Monday, November 3, 2003

This presentation is part of : High Risk Children

The Effect of a Cognitive-Behavioral Group Therapy on Self-Esteem, Depression, and Self-Efficacy for Runaway Adolescents in a Shelter in Korea

Myung-sun Hyun, PhD, RN, School of Medicine, Division of Nursing Science, Ajou University, Suwon, South Korea, Hyang-in Cho Chung, PhD, RN, Department of Nursing, National Medical Center, College of Nursing, Seoul, South Korea, and Young-ja Lee, RN, MSN, College of Nursing, Yonsei University, Seoul, South Korea.
Learning Objective #1: Understand the degree of self-esteem, depression, and self-efficacy of runaway adolescents in a shelter in Korea, and identify the intervention program for these runaway adolescents
Learning Objective #2: Apply the intervention program developed in this study aimed at decreasing depression and promoting self-esteem and self-efficacy for runaway adolescents in a shelter

Objectives : The purpose of this study was to examine the effects of a cognitive-behavioral group therapy on self-esteem, depression, and self-efficacy for runaway adolescents in a shelter in Seoul, Korea.

Design : A control group pre-post test design

Population : runaway adolescents in a shelter in Korea

Sample : The participants included 27 adolescents who resided in a shelter in Seoul, Korea.Experimental group consisted of 14 participants and control group consisted of 13 participants.

Variables : Dependent variables were Self-esteem, Depression, and Self-efficacy. Self-esteem was measured by Self-esteem Inventory. Depression was measured by Beck Depression Inventory. Self-efficacy was measured by Self-efficacy Scale. All instruments were translated into Korean.

Methods : Participants were randomly assigned to the experimental group or control group. Experimental group (n=14) participated in a C-B group therapy that consisted of seven sessions over a 7-week period. Control group (n=13) did not participated in a C-B group therapy. Dependent variables were measured before and after the application of the intervention. Data were collected over 5 months period on 27 participants.

Findings : The findings revealed that in the experimental group, the scores of depression significantly decreased(z=-2.325, p=.02) and the scores of self-efficacy significantly increased(z=-2.098, p=.03) after the intervention. In the control group, the scores of depression, self-esteem, and self-efficacy showed no significant changes after the intervention.

Conclusion : The cognitive-behavioral group therapy was effective in decreasing depression and increasing self-efficacy for runaway adolescents in a shelter.

Implication : The cognitive-behavioral group therapy developed in this study is consisted of structured and specific contents. This program can be useful in applying for the other runaway adolescents in a shelter.

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