اثربخشی درمان راه‌حل محور بر عملکرد خانواده و تاب‌آوری مادران دارای کودک آهسته گام

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دکتری تخصصی گروه روان‌شناسی، واحد بجنورد، دانشگاه آزاد اسلامی، بجنورد، ایران.

2 کارشناسی ارشد گروه روان‌شناسی، واحد تهران جنوب، دانشگاه آزاد اسلامی، تهران، ایران.

3 کارشناسی ارشد گروه روان‌شناسی، واحد تربت جام، دانشگاه آزاد اسلامی، تربت جام، ایران.

4 کارشناسی ارشد گروه روان‌شناسی، واحد سبزوار، دانشگاه آزاد اسلامی، سبزوار، ایران.

5 کارشناسی ارشد گروه مشاوره، دانشگاه بجنورد، بجنورد، ایران.

چکیده

مقدمه: وجود نقایص هوشی در کودکان نه تنها می‌تواند مشکلات زیادی را برای خود کودک به وجود آورد، بلکه اعضای خانواده، به‌ویژه مراقب اصلی کودک، نیز با چالش‌های زیادی روبرو می‌شوند. بر همین اساس، این پژوهش باهدف تعیین اثربخشی درمان راه‌حل محور بر عملکرد خانواده و تاب­آوری مادران دارای کودک آهسته‌گام انجام شده است.
روش: پژوهش حاضر از نوع نیمه آزمایشی با طرح پیش­آزمون - پس­آزمون با گروه کنترل بود. جامعه آماری شامل مادران دارای کودک آهسته‌گام در مرکز توان‌بخشی شهر مشهد در سال ۱۴۰3 می‌شد. از میان آن‌ها30 نفر به‌صورت نمونه‌گیری در دسترس انتخاب شده و به‌صورت تصادفی در دو گروه آزمایش و کنترل (هر گروه 15 نفر) تقسیم شدند. جمع­آوری داده­ها با پرسش‌نامه‌های عملکرد خانواده  و تاب‌آوری انجام شد. در ابتدا از هر دو گروه پیش­آزمون گرفته شد. سپس گروه آزمایش به مدت 8 جلسه 90 دقیقه‌ای، هر هفته  یک جلسه، تحت درمان راه‌حل محور قرار گرفت،  در حالی که  گروه کنترل هیچ‌گونه مداخله‏ای دریافت نکرد و در لیست انتظار باقی ماند. پس از پیایان جلسات، از هر دو گروه پس­آزمون گرفته شد و داده‌ها با استفاده از تحلیل کواریانس چند متغیره تجزیه و تحلیل شدند.
نتایج: نتایج نشان داد بعد از حذف اثر پیش‌آزمون، میانگین نمرات پس‌آزمون عملکرد خانواده  و تاب‌آوری در گروه آزمایش به طور معناداری بیشتر از گروه کنترل بود. این تفاون نشان می‌دهد که درمان راه‌حل محور نمره عملکرد خانواده و تاب‌آوری در گروه آزمایش در مرحله پس‌آزمون افزایش یافت؛ بنابراین ، درمان راه‌حل محور بر عملکرد خانواده و تاب‌آوری مادران دارای فرزند آهسته گام اثربخش بود(001/0>P).
بحث و نتیجه‌گیری: به‌طورکلی، نتایج حاکی از آن است که درمان راه‌حل محور می‌تواند رویکردی اثربخش برای بهبود عملکرد خانواده و تاب‌آوری مادران باشد. بر همین اساس، پیشنهاد می­شود درمان راه‌حل محور توسط متخصصان، به‌منظور افزایش توانمندی‌های روان‌شناختی مادران دارای کودک آهسته گام مورد استفاده قرار گیرد.

کلیدواژه‌ها

عنوان مقاله [English]

Effectiveness of Solution-Focused Therapy on Family Functioning and Resilience of Mothers with Slow-Step Children

نویسندگان [English]

  • Mohsen Shakerinasab 1
  • Sakineh Yousefi 2
  • Sara Mohammadalizdeh 3
  • Farzaneh Khodashahi 4
  • Noushin Ghanbari 5
1 PhD, Department of Psychology, Bojnourd Branch, Islamic Azad University, Bojnourd, Iran.
2 MSc, Department of Psychology, South Tehran Branch, Islamic Azad University, Tehran, Iran.
3 MSc, Department of Psychology, Torbat Jam Branch, Islamic Azad University, Torbat Jam, Iran.
4 Master of Science, Department of Psychology, Sabzevar Branch, Islamic Azad University, Sabzevar, Iran.
5 Master of Science, Department of Counseling, Bojnourd University, Bojnourd, Iran.
چکیده [English]

Introduction:
 The presence of intellectual disabilities not only causes numerous challenges for the child but also presents significant difficulties for family members, especially the primary caregiver. Based on this, the present study aimed to determine the effectiveness of Solution-Focused Therapy on family functioning and the resilience of mothers with children who have developmental delays.
Method:
The present study employed a quasi-experimental design with pre-test and post-test measures, including a control group. The statistical population consisted of mothers with slow-paced children at the Mashhad Rehabilitation Center in 2023. Thirty participants were selected through convenience sampling and randomly assigned to two groups of 15: experimental and control. Data were collected using family functioning and resilience questionnaires. Initially, both groups completed a pre-test. The experimental group then received solution-focused therapy in eight 90-minute sessions, held once weekly, while the control group received no intervention and remained on a waiting list. After the intervention, a post-test was administered to both groups. The data were analyzed using multivariate analysis of covariance.
Results:
The results indicated a significant difference in the mean post-test scores of family functioning and resilience between the experimental and control groups after controlling for pre-test effects. Specifically, the experimental group demonstrated higher mean post-test scores in both family functioning and resilience compared to the control group. Solution-focused therapy significantly increased family functioning and resilience scores in the experimental group at the post-test stage (P < 0.001). These findings suggest that solution-focused therapy is effective in improving family functioning and resilience among mothers of slow-paced children.
Discussion and Conclusion
In general, the results indicate that Solution-Focused Therapy can be an effective approach to improving family functioning and resilience. Based on these findings, it is recommended that specialists use Solution-Focused Therapy to enhance the psychological well-being of mothers with children who have delayed walking.
 

کلیدواژه‌ها [English]

  • Solution Focused Therapy
  • family functioning
  • resilience
  • slow-paced child

مراجع

1- Polevoy, G. Development of coordination abilities of mentally retarded children in physical education lessons. Bangladesh Journal of Medical Science, 2024; 23(4): 1219-26. https://banglajol.info/index.php/BJMS/article/view/76552
2- Roohimotlagh, Sh.,  Eftekharsoadi, Z., Makvandi, B., Hafezi, F. The efficacy of Self- Compassion Focused Training (CFT) on psychological capital and Social well-being of mothers with Slow-paced child. Women's research journal, 2022; 13(39): 93-107. https://doi.org/10.30465/WS.2021.34390.3191[In Persian]
3- Sukmawati, I., Noviati, E, Rahayu, T. T. Relationship Between Mother's Knowledge And Independence Medium Mentally Retarded Child. Genius Midwifery Journal, 2023; 2(1): 22-9. https://doi.org/10.56359/genmj.v2i1.176
4- Saidi, M., Afrooz, G .A.  Kashani Vahid L. Arjamandania, AA. Kakabraei K. Developing a Problem-Solving Training Program and Evaluating Its Effectiveness on Communication Interactions of Slow-Paced Students with Down syndrome. Empowering exceptional children, 2022; 13(3): 1-10. https://doi.org/10.22034/CECIRANJ.2022.342037.1660 [In Persian]
5- Nemeroff, C. B., Schatzberg, A. F., Rasgon N, Strakowski SM. The American Psychiatric Association Publishing textbook of mood disorders: American Psychiatric Pub; 2022.
6- Sadat Sidi, M., Dastani, M. The effectiveness of cognitive-behavioral therapy on psychological capital and mental health of mothers of mentally disabled children. Clinical psychology and personality, 2023; 21(2): 1-12. https://doi.org/10.22070/cpap.2023.17296.1319 [In Persian]
7- Taheri, F., Arjmandnia A. A., Jamali Gharakhanlou, Y. Effect of positive parenting program on Family Function in Parents having Children with Intellectual Disability. The Scientific Journal of Rehabilitation Medicine, 2019; 8(3): 150-61. https://doi.org/10.22037/JRM.2019.111523.2057 [In Persian]
8- Mandal, J., Biswas, S., Kumari, M. Exploring the Prevalence of Psychological Distress And Burden Among Parents of Children of Mentally Retarded Children. International Journal of Human Sciences, Engineering, Science and Management, 2023; 4(2): 42-52. https://doi.org/10.59364/ijhesm.v4i2.258
9- Van Riper, M., Cosgrove, B., Fleming, L. Adaptation at the family level in families of individuals with Down syndrome: A scoping review. Journal of Family Nursing, 2023; 29(4): 324-47. https://doi.org/10.1177/10748407231163236
10- Wang, H., Xie, X., Li, Z., Xue, L., Liao, Q. Perceived Family Functioning of Adolescents with Affective Disorders: A Multicentric Cross-Sectional Study. Psychology Research and Behavior Management. 2024: 2505-17. https://www.tandfonline.com/doi/full/10.2147/PRBM.S460961#d1e413
11- Wahyuni, S. The Relationship between the role of parent and self-Esteem to acceptance parents with mentally retarded children in Extraordinary school Bf Mandara Kendari Indonesia. Journal of health research and technology, 2024; 2(1): 101-9. https://e-journal.saku.co.id/index.php/JHRT/article/view/201
12-  Nik Kho,  F. Hosseini Qomi, T. Prediction of mental health and resilience of mothers with mentally retarded children based on cognitive flexibility. Empowering exceptional children, 2021; 12(1): 12-20. https://doi.org/10.22034/CECIRANJ.2021.261893.1506 [In Persian]
13- Anggraini, A. A., Harianto, M. I, Putri, S. N., Sholikah, N., Anto AHF, editors. Family Resilience In Households Of Children With Disabilities: A Comprehensive Analysis. Proceedings of International Conference on Psychology, Mental Health, Religion, and Sprirituality; 2024. https://doi.org/10.29080/pmhrs.v2i01.2194
14- Halkiadakis, P. N., Mahajan, S., Crosby, D. R., Badrinathan, A., Ho, VP. A prospective assessment of resilience in trauma patients using the Connor-Davidson Resilience Scale. Surgery, 2023; 174(5): 1249-54. https://doi.org/10.1016/j.surg.2023.07.012
15- Golawari, M., Khayatan, F. The Effectiveness of Schema Therapy on The Ambiguity Tolerance and Resilience in Mothers of Children with Attention Deficit Hyperactivity Disorder. Clinical psychology and personality, 2023; 20(1): 125-138. 10.22070/CPAP.2022.14025.1061 [In Persian]
16- Chobforuzzadeh, A.M., Houshmand, H. Khosravi Larijani, M. The Effectiveness of Mindfulness-Based Cognitive Therapy on Self-Confidence and Resilience of Mothers with Slow-Paced Student. Journal of Applied Psychological Research. 2023; 14(3): 83-103. https://doi.org/10.22059/JAPR.2023.330494.644031[In Persian]
17-  Azad, R., Aleyasin, S. A. Meaning of Life, Mothers of Mentally Retarded Children, Positive Psychotherapy, Psychological Well-Being, Resilience. Rooyesh, 2023; 12(5): 161-172. https://doi.org/20.1001.1.2383353.1402.12.5.16.8 [In Persian]
18- Unvanli, Y., Ilhan, E. L., Válková, H. Examination of Resilience and Self-esteem Levels of Parents of Children With Disability. Studia sportiva, 2023; 17(2): 160-72. https://www.ceeol.com/search/article-detail?id=1216053
19- Franklin, C., Ding, X., Kim, J., Zhang, A., Hai, A. H., Jones, K., et al. Solution-Focused Brief Therapy in Community-Based Services: A Meta-Analysis of Randomized Controlled Studies. Research on Social Work Practice, 2024; 34(3): 265-76. https://doi.org/10.1177/10497315231162611
20- Arslan, Ü., Ulus, İÇ. Solution Focused Brief Therapy Training. Bartın University Journal of Faculty of Education, 2020;  9(1): 1-12. https://doi.org/10.14686/buefad.440625
21- Ratner, H., Yusuf, D. Brief coaching with children and young people: A solution focused approach: Routledge; 2015. https://doi.org/10.4324/9781315743684
22- Żak, A. M., Pakrosnis, R., Kuminskaya, E. Research on the Solution-Focused Approach in 2022: A Scoping Review. Journal of Solution Focused Practices, 2023; 7(1).
23- Cooper, Z. W., Mowbray, O., Ali, M. K., Johnson, L. C. Addressing depression and comorbid health conditions through solution-focused brief therapy in an integrated care setting: a randomized clinical trial. BMC Primary Care, 2024; 25(1): 313. https://doi.org/10.1186/s12875-024-02561-8
24- Hamidpour, R., Razaghi Khamene, Sh., Bahari, F. The effectiveness of solution-oriented treatment in a group way on the resilience of patients with multiple sclerosis. National conference of modern researches of Iran and the world in psychology, educational sciences and social studies, 2018: Tehran. https://www.sid.ir/paper/897219/fa [In Persian].
25.‌ Farahani, M., Hamidi Poor, R., Heidari, H. Effectiveness of Native Solution-focused Therapy based on Narrations of Mothers with Mentally Retarded Children on Their Resilience, RBS 2021; 18 (4)‌: 503-509. https://doi.org/10.52547/rbs.18.4.503 [In Persian]
26- Asadi Hasanvand, A., Sudani, M., Abbaspour, Z. The effectiveness of solution-oriented therapy in a group way on reducing the aggression of abusive mothers. Clinical psychology research and counseling, 2018; 7(2): 90-104. https://doi.org/10.22067/IJAP.V7I2.61207 [In Persian]
27- Wang, C. Y., Shen, L., Shields, J., Huang, Q-C., Wu, Y. J., Yin, J. W., Zhao, J-L. The Efficacy of an SFBT-Based Positive Psychology Intervention in Promoting University Students’ Post-Traumatic Growth and Psychological Resilience After the COVID-19 Pandemic: A Quasi-Experiment. Research on Social Work Practice. 2024:10497315241229667. https://doi.org/10.1177/10497315241229667
28-.‌ Farahani, M., Hamidi Poor, R., Heidari, H. Effectiveness of Native Solution-focused Therapy based on Narrations of Mothers with Mentally Retarded Children on Their Resilience, RBS 2021; 18 (4)‌: 503-509. https://doi.org/10.52547/rbs.18.4.503 [In Persian]
29- Turns, B. A. Dansby Olufowote R, Jordan SS, Chavez MS. A multiple case study examining the solution-focused brief therapy experiences of couples raising children with ASD, International Journal of Systemic Therapy, 2022; 33(1): 37-61. https://doi.org/10.1080/2692398X.2021.1999135
30- Kim,  J. S., Brook, J. W., Liming, K., Park, I. Y., Akin, B. A., Franklin, C. Randomized controlled trial study examining positive emotions and hope in solution-focused brief therapy with substance using parents involved in child welfare system. International Journal of Systemic Therapy, 2022; 33(3): 129-49. https://doi.org/10.1080/2692398X.2022.2045160
31- Cohen, N., Ariel, T. Field research in conflict environments: Methodological challenges and snowball sampling. Journal of peace research, 2011; 48(4): 423-435‏. https://doi.org/10.1177/00223433114056
32- NB, E. The McMaster family assessment device. J Marital Family Ther, 1983; 9: 171-80. https://doi.org/1571980074860827904
33- Zadeh Mohammadi, A., Malek Khosravi, G. Preliminary investigation of psychometric properties and validation of the family functioning measurement scale (FAD) . Journal of Family Studies, 2006;  2(1): 14-29. https://jfr.sbu.ac.ir/article_94896.html [In Persian].
34- Connor,  K. M., Davidson, J. R. Development of a new resilience scale: The Connor‐Davidson resilience scale (CD‐RISC). Depression and anxiety, 2003; 18(2): 76-82. https://doi.org/10.1002/da.10113
35- Hosseini, A., Mohammadi, H., Saadat, Z. Examining the psychometric properties of the cognitive resilience scale in a sample of Iranian society. Educational Measurement Quarterly, 2020; 11(42): 125-50.  https://doi.org/10.22054/jem.2021.57320.2113[In Persian]
36- Grant, A. M. The solution-focused inventory: A tripartite taxonomy for teaching, measuring and conceptualising solution-focused approaches to coaching. The Coaching Psychologist, 2011; 7(2): 98-106. https://citeseerx.ist.psu.edu/document?repid=rep1&type=pdf&doi=33059817eac2159b2e9c2d049555122360ece0dc#page=16
37- Pourdel, M., Samari Safa, J. The Effectiveness of Solution-Based Therapy Training on Academic Excitement and Academic Vitality of Students with Low Academic Achievement. Rooyesh, 2021; 10(8): 149-160. http://frooyesh.ir/article-1-2786-fa.html [In Persian]
 

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