Stress in teachers of children with neuro-developmental disorders: Effect of blended rational emotive behavioral therapy

BACKGROUND/OBJECTIVES

Neuro-developmental disorders impose a wide range of learning barriers on learners, increasing stress among their teachers. Evidence attests to the heightened stress among teachers teaching children with such conditions. This study tested the efficacy of blended Rational Emotive Behavior Therapy in reducing job stress among teachers of children with neuro-developmental disorders in Abia State, Nigeria.

METHOD

The current study adopted a group-randomized waitlist control trial design with pretest, post-test, and follow-up assessments. Participants (N = 83) included teachers of children with neuro-developmental disorders in inclusive and specialized schools. The blended Rational Emotive Behavior Therapy group participated in a 2 h intersession face-to-face and online Rational Emotive Behavior Therapy (REBT) program weekly for 12 weeks. Data were collected using the Single Item Stress Questionnaire, Teachers' Stress Inventory, and Participants' Satisfaction questionnaire. The waitlisted group also received a blended Rational Emotive Behavior Therapy intervention after all data collection. Data collected at baseline; post-test as well as follow-up 1 and 2 evaluations were analyzed using mean, standard deviation, t-test statistics, repeated measures analysis of variance, and charts.

RESULTS

Results revealed that the mean perceived stress, stress symptoms, and the total teachers' stress score of the blended Rational Emotive Behavior Therapy group at post-test and follow-up assessments reduced significantly, compared to the waitlisted group. Participants also reported a high level of satisfaction with the therapy and procedures.

CONCLUSION

From the findings of this study, we conclude that blended Rational Emotive Behaviour Therapy is efficacious in occupational stress management among teachers of children with neuro-developmental disorders.

Clinical benefits of rational-emotive stress management therapy for job burnout and dysfunctional distress of special education teachers

It has been observed that managing job burnout and dysfunctional distress constitute part of the major challenges among special educators, and that empirical data on the management of burnout and dysfunctional distress associated with the job of special education teachers are lacking in the literature. The current article discusses the clinical benefits of a rational-emotive stress-management therapy program in reducing the level of job burnout symptoms and dysfunctional distress in special education teachers, using evidence from a 2018 clinical trial study that reported the efficacy of this intervention. Results show the clinical benefits and implications of conducting a rational-emotive stress management intervention, and recommendations are made for future research.

Rational-Emotive Behavior Therapy Program for Trauma-Specific Beliefs Among Undergraduate Students: Testing the Effect of A Group Therapy

BACKGROUND/OBJECTIVE: The identification of trauma and posttraumatic stress disorder and its treatment is critically important in contemporary society. This preliminary research aimed to investigate the effect that rational-emotive behavior therapy (REBT) had on trauma-specific beliefs. METHOD: This study used a randomized controlled trial design. The study participants were 182 undergraduate students. A self-report questionnaire which measures trauma-specific irrational beliefs was used for data collection. A trauma-focused REBT manual guided the group intervention. Within x Between-subjects and paired t-test statistic were used for data analysis. RESULTS: The results show that REBT brought about a significant reduction in trauma-specific irrational beliefs among the students in the treatment group compared to their counterparts in the waitlist control group. Finally, the results indicate that the positive gains were significantly maintained by the treatment group at four months follow-up. CONCLUSION: The current study suggests that an REBT program can be helpful in altering trauma-specific irrational beliefs. The authors employed this model of psychological intervention in an African society in which trauma is significant. The authors demonstrated a model for evaluation and a model of intervention that appears to be of a significant and enduring impact as reported in this study.

Parenting Stress in Families of Children With Autism Spectrum Disorder: The Roles of the Extended Family

OBJECTIVE: This study focused on the role of extended family in mitigating the stress experienced by parents of children with autism and the possible challenges of involving them, especially in modern Nigerian society. The study identified the sources of stress for parents of children with autism, and considered location and family size factors in stress experienced by parents, the role of the extended family in mitigating the stress and the challenges that may inhibit the involvement of the extended family.  METHOD: The study adopted a descriptive survey research design and was carried out in South East, Nigeria. All parents and guardians of children with autism in the three special needs schools that cater for children with autism in the two selected states were used for the study. Data was collected using a self-report questionnaire with 36 items to elicit information on the sources of stress for parents and the role of the extended family in mitigating the stress. A semi-structured 26 items interview schedule adapted from Smithfield’s (2011) parents of children with autism questions covering the child's behaviour, parent's feelings, and role of the extended family was also used to generate firsthand information on the issues raised and to complement data collected through the self-report questionnaire. There was a researcher observation guide for monitoring progress in the study. Mean and standard deviation was used to answer the research questions while regression analysis, t-test and Analysis of variance were used to test the null hypotheses at 0.05 level of significance. RESULTS: The findings revealed that parents of children with autism experience stress that is hinged basically on the behaviour of the children. Family size does not influence parents’ stress experience but location does.  Some parents receive child care and/or financial help sometimes from extended family members. CONCLUSION: Parents of children with autism face a lot of stress that is hinged basically on the behaviour of the children. Some of the rural parents, however, have the opportunity of getting help sometimes from extended family members since special need schools are not located in their area or even nearby. The extended family relations sometimes offer financial help but from all indications, the modern urbanization has really eroded their help. Family size does not influence parents’ stress experience and role of extended family but location does.

Emotional Self-Regulation as a Predictor of Self-Esteem and Academic Self-Efficacy of Children With Visual Impairment

BACKGROUND/OBJECTIVE: Research on the predictive capacity of emotional self-regulation on self-esteem and academic self-efficacy among children with visual impairment is limited. The present study investigated the predictive capacity of emotional self-regulation on self-esteem and academic self-efficacy among children with visual impairment in South-east Nigeria. METHOD: A predictive correlational research design was adopted for the study. The participants were 186 students with visual impairment in public schools in the study area. The data was obtained using the Emotional Regulation Questionnaire (ERQ), Rosenberg Self-Esteem Scale (RSES), and Academic Self-Efficacy Scale (ASES). We applied multiple stepwise linear regression analysis for data analysis. RESULTS: Results show that ERQ reappraisal and ERQ suppression are independent predictors of RSES. The ESRQ combined scores significantly predicted RSES. The standardized coefficient for the predictive capacity of the ERQ on RSES was -.464 (p=.000). The ERQ total score in collaboration with gender also predicted RSES. The ERQ reappraisal alone was a significant predictor of ASES, but ERQ suppression alone was not. The ERQ combined score did not significantly predict ASES. The standardized coefficient for the predictive capacity of the ERQ total score on ASES was -.108 (p=.164). The ERQ total score together with age significantly predicted ASES. But ERQ total score with parent’s educational background did not significantly predict ASES. CONCLUSION: Emotional self-regulation reappraisal and Emotional Self-regulation suppression as independent predictors consequently interact to lower the self-esteem and self-efficacy of children with visual impairment. It is pertinent to focus on and teach emotional self-regulation of students with visual impairment so as to boost their self-esteem and academic self-efficacy. This will help to reduce low self-esteem among the students with visual impairment and will also help to eliminate the negative emotional thoughts concomitant with disability.

The need for school administrative policies to manage meningitis amongst students in Nigeria: a viewpoint

Students are at greater risk of meningitis than non-students of similar age. However, a lack of specific school administrative policies for the management of meningitis may contribute to the increasing incidence of meningitis in the student population. The study aims were to promote the need for a policy framework in school settings to manage meningitis, and to encourage research to assess the readiness of school administrators to adopt such a policy in Nigeria. The material reviewed here derives from expert opinion, gray literature, national data sources, websites, and peer-reviewed journals. It is important to offer comprehensible, reliable, and accurate information about meningitis to students and staff of every school in Nigeria, as one of the best ways of achieving the goal of preventing meningitis in students may be through the adoption and implementation of meningitis policy frameworks by school administrators. Furthermore, studies are required to examine the readiness of school administrators to adopt a meningitis policy framework.

Effect of Rational Emotive Health Therapy on Alcohol Use Among Community-dwelling, HIV-positive Patients

BACKGROUND

Patients who have tested positive for the human immunodeficiency virus (HIV) and who also experience alcohol use disorder (AUD) symptoms have worse clinical outcomes when compared with those who do not have AUD symptoms. The objective of the present study was to determine the effect of rational emotive health therapy (REHT) on AUD among community-dwelling, HIV-positive patients in the Southeastern region of Nigeria.

METHODS

The research design included a pretest/post-test control group with a total of 124 community-dwelling, HIV-positive patients with AUD symptoms participating in the study. The measures employed for data collection included Alcohol-related Irrational Beliefs Scale (AIBS) and Alcohol Use Disorder Scale (AUDS). Repeated measures analysis of variance was used for statistical analysis.

RESULTS

The result obtained at the initial assessment indicated that AUD was severe. Furthermore, REHT intervention led to a significant reduction in AUD symptoms, as shown by a reduction in AUDS and AIBS scores with time in the treatment group compared to those in the waitlist control group after the intervention. Also, the effect of REHT was positively maintained in the treatment group participants at follow-up assessment.

CONCLUSION

The presence of HIV symptoms alone does not cause HIV-positive patients to be dependent on alcohol; rather, irrational beliefs about the infection may contribute to unhealthy feelings and abuse of alcohol. Rational emotive health therapy is an effective approach that can be employed by therapists and health counselors in helping HIV-positive patients to think rationally about themselves and work to be able to overcome HIV-related, as well as alcohol-related, irrational beliefs.

A rational-emotive stress management intervention for reducing job burnout and dysfunctional distress among special education teachers: An effect study

BACKGROUND

Job-related burnout and distress are adverse stress responses which affect individuals in their occupational environment. This study aimed at investigating the effect of a rational-emotive stress management program on job burnout and dysfunctional distress among special education teachers in Nigeria.

METHODS

A pretest-posttest randomized control group design was used. The participants in the study were 54 special education teachers. Data were collected using self-report questionnaires. Participants were allocated to either the treatment group (n = 28 [59.1%]) or the waitlist control group (n = 26 [48.1%]), respectively. A rational-emotive stress management manual was used to deliver the intervention. We statistically analyzed the data collected at three-time points with repeated-measures analysis of variance.

RESULTS

At baseline, the job-related burnout symptoms and distress scores of participants were high. However, an intention-to-treat analysis showed that the rational-emotive stress management intervention program was efficacious in reducing the levels of job-related burnout symptoms and dysfunctional distress among participants assigned to the treatment group, compared to a waitlisted group at post-treatment and follow-up meetings.

CONCLUSION

Our study demonstrates the effectiveness of a rational-emotive stress management intervention in reducing the level of job-related burnout and distress in a sample of special education teachers in Nigeria. Occupational health counsellors and other clinicians with sufficient knowledge of rational-emotive behavior therapy framework are urged to employ this approach in assisting other employees in managing job burnout symptoms, and distress.

Effects of Rational-Emotive Hospice Care Therapy on Problematic Assumptions, Death Anxiety, and Psychological Distress in a Sample of Cancer Patients and Their Family Caregivers in Nigeria

This study was a preliminary investigation that aimed to examine the effects of rational emotive hospice care therapy (REHCT) on problematic assumptions, death anxiety, and psychological distress in a sample of cancer patients and their family caregivers in Nigeria. The study adopted a pre-posttest randomized control group design. Participants were community-dwelling cancer patients (n = 32) and their family caregivers (n = 52). The treatment process consisted of 10 weeks of full intervention and 4 weeks of follow-up meetings that marked the end of intervention. The study used repeated-measures analysis of variance for data analysis. The findings revealed significant effects of a REHCT intervention program on problematic assumptions, death anxiety, and psychological distress reduction among the cancer patients and their family caregivers at the end of the intervention. The improvements were also maintained at follow-up meetings in the treatment group compared with the control group who received the usual care and conventional counseling. The researchers have been able to show that REHCT intervention is more effective than a control therapy for cancer patients’ care, education, and counseling in the Nigerian context.

Effects of cognitive behavioral coaching on depressive symptoms in a sample of type 2 diabetic inpatients in Nigeria

BACKGROUND

Depression is one of the mental health problems confronting those with diabetes mellitus and may result from self-defeating thoughts and lifestyles. Therefore, the aim of this study was to investigate the effects of cognitive behavioral coaching (CBC) program on depressive symptoms in a sample of the Type 2 diabetic inpatients in Onitsha metropolis of Anambra State, Nigeria.

METHODS

The design of the study was pretest-post-test randomized control group design. The participants were 80 Type 2 diabetic inpatients randomly assigned to the treatment and control groups. The primary outcome measures were Beck's Depression Inventory-II and a Diabetic Inpatient's Depressive Symptoms Observation Checklist. Mean, standard deviation, repeated measures analysis of covariance, and partial eta squared were used for data analysis.

RESULTS

The results revealed that the baseline of depressive symptoms was similar between the control and treatment groups of the Type 2 diabetic inpatients. But, exposing the Type 2 diabetic inpatients to a cognitive behavioral coaching program significantly reduced the depressive symptoms in the treatment group compared to those in the control group at the end of the intervention. The effects of cognitive behavioral coaching program on the depressive symptoms of those in the treatment group remained consistent at a 6 month follow-up meetings compared to the control group.

CONCLUSION

Given the potential benefits of a cognitive behavioral coaching program, clinicians and mental health professionals are urged to support and implement evidence-based cognitive-behavioral coaching interventions aimed at promoting diabetic inpatients' wellbeing in the Nigerian hospitals.