Psychiatric Mental Health Nursing, Faculty of Nursing, Cairo University, Cairo, Egypt.
Nursing Department, College of Applied Medical Sciences, Hail University, Saudi Arabia; Pediatric Nursing, Faculty of Nursing, Assiut University, Egypt.
Arch Psychiatr Nurs. 2022 Aug;39:84-90. doi: 10.1016/j.apnu.2022.03.012. Epub 2022 Mar 24.
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.
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.
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.
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.
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.
探讨认知行为方案对住院行为障碍儿童攻击行为和自我概念的影响。本研究采用测验-实验设计。
行为障碍（CD）是指反复和持续的行为，违反社会和社会规范。其特征还包括对人或动物的攻击行为、不诚实或偷窃、破坏财产或严重违反规则，并且在 18 岁之前的过去 12 个月中持续存在于儿童或青少年中。
本研究在沙特阿拉伯的达曼观察中心和埃及的开罗关爱中心进行。大约有 100 名有行为障碍证据的住院行为障碍儿童作为目的性抽样程序的一部分被纳入研究。信息是通过使用三种不同的工具收集的：攻击行为和自我概念量表，以及社会人口统计学数据表。
根据研究结果，患有行为障碍的儿童在参加认知行为课程后表现出较少的攻击行为（p=.011），导致干预组的平均攻击行为评分低于对照组。在培训之后，大约 64%的人有中度的自我概念，而 44%的人在项目之前有中度的自我概念。研究还发现，攻击行为和自我概念之间存在显著的负相关。
干预后攻击性行为的矫正和自我概念的提高表明认知行为方案具有积极作用。本研究建议认知行为方案是一种有效、低成本、非侵入性的干预措施，可改善住院行为障碍儿童的自我概念，减少其攻击行为。
