Orim Matthew A, Orim Samuel O, Adeleke Philip O, Essien Essien E, Olayi James E, Essien Cecilia K, Dada Oluseyi A, Ewa James A, Eke Vitalis U, Igba Innocent U, Ogar Raymond O, Owan Valentine J
Department of Special Education, University of Calabar, Nigeria.
Department of Social Science Education, University of Calabar, Nigeria.
J Educ Health Promot. 2022 Dec 28;11(1):395. doi: 10.4103/jehp.jehp_545_22. eCollection 2022.
Few researchers have examined the effectiveness of cognitive behavioral therapy in treating aggressive behaviors among individuals with dual diagnosis (intellectual disability and mental health conditions) due to the relatively recent interest in the field of psychopathology in intellectual disability. This study investigated the effectiveness of cognitive behavioral therapy in treating aggressive behaviors among clients with dual diagnoses in a community rehabilitation center, Ibadan, Oyo state, and the moderating effects of parenting style and socioeconomic status in the associations.
A 2 × 2 × 2 pre-test post-test factorial design was used. Parenting style and socioeconomic status at two levels each moderated the associations. A sample of 22 participants purposively selected was exposed to treatment using cognitive behavioral therapy, while the other five were exposed to placebo treatment all for 8 weeks. Data collected were analyzed using Line Chart and Analysis of Covariance (ANCOVA).
Improvements were found in the post-treatment scores obtained on the Aggressive Scale for Youths. A reduction in the Aggressive Incidents chart was recorded for each participant in the treatment group when compared with the control group, using a line chart and Analysis of Covariance (ANCOVA). Evidence also demonstrated that parenting style (authoritarian and authoritative), (1,14) = 0.75, <.05, η2 =0.05), and socioeconomic status (high and low), (1,14) = 0.01, =0.020, η2 =.00), moderated the associations.
Cognitive behavioral therapy is seen as a treatment intervention for individuals with intellectual disability co-existing with mental health manifesting aggressive behaviors in the community or other settings. This should be used to improve the client's quality of life under these conditions.
由于对智力残疾心理病理学领域的兴趣相对较新，很少有研究人员研究认知行为疗法在治疗双重诊断（智力残疾和心理健康状况）个体攻击行为方面的有效性。本研究调查了认知行为疗法在伊巴丹奥约州社区康复中心治疗双重诊断患者攻击行为方面的有效性，以及养育方式和社会经济地位在这些关联中的调节作用。
采用2×2×2前测后测析因设计。养育方式和社会经济地位各有两个水平，对这些关联起调节作用。有目的地选取了22名参与者作为样本，采用认知行为疗法进行治疗，而另外5名参与者接受安慰剂治疗，为期8周。收集到的数据使用折线图和协方差分析（ANCOVA）进行分析。
在青少年攻击量表的治疗后得分上发现有所改善。与对照组相比，治疗组的每位参与者在攻击事件图表上的得分都有所下降，采用折线图和协方差分析（ANCOVA）。证据还表明，养育方式（专制型和权威型），F(1,14)=0.75，p<.05，η2 =0.05），以及社会经济地位（高和低），F(1,14)=0.01，p =0.020，η2 =.00），对这些关联起调节作用。
认知行为疗法被视为治疗在社区或其他环境中存在攻击行为的同时患有智力残疾和心理健康问题个体的一种治疗干预措施。在这些情况下，应使用该疗法来改善患者的生活质量。
