اثربخشی درمان مبتنی بر رابطه والد-کودک بر استرس والدگری و رابطه والد-کودک مادران دارای کودک مبتلا به اختلال نقص توجه/ بیش‌فعالی

محورهای موضوعی : روان شناسی

محمد نریمانی ¹ , سارا تقی زاده هیر ²

1 - دانشگاه محقق اردبیلی، گروه روان شناسی، اردبیل، ایران.
2 - دانشگاه محقق اردبیلی، گروه روان شناسی، اردبیل، ایران.

تاریخ دریافت : 1399/11/19 تاریخ پذیرش : 1400/02/20 تاریخ انتشار : 1400/04/01

کلید واژه: استرس والدگری, درمان مبتنی بر رابطه والد-کودک, اختلال نقص توجه/ بیش‌فعالی, رابطه والد-کودک,

چکیده مقاله :

پژوهش حاضر با هدف تعیین اثربخشی درمان مبتنی بر رابطه والد-کودک بر استرس والدگری و رابطه والد-کودک مادران دارای کودک مبتلا به اختلال نقص توجه/ بیش‌فعالی انجام گرفت. جامعه آماری این پژوهش کلیه مادران دارای کودک با اختلال نقص توجه/ بیش‌فعالی که به مراکز روان شناختی شهر اردبیل مراجعه کرده بود ند. از جامعه مذکور 30 نفر از مادران دارای کودک بیش‌فعال به روش نمونه‌گیری دردسترس انتخاب و به روش تصادفی در دو گروه آزمایش (15 نفر) و کنترل (15 نفر) جایگزین شدند. طرح پژوهش تجربی از نوع پیش آزمون –پس آزموزن و پیگیری بود. به منظور جمع-آوری داده‌ها از شاخص استرس والدگری- فرم کوتاه آبیدین (1983) و پرسشنامه رابطه والد-کودک پیانتا (1994) استفاده شد. گروه آزمایش درمان مبتنی بر رابطه والد-کودک را10 در جلسه 60 دقیقه‌ای، هفته ای دوبار دریافت کردند؛ اما گروه کنترل مداخله‌ای دریافت نکرد. پس از یک ماه ونیم مرحله پیگیری انجام شد. داده‌ها با استفاده از روش تحلیل کوواریانس چند متغیری و تک متغیری تحلیل شد. نتایج نشان داد که بین نمرات گروه‌های آزمایش و کنترل در استرس والدگری و رابطه والد- کودک تفاوت معنی‌داری وجود دارد و درمان مبتنی بر رابطه والد-کودک بر کاهش استرس والدگری و ارتقاء رابطه والد-کودک مادران کودکان با اختلال نقص توجه/ بیش‌فعالی اثربخش بود. این نتیجه در مرحله پیگیری نیز تداوم داشت.

چکیده انگلیسی:

The present study was conducted with the aim of determining the effectiveness of child-parent relation therapy on parenting stress and child- parent relationship of mothers of children with attention deficit/ hyperactivity disorder. The statistical population was whole mothers of the children with attention deficit/ hyperactivity disorder who referred to the psychological clinic in Ardebil city whom 30 of them were selected using convenience sampling method and assigned randomly in experimental (n=15) and control group (n=15). The research was quasi-experimental study, included pretest, posttest and follow-up with control group. Subjects were measured by Abidin Parenting Stress Index- short form (1983) and Pianta Child-Parent Relationship Scale (1994). The experimental group participated in 10 sessions (60 minutes) of parent – child relationship therapy and the control group didn’t receive any intervention. Follow up was done after a month and a half. Data were analyzed by multivariate analysis of covariance (MANCOVA) and analysis of covariance (ANCOVA). The results indicated that child- parent relationship therapy (CPRT) made a significant difference between the two groups in terms of their means scores in parenting stress and child- parent relationship (p < 0/05). The results showed that therapy based on the parent-child relationship could be considered as an effective way to reduce parenting stress and promote the parent-child relationship of mothers of children with attention deficit / hyperactivity disorder. This finding should be used to treat mothers of children with attention deficit / hyperactivity disorder. The results were persistent during the follow up.

منابع و مأخذ:

Abareshi, Z., Tahmasian, K., Mazaheri, M.A., & Panaghi, L. (2009). The impact of psychosocial Child Development training program, done through improvement of mother-child interaction, on parental self-efficacy and relationship between mother and child under three. Journal of Research in Psychological Health, 3(3), 49-58. URL: http://rph.khu.ac.ir/article-1-115-fa.html

Amir, F., Hasan Abadi, H., Asghari Nekah, M., & Tabibi, Z. (2011). The present study investigated the effects of play therapy based on child parent relationship therapy on improving the parenting styles, Journal of Family Counseling and Psychotherapy, 2(1), 389-473. [Persian] 20.1001.1.22516654.1391.2.1.4.9

Abidin, R. R. (1983). Parenting Stress Index: Manual, Administration Bookletand Research Update. Washington, D. C. Pediatric Psychology Press. Distributed by ERIC Clearinghouse. https://eric.ed.gov/?id=ED238896

Azizi, A., Karimipoor, B. A., Rahmani, S., & Veisi, F. (2016). Comparing the Efficacy of Child-Parent Relationship Therapy (CPRT) and Family-Focused Therapy (FFT) on Function of Families with Children with Oppositional Defiant Disorder (ODD). Journal of Child Mental Health, 3(2), 9-20. [Persian] URL: http://childmentalhealth.ir/article-1-131-fa.html

Azizi, A., Fatehizadeh, M., Ahmadi, A., & Jazayeri, R. (2018). Effect of child-parent relationship therapy on parenting stress and empowerment of parents with children with Attention Deficit / Hyperactivity Disorder.  Journal of Family Counseling and Psychotherapy, 8(1), 27-46. [Persian] http://ensani.ir/file/download/article/1547294448-10113-25-2.pdf

Barkley, R. (2013). Taking Charge of ADHD. The Complete, Authoritative Guide for Parents. New York: Guilford Press. https://www.amazon.com/Taking-Charge-ADHD-Third-Authoritative/dp/1462507891

Bahmani, M., & Jahan bakhshi, Z. (2020). Effectiveness of parent-child relationship play therapy program (CPRT) on the quality of parent-child interaction and reduce aggression in preschool children. Culture of Counseling Quarterly and Psychology, 11(44), 131-156. [Persian] DOI: 10.22054/QCCPC.2020.51244.2358

Bratton, S.C., & Landreth, G.L. (2006). Child parent relationship therapy (CPRT) treatment manual: A 10-session filial therapy model for training parents. New York: Routledge. DOI: https://doi.org/10.4324/9780203956793

Carnes-Holt, K. (2012). Child–parent relationship therapy for adoptive families. The Family Journal, 20(4), 419-426. https://psycnet.apa.org/record/2012-25245-011

Chronis-Tuscanon, A., Wang, C. H., Woods, K. E., Strickland, J., & Stein, M. A. (2017). Parent ADHD and evidence-based treatment for their children: review and directions for future research. Journal of abnormal child psychology, 45(3), 17-501. DOI: 10.1007/s10802-016-0238-5

Dirks, E., Uilenburg, N., & Rieffe, C. (2016). Parental stress among parents of toddlers with moderate hearing loss Evelien. Research in Developmental Disabilities, 55(1), 27–36. DOI: 10.1016/j.ridd.2016.03.008

Walerius, D, M., Fogleman, N. D., & Rosen, P. J. (2016). The Role of ADHD and Negative Emotional Lability in Predicting Changes in Parenting Daily Hassles. Journal of Child and family Studies, 25(7), 2279- 2291. DOI:10.1007/s10826-016-0381-1

Ershad Sarabi, R., Hashemi Razini, H., & Abdollahi, M.H. (2018). Comparing Parental Stress, Parenting Styles, and Social Problem Solving in Mothers of Children with Autism Spectrum Disorder, ADHD, and Typically Developing Children. Journal of Child Mental Health, 4(4), 165-179. [Persian] URL: http://childmentalhealth.ir/article-1-280-fa.html

Fadaei, Z., Dehghani, M., Tahmasian, K., & Farhadi, F. (2011). Investigating reliability, validity and factor structure of parenting stress- short form in mothers of 7-12 year-old children. Journal of Research in Behavioral Sciences, 8(2), 83-93. URL: http://rbs.mui.ac.ir/article-1-171-fa.html

Fox, R. A., Gresel, B. L., Love, J. R., & Rosenwald, M.M. (2017). Early pathways: Home based mental health services for very young children in poverty (2^nd Ed.). Wisconsin: Marquette University Press.

Karimi Ivanaki, M., Seyed Mousavi, P., & Tahmasian, K. (2018). The Effectiveness of Parent-Child Relationship therapy on Self-Efficacy and Mother-Child Relationship. Developmental Psychology, 15(60), 391-402. [Persian] http://ensani.ir/file/download/article/1581768154-10219-60-5.pdf

Khan Mohamammadi, Z., Bazzazian, S., Amiri Majd, M., & Ghamari, M. (2018). Predicting emotional divorce based on psychological basic needs, marital expectations and family function. Journal of family psychology, 5(1), 17-30. [Persian] URL: http://ijfp.ir/article-1-399-fa.html

Kidron, M., & Landreth, G. (2010). Intensive child parent Relationship therapy with Israeli parents in Israel. International Journal of Play Therapy, 19(2), 64-78. https://doi.org/10.1037/a0017516

Landreth, G. L., & Bratton, S. C. (2019). Child parent relationship therapy (CPRT): A ten session filial therapy model. New York: Routledge.

Lee, S.J., Gopalan, G., & Harrington, D. (2014). Validation of the Parenting Stress Index–Short Form with minority caregivers. Research on social work practice, 26(4), 429-440. https://www.taylorfrancis.com/books/edit/10.4324/9781315537986/child-parent-relationship-therapy-cprt-treatment-manual-sue-bratton-garry-landreth

Lifford, K.J., Harold, G.T., & Thapar, A. (2008). Parent-child relationships and ADHD symptoms: a longitudinal analysis. Journal of Abnormal Child Psychology, 36(2), 285-96. DOI: 10.1007/s10802-007-9177-5

Mofrad, F. (2009). Investigating the relationship between mother-child relationship with functional emotional development and functional language development in preschool children of Mashhad. (Master Thesis). Ferdosi University of Mashhad. [Persian]

Mousavi, R., Jamali, A., Nejati, A., & Sharifi, A. (2016). The Effectiveness of group interventions based on parent-child relationship on mothers parenting children (ages 8-11) with ADHD. Rooyesh, 5(2), 115-146. [Persian] URL: http://frooyesh.ir/article-1-285-fa.html

 Mostafavi, S.S., Shaeiri, M.R., Asghari Moghadam, M.A & Mahmoodi Gharaei, J. (2011). Effectivness of educating play therapy based on child parent relationship therapy (cprt) according landreth model to mothers on reducing child behavioral problems, Clinical psychology & personality, 19(7), 33-42.

Pawlus, B. (2016). Shame of having a disabled child. Wiadomosci lekarskie (Warsaw, Poland: 1960), 69(2 Pt 2), 306-313. https://pubmed.ncbi.nlm.nih.gov/27487555/

Pianta, R. C. (1994). Patterns of relationships between children and kindergarden teachers. Journal of school psychology, 32(1), 15-32. https://doi.org/10.1016/0022-4405(94)90026-4

Peasgood, T., Bhardwaj, A., Brazier, J.E., Biggs, K., Coghill, D.,… & Sonuga-Barke, E.J.S. (2020). What Is the Health and Well-Being Burden for Parents Living With a Child With ADHD in the United Kingdom? Journal of Attention Disorders, 1(1), 1-15. https://doi.org/10.1177/1087054720925899

Penuelas-Calvo, I., Palomar-Ciria, N., Porras-Segovia, A., Migueiez-Fernandez, C., Baltasar-Tello, I.,… & Baca-Garcia, E. (2021). Impact of ADHD symptoms on family functioning, family burden and parents' quality of life in a hospital area in Spain. European Journal of Psychiatry, 35(3), 166-172. https://dialnet.unirioja.es/servlet/articulo?codigo=8013073

Pruitt, M. M., Willis, K., Timmons, L., & Ekas, N.V. (2016). The impact of maternal, child, and family characteristics on the daily well-being and parenting experiences of mothers of children with autism spectrum disorder. Autism, 20(8), 973-985. DOI:  10.1177/1362361315620409  

Rollè, L., Prino, L. E., Sechi, C., Vismara, L., Neri, E., Polizzi, C.,… & Brustia, P. (2017). Parenting stress, mental health dyadic adjustment: A structure equation model. Frontiers in Psychology, 8(839), 1-10. DOI: 10.3389/fpsyg.2017.00839

Riany, Y.E., & Ihsana, A. (2021). Parenting stress, social support, self-compassion, and parenting practices among mothers of children with ASD and ADHD. Journal Penelitian Psikologi, 6(1), 47-60. DOI : 10.21580/pjpp.v6i1.6681

Sabzian, S., Kalantary, M., & Mehrabi, H. (2015). Collaborative - Parent – Child play effectiveness in reducing attention deficit / hyperactivity symptoms in male student primary school of Isfahan. Clinical psychology studies, 5(20), 145-262. [Persian] https://jcps.atu.ac.ir/article_1871.html

Shaw, P., Stringaris, A., Nigg, J. T., & Leibenluft, E. (2014). Emotion dysregulation in attention deficit hyperactivity disorder. American Journal of Psychiatry, 171(3), 276–293. DOI: 10.1176/appi.ajp.2013.13070966.

Sheykholeslami, A., Taghizadeh Hir, S., Honarmand Ghojabeyglou, P., & Moradiyan, A. (2020). Comparing the emotional well - being, marital intimacy and quality of life of mothers of children with attention deficit / hyperactivity disorder and mothers of normal children. Journal of psychological sciences, 87(19), 329-338. [Persian] URL: http://psychologicalscience.ir/article-1-597-en.html

Shirazitehrani, A., & Ghatampour, E. (2016). Effectiveness of Training of Mindfulness-based Stress Reduction on Psychological Well-being of ADHD Children’s Mothers. Journal of exceptional children, 16(3), 35-48. [Persian] URL: http://joec.ir/article-1-397-fa.html

Schulz-Zhecheva, Y., Voelkle, M., Beauducel, A., Buch, N., Fleis Chhaker, C., Bender, S.,… & Klein, Ch. (2017). ADHD traits in german school aged children: Validation of the german strengths and weaknesses of ADHD symptoms and normal behavior (SWANDE) scale. Journal of Attention Disorders, 23(6), 553-562. https://doi.org/10.1177/1087054716676365

Sanner, C. M. & Neece, C. L. (2018). Parental Distress and Child Behavior Problems: Parenting Behaviors as Mediators. Journal of Child and Family Studies, 27(2), 591-601. https://doi.org/10.1007/s10826-017-0884-4

Timmer, S.G., Anthony, J.U., & Zebell, N. (2006). Challenging foster caregiver–maltreated child relationships: The effectiveness of parent–child interaction therapy. Children and Youth Services Review, 28(1), 1-19. DOI:10.1016/j.childyouth.2005.01.006

Timmer, S. (2012). Parent-Child Interaction Therapy: Enhancing Parent-Child Relationships on Programa para la Mejora de las Relaciones Padres-Hijos. La Terapia de Interacción Padres-Hijos. Psychosocial Intervention, 21(2), 145-156. https://pcit.ucdavis.edu/wp-content/uploads/2012/08/TimmerUrquizaZebell20061.pdf

Werba, B.E., Eyberg, S.M., Boggs, S.R., & Algina, J. (2006). Predicting outcome in parent-child interaction therapy: Success and attrition. Behavior modification, 30(5), 618-46. DOI: 10.1177/0145445504272977

Zablotsky, B., Black, L. I., Maenner, M. J., Schieve, L. A., Danielson, M. L., Bitsko, R. H.,… & Boyle, C. A. (2019). Prevalence and Trends of Developmental Disabilities among Children in the United States: 2009– 2017. Pediatrics, 144(4), e20190811. DOI: 10.1542/peds.2019-0811