Open Access, Peer-reviewed
pISSN 1015-4817
eISSN 2289-0963
    J Korean Neuropsychiatr Assoc. 2017 Aug;56(3):118-126. Korean.
    Published online Aug 31, 2017.
    https://doi.org/10.4306/jknpa.2017.56.3.118
    Copyright © 2017 Korean Neuropsychiatric Association
    Original Article

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

    SeulA Kim, MD,1 Johanna Inhyang Kim, MD, PhD,2 Jae-Won Choi, MD,3 Jain Lim, MD,4 and Bung-Nyun Kim, MD, PhD1,5
      • 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, Email: kbn1@snu.ac.kr
    Received April 20, 2017; Revised June 16, 2017; Accepted June 21, 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

    Tables

    Table 1
    Demographic characteristics of the subjects (n=395)

    Table 2
    Changes in depression, loneliness, impulsivity, self-esteem and interpersonal reactivity scales after school bullying prevention program in subjects

    Table 3
    Changes in scales after the program in each group grouped according to sex

    Table 4
    Changes in scales after the program in each group grouped according to age

    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

    Notes

    Conflicts of Interest:The authors have no financial conflicts of interest.

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    MeSH Terms
    Adolescent*
    Bullying
    Cognitive Therapy
    Depression
    Empathy
    Humans
    Impulsive Behavior
    Loneliness
    Violence*
    Weights and Measures
    Metrics
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