Εφαρμογή και αξιολόγηση της αποτελεσματικότητας ενός ψυχοεκπαιδευτικού προγράμματος για τη μείωση του άγχους και την αύξηση της ψυχικής ανθεκτικότητας σε μαθητές ηλικίας 10 έως 12 ετών


Ανδρέας Μπρούζος
https://orcid.org/0000-0002-3176-0390
Ειρήνη Αποστολάκη
Abstract

Anxiety rates appear elevated in childhood, creating a risk of developing anxiety disorders in the future. The literature has shown that a protective factor against anxiety is resilience of the individual, as it can mitigate its symptoms and/or reduce the chances of its occurrence in children and adolescents. Despite the negative relationship between the two variables, few interventions are found in the literature that address anxiety prevention, while those that are found use a specific approach. The aim of the present study is to implement and evaluate the effectiveness of a six-session psychoeducational program to reduce anxiety and increase mental resilience in children. The research involved 103 students (intervention group: n = 54 and control group: n = 49), aged 10 to 12 years (Mage = 11.1, SD = 0.77), who were invited to complete a) the Revised Scale of Manifest Child Anxiety (CMAS-R) by Reynolds and Richmond (1979) and b) the Greek version of the Mental Resilience Scale (CD-RISC- Greek version) by Connor et al. (2012) before the intervention, after it was completed and two months after the end of the intervention. The analysis of the results showed that the participants in the intervention group noted a decrease in anxiety levels, while they showed a significant increase in resilience, compared to the control group, which did not note any change. No change was observed in reducing social anxiety/concentration in either group. The results were maintained two months after the end of the intervention. These findings support the effectiveness of the psychoeducational program both in terms of reducing anxiety and increasing resilience in children and adolescents. The present research is food for thought for future research in this field.


Key-words: Anxiety, Resilience, students, psychoeducational program

Article Details
  • Section
  • Journal Articles
Downloads
Download data is not yet available.
References
Αγγελοσοπούλου, Α. (2011). “Ο Αγχόσαυρος”: Σχεδιασμός, Κατασκευή, Εφαρμογή και Αξιολόγηση ενός Ψυχοεκπαιδευτικού Προγράμματος για την Πρόληψη και Διαχείριση των εσωτερικευμένων προβλημάτων. (Διδακτορική Διατριβή, Πανεπιστήμιο Θεσσαλίας), Βόλος.
Αγγελοσοπούλου, Α., Ι., Ρούση - Βέργου, Χ., & Ζαφειροπούλου, Μ. (2020). “Αnxioussaure”: A CBT psychoeducational programme for children’s anxiety. Programme development and pilot study. Psychology: the Journal of the Hellenic Psychological Society, 19(3), 245-262. https://doi.org/10.12681/psy_hps.23621
Aldridge, J. M., McChesney, K., & Afari, E. (2020). Associations between school climate and student life satisfaction: Resilience and bullying as mediating factors. Learning Environments Research, 23(1), 129-150. https://doi.org/10.1007/s10984-019-09296-9
American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (5th. Ed.). APA.
American Psychological Association (2011). Resilience Guide for Parents and Teachers. Retrieved from: http://www.apa.org/helpcenter/resilience.aspx
Anyan, F., & Hjemdal, O. (2016). Adolescent stress and symptoms of anxiety and depression: Resilience explains and differentiates the relationships. Journal of Affective Disorders, 203, 213–220. https://doi.org/10.1016/j.jad.2016.05.031
Βασιλόπουλος, Σ. Φ., Κουτσοπούλου, Ι., & Ρέγκλη, Δ. (2011). Ψυχοεκπαιδευτικές ομάδες για παιδιά: Θεωρία και πράξη. Εκδόσεις Γρηγόρη.
Βασιλόπουλος, Σ., Μπρούζος, Α., & Μπαούρδα, Β. (2016). Ψυχοεκπαιδευτικά Ομαδικά Προγράμματα για Παιδιά και Εφήβους. Εκδόσεις Gutenberg.
Blair, C., McKinnon, R. D., & Daneri, M. P. (2018). Effect of the tools of the mind kindergarten program on children’s social and emotional development. Early Childhood Research Quarterly, 43, 52-61. https://doi.org/10.1016/j.ecresq.2018.01.002
Connor, K. M., & Davidson, J. R. (2003). Development of a new resilience scale: The Connor‐Davidson resilience scale (CD‐RISC). Depression and Anxiety, 18(2), 76-82. https://doi.org/10.1002/da.10113
Connor, K. M., Davidson, J. R., ∆ουζένης, Α., Τσίτας, Ν., & Τσιγκαροπούλου, Ε. (2012). Κλίµακα Κόνορ-Ντέιβιντσον για την Ανθεκτικότητα (CD-RISC-25). [Αδημοσίευτη επίσημη μετάφραση της Κλίμακας Connor-Davidson Resilience Scale CD-RISC].
Cox, R. B., Brosi, M., Spencer, T., & Masri, K. (2021). Hope, stress, and post-divorce child adjustment: Development and evaluation of the co-parenting for resilience program. Journal of Divorce & Remarriage, 62(2), 144-163.https://doi.org/10.1080/10502556.2021.1871831
Enrique, A., Mooney, O., Salamanca-Sanabria, A., Lee, C. T., Farrell, S., & Richards, D. (2019). Assessing the efficacy and acceptability of an internet-delivered intervention for resilience among college students: A pilot randomized control trial protocol. Internet Interventions, 17, 100254. https://doi.org/10.1016/j.invent.2019.100254
Essau, C. A., Conradt, J., Sasagawa, S., & Ollendick, T. H. (2012). Prevention of anxiety symptoms in children: Results from a universal school-based trial. Behavior Therapy, 43(2), 450-464. https://doi.org/10.1016/j.beth.2011.08.003
Felver, J. C., Clawson, A. J., Morton, M. L., Brier-Kennedy, E., Janack, P., & DiFlorio, R. A. (2019). School-based mindfulness intervention supports adolescent resiliency: A randomized controlled pilot study. International Journal of School & Educational Psychology, 7(sup1), 111-122. https://doi.org/10.1080/21683603.2018.1461722
Finning, K., Ukoumunne, O. C., Ford, T., Danielson-Waters, E., Shaw, L., Romero De Jager, I., Stentiford, L., & Moore, D. A. (2019). Review: The association between anxiety and poor attendance at school - a systematic review. Child and Adolescent Mental Health, 24(3), 205–216. https://doi.org/10.1111/camh.12322
Fullana, M. A., Tortella-Feliu, M., De La Cruz, L. F., Chamorro, J., Pérez-Vigil, A., Ioannidis, J. P., Solanes, A., Guardiola, M., Almodóvar, C., Miranda-Olivos, R., Ramella-Cravaro, V., Vilar, A., Reichenberg, A.,Mataix-Cols, D., Vieta, E., Fusar-Poli, P., Fatjó-Vilas, M., & Radua, J. (2020). Risk and protective factors for anxiety and obsessive-compulsive disorders: an umbrella review of systematic reviews and meta-analyses. Psychological Medicine, 50(8), 1300-1315. https://doi.org/10.1017/S0033291719001247
Galante, J., Dufour, G., Vainre, M., Wagner, A. P., Stochl, J., Benton, A., Lathia, N., Howarth, E., & Jones, P. B. (2018). A mindfulness-based intervention to increase resilience to stress in university students (the Mindful Student Study): a pragmatic randomized controlled trial. The Lancet Public Health, 3(2), 72-81. https://doi.org/10.1016/S24682667(17)30231-1
Galante, J., Stochl, J., Dufour, G., Vainre, M., Wagner, A. P., & Jones, P. B. (2021). Effectiveness of providing university students with a mindfulness-based intervention to increase resilience to stress: 1-year follow-up of a pragmatic randomized controlled trial. Journal of Epidemiology and Community Health, 75(2), 151-160. https://doi.org/10.1136/jech-2020-214390
Garcia, I., & O’Neil, J. (2021). Anxiety in adolescents. The Journal for Nurse Practitioners, 17(1), 49-53. https://doi.org/10.1016/j.nurpra.2020.08.021
Gholamalizadeh, S., Asghari, F., & Farhangi, A. (2018). The effectiveness of child-centered play therapy on social anxiety and communication skills of preschool children. Indian Journal of Forensic Medicine & Toxicology, 12(1), 198. http://doi.org/10.5958/0973-9130.2018.00039.7
Göttken, T., White, L. O., Klein, A. M., & von Klitzing, K. (2014). Short-term psychoanalytic child therapy for anxious children: a pilot study. Psychotherapy, 51(1), 148. https://doi.org/10.1037/a0036026
Gurgan, U. (2020). The effect of psychodrama integrated psycho-education program on resilience and divorce adjustment of children of divorced families. World Journal of Education, 10(1), 56-68. http://doi.org/10.5430/wje.v10n1p56
Ivaşcu, R. A., & Vladislav, E. O. (2020). Resilience in children with a divorce history in their origin families-A case study on a preadolescent. Journal of Experiential Psychotherapy/Revista de PSIHOterapie Experientiala, 23(3), 14-24.
James, A. C., Reardon, T., Soler, A., James, G., & Creswell, C. (2020). Cognitive behavioral therapy for anxiety disorders in children and adolescents. Cochrane Database of Systematic Reviews, (11), 1-287. https://doi.org/10.1002/14651858.CD013162.pub2
Kalin, N. H. (2021). Anxiety, depression, and suicide in youth. American Journal of Psychiatry, 178(4), 275-279. https://doi.org/10.1176/appi.ajp.2020.21020186
Kessler, R. C., Petukhova, M., Sampson, N. A., Zaslavsky, A. M., & Wittchen, H. U. (2012). Twelve‐month and lifetime prevalence and lifetime morbid risk of anxiety and mood disorders in the United States. International Journal of Methods in Psychiatric Research, 21(3), 169-184. https://doi.org/10.1002/mpr.1359
Kocatürk, M., & Çiçek, İ. (2023). Relationship between positive childhood experiences and psychological resilience in university students: The mediating role of self-esteem. Journal of Psychologists and Counsellors in Schools, 33(1), 78-89. https://doi.org/10.1017/jgc.2021.16
Leys, C., Arnal, C., Kotsou, I., Van Hecke, E., & Fossion, P. (2020). Pre-eminence of parental conflicts over parental divorce regarding the evolution of depressive and anxiety symptoms among children during adulthood. European Journal of Trauma & Dissociation, 4(1), 100102. https://doi.org/10.1016/j.ejtd.2019.02.005
Li, C., & Dewaele, J. M. (2021). How classroom environment and general grit predict foreign language classroom anxiety of Chinese EFL students. Journal for the Psychology of Language Learning, 3(2), 86-98. https://doi.org/10.52598/jpll/3/2/6
Liu, X., Cao, X., & Gao, W. (2022). Does low self-esteem predict anxiety among Chinese college students?. Psychology Research and Behavior Management, 1481-1487. https://doi.org/10.2147/prbm.s361807
Mammarella, I. C., Caviola, S., Rossi, S., Patron, E., & Palomba, D. (2023). Multidimensional components of (state) mathematics anxiety: Behavioral, cognitive, emotional, and psychophysiological consequences. Annals of the New York Academy of Sciences, 1523(1), 91-103. https://doi.org/10.1111/nyas.14982
Martínez-Pampliega, A., Aguado, V., Corral, S., Cormenzana, S., Merino, L., & Iriarte, L. (2015). Protecting children after a divorce: Efficacy of Egokitzen—An intervention program for parents on children’s adjustment. Journal of Child and Family Studies, 24(12), 3782-3792. https://doi.org/10.1007/s10826-015-0186-7
Martínez-Pampliega, A., Herrero, M., Sanz, M., Corral, S., Cormenzana, S., Merino, L., Iriarte, L., Ochoa de Alta, I., Alcaniz, L., & Alvarez, I. (2021). Is the Egokitzen post-divorce intervention program effective in the community context?. Children and Youth Services Review, 129, 106220. https://doi.org/10.1016/j.childyouth.2021.106220
Μητροπούλου, Α. (2012). Υλοποίηση κι αξιολόγηση ψυχοεκπαιδευτικού προγράμματος για τη μείωση του κοινωνικού άγχους σε παιδιά του δημοτικού μέσω της ενίσχυσης των κοινωνικών δεξιοτήτων τους με έμφαση στη γνωστική αναδόμηση. (Μεταπτυχιακή εργασία, Πανεπιστήμιο Ιωαννίνων), Ιωάννινα.
Mohammadi, M. R., Ahmadi, N., Yazdi, F. R., Khaleghi, A., Mostafavi, S. A., Hooshyari, Z., Molavi, P., Sarraf, N., Hojjat, S.K., Mohammadzadeh, S., Amir, S., Arman, S., Ghanizadeh, A., Ahmadipour, A., Ostovar, R., Nazari, H., Hosseini, S. H., Golbon, A., Derakhshanpour, F., Delpisheh, A., & Mehrparvar, A. H. (2020). Prevalence, comorbidity and predictors of anxiety disorders among children and adolescents. Asian Journal of Psychiatry, 53, 102059. https://doi.org/10.1016/j.ajp.2020.102059
Μπρούζος, Α., Βασιλόπουλος, Σ., Μισαηλίδη, Π., Κάτσιου, Π., & Μπαούρδα, Β. (2018). Αξιολόγηση των ομαδικών διαδικασιών σε ένα ψυχοεκπαιδευτικό πρόγραμμα για τη διαχείριση του θυμού μέσω τέχνης σε παιδιά ηλικίας 7 έως 9 ετών. Επιθεώρηση Συμβουλευτικής και Προσανατολισμού, 113-114, 417-430.
Μπρούζος, Α., & Κοσσυβάκη, Φ. (2011). Η μετάβαση από το δημοτικό σχολείο στο γυμνάσιο: Δυσκολίες και προκλήσεις. Επιστήμες της Αγωγής, Θεματικό Τεύχος, 149-162.
Ng, R., Ang, R. P., & Ho, M.-H. R. (2012). Coping with anxiety, depression, anger and aggression: The mediational role of resilience in adolescents. Child & Youth Care Forum, 41(6), 529–546. https://doi.org/10.1007/s10566-012-9182-x
Nila, K., Holt, D. V., Ditzen, B., & Aguilar-Raab, C. (2016). Mindfulness-based stress reduction (MBSR) enhances distress tolerance and resilience through changes in mindfulness. Mental Health & Prevention, 4(1), 36-41. https://doi.org/10.1016/j.mhp.2016.01.001
Noormohamadi, S. M., Arefi, M., Afshaini, K., & Kakabaraee, K. (2022). The effect of rational-emotive behavior therapy on anxiety and resilience in students. International Journal of Adolescent Medicine and Health, 34(1), 20190099. https://doi.org/10.1515/ijamh-2019-0099
Nousse Graham, V., Enright, R. D., & Klatt, J. S. (2012). An educational forgiveness intervention for young adult children of divorce. Journal of Divorce & Remarriage, 53(8), 618-638. https://doi.org/10.1080/10502556.2012.725347
Pandya, S. P. (2017). Spirituality for building resilience in children of divorced parents: A cross-country experimental study. Journal of Divorce & Remarriage, 58(6), 447-468. https://doi.org/10.1080/10502556.2017.1343554
Parks, A. C., Williams, A. L., Tugade, M. M., Hokes, K. E., Honomichl, R. D., & Zilca, R. D. (2018). Testing a scalable web and smartphone- based intervention to improve depression, anxiety, and resilience: A randomized controlled trial. International Journal of Wellbeing, 8(2), 1-46. https://doi.org/10.5502/ijw.v8i2.745
Portillo-Reyes, V., Capps, J. W., Loya-Mèndez, Y., Reyes-Leal, G., & Quiñones-Soto, J. (2020). Daily stress and coping strategies: Relationships with anxiety and resilience in preadolescents from Ciudad Juarez, Mexico. Current Psychology, 41(4), 1881-1891. https://doi.org/10.1007/s12144-020-00682-8
Pramana, G., Parmanto, B., Kendall, P. C., & Silk, J. S. (2014). The SmartCAT: An m-health platform for ecological momentary intervention in child anxiety treatment. Telemedicine and E-Health, 20(5), 419–427. https://doi.org/10.1089/tmj.2013.0214
Reynolds, C. R., Bradley, M., & Steele, C. (1980). Preliminary norms and technical data for use of the Revised‐Children's Manifest Anxiety Scale with kindergarten children. Psychology in the Schools, 17(2), 163-167. https://doi.org/10.1002/1520-6807(198004)17:2%3C163::AID-PITS2310170204%3E3.0.CO;2-0
Reynolds, C. R., & Richmond, B. O. (1978). What I Think and Feel: A revised measure of children’s manifest anxiety. Journal of Abnormal Child Psychology, 6, 271-280. https://doi.org/10.1007/BF00919131
Reynolds, C. R., & Richmond, B. O. (1979). Factor structure and construct validity of “What I Think and Feel:” The Revised Children’s Manifest Anxiety Scale. Journal of Personality Assessment, 43, 281-283. https://doi.org/10.1207/s15327752jpa4303_9
Ruttledge, R., Devitt, E., Greene, G., Mullany, M., Charles, E., Frehill, J., & Moriarty, M. (2016). A randomized controlled trial of the FRIENDS for Life emotional resilience program delivered by teachers in Irish primary schools. Educational & Child Psychology, 33(2), 69-89.
Şahin, H., & Türk, F. (2021). The impact of cognitive-behavioral group psycho-education program on psychological resilience, irrational beliefs, and well-being. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 39(4), 672-694. https://doi.org/10.1007/s10942-021-00392-5
Stallard, P., Skryabina, E., Taylor, G., Phillips, R., Daniels, H., Anderson, R., & Simpson, N. (2014). Classroom-based cognitive behaviour therapy (FRIENDS): A cluster randomised controlled trial to Prevent Anxiety in Children through Education in Schools (PACES). The Lancet Psychiatry, 1(3), 185–192. https://doi.org/10.1016/S2215-0366(14)70244-5
Stein, D. J., Ipser, J., & McAnda, N. (2009). Pharmacotherapy of posttraumatic stress disorder: A review of meta-analyses and treatment guidelines. CNS Spectrums, 14(1 Suppl 1), 25-31.
Suranata, K. (2019). The pilot study of SMART-Resilience a psycho-educational program. COUNS-EDU: The International Journal of Counseling and Education, 4(3), 121-128. https://doi.org/10.23916/0020190424230
Suranata, K., Atmoko, A., & Hidayah, N. (2017). Enhancing students' resilience: comparing the effect of cognitive-behavior and strengths-based counseling. In 2nd International Conference on Innovative Research Across Disciplines (ICIRAD 2017) (pp. 102-108). Atlantis Press. https://doi.org/10.2991/icirad-17.2017.20
Suranata, K., Rangka, I. B., & Permana, A. A. J. (2020). The comparative effect of internet-based cognitive behavioral counseling versus face-to-face cognitive behavioral counseling in terms of student’s resilience. Cogent Psychology, 7(1), 1751022. https://doi.org/10.1080/23311908.2020.1751022
Suranata, K., Susiani, K., Susanto, E., & Novitasari, Y. (2019). Evaluation of the effectiveness of smart-resilience interventions for middle school students: A pilot study. International Journal of Innovation, Creativity and Change, 5(5), 40-59.
Swan, K. L., Kaff, M., & Haas, S. (2019). Effectiveness of group play therapy on problematic behaviors and symptoms of anxiety of preschool children. The Journal for Specialists in Group Work, 44(2), 82-98. https://doi.org/10.1080/01933922.2019.1599478
Tsigkaropoulou, E., Douzenis, A., Tsitas, N., Ferentinos, P., Liappas, I., & Michopoulos, I. (2018). Greek version of the Connor-Davidson resilience scale: Psychometric properties in a sample of 546 subjects. in vivo, 32(6), 1629-1634. https://doi.org/10.21873/invivo.11424
Vassilopoulos, S. P., Brouzos, A., Damer, D. E., Mellou, A., & Mitropoulou, A. (2013). A psychoeducational school-based group intervention for socially anxious children. The Journal for Specialists in Group Work, 8(4), 307-329. https://doi.org/10.1080/01933922.2013.819953
Vos, T., Lim, S. S., Abbafati, C., Abbas, K. M., Abbasi, M., Abbasifard, M., ... & Bhutta, Z. A. (2020). Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019: A systematic analysis for the Global Burden of Disease Study 2019. The Lancet, 396(10258), 1204-1222. https://doi.org/10.1016/S0140-6736(20)30925-9
Yamamoto, T., Matsumoto, Y., & Bernard, M. E. (2017). Effects of the cognitive-behavioral you can do it! Education program on the resilience of Japanese elementary school students: a preliminary investigation. International Journal of Educational Research, 86, 50-58. https://doi.org/10.1016/j.ijer.2017.08.006
Yang, X., Fang, Y., Chen, H., Zhang, T., Yin, X., Man, J., Yang, L., & Lu, M. (2021). Global, regional and national burden of anxiety disorders from 1990 to 2019: Results from the Global Burden of Disease Study 2019. Epidemiology and Psychiatric Sciences, 30, Article e36. https://doi.org/10.1017/S2045796021000275
Yati, M., Wahyuni, S., & Islaeli, I. (2017). The effect of storytelling in a play therapy on anxiety level in pre-school children during hospitalization in the general hospital of Buton. Public Health of Indonesia, Kendari, 3(3), 96-101. http://dx.doi.org/10.36685/phi.v3i3.134
Most read articles by the same author(s)