Moderating role of CBT-based art and expressive eclectic nursing interventions on anger and assertiveness: An interventional study
Makaleler > Tam Makale · 2025
Yazarlar: Mahire Olcay ÇAM, Şeyda DÜLGERLER, Emel ÖZTÜRK TURGUT, Gizem BEYCAN EKİTLİ, Hacer Demirkol, Ege Miray TOPCU
Journal of Psychiatric Nursing, ESCI İndekslerine Giren Dergi, Uluslararası, Scopus, 2025, cilt 16, ss 195-204
Özet
Moderating role of CBT-based art and expressive eclectic nursing interventions on anger and assertiveness: An interventional studyI t is important to express anger clearly, productively, and as- sertively, using good communication skills to maintain one's well-being.Assertiveness, as a skill and functional communication attitude, is one of the main components of social interactions.Relevant studies have shown that communication skills affect young adults both personally and professionally.[1][2][3][4][5][6][7] Despite this, it has been reported that nurses and nursing students, as young adults, require anger regulation support.[8,9] When intra/interpersonal conflicts are not resolved, feelings of anger occur frequently, [10,11] which, if not managed properly, can negatively affect individuals, their interpersonal communication, and interactions.[3,12,13] Therefore, having good communication skills that enable one to express anger clearly, productively, and assertively is important.[11] Objectives: This study aimed to examine the effects of eclectic nursing interventions on functional anger and assertiveness in young adults.Methods: The cross-sectional interventional pretest-posttest design study sample consisted of 16 undergraduate nursing students who were at risk for anger and had above-average scores on the Trait Anger subscales of the State-Trait Anger Expression Inventory.The intervention was prepared by integrating the basic principles of cognitive behavioral theory with psychodramatic-directed warm-up games and expressionist art interventions.Ten sessions of the eclectic intervention program were implemented, and pretest, posttest, and follow-up data were collected using the Rathus Assertiveness Inventory and the State-Trait Anger Expression Inventory.Results: Repeated measurements between the dependent groups after the program revealed a statistically significant difference in total and sub-dimension anger and assertiveness scores (p<0.05).This difference, observed as a result of the intervention program, remained significant in the long term.Conclusion: The present study suggests that brief art-integrated psychotherapeutic nursing interventions may be helpful in promoting assertiveness and regulating anger in undergraduate students.CBT-based art and expressive eclectic courses may be incorporated into undergraduate curricula for health promotion and may therefore contribute to well-being and protect against burnout.