نوع مقاله : مقاله پژوهشی
نویسندگان
1 دانشجوی دکترای مشاوره، گروه روانشناسی، دانشگاه آزاد اسلامی واحد اصفهان (خوراسگان)، اصفهان، ایران
2 دانشیار، گروه روانشناسی، دانشگاه آزاد اسلامی واحد اصفهان (خوراسگان)، اصفهان، ایران
چکیده
زمینه و هدف: بیماریهای غیرقابل علاج و مزمن مانند سلیاک، صرفنظر از عوامل زیستی و خطرساز باعث بروز انواع فشارهای روانی، پریشانیها و ناکارآمدیها در افراد و خانوادهای آنها میشود که به کیفیت پایین زندگی منجر میگردد. مراقبان اصلی این بیماران بهویژه مادران، جزء افراد در معرض خطر روانشناختی شناختهشده و افزایش خودکارآمدی و تحمل دشواریها در آنها ضروری است. هدف پژوهش حاضر، بررسی اثربخشی درمان راهحل محور بر خودکارآمدی والدگری و تحمل پریشانی مادران دارای فرزند مبتلابه سلیاک است.
مواد و روشها: پژوهش از نوع مداخلهی نیمه آزمایشی با طرح پیشآزمون، پسآزمون و پیگیری 3 ماهه و جامعه آماری تمامی مادران دارای حداقل یک فرزند مبتلابه سلیاک و عضو انجمن سلیاک ایران در اصفهان بود. از بین آنها، 40 نفر به روش نمونهگیری هدفمند و در دسترس انتخاب و بهطور تصادفی در دو گروه آزمایش و کنترل گمارده شدند. گروه آزمایش آموزش راهحلمحور را دریافت نمودند و گروه کنترل هیچ مداخلهای نگرفت. برای جمعآوری دادهها از پرسشنامههای خودکارآمدیوالدگری و تحمل پریشانی در هر سه مرحله استفاده و دادهها به روش واریانس آمیخته در نرمافزارspss26 تجزیهوتحلیل شدند.
یافتهها: این مداخله منجر به افزایش معنادار خودکارآمدی و تحمل پریشانی در مادران دارای فرزند مبتلابه سلیاک شد (001/0>P). همچنین، بین اثربخشی این مداخله بر خودکارآمدی و تحمل پریشانی در گروه آزمایش و کنترل تفاوت معناداری وجود نداشت. این نتایج در طول مرحله پیگیری پایدار باقی ماندند (001/0>P).
نتیجهگیری: با توجه به نتایج به دست آمده میتوان گفت روش مذکور بهعنوان مداخلهای سودمند برای افزایش خودکارآمدی والدگری و تحمل پریشانی در مادران دارای فرزند سلیاک قابل کاربرد است
تازه های تحقیق
https://scholar.google.com/citations?user=kD0RKcIAAAAJ&hl=de
https://pubmed.ncbi.nlm.nih.gov/?term=Yekta+Akafian%5bAuthor%5d&sort=date
https://scholar.google.com/citations?user=aN1TMT8AAAAJ&hl=de
https://pubmed.ncbi.nlm.nih.gov/?term=Hamid+Atashpour%5bAuthor%5d&sort=date
https://scholar.google.com/citations?user=sKx8JiUAAAAJ&hl=en
https://pubmed.ncbi.nlm.nih.gov/?term=Hadi+Farhadi%5bAuthor%5d&sort=date
کلیدواژهها
موضوعات
عنوان مقاله [English]
Investigating the Effectiveness of Solution-Focused Therapy on Parental Self-Efficacy and Distress Tolerance of Mothers with Children Diagnosed with Celiac Disease
نویسندگان [English]
- Yekta Akafian 1
- Seyed Hamid Atashpour 2
- Hadi Farhadi 2
1 PhD Student, Department of Psychology, Faculty of Educational Sciences and Psychology, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran
2 Associate Professor, Department of Psychology, Faculty of Educational Sciences and Psychology, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran
چکیده [English]
Introduction: Chronic and incurable diseases, such as celiac disease, impose significant psychological stress and inefficiencies on affected individuals and their families, leading to a diminished quality of life. Primary caregivers, particularly mothers, are at an increased risk for psychological distress, making it essential to enhance self-efficacy and distress tolerance. The present study aimed to investigate the effectiveness of solution-focused therapy (SFT) on distress tolerance and parental self-efficacy in mothers of children diagnosed with celiac disease.
Materials and Methods: This semi-experimental intervention study employed a pre-test, post-test, and 3-month follow-up design. The statistical population consisted of mothers with at least one child diagnosed with celiac disease who were members of the Celiac Association of Iran in Isfahan. From this population, 40 individuals were selected using purposive sampling and randomly assigned to experimental and control groups. The experimental group received SFT, while the control group received no intervention. Data were collected using parental self-efficacy and distress tolerance questionnaires at all three time points. The data were analyzed using mixed variance analysis in SPSS version 26.
Results: The interventions resulted in a significant increase in self-efficacy and distress tolerance among mothers of children with celiac disease (p < 0.001). Furthermore, no significant difference was found in the effectiveness of these interventions on self-efficacy and distress tolerance between the experimental and control groups. These results remained stable during the follow-up phase (p < 0.01
Conclusion: The findings suggest that SFT can be a beneficial intervention for enhancing self-efficacy and distress tolerance in mothers of children with celiac disease.
کلیدواژهها [English]
- Solution focused therapy
- parental self-efficacy
- distress tolerance
- celiac disease
- mothers
- Aflatoonian M. An Overview of Immunogenetic in Celiac Disease. 2020; 28 (3):2442-2452. DOI: https://doi.org/10.18502/ssu.v28i3.3742
- Dowd A. J. Jackson C. Tang K. T. Nielsen D. Clarkin D. H. Culos-Reed S. N. MyHealthyGut: development of a theory-based self-regulatory app to effectively manage celiac disease. Mhealth.2018; 4(9), 1-16. 10.21037/mhealth.2018.05.05. doi: 21037/mhealth.2018.05.05
- Shayegh M. A. Sajadi pour F. S. Dashtabadi M. Yavari F. The Effectiveness of Integrated Monotheistic Therapy on the Mental Health of Mothers of Children with Special Needs (Physical Illnesses) duringtheCOVID-19Pandemic.2022;20(6):28-38. (Persian). DOI: https://doi.org/10.18502/tbj.v20i6(s1).9708
- Eiser C. Eiser J. R. & Stride C. B. Quality of life in children newly diagnosed with cancer and their mothers. Health and quality of life outcomes. 2005; 3(1), 1-5. DOI:https://doi.org/10.1186/1477-7525-3-29
- Siklos S. Kerns K. A. Assessing need for social support in parents of children with autism and Down syndrome. Journal of autism and developmental disorders. 2006; 36, 921-933. DOIhttps://DOI.org/10.1007/s10803-006-0129-7
- Elliott R. McKinley S. The development of a clinical practice guideline to improve sleep in intensive care patients: a solution focused approach. Intensive and Critical Care Nursing.2014; 30(5): 246-256. https://doi.org/10.1016/j.iccn.2014.04.003
- Mash E. Johnston C. Determinations of parenting stress: Illustrations from families of hyperactive children and families of physically abused children. J Clin Child Psychol. 1990; 19(4): 313-28. https://doi.org/10.1207/s15374424jccp1904_3
- Kuhn J. C. Carter A. S. Maternal self‐efficacy and associated parenting cognitions among mothers of children with autism. American Journal of Orthopsychiatry. 2016; 76(4), 564-575. https://doi.org/10.1037/0002-9432.76.4.564
- Montigny F. Lacharité C. Perceived parental efficacy: Concept analysis. Journal of Advanced Nursing.2005; 49(4), 387-396. https://doi.org/10.1111/j.1365-2648.2004.03302.x
- Cassidy S. Resilience building in students: The role of academic self-efficacy. Frontiers in psychology.2015; 6, 1781. https://doi.org/10.3389/fpsyg.2015.01781
- Banducci A. N. Bujarski S. J. Bonn-Miller M. O. Patel A. Connolly K. M. The impact of intolerance of emotional distress and uncertainty on veterans with co-occurring PTSD and substance use disorders. Journal of anxiety disorders. 2016; 41, 73-81.
- Kelishadi F. Yazdkhasti F. The impact of rejection sensitivity and parental control on moral intelligence and distress tolerance. Rahbord Farhang [Internet]. 2016; 9(33):155-169. (Persian). Available from: https://sid.ir/paper/149305/fa
- Kvarme L. G. Helseth S. Sqrum R. Luth-Hansen V. Haugland S. Karin Natvig G. The effect of a solution-focused approach to improve self-efficacy in socially withdrawn school children: A non-randomized controlled trial. International Journal ofNursing Studies. 2010; 47, 1389-1396. https://doi.org/10.1016/j.ijnurstu.2010.05.001
- Bakker J. M. Bannink F. P. Macdonald A. Solution-focused psychiatry. The Psychiatrist. 2010; 34(7), 297-300. DOI: https://doi.org/10.1192/pb.bp.109.025957
- Simons J. S. GAHER R. M. The Distress Tolerance Scale: Development and validation of a self-report measure. Motivation and emotion. 2005; 29. Jg. Nr. 2, S. 83-102. https://doi.org/10.1007/s11031-005-7955-3
- Rowhany NS, Seyed Mousavi M, Gorji M & Samimi Z. Comparison of the effect of distress tolerance and social phobia on the rate of student use virtual social networks. Quarterly Journal of Information and Communication Technology in Educational Sciences. 2019; 9(35): 33-53. https://sanad.iau.ir/journal/ictedu/Article/666357?jid=666357&lang=en
- Dumka L. Stoerzinger H. Jackson K. Roosa M. Examination of the cross-cultural and cross-language equivalence of the parenting self-agency measure.Family relations. 1996; 1:216-22. https://doi.org/10.2307/585293
- Rezaei F. Ghazanfari F. Rezaeean M. The effectiveness of positive parenting program (Triple -P) in parental stress and self efficacy of mothers and behavioral problems of students with educable mental retardation. J Torbat Heydariyeh Uni Med Sci. 2017; 5(1):7 -16. URL: http://jms.thums.ac.ir/article-1-403-en.html
- Ashouri M. Afrooz G. Arjmandnia A. Pourmohamadreza M. Ghobari B. The effectiveness of positive parenting program (Triple-p) on parental self-efficacy and mother-child interaction in childeren intellectual disability. J Shahid Sadoughi Univ Med Sci. 2015; 23(5):489 -500 (Persian). URL: http://jssu.ssu.ac.ir/article-1-3117-en.html
- De Shazer S & Berg I K. ‘What works?’Remarks on research aspects of solution‐focused brief therapy. Journal of Family therapy.1997; 19(2), 121-124. https://www.solutions-centre.org/pdf/1467-6427.00043.pdf
- Ghodsi P. Sajadi S. Effectiveness of group training based on solution-focused approach on self-efficacy and marital satisfaction of married women.J Health Psychol Behav. 2023; 1(3):17-32 (Persian). DOI: 29252/iau.30.3.320
- Rafie Z. Vakilian K. Zamanian M. Eghbali H. The effectiveness of solution-focused counseling on the mental health of mothers with gestational diabetes under treatment with insulin – A randomized clinical trial. Int J Healthc Manag. 2023; 16(2):224-30 (Persian). DOI:1080/20479700.2022.2095083
- Zhang W. Yan T. Du Y. Liu X. Brief report: Effects of solution-focused brief therapy group-work on promoting post-traumatic growth of mothers who have a child with ASD. J Autism Dev Disord. 2014; 44:2052-6. DOI: 1007/s10803-014-2051-8
- Corcoran J. Pillai V. A review of the research on solution-focused therapy. British Journal of Social Work. 2009; 39(2), 234-242. https://doi.org/10.1093/bjsw/bcm098
- Salimi S. Sudani M. Mansour A. Effectiveness of short-term solution-focused couples therapy on increasing marital self-regulation and emotional distress tolerance in couples. Clin Psychol Counsel Res. 2023; 13(1):5-24(Persian). DOI. 10.22067/tpccp.2023.76695.1287
- Kafaki H. B. Moafi M. Golestani R. Bekineh F. Ebrahimi S. M. H. S. The effect of short-term solution focused therapy on distress tolerance and social adjustment of patients with MS in sari. American Journal of Applied Psychology. 2017; 6(6), 147-152. DOI:11648/j.ajap.20170606.12
- Zhang A. Qingying J. Kan Zhang. Qing C. Yuting C. Jingzhi C. Adam DuVall .Solution-focused brief therapy for adolescent and young adult cancer patients in China: a pilot randomized controlled trial, Journal of Psychosocial Oncology.2022; 40:6, 816-833. DOI: 1080/07347332.2021.1931627
- Sitindaon F. Widyana R. Investigation of solution focused-brief counseling's effect on reducing the stress levels of college students. Jurnal Konseling dan Pendidikan. 2020; 8(3): 117-122. DOI:29210/144600
)