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Cognitive behavioral program on aggression and self-concept among institutionalized children with conduct disorder

Published:March 24, 2022DOI:https://doi.org/10.1016/j.apnu.2022.03.012

      Highlights

      • Aggressive behavior is a major symptom of conduct disorder and is one of the most powerful criminal predictors for individuals with conduct disorder.
      • 46.0% of institutionalized children with conduct disorder had low self-concept pre- program.
      • There was a decline in the severity of the level of aggression among the children, about 56.0% of them had a high level in the pre-program, and 24.0% of them had a high level after the program.
      • Cognitive behavioral program is as an effective, low-cost, and noninvasive intervention to improve self-concept and minimize aggressive behavior among institutionalized children with conduct disorder.

      Abstract

      Purpose

      To explore the effect of cognitive-behavioral programs on aggression and self-concept among institutionalized children with conduct disorder. A quiz-experimental design was employed in this study.

      Background

      Conduct Disorder (CD) is defined as repetitive and persistent behavior that violates the rules of society and social norms. It is also characterized by aggressive behaviors toward people or animals, dishonesty or theft, destruction of property, or serious violation of rules, and persists in children or adolescents in the past 12 months before age 18.

      Method

      This research was carried out at the Dammam Observation Center in Saudi Arabia and the Cairo Caring Center in Egypt. Approximately 100 institutionalized children with conduct disorder who had evidence of conduct disorder were included in the study as part of a purposive sampling procedure. The information was gathered through the use of three different tools: Aggressive behavior and self-concept scales, as well as a sociodemographic data sheet.

      Results

      According to the findings, children with conduct disorder exhibited less aggression after participating in cognitive behavioral sessions (p = .011), resulting in lower mean aggression scores for the intervention group than the control group. After the training, about 64% of them had a moderate level of self-concept, whereas 44% of them had a moderate level of self-concept before the program. The study also revealed a statistically significant negative correlation between aggressive behavior and self-concept.

      Conclusion

      The post-intervention remediation of aggressive behaviors and self-concept improvement point to the positive effect of the cognitive-behavioral program. The current study recommended that a cognitive-behavioral program is an effective, low-cost, and noninvasive intervention to improve self-concept and minimize aggressive behavior among institutionalized children with conduct disorder.

      Keywords

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      References

        • Abd Elhamid A.
        • Howe A.
        • Reading R.
        Prevalence of emotional and behavioural problems among 6–12 year old children in Egypt.
        Social Psychiatry and Psychiatric Epidemiology. 2009; 44: 8-14
        • Al Hariri A.
        Indicators of conduct disorders among adolescents in Saudi Arabia.
        European Scientific Journal. 2017; 13: 270-284
        • Ali K.M.A.-S.
        Anxiety and aggression among the children of substance dependent fathers in Gaza Strip.
        2013
        • Al-Qaadan F.
        • Daoud N.
        The effect of a cognitive-behavioral counseling program in reducing anxiety and improving self-esteem among a sample of ninth and tenth grade students with conduct disorder.
        Educational Sciences Studies. 2015; 42: 2
        • Al-Sheikh D.
        The adolescent student and the identity crisis.
        Faculty of Education, Damascus University. Folder of the Association of Arab Universities for Education and Psychology, 2006 (Fourth volume. (The second issue.))
        • Association A.P.
        Diagnostic and statistical manual for mental disorders-5.
        American Psychiatric Association Press, Washington DC2013
        • B A.-S.
        The Effect of a Behavioral - Cognitive Group Counseling Program among Juvenile Delinquents in Jordan.
        Journal of Jordan Social Science. 2014; 7: 166-183
        • Baker K.
        Conduct disorders in children and adolescents.
        Paediatrics and Child Health. 2013; 23: 24-29
        • Barlow D.H.
        • Durand V.M.
        Abnormal psychology: An integrative approach.
        6th ed. Wadsworth/Cengage Learning, Belmont, CA2012
        • Buitelaar J.K.
        • et al.
        Conduct disorders.
        European Child & Adolescent Psychiatry. 2013; 22: 49-54
        • American Psychiatric Association A.c.
        Diagnostic and statistical manual of mental disorders.
        Vol. 3. American Psychiatric Association, Washington, DC1980
        • Countries M.E.
        List of Middle Eastern countries by population.
        Wikipedia, 2017
        • Dimitry L.
        A systematic review on the mental health of children and adolescents in areas of armed conflict in the Middle East.
        Child: Care, Health and Development. 2012; 38: 153-161
        • Edition F.
        Diagnostic and statistical manual of mental disorders.
        American Psychiatric Association. 2013; 21
        • Erskine H.E.
        • et al.
        Research review: Epidemiological modelling of attention-deficit/hyperactivity disorder and conduct disorder for the Global Burden of Disease Study 2010.
        Journal of Child Psychology and Psychiatry. 2013; 54: 1263-1274
        • Escortel R.
        • Delgado B.
        • Martínez-Monteagudo M.
        Cybervictimization, self-concept, aggressiveness, and school anxiety in school children: A structural equations analysis.
        International Journal of Environmental Research and Public Health. 2020; 17: 7000https://doi.org/10.3390/ijerph17197000
        • Estévez López E.
        • et al.
        Adolescent aggression: Effects of gender and family and school environments.
        Journal of Adolescence. 2008; 31: 433-450
        • Hay I.
        Gender self-concept profiles of adolescents suspended from high school.
        The Journal of Child Psychology and Psychiatry and Allied Disciplines. 2000; 41: 345-352
        • Hutchings J.
        • et al.
        Parenting intervention in Sure Start services for children at risk of developing conduct disorder: Pragmatic randomized controlled trial.
        BMJ. 2007; 334: 678
        • Janse van Rensburg E.
        • et al.
        The short term effect of a group drumming intervention on aggressive behaviour among adolescent girls diagnosed with conduct disorder.
        South african journal of occupationalTherapy. 2016; 46: 16-22
        • Kimonis E.R.
        • Frick P.J.
        Oppositional defiant disorder and conduct disorder grown-up.
        Journal of Developmental & Behavioral Pediatrics. 2010; 31: 244-254
        • Kumar G.V.
        Impact of rational-emotive behaviour therapy (REBT) on adolescents with conduct disorder (CD).
        Journal of the indian academy ofApplied Psychology. 2009; 35 (Special Issue): 103-111
        • Mohammadi M.R.
        • et al.
        Psychological problems of Iranian children and adolescents: Parent report form of Strengths and Difficulties Questionnaire.
        Journal of Mental Health. 2014; 23: 287-291
        • Murray J.
        • Farrington D.P.
        Risk factors for conduct disorder and delinquency: Key findings from longitudinal studies.
        The Canadian Journal of Psychiatry. 2010; 55: 633-642
        • Pihet S.
        • et al.
        Profile of male adolescents with conduct disorder on intellectual efficacy, cognitive flexibility, cognitive coping, impulsivity and alexithymia: A comparison with high-risk controls.
        The European Journal of Psychiatry. 2012; 26: 215-226
        • Rensburg
        The short term effect of a group drumming intervention on aggressive behaviour among adolescent girls diagnosed with conduct disorder.
        South African Journal of Occupational Therapy. 2016; 46: 16-22https://doi.org/10.17159/2310-3833/2016/v46n2a4
        • Rogo I.S.
        • Garba A.M.
        Gender difference in the prevalence and pattern of conduct disorder among adolescent students of senior secondary schools in Dala Education Zone, Kano State-Nigeria.
        Journal of Teaching and Teacher Education. 2018; 6: 35-45
        • Sagar R.
        • Patra B.N.
        • Patil V.
        Clinical practice guidelines for the management of conduct disorder.
        Indian Journal of Psychiatry. 2019; 61: 270
        • Torregrosa M.S.
        • Ingles C.J.
        • Garcia-Fernandez J.M.
        Aggressive behavior as a predictor of self-concept: A study with a sample of spanish compulsory secondary education students.
        Psychosocial Intervention. 2011; 20: 201-212
        • Verona E.
        • Javdani S.
        • Sprague J.
        Comparing factor structures of adolescent psychopathology.
        Psychological Assessment. 2011; 23: 545-551
        • Vloet T.
        • Herpertz-Dahlmann B.
        • Herpertz S.
        Predictors of antisocial behaviour. Peripheral psychophysiological findings in children and adults with conduct disorder.
        Der Nervenarzt. 2006; 77: 782-790
        • Woolfenden S.
        • Williams K.J.
        • Peat J.
        Family and parenting interventions in children and adolescents with conduct disorder and delinquency aged 10–17.
        Cochrane Database of Systematic Reviews. 2001; 2