Effectiveness of Cognitive-Behavioral Therapy on Perceived Stress in Students with Shyness
Keywords:
Cognitive-behavioral therapy, Perceived stress, ShynessAbstract
Objective: The present study aimed to investigate the effectiveness of cognitive-behavioral therapy (CBT) on perceived stress in students with shyness.
Methodology: This research employed a quasi-experimental design with a pretest-posttest control group and a follow-up phase. The statistical population consisted of all undergraduate students with shyness at the Islamic Azad University, Sari Branch, who were enrolled during the first semester of the 2023–2024 academic year. The sample included 30 students who met the inclusion criteria and expressed willingness to participate in therapy. They were purposefully selected and randomly assigned to an experimental group (n = 15) and a control group (n = 15). The Perceived Stress Scale (PSS) developed by Cohen was administered to both groups. The experimental group received nine 60-minute sessions of group cognitive-behavioral therapy, while the control group was placed on a waiting list. After the intervention, the same questionnaire was re-administered to both groups. The data were analyzed using both descriptive and inferential statistics. In the descriptive section, minimum and maximum scores, means, and standard deviations were reported. For inferential statistics, multivariate analysis of covariance (MANCOVA) and univariate analysis of covariance (ANCOVA) were conducted to compare the pretest and posttest mean scores between groups, using SPSS version 25.
Findings: The results indicated that cognitive-behavioral therapy significantly reduced perceived stress in students with shyness (p < .001).
Conclusion: The results of this study showed that cognitive-behavioral therapy can effectively reduce perceived stress in students with shyness and can be utilized as a practical method in psychological interventions for this population.
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References
Abad, A. N. S., Bakhtiari, M., Kashani, F. L., & Habibi, M. (2016). The comparison of effectiveness of treatment based on acceptance and commitment with cognitive-behavioral therapy in reduction of stress and anxiety in cancer patients. International Journal of Cancer Research and Prevention, 9(3), 229. https://search.proquest.com/openview/e76a239ab034e2ca485667df8a4d9c1e/1?pq-origsite=gscholar&cbl=2034874
Abdelaziz, E. M., Alsadaan, N., Alqahtani, M., Elsharkawy, N. B., Ouda, M. M. A., Ramadan, O. M. E., Shaban, M., & Shokre, E. S. (2024). Effectiveness of Cognitive Behavioral Therapy (CBT) on Psychological Distress among Mothers of Children with Autism Spectrum Disorder: The Role of Problem-Solving Appraisal. Behavioral Sciences, 14(1), 46. https://www.mdpi.com/2076-328X/14/1/46
ArazGoldi, S. (2018). The effect of life skills training on reducing shyness, aggression and promoting self-esteem in children aged 7 to 12 years Islamic Azad University, Shahroud Branch].
Bantjes, J., Kazdin, A. E., Cuijpers, P., Breet, E., Dunn-Coetzee, M., Davids, C., & Kessler, R. C. (2021). A web-based group cognitive behavioral therapy intervention for symptoms of anxiety and depression among university students: open-label, pragmatic trial. Jmir Mental Health, 8(5), e27400. https://doi.org/10.2196/27400
Beck, A. T. (1970). Cognitive therapy: Nature and relation to behavior therapy. Behavior therapy, 1(2), 184-200. https://doi.org/10.1016/S0005-7894(70)80030-2
Butler, R. M., O'Day, E. B., Swee, M. B., Horenstein, A., & Heimberg, R. G. (2021). Cognitive behavioral therapy for social anxiety disorder: Predictors of treatment outcome in a quasi-naturalistic setting. Behavior therapy, 52(2), 465-477. https://doi.org/10.1016/j.beth.2020.06.002
Cohen, S., Kamarak, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health Society Behavior, 24(4), 385-396. https://doi.org/10.2307/2136404
Cordier, R., Speyer, R., Mahoney, N., Arnesen, A., Mjelve, L. H., & Nyborg, G. (2021). Effects of interventions for social anxiety and shyness in school-aged children: A systematic review and meta-analysis. PLoS One, 16(7), e0254117. https://doi.org/10.1371/journal.pone.0254117
Cuijpers, P., Cristea, I. A., Karyotaki, E., Reijnders, M., & Huibers, M. J. (2016). How effective are cognitive behavior therapies for major depression and anxiety disorders? A meta‐analytic update of the evidence. World Psychiatry, 15(3), 245-258. https://doi.org/10.1002/wps.20346
Faghiharam, B. (2019). The Relationship between Social Health and Social Networks using among Female Student's Parent [Research Article]. Iranian Journal of Educational Sociology, 2(1), 150-160. https://doi.org/10.29252/ijes.2.1.150
Feizi, S., Knäuper, B., & Elgar, F. (2024). Perceived stress and well-being in doctoral students: Effects on program satisfaction and intention to quit. Higher Education Research & Development, 43(6), 1259-1276. https://doi.org/10.1080/07294360.2024.2317276
Ghiyasi Zadeh, M. (2013). The effectiveness of cognitive-behavioral play therapy (Mykemba method) in reducing shyness and social withdrawal in elementary school students in the city of Malekshahi. Journal of Ilam University of Medical Sciences, 21(6), 96-105.
Grant, K. (2017). Tackling the Transition: A Life Skills Intervention to Improve College Adjustment, College Self-Efficacy, and Transference of Life Skills of Freshmen Student Athletes https://digitalcommons.georgiasouthern.edu/etd/1469/
Graves, B. S., Hall, M. E., Dias-Karch, C., Haischer, M. H., & Apter, C. (2021). Gender differences in perceived stress and coping among college students. PLoS One, 16(8), e0255634. https://doi.org/10.1371/journal.pone.0255634
Iqbal, A., Kakar, M. K., Naaz, F., & Fatima, S. (2024). Effect of Shyness on Student-Teacher Relationship at Elementary School Level. Social Science Review Archives, 2(2), 1707-1717. https://doi.org/10.70670/sra.v2i2.228
Karyotaki, E., Klein, A. M., Ciharova, M., Bolinski, F., Krijnen, L., de Koning, L., & Cuijpers, P. (2022). Guided internet-based transdiagnostic individually tailored Cognitive Behavioral Therapy for symptoms of depression and/or anxiety in college students: A randomized controlled trial. Behaviour Research and Therapy, 150, 104028. https://doi.org/10.1016/j.brat.2021.104028
Li, L., & Heydarnejad, T. (2024). May I come in? A probe into the contributions of self-esteem, teacher support, and critical thinking to anxiety and shyness in language classes. BMC psychology, 12(1), 7. https://doi.org/10.1186/s40359-023-01501-y
Lin, Z., Zheng, J., Wang, Y., Su, Z., Zhu, R., Liu, R., & Wang, F. (2024). Prediction of the efficacy of group cognitive behavioral therapy using heart rate variability based smart wearable devices: a randomized controlled study. BMC psychiatry, 24(1), 187. https://doi.org/10.1186/s12888-024-05638-x
Lueke, N. A., & Assar, A. (2024). Poor sleep quality and reduced immune function among college students: Perceived stress and depression as mediators. Journal of American College Health, 72(4), 1112-1119. https://doi.org/10.1080/07448481.2022.2068350
Maleki Aqjeh Kandi, S., Mohammadi Nia, Z., Mohammadi Nia, N., & Fattahi, S. (2020). Effectiveness of cognitive-behavioral play therapy on school anxiety and shyness in students with learning disabilities. Journal of Mashhad University of Medical Sciences Faculty of Medicine, 63(5), 2914-2923. https://mjms.mums.ac.ir/article_18094.html?lang=en
Mariappan, V., & Mukhtar, F. (2024). Effects of Internet Cognitive Behavioral Therapy for Insomnia and Internet Sleep Hygiene Education on Sleep Quality and Executive Function Among Medical Students in Malaysia: Protocol for a Randomized Controlled Trial. Jmir Research Protocols, 13(1), e59288. https://doi.org/10.2196/59288
Mohammadi Yeganeh, L., Bastani, F., Feizi, Z., Aguilar Vafaei, M., & Haghani, H. (2008). The Effect of Stress Management Training on Mood and Perceived Stress in Women Using Oral Contraceptive Pills. Iranian Journal of Nursing, 21(53), 63-73.
Oguzie, A. E., & Nwokolo, C. N. (2019). Effect of cognitive behavioural therapy on shyness among secondary school students in Aboh Mbaise local government area of Imo state. International Journal of Management, Social Sciences, Peace and Conflict Studies, 2(2), 1-9. https://www.researchgate.net/profile/Alphonsus-Oguzie/publication/334746552
Samantaray, N. N., Nath, B., Behera, N., Mishra, A., Singh, P., & Sudhir, P. (2021). Brief cognitive behavior group therapy for social anxiety among medical students: A randomized placebo-controlled trial. Asian Journal of Psychiatry, 55, 102526. https://doi.org/10.1016/j.ajp.2020.102526
Suranata, K., Rangka, I. B., & Permana, A. A. J. (2020). The comparative effect of internet-based cognitive behavioral counseling versus face to face cognitive behavioral counseling in terms of student's resilience. Cogent Psychology, 7(1), 1751022. https://doi.org/10.1080/23311908.2020.1751022
Zhao, H., Wan, L., Li, Y., Zhang, M., & Zhao, C. (2024). Parental Psychological Control and Interpersonal Trust in Junior High School Students: Serial Mediating Roles of Shyness and Interpersonal Self-Support. Psychology research and behavior management, 4087-4104. https://doi.org/10.2147/PRBM.S478008