Effects of Cognitive Behavioral Therapy-Based Program for the Adolescent Perpetrators of School Violence

SeulA Kim; Johanna Inhyang Kim; Jae-Won Choi; Jain Lim; Bung-Nyun Kim

doi:10.4306/jknpa.2017.56.3.118

Journal List > J Korean Neuropsychiatr Assoc > v.56(3) > 1017843

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Kim, Kim, Choi, Lim, and Kim: Effects of Cognitive Behavioral Therapy-Based Program for the Adolescent Perpetrators of School Violence

Original Article

Journal of Korean Neuropsychiatric Association 2017; 56(3): 118-126.

Published online: 31 August 2017

DOI: https://doi.org/10.4306/jknpa.2017.56.3.118

Effects of Cognitive Behavioral Therapy-Based Program for the Adolescent Perpetrators of School Violence

SeulA Kim, MD¹, Johanna Inhyang Kim, MD, PhD², Jae-Won Choi, MD³, Jain Lim, MD⁴, Bung-Nyun Kim, MD, PhD^1,⁵

¹Department of Psychiatry, Seoul National University Hospital, Seoul, Korea.

²Department of Public Health Medical Services, Seoul National University Bundang Hospital, Seongnam, Korea.

³Department of Psychiatry, Gyeongsang National University Hospital, Jinju, Korea.

⁴Seoul Soo Mind Clinic, Seongnam, Korea.

⁵Department of Psychiatry, College of Medicine, Seoul National University, Seoul, Korea.

Address for correspondence: Bung-Nyun Kim, MD, PhD. Department of Psychiatry, College of Medicine, Seoul National University, 101 Daehak-ro, Jongno-gu, Seoul 03080, Korea. Tel +82-2-2072-3647, Fax +82-2-747-2471, kbn1@snu.ac.kr

Received 20 April 2017 Revised 16 June 2017 Accepted 21 June 2017

Abstract

Objectives

The purpose of this study is to evaluate the effects of a cognitive behavioral therapy (CBT)-based school bullying prevention program for the adolescent perpetrators of school violence.

Methods

total of 395 middle and high school students (male=316, female=79) were included in this study. The changes after the program were evaluated using several self-rating scales for the assessment of the degree of depression, loneliness, impulsivity, self-esteem, and interpersonal reactivity compared with the baseline scales.

Results

The school bullying prevention program significantly reduced the degree of depression severity (t=5.985, p<0.001) and increased the self-esteem (t=-2.67, p=0.008) of the teenagers. This tendency was more pronounced among those teenagers under the age of 16. In the participants with high impulsivity or low empathy at baseline, the impulsivity scale decreased (t=2.617, p=0.009), while the interpersonal reactivity scale increased (t=-3.364, p=0.001) after the program.

Conclusion

The results of our study suggest that this CBT-based program developed for the prevention of school bullying can be effective in preventing further school violence. Further research to evaluate the long-term effects of the program is necessary.

Keywords: School bullying prevention program, Depression, Impulsivity, Self-esteem, Empathy, School violence, Adolescents

Figures and Tables

Table 1

Demographic characteristics of the subjects (n=395)

SD : Standard deviation, n : Number, ADHD : Attention deficit/hyperactivity disorder

Table 2

Changes in depression, loneliness, impulsivity, self-esteem and interpersonal reactivity scales after school bullying prevention program in subjects

^* : p<0.01. SD : Standard deviation, CDI : Children's Depression Inventory, UCLA : UCLA loneliness scale, BIS : Barratt Impulsiveness Scale, SES : Self-Esteem Scale, IRI : Interpersonal Reactivity Index

Table 3

Changes in scales after the program in each group grouped according to sex

^* : p<0.01, ^† : p<0.05. SD : Standard deviation, n : Number, CDI : Children's Depression Inventory, UCLA : UCLA loneliness scale, BIS : Barratt Impulsiveness Scale, SES : Self-Esteem Scale, IRI : Interpersonal Reactivity Index

Table 4

Changes in scales after the program in each group grouped according to age

* : p<0.01. SD : Standard deviation, n : Number, CDI : Children's Depression Inventory, UCLA : UCLA loneliness scale, BIS : Barratt Impulsiveness Scale, SES : Self-Esteem Scale, IRI : Interpersonal Reactivity Index

Table 5

Changes in scales after the program in a group with high impulsiveness and in another group with low empathy

Table 6

Changes in scales after the program in each subgroup categorized according to diagnoses of the subjects

^* : p<0.05. SD : Standard deviation, n : Number, CDI : Children's Depression Inventory, UCLA : UCLA loneliness scale, BIS : Barratt Impulsiveness Scale, SES : Self-Esteem Scale, IRI : Interpersonal Reactivity Index

Notes

^{Conflicts of Interest} The authors have no financial conflicts of interest.

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