Effectiveness of a nurse-led cognitive behavioural therapy intervention in the management of substance abuse amongst selected secondary school students in Ejigbo local government area, Osun state, Nigeria
Abstract
Background: The world today is witnessing an upsurge of issues that are of global dimension, one of which substance abuse is one. Drug abuse which include alcohol, cannabis, cocaine, and heroine has turned many families apart and destroyed lives, corrupted the societal value and prevented many youth from fulfilling their hopes and aspirations.Therefore, the study is to examine the effectiveness of Cognitive Behavioral Therapy intervention in the management of substance abuse among selected secondary students.
Methodology: The universe of study consisted of 232 subjects out of which only 129 that were selected randomly completed the programme, it consisted of 70 males and 58 females selected from secondary schools in Ejigbo Local government area through multistage sampling technique. Simple randomization was used in selecting four secondary schools and respondents were selected randomly from the registers of the school selected. The study adopted a quasi- experimental, non- equivalent control group pretest/post-test design with the Cognitive Behavioural Therapy (CBT) Intervention as the therapeutic package and an instrument tagged Cognitive Behavioural Intervention Scale (CBIS) consisting of 53 items was used. Data were analyzed using means test and analysis of covariance (ANOVA).
Results: Findings revealed that cognitive behavioural therapy significantly affects substance abuse cessation among the subjects. The therapeutic intervention was of greater efficacy along the gender lines.
Conclusion: It was concluded that Psychiatric Nurses should endeavor to accompany the medical regimen with cognitive behavioural therapy in the management of substance abuse to prevent relapse. It was recommended that educational authorities should employ the services of clinical psychologists.
Downloads
References
2. Gambia, Ibrahim A. (1997). The Drugs issue and version 2010 in Nigeria. The International Dimension Paper presented at the National workshop on Drugs and Vision 2010. September 7.
3. National Drug Enforcement Agency (NDLEA,1991). Drug data collection report. Lagos, Nigeria
4. National Drug Law Enforcement Agency (1992).Drug data collection report. Lagos, Nigeria
5. National Drug Law Enforcement Agency (1997/1999) Lagos, Nigeria Lagos, Nigeria
6. National Drug Law Enforcement Agency (1993).Drug data collection
7. Obot IS. Substance abuse, health and social welfare in Africa: an analysis of the Nigerian experience. Soc Sci Med. 1990;31(6):699-704.
8. Yunusa, U., Abdullahi, M.I., Oliagba, O. sani, S & Umma, A (2014) The Effect of Cognitive estructuring Intervention on Tobacco smoking among Adolescents in Senior Secondary School in Zaria, Kaduna State, Nigeria, European Scientific Journal; 10 (5), 327-336.
9. Conner, R.J. (1992). Abnormal Psychology, New York, Free man and company
10. Ajibade, B. L. (2015) Substance Abuse among selected Secondary School Students in Osun State, Nigeria, valley international.net/thijsshi 19/11/15.
11. 11. Simon, J, Patel, A. & Sleed, M. (2005). The costs of alcoholism; Journal of Mental Health, 14, 321 -330.
12. National Institute on Alcohol Abuse and Alcoholism (2000a). New advances in alcoholism treatment. Alcohol Alart, 49 Retrieved from
http://pubs.niaaa.nih.gov/publications/aa 49.htm. 10/10/15.
13. Magura S. The relationship between substance user treatment and 12-step fellowships: current knowledge and research questions. Subst Use Misuse. 2007;42(2-
3):343-60.
14. Longabaugh R, Donovan DM, Karno MP, McCrady BS, Morgenstern J, Tonigan JS. Active ingredients: how and why evidence-based alcohol behavioral treatment interventions work. Alcohol Clin Exp Res. 2005 Feb;29(2):235-47.
15. Ellis, A. (2001) overcoming distinctive behaviour, feelings and behaviours; New directions for rational emotive behavior therapy: Amherst, NY: Prometheus
Books.
16. Ellis, A. (2005) Cognitive Restructuring Therapy. \retrieved on 19/10/15 h#p://www. Njcponline.com cognitive restructuring.
17. Corte, C. (2007), Schema model of the self-concept to examine the role of the self-concept in alcohol dependence and recovery, Journal of the American
Psychiatric Nurse Association,13 (1), 31-41.
18. Beck A.T, Wright F.W., Newman, C.F.& Liese, B. (1993). Cognitive therapy of substance abuse, New York,NY: Gullford
19. Beck AT. The current state of cognitive therapy: a 40-year retrospective. Arch Gen Psychiatry. 2005 Sep;62(9):953-9.
OAI - Open Archives Initiative
