مقايسه تأثیر رفتاردرمانی تعدیل‌شده، درمان تعاملی والد-کودک و درمان مبتنی بر ذهنی‌سازی مادر-کودک بر بهبود نافرمانی مقابله‌ای کودکان پیش‌دبستانی

الموضوعات :

مصطفی ولی پور ¹ (استادیار گروه روانشناسی، دانشکده علوم اجتماعی، دانشگاه بین المللی امام خمینی(ره)، قزوین، ایران)
زینب خانجانی ² (استاد، گروه روانشناسی، دانشکده علوم تربیتی و روانشناسی دانشگاه تبریز، تبریز، ایران)
تورج هاشمی ³ (استاد، گروه روانشناسی، دانشکده علوم تربیتی و روانشناسی دانشگاه تبریز، تبریز، ایران)
مجید محمود علیلو ⁴ (استاد، گروه روانشناسی، دانشکده علوم تربیتی و روانشناسی دانشگاه تبریز، تبریز، ایران)

تاريخ الإرسال : 10 الأربعاء , محرم, 1443 تاريخ التأكيد : 19 الإثنين , ربيع الأول, 1443 تاريخ الإصدار : 29 الأحد , محرم, 1446

الکلمات المفتاحية: درمان تعاملی والد-کودک, درمان مبتنی بر ذهنی¬سازی مادر و کودک, رفتار¬درمانی تعدیل¬شده, اختلال نافرمانی مقابله¬ای, کودکان پیش¬دبستانی.,

ملخص المقالة :

این پژوهش با هدف مقايسه اثربخشي رفتاردرمانی تعدیل‌شده، درمان تعاملی والد-کودک و درمان مبتنی بر ذهنی¬سازی مادر-کودک بر بهبود نشانه‌های نافرمانی مقابله‌ای کودکان پیش¬دبستانی زنجان انجام شده است. چهارچوب پژوهش یک طرح نیمه¬آزمایشی بین گروهی چند متغیره با پیش‌آزمون و پس‌آزمون است. جامعه پژوهش کودکان مبتلا به اختلال نافرمانی مقابله‌ای مراجعه‌کننده به مراکز مشاوره شهر زنجان در سال 1399 بود که از میان آن‌ها تعداد 75 نفر نمونه به روش نمونه‌گیری در دسترس انتخاب و به‌طور تصادفی در سه گروه 25 نفره جایگزین شدند. در این پژوهش پرسشنامه علائم مرضی کودکان استفاده شد. نتایج روش آماری t زوجی نشان داد که هر سه روش درمانی در کاهش علائم اختلال اثر¬بخش بودند (p≤./05). نتایج تحلیل کوواریانس و آزمون تعقیبی بونفرونی نشان داد که بین سه روش درمانی در کاهش علائم اختلال نافرمانی مقابله¬ای تفاوت وجود دارد (p≤./05). مقایسه گروه-های آزمایش حاکی از این است که تفاوت بین میانگین¬های گروه رفتاردرمانی تعدیل‌شده با درمان تعاملی والد و کودک (**07/1) و گروه درمان مبتنی بر ذهنی‌سازی مادر و کودک (**64/1) معنادار بود (P<./001)؛ اما تفاوت گروه¬های درمان تعاملی والد کودک با درمان مبتنی بر ذهنی‌سازی مادر و کودک (57/.) معنادار نیست (P=./13).

المصادر:

Abbasi, M., Neshat Doost, H. (2014). The effectiveness of parent-child interaction therapy in reducing the symptoms of coping disobedience disorder. Clinical Psychology, 5 (3), 59-67. doi: 10.22075 / jcp.2017.2136. [Persian].
Adshead, G., Moore, E., Humphrey, M., Wilson, C., & Tapp, J. (2013). The role of mentalising in the management of violence. Advances in Psychiatric Treatment, 19(1), 67-76. doi:10.1192/apt.bp.110. 008243.

Aeini, B., Haji alizadeh, K. (2020). Comparison of the Effect of Parent Management Training and Play Therapy on Anxiety and Social Problems of Children with Oppositional Defiant Disorder. scientific journal of ilam university of medical sciences, 28(5), 64-75.‏ [Persian].
Allen, J., Fonagy, P., & Bateman, A. (2008). Mentalizing in clinical practice. Washington, DC: American Psychiatric Press.
American Psychiatric Association.(2000). Diagnostic and statistical manual of mental disorders (4th ed., text revision). Washington, DC: American Psychiatric Association.
Balali, R., Agha Yousefi, A.(2011). The effectiveness of parent education program in reducing children's behavioral problems. Applied Psychology, 5 (4 (20 in a row)), 59-73.[persian].
Barlow, J., & Parsons, J. (2002). Group based parent-training programmes for improving emotional and behavioural adjustment in 0-3 year old children (Cochrane Review). The Cochrane Library (Issue 2). Oxford: Update Software
Baumrind, D. (1967). Child care practices anteceding three patterns of preschool behavior. Genetic Psychology Monographs, 75, 43–88
Boylan, K., Vaillancourt, T., Boyle, M., & Szatmari, P. (2007). Comorbidity of internalizing disorders in children with oppositional defiant disorder. European Journal of Child Adolescent Psychiatry, 16, 484–494.
Burke, J. D., & Romano-Verthelyi, A. M. (2018). oppositional defiant disorder. In Developmental Pathways to Disruptive, Impulse-Control and Conduct Disorders (pp. 21–52). Elsevier. https://doi.org/10.1016/b978-0-12-811323-3.00002-x
Burke, J.D., Loeber, R., Lahey, B.B., & Rathouz, P.J. (2005). Developmental transitions among affective and behavioural disorders in adolescent boys. Journal of Child Psychology and Psychiatry, 46, 1200– 1210.
Craig, S. G., Sierra Hernandez, C., Moretti, M. M., & Pepler, D. J. (2020). The Mediational Effect of Affect Dysregulation on the Association Between Attachment to Parents and oppositional Defiant Disorder Symptoms in Adolescents. Child Psychiatry & Human Development.
Craig, S. G., Sierra Hernandez, C., Moretti, M. M., & Pepler, D. J. (2020). The Mediational Effect of Affect Dysregulation on the Association Between Attachment to Parents and oppositional Defiant Disorder Symptoms in Adolescents. Child Psychiatry & Human Development. https://doi.org/10.1007/s10578-020-01059-5
Dachew, B. A., Scott, J. G., Heron, J. E., Ayano, G., & Alati, R. (2021). Association of Maternal Depressive Symptoms during the Perinatal Period with Oppositional Defiant Disorder in Children and Adolescents. JAMA Network Open, 4(9), e2125854-e2125854.‏
Dejko–Wańczyk, K., Janusz, B., & Józefik, B. (2020). Understanding the externalizing behavior of school-age boys: the role of a mother’s mentalization and attachment. Journal of Child and Family Studies, 29(1), 155-166.‏
Dodge, K. A., Laird, R., Lochman, J. E., Zelli, A., & Conduct Problems Prevention Research Group, U. S. (2002). Multidimensional latent-construct analysis of children’s social information processing patterns: Correlations with aggressive behavior problems. Psychological Assessment, 14(1), 60–73.
Ebrahimi, A. (1998). Epidemiological study of bullying disorders and lack of attention in primary school students in Esfarayen. Thesis of Clinical Master of Iran University of Medical Sciences and Health Services, Faculty of Psychiatry, Tehran. [persian].
Eyberg, S. M. (2004). The PCIT story (part 1): Conceptual foundations of PCIT. PCIT Pages: The Parent-Child Interaction Therapy Newsletter, 1, 1–2.
Farzad, W., Imampour, S., Qahani vakil, F. (2011). Evaluation of validity, reliability and standardization of child Symptoms inventory on children. Journal of Psychological Research: Autumn, Volume 3, Number 11, pp. 47-56. [persian].
Fonagy, P., Steele, M., Steele, H., & Target, M. (1997). Reflective-functioning manual, version 4.1, for application to adult attachment interviews. London: University College London.
Girard, E.I., Wallace, N.M., Kohlhoff, J.R., Morgan, S.S.J., McNeil, C.B. (2018). Parent-Child Interaction Therapy with Toddlers: Improving Attachment and Emotion Regulation. New York, NY:Springer.
Grayson, P., & Carlson, G.A. (1991). The utility of a DSM-III-R-based checklist in screening child psychiatric patients. Journal of the American Academy of Child and Adolescent Psychiatry, 30, 669-673.
Greenberg, M. T., Speltz, M. L., DeKlyen, M., & Endriga, M.C. (1991). Attachment security in pre-schoolers with and without externalizing behavior problems: A replication. Development and Psychopathology, 3, 413–430.
Greene, RW., Doyle AE.(1999). Toward a transactional conceptualization of oppositional defiant disorder: implications for assessment and treatment. Clinical Child and Family Psychology Review 2:129–148
Hawes, D. J., & Dadds, M. R. (2005). The treatment of conduct problems in children with
callous-unemotional traits. Journal of Consulting and Clinical Psychology, 73, 737-741.
Helander,M.(2021). Effects of child CBT and parent management training for children with disruptive behavioral disorders. [Unpublished PhD thesis, Karolinska Institutet, Solna].
Kazdin, AE. (1997). Parent management training: evidence, outcomes, and issues. J Am Acad Child Adolesc Psychiatry 36:1349–1356
Kvarstein, E. H., Folmo, E., Antonsen, B. T., Normann-Eide, E., Pedersen, G., & Wilberg, T. (2020). Social Cognition Capacities as Predictors of Outcome in Mentalization-Based Treatment (MBT). Frontiers in psychiatry, 11, 691.
Livingston, R., Adam, B.S., & Dykman, R.A. (1992). Concurrent validity of the Stony Brook DSM-III-R Checklist. Presented at the Annual Meeting of the American Academy of Child and Adolescent Psychiatry, Washington, DC, October.
Masi, G., Manfredi, A., Milone, A., Muratori, P., Polidori, L., Ruglioni, L., et al.(2011). Predictors of nonresponse to psychosocial treatment in children and adolescents with disruptive behavior disorder. Journal of Child and Adolescent Psychopharmacology. 2011; 21:51–55.
Miller, N. V., Haas, S. M., Waschbusch, D. A., Willoughby, M. T., Helseth, S. A., Crum, K. I., Coles, E. K., & Pelham, W. E., Jr.(2014). Behavior therapy and callous-unemotional traits: effects of a pilot study examining modified behavioral contingencies on child behavior. Behavior therapy, 45(5), 606–618. https://doi.org/10.1016/j. beth. 2013.10.006
Mize, J., & Pettit, G. S. (2008). Social information processing and the development of conduct problems in children and adoelscents: Looking beneath the surface. In C. Sharp, P. Fonagy & I. M. Goodyer (Eds.), Social cognition and developmental psychopathology (pp. 141–174). Oxford: Oxford University Press.
Mohammad esmail, E.(2002). Preliminary evaluation of validity, reliability and determination of cut of points of disorders in child's symptom questionnaire (CSI-4). .Exceptional children (research in the field of exceptional children) 2.3 (5): 239-254. [persian].
Nock, M.K., Kazdin, A.E., Hiripi, E., & Kessler, R.C. (2007). Lifetime prevalence, correlates, and persistence of oppositional defiant disorder: Results from the National Comorbidity Survey Replication. Journal of Child Psychology and Psychiatry, 48, 703–713.
Pali, E. (2020). Parenting as a Moderator in the Relationship between Reactive Temperament and Internalizing Problems. [Unpublished MA thesis, Southern Illinois University at Carbondale].
Pirnia, B., Kashani Khatib, T., Nazari,S., Haghiri, S., Madadi Varghani, S., Friamanesh, M. (2019). The effectiveness of parent-child interactive therapy on improving emotion index in children. Scientific Research Journal of Shahid Sadoughi University of Medical Sciences, Yazd. ۱۳۹۸; 27 (1): 1164-174. [persian].
Pirnia, B., Soleimani, A., Pirnia, K. (2017). Behavioral problems and psychological therapies, The effectiveness of parent-child interactive therapy on child aggression, a pilot randomized controlled trial. Clinical Psychology Studies, 7 (27), 47-69. [persian].
Renk, K., Stephenson, J., Khan, M., & Cunningham, A. (2017). Evidence-based methods of dealing with social difficulties in conduct disorder. In J. L. Matson (Ed.), Handbook of social behavior and skills in children (pp. 323–361). Springer
International Publishing.
Sadri, M., Zare Bahramabadi, M., Ghiasi, M. (2016). The effectiveness of attachment-based therapy on the quality of attachment and social skills of children with confrontational disobedience disorder. Child mental health.3 (2): 30-21. [persian].
Schuhmann, E. M., Foote, R. C., Eyberg, S. M., Boggs, S. R., & Algina, J. (1998). Efficacy of parent-child interaction therapy: Interim report of a randomized trial with short-term maintenance. Journal of Clinical Child Psychology, 27, 34–45. https://doi.org/10.1207/s15374424jccp2701_4
Self-Brown. S., Fredrick. K., Binder. S., Whitaker. D., Lutzker. J., Edwards.A., & Blankenship. J. (2011). Examining the need for cultural adaptations to an evidence- based Parent Training Program targeting the Prevention of Child Maltreatment. Childeren and youth. Services Review, 33(7): 1166- 1172
Sharp, C. (2008). Theory of mind and conduct problems in children: Deficits in reading the emotions of the eyes’. Cognition and Emotion, 22(6), 1149–1158
Shirjang, L., Mehryar, A., Javidi, H., Hosseini, I. (2018). The effect of social skills training on reducing the symptoms of confrontational disobedience disorder in children. Journal of Psychological Methods and Models. 9 (34). 175-204. [persian].
Skreitule. I., Sebro. S., & Lubenko. J. (2010). Child Behavior and Mother-Child emotional availability in response to parent training program: Moderators of outcom. Procedia-social and behavioral sciences, 5:1418-1
Sprafkin, J., Gadow, KD., Salisbury, H., Schneider, J., Loney, J.(2002). Further evidence of reliability and validity of the Child Symptom Inventory-4: parent checklist in clinically referred boys. J Clin Child Adolesc Psychol. 2002 Dec;31(4):513-24. doi:10.1207/S15374424JCCP3104_10. PMID: 12402570.
Tahir, M,. Abolghasemi, A., Narimani, M. (2016). The effectiveness of empathy training and anger management training based on cognitive-behavioral approach on adaptation of students with confrontational disobedience disorder. School Psychology. 5 (1), 26-47. [persian].
Tempel, A. B., Herschell, A. D., & Kolko, D. J. (2015). Conduct disorder. In R. Cautin & S. Lillenfeld (Eds.), The encyclopedia of clinical psychology. New York, NY: Blackwell.
Vanderschuren,M., Matthys, W.& Schutter, D. J. (2013). The neurobiology of oppositional defiant disorder and conduct disorder: altered functioning in three mental domains. Development and psychopathology, 25(1), 193–207.
Vitaro, F., Tremblay, R.E., & Bykowski, W.M. (2001). Friends, friendships and conduct disorders. In J. Hill & B. Maughan (Eds.), Conduct disorders in childhood and adolescence (pp. 346–376). Cambridge: Cambridge University Press.
Waldman, I. D., Rowe, R., Boylan, K., & Burke, J. D. (2018). External validation of a bifactor model of oppositional defiant disorder. Molecular Psychiatry, 26(2), 682–693. https://doi.org/10.1038/s41380-018-0294-z
Ward, B.(2021). Evidence-Based Treatments for Conduct Disorders: A Systematic Review. Psychology Capstone Projects Presented to The Faculty of the Psychology Department Western Kentucky University. Paper 6.
Wilson, SJ., Lipsey, MW., Derzon, JH.(2003). The effects of school-based intervention programs on aggressive behavior: A meta-analysis. Journal of Consulting and Clinical Psychology. 2003;71:136–149. doi:10.1037/0022-006x.71.1.136.