KAYGILI ÇOCUKLARA YÖNELİK OKUL TEMELLİ BİR BİLİŞSEL DAVRANIŞÇI GRUP TERAPİSİ PROGRAMININ ETKİLİLİĞİ: PİLOT BİR ÇALIŞMA
Yıl 2018,
, 91 - 121, 31.01.2018
Zümrüt Gedik
,
Füsun Gökkaya
,
Serap Tekinsav Sütcü
Öz
Çalışmanın amacı
yüksek kaygı düzeyine sahip çocuklarda okul temelli bir bilişsel davranışçı
grup terapisinin (BDGT) etkililiğini sınamaktır. Bu seçkisiz kontrollü
çalışmada, deney (N = 11) ve kontrol gruplarının (N = 11) 9 haftalık BDGT öncesi ve sonrası Çocukluk
Çağı Kaygı Bozuklukları Özbildirim Ölçeği (SCARED), Çocuklar İçin Sürekli Kaygı
Envanteri ve Çocuklar İçin Depresyon Ölçeği puanları karşılaştırılmıştır. Mann-Whitney
U testiyle grupların ön test puanları arasındaki farklar incelenmiştir. Deney
ve kontrol gruplarının ön test ve son test puanları ise Wilcoxon İşaretli Diziler
testi ile karşılaştırılmıştır. Kontrol grubunun aksine, deney grubunun sürekli
kaygı, ayrılık kaygısı ve sosyal kaygı puanları müdahale sonrasında anlamlı
farklılık göstermiştir. Bu ölçümlere dair etki büyüklükleri de yüksek
bulunmuştur. Panik bozukluk/anlamlı somatik yakınmalar, yaygın kaygı bozukluğu,
okul korkusu, SCARED toplam puanı ve depresyon açısından iki grupta da ön
test-son test sonuçları arasında anlamlı fark bulunmamıştır. Çalışma, uygulanan
okul temelli BDGT’nin çocuklarda kaygı belirtilerini azaltmada etkili olduğuna
dair birtakım kanıtlar sunmaktadır.
Kaynakça
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- Barrett, P. M., Sonderegger, R. ve Sonderegger, N. L. (2001). Evaluation of an anxiety-prevention and positive-coping program (FRIENDS) for children and adolescents of non-English-speaking background. Behaviour Change, 18, 78-91.
- Barrett, P., Healy-Farrell, L. ve March, J. S. (2004). Cognitive–behavioral family treatment of childhood obsessive–compulsive disorder: A controlled trial. Journal of the American Academy of Child & Adolescent Psychiatry, 43, 46–62.
- Barrington, J., Prior, M., Richardson, M. ve Allen, K. (2005). Effectiveness of CBT versus standard treatment for childhood anxiety disorders in a community clinic setting. Behaviour Change, 22, 29-43.
- Beesdo, K., Knappe, S. ve Pine, D. S. (2009). Anxiety and anxiety disorders in children and adolescents: Developmental issues and implications for DSM-V. Psychiatric Clinics of North America, 32, 483-524.
- Birmaher, B., Khetarpal, S., Brent, D., Cully, M., Balach, L., Kaufman, J. ve Neer, S. M. (1997). The Screen for Child Anxiety Related Emotional Disorders (SCARED): Scale construction and psychometric characteristics. Journal of the American Academy of Child & Adolescent Psychiatry, 36, 545-553.
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Efficacy of a School Based Cognitive Behavioral Group Psychotherapy for Anxious Children: A Pilot Study
Yıl 2018,
, 91 - 121, 31.01.2018
Zümrüt Gedik
,
Füsun Gökkaya
,
Serap Tekinsav Sütcü
Öz
This study aimed to test the efficacy of a school based cognitive
behavioral group psychotherapy (CBGP) in children with elevated anxiety. This
randomized controlled study compared pre-test and post-test Screen for Child
Anxiety Related Emotional Disorders (SCARED), State-Trait Anxiety Inventory for
Children and Depression Scale for Children scores of the experiment (N = 11) and control groups (N
= 11) following
a 9-session CBGP. Pre-test scores were compared using Mann-Whitney U test. Differences
between pre-test and post-test scores were examined using Wilcoxon Signed Rank
Test. There were significant differences in trait, separation, and social
anxiety post-test scores in the experiment but not in the control group. Effect
sizes of these measures were also high. In both groups, there were no
significant differences between panic disorder, generalized anxiety disorder,
school phobia, SCARED total, and depression pre-test and post-test scores. This
study provided some evidence on the efficacy of the school-based CBGP.
Kaynakça
- Albano, A. M., Marten, P. A., Holt, C. S., Heimberg, R. G. ve Barlow, D. H. (1995). Cognitive–behavioural group treatment for social phobia in adolescents: A preliminary study. Journal of Nervous & Mental Disease, 183, 685–692.
- Angold, A,, Costello, J. ve Erkanlı, A. (1999). Comorbidity. Journal of Child Psychology & Psychiatry, 40, 57-87.
- Aslan, H. ve Alparslan, N. (1999). Çocuk ve ergenlerdeki korkularla, kaygı ile depresyon düzeyleri ve fiziksel kötüye kullanım arasındaki ilişki. Çocuk ve Gençlik Ruh Sağlığı Dergisi, 6, 75-82.
- Barrett, P. M. (1998). Evaluation of cognitive–behavioural group treatments for childhood anxiety disorders. Journal of Clinical Child Psychology, 27, 459–468.
- Barrett, P. M., Sonderegger, R. ve Sonderegger, N. L. (2001). Evaluation of an anxiety-prevention and positive-coping program (FRIENDS) for children and adolescents of non-English-speaking background. Behaviour Change, 18, 78-91.
- Barrett, P., Healy-Farrell, L. ve March, J. S. (2004). Cognitive–behavioral family treatment of childhood obsessive–compulsive disorder: A controlled trial. Journal of the American Academy of Child & Adolescent Psychiatry, 43, 46–62.
- Barrington, J., Prior, M., Richardson, M. ve Allen, K. (2005). Effectiveness of CBT versus standard treatment for childhood anxiety disorders in a community clinic setting. Behaviour Change, 22, 29-43.
- Beesdo, K., Knappe, S. ve Pine, D. S. (2009). Anxiety and anxiety disorders in children and adolescents: Developmental issues and implications for DSM-V. Psychiatric Clinics of North America, 32, 483-524.
- Birmaher, B., Khetarpal, S., Brent, D., Cully, M., Balach, L., Kaufman, J. ve Neer, S. M. (1997). The Screen for Child Anxiety Related Emotional Disorders (SCARED): Scale construction and psychometric characteristics. Journal of the American Academy of Child & Adolescent Psychiatry, 36, 545-553.
- Breinholst, S., Esbjørn, B. H., Reinholdt-Dunne, M. L. ve Stallard, P. (2012). CBT for the treatment of child anxiety disorders: A review of why parental involvement has not enhanced outcomes. Journal of Anxiety Disorders, 26, 416-424.
- Chapell, M. S., Blanding, Z. B., Silverstein, M. E., Takahashi, M., Newman, B., Gubi, A. ve McCann, N. (2005). Test anxiety and academic performance in undergraduate and graduate students. Journal of Educational Psychology, 97, 268-274.
- Chiu, A. W., Langer, D. A., McLeod, B. D., Har, K., Drahota, A., Galla, B. M., Jacobs, J., Ifekwunigwe, M. ve Wood, J. J. (2013). Effectiveness of modular CBT for child anxiety in elementary schools. School Psychology Quarterly, 28, 141-153.
- Chorpita, B. F., Yim, L. M., Donkervoet, J. C., Arensdorf, A., Amundsen, M. J., McGee, C., Serrano, A., Yates, A., Burns, J. A. ve Morelli, P. (2002). Toward Large‐Scale Implementation of Empirically Supported Treatments for Children: A Review and Observations by the Hawaii Empirical Basis to Services Task Force. Clinical Psychology: Science and Practice, 9, 165-190.
- Cohen, J. (1988). Statistical power analysis for the behavioral sciences. Hillside, NJ: Earlbaum Associates.
- Costello, E. J., Egger, H. ve Angold, A. (2005). 10-year research update review: The epidemiology of child and adolescent psychiatric disorders: I. Methods and public health burden. Journal of the American Academy of Child & Adolescent Psychiatry, 44, 972-986.
- Çakmakçı, F. (2004). Çocuklarda Anksiyete Bozukluklarını Tarama Ölçeği geçerlik ve güvenirlik çalışması. Yayınlanmamış uzmanlık tezi, Kocaeli Üniversitesi, Kocaeli.
- Davis, T. E., May, A. ve Whiting, S. E. (2011). Evidence-based treatment of anxiety and phobia in children and adolescents: Current status and effects on the emotional response. Clinical Psychology Review, 31, 592-602.
- Dirik, G. ve Şahin, G. (2008). Kişilik özellikleri, hostilite (düşmanlık, öfke) ve sosyal desteğin miyokard infarktüsü (kalp krizi) geçiren hastaların kaygı ve depresyon düzeyleri ile ilişkisi. Uludağ Üniversitesi Fen Edebiyat Fakültesi Sosyal Bilimler Dergisi, 9(15), 249-266.
- Ehrenreich-May, J. ve Bilek, E. L. (2012). The development of a transdiagnostic, cognitive behavioral group intervention for childhood anxiety disorders and co-occurring depression symptoms. Cognitive and Behavioral Practice, 19, 41-55.
- Eisen, A. R. ve Silverman, W. K. (1993). Should I relax or change my thoughts? A preliminary examination of cognitive therapy, relaxation training, and their combination with overanxious children. Journal of Cognitive Psychotherapy, 7, 265-279.
- Fisak, B. J., Richard, D. ve Mann, A. (2011). The prevention of child and adolescent anxiety: A meta-analytic review. Prevention Science, 12, 255-268.
- Flannery-Schroeder, E.C. ve Kendall, P. C. (2000). Group and individual cognitive-behavioral treatments for youth with anxiety disorders: A randomized clinical trial. Cognitive Therapy and Research, 24, 251-278.
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