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Comparison of Rational Emotive Behavior Therapy and Social Skills Training on Self-Efficacy and Stress coping Styles in Nursing and Paramedical Students
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Adel Yarmohammadi   , Mohammad Ali Goodarzi , Mehdi Reza Sarafraz , Milad Bazghaleh |
| Department of Clinical Psychology, Faculty of Educational Sciences and Psychology, Shiraz University, Iran , mgoodarzi@rose.shirazu.ac.ir |
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Abstract: (12 Views) |
Introduction: The exposure of final-year nursing and paramedical students to stressful clinical environments and heavy professional responsibilities has raised the need to improve their self-efficacy and coping abilities. This study aimed to compare the effectiveness of rational emotive behavior therapy and social skills training on self-efficacy and stress coping styles in final-year nursing and paramedical students.
Methods: The research design was a quasi-experimental pre-test-post-test with a control group. From the population of final-year nursing and paramedical students of Shahrood University of Medical Sciences and Shahrood Azad University, 90 students were selected by simple random sampling method and assigned to three groups (rational emotional behavior therapy, social skills training, and control). The intervention groups received 8 70-90 minutes sessions (one session per week); the control group did not receive any intervention. Data collection tools included a demographic characteristics form, a general self-efficacy questionnaire (Sherer et al., 1982), and a stress coping styles questionnaire (Endler and Parker, 1990). Data were collected in two stages. Data analysis was performed using multivariate analysis of covariance (MANCOVA) and univariate analysis of covariance (ANCOVA) in SPSS version 26.
Results: MANCOVA results showed that there was a significant difference with an effect size of 0.614 between the three groups in the linear combination of dependent variables (p<0.001). ANCOVA results showed that both interventions significantly increased self-efficacy (p<0.001) and improved stress coping styles with effect sizes of (problem-focused: 0.600, emotion-focused: 0.425, avoidant: 0.631) compared to the control group with an effect size of 0.648 (p<0.001).
Conclusion: REBT is more effective than SST in improving self-efficacy and coping styles among nursing and paramedical students. It is recommended to integrate REBT into empowerment programs for final-year medical sciences students, particularly before their entry into high-stress clinical environments.
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| Keywords: Rational-Emotive Behavior Therapy, Social Skills Training, Self Efficacy, Stress Coping Styles, Students, Nursing |
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Full-Text [PDF 1067 kb]
(4 Downloads)
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Type of Study: Quantitative-Research |
Subject:
Special
Received: 2026/04/21 | Accepted: 2026/08/14 | Published: 2026/01/30
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