A qualitative research on investigation the effectiveness of cognitive behavior therapy on depression of children

Year 2023, Volume: 11 Issue: 1, 55 - 74, 16.03.2023

Ayşe Nur Katmer , Zeynep Hamamcı

https://doi.org/10.17478/jegys.1240948

Cited By: 1

Abstract

This study aims to investigate the effects of cognitive behavioural therapy on depression levels in children. For this purpose, five children, who scored above the cut-off score in the Child Depression Inventory and displayed depressive symptoms, were selected among the fifth-grade students studying in a secondary school. Individual therapy based on cognitive behavioural therapy was applied to these five children once a week for a total of 10 weeks, each session lasting an average of 50 minutes. In the last ten minutes of each session, the parents also joined the session. While interviews aiming to reduce depression levels based on cognitive behavioural therapy were being conducted with the children, interviews were also conducted with the parents in order to inform them about the process, to support the child outside the sessions and to follow up the process. In the study, the content of the interviews conducted with the children and the answers given to the semi-structured interview questions prepared by the researcher after the application and received from the parents were used as data. The content of the interviews and the answers given to the semi-structured interview questions were subjected to content analysis. At the end of the study, when the content of the sessions at the beginning of the therapy process was analysed, it was found that depression, low self-perception, and negative cognitive and emotional processes were expressed intensely during the first sessions. When the content of the sessions in the subsequent stages of the therapy was analysed, it was observed that there were positive changes in the cognitive, emotional and behavioural dimensions; in other words, individual therapy had positive effects on the children. When the answers given by the parents to the semi-structured interview questions were analysed, it was concluded that individual therapy created positive changes in the change of negative thoughts, self-expression, problem-solving skills and anger control in children. In the study, it was observed that the content of the interviews with the children and the answers given by the parents to the semi-structured interview questions were consistent with each other.

Keywords

Cognitive Behavioural Therapy, Depression, Individual therapy, Qualitative study

References

• Abdullah, A., Yildirim, T. and Citil, C. (2016). Dinamik yonelimli kisa-yogun-acil bireysel psikolojik danisma oturumlarinin etkisi. (The effect of dynamically oriented short-intensive-emergency individual counseling sessions). Turkish Psychological Counseling and Guidance Journal, 6(46), 1-13.
• Akguc, O. M. (2021). Universite ogrencilerinde depresyon, otomatik dusunceler ve benlik saygisinin sosyodemografik degiskenlere gore incelenmesi (Examination of depression, automatic thoughts and self-esteem in university students according to sociodemographic variables) . Master's thesis. İstanbul Kent University
• Aksu, G. G., İncel, İ., Akar, A., Ustun, N. S., Cam, Z. D., and Toros, F. (2022) Covid-19 salgininin cocuk ve genclerin ruh sagligina yansimasi. (The reflection of the Covid-19 epidemic on the mental health of children and young people) Mersin Universitesi Saglik Bilimleri Dergisi (Mersin University Journal of Health Sciences), 15(Ozel Sayi-1) 21. Mersin Pediatri Gunleri Bildiri Kitabi), 142-150.
• Akturan, U. and Bas, T. (2008). Nitel arastirma yontemleri nvivo 7.0 ile nitel veri analizi. (Qualitative research methods Qualitative data analysis with nvivo 7.0) Ankara: Seckin.
• Aksu, M., Yigman, F. and Ozdel, K. (2019). The relationship between Social Problem Solving, Cognitive Factors and Social Media Addiction in Young Adults: A Pilot Study. Journal of Cognitive-Behavioral Psychotherapy and Research, 8(3), 164-169.
• Alpaslan, A. H. and Erol, Y. (2016). Cocuk ve ergenlerde depresif bozukluk non-farmakolojik tedavisi. (Non-pharmacological treatment of depressive disorder in children and adolescents) Turkiye Klinikleri (Turkey Clinics), 2(1), 62-67.
• Avsar, V. (2019). Bilissel davranisci terapiye dayali bireysel psikolojik danismanin sosyal kaygi, ozyeterlik ve psikolojik iyi olus uzerindeki etkisi(The effect of individual counseling based on cognitive behavioral therapy on social anxiety, self-efficacy and psychological well-being). Doctoral Thesis, Ankara University.
• Beck, A. T. (1976). Cognitive Therapy and the Emotional Disorders. London: Penguin Books.
• Bedel, A. and Ramazan, A. R. İ. (2011). Kisiler arasi sorun cozme beceri egitiminin yetistirme yurdunda yasayan ergenlerin yapici problem cozme ve surekli ofke duzeylerine etkisi. (The effect of interpersonal problem solving skills training on constructive problem solving and trait anger levels of adolescents living in orphanages.) Pegem Egitim ve Ogretim Dergisi(Pegem Journal of Education and Training), 1(4), 1-10.
• Bengisoy, A., Ozdemir, M. B., Erkivanc, F., Sahin, S. and İskifoglu, T. C. (2019). Bilissel davranisci terapi kullanilarak yapilan arastirma makalelerinin icerik analizi. (Content analysis of research articles using cognitive behavioral therapy) 1997-2018. Turkish Psychological Counseling and Guidance Journal, 9(54), 745-793.
• Brent, D.A., Holder, D., Kolko, D., Birmaher, B., Baugher, M., Roth, C. (1997) A clinical psychotherapy trial for adolescent depression comparing cognitive, family, and supportive therapy. Arch Gen Psychiatry, 54(9), 877- 885.
• Bunge, E. L., Mandil, J., Consoli, A. J., ve Gomar, M. (2017). CBT Strategies for Anxious and Depressed Children And Adolescents: A Clinician's Toolkit. Guilford Publications.
• Byrne, M. M. (2001). Understanding life experiences through a phenomenological approach to research. AORN Journal, 73(4), 830-830.
• Chorpita BF, Yim L. And Moffitt C. (2000). Assessment of symptoms of DSM-İV anxiety and depression in children: a Revised Child Anxiety and Depression Scale. Behaviour Research and Therapy. 38(8), 835–855.
• Crowe, K., and McKay, D. (2017). Efficacy of cognitive-behavioral therapy for childhood anxiety and depression. Journal of Anxiety Disorders, 49, 76-87.
• Conway, K. P., Compton, W., Stinson, F. S. and Grant, B. F. (2006). Lifetime comorbidity of DSM-İV mood and anxiety disorders and specific drug use disorders: results from the National Epidemiologic Survey on Alcohol and Related Conditions. Journal of clinical Psychiatry, 67(2), 247-257.
• Costello, E. J., Costello, A. J., Edelbrock, C., Burns, B. J., Dulcan, M. K., Brent, D. A., (1988). Psychiatric disorders in pediatric primary care: Prevalence and risk factors. Archives of General Psychiatry, 45, 1107–1116.
• Cilhoroz, Y. (2023). COVİD-19 Pandemisinin Cocuklar Uzerindeki Psikolojik Etkilerinin İncelenmesi. (Examining the Psychological Effects of the COVİD-19 Pandemic on Children) Saglik ve Sosyal Refah Arastirmalari Dergisi (Journal of Health and Social Welfare Research), 5(1), 36-53.
• Civitci, A. (2006). Ergenlerde Mantikdisi İnanclar: Sosyodemografik Degiskenlere Gore Bir İnceleme. (İrrational Beliefs in Adolescents: A Study According to Sociodemographic Variables.) Pamukkale Universitesi Egitim Fakultesi Dergisi(Pamukkale University Faculty of Education Journal), 19(19), 7-17.
• David F., C. and Kaslow, N. J. (2008). Evidence-based psychosocial treatments for child and adolescent depression. Journal of Clinical Child & Adolescent Psychology, 37(1), 62-104.
• Eraslan, A. N. (2020). On Yasindaki Bir Cocukta Mizofoninin Bilissel Davranisci Terapi ile Tedavisi: Bir Olgu Sunumu. (Treatment of Misophonia with Cognitive Behavioral Therapy in a Ten-Year-Old Child: A Case Report) Bilissel Davranisci Psikoterapi ve Arastirmalar Dergisi(Journal of Cognitive Behavioral Psychotherapy and Research), 9(3), 260-267.
• Erden, G. T. D. and Guler, F. Y. (2014). Bosanma surecinde cocuklarin benlik saygisi depresyon ve kabul-red algisinin cesitli degiskenler acisindan incelenmesi. (İnvestigation of children's self-esteem, depression and acceptance-rejection perception in terms of various variables in the divorce process). Doctoral dissertation, Ankara University.
• Erol, E., Zabci, N. and Simsek, O. F. (2020). Cocuk depresif belirti degerlendirme olcegi gelistirme.( Development of a child depressive symptom rating scale) Anadolu Psikiyatri Dergisi (Anatolian Journal of Psychiatry), 21, 14-20.
• Franko, D. L., Striegel-Moore, R. H., Bean, J., Tamer, R., Kraemer, H. C., Dohm, F. A. (2005). Psychosocial and health consequences of adolescent depression in black and White young adult women. Health Psychology, 24 (6), 586–593.
• Garber, J., Frankel, S. A. and Herrington, C. G. (2016). Developmental demands of cognitive behavioral therapy for depression in children and adolescents: Cognitive, social, and emotional processes. Annual Review of Clinical Psychology, 12, 181.
• Gotlib, İ. H., Lewinsohn, P. M. and Seeley, J. R. (1998). Consequences of depression during adolescence: marital status and marital functioning in early adulthood. Journal of abnormal psychology, 107(4), 686.
• Gormez, V., Orengul, A. C., Kilincaslan, A., Kaya, İ., Nasiroglu, S. and Ceri, V. (2016). Cocukluk Cagi Anksiyete Depresyon Olceginin Turkce gecerlilik ve guvenilirlik calismasi. (Turkish validity and reliability study of the Childhood Anxiety and Depression İnventory.) Anadolu Psikiyatri Dergisi(Anatolian Journal of Psychiatry), 17, 21.
• Guler, M., Demirci, K., Karakus, K., Kisioglu, A. N., Zengin, E., Yozgat, Z., Yilmaz, H. (2014). Suleyman Demirel Universitesi Tip Fakultesi ogrencilerinde umutsuzluk-depresyon sikligi ve sosyodemografik ozellikler arasindaki iliskinin belirlenmesi. (Determination of the relationship between hopelessness-depression frequency and sociodemographic characteristics in Suleyman Demirel University Faculty of Medicine students) İnternational Journal of Basic and Clinical Medicine, 2(1), 32-37.
• Hetrick, S. E., Cox, G. R., Witt, K. G., Bir, J. J. and Merry, S. N. (2016). Cognitive behavioural therapy (CBT), third‐wave CBT and interpersonal therapy (İPT) based interventions for preventing depression in children and adolescents. Cochrane database of systematic reviews, 9(8).
• İsakson, K. and Jarvis, P. (1999). The adjustment of adolescents during the transition into high school: A short term longitudinal study. Journal of Youth and Adolescence, 28, 1–26.
• Karakaya, İ., Coskun, A. and Agaoglu, B. (2006). Yuzuculerin depresyon, benlik saygisi ve kaygi duzeylerinin degerlendirilmesi. (Evaluation of depression, self-esteem and anxiety levels of swimmers) Anadolu Psikiyatri Dergisi(Anatolian Journal of Psychiatry), 7(3), 162-166.
• Kaya, B. and Kaya, M. (2007). 1960'lardan Gunumuze Depresyonun Epidemiyolojisi, Tarihsel Bir Bakis.( Epidemiology of Depression from the 1960s to the Present, A Historical Overview). Klinik Psikiyatri Dergisi(Clinic Journal of Psychiatry), 10(Supp: 6), 3-10.
• Keles, S. and İdsoe, T. (2018). A meta-analysis of group cognitive behavioral therapy (CBT) interventions for adolescents with depression. Journal of Adolescence, 67, 129-139.
• Kendler, K. S., Kuhn, J. W. and Prescott, C. A. (2004). Childhood sexual abuse, stressful life events and risk for major depression in women. Psychological Medicine, 34, 1475–1482.
• Kessler, R. C. and Walters, E. E. (1998). Epidemiology of DSM‐İİİ‐R major depression and minor depression among adolescents and young adults in the national comorbidity survey. Depression and anxiety, 7(1), 3-14.
• Kim-Cohen J, Caspi A, Taylor A., maltreatment, and gene-environment interaction predicting children’s mental health: new evidence and a meta-analysis. Mol Psychiatry 2006;11:903-13.
• Kovacs, M. (1981). Rating scales to assess depression in school-aged children. Acta Paedopsychiatrica: İnternational Journal of Child & Adolescent Psychiatry, 46(5-6), 305–315.
• Kul, A., Demir, R. and ve Katmer, A. N. (2020). Covid-19 Salgini Doneminde Psikolojik Saglamligin Yordayicisi Olarak Yasam Anlami ve Kaygi. (Meaning of Life and Anxiety as a Predictor of Psychological Resilience During the Covid-19 Pandemic) Electronic Turkish Studies, 15(6), 695-719.
• Maalouf, F. T. and Brent, D. A. (2012). Child and adolescent depression intervention overview: what works, for whom and how well?. Child and Adolescent Psychiatric Clinics, 21(2), 299-312.
• Mahon, N. E. and Yarcheski, A. (1992). Alternate explanations of loneliness in adolescents: a replication and extension study. Nursing Research, 41(3), 151-156.
• Miles, M. B. and Huberman, A. M. (1994). Qualitative data analysis: An expanded sourcebook. sage.
• O’Sullivan, C. (2004). The psychosocial determinants of depression: A lifespan perspective. Journal of Nervous Mental Disorders, 192, 585–594.
• Oud, M., De Winter, L., Vermeulen-Smit, E., Bodden, D., Nauta, M., Stone, L. and Stikkelbroek, Y. (2019). Effectiveness of CBT for children and adolescents with depression: A systematic review and meta-regression analysis. European psychiatry, 57, 33-45.
• Oy, B. (1991). Cocuklar icin depresyon olcegi: Gecerlik ve guvenirlik calismasi. (Depression scale for children: A study of validity and reliability.) Turk Psikiyatri Dergisi (Turkish Journal of Psychiatry), 2(2), 132-136.
• Ozcan, H., Subasi, B., Budak, B., Celik, M., Gurel, S. C. and Yildiz, M. (2013). Ergenlik ve genc yetiskinlik donemindeki kadinlarda benlik saygisi, sosyal gorunus kaygisi, depresyon ve anksiyete iliskisi (The relationship between self-esteem, social appearance anxiety, depression and anxiety in adolescent and young adult women). Journal of Mood Disorders, 3(3), 107-13.
• Ozturk M. O. (2001). Ruh Sagligi ve Bozukluklari. (Mental Health and Disorders) 8th Ed.Feryal Matbaasi.
• Phillips, N. K., Hammen, C. L., Brennan, P. A., Najman, J. M. and Bor, W. (2005). Early adversity and the prospective prediction of depressive and anxiety disorders in adolescents. Journal of Abnormal Child Psychology, 33, 13–24.
• Rawson, H. E., Bloomer, K. and Kendall, A. (1994). Stress, anxiety, depression, and physical illness in college students. The Journal of Genetic Psychology, 155(3), 321-330.
• Reinecke, M. A., Ryan, N. and DuBois, D. L. (1998). " Meta-analysis of CBT fordepression in adolescents": Dr. Reinecke et al reply.
• Reinherz, H. Z., Giaconia, R. M., Silverman, A. B., Friedman, A., Pakiz, & Frost, A. K., et al. (1995). Early psychosocial risks for adolescent suicidal ideation and attempts. Journal of the American Academy of Child and Adolescent Psychiatry, 5(34). 599–611.
• Schepis, T. S. and Rao, U. (2005). Epidemiology and etiology of adolescent smoking. Current opinion in pediatrics, 17(5), 607-612.
• Spence S. H. (1998). A measure of anxiety symptoms among children. Behaviour Research and Therapy. 36(5), 545–566.
• Suler, M. (2017). Cocuk ve ergenlerde bilissel davranisci terapi uygulamalari: bir gozden gecirme. (Cognitive behavioral therapy practices in children and adolescents: a review) Cocuk ve Medeniyet(Child and Civilization), 2(3), 29-42.
• Thielemann, J. F. B., Kasparik, B., Konig, J., Unterhitzenberger, J. and Rosner, R. (2022). A systematic review and meta-analysis of trauma-focused cognitive behavioral therapy for children and adolescents. Child Abuse & Neglect, 134, 105899.
• Turk, F. and Katmer, A. N. (2019). A Study on the Effectiveness of Coping with Test Anxiety Program Based on Cognitive-Behavioral Approach. İnternational Journal of Evaluation and Research in Education, 8(4), 666-675.
• Verduyn, C., Rogers, J. and Wood, A. (2009). Depression: Cognitive behaviour therapy with children and young people. Routledge.
• Vostanis, P., Feehan, C., Grattan, E. and Bickerton, W. L. (1996). A randomised controlled out-patient trial of cognitive-behavioural treatment for children and adolescents with depression: 9-month follow-up. Journal of Affective Disorders, 40(1-2), 105-116
• Yang, L., Zhou, X., Zhou, C., Zhang, Y., Pu, J., Liu, L. and Xie, P. (2017). Efficacy and acceptability of cognitive behavioral therapy for depression in children: A systematic review and meta-analysis. Academic Pediatrics, 17(1), 9-16.
• Yildiray, B. and Celik, S. B. Universite Ogrencilerinin Covid-19 Salginina Yonelik Korkulari ile Depresyon ve Psikolojik Dayaniklilik Duzeyleri Arasindaki İliski. (The Relationship Between University Students' Fear of the Covid-19 Epidemic and Levels of Depression and Resilience.) Sosyal ve Beseri Bilimler Arastirmalari Dergisi(Journal of Social and Human Sciences Studies), 22(49), 157-177.
• Yildirim, A. and Simsek, H. (2016). Sosyal Bilimlerde Nitel Arastirma Yontemleri. (Qualitative research methods in the social sciences.) Ankara: Seckin Yayincilik.
• Weller, E.B., Weller, R.A., & Svadjian, H. (1996) Mood disorders. Child and Adolescent Psychiatry A Comprehensive Text Book, M Lewis (Ed), 2. Print, Philadelphia, Williams & Wilkins, A Waverly Company, s.650-666.
• Williams, H. (2021). The Meaning of" Phenomenology": Qualitative and Philosophical Phenomenological Research Methods. The Qualitative Report, 26(2), 366-385.
• Williamson, D. E., Birmaher, B., Dahl, R. E. and Ryan, N. D. (2005). Stressful life events in anxious and depressed children. Journal of Child and Adolescent Psychopharmacology, 15(4), 571–580