Volume 24, Issue 1 (April & May 2021)                   J Arak Uni Med Sci 2021, 24(1): 150-167 | Back to browse issues page


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Zarimoghadam Z, Davoodi H, Ghafari K, Jamilian H. The Effects of Mental Self-care Training on Mental Health and Academic Achievement in Students. J Arak Uni Med Sci 2021; 24 (1) :150-167
URL: http://jams.arakmu.ac.ir/article-1-6283-en.html
1- Department of Psychology, Faculty of Humanities, Khomein Branch, Islamic Azad University, Khomein, Iran.
2- Department of Educational Sciences, Faculty of Humanities, Garmsar Branch, Islamic Azad University, Garmsar, Iran. , davoudi _1351@yahoo.com
3- Department of Educational Sciences, Faculty of Humanities, Garmsar Branch, Islamic Azad University, Garmsar, Iran.
4- Department of Psychiatry, School of Medical, Arak University of Medical Sciences, Arak, Iran.
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Extended Abstract

1. Introduction

The development of any society depends on the educational system of that society. The educational system can be efficient and successful when considering the academic performance of learners in different periods. School years are among the most basic years of children’s lives. School experience significantly impacts academic success and mental health in adulthood. Neglecting mental health promotion in schools complicates any change, decision, or treatment plan. School is a unique opportunity and a key place to improve the lives and mental health of children and adolescents. Mental health is among the most important topics in psychology and psychiatry. Besides, mental health illnesses are on the rise.
Numerous studies suggested that organizing mental health services in schools is a fundamental strategy for promoting the health of students and ultimately society as a whole. This study aimed to investigate the effects of mental self-care education on students’ mental health and academic motivation.

2. Materials and Methods

 This was a quasi-experimental study with a pretest-posttest and a control group design. The statistical population of this study consisted of students referring to the school counseling center. First, 40 individuals were randomly selected by screening method; those who presented decreased mental health status and academic motivation were selected and randomly assigned to the experimental and control groups. Initially, those who were willing to participate in the present study were invited to the counseling center. In the briefing session, general explanations about the research process and educational sessions were provided to them. Then, a pretest was performed on them. Next, the training sessions began for the experimental group (Table 1);



however, the controls received no training. At the end of the sessions, a posttest was conducted on the experimental and control groups. The collected data were analyzed using Multivariate Analysis of Covariance (MANCOVA) (Table 2).



The following tools were employed in this research:
A) Academic Performance Rating Scale: This 15-item questionnaire measures 3 subscales of behavioral, emotional, and cognitive motivation.
B) The Depression, Anxiety and Stress Scale-21 Items (DASS-21): This inventory is used to measure stress, anxiety, and depression. The DASS-21 has 21 questions. Besides, the final score of each item is obtained by the sum of the scores of the related questions.

3. Results

The present research results revealed a significant difference between the experimental and control groups in the dependent variables. Therefore, mental self-care training improved the combined dependent variables (mental health & academic motivation). Each variable was separately investigated and analyzed.
The collected results indicated that the components of mental health variables (depression, anxiety, stress) revealed a significant difference between the study groups at a 95% confidence interval (P>0.05). In other words, psychological self-care training improved the components of self-care. However, the MANCOVA results on the adjusted scores of the variable of academic motivation presented no significant difference between the research groups (P<0.05) (Table 2).
The obtained findings indicated that mental self-care training was effective on students’ mental health status. Mental health included 3 dimensions of depression, anxiety, and stress. Depression provided an effect size of 0.46, self-care education has increased life enthusiasm and motivation for success and has reduced the symptoms of depression (P>0.05) (Table 2). Anxiety’s effect size equaled 0.36; self-care training has reduced anxiety among students (P>0.05) (Table 2). The effect size of stress was measured as 0.45; self-care training has reduced stress (P>0.05) (Table 2). The effect size of motivation equaled 0.02; self-care has not affected motivation in the study subject (P<0.05) (Table 2).

4. Discussion and Conclusion

 This study examined the effects of mental self-care education on students’ mental health and academic motivation. The relevant results indicated that mental self-care education improved mental health; however, it did not affect academic motivation and its level remained unchanged. Mental health addressed 3 dimensions of depression, anxiety, and stress.
According to cognitive theory, depression results from specific cognitive distortions in individuals. In psychological self-care, targeting distortions improves cognitive distortions in the depressed subject.
Depression is among the most common and debilitating problems in adolescents. School-Age individuals have certain characteristics that can cause depressive symptoms in them and prevent them from studying. Self-care education allows an individual to increase self-confidence, self-esteem, enthusiasm for life, and motivation for success; it can reduce the symptoms of depression in adolescents. To improve the condition of students, psychological self-care education can be used for them in all aspects of life, including education. Self-care education teaches the student the skills of using one’s health resources; ultimately, it improves health, reduces anxiety, and increases the quality of life in adolescents. By learning mental self-care, individuals can cope with difficult situations and maintain a positive and constructive attitude towards life’s problems. They can cope well with difficult situations and reduce their stress; accordingly, psychological self-care training was effective on students’ stress.
 This study indicated that psychological self-care education did not affect students’ academic motivation. The purpose of psychological self-care education is to improve the student’s psychological performance; it does not monitor the educational, learning, and educational aspects of academic life. Thus, psychological self-care has not been effective on students’ academic motivation. Among the variables that may affect the result of the research, we can mention the synchronicity, internal validity, and the sample of the available research.

Ethical Considerations

Compliance with ethical guidelines

This article was approved by the Ethics Committee of the Islamic Azad University, Khomeini Shahr Branch (Code: IR.IAU.ARAK.REC.1399.001).

Funding

The article was extracted from the PhD. dissertation of the second author at the Department of Psychology and Counseling, Faculty of Humanities, Islamic Azad University, Khomeini Branch.

Authors' contributions

Conceptualization, research design: Zahra Zari Moghadam and Hossein Davoodi; Methodology, data analysis: Zahra Zari Moghadam and Hossein Davoodi; Data collection: All authors.

Conflicts of interest

The authors declared no conflicts of interest.

 

Reference

  1. Atkinson M, Hoernby G. Mental health in schools [A Rahnama, M, Faridi, Persian trans.]. Tehran: Ayeezh; 2008.
  2. Collie RJ, Martin AJ. Teachers’ sense of adaptability: Examining links with perceived autonomy support, teachers’ psychological functioning, and students’ numeracy achievement. Learn Individ Differ. 2017; 55:29-39. [DOI:10.1016/j.lindif.2017.03.003]
  3. Keating XD, Harrison L, Chen L, Xiang P, Lambdin D, Dauenhauer B, et al. An analysis of research on student health-related fitness knowledge in K-1 6physical education programs. J Teach Phys Educ. 2009; 28(3):333-49. [DOI:10.1123/jtpe.28.3.333]
  4. Alizadeh-Navaei R, Hosseini SH. [Mental health status of Iranian students until: A systematic review (Persian)]. Clin Exce. 2011; 2(1):1-10. [DOI:10.1123/jtpe.28.3.333]
  5. Najafi M, Foladjang M. [The relationship between self-efficacy and mental health among high school students (Persian)]. Daneshvar Behav. 2007; 14(23):69-81. https://www.sid.ir/fa/journal/ViewPaper.aspx?id=68184
  6. Maleki Pirbazari M, Nouri R, Sarami GH. [Social support and depression symptoms: The mediating role of self-efficacy (Persian)]. Contemp Psychol. 2011; 6(2):26-34. http://bjcp.ir/article-1-33-en.html
  7. Moradi A, Taheri S, Javanbakht F, Taheri A . [A meta-analysis on the relationship between mental health and social support in Iran (Persian)]. J Res Behav Sci . 2013; 10(6):565-73. https://rbs.mui.ac.ir/browse.php?a_id=289&sid=1&slc_lang=en
  8. Baksheev GN, Robinson J, Cosgrave EM, Baker K, Yung AR. Validity of the 12-item General Health Questionnaire (GHQ-12) in detecting depressive and anxiety disorders among high school students. Psychiatry Res. 2011; 187(1-2):291-6. [DOI:10.1016/j.psychres.2010.10.010] [PMID]
  9. Maleki Pirbazari M, Nouri R, Sarami G. [Social support and depression symptoms: The mediating role of self-efficacy (Persian)]. Contemp Psychol. 2012; 6(2):26-34. http://bjcp.ir/article-1-33-en.pdf
  10. Zamanian A. [Nurses health study in shiraz hospitals (Persian)]. J Sch Public Health Inst Public Health Res. 2007; 5(4):47-54. https://www.sid.ir/fa/Journal/ViewPaper.aspx?ID=80443
  11. Libbey HP. Measuring student relationship to school: Attachment, bonding, concectendness, and engagement. J Sch Health. 2004; 74(7):274-83. [DOI:10.1111/j.1746-1561.2004.tb08284.x] [PMID]
  12. Appleton JJ, Christenso SL, Furlong MJ. Student engagement with school: Critical conceptual and methodological issues of the construct. Psychol Sch. 2008; 45(5):369-86. [DOI:10.1002/pits.20303]
  13. Jalili R, tanha Z, Hassanvand N. [Academic achievement: Relationship with achievement motivation and academic achievement (Persian)]. 7th Iranian Scientific Conference on Educational and Psychological Sciences, Social and Cultural Injuries, 2018, Tehran, Iran. https://civilica.com/doc/882377/
  14. Mansouri L, Khalili Gashigani Z. [The relationship between meaning of life and academic achievement with academic achievement of the frst high school students in Izeh (Persian)]. Pper presented at: 2nd International Congress on Social Empowerment in the Field of Social Sciences, Psychology and Educational Sciences. 2017 Junuary 04; Tehran, Iran. https://civilica.com/doc/612688/
  15. Csikszentmihalyi M. Flow the psychology of optimal experiemce. 1th ed. New York: Harper and Row; 1990. https://www.amazon.com/Flow-Psychology-Optimal-Experience/dp/B0023Z9IL2
  16. Salehi R, Abedi M, Nilfroushan P. [Developing a conceptual model of academic success: A qualitative study (Persian)]. Cult Psychother. 2019; 10(38):1-29. [DOI:10.22054/QCCPC.2019.35316.1948]
  17. Salehi R. [Investigating the relationship between academic passion and academic skills (Persian)]. Paper presented at: The 1st National Conference on Sustainable Development in Iranian Education and Psychology. 2018 September 11; Tehran, Iran. https://civilica.com/doc/824295/
  18. Fredricks J, Blumenfeld P, Paris A. School engagement: Potential of the concept, state of the evidence. Rev Educ Res. 2004; 74(1):59-109. [DOI:10.3102/00346543074001059]
  19. Eslami M, Dortaj F, Saadiipour E, Delawar A. [Causal modeling of personal and social resources for undergraduate students in undergraduate students of Tehran university (Persian)]. Couns Psychother. 2017; 7(28):133-61. [DOI: 10.22054/QCCPC.2017.7096]
  20. Saklofske D, Austin E, Mastoras S, Beaton S. Relationship of personality, affect, emotional intelligence and coping with student stress and academic success: Different patterns of association for stress and success. Learn Individ Differ. 2012; 22(2):251-7. [DOI:10.1016/j.lindif.2011.02.010]
  21. Lee J, Shute VJ. Personal and social- contextual factor in K-12 academic performance: An integrative perspective on student learning. Educ Psychol. 2010; 45(3):185-202. [DOI:10.1080/00461520.2010.493471]
  22. Wang M, Holcombe R. Adolescents’ perceptions of classroom environment, school engagement, and academic achievement in middle school. Am Educ Res. 2010; 47(3):633-62. [DOI:10.3102/0002831209361209]
  23. Schwarzer R, Antoniuk A, Gholami M. A brief intervention changing oral self-care, self-ecacy, and self-monitoring. Br J Health Psychol. 2015; 20(1):56-67 [DOI:10.1111/bjhp.12091] [PMID]
  24. Mosher HJ, Lund BC, Kripalani S, Kaboli PJ. Association of health literacy with medication knowledge, adherence, and adverse drug events among elderly veterans. J Health Commun. 2012; 17(S3):241-51. [DOI:10.1080/10810730.2012.712611] [PMID]
  25. Peyman N, Abdollahi M. [The relationship between health literacy and self-ecacy physical activity in postpartum women (Persian)]. J Health Lit . 2016; 1(1):5-12. https://www.sid.ir/fa/journal/ViewPaper.aspx?ID=307528
  26. Schmidt U, Lee S, Beecham J, Perkins S, Treasure J, Yi I, et al. A randomized controlled trial of family therapy and cognitive behavior therapy guided self-care for adolescents with bulimia nervosa and related disorders. Am J Psychiatry. 2007; 164(4):591-8. [DOI:10.1176/ajp.2007.164.4.591] [PMID]
  27. Khezrlu S, Fizi A. [Investigating the relationship between the perceived self-ecacy and self-care performance in patients with diabetes referring to Urmia Diabetes Clinic (Persian)]. Nurs Midwifery J. 2012; 10(3):369-75. http://unmf.umsu.ac.ir/browse.php?a_id=943&sid=1&slc_lang=en
  28. Speirs KE, Messiria LA, Munger AL, Grutzmacher SK. Health literacy and nutrition behaviors among lowincome adults. J Health Care Poor Underserved. 2012; 23(3):1082-91. [DOI:10.1353/hpu.2012.0113] [PMID]
  29. Kindig DA, Panzer AM, Nielsen-Bohlman L, editors. Health literacy: A prescription to end confusion. Washington, D.C.: National Academies Press; 2004. https://books.google.com/books?hl=en&lr=
  30. DeWalt DA, Berkman ND, Sheridan S, Lohr KN, Pignone MP. Literacy and health outcomes. J Gen Intern Med. 2004; 19(12):1228-39 [DOI:10.1111/j.1525-1497.2004.40153.x] [PMID] [PMCID]
  31. Sudore RL, Mehta KM, Simonsick EM, Harris TB, Newman AB, Satterfield S, et al. Limited literacy in older people and disparities in health and healthcare access. J Am Geriatr Soc. 2006; 54(5):770-6. [DOI:10.1111/j.1532-5415.2006.00691.x] [PMID]
  32. Sørensen K, Van den Broucke S, Fullam J, Doyle G, Pelikan J, Slonska Z, et al. Health literacy and public health: A systematic review and integration of denitions and models. BMC Public Health. 2012; 12:80. [DOI:10.1186/1471-2458-12-80] [PMID] [PMCID]
  33. Tehrani H. [Media health literacy (Persian)]. J Health Lit. 2016; 1(3):141-6. https://literacy.mums.ac.ir/article_10853_en.html
  34. Abbasi M, Dargah SH, Pirani z, Bnyadi F. [The role of procrastination and motivational self-regulation in predicting students’ academic achievement (Persian)]. Iran J Med Educ. 2016; 15(23):160-69. http://ijme.mui.ac.ir/browse.php?a_code=A-10-2857-3&slc_lang=en&sid=1
  35. Safari H, Jenabadi H, Salm Abady M, Abbasi A. [Predicting academic passion based on spiritual intelligence and psychological hardiness (Persian)]. Educ Strategy Med Sci. 2016; 8(6):7-12. http://edcbmj.ir/article-1-949-fa.html
  36. Lovibond SH, Lovibond PF. Manual for the Depression Anxiety Stress Scales. Sydney: Psychology Foundation; 1995. [DOI:10.1037/t01004-000]
  37. Asghari M, Mohammad A, Saad F, Dibajania P, Zanganeh J. [Preliminary investigation of the validity and reliability of the Depression, Anxiety and Stress Scale (DASS) in clinical samples (Persian)]. Daneshvar Behav. 2008; 15(131):23-38. https://www.sid.ir/fa/journal/ViewPaper.aspx?id=119894
  38. Ouhadi L, Tajrobrhkar M. The effect of cognitive group therapy training on academic performance and anxiety, depression and stress of female high school students in Kerman. The first scientific research conference on psychology, educational sciences and pathology of society. 2015 September 01; Kerman, Iran. https://civilica.com/l/5982/
  39. Fathi N, Shahmoradi M, Sheikh S. [The Effectiveness of Life Skills Training on Mental Health and Personal - Social Adjustment of First Year High School Male Students in Shoush (Persian)]. J Educ Stud. 2015; 7(1):1-10. http://nama.ajaums.ac.ir/article-1-41-fa.html
  40. Keshavarz Gh, Nazari M, Zahrakar K, Sarami Gh. [The Impact of student group lifestyle training based on individual psychology approaches on reducing delay and increasing academic achievement in students (Persian)]. Fam Res. 2015; 12(26):107-24. https://www.sid.ir/fa/journal/ViewPaper.aspx?id=303665
  41. Myers JE, Sweeney TJ. Wellness counseling: The evidence base for practice. Couns Dev. 1998; 86(4):482-93. [DOI:10.1002/j.1556-6678.2008.tb00536.x]
  42. Rezapour Mirsaleh Y, Ahmadi Ardakani Z, Shiri M J. [The effectiveness of lifestyle change-based interventions with emphasis on educational lifestyle on educational self-concept of veterans' children (Persian)]. J Mil Med. 2018; 20(5):546-53. http://militarymedj.ir/article-1-1744-fa.html
  43. Moradi A, Taheri S, Javanbakht F, Taheri A. [A meta-analysis on the relationship between mental health and social support in Iran (Persian)]. Res Behav Sci. 2013; 10(6):565-73. https://rbs.mui.ac.ir/browse.php?a_id=289&sid=1&slc_lang=en
  44. Sadri B, brilliant M. [Interpersonal Cognitive problem solving program on aggression and anxiety reduction in primary school girls (Persian)]. Paper presented at: 4th Iranian Scientific and Educational Conference on Social and Cultural Injury Psychology. 2016 September 10; Tehran, Iran. https://civilica.com/doc/565575/
  45. Mohammadkhani M, Azizian N. [The impact of life skills training on self-esteem, happiness, and academic stress in elementary sixth grade female students (Persian)]. Paper presented at: Second International Conference on Psychology, Education, and Humanities. 2019 May 22; Tehran, Iran. https://civilica.com/doc/897625/
  46. Khalatbari J, Azizzade Haghighi F. [The impact of life skills training programs and coping strategies on mental health in female students (Persian)]. Knowl Res Appl Psychol . 2012; 12(2):29-37. https://www.sid.ir/fa/journal/ViewPaper.aspx?ID=150029
  47. Rafieefar S, Attarzadeh M, Ahmadzad AM. [Comprehensive system of empowering people to take care of their health (Persian)]. Qom: Institute of Researchers Without Borders; 2007. http://www.ssu.ac.ir/cms/fileadmin/user_upload/Moavenatha/MBehdashti/amozesh_salamat/pdf/nezam_jame_khod_moraghebaty.pdf
  48. Canada Department of National Health and Welfare. Health Services and Promotion Branch, Perreault R. Self-care: A review of the literature. Canada: Health and Welfare Canada; 1987. https://books.google.com/books?id=GZn5cQAACAAJ&dq=Self-care:+A+review+of+the+literature&hl=en&sa=X&ved=2ahUKEwiWz-rRqsTyAhXqAmMBHS90A9wQ6AEwAHoECAcQAQ
  49. Hashemi S, Alipour A, Zare H, Aliakbari M. Fitting of self-degradable healthy biological pattern in Iranian students. Educ Sys Res. 2017; 11:36. https://scholar.google.com/scholar?hl=en&as_sdt=0%2C5&q=Fitting+of+Self-degradable+Healthy+Biological+Pattern+in+Iranian+Students&btnG=
  50. Rafadi V. [The role of anger control training in adolescents 15 to 18 years in aggression reduction (Persian)]. [MA. thesis]. Tehran: University of Rehabilitation Sciences and Social Welfare; 2003. https://ganj.irandoc.ac.ir//#/search?keywords=
  51. Ariapooran S. [Comparing the emotion expression, emotional literacy and social self-efficacy in children with and without learning disabilities (Persian)]. J Learn Disabil. 2016; 5(2):7-26. http://jld.uma.ac.ir/article_389_367f3db24b6c4bf3288296313117f388.pdf?lang=en
  52. Saneghi A, Ahmady Kh. [The impact of life - goals training (based on life style) on educational motivation and, self - efficacy among secondary school students (Persian)]. J Sch Psy. 2016; 5(3):183-92. https://www.sid.ir/fa/journal/ViewPaper.aspx?id=279837
  53. Sobhi-Gharamaleki N. [The prediction of achievement motivation from students’ emotional intelligence (Persian)]. J Sch Psy. 2014; 1(3):49-62. https://www.sid.ir/fa/journal/ViewPaper.aspx?id=176216
Type of Study: Short Communication | Subject: General
Received: 2020/04/17 | Accepted: 2020/10/25

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