Yonago Acta Medica
Online ISSN : 1346-8049
ISSN-L : 0513-5710
Original Article
Effects of a Classroom-Based Stress Management Program by Cognitive Reconstruction for Elementary School Students
Shinya TakedaRisa MatsuoMinako Ohtsuka
Author information

2020 Volume 63 Issue 3 Pages 198-204


Background The present study evaluates the effects of a classroom-based universal program for stress management among elementary school students.

Methods The participating children (aged 11–12 years) were assigned to either an intervention (n = 172) or a control group (n = 100). The program involved one 45-minute session during school hours. The program taught students about cognitive distortions and trained them using cognitive reconstruction. Cognitive distortions were characterized so that children could easily understand them. Students were asked to complete the Children’s Stress Response Test, comprised of five questions about self-efficacy about cognitive reconstruction before and after the program, to assess the program’s effects.

Results The results as observed in the intervention group were as follows: (a) stress responses decreased, (b) self-efficacy in the awareness about one’s feelings and thinking improved, (c) understanding how thinking affects feelings was prompted, (d) self-efficacy to review one’s thinking improved when they felt uncomfortable, and (e) self-efficacy to change one’s negative thinking to adaptive thinking improved.

Conclusion These results suggest that the program was useful for reducing stress responses and improving self-efficacy in cognitive reconstruction among children.

Content from these authors
© 2020 Tottori University Medical Press
Previous article Next article