Document Type : original article
Authors
1 PhD Student, Department of Psychology, Arsanjan Branch, Islamic Azad University, Arsanjan, Iran.
2 Assistant Professor, Department of Psychology, Arsanjan Branch, Islamic Azad University, Arsanjan, Iran.
3 Shiraz University of Medical Sciences, Shiraz, Iran.
Abstract
Background: A review of research in the field of children shows that with the expansion and deepening of studies on children, in addition to physical development, their emotional-behavioral development has also received more attention. The aim of this study was to compare the effectiveness of cognitive-behavioral and Psychodrama on executive functions of children aged 7 to 12 years.
Methods: The research is pretest-posttest quasi-experimental study with control group and follow-up. It was conducted in the second half of 1398 in Avae Mehr Counseling Center in Pasargad (Fars Province, Iran) Available sampling was administered, based on which 24 children registered at the Avae Mehr Pasargad Counseling Center with the diagnosis of externalized disorder and met the necessary criteria participated in the study. The participants were divided into two experimental groups and one control group (8 individuals each). Cognitive-behavioral and Psychodrama therapies were performed for the experimental groups, but the control group did not receive any special intervention. Cognitive-behavioral therapy protocol was performed in 1-hour sessions during 11 consecutive weeks, once a week; and Psychodrama treatment in 1-hour sessions during 12 consecutive weeks, once a week. The research instruments included of executive functions saftware (Stroop word color test, and working memory reinforcement test); and the collected data were analyzed using frequency distribution, mean, standard deviation, analysis of variance, and analysis of covariance in SPSS-25 software.
Results: The results of analysis of covariance by modulating the effect of pre-test in post-test showed that there was a significant difference between the three groups in all variables except reaction time in Stroop test. This means that the groups of cognitive-behavioral therapy and psychotherapy had a significant effect on executive function. The results in the follow-up phase also showed that there was a significant difference between the three groups in all variables except the trial time and the number of errors (in the London Tower test), the incorrect number and the reaction time (in the Stroop test). However, there was no significant difference between the cognitive-behavioral and Psychodrama groups on the variable of executive function, meaning that the two therapies did not have different effects on executive function.
Conclusion: Both of the cognitive-behavioral and Psychodrama treatments have been significantly effective in the improvement of the participants’ executive functioning. This means that the groups of cognitive-behavioral therapy and psychotherapy had a significant effect on executive function. But the effectiveness of these two treatments does not show a significant difference with each other.
Keywords
- McKay D. Introduction to the Special Issue: Integration of Technological Advances in Cognitive-Behavior Therapy. Behavior therapy. 2018 Nov 1; 49(6):851-2.
- Ghielen I, Rutten S, Boeschoten RE, Houniet-de Gier M, van Wegen EE, van den Heuvel OA, Cuijpers P. The effects of cognitive behavioral and mindfulness-based therapies on psychological distress in patients with multiple sclerosis, Parkinson's disease and Huntington's disease: Two meta-analyses. Journal of psychosomatic research. 2019 Jul 1; 122:43-51.
- Waterworth JA, Chignell M, Moller H. Age-sensitive well-being support: Design of interactive technologies that modulate internal–external attentional focus for improved cognitive balance and behavioral effectiveness. InTechnology and Health 2020 Jan 1 (pp. 67-88). Academic Press.
- Sevi OM, Ger MC, Kaya F, Maşalı B. The effect of Psychotherapeutic sessions on psychotic symptoms, depression, quality of life, and sociometric measures in patients with chronic schizophrenia. The Arts in Psychotherapy. 2020 Nov 1; 71:101719.
- Dogan T. The effects of Psychotherapeutic on young adults’ attachment styles. The arts in psychotherapy. 2010 Apr 1; 37(2):112-9.
- shomali ahmadabadi M, mohammadi ahmadabadi, N, saeedmanesh, M, barkhordariahmadabadi, A, aghaeemeybodi, F. The Effectiveness of Display-Based Communication Skills Training on Shy Students and Social Anxiety in Shy Students. Scientific Journal of Social Psychology, 2020; 7(53): 109-119.
- Pastor-Cerezuela G, Fernández-Andrés MI, Sanz-Cervera P, Marín-Suelves D. The impact of sensory processing on executive and cognitive functions in children with autism spectrum disorder in the school context. Research in developmental disabilities. 2020 Jan 1; 96:103540.
- Pelletier R, Paquette É, Bourbonnais D, Higgins J, Harris PG, Danino MA. Bilateral sensory and motor as well as cognitive differences between persons with and without musculoskeletal disorders of the wrist and hand. Musculoskeletal Science and Practice. 2019 Dec 1; 44:102058.
- Hawco C, Yoganathan L, Voineskos AN, Lyon R, Tan T, Daskalakis ZJ, Blumberger DM, Croarkin PE, Lai MC, Szatmari P, Ameis SH. Greater Individual Variability in Functional Brain Activity during Working Memory Performance in young people with Autism and Executive Function Impairment. NeuroImage: Clinical. 2020 Jan 1; 27:102260.
- Rezaei Sharif, A., Hajloo, N., Haghgooy, T., Moradi, M. The effect of cognitive- behavioral play therapy on the improvement of the mathematical and reading performances of students with dyscalculia and dyslexia. Journal of Learning Disabilities, 2016; 5(3): 54-70.
- Davari, R. The Effectiveness of Integrated Cognitive-Behavior Dynamic Family-Oriented Treatment on Clinical and Executive Functions Symptoms in Children with Attention Deficit Hyperactivity Disorder. Thoughts and Behavior in Clinical Psychology, 2015; 10(36): 67-76.
- Parhizkar N, Mashhadi A, Salehi Fadardi J, Fayyazi Bordbar M R. Effectiveness of Cognitive Behavioral Group Therapy Based on Executive Functions in the Improvement of Executive Functions in Individuals with ADHD. RPH. 2014; 7 (3) :55-65
- Shubina I. Counseling and therapy of patients with behavioral disorders using the cognitive-behavioral approach. Procedia-Social and Behavioral Sciences. 2016 Feb 5; 217:1008-18.
- Akyurek G, Efe A, Kilic BG, Bumin G. The Effect of Cognitive Therapy on Executive Functions and Occupational Routines in Children with Dyslexia. Archives of Physical Medicine and Rehabilitation. 2018 Oct 1; 99(10):e19.
- Mak M, Tyburski E, Starkowska A, Karabanowicz E, Samochowiec A, Samochowiec J. The efficacy of computer-based cognitive training for executive dysfunction in schizophrenia. Psychiatry research. 2019 Sep 1; 279:62-70.
- Stroop JR. Studies of interference in serial verbal reactions. Journal of experimental psychology. 1935 Dec; 18(6):643.
- Malek A, Hekmati I, Amiri S, Pirzadeh J, Gholizadeh H. The standardization of Victoria Stroop color-word test among Iranian bilingual adolescents. Archives of Iranian Medicine. 2013 Jul 1; 16(7):0-.
- Kirchner WK. Age differences in short-term retention of rapidly changing information. Journal of experimental psychology. 1958 Apr; 55(4):352.
- Chen YN, Mitra S, Schlaghecken F. Sub-processes of working memory in the N-back task: an investigation using ERPs. Clinical Neurophysiology. 2008 Jul 1; 119(7):1546-59.
- Beck AT. Cognitive Therapy and the Emotional Disorders International Universities Press. New York. (Google Scholar). 1976.
- Ellis A. Rational-emotive therapy and cognitive behavior therapy: Similarities and differences. Cognitive Therapy and Research. 1980 Dec 1; 4(4):325-40.
- Moreno JL. Psicodrama. Editora Cultrix; 1993.
- Kabiri M, Haghani Zemydani M, Khazan K, Shafiee H. Effect of Cognitive Behavior Therapy for Mothers of Aggressive Daughters on Aggression Reduction among their Daughters: A Quasi-experimental Study. MEJDS. 2017; 7: 80-80
- Stefan S, Cristea IA, Szentagotai Tatar A, David D. Cognitive‐behavioral therapy (CBT) for generalized anxiety disorder: Contrasting various CBT approaches in a randomized clinical trial. Journal of clinical psychology. 2019 Jul; 75(7):1188-202.
- Holmes P. The inner world outside: Object relations theory and Psychotherapeutic. Routledge; 2015 Aug 14.
- Sevi OM, Ger MC, Kaya F, Maşalı B. The effect of Psychotherapeutic sessions on psychotic symptoms, depression, quality of life, and sociometric measures in patients with chronic schizophrenia. The Arts in Psychotherapy. 2020 Nov 1; 71:101719.
- Waterworth JA, Chignell M, Moller H. Age-sensitive well-being support: Design of interactive technologies that modulate internal–external attentional focus for improved cognitive balance and behavioral effectiveness. InTechnology and Health 2020 Jan 1 (pp. 67-88). Academic Press.
- Pelletier R, Paquette É, Bourbonnais D, Higgins J, Harris PG, Danino MA. Bilateral sensory and motor as well as cognitive differences between persons with and without musculoskeletal disorders of the wrist and hand. Musculoskeletal Science and Practice. 2019 Dec 1; 44:102058.
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