Development and Evaluation of the Effectiveness of a Cognitive Rehabilitation Program on Social Competence and Decision-Making Skills in Gifted Adolescents with Externalizing Behavioral Disorders
Keywords:
Cognitive rehabilitation, social competence, decision-making styles, gifted adolescents, externalizing behavioral disordersAbstract
This study aimed to develop and evaluate the effectiveness of a cognitive rehabilitation program on social competence and decision-making styles in gifted adolescents with externalizing behavioral disorders. This study employed a quasi-experimental design using a pretest-posttest structure with a control group. The statistical population included gifted adolescents aged 12 to 18 years with externalizing behavioral disorders, selected through purposive sampling. Research instruments included the Felner Social Competence Questionnaire (1990) and the Scott and Bruce Decision-Making Styles Questionnaire (1995). The experimental group participated in a structured cognitive rehabilitation program, whereas the control group received no intervention. Data were analyzed using multivariate analysis of covariance (MANCOVA) and univariate analysis of variance (ANOVA). The results indicated that the cognitive rehabilitation program significantly increased social competence and enhanced rational and intuitive decision-making styles in the experimental group. Moreover, a reduction in reliance on avoidant and spontaneous decision-making styles was observed in this group. In contrast, the control group showed no significant changes in these variables. The cognitive rehabilitation program can be considered an effective approach to improving social competence and decision-making in gifted adolescents with externalizing behavioral disorders. The findings underscore the importance of implementing cognitive interventions to enhance social and decision-making skills in this population, and it is recommended that such programs be utilized in educational and counseling settings for adolescents facing similar challenges.
Downloads
References
Aghajanpourian Vahid, M., Ali Aghdasi, N., Mesrabadi, J., & Hashemi Nosrat Abad, T. (2022). The Effectiveness of Acceptance and Commitment Therapy on Cognitive Flexibility and Academic Buoyancy in Adolescents with Attention Deficit Problems. Journal of Adolescent and Youth Psychological Studies, 3(2), 86-98. https://www.magiran.com/paper/2508575
Akbari, M., & Hosseini, Z. S. (2020). A meta-analysis of comparing the efficacy of the third wave of behavior therapies on depression in Iran: Comparing acceptance and commitment therapy, mindfulness-based therapy and metacognitive therapy (2001-2017). Clinical Psychology and Personality, 17(1), 175-189. https://cpap.shahed.ac.ir/article_2895_en.html?lang=fa
Azizi, A., Drikvand, F. M., & Sepahvandi, M. A. (2020). Effect of cognitive - behavioral play therapy on working memory, short-term memory and sustained attention among school-aged children with specific learning disorder: a preliminary randomized controlled clinical trial. Current Psychology, 39(6), 2306-2313. https://doi.org/10.1007/s12144-018-9914-7
Azizi, A., & Ghasemi, S. (2017). Comparison the Effectiveness of Solution-Focused Therapy, Cognitive-Behavior Therapy and Acceptance and Commitment Therapy on Depression and Quality of Life in Divorced Women. Counseling Culture and Psycotherapy, 8(29), 207-236. https://doi.org/10.22054/qccpc.2017.18777.1443
Azizi, S., Rasool Zade Tabatabaie, K., & Janbozorgi, M. (2019). Comparing the Efficacy of Acceptance and Commitment Therapy (ACT) with Cognitive-Behavioral Therapy (CBT) on Depression Taking into Account the Level of Psycho-Spiritual Development (Case Study). Clinical Psychology Studies, 9(35), 147-172. https://doi.org/10.22054/jcps.2019.35499.1963
Baltar, Y. C., & Filgueiras, A. (2018). The Effects of Mindfulness Meditation on Attentional Control During Off-Season Among Football Players. Sage Open, 8(2). https://doi.org/10.1177/2158244018781896
Bayat, M., Narimani, M., Basharpour, S., Fekri Sheeran, M., Soraya Taifee Dalai, K., & Dedar Talesh Mickaeli Ardebil, F. (2020). Comparing the effectiveness of dialectical behavioral therapy with acceptance-based therapy and commitment to quality of life and reducing symptoms of attention deficit hyperactivity disorder. medical journal of mashhad university of medical sciences, 62(5.1), 1671-1683. https://doi.org/10.22038/mjms.2019.14747
Bowler, J. O., Mackintosh, B., Dunn, B. D., Mathews, A., Dalgleish, T., & Hoppitt, L. (2012). A Comparison of Cognitive Bias Modification for Interpretation and Computerized Cognitive Behavior Therapy: Effects on Anxiety, Depression, Attentional Control, and Interpretive Bias. Journal of consulting and clinical psychology, 80(6), 1021-1033. https://doi.org/10.1037/a0029932
Campbell, T. S., Labelle, L. E., Bacon, S. L., Faris, P., & Carlson, L. E. (2012). Impact of Mindfulness-Based Stress Reduction (MBSR) on attention, rumination and resting blood pressure in women with cancer: A waitlist-controlled study. Journal of Behavioral Medicine, 35(3), 262-271. https://doi.org/10.1007/s10865-011-9357-1
Cojocaru, C. M., Popa, C. O., Schenk, A., Suciu, B. A., & Szasz, S. (2024). Cognitive-behavioral therapy and acceptance and commitment therapy for anxiety and depression in patients with fibromyalgia: a systematic review and meta-analysis. Medicine and Pharmacy Reports, 97(1), 26. https://doi.org/10.15386/mpr-2661
Coto-Lesmes, R., Fernández-Rodríguez, C., & González-Fernández, S. (2020). Acceptance and Commitment Therapy in group format for anxiety and depression. A systematic review. Journal of affective disorders, 263, 107-120. https://doi.org/10.1016/j.jad.2019.11.154
Daryadar, M., Mohammadipour, M., & Jajarmi, M. (2022). The Effectiveness of Mindfulness in Attention Bias Toward Food in Overweight Individuals. JRH, 12(1), 25-32. https://doi.org/10.32598/JRH.12.1.1913.1
Dehghani, S., Farhangi, A. H., & Rahmani, M. A. (2022). Comparison of the effectiveness of group training to modify the parent-child interaction pattern and the stress reduction program based on mindfulness on the symptoms of attention deficit/hyperactivity disorder and defiant disorder in children with attention deficit hyperactivity disorder and oppositional defiant disorder [Research]. Journal of Adolescent and Youth Psychological Studies, 3(2), 239-254. https://doi.org/10.52547/jspnay.3.2.239
Enayati Shabkolai, M., Enayati Shabkalai, M., & Bagheri Dadokolai, M. (2023). The Effectiveness of Treatment based on Acceptance and Commitment on Social Adaptation, Academic Self-Regulation and Cognitive Flexibility of Students with Specific Learning Disorders. International Journal of Education and Cognitive Sciences, 4(1), 33-41. https://doi.org/10.61838/kman.ijecs.4.1.5
Fazeli, M., Ehteshamzadeh, P., & Hashemi, S. E. (2015). The effectiveness of cognitive behavior therapy on cognitive flexibility of depressed people. Thoughts and Behavior in Clinical Psychology, 9(34), 27-36. https://jtbcp.roudehen.iau.ir/article_105.html
https://jtbcp.roudehen.iau.ir/article_105_104ec4161eb3cf9b567314c748ca8953.pdf
Fernández-Rodríguez, C., Coto-Lesmes, R., Martínez-Loredo, V., González-Fernández, S., & Cuesta, M. (2023). Is Activation the Active Ingredient of Transdiagnostic Therapies? A Randomized Clinical Trial of Behavioral Activation, Acceptance and Commitment Therapy, and Transdiagnostic Cognitive-Behavioral Therapy for Emotional Disorders. Behavior Modification, 47(1), 3-45. https://doi.org/10.1177/01454455221083309
Forman, E. M., Herbert, J. D., Moitra, E., Yeomans, P. D., & Geller, P. A. (2007). A Randomized Controlled Effectiveness Trial of Acceptance and Commitment Therapy and Cognitive Therapy for Anxiety and Depression. Behavior Modification, 31(6), 772-799. https://doi.org/10.1177/0145445507302202
Han, A., & Kim, T. H. (2022). Efficacy of Internet-Based Acceptance and Commitment Therapy for Depressive Symptoms, Anxiety, Stress, Psychological Distress, and Quality of Life: Systematic Review and Meta-analysis [Review]. J Med Internet Res, 24(12), e39727. https://doi.org/10.2196/39727
Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006). Acceptance and commitment therapy: Model, processes and outcomes. Behaviour Research and Therapy, 44(1), 1-25. https://doi.org/10.1016/j.brat.2005.06.006
Hosseini, S. A. (2024). Comparison of the Effectiveness of Cognitive Behavioral Therapy and Schema Therapy on Emotional Regulation and Resilience of Mothers with Children with Attention Deficit/Hyperactivity Disorder. Journal of Psychological Dynamics in Mood Disorders (PDMD), 3(1), 12-29. https://doi.org/10.22034/pdmd.2024.442238.1045
Kaviani, H., Javaheri, F., & Bahiray, H. (2005). Efficacy of Mindfulness-Based Cognitive Therapy in Reducing Automatic Thoughts, Dysfunctional Attitude, Depression And Anxiety: A Sixty Day Follow-Up [Research]. Advances in Cognitive Sciences, 7(1), 49-59. http://icssjournal.ir/article-1-117-en.html
Larsson, A., Hartley, S., & McHugh, L. (2022). A randomised controlled trial of brief web-based acceptance and commitment Therapy on the general mental health, depression, anxiety and stress of college Students. Journal of Contextual Behavioral Science, 24, 10-17. https://doi.org/10.1016/j.jcbs.2022.02.005
Mahmoudi, F., Maddahi, M., Poursharifi, H., & Meschi, F. (2019). Comparison of the effectiveness of acceptance and commitment group therapy and cognitive-behavioral group therapy on quality of life, anxiety and depression in patients with functional indigestion [Research]. Journal of Health Promotion Management, 8(4), 43-52. http://jhpm.ir/article-1-1044-fa.html
Najafi Khorramabad, H., Jayervand, H., & Sadat Marashian, F. (2022). Comparison of the Effectiveness of Self-determination Theory Training and Acceptance and Commitment Therapy on Sleep Quality and Academic Hope in Students with Internet Gaming Disorder with and without Comorbidity of Attention Deficit / Hyperactivity Disorder [Research]. Quarterly Journal of Child Mental Health, 9(1), 67-83. https://doi.org/10.52547/jcmh.9.1.6
Rahmani, M., Namvar, H., & Hashemi Razini, H. (2024). The Effectiveness of Rational Emotive Behavior Therapy on Executive Functions and Academic Procrastination of Children with Sluggish Cognitive Tempo. Journal of Psychological Dynamics in Mood Disorders (PDMD), 2(4), 82-90. https://doi.org/10.22034/pdmd.2024.434756.1038
Seery, C., Leonard-Curtin, A., Naismith, L., King, N., O'Donnell, F., Byrne, B., & Bramham, J. (2024). Feasibility of the Understanding and Managing Adult ADHD Programme: open-access online group psychoeducation and acceptance and commitment therapy for adults with attention-deficit hyperactivity disorder. BJPsych Open, 10(5), e163. https://doi.org/10.1192/bjo.2024.743
Semple, R. J., Lee, J., Rosa, D., & Miller, L. F. (2010). A Randomized Trial of Mindfulness-Based Cognitive Therapy for Children: Promoting Mindful Attention to Enhance Social-Emotional Resiliency in Children. Journal of Child and Family Studies, 19(2), 218-229. https://doi.org/10.1007/s10826-009-9301-y
Wong, T.-Y., Chang, Y.-T., Wang, M.-Y., & Chang, Y.-H. (2022). The effectiveness of child-centered play therapy for executive functions in children with attention-deficit/hyperactivity disorder. Clinical Child Psychology and Psychiatry, 28(3), 877-894. https://doi.org/10.1177/13591045221128399
Zeynali, H., Panahali, A., & Vafa, M. A. (2021). Comparison of the effect of Play Therapy Based on Cognitive-Behavioral Model and mothers Behavior teaching and children verbal teaching on the Improvement of Attention Deficit/Hyperactivity Disorder Symptoms in 8-10 years old children. Razi Journal of Medical Sciences, 28(7), 110-124. https://www.magiran.com/paper/2592737