Objectives: The present study aimed to determine the effectiveness of cognitive-behavioral therapy on internalizing problems of children with externalizing disorders Methods: It was an experimental study with a pre-test/post-test control group design. Among the students of elementary schools of Tehran City, Iran, 90 boys were selected based on the mothers' report and the Child Behavior Checklist (CBCL) by convenience sampling method. Fifty students whose scores equaled 63 or higher in the externalizing scale were diagnosed as individuals with externalizing disorders. Afterward, 32 individuals who acquired T-score ≥ 60 were assigned randomly in the experimental and control groups (each with 16 students). The experimental group was divided into two subgroups (8 individuals in each subgroup) and participated in 16 cognitive-behavior therapy (Coping Cat program) sessions (1 hour, twice a week). The control group received only the mainstream Program of the school. After the last session, their mothers completed the CBCL again. The obtained data were analyzed by One-way Analysis of Covariance (ANCOVA). Results: The results of One-way ANCOVA showed that the internalizing problems, i.e. withdrawn/depressed, somatic complaints, and anxious/depressed symptoms of the experimental group have reduced significantly after participating in the cognitive-behavioral therapy sessions. Discussion: Cognitive behavioral therapy (Coping Cat Program) is an effective method for reducing internalizing problems of children with externalizing disorders. Therefore, the program can be used to prevent the negative consequences of internalizing problems such as poor academic performance and social adaptation of the students with externalizing disorders.
Objective The Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-V), has defined behavioral disorders (i.e. oppositional defiant disorder, conduct disorder, and disruptive behavior disorder) as conditions involving problems in the self-control of emotions and behaviors. The underlying causes of behavioral disorders can vary greatly across disorders and among individuals within a given diagnostic category. The behavioral disorders vary from aggression or sudden arousal to depressive actions. It contains various extreme, chronic, and deviant behaviors. Such disorders lead to individual or social problems and require educational and therapeutic intervention. Such problems in children can increase their vulnerability to psycho-social confusions in adolescence and adulthood. The present study was aimed to determine the effects of emotion management training to mothers on the behavioral problems of their boy offspring. It also measured the efficacy of the program from the parents' perspectives.Methods & Materials The present study was semi-experimental, having a pretest and a posttest design with a control group. An elementary masculine school was selected in convenience from the statistical population in Kermanshah City. All of the students (96 individuals) who studied at the elementary school were evaluated by the Rutter (1967) Children's Behavior Questionnaire for parents. Thirty students who acquired high score (13 points and higher) in the questionnaire were diagnosed as having behavioral problems. An explanatory session regarding the purpose of the study was held for their mothers. The mothers were randomly assigned to an experimental and a control group in equal numbers (each group=15 individuals). The experimental group attended 9 training sessions for two months (once a week; per session lasts for 60 minutes (and received emotions management program, but the control group did not attend any such session. Again, all the students were evaluated through the Rutter Children's Behavior Questionnaire for parents after the 9th session. Data were collected through the questionnaire before and after the training sessions. Multivariate analysis of covariance was used by SPSS (version 20) for analyzing the data. Results The findings showed that there was a significant reduction in the scores of components of behavioral problems as follows: aggression and hyperactivity (P<0.01), anxiety and depression (P<0.002), social maladjustment (P<0.05), and antisocial behaviors (P<0.001). There was also a significant reduction in the total score of behavioral problems (P<0.001) of the offspring after mothers' participation in emotion management training sessions. But, the score of attention shortage increased after the training sessions in the experimental group although this variation was not significant (P<0.01). It can be stated that according to Eta square, 66% of the variation in the total score of behavioral problems in offspring was due to mothers' participation in the emotion management training progra...
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