Developing A Stress Management Training Manual for University Students Based on CBT

Kazi Nisat  Ara; Jobeda  Khatun

doi:10.3329/brc.v11i2.82639

Authors

Kazi Nisat Ara Department of Clinical Psychology, University of Dhaka, Dhaka 1000, Bangladesh
Jobeda Khatun Department of Clinical Psychology, University of Dhaka, Dhaka 1000, Bangladesh

DOI:

https://doi.org/10.3329/brc.v11i2.82639

Keywords:

stress management, university students, brief CBT, training manual

Abstract

Background: University students experience a lot of stress due to personal, academic, financial, and other issues. Group-based stress management training can help students manage their stress effectively. Therefore, the researchers attempted to develop a stress management training manual for trainers to use with students in group training settings. Objective: The aim of this study is to develop a brief cognitive behavior therapy (CBT)-based stress management training manual for use in group settings with university students. Methodology: A mixed-methods design was followed. Initially, groundwork was conducted to understand the concept of stress through needs assessment, literature review, and expert interviews. Based on the findings, a primary draft of the manual was developed and evaluated by 12 experts. After compiling their feedback, the supervisor and researcher developed a second draft. A pilot study was then conducted, applying this manual to a group of 12 university students aged 18 to 26 years. In the pilot study, one session was held weekly for four weeks. Pre- and post-test evaluations were conducted using the Perceived Stress Questionnaire, Anxiety Scale, Depression Scale, and Dhaka University Cognitive Distortion Scale. Finally, the stress management training manual was finalized by incorporating all the findings. Findings: The manual consists of four sessions, each lasting two hours. The first session covers the concept and model of stress. The second session presents a conceptual model of stress development and introduces stress management techniques. The third session focuses on practicing cognitive distortion identification and cognitive restructuring techniques. The final session is also a practice session and covers time management and problem-solving techniques. Conclusion: This manual is a brief CBT-based training resource that can be used as a primary or secondary prevention program for stress management among university students

References

Amanvermez, Y., Rahmadiana, M., Karyotaki, E., de Wit, L., Ebert, D.D., Kessler, R.C. and Cuijpers, P., 2023. Stress management interventions for college students: A systematic review and meta-analysis. Clinical Psychology: Science and Practice, 30(4), p.423. Asif, S., Mudassar, A., Shahzad, T.Z., Raouf, M. and Pervaiz, T., 2020. Frequency of depression, anxiety and stress among university students. Pakistan journal of medical sciences, 36(5), p.971.

Banoo, N., 2001. The translated Bangla version of GHQ-28. Department of Clinical Psychology, University of Dhaka.Beck, A. T. (1976). Cognitive therapy and the emotional disorders. New York: International Universities Press.

Begum, M., & Khatun N. (2012). Coping Strategies among students of Dhaka University. (Unpublished master’s thesis). University of Dhaka, Dhaka, Bangladesh.

Bewick, B., Koutsopoulou, G., Miles, J., Slaa, E. and Barkham, M., 2010. Changes in undergraduate students’ psychological well‐being as they progress through university. Studies in higher education, 35(6), pp.633-645.

Bond, F.W. and Dryden, W. eds., 2002. Handbook of brief cognitive behaviour therapy. Chichester: Wiley.

Britz, J. and Pappas, E., 2010. Sources and outlets of stress among university students: Correlations between stress and unhealthy habits. Undergraduate Research Journal for the Human Sciences, 9(1).

Bulo, J.G. and Sanchez, M.G., 2014. Sources of stress among college students. CVCITC Research Journal, 1(1), pp.16-25.

Campbell, R.L., Svenson, L.W. and Jarvis, G.K., 1992. Perceived level of stress among university undergraduate students in Edmonton, Canada. Perceptual and motor skills, 75(2), pp.552-554.

Cecil, M.A. and Forman, S.G., 1990. Effects of stress inoculation training and coworker support groups on teachers' stress. Journal of School Psychology, 28(2), pp.105-118.

Chinaveh, M., 2013. The effectiveness of problem-solving on coping skills and psychological adjustment. Procedia-social and behavioral sciences, 84, pp.4-9.

Compton, S. N., March, J. S., Brent, D., Albano, A. M., Weersing, V. R., & Curry, J. (2004). Cognitive-behavioral psychotherapy for anxiety and depressive disorders in children and adolescents: an evidence-based medicine review. Journal of the American Academy of Child & Adolescent Psychiatry, 43(8), 930-959.

Deeba, F.A.R.A.H. and Begum, R., 2004. Development of an anxiety scale for Bangladeshi population.

Folkman, S., Lazarus, R. S., Dunkel-Schetter, C., DeLongis, A., & Gruen, R. J. (1986). Dynamics of a stressful encounter: cognitive appraisal, coping, and encounter outcomes. Journal of personality and social psychology, 50(5), 992.

Gardner, B., Rose, J., Mason, O., Tyler, P. and Cushway, D., 2005. Cognitive therapy and behavioural coping in the management of work-related stress: An intervention study. Work & Stress, 19(2), pp.137-152.

Goldberg, D. P., 1988. User's guide to the General Health Questionnaire. Windsor.

Granath, J., Ingvarsson, S., von Thiele, U., & Lundberg, U. (2006). Stress management: a randomized study of cognitive behavioural therapy and yoga. Cognitive behaviour therapy, 35(1), 3-10

Graves, B.S., Hall, M.E., Dias-Karch, C., Haischer, M.H. and Apter, C., 2021. Gender differences in perceived stress and coping among college students. PloS one, 16(8), p.e0255634.

Hamaideh, S. H. (2011). Stressors and reactions to stressors among university students. International journal of social psychiatry, 57(1), 69-80.

Hardy, S., Carson, J., & Thomas, B. (Eds.). (1998). Occupational stress: personal and professional approaches. Nelson Thornes.

Jafar, H.M., Salabifard, S., Mousavi, S.M. and Sobhani, Z., 2015. The effectiveness of group training of CBT-based stress management on anxiety, psychological hardiness and general self-efficacy among university students. Global journal of health science, 8(6), p.47.Keya, M. K. (2006). Development of a Scale Perceived Stress for Use in Bangladesh. Bangladesh Psychological Studies, 16, 79-92.

Keya, M.K., 2006. Development of a Scale of Perceived Stress for use in Bangladesh. Bangladesh Psychological Studies, 16, pp.79-92.

Lazarus, R.S. and Folkman, S., 1986. Cognitive theories of stress and the issue of circularity. In Dynamics of stress: Physiological, psychological and social perspectives (pp. 63-80). Boston, MA: Springer US.

Lazarus, R.S. and Folkman, S., 1984. Stress, appraisal, and coping. Springer publishing company.

Liu, Y. and Lu, Z., 2012. Chinese high school students' academic stress and depressive symptoms: gender and school climate as moderators. Stress and Health, 28(4), pp.340-346.

Murphy, L.R., 1996. Stress management in work settings: A critical review of the health effects. American journal of health promotion, 11(2), pp.112-135.Pierceall, E. A., & Keim, M. C. (2007). Stress and coping strategies among community college students. Community College Journal of Research and Practice, 31(9), 703-712.

Murad, O.S., 2021. Effectiveness of a cognitive-behavioral therapy program on reducing psychological stress and improving achievement motivation among university students. Universal Journal of Educational Research, 9(6), pp.1316-1322.

Pierceall, E.A. and Keim, M.C., 2007. Stress and coping strategies among community college students. Community college journal of research and practice, 31(9), pp.703-712.

Richardson, K.M. and Rothstein, H.R., 2008. Effects of occupational stress management intervention programs: a meta-analysis. Journal of occupational health psychology, 13(1), p.69.Rois, R., Ray, M., Rahman, A. and Roy, S.K., 2021. Prevalence and predicting factors of perceived stress among Bangladeshi university students using machine learning algorithms. Journal of Health, Population and Nutrition, 40, pp.1-12.

Ross, S. E., Niebling, B. C., & Heckert, T. M. (1999). Sources of stress among college students. Social psychology, 61(5), 841-846.

Shanta, K., R., & Azad, S. M. A. K., 2014. Life Stress and Coping Strategies of Medical and Non Medical Students. (Unpublished master’s thesis, © University of Dhaka).

Shimazu, A., Umanodan, R. and Schaufeli, W.B., 2006. Effects of a brief worksite stress management program on coping skills, psychological distress and physical complaints: a controlled trial. International Archives of Occupational and Environmental Health, 80, pp.60-69.

Siddika, U.S., and Chowhury, K. U. A., 2013. Development of a scale for assessing cognitive distortions (M.Phil dissertation, © University of Dhaka).

Uddin, M.Z. and Rahman, M.M., 2005. Development of a scale of depression for use in Bangladesh. Bangladesh Psychological Studies, 15, pp.25-44.

Varvogli, L. and Darviri, C., 2011. Stress management techniques: Evidence-based procedures that reduce stress and promote health. Health science journal, 5(2), p.74.