Effects of Cognitive Behavioral Therapy Program on Mental Health Problems in Children Dealing with Trauma: Focused on Community District Victimized by Oil Spill
ABSTRACT This study was done to evaluate the effects of cognitive behavioral therapy in a victimized community district and to determine if the program is an effective nursing intervention to reduce posttraumatic stress disorder symptom, depression and state anxiety.
A nonequivalent control group design was used for the study. The participants, 32 elementary school students, were selected from grades 4, 5, 6 and each student was assigned to either the experimental (16) or control (16) group. Cognitive behavioral therapy was used as the experimental treatment from April 9 to May 28, 2009. The experimental group received cognitive behavior therapy intervention 8 times. Data analysis was done using ANCOVA with SPSS 17.0.
After the intervention, the experimental group showed significantly lower levels of posttraumatic stress disorder symptoms than the control group.
The findings from this study suggest that cognitive behavioral therapy is an effective nursing intervention to decrease the level of mental health problems of children in victimized district. Further research is required in order to identify the continuous effects of cognitive behavioral therapy.
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ABSTRACT: To determine whether cognitive behavioural interventions would improve the quality of life in Chinese heroin addicts. Drug dependence is one of the most serious health problems in the world, representing a real menace to mental and somatic health. However, effects of cognitive behavioural interventions on quality of life in Chinese heroin addicts are unclear. This randomised controlled study was conducted at a Drug-withdrawal Rehabilitation Center in China. Following ethics approval and heroin addicts' consent, 240 heroin addicts were randomly assigned to two groups. The experimental group (n = 120) received a six-month cognitive behavioural intervention comprising education intervention and behavioural intervention developed by the investigators. The control group (n = 120) received the hospital's routine care. The effects of the interventions on patients' quality of life were evaluated at baseline and six months and were compared. A Chinese version of Quality of Life in Drug Addiction Questionnaire was used in this study. Usefulness of the intervention and usual community services was evaluated at six months. The quality of life of participants with heroin addiction with physical and psychological disorders is poor. The experimental group showed a significant improvement in quality of life after nurse-managed cognitive behavioural intervention. The quality of life and the health status of Chinese heroin addicts were improved after they received a nurse-managed cognitive behavioural intervention. Appropriate nurse-managed cognitive behavioural intervention for heroin addicts can improve their quality of life and promote their health. It is important for clinical nurses to understand cognitive behavioural therapy, appraisal and coping to apply knowledge in practice when dealing with a client who has heroin addiction.Journal of Clinical Nursing 07/2013; DOI:10.1111/jocn.12287 · 1.23 Impact Factor