Effect of Rational Emotive Behavior Therapy Program on Depressive Symptoms Among University Students with Blindness in Nigeria
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Depressive symptoms are frequently observed among individuals with vision loss. Exposing university students with blindness to a variety of rational emotive skills that would enable them to manage depression and depressive symptoms could be an important avenue to make them feel less depressed and become more energetic to successfully cope with their academic life. The objective of this study was to examine the efficacy of group-based rational emotive behavior therapy (REBT) intervention on depressive symptoms among selected university students with blindness in Nigeria. To assess the efficacy, a group randomized controlled trial design was employed. Participants (N = 65) recruited from universities in Southeast zone of Nigeria were randomly assigned to treatment (n = 33) and no-intervention control groups (n = 32) after meeting the study inclusionary criteria. REBT Depression Manual was used for the delivery of the intervention while depression was evaluated using Beck Depression Inventory-II. Students in the treatment group took part in the group-based REBT program for a period of 12 weeks and thereafter, a 2-week follow-up meeting, twice per week was done after 2 months of the intervention. All sessions lasted for about 60 min each. Data obtained were analyzed using a 2 × 3 within × between-subjects ANOVA with repeated measures, independent samples t test and paired samples t-test. The study revealed that in comparison to the no-intervention control group, the REBT group had significant reduction in their depression scores both at post-treatment and follow-up evaluations, but no such changes were seen in the control group. Given that an REBT program led to the significant reduction in depression among students with blindness, the implication is that depressive thinking, beliefs, and feelings can be surmounted in this special need population through the application of REBT evidence-based techniques.
KeywordsBDI-II Depression Nigeria REBT Depression Manual Rational emotive behavior therapy Students with blindness
Compliance with Ethical Standards
Conflict of interest
The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
The Departmental Research Ethics Committee, Department of Educational Foundations at the University of Nigeria, Nsukka, Nigeria, provided the ethical approval for the conduct of the current study (REC/EDF/17/00005). We also complied with the ethical standards laid down by the American Psychological Association for conducting research with human subjects (American Psychological Association 2017). This study was also conducted in consonance with the Declaration of Helsinki (World Medical Association 2013). We obtained informed written consents from the Students Affairs Department of the Universities and from the study participants. The study was registered retrospectively in Pan African Clinical Trial Registry (Trial No.: PACTR201803003177455).
- Abedini, S., Davachi, A., Sohbaee, F., Mahmoodi, M., & Safa, O. (2007). Prevalence of depression in nursing students in Hormozgan University of Medical Sciences. Hormozgan Medical Journal, 11(2), 139–145.Google Scholar
- American Addiction Centre. (2018). What is rational emotive behavior therapy? (REBT). Retrieved from https://riveroakstreatment.com/therapies-rehab/rational-emotive-behavior-therapy/. Accessed April 14, 2018.
- American Foundation for the Blind. (2006). Aging and Vision Loss Fact Sheet. Arlington, VA: Author.Google Scholar
- American Psychological Association. (2017). Ethical principles of psychologists and code of conduct. Washington, DC: Author.Google Scholar
- Ayoku, F. A. (2006). The visually impaired in the regular classroom. Teaching pupils with special educational needs in the regular UBE classroom. Ibadan: Book Builders.Google Scholar
- Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for Beck Depression Inventory-II. San Antonio, TX: Psychological Corporation.Google Scholar
- Bhagotra, S., Sharma, A. K., & Raina, B. (2008). Psycho-social adjustments and rehabilitation of the blind. Social Medicine, 10(1), 48–51.Google Scholar
- Centre for Rational–Emotive Behaviour Therapy at the University of Birmingham. (2018). What are irrational beliefs? Retrieved from https://www.birmingham.ac.uk/schools/psychology/centres/rebt/about/beliefs.aspx. Accessed April 14, 2018.
- Davarmanesh, A., & Barrati, F. (2006). An introduction to the principles of rehabilitation of people with disabilities. Tehran: Roshd.Google Scholar
- David, D. (2015). Rational emotive behavior therapy. In R. L. Cautin & S. O. Lilienfeld (Eds.), Encyclopedia of clinical psychology (pp. 1–8). Hoboken, NJ: Wiley-Blackwell.Google Scholar
- David, D., Kangas, M., Schnur, J. B., & Montgomery, G. H. (2004). REBT depression manual: Managing depression using rational emotive behavior therapy. Romania: Babes-Bolyai University.Google Scholar
- David, D., Szentagotai, A., Lupu, V., & Cosman, D. (2008). Rational emotive behavior therapy, cognitive therapy, and medication in the treatment of major depressive disorder: A randomized clinical trial, posttreatment outcomes, and six-month follow-up. Journal of Clinical Psychology, 64(6), 728–746.CrossRefPubMedGoogle Scholar
- DiGiuseppe, R., Doyle, K. A., & Rose, R. D. (2002). Rational emotive behaviour therapy for depression: Achieving unconditional self-acceptance. In M. A. Reinecke & M. R. Davison (Eds.), Comparative treatments of depression (pp. 220–228). New York: Springer.Google Scholar
- Ellis, A. (1957). Rational psychotherapy and individual psychology. Journal of Individual Psychology, 13(1), 38–44.Google Scholar
- Ellis, A. (1962). Reason and emotion in psychotherapy. Oxford, England: Lyle Stuart.Google Scholar
- Ellis, A. (1994). Reason and emotion in psychotherapy: A comprehensive method of treating human disturbances. New York: Birch Lane Press.Google Scholar
- Ellis, A., & Dryden, W. (1987). The practice of rational–emotive therapy (RET). New York: Springer.Google Scholar
- Eseadi, C., Obidoa, M. A., Ogbuabor, S. E., & Ikechukwu-Ilomuanya, A. B. (2017a). Effects of group-focused cognitive–behavioral coaching program on depressive symptoms in a sample of inmates in a Nigerian Prison. International Journal of Offender Therapy and Comparative Criminology. https://doi.org/10.1177/0306624X16687046.PubMedGoogle Scholar
- Eseadi, C., Onwuka, G. T., Otu, M. S., Umoke, P. C., Onyechi, K. C., Okere, A. U., et al. (2017b). Effects of rational emotive cognitive behavioral coaching on depression among type 2 diabetic inpatients. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 35(4), 363–382. https://doi.org/10.1007/s10942-017-0266-2.CrossRefGoogle Scholar
- Frotani, M. (2005). Depression in students of higher education centers. Iranian Journal of Nursing Research, 18(41–42), 13–27.Google Scholar
- Hallahan, D. P., & Kauffman, J. M. (2000). Exceptional learners: Introduction to special education (8th ed.). Boston: Allyn and Bacon.Google Scholar
- Heward, W. L. (2000). Blindness and low vision. In W. L. Heward (Ed.), Exceptional children: An introduction to special education (pp. 401–437). New Jersey: Prentice-Hall.Google Scholar
- Hoover, M. J. (2003). Knowledge of blindness adaptation technique among rehabilitation undergraduate students. Master Dissertation, University of Wisconsin-Stout, Wisconsin.Google Scholar
- IBM Corp. (2011). IBM SPSS statistics for windows, Version 20.0[Computer software]. Armonk, NY: IBM Corp.Google Scholar
- Iftene, F., Predescu, E., Stefan, S., & David, D. (2015). Rational–emotive and cognitive–behavior therapy (REBT/CBT) versus pharmacotherapy versus REBT/CBT plus pharmacotherapy in the treatment of major depressive disorder in youth: A randomized clinical trial. Psychiatry Research, 225(3), 687–694.CrossRefPubMedGoogle Scholar
- Ildarabady, E., Firouzkouhi, M. R., Mazloom, S. R., & Navinean, A. (2004). Prevalence of depression among students of Zabol Medical School, 2002. Journal of Shahrekord University of Medical Sciences, 6(2), 15–21.Google Scholar
- Katsikis, D., Kostogiannis, C., & Dryden, W. (2016). A rational–emotive behavior approach in life coaching. Journal of Evidence-Based Psychotherapies, 16(1), 3–18.Google Scholar
- Knaus, B. (2006). Depression can be defeated. Retrieved from http://www.rebtnetwork.org/essays/depression2.html. Accessed September 20, 2017.
- Macavei, B. (2005). The role of irrational beliefs in the rational emotive behavior theory of depression. Journal of Cognitive & Behavioral Psychotherapies, 5(1), 73–81.Google Scholar
- Mneimne, M. (2014). Demandingness or “The rules of life: Perceived abilities and $0.02. Retrieved from http://albertellis.org/demandingness-or-the-rules-of-life-perceived-abilities-and-2-cents/. Accessed April 11, 2018.
- Ogbu, J. E. (2015). Effect of cognitive behavioural technique in reducing depression symptoms among adult learners in Benue state, Nigeria. Doctoral Thesis, Ahmadu Bello University, Zaria, Nigeria. Google Scholar
- Ogbuanya, T. C., Eseadi, C., Orji, C. T., Anyanwu, J. I., Joachim, O. C., & Otu, M. S. (2017b). The effect of rational emotive behavior therapy on irrational career beliefs of students of electrical electronics and other engineering trades in technical colleges in Nigeria. Journal of Rational-Emotive & Cognitive-Behavior Therapy. https://doi.org/10.1007/s10942-017-0282-2.Google Scholar
- Ogbuanya, T. C., Eseadi, C., Orji, C. T., Omeje, J. C., Anyanwu, J. I., Ugwoke, S. C., et al. (2018). Effect of rational–emotive behavior therapy program on the symptoms of burnout syndrome among undergraduate electronics work students in Nigeria. Psychological Reports. https://doi.org/10.1177/0033294117748587.Google Scholar
- Okeke, B. A. (2001). Essentials of special education. Nsukka: Afro-Obis Publishers.Google Scholar
- Onyechi, K. C. N., Eseadi, C., Okere, A. U., Onuigbo, L. N., Umoke, P. C., Anyaegbunam, N. J., et al. (2016a). Effects of cognitive behavioral coaching on depressive symptoms in a sample of type 2 diabetic inpatients in Nigeria. Medicine, 95(31), e4444. https://doi.org/10.1097/MD.0000000000004444.CrossRefPubMedPubMedCentralGoogle Scholar
- Onyechi, K. C. N., Onuigbo, L. N., Eseadi, C., Ikechukwu-Ilomuanya, A. B., Nwaubani, O. O., Umoke, P. C., et al. (2016b). Effects of rational–emotive hospice care therapy on problematic assumptions, death anxiety, and psychological distress in a sample of cancer patients and their family caregivers in Nigeria. International Journal of Environmental Research and Public Health, 13(9), 929.CrossRefPubMedCentralGoogle Scholar
- Panday, R., Srivastava, P., Fatima, N., Kiran, M., & Kumar, P. (2015). Depression, anxiety and stress among adolescent girls with congenital visual impairment. Journal of Disability Management and Rehabilitation, 1(1), 21–24.Google Scholar
- Saghaei, M. (2004). Random allocation software. Retrieved July 10, 2016 from http://mahmoodsaghaei.tripod.com/Softwares/randalloc.html
- Sarokhani, D., Delpisheh, A., Veisani, Y., Sarokhani, M. T., Manesh, R. E., & Sayehmiri, K. (2013). Prevalence of depression among university students: A systematic review and meta-analysis study. Depression Research and Treatment. https://doi.org/10.1155/2013/373857.PubMedPubMedCentralGoogle Scholar
- Sava, F., Yates, B., Lupu, V., Szentagotai, A., & David, D. (2009). Cost-effectiveness and cost-utility of cognitive therapy, rational–emotive–behavior therapy, and fluoxetine (prozac) in treating depression: A randomized clinical trial. Journal of Clinical Psychology, 65(1), 36–52.CrossRefPubMedGoogle Scholar
- Smith, T. W. (1989). Assessment in rational–emotive therapy: Empirical access to the ABCD model. In M. E. Bernard & R. DiGiuseppe (Eds.), Personality, psychopathology, and psychotherapy (Vol. 38, pp. 135–153)., Inside rational–emotive therapy: A critical appraisal of the theory and therapy of Albert Ellis San Diego, CA: Academic Press.Google Scholar
- Szentagotai, A., David, D., Lupu, V., & Cosman, D. (2008). Rational emotive behavior therapy versus cognitive therapy versus pharmacotherapy in the treatment of major depressive disorder: Mechanisms of change analysis. Psychotherapy: Theory, Research, Practice Training, 45(4), 523–538.CrossRefGoogle Scholar
- Ugwoke, S. C., Eseadi, C., Igbokwe, C. C., Chiaha, G. T. U., Nwaubani, O. O., et al. (2017). Effects of a rational–emotive health education intervention on stress management and irrational beliefs among technical college teachers in Southeast Nigeria. Medicine, 96(31), e7658. https://doi.org/10.1097/MD.0000000000007658.CrossRefPubMedPubMedCentralGoogle Scholar
- Wang, C. (1999). Comparative study about rational-emotive therapy for 95 cases of dysthemia disorder. Chinese Mental Health Journal, 13, 172–173.Google Scholar
- World Medical Association. (2013). WMA declaration of Helsinki—Ethical principles for medical research involving human subjects. Retrieved July 15, 2016 from https://www.wma.net/policies-post/wma-declaration-of-helsinki-ethical-principles-for-medical-research-involving-human-subjects/.
- Zhaleh, N., Zarbakhsh, M., & Faramarzi, M. (2014). Effectiveness of rational–emotive behavior therapy on the level of depression among female adolescents. Journal of Applied Environmental and Biological Sciences, 4(4), 102–107.Google Scholar
- Zhang, X., Bullard, K. M., Cotch, M. F., Wilson, M. R., Rovner, B. W., McGwin, G., et al. (2013). Association between depression and functional vision loss in persons 20 years of age or older in the United States, NHANES 2005–2008. JAMA Ophthalmology, 131(5), 573–581.CrossRefPubMedPubMedCentralGoogle Scholar