Zümrüt GEDİK, Füsun GÖKKAYA, Serap TEKİNSAV-SÜTÇÜ

KAYGILI ÇOCUKLARA YÖNELİK OKUL TEMELLİ BİR BİLİŞSEL DAVRANIŞÇI GRUP TERAPİSİ PROGRAMININ ETKİLİLİĞİ: PİLOT BİR ÇALIŞMA

Çalışmanın amacı yüksek kaygı düzeyine sahip çocuklarda okul temelli bir bilişsel davranışçı grup terapisinin (BDGT) etkililiğini sınamaktır. Bu seçkisiz kontrollü çalışmada, deney (N = 11) ve müdahale almayan kontrol gruplarının (N = 11) 9 haftalık BDGT öncesi ve sonrası Çocukluk Çağı Kaygı Bozuklukları Özbildirim Ölçeği (SCARED), Çocuklar İçin Sürekli Kaygı Envanteri ve Çocuklar İçin Depresyon Ölçeği puanları karşılaştırılmıştır. Mann-Whitney U testiyle grupların ön test puanları arasındaki farklar incelenmiştir. Deney ve kontrol gruplarının ön test ve son test puanları ise Wilcoxon İşaretli Diziler testi ile karşılaştırılmıştır. Kontrol grubunun aksine, deney grubunun sürekli kaygı, ayrılık kaygısı ve sosyal kaygı puanları müdahale sonrasında anlamlı farklılık göstermiştir. Bu ölçümlere dair etki büyüklükleri de yüksek bulunmuştur. Panik bozukluk/anlamlı somatik yakınmalar, yaygın kaygı bozukluğu, okul korkusu, SCARED toplam puanı ve depresyon açısından iki grupta da ön test-son test sonuçları arasında anlamlı fark bulunmamıştır. Çalışma, uygulanan okul temelli BDGT’nin çocuklarda kaygı belirtilerini azaltmada etkili olduğuna dair birtakım kanıtlar sunmaktadır.

Efficacy of a School Based Cognitive Behavioral Group Psychotherapy for Anxious Children: A Pilot Study

This study aimed to test the efficacy of a school based cognitive behavioral group psychotherapy (CBGP) in children with elevated anxiety. This randomized controlled study compared pre-test and post-test Screen for Child Anxiety Related Emotional Disorders (SCARED), State-Trait Anxiety Inventory for Children and Depression Scale for Children scores of the experiment (N = 11) and control groups (N = 11) following a 9-session CBGP. Pre-test scores were compared using MannWhitney U test. Differences between pre-test and post-test scores were examined using Wilcoxon Signed Rank Test. There were significant differences in trait, separation, and social anxiety post-test scores in the experiment but not in the control group. Effect sizes of these measures were also high. In both groups, there were no significant differences between panic disorder, generalized anxiety disorder, school phobia, SCARED total, and depression pre-test and post-test scores. This study provided some evidence on the efficacy of the school-based CBGP.

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