اثربخشی برنامه پویانمایی با رویکرد شناختی رفتاری بر علائم اضطراب کودکان: یک مطالعه موردی

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشگاه تهران

2 دانشگاه آزاد تنکابن

چکیده

اختلالات اضطرابی از شایع‌ترین اختلالات روانی و عاطفی در بین کودکان است و می‌تواند روند زندگی عادی و عملکرد تحصیلی و روابط دوستانه آنها را مختل نماید . هدف پژوهش حاضر بررسی اثربخشی برنامه پویانمایی با رویکرد شناختی رفتاری بر کاهش علائم اضطراب کودکان 7 تا 8 سال بود. پژوهش حاضر یک مطالعه تک‌آزمودنی بود که در آن برای شرکت‌کنندگان از طرح A-B-A استفاده شده‌است. در این مطالعه 3 کودک دبستانی دارای علائم اضطراب شرکت داشتند. طرح درمانی شامل 12 جلسه اجرای برنامه پویانمایی بود که برای هریک از شرکت‌کنندگان به صورت انفرادی برگزار شد و اندازه‌گیری‌های چندگانه شامل پیش‌آزمون، پس‌آزمون و سه دوره پیگیری انجام شد. برای سنجش علائم اضطراب از مقیاس اضطراب کودکان اسپنس (نسخه والدین) (1999) استفاده شد. داده‌های جمع‌آوری شده با تجزیه و تحلیل نمودار تحلیل گردید. با توجه به نتایج پژوهش حاضر می‌توان نتیجه گرفت که برنامه پویانمایی در کاهش علائم اضطراب کودکان موثر بوده‌است.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

The effectiveness of animation program with cognitive behavior approach on anxiety symptoms of children: A case study

نویسندگان [English]

  • reza azizan 1
  • elham shafiee 1
  • samira mansouri-rad 2
1 University of Tehran
2 Tonekabon Azad university
چکیده [English]

Anxiety disorders are the most common psychological and emotional disorders in children. Anxiety disorder can disrupt the routine life, school performance and friendly relationship. The purpose of the present study was to evaluate the effectiveness of animation program with cognitive behavior approach on anxiety symptoms of children with 7 or 8 years old. The present study was a single subject design using A-B-A for participants. 3 primary school children with anxiety symptoms participated in this study. The treatment plan was consisted of 12 secessions implementing animation program that each participant received the program individually. Multiple measurements were done at pre-test, during the treatment and post-test. The instrument of the present study was the Spence Children’s Anxiety Scale (SCAS) (1999). The gathered data were analyzed with chart analysis. According to the results of the present study include that animation program was affective on reducing the anxiety symptom of the primary school children.

کلیدواژه‌ها [English]

  • animation program
  • anxiety symptoms
  • case study
[1] Stallard P. Anxiety: Cognitive Behaviour Therapy with children and young people. East Sussex: Routledge. 2009.
[2] Vasey MW, Dadds MR. An introduction to the developmental psychopathology of anxiety. New York: Oxford University press. 2001.
[3] Wood JJ, Mcleod BD. Child anxiety disorders: a family- based treatment manual for practitioners. New York: W. W. Norton & co. 2008.
[4] Walkup JW, Albano AM. Cognitive behavioral therapy, sertraline, or a combination in childhood anxiety. The New England Journal of Medicine. 2011; 359: 2753-2766.
[5] Tehranizadeh M, Dadsetan P, Tabatabaee KR, Azad Fallah P, Fathi Ashtiani A. Effectiveness of the coping cat therapy program in decreasing internalized symptoms of Iranian children. Developmental Psychology, 2011; 7(28): 313–321.
[6] Oana B. Investigation the structure of anxiety symptoms among Romanian preschools using the Spence preschool anxiety scale. 2010.
[7] Layne A, Bernat D, Victor A, Bernstein G. Generalized anxiety disorders in a nonclinical sample of children: Symptom presentation and predictors of impairment. Journal of Anxiety Disorders, 2009; 23: 283-289.
[8] Ruscio A, Chiu W, Roybyrne p, Stang P, Stein D, Wittchen H, Kessler r. Broadening the definition of generalized anxiety disorder effect on prevalence and associations with other disorders in the national comorbidity survay replication. Journal of Anxiety Disorder, 2007; 21: 662-676.
[9] Brand S, Wilhelm FH, Kossowsky J, Holsboer-Trachsler E, Schneider S. Children suffering from separation anxiety disorder (SAD) show increased HPA axis activity compared to healthy controls. Journal of Psychiatric Research, 2011; 45(4):452-459.
[10] Lewinsohn PM, Holm-Denoma JM, Small JW, Seeley JR, Joiner TE. Separation anxiety disorder in childhood as a risk factor for future mental illness. Journal of the American Academy of Child and Adolescent Psychiatry, 2008; 47: 548–555.
[11] Ginsburg GS, Becker KD, Drazdowski TK, Tein J-Y. Treating anxiety disorders in inner city schools: results from a pilot randomized controlled trial comparing CBT and usual care. Child Youth Care Forum, 2012; 41(1): 1–19.
[12] Unterrainer JM, Domschke K, Rahm B, Wiltink J, Schulz A, Pfeiffer N, Lackner K. Subclinical levels of anxiety but not depression are associated with planning performance in a large population-based sample, Psychological Medical, 2018; 48: 168–174.
[13] Mogg K, Salum GA, Bradley BP. Attention network functioning in children with anxiety disorders, attention-deficit/hyperactivity disorder and non-clinical anxiety. Psychological Medical, 2015; 45 (12): 2633–2646.
[14] Lee SS, Falk AE, Aguirre VP. Association of comorbid anxiety with social functioning in school-age children with and without attention-deficit/hyperactivity disorder (ADHD). Psychiatry Research, 2012; 197: 90–96.
[15] Vloet TD, Konrad K, Herpertz-Dahlmann B, Polier GG, Günther T. Impact of anxiety disorders on attentional functions in children with ADHD. Journal of Affect Disorders, 2010; 124: 283 290.
[16] Weems CF, Costa NM, Watts SE, Taylor LK, Cannon MF. Cognitive errors, anxiety sensitivity, and anxiety control beliefs: their unique and specific associations with childhood anxiety symptoms. Behavior Modification, 2007; 31: 174–201.
[17] Eysenck MW, Derakshan N, Santos R, Calvo MG. Anxiety and cognitive performance: attentional control theory. Emotion, 2007; 7:336–353.
[18] Robinson OJ, Vytal K, Cornwell BR, Grillon C. The impact of anxiety upon cognition: perspectives from human threat of shock studies. Front Hum. Neuroscience. 2013; 7, 203.
[19] Mazzone L, Ducci F, Scoto MC, Passaniti E, D'Arrigo VG, Vitiello B. The role of anxiety symptoms in school performance in a community sample of children and adolescents. BMC Public Health, 2007; 7, 347.
[20] Goldberger-Raskin B, Gothers D, Bachner-Melman R, Lang C, Kushnir J. The association between sleep disturbances of children with anxiety disorders and those of their mothers. Sleep medicine, 2018; (43): 77-82.
[21] Essau CA, Conradt J, Petermann F. Frequency, comorbidity, and psychosocial impairment of anxiety disorders in German adolescents. Journal of Anxiety Disorder, 2000; 14.
[22] Nasirzadeh R, Roshan R. The Effect of Storytelling on Aggression in Six to Eight-Year Old Boys. Iranian Journal of Psychiatry and Clinical Psychology, 2010; 16(2): 118-126. (in Persian).
[23] Kendall PC, Hedtke KA. Cognitive-behavioral therapy for anxious children: Therapist manual. Ardmore, PA: Workbook Publishing. 2006.
[24] Wood JJ, Piacentini JC, Southam-Gerow M, Chu BC, Sigman M. Family cognitive behavioral therapy for child anxiety disorders. Journal of American Academy Child Adolescent Psychiatry, 2006;45(3): 314–321.
[25] Schwartz C, Waddell CH. Treating anxiety disorders. Journal of children's mental health research, 2012; 2(6):12-19.
[26] Victor AM, Bernat DH, Bernstein GA, Layne AE. Effect of parent and family characteristics on treatment outcome of anxious children. Journal of Anxiety Disorder, 2007; 835-848.
[27] Field A, Cartwright-Hatton S. Shared and unique cognitive factors in social anxiety. International Journal of Cognitive Therapy, 2008; 1: 206–222.
[28] Breinholst S, Esbjorn BH. CBT for the treatment of child anxiety disorders: A review of why parental involvement has not enhanced outcome. Journal of Anxiety Disorders, 2012; 26: 416– 424.
[29] Florin L, Hegherti J. ICT and special educational needs (Translate by Zarai Zavaraki, A., & Jafarkhani, F). Tehran: Avaye Noor Publication. 2004. (in Persian).
[30] Naseh H. With autism from diagnosis to treatment. Tehran: Danjeh. 2009. (in Persian).
[31] Lai YL, Kuan KK, Hui KL, Liu N. The effects of moving animation on recall, hedonic and utilitarian perceptions, and attitude. IEEE Transactions on Engineering Management, 2009; 56(3): 468-477
[32] Charlop-Christy MH, Carpenter MH. Modified incidental teaching sessions: A procedure for parents to increase spontaneous speech in their children with autism. Journal of Positive Behavior Interventions, 2000; 2: 98–112.
[33] Bandura A. Social learning theory. Englewood Cliffs, NJ: Prentice Hall. 1977.
[34] Bellini S, Akullian J. A meta-analysis of video modeling and video self-modeling interventions for children and adolescents with Autism Spectrum disorders. Exceptional Children, 2007; 73: 264–287.
[35] Charlop MH, Dennis B, Carpenter MH, & Greenberg AL. Teaching socially expressive behavior to children with autism through video modeling. Education & Treatment of Children, 2010; 33: 371–393.
[36] McCoy K, Hermansen E. Video modeling for individuals with autism: A review of model types and effects. Education & Treatment of Children, 2007; 30: 183–213.
[37] Shute VJ, Rahimi S. Review of computer-based assessment for learning in elementary and secondary education. Journal of Computer Assisted Learning, 2017; 33(1): 1-19.
[38] Martinez OOL. Criteria for defining animation: A revision of the definition of animation in the advent of digital moving images. Animation, 2015; 10(1): 42-57.
[39] Cavallo A, Koul A, Ansuini C, Capozzi F,  Becchio C. Decoding intentions from movement kinematics. Science Research, 2016; 6: 37036.
[40] Guvercin Z. Fizik dersinde simulasyon destekli yazilimin ogrencilerin akademik basarisina, tutumlarina ve kaliciliga olan etkisi (Unpublished Master Thesis). Graduate School of Social Sciences, Cukurova University, Adana, Turkey. 2010.
[41] Betrancourt M, Tversky B. Effect of computer animation on users' performance: A review. Le Travail Humain, 2000; 63(4): 311-329.
[42] Mechling LC, Collins S. Comparison of the effects of video models with and without verbal cuing on task completion by young adults with moderate intellectual disabilities. Education and Training in Autism and Developmental Disabilities, 2012; 47: 223–235.
[43] Smith M, Ayres K, Mechling L, Smith K. Comparison of the effects of video modeling with narration vs. video modeling on the functional skill acquisition of adolescents with autism. Education and Training in Autism and Developmental Disabilities, 2013; 48(2): 164–178.
[44] Golan O, Ashwin E, Baron-Cohen S. Can emotion recognition ne taught to children with autism spectrum conditions. Philos Trans R Soc Lond B Biol Sci, 2009; 364(1535): 3567-3574.
[45] Conti D, Nuovo SD, Buono S, Trubia G, Nuovo AD. Use of robotics to stimulate imitation in children with Autism Spectrum Disorder: A pilot study in a clinical setting. 24th IEEE International Symposium on Robot and Human Interactive Communication (RO-MAN), 2015; 1–6.
[46] Myles BS, Orr S. Sensory processing issues associated with Asperger syndrome: a preliminary investigation. American Journal Occupation Therapy, 2002; 56(1): 97-102.
[47] Delano M. Video modeling intervention for individuals with autism. Remedial and Special Education, 2007; 28: 33–42.
[48] Khayeri F, Rabiei L, Shamsalinia A, Masoudi R. Effect of Fordyce happiness model on depression, stress, anxiety, and fatigue in patients with multiple sclerosis. Complement Therapy Clinical Practice, 2016; 25: 130-135.
[49] Kabashi L, Kaczmarek LA. Evaluating the efficacy of video-based instruction on improving social initiation skills of children with autism spectrum disorder: A review of the literature. Journal of Autism and Developmental Disorders, 2017; 4: 61–81.
[50] Charlop MH, Gilmore L, Chang GT. Using video modeling to increase variation in the conversation of children with autism. Journal of Special Education Technology, 2008; 23: 47–66.
[51] Rex C, Charlop MH, Spector V. Using video modeling as an anti-bullying intervention for children with autism spectrum disorder. Journal of Autism and Developmental Disorders, 2018; 48: 2701–2713.
[52] Keen D, Brannigan KL, Cuskelly M. Toilet training for children with autism: The effects of video modeling. Journal of Developmental and Physical Disabilities, 2007; 19: 291–303.
[53] Bodden DHM, Bogels SM, Nauta MH, DeHaan E, Ringrose J, Appelboom C. Child versus family Cognitive-behavioral therapy in clinically anxious youth: an efficacy and partial effectiveness study. Journal of the American Academy of Child and Adolescent Psychiatry, 2008; 47: 1384-1394.
[54] Spence SH. Spence Children’s Anxiety Scale (parent version), Brisbane: University of Queensland. 1999.
[55] Nauta MH, Scholing A, Rapee RM. A parent report measure of children’s anxiety: psychometric properties and comparison with child-report in a clinic and normal sample, Behaviour Research and Therapy, 2004; 42(7): 813-839.
[56] Allen B, Timmer SJ, Urquiza AJ. Parent-child interaction therapy for sexual concerns of maltreated children: a preliminary investigation. Child Abuse Negl, 2016; 56: 80-88.
[57] Hoogenhout M, Malcolm-Smith S. Theory of mind in autism spectrum disorder: does DSM classification predict development? Research Autism Spectrum Disorder. 2014; 8(6): 597–607.