دستاوردهای روانشناسی بالینی

اثربخشی آموزش مبتنی بر پذیرش و تعهد بر کیفیت زندگی و استرس ادراک‌شده‌ مادران کودکان با اختلال نقص توجه و بیش‌فعالی

https://doi.org/10.22055/jacp.2025.48632.1435
دوره 11، شماره 2
تابستان 1404
صفحه 61-74
دستاوردهای روانشناسی بالینی

نوع مقاله : مقاله پژوهشی

نویسندگان

محدثه مقدر 1
نسرین محدث 2

1 دانشجوی کارشناسی ارشد روان‌شناسی و آموزش کودکان استثنایی، گروه روان‌شناسی، علوم تربیتی و مشاوره، دانشکده علوم انسانی، دانشگاه آزاد اسلامی واحد شبستر، شبستر، ایران.

2 استادیار، گروه روانشناسی، علوم تربیتی و مشاوره، دانشکده علوم انسانی، دانشگاه آزاد اسلامی واحد شبستر، شبستر، ایران

چکیده
هدف پژوهش حاضر برسی اثربخشی آموزش مبتنی بر پذیرش و تعهد بر کیفیت زندگی و استرس ادراک­شده مادران کودکان با اختلال نقص توجه و بیش‌فعالی بود. روش پژوهش حاضر از نوع نیمه‌آزمایشی با طرح پیش‌آزمون- پس‌آزمون با گروه کنترل بود. جامعه آماری پژوهش را کلیه مادران کودکان بیش­فعال شهر تبریز در سال 1403 تشکیل دادند که با استقاده از روش نمونه­گیری تصادفی در دسترس، 30 نفر انتخاب و به صورت تصادفی در دو گروه آزمایش و کنترل جایگزین شدند. پروتکل درمانی آموزش پذیرش و تعهد McKay et al. (2012) به صورت گروهی به مدت 10 جلسه 90 دقیقه­ای برای گروه آزمایش اجرا شد. هر دو گروه در دو مرحله پیش­آزمون و پس­آزمون با پرسشنامه­های کیفیت زندگی Ferrans & Powers (1992) و استرس ادراک­شده  Cohen et al. (1983) مورد ارزیابی قرارگرفتند. در نهایت پس از جمع­آوری داده­ها از روش­های آمار توصیفی میانگین و انحراف استاندارد و آمار استنباطی از آزمون تحلیل کوواریانس چندتغیره استفاده شد. یافته­ها نشان داد آموزش مبتنی بر پذیرش و تعهد بر کیفیت زندگی (p<0.001) و استرس ادراک­شده (p<0.001) مادران کودکان با اختلال نقص توجه و بیش‌فعالی اثربخش بود. بر این اساس پیشنهاد می‌شود که برنامه‌ی مذکور در دستور کار روان‌شناسان و مشاوران برای افزایش کیفیت زندگی و کاهش استرس ادراک‌شده مادران کودکان با اختلال نقص توجه و بیش‌فعالی استفاده شود.

کلیدواژه‌ها

آموزش مبتنی بر پذیرش و تعهد
کیفیت زندگی
استرس ادراک‌شده
اختلال نقص توجه و بیش‌فعالی
موضوعات

عنوان مقاله English

The Effectiveness of Education based on Acceptance and Commitment on the Quality of Life and Perceived Stress of Mothers of Children with Attention Deficit Hyperactivity Disorder

نویسندگان English

MOHADDESEH MOGADDAR 1
Nasrin Mohaddes 2
1 MSc student of Psychology and education of exceptional children, Department of Psychology, Educational Sciences and Counselling, Faculty of Humanities, Shabestar Branch, Islamic Azad University, Shabestar, Iran.
2 Department of Psychology, Educational Sciences and Counselling, Faculty of Humanities, Shabestar Branch, Islamic Azad University, Shabestar, Iran
چکیده English

The purpose of this study was to investigate the effectiveness of education based on acceptance and commitment on the quality of life and perceived stress of mothers of children with attention deficit hyperactivity disorder. The method of the current research was a semi-experimental type with a pre-test-post-test design with a control group. The statistical population of the research was made up of all the mothers of hyperactive children in Tabriz city in 1403, using the available random sampling method, 30 people were selected and randomly replaced in two experimental and control groups. The therapeutic protocol of acceptance and commitment training by McKay et al. (2012) was implemented as a group for 10 sessions of 90 minutes for the experimental group. Both groups were evaluated in pre-test and post-test stages with France and Paro's (1992) quality of life and Cohen's (1983) perceived stress questionnaires. Finally, after collecting the data, the methods of descriptive statistics of mean and standard deviation and inferential statistics of multivariate covariance analysis were used. The findings showed that education based on acceptance and commitment was effective on quality of life (p<0.001) and perceived stress (p<0.001) of mothers of children with attention deficit hyperactivity disorder. Based on this, it is suggested that the mentioned program be used in the agenda of psychologists and counselors to increase the quality of life and reduce the perceived stress of mothers of children with attention deficit hyperactivity disorder.

کلیدواژه‌ها English

  • Education based on Acceptance and Commitment
  • Quality of Life
  • Perceived Stress
  • Attention Deficit Hyperactivity Disorder (ADHD)
Ahmadi, V., & Valizadeh, H. (2021). The effectiveness of acceptance and commitment therapy on quality of life and death anxiety in the elderly. Psychology of Aging, 7(2), 153–166. https://doi.org/10.22126/jap.2021.6370.1528
American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (DSM-5). American Psychiatric pub. https://doi.org/10.1176/appi.books.9780890425596
Arnaud, C., White-Koning, M., Michelsen, S. I., Parkes, J., Parkinson, K., Thyen, U., ... & Colver, A. (2008). Parent-reported quality of life of children with cerebral palsy in Europe. Pediatrics, 121(1), 54-64. https://doi.org/10.1542/peds.2007-0854
Azizi, A., Ghasemi, S., Ghorbani, A., Shojaei Vajenani, F., & Mohammadi, F. (2017). Comparison of the effectiveness of functional family therapy and acceptance and commitment therapy on quality of life and empowerment of families with children with ADHD. Psychology of Exceptional Individuals, 7(26), 177–210. https://doi.org/10.22054/jpe.2017.22356.1575
Barghandan, S., Akbari, B., Khalatbari, J., & Varasteh, A. (2018). Comparing the effectiveness of acceptance and commitment therapy (ACT) and compassion-focused therapy (CFT) on quality of life in adolescent girls with risky behaviors. Journal of Ilam University of Medical Sciences, 26(3), 158–168. https://doi.org/10.29252/sjimu.26.3.158
Bayazidi, S., Bakhshipour, A., & Alivandi Vafa, M. (2021). The effectiveness of acceptance and commitment therapy on reducing stress, depression, and anxiety in patients with gastrointestinal and skin disorders. Skin and Beauty, 12(1), 44–52. https://journals.tums.ac.ir/jdc/article-1-5516-fa.html
Canals, J., Morales-Hidalgo, P., Jané, M. C., & Domènech, E. (2018). ADHD prevalence in Spanish preschoolers: comorbidity, socio-demographic factors, and functional consequences. Journal of Attention Disorders, 22(2), 143-153. https://doi.org/10.1177/1087054716638511
Çiçek Gümüş, E., & Öncel, S. (2023). Effects of acceptance and commitment therapy-based interventions on the mental states of parents with special needs children: Randomized controlled trial. Current Psychology, 42(23), 19429-19442. http://dx.doi.org/10.1007/s12144-022-03760-1
Cohen, S., Kamarak, T, & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health Society Behavior, 24(4), 385-396. https://doi.org/10.2307/2136404
Daly, L. E., Dolan, R. D., Power, D. G., Ní Bhuachalla, É., Sim, W., Cushen, S. J., ... & Ryan, A. M. (2020). Determinants of quality of life in patients with incurable cancer. Cancer, 126(12), 2872-2882. https://doi.org/10.1002/cncr.32824
Damehri, F., Saeedmanesh, M., & Jala, N. (2018). The effectiveness of acceptance and commitment therapy on rumination and psychological well-being in adolescents with generalized anxiety disorder. Disability Studies Journal, 25(8), 1–10. Dor:20.1001.1.23222840.1397.8.0.77.2
Derakhshan Jan, A., Haghaegh, S. A., Afshar Zanjani, H., & Adibi, P. (2023). The effectiveness of acceptance and commitment therapy on perceived stress and sense of coherence in patients with ulcerative colitis. Applied Psychological Research Quarterly, 14(3), 273–288. https://doi.org/
10.22059/japr.2023.333500.644070
Eklund, M., Kiritsis, C., Livheim, F., & Ghaderi, A. (2023). ACT-based self-help for perceived stress and its mental health implications without therapist support: A randomized controlled trial. Journal of Contextual Behavioral Science, 27, 98-106. https://doi.org/10.1016/j.jcbs.2023.01.003
Ferrans, C. E., & Powers, M. J. (1992). Psychometric assessment of the Quality-of-Life Index. Research in Nursing & Health, 15(1), 29-38. https://doi.org/10.1002/nur.4770150106
Golestani Fard, A., & Rezaei Dehnavi, S. (2018). The effectiveness of acceptance and commitment therapy on social anxiety in female students of Kashan. Disability Studies Journal, 15(8), 1–11. Dor:20.1001.1.23222840.1397.8.0.25.0
Hoseinzadeh Maleki, Z., Rasoulzadeh Tabatabaei, K., Mashhadi, A., & Mehrari, F. (2019). Attention-deficit/hyperactivity disorder in preschool years: Mothers’ lived experiences. Child Mental Health Quarterly, 6(1), 265–275. https://doi.org/10.29252/jcmh.6.1.22
Konstantinou, P., Ioannou, M., Melanthiou, D., Georgiou, K., Almas, I., Gloster, A. T., Kassianos, A. P., & Karekla, M. (2023). The impact of acceptance and commitment therapy (ACT) on quality of life and symptom improvement among chronic health conditions: A systematic review and meta-analysis. Journal of Contextual Behavioral Science, 29, 240–253. https://doi.org/10.1016/j.jcbs.2023.08.004
Lobato, D., Montesinos, F., Polín, E., Flujas-Contreras, J. M., Becerra, I. G., & Budziszewska, L. (2023). Psychological intervention in parents of children with neurodevelopmental disorders using a brief protocol based on Acceptance and Commitment Therapy. https://doi.org/10.21203/rs.3.rs-3189117/v1
Maughan, A. L., Lunsky, Y., Lake, J., Mills, J. S., Fung, K., Steel, L., & Weiss, J. A. (2024). Parent, child, and family outcomes following Acceptance and Commitment Therapy for parents of autistic children: A randomized controlled trial. Autism, 28(2), 367-380. https://doi.org/10.1177/13623613231172241
McKay, M., Lev, A., & Skeen, M. (2012). Acceptance and commitment therapy for interpersonal problems: Using mindfulness, acceptance, and schema awareness to change interpersonal behaviors. New Harbinger Publications. https://www.amazon.com
Mohammadi, S., Fattahi, A., Jabarghadari, N., Kheirabadi, Z., & Bakhtiari, M. (2022). The effectiveness of acceptance and commitment therapy on sleep quality and quality of life in patients with cardiovascular problems. Journal of Cognitive Psychology and Psychiatry, 9(3), 85–96. https://doi.org/10.32598/shenakht.9.3.85
Mundal, I., Laake, P., Mezzich, J., Bjørkly, S. K., & Lara-Cabrera, M. L. (2021). Assessment of the quality of life in parents of children with ADHD: validation of the multicultural quality of life index in Norwegian pediatric mental health settings. Frontiers in psychology, 12, 638006. https://doi.org/10.3389/fpsyg.2021.638006
Nasirnejad, A., & Esmakhani Akbarinejad, H. (2021). The effectiveness of positive parenting skills training on perceived stress and happiness in mothers of hyperactive children. Journal of Advances in Psychology, Educational Sciences and Education, 4(42), 271–282. https://www.jonapte.ir/showpaper/7176515
Norouzi, E., Hasani, F., & Tajalli, P. (2020). Quality of life and psychological well-being of nurses in organizational environments. Tehran: Selol. https://www.gisoom.com/book
Osmani, H., & Najari, M. (2022). The effectiveness of acceptance and commitment therapy (ACT) on quality of life and marital satisfaction of mothers of hearing-impaired and deaf children. New Advances in Behavioral Sciences, 7(55), 112–121. https://ijndibs.com/article-1-665-fa.html
Rafiei, N., Sharifian Sani, M., Rafiei, H., & Colleagues. (2014). Evaluation of reliability and validity of the Persian version of the Quality of Life Index Questionnaire. Journal of Mazandaran University of Medical Sciences, 24(116), 75–83. https://jmums.mazums.ac.ir/article-1-4273-fa.html
Rezaei, S. (2020). The effectiveness of acceptance and commitment therapy (ACT) on depression, anxiety, and stress in mothers of children with autism spectrum disorder. Clinical Psychology Studies, 10(38), 57–78. https://doi.org/10.22054/jcps.2020.50737.2309
Saleh Mirhasani, V., Rafiei Pour, A., & Karami, Z. (2019). The effectiveness of group acceptance and commitment therapy on reducing depression and perceived stress in mothers of autistic children. New Ideas in Psychology Quarterly, 7(3), 1–11. https://jnip.ir/browse.php?a_id=204&sid=1&slc_lang=fa
Salmanpour, F. A., & Pasha, G. (2023). The effect of acceptance and commitment therapy (ACT) on happiness, mental health, and quality of life of mothers with autistic children. Quarterly Journal of Women's Psychology, 4(1), 109–120. https://civilica.com/doc/1664968
Samadi, F., & Samadi, H. (2018). The effectiveness of behavioral parent training on parent-child interaction and parenting stress in mothers of children with ADHD. Journal of Empowering Exceptional Children, 9(3), 27–36. https://doi.org/10.22034/ceciranj.2018.82135
Taghvaei, D., Jahangiri, M. M., & Zare-Bidaki, Z. (2019). The effectiveness of acceptance and commitment therapy on psychological flexibility and health promotion of mothers with autistic children. Iranian Journal of Health Education and Health Promotion, 7(2), 143–153. https://doi.org/10.30699/ijhehp.7.2.143
Twohig, M., Levin, M., & Ong, C. (2021). Acceptance and commitment therapy training: A transdiagnostic workbook for learning ACT. (A. Abdollahi, A. Zarabi, & S. Shabanzadeh, Trans.). Tehran: Arjmand. https://www.arjmandpub.com/book/
Zare-Bidaki, Z., & Jahangiri, M. M. (2019). The effectiveness of acceptance and commitment therapy on quality of life in mothers with autistic children. Women and Society Scientific-Research Quarterly, 1(1), 29–44. Dor:20.1001.1.20088566.1398.10.37.2.1
Zarezadeh, S., Esmaeilpour, Kh., & Babapour Kheiruddin, J. (2021). The effectiveness of acceptance and commitment therapy on reducing symptoms of anxiety and depression in mothers of children with autism spectrum disorder: A case study. Exceptional Education, 21(3), 79–90. https://exceptionaleducation.ir/article-1-2289-fa.html
Zemestani, M., Gholizadeh, Z., & Alaei, M. (2018). The effectiveness of acceptance and commitment therapy on depression and anxiety in mothers of children with ADHD. Psychology of Exceptional Individuals, 8(29), 61–84. https://doi.org/10.22054/jpe.2018.25533.1638
Zhang, J., Lyu, S., Yin, H., Ma, J., Chen, Z., Cui, M., ... & Li, Y. (2022). Investigation of the quality of life of patients with coronary heart disease during COVID-19 and analysis of influencing factors. Psychology, Health & Medicine, 27(2), 409-420. https://doi.org/10.1080/13548506.2021.1930074

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