The Comparison of Effectiveness of Emotion-Focused Therapy With and Without Health-Promoting Behaviors Training on High-Risk Behaviors and Healthy Lifestyles in Secondary School Students Emotion-Focused Therapy With and Without Health-Promoting Behaviors on High-Risk Behaviors and Healthy Lifestyles
International Journal of Applied Behavioral Sciences,
Vol. 10 No. 3 (2023),
20 September 2023
,
Page 13-22
https://doi.org/10.22037/ijabs.v10i3.42958
Abstract
Background and Aim:The conducting studies to achieve gold standards in intervention for high-risk behaviors and improving a healthy lifestyle is important. The aim of the research was to compare the effectiveness of emotion-focused therapy with and without teaching health-promoting behaviors on high-risk behaviors and healthy lifestyles in secondary school students.
Materials and Methods:The research design employed a semi-experimental approach with a pretest-posttest design and a control group. From three high school girls in the fifth region of Tehran, 45 participants were selected through cluster random sampling and then randomly assigned to two treatment groups and one control group. Data collection utilized the Risky Behaviors Scale (RBS) and the lifestyle questionnaire (LSQ), and analysis was performed using covariance analysis and Duncan's Multiple Range test (DMRT) with SPSS-26.The first treatment group underwent emotion regulation intervention over eight sessions lasting 90 minutes each. The second treatment group received emotion regulation intervention combined with health promotion behavior training across seven sessions of 90 minutes each. The control group did not receive any intervention.
Results:The emotion-focused therapy with and without health-promoting behavior training is effective in reducing risky behaviors (F=23.266, P=0.001) and promotion of healthy lifestyle F=54.084, P=0.001) and comparing these two interventions indicate the greater effectiveness of the integrated emotion-focused therapywith health-promoting behavior training.
Conclusion:It is recommended to use emotion-focused therapy in combination with the training of health-promoting behaviors for intervention in risky behaviors and unhealthy lifestyles in adolescence .Also, these results require further investigation in future studies.
Keywords:
- Health promotion,life style, Emotion-focused therapy, Health risk behaviors, Adolescent
How to Cite
Hedayat, S. K., Rahimian Boogar, I., Sotoudeh Asl, N., & Moazedian, A. (2023). The Comparison of Effectiveness of Emotion-Focused Therapy With and Without Health-Promoting Behaviors Training on High-Risk Behaviors and Healthy Lifestyles in Secondary School Students: Emotion-Focused Therapy With and Without Health-Promoting Behaviors on High-Risk Behaviors and Healthy Lifestyles . International Journal of Applied Behavioral Sciences, 10(3), 13–22. https://doi.org/10.22037/ijabs.v10i3.42958
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33. Hosseinian S , Nooripour R. Effectiveness of Mindfulness-Based Intervention on Risky Behaviors, Resilience, and Distress Tolerance in Adolescents. Int J High Risk Behav Addict. 2019;8(4):e93481.
34. Nagamitsu S, Kanie A, Sakashita K, et al. Adolescent Health Promotion Interventions Using Well-Care Visits and a Smartphone Cognitive Behavioral Therapy App: Randomized Controlled Trial. JMIR Mhealth Uhealth. 2022;10(5):e34154.
35. Soltanian, N., Rahimian Boogar, I., talepasand, S. Comparison of the effectiveness of acceptance and commitment therapy with health- promoting lifestyle intervention on disease perception and adjustment to type 2 diabetes. Psychol Achiev, 2022;29(1):139-160. [In Persian]
36. López-Gil JF, Oriol-Granado X, Izquierdo M, et al. Healthy Lifestyle Behaviors and Their Association with Self-Regulation in Chilean Children. Int J Environ Res Public Health. 2020;17(16):5676.
37. Ilhan N, Peker K, Yildirim G, Baykut G, Bayraktar M, Yildirim H. Relationship between healthy lifestyle behaviors and health related quality of life in turkish school-going adolescents. Niger J Clin Pract. 2019;22(12):1742-1751.
38. Ho CY, Lee A. Cultivating a Healthy Living Environment for Adolescents in the Post-COVID Era in Hong Kong: Exploring Youth Health Needs. Int J Environ Res Public Health. 2022;19(12):7072.
39. Rahimian Boogar I, Talepasand S, Jabari M. Psychosocial and Medical Determinants of Health-related Quality of Life in Patients with Relapsing-Remitting Multiple Sclerosis. Noro Psikiyatr Ars. 2018;55(1):29-35.
40. Ge G, Huangfu C, Ge M, Gao Y, Tang N. Influence factors associated with health risk behaviors of middle school students in the poverty area of China: An observational study. Medicine (Baltimore). 2022;101(33):e29922.
2. Welsh JW, Mataczynski M, Sarvey DB, Zoltani JE. Management of Complex Co-occurring Psychiatric Disorders and High-Risk Behaviors in Adolescence. Focus (Am Psychiatr Publ). 2020;18(2):139-149.
3. Campbell R, Wright C, Hickman M, et al. Multiple risk behaviour in adolescence is associated with substantial adverse health and social outcomes in early adulthood: Findings from a prospective birth cohort study. Prev Med. 2020;138:106157.
4. Kip E, Parr-Brownlie LC. Healthy lifestyles and wellbeing reduce neuroinflammation and prevent neurodegenerative and psychiatric disorders. Front Neurosci. 2023;17:1092537.
5. Frates B, Smith A. Nutrition and behavior change: a review of recent literature. Curr Opin Clin Nutr Metab Care. 2022;25(6):407-414.
6. Marques A, Loureiro N, Avelar-Rosa B, Naia A, Matos MG. Adolescents' healthy lifestyle. J Pediatr (Rio J). 2020;96(2):217-224.
7. Houck CD, Hadley W, Barker D, Brown LK, Hancock E, Almy B. An Emotion Regulation Intervention to Reduce Risk Behaviors Among at-Risk Early Adolescents. Prev Sci. 2016;17(1):71-82.
8. Allcott-Watson H, Chater A, Troop N, Howlett N. A systematic review of interventions targeting physical activity and/or healthy eating behaviours in adolescents: practice and training. Health Psychol Rev. 2023;1-24.
9. Havighurst SS, Radovini A, Hao B, Kehoe CE. Emotion-focused parenting interventions for prevention and treatment of child and adolescent mental health problems: a review of recent literature. Curr Opin Psychiatry. 2020;33(6):586-601.
10. Greenman PS, Johnson SM. Emotionally focused therapy: Attachment, connection, and health. Curr Opin Psychol. 2022;43:146-150.
11. Larose D, Chih-Shing Chen M, Panahi S, Yessis J, Tremblay A, Drapeau V. Interventions to promote healthy lifestyle behaviors in children and adolescents in summer day camps: a scoping review. BMC Public Health. 2023;23(1):773.
12. Vaquero-Solís M, Tapia-Serrano MA, Hortigüela-Alcalá D, Jacob-Sierra M, Sánchez-Miguel PA. Health Promotion through Movement Behaviors and Its Relationship with Quality of Life in Spanish High School Adolescents: A Predictive Study. Int J Environ Res Public Health. 2021;18(14):7550.
13. Singh P. Emotion regulation difficulties, perceived parenting and personality as predictors of health-risk behaviours among adolescents. Curr Psychol. 2022;1-16.
14. Teh CH, Teh MW, Lim KH, et al. Clustering of lifestyle risk behaviours and its determinants among school-going adolescents in a middle-income country: a cross-sectional study. BMC Public Health. 2019;19(1):1177.
15. Akbari Balootbangan A, Talepasand S, Rezaei A M, Rahimian Boogar E. The Effectiveness of Bullying Control Training Program on Health Promoting Behaviors in Bully Adolescents. SJSPH. 2019;17(2):183-196. [In Persian]
16. Berking M, Eichler E, Naumann E, Svaldi J. The efficacy of a transdiagnostic emotion regulation skills training in the treatment of binge-eating disorder-Results from a randomized controlled trial. Br J Clin Psychol. 2022;61(4):998-1018.
17. Kris-Etherton PM, Petersen KS, Després JP, et al. Strategies for Promotion of a Healthy Lifestyle in Clinical Settings: Pillars of Ideal Cardiovascular Health: A Science Advisory From the American Heart Association. Circulation. 2021;144(24):495-514.
18. Saber Shahraki E, Rahimian Boogar I, Najafi M. The effect of health promotion intervention on health-related behaviors in university students. JHPM. 2015; 5 (1) :83-93. [In Persian]
19. Tamanal JM, Kim CH. Promoting Healthy Lifestyle in High School Students: Determination of the Lifestyle Status through the Healthy Lifestyle Screen (HLS) Assessment. J Lifestyle Med. 2020;10(1):30-43.
20. Alruwaili TAM, Alshehri SAK, Thirunavukkarasu A, et al. Assessment of health promotion behavior and associated factors among the northern Saudi adolescent population: a cross-sectional study. PeerJ. 2023;11:e15567.
21. Mohammadkhani Sh. Structural model of alcohol, tobacco and other drugs use among at risk adolescents: Direct and indirect impact of social and personal factors. Res Psychol Health. 2007;(2):5-16. [In Persian]
22. Everett SA, Kann L, McReynolds L. The Youth Risk Behavior Surveillance System: policy and program applications. J Sch Health. 1997;67(8):333-5.
23. Mohamadkhani Sh. Psychological empowerment program - the school community: Health promotion with a focus on life skills training to at-risk students. Iran: United Nations Office on Drugs and Crime (UNODC) in Iran and Drug Control Headquarters. UNODC; 2012. [In Persian]
24. Mohamadkhani Sh. Strategies for the prevention of drug abuse among students at risk identification, assessment and intervention. Iran: United Nations Office on Drugs and Crime (UNODC) in Iran and Drug Control Headquarters. UNODC; 2014. [In Persian]
25. Maktabi G, Soltani A, Booeshhaghi M, Nokarizi H. The Relationships between parental bonding and self-Assertiveness with Behavior at Risk among Students of Shahid Chamran University of Ahvaz. Biannual Journal of Applied Counseling, 2015;4(2):69-82. [In Persian]
26. Lali M, Abedi A, Kajbaf MB. Construction and Validation of the Lifestyle. Questionnaire (LSQ). Psychol Res, 2012;15(1):64-80. [In Persian]
27. Gross JJ. Emotion regulation: Conceptual and empirical foundations. In: Gross JJ, editor. Handbook of emotion regulation, 2nd ed. New York City: Guilford Press; 2014. pp. 3–20. [Google Scholar]
28. Ahmadi M, mohammadkgan kermanshahi S, gholami fesharaki M. The Impact of Health Promotion Program on Elementary Third-grade Female Students on Their Lifestyle. JPEN. 2021;8 (1):65-75. [In Persian]
29. Sharma S, Mustanski B, Dick D, Bolland J, Kertes DA. Protective Factors Buffer Life Stress and Behavioral Health Outcomes among High-Risk Youth. J Abnorm Child Psychol. 2019;47(8):1289-1301.
30. Mohammadkhani S, Hasani J, Akbari M, Yazdan Panah N. Mediating Role of Emotion Regulation in the Relationship of Metacognitive Beliefs and Attachment Styles with Risky Behaviors in Children of Iran-Iraq War Veterans with Psychiatric Disorders. IJPCP. 2020;25(4):396-411 [In Persian]
31. Havighurst SS, Radovini A, Hao B, Kehoe CE. Emotion-focused parenting interventions for prevention and treatment of child and adolescent mental health problems: a review of recent literature. Curr Opin Psychiatry. 2020;33(6):586-601.
32. Anselma M, Altenburg TM, Twisk JWR, Wang X, Chinapaw MJM. How to Evaluate the Effectiveness of Health Promotion Actions Developed Through Youth-Centered Participatory Action Research. Health Educ Behav. 2023;50(2):199-210.
33. Hosseinian S , Nooripour R. Effectiveness of Mindfulness-Based Intervention on Risky Behaviors, Resilience, and Distress Tolerance in Adolescents. Int J High Risk Behav Addict. 2019;8(4):e93481.
34. Nagamitsu S, Kanie A, Sakashita K, et al. Adolescent Health Promotion Interventions Using Well-Care Visits and a Smartphone Cognitive Behavioral Therapy App: Randomized Controlled Trial. JMIR Mhealth Uhealth. 2022;10(5):e34154.
35. Soltanian, N., Rahimian Boogar, I., talepasand, S. Comparison of the effectiveness of acceptance and commitment therapy with health- promoting lifestyle intervention on disease perception and adjustment to type 2 diabetes. Psychol Achiev, 2022;29(1):139-160. [In Persian]
36. López-Gil JF, Oriol-Granado X, Izquierdo M, et al. Healthy Lifestyle Behaviors and Their Association with Self-Regulation in Chilean Children. Int J Environ Res Public Health. 2020;17(16):5676.
37. Ilhan N, Peker K, Yildirim G, Baykut G, Bayraktar M, Yildirim H. Relationship between healthy lifestyle behaviors and health related quality of life in turkish school-going adolescents. Niger J Clin Pract. 2019;22(12):1742-1751.
38. Ho CY, Lee A. Cultivating a Healthy Living Environment for Adolescents in the Post-COVID Era in Hong Kong: Exploring Youth Health Needs. Int J Environ Res Public Health. 2022;19(12):7072.
39. Rahimian Boogar I, Talepasand S, Jabari M. Psychosocial and Medical Determinants of Health-related Quality of Life in Patients with Relapsing-Remitting Multiple Sclerosis. Noro Psikiyatr Ars. 2018;55(1):29-35.
40. Ge G, Huangfu C, Ge M, Gao Y, Tang N. Influence factors associated with health risk behaviors of middle school students in the poverty area of China: An observational study. Medicine (Baltimore). 2022;101(33):e29922.
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