اثربخشی آموزش راهبردهای شناختی تنظیم هیجان بر استرس والدینی و رضایت زناشویی در والدین کودکان مبتلا نقص توجه/بیش فعالی

نوع مقاله : مقاله پژوهشی

نویسنده

• ایمان روحی دهکردی

کارشناسی ارشد روانشناسی بالینی، گروه روانشناسی، واحد گرمسار، دانشگاه آزاد اسلامی، گرمسار، ایران

10.30495/jpmm.2021.27488.3335

چکیده

مقدمه: عوامل فراوانی می تواند باعث ایجاد استرس والدینی و کاهش رضایت زناشویی شود که داشتن فرزندی با نشانه های نقص توجه/بیش فعالی از جمله آنهاست. لذا هدف از پژوهش حاضر تعیین تأثیر آموزش راهبردهای شناختی تنظیم هیجان بر استرس والدگری و رضایت زناشویی در والدین کودکان مبتلا به کاهش توجه/بیش فعالی بود. روش پژوهش آزمایشی از نوع پیش آزمون  پس آزمون با گروه کنترل و جامعه آماری شامل کلیه والدین دارای کودک نقص توجه/بیش فعالی در شهر تهران  بود.
روش: روش پژوهش آزمایشی از نوع پیش آزمون  پس آزمون با گروه کنترل و جامعه آماری شامل کلیه والدین دارای کودک نقص توجه/بیش فعالی در شهر تهران  بود. نمونه آماری 30 نفر از این افراد بودند که به روش نمونه گیری هدفمند انتخاب و در دو گروه 15 نفری آزمایشی و کنترل به تصادف گمارده شدند. هر دو گروه در دو نوبت به پرسشنامه های استرس والدینی  و رضایت زناشویی پاسخ دادند. سپس گروه آزمایشی 8 جلسه آموزش راهبردهای شناختی تنظیم هیجان را دریافت کردند، اما گروه کنترل هیچ درمانی نگرفت. اطلاعات به دست آمده با استفاده از تحلیل کوواریانس مورد تجزیه و تحلیل قرار گرفت.
یافته ­ها: نتایج کلی نشان داد که آموزش راهبردهای شناختی تنظیم هیجان بر استرس والدینی و ابعاد آن یعنی آشفتگی والدین، تعامل ناکارآمد والد و کودک و ویژگی هابی کودک دشوار و رضایت زناشویی والدین دارای کودک مبتلا به نقص توجه/بیش فعالی تاثیرگذار است.
نتیجه ­گیری: با توجه به یافته های پژوهش می توان نتیجه گیری کرد که آموزش راهبردهای شناختی تنظیم هیجان باعث کاهش استرس والدینی و بهبود رضایت زناشویی در  والدین کودکان مبتلا نقص توجه/بیش فعالی می شود.

کلیدواژه‌ها

• تنظیم هیجان
• استرس والدینی
• رضایت زناشویی
• نقص توجه/بیش فعالی

20.1001.1.22285516.1400.12.45.8.7

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عنوان مقاله [English]

The effectiveness of teaching cognitive emotion regulation strategies on parental stress and marital satisfaction in parents of children with attention deficit / hyperactivity disorder

نویسنده [English]

• iman rohi-dehkordi

Islamic Azad University of Garmsaer

چکیده [English]

The aim of this study was to determine the effect of teaching cognitive emotion regulation strategies on parenting stress and marital satisfaction in parents of children with attention deficit / hyperactivity disorder. The experimental research method was pretest-posttest with a control group and the statistical population included all parents with a child with attention deficit / hyperactivity disorder in Tehran. The statistical sample consisted of 30 people who were purposefully selected and randomly assigned to two experimental and control groups of 15 people. Both groups answered the questionnaires of parental stress and marital satisfaction on two occasions. The experimental group then received 8 sessions of training on cognitive emotion regulation strategies, but the control group did not receive any treatment. The obtained data were analyzed using univariate and multivariate analysis of covariance. The overall results showed that teaching cognitive emotion regulation strategies has an effect on parental stress and its dimensions, ie parental confusion, dysfunctional parent-child interaction, difficult child hobbies, and marital satisfaction of parents with attention deficit / hyperactivity disorder.According to the research findings, it can be concluded that teaching cognitive emotion regulation strategies reduces parental stress and improves marital satisfaction in parents of children with attention deficit / hyperactivity disorder.

کلیدواژه‌ها [English]

• emotion regulation
• parental stress
• marital satisfaction
• attention deficit / hyperactivity disorder

مراجع

1.       Faraone SV, Banaschewski T, Coghill D, Zheng Y, Biederman J, Bellgrove MA, ... Wang Y. The World Federation of ADHD International Consensus Statement: 208 Evidence-based Conclusions about the Disorder. Neuroscience & Biobehavioral Reviews.‏ 2021; 12(6): 35-41.

2.       Lemelin M, Sheehy O, Zhao JP, Bérard A. Maternal ADHD medication use during pregnancy and the risk of ADHD in children: Importance of genetic predispositions and impact of using a sibling analysis. European Neuropsychopharmacology.‏ 2021; 33(3): 176-181.

3.       Peñuelas-Calvo I, Palomar-Ciria N, Porras-Segovia A, Miguélez-Fernández C, Baltasar-Tello I, Perez-Colmenero S, ... Baca-García E. Impact of ADHD symptoms on family functioning, family burden and parents’ quality of life in a hospital area in Spain. The European Journal of Psychiatry.‏ 2020; 76(8): 224-235.

4.       Craig F, Savino R, Fanizza I, Lucarelli E, Russo L, Trabacca A. A systematic review of coping strategies in parents of children with attention deficit hyperactivity disorder (ADHD). Research in developmental disabilities. 2020; 98, 103571.‏

5.       Risley S, Ciesielski HA, Loren RE, Peugh J, Tamm L. Effectiveness of behavioral parent training in the outpatient setting for preschoolers at risk for ADHD. Journal of Behavioral and Cognitive Therapy. 2020; 30(4), 291-300.‏

6.       Siu AF, Lo JW. Promising effect of a family rugby programme for children with ADHD: Promoting parent-child relationship and perceptual change on child's behaviors. Complementary therapies in clinical practice. 2020; 39: 101135.‏

7.       Dvorsky MR, Friedman LM, Spiess M, Pfiffner LJ. Patterns of Parental Adherence and the Association to Child and Parenting Outcomes Following a Multicomponent School-Home Intervention for Youth With ADHD. Behavior Therapy.‏ 2020: 52(3): 745-760.

8.       Ruuskanen E, Leitch S, Sciberras E, Evans S. Eat, pray, love. Ritalin: A qualitative investigation into the perceived barriers and enablers to parents of children with ADHD undertaking a mindful parenting intervention. Complementary therapies in clinical practice. 2019; 37: 39-46.‏

9.       Martin CA, Papadopoulos N, Chellewm T, Rinehart NJ, Sciberras E. Associations between parenting stress, parent mental health and child sleep problems for children with ADHD and ASD: Systematic review. Research in developmental disabilities. 2019; 93: 103463.‏

10.   Nicolia AC, Fabiano GA, Gordon CT. An investigation of predictors of attendance for fathers in behavioral parent training programs for children with ADHD. Children and Youth Services Review. 2020; 109: 104690.‏

11.   Alzawad Z, Lewis FM, Ngo L, Thomas K. Exploratory model of parental stress during children’s hospitalisation in a paediatric intensive care unit. Intensive and Critical Care Nursing. 2021; 103109.‏

12.   Jakobsen AV, Elklit A. Self-control and coping responses are mediating factors between child behavior difficulties and parental stress and family impact in caregivers of children with severe epilepsy. Epilepsy & Behavior. 2021; 122: 108224.‏

13.   13- Akmali P, Nikfarid L, Masoumpour A, Chaibakhsh S, Ahmadi M. Psychometric properties of the Persian version of the parental stress scale: NICU. Journal of Neonatal Nursing.‏ Received 21 June 2021, Revised 11 August 2021, Accepted 31 August 2021, Available online 6 September 2021.

14.   Weinberg M, Gueta N, Weinberg J, Much MA, Akawi A, Sharki R, Mahajnah M. The relationship between parental stress and mastery, forgiveness, and social support among parents of children with autism. Research in Autism Spectrum Disorders, 2021; 81: 101712.‏

15.   Shenaar-Golan, V., Wald, N., & Yatzkar, U. (2017). Patterns of emotion regulation and emotion-related behaviors among parents of children with and without ADHD. Psychiatry research, 258, 494-500.‏

16.   Hagstrøm, J., Maigaard, K., Pagsberg, A. K., Skov, L., Plessen, K. J., & Vangkilde, S. (2020). Reappraisal is an effective emotion regulation strategy in children with Tourette syndrome and ADHD. Journal of behavior therapy and experimental psychiatry, 68, 101541.‏

17.   Hare, M. M., Garcia, A. M., Hart, K. C., & Graziano, P. A. (2021). Intervention response among preschoolers with ADHD: The role of emotion understanding. Journal of School Psychology, 84, 19-31.‏

18.   Mikkelsen, M. B., Tramm, G., Zachariae, R., Gravholt, C. H., & O’Toole, M. S. (2020). A systematic review and meta-analysis of the effect of emotion regulation on cortisol. Comprehensive Psychoneuroendocrinology, 100020.‏

19.   Lee, P., & Van Meter, A. (2020). Emotional Body Language: Social Cognition Deficits in Bipolar Disorder. Journal of Affective Disorders. 14(3), 25-31.‏

20.   Vacher, C., Goujon, A., Romo, L., & Purper-Ouakil, D. (2020). Efficacy of psychosocial interventions for children with ADHD and emotion dysregulation: a systematic review. Psychiatry research, 113151.‏

21.   McKenzie, M. L., Donovan, C. L., Zimmer-Gembeck, M. J., Waters, A. M., Mathieu, S. L., & Farrell, L. J. (2020). Examining parent-report of Children's emotion regulation in paediatric OCD: Associations with symptom severity, externalising behaviour and family accommodation. Journal of Obsessive-Compulsive and Related Disorders, 25, 100508.‏

22.   Rispoli, K. M., Malcolm, A. L., Nathanson, E. W., & Mathes, N. E. (2019). Feasibility of an emotion regulation intervention for young children with autism spectrum disorder: A brief report. Research in Autism Spectrum Disorders, 67, 101420.‏

23.   Wu, H. C., & Ai, C. H. (2016). Synthesizing the effects of experiential quality, excitement, equity, experiential satisfaction on experiential loyalty for the golf industry: The case of Hainan Island. Journal of Hospitality and Tourism Management, 29, 41-59.‏

24.   Qian, Y., Chen, F., & Yuan, C. (2020). The effect of co-parenting on children’s emotion regulation under fathers’ perception: A moderated mediation model of family functioning and marital satisfaction. Children and Youth Services Review, 119, 105501.‏

25.   Ghahari, S., Davoodi, R., Yekehfallah, M., & Rad, M. M. (2018). Marital Conflict, Cognitive Emotion Regulation, Maladaptive Schema and Sexual Satisfaction in spouse abused and non-abused women in Iran: A comparative study. Asian journal of psychiatry, 35, 1-2.‏

26.   Wilson, T. K., & Gentzler, A. L. (2021). Emotion regulation and coping with racial stressors among African Americans across the lifespan. Developmental Review, 61, 100967.‏

27.   Abidin, R. R. (1983). Parenting Stress Index: Manual, Administration Booklet, [and] Research Update. Pediatric Psychology Press. Distributed by ERIC Clearinghouse.

28.   Fadaei Z., Dehghani M., Tahmasasian K. And Farhadi F. (2012). Evaluation of factor structure, validity and validity of the short form of parenting stress index of mothers of normal children 7-12 years. Journal of Behavioral Science Research. 8: 91-81

29.   Fournier, D. G., Olson, D. H., & Druckman, J. M. (1983). Assessing marital and premarital relationships: The PREPARE-ENRICH inventories. Marriage and family assessment, 54, 229-250.‏

30.   Asoudeh, MH. (2010). Factors of Successful Marriage from the Perspective of Happy Couples, Thesis for Master's Degree. University of Tehran Family Counseling, unpublished.

31.   Olson, D.H, & Olson, A.(1999). Preventive approaches in couple therapy. New York: Taylor, Francis Pub.

32.   Gross, J. J., (2015). Emotion Regulation: Current Status and Future Prospects. Psychological Inquiry, 26, 1–26.

33.   Barsella, R., Amer, K., Simonovich, S. D., & Hibino, N. (2020). Educational tool reduces parental stress at home post pediatric cardiac surgery: A pilot study. Progress in Pediatric Cardiology, 101335.‏

34.   Zheng, X., Chen, J., Guo, Y., Xiong, Q., Hu, Y., Shi, S., & Yu, Q. (2020). The buffer effect of physical activity: Why does parental marital satisfaction affect adolescents’ problematic Internet use. Addictive behaviors reports, 11, 100271.‏

35.   Wang, X. (2021). Intergenerational effects of childhood maltreatment: The roles of parents’ emotion regulation and mentalization. Child Abuse & Neglect, 104940.‏

36.   Peng, Y., Zhang, R., & Wang, Z. (2021). Intraindividual reaction time variability as an index of attentional control acts as a moderator of the longitudinal relationships between marital quality and children’s externalizing problems. Journal of Experimental Child Psychology, 202, 105011.‏