Cognitive-behavioral therapy (CBT) in the form of Emotive Behavior Therapy (REBT) Intervention on irrational Beliefs and Anxiety of adolescent girls with social anxiety

Document Type : Original Article

Authors

1 1. M.A general psychology, Payame Noor University (PNU), Mazandaran،Iran. mwlwdyastyrh@gmail.com. https://orcid.org/0000-0003-3583-2942

2 MSC Clinical Psychology of Islamic Azad University of Birjand, Iranhesam.arian1995@gmail.com https://orcid.org/

3 MSC graduate of general psychology, faculty of Educational Sciences and PsychologyAllameh Tabataba'i University, Tehran, Iran. https://orcid.org/0000-0002-6586-3005

4 MSC graduate of general psychology, faculty of Educational Sciences and Psychology, Semnan University, Semnan, Iran. farzi2396@gmail.com. https://orcid.org/0000-0002-9435-607X.

5 MSc. Clinical Psychology, Shahed University, Tehran, Iran. r.tagipoor@yahoo.com. https://orcid.org/0000-0003-0108-0156

Abstract

The current study used cognitive-behavioral therapy (CBT) in the form of rational emotive behavior therapy (REBT) intervention on irrational beliefs and anxiety of adolescent girls with social anxiety. A quasi-experimental design was utilized in this study, which involved a control group, a pre-test, and a post-test of samples taken from clinics in Tehran, of which 28 adolescent girls with social anxiety were selected through a purposive sampling method from November to January 2020. There were 14 participants in each of the experimental and control groups. Afterward, they were randomly assigned to experimental and control groups. The Hamilton Anxiety Rating Scale (HARS) and The Attitudes and Belief Scale 2 (ABS-2) were applied as pre-intervention phases. The experimental group (n=14) was treated with rational-emotive behavior therapy, for ten weekly 90 minutes sessions, while the control group (n=14) did not receive any treatment. As part of descriptive statistics, we used indices such as means and standard deviations that assessed central and dispersion. The test for inferential statistics was the repeated measure ANCOVA. Statistical analysis was performed using SPSS software (version 25). The significance level of the analysis was 0.05. Considering the results, there was a significant difference between the pretest and post-test results for irrational belief (89.44±34.82) and anxiety (81.67±27.09)indicating that the experimental group’s post-test scores were higher relative to their pre-test scores. Moreover, the experimental group’s post-test scores of anxiety decreased from the pre-test (81.67±27.09) to the post-test (52.48±15.54).

Keywords

References

Al‐Khudairy, L., Loveman, E., Colquitt, J. L., Mead, E., Johnson, R. E., Fraser, H., ... & Rees, K. (2017). Diet, physical activity, and behavioral interventions for the treatment of overweight or obese adolescents aged 12 to 17 years. Cochrane database of systematic reviews, (6). https://doi.org/10.1002/14651858.CD012691
American Psychiatric Association, D. S., & American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders: DSM-5 (Vol. 5). Washington, DC: American psychiatric association.
Asmand, P., Mami, S., & Valizadeh, R. (2015). The effectiveness of dialectical behavior therapy and rational emotive behavior therapy in irrational belief treatment among young male prisoners who have antisocial personality disorder in Ilam Prison. International Journal of Health-System and Disaster Management, 3(2), 68.
Balkıs, M., & Duru, E. (2019). The protective role of rational beliefs on the relationship between irrational beliefs, emotional states of stress, depression, and anxiety. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 37(1), 96-112.
Brookman, R., Bird, F., Harris, C. B., & Grant, K. A. (2022). Social anxiety disorder: associations with peer-liking, discrimination, and prejudicial feelings in early adolescent girls. Child Psychiatry & Human Development, 1-11. Child Psychiatry Hum Dev (2022). https://doi.org/10.1007/s10578-022-01336-5
Buschmann, T., Horn, R. A., Blankenship, V. R., Garcia, Y. E., & Bohan, K. B. (2018). The relationship between automatic thoughts and irrational beliefs predicting anxiety and depression. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 36(2), 137-162.
Cristea, I. A., Stefan, S., David, O., Mogoase, C., & Dobrean, A. (2016). Rational stories for children. A rational-emotive education protocol for approaching anxiety in children and adolescents based on the stories book the get magic and wonderful adventures of remain. In REBT in the treatment of anxiety disorders in children and adults (pp. 69-79). Springer, Cham. https://doi.org/10.1007/978-3-319-18419-7_5
David, D., Cotet, C., Matu, S., Mogoase, C., & Stefan, S. (2018). 50 years of rational‐emotive and cognitive‐behavioral therapy: A systematic review and meta‐analysis. Journal of clinical psychology, 74(3), 304-318.
David, D., Cotet, C., Matu, S., Mogoase, C., & Stefan, S. (2018). 50 years of rational‐emotive and cognitive‐behavioral therapy: A systematic review and meta‐analysis. Journal of clinical psychology, 74(3), 304-318.
Ede, M.O., Adene, F.M., Okeke, C.I. et al. The Effect of Rational Emotive Behaviour Therapy on Post-Traumatic Depression in Flood Victims. J Rat-Emo Cognitive-Behav Ther 40, 124–143 (2022). https://doi.org/10.1007/s10942-021-00401-7
Eseadi, C., Anyanwu, J.I., Ogbuabor, S.E. et al. Effects of Cognitive Restructuring Intervention Program of Rational-Emotive Behavior Therapy on Adverse Childhood Stress in Nigeria. J Rat-Emo Cognitive-Behav Ther 34, 51–72 (2016). https://doi.org/10.1007/s10942-015-0229-4
Habibi, N., Bazzazian, S., & Ahadi, H. (2021). Effectiveness of Cognitive Behavioral Therapy and Rational Emotive Behavior Therapy in Reducing Social Anxiety among Overweight Adolescents. Razavi International Journal of Medicine, 9(1), 57-62.
Hamilton, M. A. X. (1959). The assessment of anxiety states by rating. British journal of medical psychology.32(1):50–5. doi: 10.1111/j.2044-8341. 1959.tb00467.x.
Hickey, M., & Schwartz, S. (2020). RE-CBT in the Treatment of Anxiety, Fears, and Phobias Among Youth. In Rational-Emotive and Cognitive-Behavioral Approaches to Child and Adolescent Mental Health: Theory, Practice, Research, Applications. (pp. 161-182). Springer, Cham.
Hyland, P., Shevlin, M., Adamson, G., & Boduszek, D. (2014). Modeling the structure of the Attitudes and Belief Scale 2 using CFA and bifactor approaches: Toward the development of an abbreviated version. Cognitive behavior therapy, 43(1), 60-71. DOI: 10.1080/16506073.2013.777467.
Kavyani, H., Mossavi, A. S., & Mohit, A. (2001). Psychological Scales and Interviews. Tehran: Sana Publications, 179-205.
Lima, R. A., de Barros, M. V. G., Dos Santos, M. A. M., Machado, L., Bezerra, J., & Soares, F. C. (2020). The synergic relationship between social anxiety, depressive symptoms, poor sleep quality, and body fatness in adolescents. Journal of Affective Disorders, 260, 200-205.
Mezo, P. G., Callanan, T. S., Radu, G. M., & English, M. M. (2018). Irrational beliefs and self-management as separable predictors of anxiety and depression. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 36(2), 172-186. https://doi.org/10.1007/s10942-017-0280-4
Moon, J. R., Huh, J., Song, J., Kang, I. S., Park, S. W., Chang, S. A., ... & Han, J. S. (2021). The effects of rational emotive behavior therapy for depressive symptoms in adults with congenital heart disease. Heart & Lung, 50(6), 906-913. https://doi.org/10.1016/j.hrtlng.2021.07.011
Ogbuanya, T. C., Eseadi, C., Orji, C. T., Anyanwu, J. I., Ede, M. O., & Bakare, J. (2018). Effect of rational emotive behavior therapy on negative career thoughts of students in technical colleges in Nigeria. Psychological Reports, 121(2), 356-374.https://doi. org/10.1177/0033294117724449
Oltean, H. R., & David, D. O. (2018). A meta‐analysis of the relationship between rational beliefs and psychological distress. Journal of clinical psychology, 74(6), 883-895.
Oltean, H. R., Hyland, P., Vallières, F., & David, D. O. (2017). An empirical assessment of REBT models of psychopathology and psychological health in the prediction of anxiety and depression symptoms. Behavioral and cognitive psychotherapy, 45(6), 600-615.
Popa, C., & Predatu, R. (2019). The effect of an integrative CBT/REBT intervention in improving emotional functioning and emotional stability in Romanian medical students. Journal of Evidence-Based Psychotherapies, 19(1).
Rodgers, N. H., Lau, J. Y., & Zebrowski, P. M. (2022). Examining the Effects of Stuttering and Social Anxiety on Interpretations of Ambiguous Social Scenarios Among Adolescents. Journal of Communication Disorders, 95, 106179.
Şahin, H., Türk, F. (2021). The Impact of Cognitive-Behavioral Group Psycho-Education Program on Psychological Resilience, Irrational Beliefs, and Well-Being. J Rat-Emo Cognitive-Behav Ther 39, 672–694. https://doi.org/10.1007/s10942-021-00392-5
Schenk, A., Popa, C. O., Olah, P., Suciu, N., & Cojocaru, C. (2020). The efficacy of rational emotive behavior therapy intervention in generalized anxiety disorder. Acta Marisiensis-Seria Medica, 66(4), 148-151.
Soares, F. C., Barros, M. V. G., Bezerra, J., Santos, S. J., Machado, L., & Lima, R. A. (2019). The synergic relationship of social anxiety, depressive symptoms and waist circumference in adolescents: A mediation analysis. Journal of affective disorders, 245, 241-245.https://doi.org/10.1016/j. jad.2018.10.366
Stein, D. J., Lim, C. C., Roest, A. M., De Jonge, P., Aguilar-Gaxiola, S., Al-Hamzawi, A., ... & Scott, K. M. (2017). The cross-national epidemiology of social anxiety disorder: Data from the World Mental Health Survey Initiative. BMC medicine, 15(1), 1-21. doi:10.1186/s12916-017-0889-2
Turner, M. J. (2016). Rational emotive behavior therapy (REBT), irrational and rational beliefs, and the mental health of athletes. Frontiers in Psychology, 7, 1423. https://doi.org/10.3389/fpsyg.2016.01423
Vîslă, A., Flückiger, C., Grosse Holtforth, M., & David, D. (2016). Irrational beliefs and psychological distress: A meta-analysis. Psychotherapy and psychosomatics, 85(1), 8-15.
Wilhelm, S., Phillips, K. A., Greenberg, J. L., O’Keefe, S. M., Hoeppner, S. S., Keshaviah, A., ... & Schoenfeld, D. A. (2019). Efficacy and posttreatment effects of therapist-delivered cognitive behavioral therapy vs supportive psychotherapy for adults with body dysmorphic disorder: a randomized clinical trial. JAMA Psychiatry, 76(4), 363-373.https://doi. org/10.1001/jamapsychiatry.2018.4156
Wood, A. G., Barker, J. B., & Turner, M. J. (2017). Developing performance using rational emotive behavior therapy (REBT): A case study with an elite archer. The Sport Psychologist, 31(1), 78-87. https://doi. org/10.1123/tsp.2015-0083
Preventive Counseling
Volume 3, Issue 2
July 2022
Pages 47-59

Files

Share

How to cite

Statistics