The effectiveness of Compassion-Based Therapy for Depressive Symptoms, Rumination, and Self-Compassion in Mothers with Mild Intellectual Disability Child

Document Type : Original Article

Authors

1 Ph.D. Health Psychology, Rudaki School counselor, Semiram, Iran.

2 Ph.D., Psychology and Education of Children with Special Needs, Department of Psychology and Education, Yazd University, Yazd, Iran

Abstract

Introductoin: The purpose of the present study was to examine the efficacy of positive psychotherapy based on belief to good on happiness, psychological well-being and satisfaction with life in subclinical depression.
Method: This research is semi-experimental and of pre-test-post-test type with control and follow-up groups. 30 mothers with children with mild disability child were selected by simple random sampling based on a lottery from the exceptional school of Semiram city and were placed in two control and experimental groups in the same way. The intervention sessions consisted of ten sessions performed for the experimental group. The data collection tool included Self-Compassion Scale (SCS), Neff (2003), Beck Depression Inventory-II (BDI-II), 1961, and Rumination scale (RS), Nolan et al. (1991). These tools were given to both experimental and control groups, before and after the intervention and also during the follow-up period. Data were analyzed by SPSS-24 software, mean, standard deviation and multivariate analysis of covariance were used to analyze the data.
Results: Findings from the present study showed that the experimental group (mothers with intellectually disabled children) compared to the control group, after the intervention, compassionate program to increase self-compassion (P >0.017) decreased rumination (P >0.001) and decreased depression (P> 0.038) in the mothers with intellectually disabled children. Also, the subjects' scores in the follow-up stage were stable on all scales.
Discussion and Conclusion: It is important to provide therapeutic interventions to reduce the mental problems of mothers with intellectually disabled children, including depression and rumination, and it will lead to a more appropriate treatment of mothers with these children

Keywords

References

  1. Allen, AB., Goldwasser, ER., & Leary, MR. Self-compassion and well-being among older adults. Self and Identity, 2012;11(4): 428–453.

    2. 2- گنجی، حمزه. روان شناسی کودکان استثنایی. نشر ساوالان، ویراست دوم.۱۳۹۶، 77-276

    3- Schieve, L. A., Blumberg, S. J., Rice, C., Visser, S. N., & Boyle, C. The Relationship Between Autism and Parenting Stress. Pediatrics, 2007;119, S114-S121. doi: 10.1542/peds.2006-2089Q.

    4- Cousineau, T.M., Hobbs, L.M., & Arthur, K.C. The Role of Compassion and Mindfulness in Building Parental Resilience When Caring for Children with Chronic Conditions: A Conceptual Model. Frontier in Psychology.2019;10(5):1602. doi: 10.3389/fpsyg.2019.01602

    5- Terry, ML, Leary, MR. Self-compassion, self-regulation, and health. Self and Identity.2011 ;10(3), 352–362.

    6- Gale, C, Gilbert, P, Read, N, et al. (2014). An evaluation of the impact of introducing compassion focused therapy to a standard treatment programmer for people with eating disorders. Clinical Psychology & Psychotherapy.2014;21(1):1–12.

    7- Goss, K. The Compassionate-Mind Guide to Ending Overeating: Using Compassion-Focused Therapy to Overcome Bingeing and Disordered Eating. Oakland, CA: New Harbinger. 2011

    8- Atef Vahid M kazem, Ghahari S, Zareidoost E, Bolhari J, Karimi-kismi E. The role of demographic and psychological variables in predicting violence in victims of spouse abuse in Tehran. Iranian Journal of Psychiatry and Clinical Psychology. 2011;16(4):403–11.

    9- Simos, G. (2009). Cognitive behavioral therapy, depressive rumination and metacognition. In: Sin G, editor. Cognitive behavior therapy: A guide for practicing clinician. New York: Routledge publication; p. 18-33.

    10- Abela, JRZ., & Hankin, BL. Cognitive renewability to depression in children and adolescents: A developmental psychopathology perspective. In: Abela JRZ, Hankin BL editors. Handbook of depression in children and adolescents. New York: Guilford press.2007; p. 35-75.

    11- Goss, K., & Allan, S. The development and application of compassion-focused therapy for eating disorders (CFT-E). British Journal of Clinical Psychology.2014;53(1), 62–77.

    12- Finlay‐Jones, A.L. The relevance of self‐compassion as an intervention target in mood and anxiety disorders: A narrative review based on an emotion regulation framework. Clinical Psychologist. 2017;21(2): 90-103. https://doi.org/10.1111/cp.12131

    13- Mahmoudiyan, M., Epchi Hagh, S., Rasoul Zadeh Tabatabaee, K. The relationship between intellectual rumination, physical deformation and obsession compulsion with depressive symptoms in students. Journal of Thought & Behavior in Clinical Psychology. 2013;8 (29), 17-26

    1. امینی، آرزو.، شریعتمدار، آسیه . ثربخشی یرفتاردرمان دیالکتیک گروهی بر فاجعه سازی و نشخوار فکری در مادران کودکان کم ذهنی توان. فصلنامه فرهنگ مشاوره و رواندرمانی،۱۳۹۷، 9، 34، 171-190
    • Lo HHM, Chan SKC, Szeto MP, Chan CYH, Choi CW. A feasibility study of a brief mindfulness-based program for parents of preschool children with developmental disabilities. Mindfulness. 2017;8(6):1665–73. doi: 10.1007/s12671-017-0741-y
    • Mohaghegh, H., Farhadi,, Nabizadeh,S. perfectionism and body dissatisfaction. Journal of Thought & Behavior in Clinical Psychology.2017 ;11 (45), 37-46
    • Albertson, E. R., Neff, K. D., & DillShackleford, K. E. Self-compassion and body dissatisfaction in women: A randomized controlled trial of a brief meditation Mindfulness,2015; 6(3), 444-454

     

    18- Neff, KD. Self-compassion: An alternative conceptualization of a healthy attitude toward oneself. Self and Identity.2003;2, 85-102.

    19- Papageorgiou, C., & Wells, A. Positive beliefs about depressive Rumination: Development and preliminary Validation of a self-report scale. Journal of Behavioral Therapy,2004; 32, 13-26.

    20- Gourlan, M., Bernard, P., & Bortolon, C. Efficacy of theory-based interventions to promote physical activity. A meta-analysis of randomized controlled trials. Health Psychology Review 2016;10(1), 50–66.

    21- Biber,D.D., & Rebecca, E. The effect of self-compassion on the self-regulation of health behaviors: A systematic review. Journal of health psychology. 2017;24,14, https://doi.org/10.1177/1359105317713361

    22- Craig, C. Compassion Focused Therapy for People with Dementia: A Feasibility Study. University College London. 2017

    23- Gilbert, P. Introducing Compassion Focused- Therapy. Adv psychiatr treat.2009;15, 199–208.

    24- Group, PCR. Patients’ preferences within randomized trials: Systematic review and patient level meta-analysis. The British Medical Journal, 2008; 337: a1864.

    25- Kelly, AC., & Carter, JC., Borairi, S. Are improvements in shame and self-compassion early in eating disorders treatment associated with better patient outcomes? International Journal of Eating Disorders. 2014;47(1), 54–64.

    26- Kelly, AC, Zuroff, DC, Foa, CL, et al. Who benefits from training in self-compassionate self-regulation? A study of smoking reduction. Journal of Social and Clinical Psychology.2010;29(7), 727–755.

    27- Neff, K.D., & Germer, C.K. A pilot study and randomized controlled trial of the mindful selfcompassion program. Journal of Clinical Psychology, 2013;69, 28-44.

    28- Myfanwy, B.A. Self-compassion: an adaptive way to reduce recurrent depression symptoms through emotion regulation. Vancouver: University of British Columbia Library,2017. DOI: 10.14288/1.0343643    

    29- Lockard, AJ., Hayes, JA., Neff, K, et al. Self-compassion among college counseling center clients: An examination of clinical norms and group differences. Journal of College Counseling. 2014;17(3), 249–259.

    30- Neely, ME., Schallert, DL., Mohammed, SS., et al. Self-kindness when facing stress: The role of self-compassion, goal regulation, and support in college students’ well-being. Motivation and Emotion.2009;33(1): 88–97.

    31- Cook, L., Mostazir,M., Watkins, E. (2019). Reducing Stress and Preventing Depression (RESPOND): Randomized Controlled Trial of Web-Based Rumination-Focused Cognitive Behavioral Therapy for High-Ruminating University Students. Journal of Medical Internet Research.2019;21(5), 11349, doi:10.2196/11349 

     32- معتمد، مهتاب.، شکیباراد، عاطفه. اثربخشی درمان گروهی شناخت درمانی مبتنی بر حضور ذهن در کاهش افسردگی و نشخوار فکری در مادران کودکان عقب مانده ذهنی. سومین کنفرانس بین المللی نوآوری های اخیر در روانشناسی، مشاوره و علوم رفتاری. ۱۳۹۵

    33- درخشنده، سیده رویا، نامدارپور، فهیمه، عابدی، محمدرضا. درمان مبتنی بر شفقت بر سلامت روان مادران کودکان مبتلا به نقص توجه- بیش فعالی. دومین کنگره بین المللی نقش زن در سلامت خانواده و جامعه. ۱۳۹۶

    1. احمدی، راحله، سجادیان، ایلناز، جعفری، فریبا. درمان مبتنی بر شفقت بر اضطراب، افسردگی و میل به خودکشی در زنان مبتلا به ویتیلیگو. پوست و زیبایی،۱۳۹۸; 10(1): 29-18

    35- نواب، مژگان، دهقانی، اکرم، کرباسی، افسانه. اثربخشی گروه درمانی مبتنی بر شفقت بر رشد پس از سانحه در مادران کودکان با اختلال نارسایی توجه/ فزون کنشی. فصلنامه سلامت روان کودک،۱۳۹۸;  1(18): 250-239

    36- دلاور، علی. مبانی نظری و عملی پژوهش در علوم انسانی و اجتماعی. تهران: انتشارات رشد. چاپ هفتم. ۱۳۸۹

    1. خسروی، صدالله.، صادقی، مجید.، ویابنده، محمدرضا. کفایت روانسنجی مقیاس شفقت خود(SCS)، فصلنامه مدل ها وروش های روانشناختی. ۱۳۹۲; 13، 47-59.
    2. یوسفی.ز. بررسی و و مقایسه اثربخشی روش آموزش توجه بر کاهش نشخوار فکری بیماران افسرده و وسواس شهر اصفهان. پایان نامه کارشناسی ارشد دانشکده علوم تربیتی و روان شناسی، دانشگاه اصفهان. ۱۳۸۳

    39- Beck, A.T.,Steer,R.A.,& Brown,G.K. Manual for the Beck Depression Inventory –II. San Antonio, TX:Psychological corporation. 1996

    40- دابسون، کیت استفان.، محمدخانی، پروانه و مساح جولایی، امید. مختصات روانسنجی پرسشنامه افسردگی بک-2 در یک نمونه مبتلایان به اختلال افسردگی اساسی. فصلنامه توانبخشی،۱۳۹۲;  (8)9 ، 86-80.

    1. فتح اله زاده، نوشین.، مجلسی،زینب.، مظاهری،زهرا.، رستمی، مهدی.، نوابی نژاد، شکوه. اثربخشی درمان متمرکز بر شفقت بر شرم درونی شده و خود انتقادی زنان آزاردیده عاطفی. فصلنامه مطالعات روان شناختی،۱۳۹۶; 13 ( ۲) ، 169-151

    42- Krieger, T., Altenstein-Yamanaka,D., Baettig,I., & Doerig, N. Self-Compassion in Depression: Associations with Depressive Symptoms, Rumination, and Avoidance in Depressed Outpatients. Behavior therapy. 2013; 44(3),501-13

    43- Psychogiou, l., Legge, K.,  Parry, E., & Mann, J. Self-Compassion and Parenting in Mothers and Fathers with Depression. Mindfulness, 2016; 7(4),176, DOI: 10.1007/s12671-016-0528

    44- Ghorbani, N., Watson, PJ., Chen, Z., Norballa, F. Self- compassion in Iranian Muslims: relationships with integrative self-knowledge, mental health, and religious orientation. Journal The International for the Psychology of Religion. 2012; 22, 06-118

     

    45- Gold, M., Dunn, L. B., Phoenix, B., Paul, S. M., Hamolsky, D., Levine, J. D., & Miaskowski, C. Co-occurrence of anxiety and depressive symptoms following breast cancer surgery and its impact on quality of life. European Journal of Oncology Nursing, 2016;20, 97-105

    46- محمدپور، سمانه، تاجیک‌زاده، فخری، محمدی، نورالله. اثربخشی شناخت‌درمانی مبتنی بر ذهن آگاهی بر کاهش علائم افسردگی، نشخوار ذهنی و نگرش‌های ناکارآمد زنان باردار مبتلا به افسردگی. فصلنامه روانشناسی بالینی و شخصیت. ۱۳۹۷;  ۱۶ (۱) :۱۸۷-۱۹۸

     

    47-  Robinson,S., Hastings, R.P., Weiss,J.A., & Pagavathsing, J. Self-compassion and psychological distress in parents of young people and adults with intellectual and developmental disabilities. Journal of Applied Research in Intellectual Disabilities. 2017; 31(5), 129, DOI: 10.1111/jar.12423

    48- کیامرثی، آذر، ظاهری فرد، مینا. مقایسه‌ شفقت به خود، حس انسجام و تفکر مثبت در دانش‌آموزان با و بدون کمال‌گرایی بالینی. فصلنامه روانشناسی بالینی و شخصیت. ۱۳۹۹;  ۱8 (۱) :42-29

    49- Prestwich, A., Sniehotta, FF., Whittington, C., et al. Does theory influence the effectiveness of health behavior interventions? Meta-analysis. Health Psychology. 2014; 33(5): 465.

     

     

Clinical Psychology and Personality
Volume 20, Issue 1 - Serial Number 38
September 2022
Pages 45-57

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