THE EFFECTIVENESS OF AN ENVIRONMENTAL COGNITIVE PROGRAM IN IMPROVING PSYCHOLOGICAL IMMUNITY AMONG ADOLESCENTS WITH LEUKEMIA | ||||
| Journal of Environmental Science | ||||
| Volume 54, Issue 8, August 2025, Page 2058-2084 PDF (1.07 MB) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/jes.2025.338781.1925 | ||||
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| Authors | ||||
Reda M. M. Tantawy  1; Mohammad R. Al-Beheiri2; Ahmad I. Schuman3
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| 1Faculty of Graduate Studies and Environmental Research, Ain Shams University | ||||
| 2Faculty of Postgraduate Childhood Studies, Ain Shams University | ||||
| 3Faculty of Medicine, Ain Shams University | ||||
| Abstract | ||||
| The current study aimed to investigate the effectiveness of a cognitive-environmental program in enhancing psychological immunity among adolescents with leukemia, as well as the sustainability of this effectiveness over time. The study employed an experimental design with two groups: control and experimental. The cognitive-environmental program was applied only to the experimental group. To achieve the study’s objectives, the Psychological Immunity Scale, the Socioeconomic and Cultural Level Scale, and the Raven’s Intelligence Test were used. Three measurements were taken: pre-test, post-test, and follow-up. Statistical methods appropriate for the nature of the data, including the Mann-Whitney and Wilcoxon tests, were used to analyze the data.The results revealed significant statistical differences between the pre-test and post-test rank mean scores of the experimental group, favoring the post-test. This indicates the program's effectiveness in improving psychological immunity. Additionally, there were no significant statistical differences between the post-test and follow-up measurements, reflecting the program's lasting effect. In contrast, no significant differences were observed between the pre-test and post-test for the control group. However, significant statistical differences were found between the experimental and control groups at the post-test, favoring the experimental group. The results showed a clear improvement in the psychological immunity level of the experimental group compared to the pre-test and the control group, with all differences being statistically significant. Furthermore, the results confirmed the validity of the psychometric tools used to measure psychological immunity, which enhances the credibility of the findings.Based on these results, the study supports the effectiveness of the cognitive-environmental program in enhancing psychological immunity and achieving the study's hypotheses. In light of these results, the study recommends generalizing the use of the cognitive-environmental program in institutions and hospitals that care for adolescents with cancer, due to its positive impact on enhancing psychological immunity. It also emphasizes the importance of including psychological immunity development in psychological care plans for adolescents, given its crucial role in coping with illness and improving quality of life. | ||||
| Keywords | ||||
| Psychological Immunity; Environmental cognitive program; Adolescents; Leukemia | ||||
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