This article systematically reviews the available research on rational emotive behavioral therapy (REBT) with children and adolescents. Meta-analytic procedures were applied to 19 studies that met inclusion criteria. The overall mean weighted effect of REBT was positive and significant. Weighted zr effect sizes were also computed for five outcome categories: anxiety, disruptive behaviors, irrationality, self-concept, and grade point average. In terms of magnitude, the largest positive mean effect of REBT was on disruptive behaviors. Analyses also revealed the following noteworthy findings: (a) there was no statistical difference between studies identified low or high in internal validity; (b) REBT appeared equally effective for children and adolescents presenting with and without identified problems; (c) non-mental health professionals produced REBT effects of greater magnitude than their mental health counterparts ; (d) the longer the duration of REBT sessions, the greater the impact, and (e) children benefited more from REBT than adolescents.The findings are discussed in terms of several important limitations along with suggestions for future research.
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References
1.
References marked with an asterisk indicate studies included in the meta-analysis.
2.
Bernard, M.E., & Joyce, M.R. (1984). Rational-emotive therapy with children and adolescents: Theory, treatment strategies, preventative methods. New York: Wiley.
3.
Bernard, M.E., & Joyce, M.R. (1991). REBT with children and adolescents. In M. E. Bernard (Ed.), Using rational-emotive therapy effectively (pp. 146—170). New York: Plenum Press.
4.
Bernard, M.E., & Joyce, M.R. (1993). Rational-emotive therapy with children and adolescents . In T. R. Kratochwill & R. J. Morris (Eds.), Handbook of psychotherapy with children and adolescents (pp. 221— 246). Boston : Allyn & Bacon.
5.
*Block, J. (1978). Effects of a rational-emotive mental health program on poorly achieving, disruptive high school students. Journal of Counseling Psychology, 25, 61— 65.
6.
*Cangelosi, A., Gressard, C.F., & Mines, R.A. (1980). The effects of a rational thinking group on self-concepts in adolescents. The School Counselor, 27, 357—361.
7.
Christensen, A., & Jacobson, N.S. (1994). Who (or what) can do psychotherapy: The status and challenge of nonprofessional therapies. Psychological Science, 5, 8—14.
8.
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Erlbaum.
9.
Cooper, H., & Hedges, L.V. (1996). The handbook of research synthesis. New York: Sage.
10.
*DeAnda, D. (1998). The evaluation of a stress management program for middle school adolescents. Child and Adolescent Social Work Journal, 15, 73—85
11.
Department of Health and Human Services. ( 2000). Report of the Surgeon General's conference on children's mental health: A national action agenda. Washington, DC : Author.
12.
DiGiuseppe, R., & Bernard, M.E. (1990). The application of rational-emotive therapy to school-aged children. School Psychology Review, 3, 268—286.
13.
*DiGiuseppe, R., & Kassinove, H. (1976). Effects of a rational-emotive school mental health program on children's emotional adjustment. Journal of Community Psychology, 4, 382—387.
14.
DiGiuseppe, R., & Miller. N.J. (1977). A review of outcome studies on rational-emotive therapy. In A. Ellis & R. Grieger (Eds.), Handbook of rational-emotive therapy (pp. 130—147). New York: Springer .
15.
Doll, B. (1996). Prevalence of psychiatric disorders in children and youth: An agenda for advocacy by school psychology. School Psychology Quarterly, 11, 20—47.
16.
Durlak, J.A., Fuhrman, T., & Lampman, C. (1991). Effectiveness of cognitive-behavior therapy for maladapting children: A meta-analysis. Psychological Bulletin,110, 204— 214.
17.
Ellis, A. E., & Bernard, M. E. (Eds.). (1983). Rational-emotive approaches to the problems of childhood. New York: Plenum Press.
18.
Ellis, A. E., & Grieger, R. M. (Eds.). (1986). Handbook of rational-emotive therapy: Volume 2. New York: Springer.
19.
Engles, G.I., Garnefski, N., & Diekstra, R.F.W. (1993). Efficacy of rational-emotive therapy: A quantitative analysis. Journal of Consulting and Clinical Psychology, 61, 1083—1090.
20.
Farmer, E.M.Z.,Burns,B.,Phillips, S.D., Angold, A., & Costello, J.E. (2003). Pathways into and through mental health services for children and adolescents. Psychiatric Services, 54, 60—66.
21.
*Flanagan, R., Povall, L., Dellino, M.J., & Byrne, L. (1998). A comparison of problem solving with and without rational emotive behavior therapy to improve children's social skills. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 16, 125—134.
22.
Forehand, R.L., & McMahon, R.J. (1981). Helping the noncompliant child. New York: Guilford Press.
23.
Hajzler, D.J., & Bernard, M.E. (1991). A review of rational-emotive education outcome studies. School Psychology Quarterly, 6, 27—49.
24.
Hedges, L.V., & Olkin, I. (1985). Statistical methods for meta-analysis. San Diego: Academic Press.
25.
Hinkle, D.E., Wiersma, W., & Jurs, S.G. (1994). Applied statistics for the behavioral sciences . Boston: Houghton Mifflin.
26.
*Hooper, S.R., & Layne, C.C. (1985). Rational emotive education as a short-term primary prevention technique. Techniques: A Journal for Remedial Education and Counseling, 1, 264—269.
27.
*Kachman, D.J., & Mazer, G.E. (1990). Effects of rational emotive education on the rationality, neuroticism and defense mechanisms of adolescents. Adolescence , 25, 130—145.
28.
Kazdin, A.E., & Bass, D. (1990). Empirical and clinical focus of child and adolescent psychotherapy research. Journal of Consulting and Clinical Psychology, 58, 180— 187.
29.
*Knaus, W.J., & Boker, S. (1975). The effect of rational-emotive education lessons on anxiety and self-concept in sixth grade students. Rational Living, 10, 7—10.
30.
*Laconte, M.A., Shaw, D., & Dunn, I.A. (1993). The effects of a rational-emotive affective education program for high-risk middle school students. Psychology in the Schools, 30, 274—281.
31.
Leviton, L.C. (1996). Integrating psychology and public health. American Psychologist, 51, 42—51.
32.
Lyons, L.C., & Woods, P.J. (1991). The efficacy of rational-emotive therapy: A quantitative review of the outcome research. School Psychology Review, 11, 357—369.
33.
McGovern, T., & Silverman, M. (1984). A review of outcome studies on rational-emotive therapy. Journal of Rational-EmotiveTherapy, 2, 7—18.
34.
Miller, G.A. (1969). Psychology as a means of promoting human welfare . American Psychologist, 24, 1063—1075.
35.
*Miller, N., & Kassinove, H. (1978). Effects of lecture, rehearsal, written homework, and IQ on the efficacy of a rational emotive school mental health program . Journal of Community Psychology, 6, 366—373.
36.
Morris, G.B. (1993). A rational-emotive treatment program with conduct disorder and attention-deficit hyperactive disorder adolescents. Journal of Rational-Emotive and Cognitive-Behavior Therapy, 11, 123—134.
37.
Neenan, M., & Dryden, W. (1999). Rational emotive behavior therapy: Advances in theory and practice. London, England: Whurr.
38.
O'Shaughnessy, T.E., Lane, K.L., Gresham, F.M., & Beebe-Frankenberger, M.E. (2002). Students with or at-risk of learning and emotional-behavioral difficulties. In K. L. Lane, F. M. Gresham, & T. E. O'Shaughnessy (Eds.), Interventions for children with or at risk for emotional and behavioral disorders (pp. 3—17). Boston: Allyn & Bacon.
39.
Raynor, C.M. (1992). Managing angry feelings: Teaching troubled children to cope. Perspectives in Psychiatric Care, 28, 11—14.
40.
*Rosenbaum, T., McMurray, N.E., & Camp-bell, I.M. (1991). The effects of rational emotive education on locus of control, rationality and anxiety in primary school children. Australian Journal of Education, 35, 187—200.
41.
Rosenberg, M.S., Adams, D.C., & Gurevitch, J. (2000). Metawin: Statistical software for meta-analysis . New York: Sinauer.
42.
Rosenshine, B., & Meister, C. (1994). Reciprocal teaching: A review of the research . Review of Educational Research, 64, 479—530.
43.
Rosenthal, R. (1995a). Parametric measures of effect size. In H. Cooper & L. V. Hedges (Eds.), The handbook of research synthesis (pp. 231—243). New York: Sage.
44.
Rosenthal, R. (1995b). Writing meta-analytic reviews. Psychological Bulletin,188, 183— 192.
45.
*Shannon, H.D., & Allen, T.W. (1998). The effectiveness of a REBT training program in increasing the performance of high school students in mathematics. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 16, 197—209.
46.
Sheskin, D.J. (1997). Handbook of parametric and nonparametric statistical procedures. New York: CRC Press .
47.
Silverman, M.S., McCarthy, M., & McGovern, T. (1992). A review of outcome studies of rational-emotive therapy. Journal of Rational-Emotive and Cognitive-Behavior Therapy, 10, 111—175.
48.
Smith, M.S., Glass, G.V., & Miller, T.I. (1980). The benefits of psychotherapy. Baltimore: Johns Hopkins University Press.
49.
Stoiber, K.C., & Kratochwill, T.R. (2000). Empirically supported interventions and school psychology: Rationale and methodological issues. School Psychology Quarterly, 15, 75—105.
50.
*Warren, R., Deffenbacher, J.L., & Brading, P. (1976). Rational-emotive therapy and the reduction of test anxiety in elementary school students. Rational Living , 11, 26—29.
51.
*Weaver, M.D., & Mathews, D.B. (1993). The effects of a program to build the self-esteem of at-risk students. Journal of Humanistic Education and Development , 31, 181—188.
52.
Weisz, J.R., Huey, S.J., & Weersing, V.R. (1998). Psychotherapy outcome research with children and adolescents. In T. H. Ollendick & R. J. Prinz (Eds.), Advances in clinical child psychology (pp. 49—91). New York : Plenum Press.
53.
Weisz, J.R., Weiss, B., Han, S.S., Granger, D.A., & Morton, T. (1995). Effects of psychotherapy with children and adolescents revisited: A meta-analysis of treatment outcome studies. Psychological Bulletin,117, 450—468.
54.
*Wessel, I., & Mersch, P.P.A. (1994). A cognitive-behavior group treatment for test-anxious adolescents. Anxiety, Stress and Coping, 7, 149—160.
55.
*Wilde, J. (1994). The effects of the Let's Get Rational board game on rational thinking, depression, and self-acceptance in adolescents. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 12, 189—197.
56.
*Zelie, K., Stone, C.I., & Lehr, L. (1980). Cognitive-behavioral intervention in school discipline: A preliminary study. The Personnel and Guidance Journal, 63, 80—83.
