تجربه زیسته مادران دارای کودک مبتلا به اختلال نقص توجه/ بیش فعالی: مطالعه پدیدار شناختی
الموضوعات :
سارا تقی زاده هیر
1
,
محمد نریمانی
2
,
سیف اله آقاجانی
3
,
مهریار ندر محمدی
4
,
سجاد بشرپور
5
1 - دانشجوی دکتری، گروه روان شناسی، دانشکده علوم تربیتی و روان شناسی، دانشگاه محقق اردبیلی، اردبیل، ایران
2 - استاد، گروه روان شناسی، دانشکده علوم تربیتی و روان شناسی، دانشگاه محقق اردبیلی، اردبیل، ایران
3 - استاد، گروه روان شناسی، دانشکده علوم تربیتی و روان شناسی، دانشگاه محقق اردبیلی، اردبیل، ایران
4 - استادیار، گروه روانپزشکی، دانشکده پزشکی، دانشگاه علوم پزشکی اردبیل، اردبیل، ایران
5 - استاد، گروه روان شناسی، دانشکده علوم تربیتی و روان شناسی، دانشگاه محقق اردبیلی، اردبیل، ایران
الکلمات المفتاحية: اختلال نقص توجه/ بیش فعالی, مادران, تجربه زیسته,
ملخص المقالة :
هدف پژوهش حاضر، بررسی تجربه زیسته مادران دارای کودک مبتلا به اختلال نقص توجه/ بیش‌فعالی بود. جامعه آماری تمام مادران دارای کودک مبتلا به اختلال نقص توجه/ بیش فعالی بود که در سال 1401 به بخش روانپزشکی بیمارستان فاطمی شهر اردبیل مراجعه کرده بودند. نمونه پژوهش 20 نفر از مادران بود که با استفاده از روش نمونه گیری هدفمند انتخاب شدند. روش پژوهش کیفی از نوع پدیدارشناسی بود. داده‌ها با استفاده از مصاحبه نیمه ساختاریافته با مشارکت مادران این کودکان گردآوری شد. داده‌ها به روش پدیدارشناسی توصیفی کلایزی (2002) تحلیل شد. یافته های حاصل از تجارب زیسته مادران در قالب پنج مضمون اصلی و نوزده فرعی طبقه بندی گردید. مضمون های اصلی شامل مسائل فردی کودک، مسائل خانواده، مسائل اجتماعی، فرهنگی و هیجانی، مسائل درمانی و مسائل مدرسه بودند. هم چنین نتایج به دست آمده از تحلیل تجارب زیسته مادران دارای کودک مبتلا به اختلال نقص توجه/ بیش فعالی حاکی از وجود مجموعه‌ای مشکلات از جمله تفاوت های فرهنگی و تجربیات وابسته به فرهنگ و میزان تحصیلات شرکت کنندگان اشاره کرد. دسته ای دیگر از این مشکلات به دلیل دانش کم مادران و محیط آموزشی است. مشکلات کودکان موجب اختلال در کارکرد طبیعی خانواده می شود و روابط اجتماعی ، فرهنگی و تعاملات آن ها را نیز تحت تاثیر قرار می دهد. بنابرین آگاه سازی مادران از ماهیت اختلال و آموزش الگوهای تعاملی با این کودکان می تواند از مشکلات پیش رو در این خانواده ها جلوگیری کند.
Afshar, A., Banisi, P., & Zomorrody, S. (2022). The effectiveness of stress management skills training on psychological capital, resilience and social skills in mothers with hyperactive children. New Approach in Educational Sciences, 4(12), 155-168. [Persian] URL: https://doi.org/10.22034/naes.2022.331713.1178
Anker, E., Haavik, J., & Heir, T. (2020). Alcohol and drug use disorders in adult attention deficit/ hyperactivity disorder: prevalence and associations with attention deficit/ hyperactivity disorder symptom severity and emotional dys-regulation. World Journal of Psychiatry, 10(9), 202. URL: https://doi.org/10.5498%2Fwjp.v10.i9.202
Bayat, F., Rezaee, A. M., & Behnam, B. (2018). Comparison of the effectiveness of play therapy and storytelling on the improvement of attention deficit/hyperactivity disorder symptoms in students. Qom University of Medical Sciences Journal, 12(8), 59-68. [Persian] URL: http://dx.doi.org/10.29252/qums.12.8.59
Brown, A., & Whiteside, S. (2017). Relations among perceived parental rearing behaviors, attachment style, and worry in anxious children. Journal of anxiety, 22(2), 263-272. URL: https://doi.org/10.1016/j.janxdis.2007.02.002
Christian, C., Martel, M. M., & Levinson, C.A. (2020). Emotion regulation difficulties, but not negative urgency, are associated with attention-deficit/ hyperactivity disorder and eating disorder symptoms in undergraduate students. Eating Behaviors, 36, 101344. URL: https://doi.org/10.1016/j.eatbeh.2019.101344
Chronis-Tuscano, A., Molina, B.S., Pelham, W.E., & … et al. (2010). Very early predictors of adolescent depression and suicide attempts in children with attention-deficit/hyperactivity disorder. Arch Gen Psychiatry, 67(10), 1044-1051. URL: https://doi.org/10.1001/archgenpsychiatry.2010.127
Corona, J. C. (2020). Role of oxidative stress and neuro inflammation in attention deficit/ hyperactivity disorder. Antioxidants, 9(11), 1039. URL:https://doi.org/10.3390%2Fantiox9111039
Cortese, S., Ferrin, M., Brandeis, D., Buitelaar, J., Daley, D., Dittmann, R.W, & … et al. (2015). Cognitive training for attention deficit/ hyperactivity disorder: meta-analysis of clinical and neuropsychological outcomes from randomized controlled trials. Am Acad Child Adolesc Psychiatry, 54(3), 164- 174. URL: https://doi.org/10.1016/j.jaac.2014.12.010
Craig, F., Savino, R., Fanizza, I., Lucarelli, E., Russo, L., & Trabacca, A. (2020). A systematic review of coping strategies in parents of children with attention deficit hyperactivity disorder (ADHD). Research in developmental disabilities, 98, 103571. URL: https://doi.org/10.1016/j.ridd.2020.103571
Davidson, M. A. (2008). Literature review: ADHD in adults: A review of the literature. Journal of Attention Disorders, 11(6), 628-641. URL: https://doi.org/10.1177/1087054707310878
Eftari, S.H., Ahmadi, S., & Tajik Ismaili, A. (2022). Lived experience of parents of children with attention deficit hyperactivity disorder. Journal of Psychological Science, 21(117), 1743-1760. [Persian] URL: http://dorl.net/dor/20.1001.1.17357462.1401.21.117.10.4
Faraone, S. V., Banaschewski, T., Coghill, D., Zheng, Y., Biederman, J., Bellgrove, M. A., Newcorn, J. H., & et al. (2021). The World Federation of ADHD International Consensus Statement: 702 Evidence-based conclusions about the disorder. Neuroscience and Biobehavioral Reviews, 128, 789–818. URL: https://doi.org/10.1016/j.neubiorev.2021.01.022
Gaastra, G. F., Groen, Y., Tucha, L., & Tucha, O. (2020). Unknown, unloved? Teachers’ reported use and effectiveness of classroom management strategies for students with symptoms of ADHD. In Child & Youth Care Forum, 49(2), 1-22. URL: https://psycnet.apa.org/doi/10.1007/s10566-019-09515-7
Given, L.M. (2008). The Sage encyclopedia of qualitative research methods. Los Angeles: Sage publications. URL: http://dx.doi.org/10.4135/9781412963909
Haack, L.M., Villodas, M.T., McBurnett, K., Hinshaw, S., & Pfiffner, L.J. (2016). Parenting mediates symptoms and impairment in children with ADHD inattentive type. Journal of Clinical Child & Adolescent Psychology, 45(2), 155-166. URL: https://doi.org/10.1080%2F15374416.2014.958840
Halmoy. A. (2011). Attention-Deficit /Hyperactivity Disorder in adults. Thesis for doctoral digree (Ph. D), University of Bergen. URL: https://hdl.handle.net/1956/4757
Huang-Pollock, C. H., Ratcliff, R., & McKoon, G. (2020). A diffusion model analysis of sustained attention in children with attention deficit hyperactivity disorder. American Psychological Association, 34(6), 641–653. URL: https://doi.org/10.1037/neu0000636
Kasahara, S., Takahashi, K., Matsudaira, K., Sato, N., Fukuda, K. I., Toyofuku, A., & Uchida, K. (2023). Diagnosis and treatment of intractable idiopathic orofacial pain with attention-deficit/ hyperactivity disorder. Scientific Reports, 13(1), 1678. URL: https://doi.org/10.1038/s41598-023-28931-3
Kim, J. W., Kim, B. N., Kim, J. I., Lee, Y. S., Min, K. J., Kim, H. J., & Lee, J. (2015). Social network analysis reveals the negative effects of Attention-Deficit/Hyperactivity Disorder (ADHD) symptoms on friend-based student networks. PloS one, 10(11), e0142782. URL: https://doi.org/10.1371/journal.pone.0142782
Liang, S., Lee, C., Kelsen, A., & Chen, V. (2021). Health-related quality of life in mothers of children with attention deficit hyperactivity disorder in Taiwan: The roles of child, parent, and family characteristics. Research in Developmental Disabilities, 113(10), 1-14. URL: https://doi.org/10.1016/j.ridd.2021.103944
Lukito, S., Norman, L., Carlisi, C., Radua, J., Hart, H., Simonoff, E., & Rubia, K. (2020). Comparative meta-analyses of brain structural and functional abnormalities during cognitive control in attention-deficit/ hyperactivity disorder and autism spectrum disorder. Psychological Medicine, 50(6), 894-919. URL: https://doi.org/10.1017/s0033291720000574
Moradi Siah Afshadi, M., Amiri, S., & Talebi, H. (2022). Prevalence of ADHD and comparison of mental health dimensions between students with and without ADHD. Journal of Psychological Science, 21(118), 1957-1974. [Persian] URL: http://dx.doi.org/10.52547/JPS.21.118.1957
Nass, D., & Leventhal, F. (2010). 100 Questions & Answers about Your Child's ADHD: Preschool to College: Preschool to College. New York: Jones & Bartlett Learning. URL: https://www.amazon.sg/Questions-Answers-About-Your-Childs/dp/0763781797
Nori, T., Moradiani Gizehroud, K. H., & Cheraghian, H. (2023). The effectiveness of mindfulness-based parenting education on the general health of parents with a hyperactive child - Lack of attention. Journal of Modern Psychological Researches, 18(69), 247-255. [Persian] URL: https://dorl.net/dor/20.1001.1.27173852.1402.18.69.11.4
Raiker, J. S. (2021). Editorial: instrumental learning in children with attention-deficit/hyperactivity disorder: A rewarding review incentivizing future research. Journal of the American Academy of Child & Adolescent Psychiatry, 60(11), 1342–1344. URL: https://doi.org/10.1016/j.jaac.2021.05.002
Risley, S., Ciesielski, H.A., Loren, R.E., Peugh, J., & Tamm, L. (2020). Effectiveness of behavioral parent training in the outpatient setting for preschoolers at risk for ADHD. Journal of Behavioral and Cognitive Therapy, 30(4), 291-300. URL: https://psycnet.apa.org/doi/10.1016/j.jbct.2020.09.002
Robert, F., Asarnow, N., & Robert, E. (2021). Association of attention deficit/ hyperactivity disorder diagnoses with pediatric traumatic brain injury. JAMA Psychiatry, 175(10), 1009-1016. URL: https://doi.org/10.1001/jamapediatrics.2021.2033
Sakhaei, M., Monirpour, N., & Omidi, A. (2023). Investigating the effectiveness of drug therapy on reducing attention deficit symptoms in children with ADHD. Islamic Life Style, 7, 35-42. URL: http://islamiclifej.com/article-1-1873-en.html
Si, Y., Ma, C., & Zhang, J. (2020). Factors influencing parenting stress among chinese families of children with attention deficit/ hyperactivity disorder. Children and Youth Services Review, 19(4), 26-31. URL: http://dx.doi.org/10.1016/j.childyouth.2020.105148
Singh, D., Kumar, A., Kaur, R., Mandal, S., & Kumar, S. (2022). A short review on Attention Deficit Hyperactivity Disorder (ADHD): Types, Symptoms, Prevention and Treatment. International Journal for Pharmaceutical Research Scholars, 7(1), 1202-1204. URL: http://dx.doi.org/10.35629/7781-070112021204
Speerforck, S., Hertel, J., Stolzenburg, S., Grabe, H., & Carta, M. (2019). Angermeyer C, Schomerus G. attention deficit hyperactivity disorder in children and adults: A population survey on public beliefs. Journalof Attention Disorders, 25(6), 11-1. URL: https://doi.org/10.1177/1087054719855691
Thapar, A., & Cooper, M. (2016). Attention deficit hyperactivity disorder. Lancet, 387(124), 1240-1250. URL: https://doi.org/10.1016/s0140-6736(15)00238-x
Torabi, S., Rahmanian, M., Farokhzad, P., & Alibai, H. (2016). Comparison of effectiveness of individual play therapy and play therapy with family therapy on behavioral problems’ reduction in children with attention deficit/ hyperactivity disorder. Journal of Applied Counseling, 5(2), 23-36. [Persian] URL: https://doi.org/10.22055/jac.2016.12575
Van Manen, M. (2016). Writing in the dark: Phenomenological studies in interpretive inquiry. New York, Routledge. URL: https://doi.org/10.4324/9781315415574
Wolraich, M. L., Hagan, J. F., & Allan, C. (2019). Subcommittee on children and adolescents with attention deficit/hyperactive disorder. Clinical practice guideline for the diagnosis, Evaluation, and Treatment of attention deficit/hyperactivity disorder in children and adolescents. Pediatrics, 144(4), e20192528. URL: https://doi.org/10.1542/peds.2019-2528
Yavari Barhaghtalab, E., Asgary, P., Naderi, F., & Heidarie, A. (2021). Effect of cognitive rehabilitation on executive function (Response retention and scheduling) in children with attention deficit hyperactivity disorder. The Scientific Journal of Rehabilitation Medicine, 10(1), 146-157. [Persian] URL: https://doi.org/10.22038/mjms.2022.64291.3779
Yep, R., Soncin, S., Brien, D.C., Coe, B. C., Marin, A., & Munoz, D. P. (2018). Using an emotional saccade task to characterize executive functioning and emotion processing in attention-deficit hyperactivity disorder and bipolar disorder. Brain and Cognition, 124, 1-13. URL: https://doi.org/10.1016/j.bandc.2018.04.002
Young, S., Asherson, P., Lloyd, T., Absoud, M., Arif, M., Colley, W.A., & … et al. (2022). Failure of healthcare provision for attention deficit/hyperactivity disorder in the United Kingdom: A Consensus Statement. Front. Psychiatry, 22, 677577. URL: https://doi.org/10.3389/fpsyt.2021.649399
Yue, X., Liu, L., Chen, W., Preece, D.A., Liu, Q., Li, H., & Qian, Q. (2022). Affective-cognitive-behavioral heterogeneity of Attention Deficit/ Hyperactivity Disorder (ADHD): Emotional dys-regulation as a sentinel symptom differentiating “ADHD-simplex” and “ADHD complex” syndromes? Journal of Affective Disorders, 307, 133-141. URL: https://doi.org/10.1016/j.jad.2022.03.065
Zaslan, A., & Yıldırım, M. (2021). Internalized stigma and self-esteem of mothers of children diagnosed with attention deficit hyperactivity disorder. Children’s HealthCare, 50(3), 312–324. URL: https://doi.org/10.1080/02739615.2021.1891071
Zendarski, N., Haebich, K., Bhide, S., Quek, J., Nicholson, J. M., Jacobs, K. E., & Sciberras, E. (2020). Student–teacher relationship quality in children with and without ADHD: A cross-sectional community based study. Early Childhood Research Quarterly, 51, 275-284. URL: https://doi.org/10.1016/j.ecresq.2019.12.006
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