مقایسه اثربخشی آموزش فرزندپروری رفتاری به مادران با آموزش مهارت‌های اجتماعی به کودکان بر تنظیم هیجانی و علائم رفتاری اختلال نافرمانی مقابله‌ای در دانش آموزان پسر پایه چهارم دبستان
محورهای موضوعی : کودک
سعیده فرید
1
,
حسن میرزاحسینی
2
,
نادر منیرپور
3
1 - دانشجوی دکتری گروه روانشناسی، دانشگاه آزاد اسلامی واحد قم، قم، ایران.
2 - استادیار، روانشناسی بالینی ، دانشگاه آزاد اسلامی، واحد قم، قم، ایران
3 - دانشیار گروه روانشناسی، دانشگاه آزاد اسلامی واحد قم، قم، ایران.
کلید واژه: آموزش فرزندپروری رفتاری, آموزش مهارت‌های اجتماعی, تنظیم هیجانی, کودکان دارای اختلال نافرمانی مقابله‌ای, دانش آموزان پسر پایه چهارم دبستان,
چکیده مقاله :
این پژوهش با هدف مقایسه اثربخشی آموزش فرزندپروری رفتاری به مادران با آموزش مهارت‌های اجتماعی به کودکان بر تنظیم هیجانی و علائم رفتاری اختلال نافرمانی مقابله‌ای در کودکان صورت گرفت. روش این پژوهش نیمه آزمایشی و از جمله طرح‌های پیش آزمون-پس آزمون با دو گروه آزمایش و یک گروه کنترل بود. جامعه آماری پژوهش شامل دانش آموزان پسر پایه چهارم دبستان و مادران آنها بود که در بازه زمانی مرداد و شهریور ۱۳۹۹ به کلینیک‌های روانشناسی منطقه ۵ تهران مراجعه کرده بودند. از جامعه مذکور، تعداد ۵۰ نفر از کودکان دارای اختلال نافرمانی مقابله‌ای که معیارهای ورود به پژوهش را داشتند انتخاب و ۴۵ نفر از آنها بر اساس جدول مورگان به روش نمونه گیری هدفمند در سه گروه ۱۵ نفره گمارش شدند. جلسات گروه آزمایش ۱۲ جلسه ۹۰ دقیقه‌ای بود که در یکی از آنها، مهارت‌های اجتماعی به کودکان آموزش داده شد و در گروه دیگر، مادران کودکان تحت آموزش فرزندپروری رفتاری قرار گرفتند و گروه کنترل تا پایان این تحقیق، مداخله‌ای دریافت نکرد. به منظور سنجش شرکت کنندگان از معیارهای DSM 5 برای تشخیص اختلال نافرمانی مقابله‌ای و پرسشنامه‌های تنظیم هیجان (Shields & Cicchetti, 1997) و سیاهه رفتاری کودک (Achenbach, 1991) استفاده شد. به منظور تحلیل داده‌ها، از تحلیل کوواریانس و آزمون سیداک استفاده گردید. یافته‌ها نشان داد هر دو روش درمان برای تنظیم هیجانی و علائم رفتاری کودکان دارای اختلال نافرمانی مقابله‌ای اثربخش بوده است (۰۵/۰>P)، اما تفاوت معناداری بین این دو روش برای متغیرهای پژوهش و ابعاد آنها مشاهده نشد (۰۵/۰<P).
The aim of this study was to compare the effectiveness of behavioral parenting training to mothers with training social skills to children on emotional regulation and symptoms of oppositional defiant disorder in children. The method of this research was semi-experimental and including pre-test-post-test designs with two experimental groups and one control group. The statistical population of the study included fourth grade male students and their mothers who had referred to psychology clinics in Tehran District 5 between August and September 2020. From the mentioned community, 50 children with oppositional defiant disorder who met the inclusion criteria were selected and 45 of them were assigned to three groups of 15 according to Morgan table by purposive sampling method. The sessions of the experimental group consisted of 12 90-minute sessions in which children were taught social skills in one of the experimental groups. In the other experimental group, mothers of children received behavioral parenting training and the control group did not receive any intervention until the end of the study. In order to assess the participants, DSM 5 criteria were used to diagnose oppositional defiant disorder and the (Shields & Cicchetti, 1997) Emotion Regulation Checklist and (Achenbach's, 1991) Child Behavior Checklist. In order to analyze the data, descriptive statistics, analysis of covariance and pairwise comparison were used by Sidak test. The results showed that both methods were effective for emotional regulation and behavioral symptoms (P<0.05), but no significant difference was observed between the two methods for research variables and their dimensions (P>0.05).
Achenbach, TM. (1991). Manual for the Child Behavior Checklist/ 4-18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry.
American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorder (Revised 5 ed). Washington: American Psychiatric Association.
Burke, J.D. Loeber, R. Birmaher, B. (2002). Oppositional defiante disorder conduct disorder: A Review of the past 10 years, part II. American Academy of Child & Adolescent Psychiatry. 1275-1293.
Brown, S., McHardy, J. (2014). Karl Taylor, Intergenerational analysis of social interaction and social skills: An analysis of U.S. and U.K. panel data, Economics of Education Review, 40, 43-54.
Cann, W., Rogers, H., & Worley, G. (2003). Report on a program evaluation of a telephone assisted parenting support service for families living in isolated rural areas. Australian e-Journal for the Advancement of Mental Health, 2(3), 201-207.
Danforth, J. S., Harvey, E., Ulaszek, W. R., & McKee, T. E. (2006). The outcome of group
parent training for families of children with attention-deficit hyperactivity disorder and defiant/aggressive behavior. Journal of behavior therapy and experimental psychiatry, 37(3), 188-205.
Esmailian, N. Dehghani, M., Fallah, S. (2016). Evaluating the Psychometric Features of Emotion Regulation Checklist (ERC) in Children and Adolescents, Journal of Clinical Psychology Achievements, 2 (1), 15-34. [Persian]
Ezpeleta, L., Penelo, E., Navarro, J. B., Osa, N., Trepat, E. (2020). Transdiagnostic trajectories of irritability and oppositional, depression and anxiety problems from preschool to early adolescence, Behaviour Research and Therapy, 134, 103727.
Ferraro, I., Taylor, A. (2021), Adult attachment styles and emotional regulation: The role of interoceptive awareness and alexithymia, Personality and Individual Differences, 173, 110641.
Gadow, K., Arnold, L. E., Molina, B. S., Findling, R. L., Bukstein, O. G., Brown, N., McNamara, N et al. (2014). Risperidone Added to Parent Training and Stimulant Medication: Effects on Attention-Deficit/Hyperactivity Disorder, Oppositional Defiant Disorder, Conduct Disorder, and Peer Aggression, Journal of the American Academy of Child & Adolescent Psychiatry, 53(9), 948-959.
Kildare, C., Middlemiss, W. (2017). Impact of parents mobile device use on parent-child interaction: A literature review, Computers in Human Behavior, 75, 579-593.
Lavigne, J., LeBailly, S., Gouze, K., Binns, H., Keller, J., Pate, L. (2010). Predictors and Correlates of Completing Behavioral Parent Training for the Treatment of Oppositional Defiant Disorder in Pediatric Primary Care, Behavior Therapy, 41 (2), 198-211.
Levantini, V., Muratori, P., Calderoni, S., Inguaggiato, E., Masi, G., Milone, A., Tonacci, A., Billeci, L. (2021). Parenting practices moderate the link between attention to the eyes and callous unemotional traits in children with Disruptive Behavior Disorder: An eye-tracking study, Journal of Psychiatric Research, https://doi.org/10.1016/j.jpsychires.2021.11.016.
Loudovaa, I., Laseka, J. (2015). Parenting style & its in fluence on the personal & moral development of the child. Procedia-Social & Behavioral sciences, 174، 1247-1254.
Lin, X., Li, L., Chi, P., Wang, Z., Allen Heath, M., Du, H., Fang, X. (2016). Child maltreatment and interpersonal relationship among Chinese children with oppositional defiant disorder, Child Abuse & Neglect, 51, 192-202.
Martel, M. (2019). The Clinician's Guide to Oppositional Defiant Disorder, Academic Press, 185-201, https://doi.org/10.1016/B978-0-12-815682-7.00012-4.
Masi, G., Muratori, P., Manfredi, A., Pisano, S., Milone, A. (2015). Child behaviour checklist emotional dysregulation profiles in youth with disruptive behaviour disorders: Clinical correlates and treatment implications, Psychiatry Research, 225 (1), 191-196.
Minaee, A. (2006). Adaptation and standardization of Child Behavior Checklist, Youth Self-report, and Teacher’s Report Forms. Journal of Exceptional Children. 6 (1): 529-558. [Persian]
Muratori, P., Milone, A., Levantini, V., Pisano, S., Spensieri, V., Valente, E., Thomaes, S., Masi, G. (2020). Narcissistic traits as predictors of emotional problems in children with oppositional defiant disorder: A longitudinal study, Journal of Affective Disorders, 274, 494-499.
Pearl, E. S. (2009). Parent management training for reducing oppositional and aggressive behavior in preschoolers. Aggression and violent behavior, 14(5), 295-305.
Rautakoski, P., Ursin, P., Carter, A., Kaljonen, A., Nylund, A., Pihlaja, P. (2021). Communication skills predict social-emotional competencies, Journal of Communication Disorders, 93, 106138.
Sağlam, E., Bilgiç, A., Abuşoğlu, S., Ünlü, A., Sivrikaya, A. (2021). The role of tryptophan metabolic pathway in children with attention deficit hyperactivity disorder with and without comorbid oppositional defiant disorder and conduct disorder, Psychiatry Research, 298, 113770.
Shields, A., & Cicchetti, D. (1997). Emotion regulation among school-age children: The development and validation of a new criterion Q-sort scale. Developmental Psychology, 33(6), 906–916.
Skoulos, V., & Tryon, G. S. (2007). Social Skills of Adolescents in Special Education Who Display Symptoms of Oppositional Defiant Disorder. American Secondary Education, 35(2), 103–115.
Tellegen, C. L., & Sanders, M. R. (2013). Stepping Stones Triple P-Positive Parenting Program for children with disability: A systematic review and meta-analysis. Research in developmental disabilities, 34(5), 1556-1571.
Tonacci, A., Billeci, L., Calderoni, S., Levantini, V., Masi, G., Milone, A., Pisano, S., Muratori, P. (2019). Sympathetic arousal in children with oppositional defiant disorder and its relation to emotional dysregulation, Journal of Affective Disorders, 257, 207-213.
Yıldız, T. (2020). The most effective element in conceptualization is social interaction, not source or modality: A new model of the conceptual development in children, Learning, Culture and Social Interaction, 24, 100377.