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Effects of Cognitive-Behavioral Therapy on Mental Health of High-School Students during COVID-19 Pandemic

Document Type : Research Article (s)

Authors

1 Department of Physical Education, North Tehran Branch, Islamic Azad University, Tehran, Iran

2 Department of Physical Education, Urmia Branch, Islamic Azad University, Urmia, Iran

3 Department of Physical Education, Tabriz Branch, Islamic Azad University, Tabriz, Iran

Abstract

Background: New mutations of COVID-19 and a lack of adequate vaccination necessitate finding certain methods to enhance mental health of adolescents during the pandemic. The present study aimed to investigate the effects of Cognitive-Behavioral Therapy on mental health of adolescents during COVID-19 pandemic.
Methods: The present research applied an experimental design with pretest and posttest in 2020. The subjects herein included 65 high-school students, randomly divided into the intervention and control groups. The intervention group received three months of intervention based on Cognitive-Behavioral Therapy while the control group performed regular daily activities. Depression, anxiety, and stress were measured using standard questionnaires before and after the intervention as well as three months later. Independent t test and ANCOVA were utilized for data analysis.
Results: At the baseline, 58 students (89.2%) had moderate depression, 37 students (56.9%) had severe anxiety, and 45 students (69.2%) had moderate stress. No significant differences were observed between the groups at the baseline (all P>0.05). Following the intervention, 53 students (81.6%) had moderate depression, 37 students (56.9%) had moderate anxiety, and 31 students (47.7%) had moderate stress. These results remained almost the same in the follow-up test. Moreover, Cognitive-Behavioral Therapy significantly reduced depression (p <0.001), anxiety (p <0.001), and stress (p <0.001) in the posttest and follow-up compared with those in the control group.
Conclusion: These results highlighted the importance of developing strategies such as Cognitive-Behavioral Therapy for improving mental health of adolescents during COVID-19 pandemic.

Keywords

References
1. Gul MK, Demirci E. Psychiatric Disorders and Symptoms in Children and Adolescents During the COVID-19 Pandemic: A Review. Eurasian Journal of Medicine and Oncology.2021;5(1):20-36. ## 2. Hosseini FB, Ghorbani S, Rezaeshirazi R. Effects of Perceived Autonomy Support in the Physical Education on Basic Psychological Needs Satisfaction, Intrinsic Motivation and Intention to Physical Activity in High-School Students. Int J School Health. 2020;7(4):39-46. doi: 10.30476/intjsh.2020.88171.1106. ## 3. Gholidahaneh MG, Ghorbani S, Esfahaninia A. Effects of Basic Psychological Needs Satisfaction in the Physical Education on Leisure-Time Physical Activity Behavior of Primary School Students: Mediating Role of Autonomous Motivation. Int J School Health. 2020;7(2):46-53. doi:10.30476/intjsh.2020.86028.1068. ## 4. Ghorbani S, Noohpisheh S, Shakki M. Gender Differences in the Relationship between Perceived Competence and Physical Activity in Middle School Students: Mediating Role of Enjoyment. Int J School Health, 2020;7(2):14-20. doi: 10.30476/intjsh.2020.85668.1056. ## 5. Hammami A, Harrabi B, Mohr M, Krustrup P. Physical Activity and Coronavirus Disease 2019 (COVID-19): Specific Recommendations for Home-Based Physical Training. Managing Sport and Leisure.2020. doi:10.1080/ 23750472.2020.1757494. ## 6. Gobbi E, Maltagliati S, Sarrazin P, di Fronso S, Colangelo A, Cheval B, et al Promoting Physical Activity during School Closures Imposed by the First Wave of the COVID-19 Pandemic: Physical Education Teachers’ Behaviors in France, Italy and Turkey. Int J Env Res Public Health.2020;17(24):9431. doi: 10.3390/ijerph17249431. PubMed PMID: 33339228; PubMed Central PMCID: PMC7767079. ## 7. Roe A, Blikstad-Balas M, Dalland CP. The Impact of COVID-19 and Homeschooling on Students’ Engagement with Physical Activity. Front Sports Act Living. 2021;2:589227. doi: 10.3389/fspor.2020.589227. PubMed PMID: 33585811; PubMed Central PMCID: PMC7873937. ## 8. Dunton GF, Do B, Wang SD. Early Effects of the COVID-19 Pandemic on Physical Activity and Sedentary Behavior in Children Living in the U.S. BMC Public Health. 2020;20(1):1351. doi: 10.1186/s12889-020-09429-3. PubMed PMID: 32887592; PubMed Central PMCID: PMC7472405. ## 9. Tulchin-Francis K, Stevens Jr W, Gu X, Zhang T, Roberts H, Keller J, et al. The Impact of the Coronavirus Disease 2019 Pandemic on Physical Activity in US Children. Journal of Sport and Health Science. 2021;10(3):323-332. doi: 10.1016/j.jshs.2021.02.005. ## 10. Dana A, Khajehaflaton S, Salehian MH, Sarvari S. Effects of an Intervention in Online Physical Education Classes on Motivation, Intention, and Physical Activity of Adolescents during the COVID-19 Pandemic. Int J School Health. 2021;8(3):141-149. doi: 10.30476/intjsh.2021.91103.1145. ## 11. Beck JS. Cognitive Behavior Therapy: Basics and Beyond. New York: The Guilford Press; 2011. pp. 19-20. ## 12. Benjamin CL, Puleo CM, Settipani CA, Brodman DM, Edmunds JM, Cummings CM, et al. History of Cognitive-Behavioral Therapy in Youth. Child Adolesc Psychiatr Clin N Am. 2011;20(2):179-89. doi: 10.1016/j.chc.2011.01.011. PubMed PMID: 21440849; PubMed Central PMC: 3077930. ## 13. Dana A, Soltani N, Fathizadan A, Rafiee S. Effectiveness of Mindfulness-Based Cognitive Behavioral Therapy on Cognitive and Resilience Abilities of Blind Athletes. Sport Psychology Studies. 2019;8(27):143-156. doi: 10.22089/spsyj.2018.5583.1586. ## 14. Araya R, Montgomery AA, Fritsch R, Gunnell D, Stallard P, Noble S, et al. School-Based Intervention to Improve the Mental Health of Low-Income, Secondary School Students in Santiago, Chile (YPSA): Study Protocol for a Randomized Controlled Trial. Trials. 2011;12:49. doi: 10.1186/1745-6215-12-49. PubMed PMID: 21333015; PubMed Central PMCID: PMC3050755. ## 15. Araya R, Fritsch R, Spears M, Rojas G, Martinez V, Barroilhet S, et al. School intervention to improve mental health of students in Santiago, Chile: a randomized clinical trial. JAMA Pediatr. 2013;167(11):1004-10. doi: 10.1001/jamapediatrics.2013.2361. PubMed PMID: 23999656. ## 16. Lee S, Lee E. Effects of Cognitive Behavioral Group Program for Mental Health Promotion of University Students. Int J Environ Res Public Health. 2020;17(10):3500. doi: 10.3390/ijerph17103500. PubMed PMID: 32429553; PubMed Central PMC: 7277724. ## 17. Beck AT, Steer RA, Brown GK. Beck Depression Inventory-Second Edition: Manual. The Psychological Corporation, San Antonio, TX; 1996. ## 18. Ghassemzadeh H, Mojtabai R, Karamghadiri N, Ebrahimkhani N. Psychometric Properties of a Persian-Language Version of the Beck Depression Inventory - Second edition: BDI-II-PERSIAN. Depress Anxiety. 2005;21(4):185-92. doi: 10.1002/da.20070. PubMed PMID: 16075452. ## 19. Beck AT, Steer RA. Manual for the Beck Anxiety Inventory. San Antonio, TX: Psychological Corporation; 1990. ## 20. Kaviani H, Mousavi AS. Psychometric Properties of the Persian Version of Beck Anxiety Inventory (BAI). Tehran Univ Med J. 2008;66(2):136-140. Persian. ## 21. Lovibond SH, Lovibond PF. Manual for the Depression Anxiety Stress Scales. Sydney: Psychology Foundation; 1995. ## 22. Samani S, Jokar B. Validity and reliability short-form version of the depression, anxiety and stress. J Soc Sci Humanit. 2008;26(3):65-77. ## 23. Punukollu M, Burns C, Marques M. Effectiveness of a Pilot School-Based Intervention on Improving Scottish Students’ Mental Health: A Mixed Methods Evaluation. International Journal of Adolescence and Youth. 2020;25(1):505-518. doi: 10.1080/02673843.2019.164167. ## 24. Avitsland A, Leibinger E, Resaland GK, Solberg RB, Kolle E, Dyrstad SM. Effects of School-Based Physical Activity Interventions on Mental Health in Adolescents: The School in Motion Cluster Randomized Controlled Trial. Mental Health and Physical Activity. 2020;19(1):100384. doi: 10.1016/j.mhpa.2020.100348. ##
International Journal of School Health
Volume 8, Issue 4 - Serial Number 31
October 2021
Pages 201-208
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