Effectiveness of Cognitive Behavioral Therapy on Mental Resilience and Decision-Making Style among Secondary School Students Prone to Substance Abuse

Document Type : Original Article

Authors

1 Assistant Lecturer of Psychiatric and Mental health Nursing, Faculty of Nursing, Menoufia University, Egypt

2 Professor of Psychiatric / Mental Health Nursing, Faculty of Nursing, Menoufia University, Egypt

3 Professor of Psychiatric and Mental Health Nursing, Faculty of Nursing, Menoufia University, Egypt

Abstract

Abstract: Substance abuse among adolescents poses significant risks to their health and wellbeing. Purpose: Evaluate the effectiveness of a cognitive behavioral therapy on mental resilience and decision-making style among secondary school students prone to substance abuse. Design: A Quasi experimental research design was utilized. Setting: This study was conducted at four secondary schools at Menoufia Governorat, Egypt. Sample: A purposive sample of 117 secondary students who fit the inclusion and exclusion criteria. Data collection tools: Four tools were used: 1) A structural interview questionnaire to assess socio-demographic characteristics, 2) The child and youth resilience measure (CYRM-17), 3) Decision making style Scale, 4) Drug abuse screening test (DAST-20) adolescent version Results: There was three quarters (75.2%) of the studied students had substantial level of drug abuse, and only 23.1% had sever level of drug abuse. There was a significant improvement in resilience subscales and total among the studied students after the cognitive behavioral therapy than before at P value <0.001. There was a highly statistically significant improvement in rational, dependent, spontaneous decision-making styles. While there was non-significant improvement in intuitive and avoidant styles among the studied students after the cognitive behavioral therapy. Also, there was a highly statistically significant improvement in total decision-making style. There was a highly statistically significant positive correlation between total resilience and total decision making. Conclusion: Cognitive behavioral therapy has a positive effect on improving total resilience and total decision making. Recommendation: Incorporate cognitive behavioral therapy as a treatment modality for students prone to substance abuse

Keywords

Menoufia Nursing Journal
Volume 9, Issue 3
July 2024
Pages 145-164

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