The Effects of Cognitive-Behavioral Therapy (CBT) in Well-Being and Perceived Stress in Adolescents with Low Academic Performance During the COVID-19 Pandemic

Authors

    Nasim Shahrokhian * Department of Psychology and Education, Central Branch, Islamic Azad University, Tehran, Iran n.shahrokhian@gmail.com
    Saeid Hassanzadeh Department of Psychology and Special Education, University of Tehran, Tehran, Iran
    Hadi Hashemi Razini Department of Psychology and Education, Kharazmi University, Tehran, Iran
    Maryam Ramshini Department of Psychology and Special Education, Science and Research Branch, Islamic Azad University, Tehran, Iran
https://doi.org/10.61838/kman.intjssh.4.2.6

Keywords:

CBT, Well-Being, Perceived Stress, COVID-19

Abstract

Background:  The COVID-19 pandemic is one of the serious issues which has affected mental health in the world. One of the age groups whose learning processes are highly influenced by the pandemic are adolescents, especially those with low academic performance. Although there have always been problems in the learning process at schools prior to the pandemic, online learning systems have added more challenges to the educational system which results in poor academic performance in this group. Increased stress is among the negative consequence which in turn can affect well-being. Objectives:  The purpose of this study was to determine whether cognitive-behavioral therapy (CBT) affects well-being and perceived stress in adolescents with low academic performance during the COVID-19 pandemic. Methods:  It was a quasi-experimental study with pre-test and post-test design and follow-up with a control group. The subjects were 30 adolescents with low academic who were chosen based on by convenience sampling method and were randomly assigned to the experimental group and the control group. The research tools were the well-being, perceived stress questionnaires, and CBT. The experimental group received CBT intervention for 10 sessions, each for 120 minutes online, and the control group did not receive any intervention. The data were analyzed by the repeated measures analysis method. Results:  Based on the obtained results, there was a significant effect of CBT on well-being and perceived stress in the experimental group. The finding indicated that CBT led to increasing wellbeing and reducing perceived stress in adolescents with low academic performance (P ≤ 0.05). This effect impact was persisted following 3 months in the experimental group as well. Conclusions:  Considering the effectiveness of mentioned therapy methods on adolescents with low academic performance, it is necessary to apply such a way to improve the well-being of adolescents and relieve their stress during the COVID-19 pandemic, which consequently leads to academic and mental improvement. Moreover, CBT is a feasible and acceptable intervention in adolescents with low academic performance.

Downloads

Download data is not yet available.

References

1. Grocke-Dewey M, Hardison-Moody A, Haynes-Maslow L, Maras

S, Webber E, Andress L, et al. Examining the relationship

between physical activity and mental health during the COVID-19

pandemic across five U.S. States. Prev Med Rep. 2021;24:101537.

[PubMed ID: 34580623]. [PubMed Central ID: PMC8459674].

https://doi.org/10.1016/j.pmedr.2021.101537.

2. Liu Q, Wang Z. Perceived stress of the COVID-19 pandemic

and adolescents’ depression symptoms:

The moderating

role of character strengths. Pers Individ Dif. 2021;182:111062.

[PubMed ID: 34177027]. [PubMed Central ID: PMC8213401].

https://doi.org/10.1016/j.paid.2021.111062.

3. Hu Y, Qian Y. COVID-19 and Adolescent Mental Health in the United

Kingdom. J Adolesc Health. 2021;69(1):26–32. [PubMed ID: 34172140].

https://doi.org/10.1016/j.jadohealth.2021.04.005.

4. MoY,DengL,ZhangL,LangQ,LiaoC,WangN,etal.Workstressamong

Chinese nurses to support Wuhan in fighting against COVID-19

epidemic. J Nurs Manag. 2020;28(5):1002–9. [PubMed ID: 32255222].

[PubMedCentralID:PMC7262235].https://doi.org/10.1111/jonm.13014.

5. Stinson EA, Sullivan RM, Peteet BJ, Tapert SF, Baker FC, Breslin

FJ, et al. Longitudinal Impact of Childhood Adversity on Early

Adolescent Mental Health During the COVID-19 Pandemic in

the ABCD Study Cohort: Does Race or Ethnicity Moderate

Findings?

Biol Psychiatry Glob Open Sci. 2021;1(4):324–35.

[PubMed ID: 34608463]. [PubMed Central ID: PMC8479935].

https://doi.org/10.1016/j.bpsgos.2021.08.007.

6. Yamaoka Y, Hosozawa M, Sampei M, Sawada N, Okubo Y, Tanaka

K, et al. Abusive and positive parenting behavior in Japan during

the COVID-19 pandemic under the state of emergency. Child Abuse

Negl. 2021;120:105212. [PubMed ID: 34298262]. [PubMed Central ID:

PMC8609455].https://doi.org/10.1016/j.chiabu.2021.105212.

7. Lee J, Lim H, Allen J, Choi G. Effects of Learning Attitudes and

COVID-19 Risk Perception on Poor Academic Performance

among Middle School Students. Sustainability. 2021;13(10):5541.

https://doi.org/10.3390/su13105541.

8. Rathore MK, Sangwan S. Academic performance of adolescents: An

indicator of prosperous life. Adv. Res. J. Soc. Sci. 2015;6(2):203–8.

https://doi.org/10.15740/has/arjss/6.2/203-208.

9. Raj M. Academic stress of adolescents in relation to self-esteem. Int J

Res AnalRev. 2021;8(1).

10. Wynne B, McHugh L, Gao W, Keegan D, Byrne K, Rowan

C, et al. Acceptance and Commitment Therapy Reduces

Psychological Stress in Patients With Inflammatory Bowel Diseases.

Gastroenterology. 2019;156(4):935–945 e1. [PubMed ID: 30452919].

https://doi.org/10.1053/j.gastro.2018.11.030.

11. Eichstaedt JC, Yaden DB, Ribeiro F, Adler A, Kern ML. Lifestyle

and wellbeing:

Exploring behavioral and demographic

covariates in a large US sample. Int. J. Wellbeing. 2020;10(4):87–112.

https://doi.org/10.5502/ijw.v10i4.831.

12. BenthamC, Driver K, Stark D. Wellbeing of CAMHS staff and changes

in working practices during the COVID-19 pandemic. J Child Adolesc

Psychiatr Nurs. 2021;34(3):225–35. [PubMed ID: 33738882]. [PubMed

Central ID: PMC8250400].https://doi.org/10.1111/jcap.12311.

13. Tymofiyeva O, Yuan JP, Huang CY, Connolly CG, Henje Blom E, Xu

D, et al. Application of machine learning to structural connectome

to predict symptom reduction in depressed adolescents with

cognitive behavioral therapy (CBT). Neuroimage Clin. 2019;23:101914.

[PubMed ID: 31491813]. [PubMed Central ID: PMC6627980].

https://doi.org/10.1016/j.nicl.2019.101914.

14. Oud M, de Winter L, Vermeulen-Smit E, Bodden D, Nauta M,

Stone L, et al. Effectiveness of CBT for children and adolescents

with depression: A systematic review and meta-regression

analysis. Eur Psychiatry. 2019;57:33–45. [PubMed ID: 30658278].

https://doi.org/10.1016/j.eurpsy.2018.12.008.

15. Ryff CD, Singer BH. Best news yet on the six-factor

model of well-being. Soc Sci Res. 2006;35(4):1103–19.

https://doi.org/10.1016/j.ssresearch.2006.01.002.

16. Khanjani M, Shahidi S, Fathabadi J, Mazaheri MA, Shokri O. [Factor

structure and psychometric properties of the Ryff’s scale of

psychological well-being, short-form (18-item) among male and

female students]. Journal of Thought & Behavior in Clinical Psychology.

2014;9(32):27–36. Persian.

17. Bayani AA, Mohammad Koochekya A, Bayani A. [Reliability and

Validity of Ryff’s Psychological Well-being Scales]. Iranian Journal of

Psychiatry and Clinical Psychology. 2008;14(2):146–51. Persian.

18. Cohen S, Kamarck T, Mermelstein R. A global measure of perceived

stress. J Health Soc Behav. 1983;24(4):385–96. [PubMed ID: 6668417].

19. Zakaria S, Sasagawa S, Essau CA. Exploring the impact of a

transdiagnostic cognitive behavioural therapy-based intervention

on a group of Malaysian adolescents with problematic drug

use and emotional problems. Addict Behav Rep. 2021;14:100381.

[PubMed ID: 34938839]. [PubMed Central ID: PMC8664875].

https://doi.org/10.1016/j.abrep.2021.100381.

20. Verkleij M, Georgiopoulos AM, Friedman D. Development and

evaluation of an internet-based cognitive behavioral therapy

intervention for anxiety and depression in adults with cystic

f

ibrosis (eHealth CF-CBT): An international collaboration. Internet

Interv. 2021;24:100372. [PubMed ID: 33816126]. [PubMed Central ID:

PMC8010637].https://doi.org/10.1016/j.invent.2021.100372.

21. Rechenberg K, Koerner R. Cognitive Behavioral Therapy in

Adolescents with Type 1 Diabetes: An Integrative Review.

J

Pediatr

Nurs.

2021;60:190–7.

[PubMed ID: 34224937].

https://doi.org/10.1016/j.pedn.2021.06.019.

22. Silfvernagel K, Gren-Landell M, Emanuelsson M, Carlbring P,

Andersson G. Individually tailored internet-based cognitive

behavior therapy for adolescents with anxiety disorders: A

pilot effectiveness study. Internet Interv. 2015;2(3):297–302.

https://doi.org/10.1016/j.invent.2015.07.002.

23. Srivastava P, Mehta M, Sagar R, Ambekar A. Smartteen- a computer

assisted cognitive behavior therapy for Indian adolescents with

depression- a pilot study. Asian J Psychiatr. 2020;50:101970. [PubMed

ID: 32114331]. https://doi.org/10.1016/j.ajp.2020.101970.

24. Song J, Jiang R, Chen N, Qu W, Liu D, Zhang M, et al. Self-help

cognitive behavioral therapy application for COVID-19-related

mental health problems: A longitudinal trial. Asian J Psychiatr.

2021;60:102656. [PubMed ID: 33866282]. [PubMed Central ID:

PMC8047334].https://doi.org/10.1016/j.ajp.2021.102656.

25. EganSJ,McEvoyP,WadeTD,UreS,JohnsonAR,GillC,etal.Unguided

lowintensitycognitivebehaviourtherapyforanxietyanddepression

during the COVID-19 pandemic: A randomised trial. Behav Res

Ther. 2021;144:103902. [PubMed ID: 34174706]. [PubMed Central ID:

PMC8197681]. https://doi.org/10.1016/j.brat.2021.103902.

26. KhanAH,SultanaMS,HossainS,HasanMT,AhmedHU,SikderMT.The

impact of COVID-19 pandemic on mental health & wellbeing among

home-quarantined Bangladeshi students: A cross-sectional pilot

study. J Affect Disord. 2020;277:121–8. [PubMed ID: 32818775]. [PubMed

Central ID: PMC7410816]. https://doi.org/10.1016/j.jad.2020.07.135.

27. Cloutier RL, Marshaall R. A dangerous pandemic pair: Covid19

and adolescent mental health emergencies. Am J Emerg Med.

2021;46:776–7. [PubMed ID: 32981811]. [PubMed Central ID:

PMC7490253].https://doi.org/10.1016/j.ajem.2020.09.008.

28. Lee J, Mayall LA, Bates KE, Hill EL, Leonard HC, Farran EK. The

relationship between motor milestone achievement and childhood

motor deficits in children with Attention Deficit Hyperactivity

Disorder (ADHD) and children with Developmental Coordination

Disorder. Res Dev Disabil. 2021;113:103920. [PubMed ID: 33845359].

https://doi.org/10.1016/j.ridd.2021.103920.

29. Granero R, Fernandez-Aranda F, Mestre-Bach G, Steward

T, Bano M, Aguera Z, et al. Cognitive behavioral therapy

for compulsive buying behavior: Predictors of treatment

outcome. Eur Psychiatry. 2017;39:57–65. [PubMed ID: 27810618].

https://doi.org/10.1016/j.eurpsy.2016.06.004.

30. Jones SL, Hadjistavropoulos HD, Soucy JN. A randomized controlled

trial of guided internet-delivered cognitive behaviour therapy for

older adults with generalized anxiety. J Anxiety Disord. 2016;37:1–9.

[PubMedID:26561733].https://doi.org/10.1016/j.janxdis.2015.10.006.

Downloads

Additional Files

Published

2022-03-14

How to Cite

Shahrokhian, N., Hassanzadeh, S., Hashemi Razini, H., & Ramshini, M. (2022). The Effects of Cognitive-Behavioral Therapy (CBT) in Well-Being and Perceived Stress in Adolescents with Low Academic Performance During the COVID-19 Pandemic. International Journal of Sport Studies for Health, 4(2), 45-52. https://doi.org/10.61838/kman.intjssh.4.2.6