Applied Nursing Research
Volume 18, Issue 3 , Pages 160-166, August 2005

The effect of cognitive–behavioral group therapy on the self-esteem, depression, and self-efficacy of runaway adolescents in a shelter in South Korea

  • Myung-Sun Hyun, RN, PhD

      Affiliations

    • Division of Nursing Science, School of Medicine, University of Ajou, Suwon 442-721, South Korea
    • Corresponding Author InformationCorresponding author. Tel.: +82 31 219 5156; fax: +82 31 219 5094.
  • ,
  • Hyang-In Cho Chung, RN, PhD

      Affiliations

    • Department of Nursing, College of Nursing, National Medical Center, Seoul 100-799, South Korea
    • Tel.: +82 2 2275 8262.
  • ,
  • Young-Ja Lee, RN, PhD

      Affiliations

    • Department of Education and Publicity, Korean Association of Smoking and Health, Seoul 150-808, South Korea
    • Tel.: +82 2 2632 5190.

Received 7 June 2003; received in revised form 14 May 2004; accepted 24 July 2004.

Abstract 

This study examined the effects of cognitive–behavioral group therapy (CBT) on the self-esteem, depression, and self-efficacy of runaway adolescents residing in a shelter in Seoul, South Korea. The study used a control group pretest–posttest design. The experimental group and the control group consisted of 14 and 13 male subjects, respectively, with subjects having been randomly assigned to these groups. The experimental group participated in a CBT that consisted of eight sessions over an 8-week period; the control group did not participate in the program. To examine the effects of the CBT on dependent variables, the Wilcoxon signed rank test was used. The scores on depression decreased significantly (z = −2.325, p = .02) and those on self-efficacy increased significantly (z = −2.098, p = .03) after the intervention in the experimental group. There was no significant change on self-esteem (z = −1.19, p = .23). In the control group, the scores on depression, self-esteem, and self-efficacy did not change significantly after the intervention period. The CBT developed in this study consisted of structured and specific content that could be usefully applied to runaway adolescents residing in a shelter.

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PII: S0897-1897(05)00036-4

doi:10.1016/j.apnr.2004.07.006

Applied Nursing Research
Volume 18, Issue 3 , Pages 160-166, August 2005