Effects of Emotion-Focused Cognitive-Behavioral Therapy on Stress and Anxiety among Teachers of Students with Intellectual Disabilities: An Intervention Effectiveness

Document Type : Original Article

Authors

1 Department of psychology, Islamic Azad University, Roudhen branch, Roudhen, Iran

2 Department of psychology, Zarand branch, Islamic Azad University, Zarand, Iran

3 Department of Educational Psychology, Central Tehran Branch, Islamic Azad University, Tehran, Iran

4 Department of psychology, university of science and culture, Tehran, Iran

5 Department of psychology, Faculty of Humanities and Social Sciences, Ardakan University, Yazd, Iran

Abstract

Background: One of the most challenging occupations in the world is teaching.
 
Objectives: This considers points to assess the adequacy of emotion-focused cognitive-behavioral treatment intercession to decrease the anxiety and stress of teachers of intellectually disabled students.
 
Methods: We adopted a quasi-experimental pretest-posttest control group design in this study. The statistical population included all female teachers working in schools for children with special needs in Yazd, Iran, from 2021-2022. In this study, 30 eligible teachers were selected via the purposive sampling method. The participants were then assigned to two experimental groups (n=15) and a control group (n=15). The experimental groups received emotion-focused cognitive-behavioral therapy (ECBT) in 10 90-minute sessions once a week, while the control group received no training. In this study, the Teachers' Stress Inventory and Beck's Anxiety Inventory were developed. The data were analyzed in SPSS software (version 20) using Multivariate analysis of covariance (MANCOVA).
 
Results: According to the results, both the intervention and control groups experienced a clear change in stress and anxiety levels before and after the intervention. Moreover, the most significant effect was observed when it comes to feeling anxious (0. 74), signifying that the independent variable was responsible for 74% of differences in anxiety between the experimental and control groups.
 
Conclusion: As evidenced by the obtained results, ECBT effectively reduced stress and anxiety among teachers of students with intellectual disabilities.
 

Keywords

Open Access Policy: This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. To view a copy of this licence, visit https://creativecommons.org/licenses/by/4.0/

References

1. Hassard J, Teoh KR, Visockaite G, Dewe P, Cox T. The financial burden of psychosocial workplace aggression: A systematic review of cost-of-illness studies. Work Stress. 2018;32(1):6-32. doi:10.1080/02678373.2017.1380726.
https://doi.org/10.1080/02678373.2017.1380726
 
2. World Health Organization. WHO global report on traditional and complementary medicine 2019. WHO.2019.
 
3. Redína C, Erro-Garcés A. Stress in teaching professionals across Europe. 2020 Version of Record 9 June. doi:10.1016/j.ijer.2020.101623.
https://doi.org/10.1016/j.ijer.2020.101623
 
4. von der Embse N, Ryan SV, Gibbs T, Mankin A. Teacher stress interventions: A systematic review. Psychol. Sch. 2019;56(8):1328-43. doi:10.1002/pits.22279.
https://doi.org/10.1002/pits.22279
 
5. Seo JS, Wei J, Qin L, Kim Y, Yan Z, Greengard P. Cellular and molecular basis for stress-induced depression. Molecular psychiatry. 2017;22(10):1440-7. doi:10.1038/mp.2016.118.
https://doi.org/10.1038/mp.2016.118
PMid:27457815 PMCid:PMC5269558
 
6. Agyapong B, Obuobi-Donkor G, Burback L, Wei Y. Stress, Burnout, Anxiety and Depression among Teachers: A Scoping Review. IJERPH. 2022;19:10706. Available from: doi:10.3390/ijerph191710706.
https://doi.org/10.3390/ijerph191710706
PMid:36078422 PMCid:PMC9518388
 
7. Liu M, Yan Y. Anxiety and Stress in In-Service Chinese University Teachers of Arts. Int. J. High. Educ. 2020;9(1):237-48. doi:10.5430/ijhe.v9n1p237.
https://doi.org/10.5430/ijhe.v9n1p237
 
8. AbuMadini MS, Sakthivel MA. Comparative study to determine the occupational stress level and professional burnout in special school teachers working in private and government schools. Glob J Health Sci. 2018;10:3. doi:10.5539/gjhs.v10n3p42.
https://doi.org/10.5539/gjhs.v10n3p42
 
9. Krysta K, Romańczyk M, Diefenbacher A, Krzystanek M. Telemedicine treatment and care for patients with intellectual disability. IJERPH. 2021;18(4):1746. doi:10.3390/ijerph18041746.
https://doi.org/10.3390/ijerph18041746
PMid:33670152 PMCid:PMC7916831
 
10. Algahtani F. Teaching Students with Intellectual Disabilities: Constructivism or Behaviorism?. Educ Res Rev. 2017;12(21):1031-5. doi:10.5897/ERR2017.3366.
https://doi.org/10.5897/ERR2017.3366
 
11. Haegele JA, Park SY. Utilizing generalization tactics to promote leisure-time physical activity for students with intellectual disabilities. Strategies. 2016;29(4):19-23. doi:10.1080/08924562.2016.1181592.
https://doi.org/10.1080/08924562.2016.1181592
 
12. Akanaeme IN, Ekwealor FN, Ifeluni CN, Onyishi CN, Obikwelu CL, Ohia NC, Obayi LN, Nwaoga CT, Okafor AE, Victor-Aigbodion V, Ejiofor TE. Managing job stress among teachers of children with autism spectrum disorders: A randomized controlled trial of cognitive behavioral therapy with yoga. Medicine. 2021;100(46). doi:10.1097/MD.0000000000027312.
https://doi.org/10.1097/MD.0000000000027312
PMid:34797272 PMCid:PMC8601364
 
13. Desouky D, Allam H. Occupational stress, anxiety and depression among Egyptian teachers. J Epidemiol Glob Health. 2017;7(3):191-8. doi: 10.1016/j.jegh.2017.06.002.
https://doi.org/10.1016/j.jegh.2017.06.002
PMid:28756829 PMCid:PMC7320446
 
14. Kamal, A.M.; Ahmed, W.S.E.; Wassif, G.O.M.; Greda, M.H.A.A. Work Related Stress, Anxiety and Depression among School Teachers in general education. Qjm: Int J Med. 2021, 114 (1). doi:10.1001/jamapsychiatry.2014.652.
https://doi.org/10.1001/jamapsychiatry.2014.652
PMid:25028897
 
15. Jimenez E. Impact of mental health and stress level of teachers to learning resource development. Shalax Int J Educ. 2021.
https://doi.org/10.34293/education.v9i2.3702
 
16. O'Brien K, O'Keeffe N, Cullen H, Durcan A, Timulak L, McElvaney J. Emotion-focused perspective on generalized anxiety disorder: A qualitative analysis of clients' in-session presentations. Psychother Res. 2019;29(4):524-40. doi:10.1080/10503307.2017.1373206.
https://doi.org/10.1080/10503307.2017.1373206
PMid:28893153
 
17. Suveg C, Jones A, Davis M, Jacob ML, Morelen D, Thomassin K, Whitehead M. Emotion-focused cognitive-behavioral therapy for youth with anxiety disorders: A randomized trial. J Abnorm Child Psychol. 2018 Apr;46(3):569-80. doi:10.1007/s10802-017-0319-0.
https://doi.org/10.1007/s10802-017-0319-0
PMid:28580504
 
18. 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. J Clin Psychol. 2019;75(7):1188-202. doi:10.1002/jclp.22779.
https://doi.org/10.1002/jclp.22779
PMid:31004521
 
19. Shafiei M, Rezaei F, Sadeghi M. Effectiveness of the newly developed treatment contrast avoidance of worry and emotion-focused cognitive behavioral therapy in affective control in women with generalized anxiety disorder. JMPR. 2021;15(60):62-75.
 
20. Timulak L, Keogh D, Chigwedere C, Wilson C, Ward F, Hevey D, Griffin P, Jacobs L, Irwin B. A comparison of emotion-focused therapy and cognitive-behavioural therapy in the treatment of generalised anxiety disorder: study protocol for a randomised controlled trial. Trials. 2018;19:1-1.
https://doi.org/10.1186/s13063-018-2892-0
PMid:30231910 PMCid:PMC6146598
 
21. Akbari Zargar N, Haghayegh SA, Jahanian S, Jabalameli S. Comparison of the Effectiveness of Acceptance and Commitment-based Therapy and Emotion Focused Cognitive Therapy on Health Anxiety of Patients with Cardiac Arrhythmia. Islamic Life J. 2021;4:0.
 
22. Atadokht A, Masoumeh GB, Mikaeli N, Samadifard HR. Effect of Emotion-focused Cognitive Behavioral Therapy on Social Adjustment and Experiential Avoidance in Iranian Disabled Veterans. Mil Caring Sci. 2019;6(3):176-86. doi:10.29252/mcs.6.3.3.
https://doi.org/10.29252/mcs.6.3.3
 
23. Maslach C, Jackson SE, Leiter MP. Maslach Burnout Inventory Manual. Evaluating Stress: A Book of Resources. 3rd ed. Mountain View, CA: Consulting Psychologists Press Inc; 1996
 
24. Rostamic A, Abedi M, Shaufeli WB, Ahmadi A, Sadeghi A. The psychometric characteristic of Maslach Burnout Inventory student Survey: A study students of Isfahan University. Zahedan J Res Med Sci. 2014;16(9):55-8.
 
25. Kaviani H, Mousavi AS. Psychometric properties of the Persian version of Beck Anxiety Inventory (BAI). Tehran Univ Med J TUMS .2008;66(2):136-40.
 
26. Ogba FN, Onyishi CN, Victor-Aigbodion V, Abada IM, Eze UN, Obiweluozo PE, Ugodulunwa CN, Igu NC, Okorie CO, Onu JC, Eze A. Managing job stress in teachers of children with autism: A rational emotive occupational health coaching control trial. Medicine. 2020;99(36). doi:10.1097/MD.0000000000021651.
https://doi.org/10.1097/MD.0000000000021651
PMid:32898998 PMCid:PMC7478671
 
27. Kuvaeva I. Teachers of special schools: stressors and manifestations of occupational stress. InThe Fifth International Luria Memorial Congress «Lurian Approach in International Psychological Science». Ekaterinburg, 2018; 2018 : 515-521.
https://doi.org/10.18502/kls.v4i8.3309
 
28. Ugwoke SC, Eseadi C, Onuigbo LN, Aye EN, Akaneme IN, Oboegbulem AI, Ezenwaji IO, Nwobi AU, Nwaubani OO, Ezegbe BN, Ede MO, Orji CT, Onuoha JC, Onu EA, Okeke F, Agu P, Omeje JC, Omeke F, Ugwu R, Arumede F, Eneh A. A rational-emotive stress management intervention for reducing job burnout and dysfunctional distress among special education teachers: An effect study. Medicine (Baltimore). 2018;97(17):e0475. doi: 10.1097/MD.0000000000010475. Erratum in: Medicine (Baltimore). 2018 May;97(20):e10827. PMID: 29703004
https://doi.org/10.1097/MD.0000000000010475
PMid:29703004 PMCid:PMC5944538
 
29. Okeke FC, Onyishi CN, Nwankwor PP, Ekwueme SC. A blended rational emotive occupational health coaching for job-stress among teachers of children with special education needs. Internet Interv.2021;26:100482. doi:10.1016/j.invent.2021.100482.
https://doi.org/10.1016/j.invent.2021.100482
PMid:34824983 PMCid:PMC8604685
 
30. Abdollahpour S, Taghipour A, Mousavi Vahed SH, Latifnejad Roudsari R. The efficacy of cognitive behavioural therapy on stress, anxiety and depression of infertile couples: a systematic review and meta-analysis. J Obstet Gynaecol .2022;42(2):188-97. doi:10.1080/01443615.2021.1904217.
https://doi.org/10.1080/01443615.2021.1904217
PMid:34109898
 
31. Mazurek Melnyk B, Hoying J, Tan A. Effects of the MINDSTRONG© CBT-based program on depression, anxiety and healthy lifestyle behaviors in graduate health sciences students. J Am Coll Health. 2022;70(4):1001-9. doi:10.1080/07448481.2020.1782922.
https://doi.org/10.1080/07448481.2020.1782922
PMid:32672515
 
32. Afshari A, Neshat-Doost HT, Maracy MR, Ahmady MK, Amiri S. The effective comparison between emotion-focused cognitive behavioral group therapy and cognitive behavioral group therapy in children with separation anxiety disorder. J Res Med Sci. 2014;19(3):221-7. [PubMed: 24949029].
 
33. Arfaoui N, Hajri M, Abbes Z, Halayem S, Bouden A. Emotion-focused Cognitive-Behavioral Therapy for externalizing disorders in children and adolescents: an attempt to resolve emotion regulation difficulties. Eur Psychiatry. 2022;65(S1): 442. doi:10.1192/j.eurpsy.2022.1124.
https://doi.org/10.1192/j.eurpsy.2022.1124
PMCid:PMC9564346
Razavi International Journal of Medicine
Volume 11, Issue 3
August 2023
Pages 54-60

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