ElBarazi Amani Safwat, Mohamed Farah, Mabrok Maram, Adel Ahmed, Abouelkheir Ahmed, Ayman Rana, Mustfa Maram, Elmosallamy Mohamed, Yasser Raneem, Mohamed Fatima
Department of Clinical Practice, Faculty of Pharmacy, The British University in Egypt, P.O. Box 43, El-Sherouk City, Cairo, Egypt.
The Center for Drug Research and Development (CDRD), Faculty of Pharmacy, The British University in Egypt, P.O. Box 43, El-Sherouk City, Cairo, Egypt.
J Educ Health Promot. 2024 Jul 5;13:203. doi: 10.4103/jehp.jehp_264_23. eCollection 2024.
The significance of assertiveness in promoting mental health is well acknowledged. To investigate the impact of assertiveness training on lowering anxiety, stress, and depression among college students at a private university in Cairo.
In this study, three questionnaires were used: demographic, Depression Anxiety Stress Scales (DASS-21), and Rathus Assertiveness Schedule. Students were randomly allocated to either a group that underwent assertiveness training (experimental group) or a control group. A randomized controlled trial (RCT) was utilized with a pre- and post-assessment. The training program is an adapted version of DBT skills training. The training program includes mindfulness, assertiveness, and problem-solving skills through eight 90-min group sessions.
There were ( = 50) students in the experimental group compared with ( = 50) the control group. Assertiveness group, in comparison with control group, resulted in significantly greater reductions in stress as shown in DASS scores (the effect size, = 0.52, < .000), anxiety (the effect size, = 0.30, < .000), depression (the effect size, = 0.21, < .000), and total scores of DASS (the effect size, = 0.45, < .000). Assertiveness group, in comparison with control group, resulted in significantly greater increase in assertiveness as shown in RAS scores (the effect size, = 0.38, < .000).
It is possible that increasing an individual's level of assertiveness might be a helpful strategy for reducing feelings of anxiety, stress, and depression.
自信在促进心理健康方面的重要性已得到广泛认可。本研究旨在调查自信训练对开罗一所私立大学学生降低焦虑、压力和抑郁水平的影响。
本研究使用了三份问卷：人口统计学问卷、抑郁焦虑压力量表（DASS - 21）和拉瑟斯自信量表。学生被随机分为接受自信训练的组（实验组）和对照组。采用随机对照试验（RCT），并进行前后评估。训练计划是辩证行为疗法技能训练的改编版。训练计划通过八次90分钟的小组课程，包括正念、自信和解决问题的技能。
实验组有50名学生，对照组也有50名学生。与对照组相比，自信训练组在DASS评分中，压力显著降低（效应量，= 0.52，< .000），焦虑显著降低（效应量，= 0.30，< .000），抑郁显著降低（效应量，= 0.21，< .000），DASS总分显著降低（效应量，= 0.45，< .000）。与对照组相比，自信训练组在RAS评分中，自信显著提高（效应量，= 0.38，< .000）。
提高个体的自信水平可能是减轻焦虑、压力和抑郁情绪的有效策略。
