The Effects of Cognitive-Behavioral Therapy (CBT) in Well-Being and Perceived Stress in Adolescents with Low Academic Performance During the COVID-19 Pandemic
Keywords:
CBT, Well-Being, Perceived Stress, COVID-19Abstract
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
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
Issue
Section
License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

