Impact of a Resilience Programme on Pupil Anxiety, Depression and Mental Toughness
Keywords:
Resilience, Positive Education, Positive Psychology, United Arab Emirates, Mental ToughnessAbstract
The United Arab Emirates National Vision 2021 aims to position the UAE as one of the top five happiest countries in the world. Positive psychology in schools will play a critical role in achieving this vision by enhancing the well-being of students through fostering character strengths, resilience, wellbeing and abilities. Despite the growth of positive psychology in the Middle East, efforts to test and assess its effectiveness remain scarce. We highlight the work of a resilience program to illustrate how it can further the development of positive psychology in the region. Experimental studies have investigated the impact of resilience programs in schools using anxiety and depression measures and correlational studies have explored the relationship between mental toughness and educational outcomes. Yet, no study has investigated the relationship between anxiety, depression and mental toughness, nor measured the impact of a resilience program on these three variables. To address these gaps, we conducted a 6-week experimental study to investigate the impact of the Weaving Well-being Tools of Resilience Programme on 134 Year 5 students in an Abu Dhabi primary school. Correlational analysis showed a strong, positive relationship between anxiety and depression (r = .69, p < .001) and a strong negative relationship between mental toughness and anxiety (r = -.57, p < .001) and mental toughness and depression (r = -.64, p < .001). Analysis of variance found that the resilience program had no significant effect. However, the potential for a school-based resilience program to deliver significant results remains.
References
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders, Fifth edition (DSM-5). Washington: American Psychiatric Publishing
Bandura, A. (1986). Social foundations of thought and action. Englewood Cliffs, NJ: Prentice-Hall
Barrett, P. M., Sonderegger, R., & Sonderegger, N. L. (2001). Evaluation of an anxiety-prevention and positive-coping program (FRIENDS) for children and adolescents of non-English-speaking background. Behaviour Change, 18(2), 78-91. doi:10.1375/bech.18.2.78
Barrett, P. M., Farrell, L. J., Ollendick, T. H., & Dadds, M. (2006). Long-term outcomes of an Australian universal prevention trial of anxiety and depression symptoms in children and youth: An evaluation of the Friends program. Journal of Clinical Child and Adolescent Psychology, 35(3), 403-411. doi:10.1207/s15374424jccp3503_5
Bastounis, A., Callaghan, P., Banerjee, A., & Michail, M. (2016). The effectiveness of the Penn resiliency programme (PRP) and its adapted versions in reducing depression and anxiety and improving explanatory style: A systematic review and meta-analysis. Journal of Adolescence, 52,(Oct), 37-48. doi:10.1016/j.adolescence.2016.07.004
Batterham, P. J., Christensen, H., & Calear, A. L. (2013). Anxiety symptoms as precursors of major depression and suicidal ideation. Depression and Anxiety, 30(1), 908-916. doi:10.1002/da.22066
Beck, A. T. (1976). Cognitive therapy and the emotional disorders. New York: New York American Library
Birleson, P. (1978). Depression self-rating for children. Unpublished manuscript, University of Edinburgh, Scotland.
Birleson, P. (1981). The validity of depressive disorder in childhood and the development of a self-rating scale: A research report. Journal of Child Psychology and Psychiatry, 22(1), 73-88. doi:10.1111/j.1469-7610.1981.tb00533.x
Bolier, L., Haverman, M., Westerhof, G. J., Riper, H., Smit, F., & Bohlmeijer, E. (2013). Positive psychology interventions: a meta-analysis of randomized controlled studies. BMC Public Health, 13(1), 13-119. doi:10.1186/1471-2458-13-119
Brunswasser, S. M., Gillham, J. E. & Kim, E. S. (2009). A meta-analysis review of the Penn resiliency program’s effect on depressive symptoms. Journal of Consulting and Clinical Psychology, 77(6), 1042-1054. doi:10.1037/a0017671
Calear, A.L., Christensen, H., Freeman, A., Fenton, K., Grant, J. B., & van Spijker, B. (2016). A systematic review of psychosocial suicide prevention interventions for youth. European Child and Adolescent Psychiatry, 25(5), 467-482. doi:10.1007/s00787-015-0783-4
Challen, A. R., Machin, S. J., & Gillham, J. E. (2014). The UK resilience programme: A school-based universal nonrandomized pragmatic controlled trial. Journal of Consulting and Clinical Psychology, 82(1), 75-89. doi:10.1037/a0034854
Clough, P., Earle, K., & Sewell, D. (2002). Mental toughness: The concept and its measurement. In I. Cockerill (Ed.). Solutions in Sport Psychology (pp. 32-46). London: Thomson Learning
Clough, P., Earle, K., & Strycharczyk, D. (2012). Developing resilience through coaching: MTQ48. In J. Passmore (Ed.). Psychometrics in Coaching (Chapter 5). [Kindle MacBook version]. Retrieved from Amazon.co.uk
Crust, L., Earle, K., Perry, P., Earle, F., Clough, A., & Clough, P. (2014). Mental toughness in higher education: Relationships with achievement and progression in first-year university sports students. Personality and Individual Differences, 69(2014), 87-91. doi:10.1016/j.paid.2014.05.016
Dray, J., Bowman, J., Campbell, E., Freund, M., Wolfenden, L., Hodder…Wiggers, J. (2017) Systematic review of universal resilience-focused interventions targeting child and adolescent mental health in the school setting. Journal of the American Academy of Child & Adolescent Psychiatry, 56(10), 813-824. doi:10.1016/j.jaac.2017.07.780
Dulagil, A., Green, S., & Ahern, M. (2016). Evidence-based coaching to enhance senior students’ well-being and academic striving. International Journal of Well-Being, 6(3), 131-149. doi:10.5502/ijw.v6i3.426
Dyer, J. G. & McGuinness, T. M. (1996). Resilience analysis of the concept. Archives of Psychiatric Nursing, 10(5), 276– 282. doi:10.1016/S0883-9417(96)80036-7
Ewan, W., & Green, S. (2013). Positive psychology goes to primary school. Education Today, 13(4), 22–23. Retrieved from http://www.educationtoday.com.au/article/Positive-psychology-goes-to-primary-school-388
Field, A (2009). Discovering statistics using SPSS (3rd ed.). London: Sage
Forman, F., & Rock, M. (2016). Weaving Well-being 4th Class Tools of Resilience: Teacher Resource Book. County Kildare: Outside the Box Learning Resources Ltd.
Frewen, P. A., Schmittmann, V. D., Bringman, L. F., & Borshoom, D. (2013). Perceived causal relations between anxiety, posttraumatic stress and depression: extension to moderation, mediation, and network analysis. European Journal of Psychotraumatology. 4(1). doi:10.3402/ejpt.v4i0.20656
Gerber, M., Brand, S., Feldmeth, K., Lang, C., Elliot, C., Holsboer-Trachsler, E., & Puhse, U. (2013). Adolescents with high mental toughness adapt better to perceived stress: A longitudinal study with Swiss vocational students. Personality and Individual Differences, 54(2013), 808-814. doi:10.1016/j.paid.2012.12.003
Gillham, J. E., Jaycox, L. H., Reivich, K. J., Seligman, M. E. P., & Silver, T. (1990). The Penn Resiliency Program. (Unpublished manual). University of Pennsylvania, Philadelphia.
Greenberg, M. T., Weissberg, R. P., O’Brien, M. U., Zins, J. E., Fredericks, L., Resnik, H., & Elias, M. J. (2003). Enhancing school-based prevention and youth development through coordinated social, emotional, and academic learning. American Psychologist, 58(6-7), 466-474. doi:10.1037/0003-066X.58.6-7.466
Hjendal, O., Vogel, P. A., Solem, S., Hagen, R., & Stiles, T. C. (2011). The relationship between resilience and levels of anxiety, depression and obsessive-compulsive symptoms of adolescents. Clinical Psychology and Psychotherapy, 18(2011), 314-321. doi:10.1002/cpp.719
Horsburgh, V. A., Schermer, J. A., Veselka, L., & Vernon, P. A. (2009). A behavioural genetic study of mental toughness and personality. Personality and Individual Differences, 46(2), 100-105. doi:10.1016/j.paid.2008.09.009
IBM (2017). IBM SPSS Software. Retrieved from https://www.ibm.com/analytics/us/en /technology/spss/
Keiling, C., Baker-Henningham, H., Belfer, M., Conti, G., Ertem, I., Omigbudun, O… Rahman, A. (2011). Child and adolescent mental health worldwide: evidence for action. The Lancet, 378(9801), 1439-1526. doi:10.1016/S0140-6736(11)60827-1
Kobasa, S. C. (1979). Stressful life events, personality, and health: an inquiry into hardiness. Journal of Personality and Social Psychology, 37(1), 1–11. doi:10.1037/0022-3514.37.1.1
Lavrakas, P. J. (2008). Encyclopedia of survey research methods. Thousand Oaks, CA: Sage Publications, Inc. doi:10.4135/978141296394
Lewinsohn, P. M., Clarke, G. N., Hops, H., & Andrews, J. (1990). Cognitive-behavioral treatment for depressed adolescents. Behavior Therapy, 21, 385–401. doi:10.1016/S0005-7894(05)80353-3
Lin, Y., Clough, P., Welch, J., & Papa Georgiou, K. A. (2017). Individual differences in mental toughness associate with performance and income. Personality and Individual Differences, 113(2017), 178-183. doi:10.1016/j.paid.2017.03.039
Lock, S., & Barrett, P. (2003). A longitudinal study of developmental differences in universal preventive intervention for child anxiety. Behaviour Change, 20(4), 183-199. doi:10.1375/bech.20.4.183.29383
Lowry-Webster, H., Barrett, P., & Lock, S. (2003). A universal prevention trial of anxiety symptomology during childhood: Results at 1-year T2. Behaviour Change, 20(1), 25-43. doi:10.1375/bech.20.1.25.24843
McGrath, E. (2017). An action research study enhancing and promoting resilience skills in a senior primary classroom. (Unpublished master’s thesis). Mary Immaculate College, University of Limerick, Ireland
Orgiles, M., Fernandez-Martinez, I., Guillen-Riquelme, A., Espada, J. P., & Essau, C. A. (2016). A systematic review of the factor structure and reliability of the Spence Children's Anxiety Scale. J Affect Disord, 190, 333-340. doi:10.1016/j.jad.2015.09.055
Peterson, C. (2008). What is positive psychology, and what is it not? Retrieved January 26, 2019, from https://www.psychologytoday.com/intl/blog/the-good-life/200805/what-is-positive-psychology-and-what-is-it-not
PHE (2016). The mental health of children and young people in England. Retrieved from http://www.cumbria.gov.uk/eLibrary/Content/Internet/537/6381/4278314423.pdf
Ramme, R. (2008). Spence Children’s Anxiety Scale: An Overview of Psychometric Findings. Retrieved January 29, 2019 from www.scaswebsite.com/docs/Ramme%20SCAS%20Psychomet%20evidence.pdf
Reivich, K. & Shatte, A. (2002) The Resilience Factor: 7 Essential Skills for Overcoming Life's Inevitable Obstacles. New York: Broadway Books Random House
Rivet-Duval, E., Heriot, S., & Hunt, C. (2010). Preventing adolescent depression in Mauritius: A universal school-based programme. Child and Adolescent Mental Health, 16(2), 86-91. doi:10.1111/j.1475-3588.2010.00584.x
Rutter, M. (1985). Resilience in the face of adversity: Protective factors and resistance to psychiatric disorder. British Journal of Psychiatry, 147, 598–611. doi:10.1192/bjp.147.6.598
Seeley, J. R., Rohde, P., Lewinsohn, P. M., & Clarke, G. N. (2002). Depression in youth: Epidemiology, identification, and intervention. In M. R. Shinn, H. M. Walker, & G. Stoner (Eds.), Interventions for academic and behavior problems II: Preventative and remedial approaches (pp. 885–911). Bethesda, MD: National Association of School Psychologists.
Seligman, M. E. P. (2002). Authentic happiness: Using the new positive psychology to realize your potential for lasting fulfilment. New York: Simon & Schuster Australia.
Seligman, M. E. P. (2011). Learned Optimism , New York: Houghton Mifflin
Seligman, M. E. P., & Csikszentmihalyi, M. (2000). Positive psychology: An introduction. American Psychologist, 55(1), 5-14. doi10.1037/0003-066x.55.1.5
Seligman, M. E. P., Steen, T. A., Park, N., & Peterson, C. (2005). Positive psychologyprogress: Empirical validation of interventions. American Psychologist, 60(5), 410–421. doi:10.1037/0003-066x.60.5.410
Seligman, M. E. P., Walker, E. F., & Rosenhan, D. L. (2000). Abnormal Psychology (4th ed.). New York: W.W. Norton & Company
Sheard, M. & Golby, J. (2006) Effect of a psychological skills training program on swimming performance and positive psychological development. International Journal of Sport and Exercise Psychology, 4(2), 149-169. doi:10.1080/1612197X.2006.9671790
Silverman, W. K., & Ginsburg, G. S. (1998). Anxiety disorders. In T. H. Ollendick, & M. Hersen. (Eds.), Handbook of Child Psychopathology (pp. 239–268). New York: Plenum Press.
Sin, N. L., & Lyubomirsky, S. (2009). Enhancing well-being and alleviating depressive symptoms with positive psychology interventions: a practice-friendly meta-analysis. Journal of Clinical Psychology, 65(5), 467-487. doi:10.1002/jclp.20593
Spence, S. H. (1997). Structure of anxiety symptoms among children: A confirmatory factor-analytic study. Journal of Abnormal Psychology, 106(2), 280-297. Retrieved from http://www.scaswebsite.com/docs/spence-1997.pdf
St Clair-Thompson, H., Bugler, M., McGeown, S. & Clough, B. (2012). Adolescent’s classroom behaviour: The contributions of motivation and mental toughness. (Unpublished master’s thesis). University of Hull, England.
St Clair-Thompson, H., Bugler, M., Robinson, J., Clough, P., McGeown, S. & Perry, J. (2014). Mental toughness in education: exploring relationships with attainment, attendance, behaviour and peer relationships. Educational Psychology, 35(7), 886-907. doi:10.1080/01443410.2014.895294
Strycharczyk, D., & Clough, P. (2015). Developing mental toughness. [Kindle MacBook version]. Retrieved from Amazon.co.uk
University of East London (2018). Qualtrics. Retrieved November 18, 2018 from https://uelpsych.eu.qualtrics.com/ControlPanel/?Section=MyProjectsSection&ContextSection=MyProjectsSection
Ungar, M. (2005). Handbook for working with children and youth: Pathways to resilience across cultures and contexts. London, United Kingdom: Sage.
Werner-Seidler, A., Perry, Y., Calear, A. L., Newby, J. M., & Christensen, H. (2017). School-based depression and anxiety prevention programs for young people: A systematic review and meta-analysis. Clinical Psychology Review, 51, 30-47. doi:10.1016/j.cpr.2016.10.005
WHO (2005). Mental Health Action Plan for Europe: Facing the Challenges, Building Solutions. Geneva: World Health Organization
WHO (2017). Depression and other common mental disorders. Retrieved on July, 10, 2018 from https://apps.who.int/iris/bitstream/handle/10665/254610/WHO-MSD-MER-2017.2eng.pdf;jsessionid=A8FB83992EC071B6CFCEAE3CEEBA6DCE?sequence=1
Woodward, L. J., & Fergusson, D. M. (2001). Life course outcomes of young people with anxiety disorders in adolescence. Journal of the American Academy of Child and Adolescent Psychiatry, 4(9), 1086-1093. doi:10.1097/000004583-200109000-00018