cognitive behavioral treatment program on anxiety level and self-esteem among secondary school students. A Quasi-experimental pre-post non-equivalent group design was used for this study. The study was conducted at El Manial National Language Schools. A convenient sample of thirty secondary school students was selected. The sample was divided into two groups, fifteen students as the study group and fifteen students as control group. Three tools were used to collect the data for the present study; a) Personal Data Sheet; b) Hamilton Rating Scale of Anxiety; and c) Self-esteem Inventory. A constructed cognitive behavioral treatment intervention was developed by the researcher and implemented to the study group in ten sessions that were held twice weekly, and each session ranged from 60 to 90 minutes. The main study findings revealed that, there was a statistically significant difference between study and control groups in the reduction of anxiety level; however, there was no significant change in self-esteem for both groups. The study concluded that, cognitive behavioral treatment program was effective with secondary school students concerning the reduction of the anxiety level. The study recommended that, there is a great need for continuous follow-up of secondary school students who participated in cognitive behavioral treatment program to support and boost their coping strategies with anxiety.
Anxiety, Self-Esteem, CBT, Students
To cite this article
Sayeda Mohamed Mohamed, Effect of Cognitive Behavioral Treatment Program on Anxiety and Self-Esteem among Secondary School Students, American Journal of Nursing Science. Vol. 6, No. 3, 2017, pp. 193-201. doi: 10.11648/j.ajns.20170603.17
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ElRafei, S. (2008). The Relationship between Self-Esteem and Gender, Grade Level and Academic Achievement, in Secondary Schools’ Classes in Lebanon. Thesis submitted for the degree of Doctor of Education At the University of Leicester.
Nikitha, S., Jose, T., & Valsara, B. (2014). A Correlational Study on Academic Stress and Self - Esteem Among Higher Secondary Students in Selected Schools of Udupi District. Nujhs Vol. 4, No. 1, Issn 2249-7110.
Yılmaz, M., &Ocakçı, F. (2010). Determination the Anxiety Level of University Students' one Dormitory located. MaltepeUniversitesiHemsirelikBilimveSanatıDergisi, 3 (1), 16-23.
Hisken, L. (2011). The Correlation between Self-Esteem and Student Reading Ability, Reading Level, and Academic Achievement. Paper submitted in partial fulfillment of the requirements for the degree of Master of Science in Library Science and Information Services in the Department of Educational Leadership and Human Development University of Central Missouri.
Costello, E. J., Copeland, W., &Angold, A. (2011). Trends in psychopathology across the adolescent years: What changes when children become adolescents, and when adolescents become adults? Journal of Child Psychology and Psychiatry, (52) 10, 1015-1025. doi: 10.1111/j.1469-7610.2011.02446.x.
Deb, S., & Walsh, K. (2010). Anxiety among high school students in India. Comparisons across gender, school type, social strata and perceptions of quality time with parents. Australian Journal of Educational & Developmental Psychology. Vol 10, pp 18–31.
Luigi, M., Francesca, D., Maria, D. S., Eleonora, P., Valentina, G. D., & Benedetto, V. (2007). The Role of Anxiety Symptoms in School Performance in a Community Sample of Children and Adolescents. BMC Public Health; 7: 347. Doi: 10.1186/1471-2458-7-347.
Pereira AIF, Barros L, Mendonça D (2012) Cognitive Errors and Anxiety in School Aged Children. Psicologia: Reflexão e Crítica, 25: 817-823.
Frank-Briggs, A., & Alikor, E. (2010). Anxiety Disorder amongst Secondary School Children in an Urban City in Nigeria. Int J Biomed Sci.; 6 (3): 246–251.
Attar, S., Farahani, M., &Hidaji, M. (2015). Effect of Cognitive-Behavioral Group Intervention (CBT) on Students' Self-Esteem. Int. J. Rev. Life. Sci., 5 (4), 2015, 1098-1102.
Siahkalroudi, S., &Bahri, M. (2015). Effectiveness of Cognitive Behavioral Play Therapy Group on Self-Esteem and Social Skills in Girls’ Elementary School. Journal of Scientific Research and Development 2 (4): 114-120, 2015.
Millings, A., Buck, R., Montgomery, A., Spears, M., &Stallard, P. (2012). School Connectedness, Peer Attachment, and Self-Esteem as Predictors Of Adolescent Depression. Journal of Adolescence, 35, 1061-1067.
Morley, T. E., & Moran, G. (2011). The Origins of Cognitive Vulnerability in Early Childhood: Mechanisms Linking Early Attachment to later Depression. Clinical Psychology Review, 31, 1071-1082.
Lee, A., &Hankin, B. L. (2009). Insecure Attachment, Dysfunctional Attitudes, and Low Self-esteem Predicting Prospective Symptoms of Depression and Anxiety during Adolescence. Journal of Clinical Child and Adolescent Psychology, 38, 219 –231.
Sowislo, F., & Orth, U. (2013). Does Low Self-Esteem Predict Depression and Anxiety? A Meta-Analysis of Longitudinal Studies. Psychol Bull.; 139 (1): 213-40. doi: 10.1037/a0028931.
Ahmad, I., Zeb, A., Ullah, S., & Ali, A. (2013). Relationship between Self-Esteemand Academic Achievements of Students: A Case of Government Secondary Schools in District Swabi, KPK, Pakistan. International J. Soc. Sci. & Education 2013 Vol. 3 Issue 2, ISSN: 2223-4934.
Nima, A., Rosenberg, P., Archer, T., & Garcia, D. (2013). Anxiety, Affect, Self-Esteem and Stress: Mediation and Moderation Effects on Depression. PLoS ONE, 8, e73265. http://dx.doi.org/10.1371/annotation/49e2c5c8-e8a8-4011-80fc-02c6724b2acc.
Galanakis, M., Palaiologou, A., Patsi, G., Velegraki, I.-M., &Darviri, C. (2016). A Literature Review on the Connection between Stress and Self-Esteem. Psychology, 7, 687-694.http://dx.doi.org/10.4236/psych.2016.75071.
Olatunbosun, I. (2016). Efficacy of Cognitive Behavior Therapy on Reducing Bullying Behavior among Secondary School Students in Ikwerre Local Government Area. Academia Journal of Educational Research 4 (1): 001-007.
Shaarbaf, H., Timuri, S., Sanadgol, M., & Gazidari, E. (2015). Assessment of Effectiveness of Cognitive-Behavioral Group Training on Self-Esteem and Achievement Motivation of High School Students. Future of Medical Education Journal, Volume 5, Issue 4, December 2015, Page 14-19.
Clark, F. (2010). Preventing Future Crime with Cognitive Behavior Therapy. Journal of National Institute Of Justice, 265.
Sharma, K., Shrivastava, S., Malh Sharma, UK, Shrivastava, S., Malhotra, S., Singh, R., & Singh, B. (2010). Yoga and Cognitive Behavior Techniques for Academic Stress and Mental Wellbeing amongSchool Students. Delhi Psychiatry Journal 13 (1).
Al Bahnasy, R., Abdel-Rasoul, G., Mohamed, O., Mohamed, N., &Ibrahem, R. (2013). Prevalence of Depression, Anxiety, and Obsessive–Compulsive Disorders among Secondary School Students in Menoufia Governorate, Egypt. Menoufia Medical Journal 2013, 26: 44–48.
Coopersmith, S. (1981). Self-esteem Inventories. Palo Alto, CA: Consulting Psychologists Press Inc.
Didana, A. (2003): Self-Esteem and its Relation to Aggressive Behavior among Middle School Students in Riyadh, Master Thesis, Qaboos University, Amma.
Fattin, L. (1997). Hamilton Rating Scale of Anxiety. The Anglo-Egyptian Library.
Maier, W., Buller, R., Philipp, M., & Heuser, I. (1988). The Hamilton AnxietyScale: Reliability, Validity and sensitivity to Change in Anxiety andDepressive Disorders. J Affect Disord; 14 (1): 61–8.
Sadock, B., &Sadock, A. (2000). Comprehensive Textbook of psychiatry. Vol. I, (7th ed.). London, Lippincott Williams &Willikins. Pp 193-197.
Hess, J. (2014). "Anxiety Prevalence among High School Students". Counselor Education Master's Theses.
Rice, C. (2008). Reducing Anxiety in Middle School and High School Students: A Comparison of Cognitive Behavioral Therapy and Relaxation Training Approaches. Partial fulfillment of the requirements for the degree of doctor of philosophy with major in school psychology, University of Arizona.
Arefi, K., Momeni, F., &Mohsenzadeh, R. (2012). Comparison of Individual Cognitive Therapy and Relaxation Therapy in the Treatment of High School Student’s Academic Stress. Journal of Kermansha University Of Medical Sciences 1 (1) 32-46.
Forghani, Toroghi, Ommolbanin, Javanbakht, Mar-yam, Bayazi, Mohammad Hossein, Sahebi, Ali, Vahi-di, Shoaib, Doroudgar, Khadijeh (2011), "Comparison of the effectiveness of a cognitive - behavioral therapy and reality therapy on self-esteem of high school students' magazine fundamentals of Mental Health, Vol. XIV, No. 2.
Yeun, E., &Jeon, M. (2015). Level of Depression and Anxiety among Undergraduate Students. Indian Journal of Science and Technology, Vol 8 (35), DOI: 10.17485/ijst/2015/v8i35/87313.
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