نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشیار، گروه روان‌شناسی، دانشگاه ملایر، ملایر، ایران

2 کارشناسی ارشد روان‌شناسی عمومی، دانشگاه ملایر، ملایر، ایران

3 استادیار گروه روانشناسی، دانشگاه ملایر، ملایر، ایران

10.22055/psy.2022.40009.2788

چکیده

هدف پژوهش حاضر اثربخشی آموزش تنظیم هیجان بر علائم افسردگی در مادران مراقب کودکان مبتلا به کم‌توانی عقلانی در دوره شیوع کووید-19 بود. روش پژوهش نیمه‌آزمایشی با طرح پیش‌آزمون-پس‌آزمون با گروه گواه بود. جامعه آماری این پژوهش را کل مادران مراقب کودکان کم‌توان عقلانی شدید و عمیق شهرستان رزن در سال 1399 تشکیل دادند. در این پژوهش 22 نفر از مادران دارای شدت علائم افسردگی در دو گروه آزمایش و گواه به صورت تصادفی جایگزین شدند. جهت جمع‌آوری داده‌های پژوهش از فرم کوتاه پرسشنامۀ افسردگی (بک و همکاران، 1974) استفاده شد. برای گروه آزمایش آموزش تنظیم هیجان در 8 جلسه هفتگی (هر جلسه 90 دقیقه) آموزش داده شد و گروه گواه در حین جلسات، آموزشی را دریافت نکردند. برای تجزیه و تحلیل داده‌ها از تحلیل کواریانس با اندازه‌گیری مکرر استفاده شد. نتایج نشان داد که آموزش تنظیم هیجان بر کاهش علائم افسردگی در مادران کودکان کم‌توان عقلانی شدید و عمیق اثربخش بوده است (05/0>p). با توجه به نتایج، آموزش تنظیم هیجان برای کاهش علائم افسردگی مادران مراقب کودکان مبتلا به کم‌توانی عقلانی در دورۀ شیوع کووید-19 پیشنهاد می‌شود. 

کلیدواژه‌ها

عنوان مقاله [English]

The Effectiveness of Emotion Regulation Training on Depression Symptoms in Caregiver's Mothers of Children with Intellectual Disabilities in the COVID-19 Outbreak

نویسندگان [English]

  • Saeed Ariapooran 1
  • Elham Rastgoo 2
  • Mahdi Abdolahzadeh Rafi 3

1 Associate Professor, Malayer University, Malayer, Iran

2 M. A in General Psychology, Malayer University, Malayer, Iran.

3 Assistant Professor, Malayer University, Malayer, Iran.

چکیده [English]

Introduction
Mothers who are caregivers of children with severe and profound intellectual disabilities may experience psychological problems during the COVID-19 outbreak. These mothers report more stress and psychological problems than mothers of normal children. One of the major problems these caregivers face is depression. Emotional training is an effective way to help mothers of children with intellectual disabilities deal with depression. However, no research has been done on the effectiveness of emotion regulation training on depression in caregiver mothers of children with intellectual disabilities during the COVID-19 pandemic. This study aimed to explore the effectiveness of emotion regulation training on depression symptoms in caregiver mothers of children with intellectual disabilities during the COVID-19 outbreak.
 
Method
The study used a quasi-experimental method with experimental and control groups. The study population consisted of all caregiver mothers of children with severe and profound intellectual disabilities in Razan City, Iran. The study randomly selected 22 mothers with severe depression symptoms for the experimental and control groups. The experimental group received emotional regulation training in 8 weekly sessions (90 hours), while the control group did not receive any training during the sessions. The data was collected using a short form of the depression inventory, and analysis of covariance with repeated measures was used to analyze the data.
 
Results
The results showed that 42.86% of mothers had symptoms of severe depression. The study found that emotional regulation training was effective in reducing depression in caregiver mothers of children with severe and profound mental disabilities (p <0.05).
 
Discussion
Based on the study, it is recommended that parents of children with ADHD be educated about the negative consequences of screen time (SB). Parents should be encouraged to engage in physical activities with their children, especially during the COVID-19 pandemic. Strengthening home sports activities can be beneficial for both parents and children with ADHD. Workshops on managing screen time can be held online or face-to-face for mothers. Psychological strategies to reduce caregiver distress can also be effective in managing the screen time of children with ADHD. Mothers who are caregivers of children with severe and profound intellectual disabilities may experience psychological problems during the COVID-19 outbreak. These mothers report more stress and psychological problems than mothers of normal children. One of the major problems these caregivers face is depression. Emotional training is an effective way to help mothers of children with intellectual disabilities deal with depression. However, no research has been done on the effectiveness of emotion regulation training on depression in caregiver mothers of children with intellectual disabilities during the COVID-19 pandemic. This study aimed to explore the effectiveness of emotion regulation training on depression symptoms in caregiver mothers of children with intellectual disabilities during the COVID-19 outbreak.

کلیدواژه‌ها [English]

  • caregiver mothers
  • COVID-19
  • depression
  • emotion regulation
  • intellectual disability
Abootorabi Kashani, P., Naderi, F., Safarzadeh, Hafezi, F., & Eftekhar Saadi, Z (2020). Comparison of the effect of dialectical behavior therapy and emotion regulation on distress tolerance and suicide ideation in symptoms of attention deficit/hyperactivity disorder in adolescents. Journal of Psychological Achievements, 27(2), 69-88. https://doi.org/ 10.22055/psy.2020.33056.2525 [Persian]
Ariapooran, S. (2011). Effectiveness of mindfulness and emotion regulation on mental well-being and resilience in chemical weapons victims. Ph.D Thesis Dissertation in General Psychology, University of Mohaghegh Ardabili, Iran. https://elmnet.ir/doc/10485359-12646 [Persian]
Ariapooran, S., & Khezeli, M. (2021). Symptoms of anxiety disorders in Iranian adolescents with hearing loss during the COVID-19 pandemic. BMC Psychiatry, 21(1), 1-5. https://doi.org/10.1186/s12888-021-03118-0
Ashori, M., Norouzi, G., & Jalil-Abkenar, S. S. (2019). The effect of positive parenting program on mental health in mothers of children with intellectual disability. Journal of Intellectual Disabilities, 23(3), 385-396. https://doi.org/10.1177/1744629518824
Beck, A. T., Rial, W. Y., & Rickels, K. (1974). Short form of depression inventory: cross-validation. Psychological Reports, 34(3_suppl), 1184-1186. https://doi.org/10.1177/003329417403403s01
Behrouian, M., Ramezani, T., Dehghan, M., Sabahi, A., & Zarandi, B. E. (2020). The effect of emotion regulation training on stress, anxiety, and depression in family caregivers of patients with schizophrenia: a randomized controlled trial. Community Mental Health Journal, 56(6):1095-1102. https://doi.org/10.1007/s10597-020-00574-y
Benjamin, A., Kuperman, Y., Eren, N., Rotkopf, R., Amitai, M., Rossman, H., ... & Chen, A. (2021). Stress-related emotional and behavioural impact following the first COVID-19 outbreak peak. Molecular psychiatry, 26(1), 6149–6158. https://doi.org/10.1038/s41380-021-01219-6
Benn, R., Akiva, T., Arel, S., & Roeser, R. W. (2012). Mindfulness training effects for parents and educators of children with special needs. Developmental Psychology, 48(5), 1476-1487.
Birami, M. H., Bakhshipour, T., Alilo, A. M., & Eqbali, M. A. (2014). Comparison of the effect of two methods of emotion regulation training and mindfulness based cognitive therapy on psychological distress and cognitive emotion regulation strategies of mothers of mentally retarded children. Journal of Modern Psychological Research, 9(33), 43-59. http://childmentalhealth.ir/article-1-964-en.html
Bueno-Notivol, J., Gracia-García, P., Olaya, B., Lasheras, I., López-Antón, R., & Santabárbara, J. (2021). Prevalence of depression during the COVID-19 outbreak: A meta-analysis of community-based studies. International Journal of Clinical and Health Psychology, 21(1), 100196. https://doi.org/10.1016/j.ijchp.2020.07.007
Chandravanshi, G., Sharma, K. K., Jilowa, C. S., Meena, P. S., Jain, M., & Prakash, O. (2017). Prevalence of depression in mothers of intellectually disabled children: A cross-sectional study. Medical Journal of Dr. DY Patil University, 10(2), 156-161. https://doi.org/10.4103/0975-2870.202103
Chen, H., Selix, N., & Nosek, M. (2021). Perinatal anxiety and depression during COVID-19. The Journal for Nurse Practitioners, 17(1), 26-31.  https://doi.org/10.1016/j.nurpra.2020.09.014
Chukwuemeka, N. A., & Obioha, C. W. (2024). Emotion regulation strategies on psychological distress and psychological well-being of caregivers of mentally challenged children: moderating role of social support. Psychology, Health & Medicine, 29(1), 79-91. https://doi.org/ 10.1080/13548506.2023.2289473
Dhiman, S., Sahu, P. K., Reed, W. R., Ganesh, G. S., Goyal, R. K., & Jain, S. (2020). Impact of COVID-19 outbreak on mental health and perceived strain among caregivers tending children with special needs. Research in Developmental Disabilities, 107, 103790. https://doi.org/ 10.1016/j.ridd.2020.103790
Di Giorgio, E., Di Riso, D., Mioni, G., & Cellini, N. (2021). The interplay between mothers’ and children behavioral and psychological factors during COVID-19: An Italian study. European Child & Adolescent Psychiatry, 30(9), 1401-1412. https://doi.org/10.1007/s00787-020-01631-3
Dovbysh, D. V., & Kiseleva, M. G. (2020). Cognitive emotion regulation, anxiety, and depression in patients hospitalized with COVID-19. Psychology in Russia: State of the Art, 13(4), 134-147. https://doi.org/ 10.11621/pir.2020.0409
Fallahi, F., & Hemati Alamdarloo, G. (2019). Effectiveness of psychological empowerment on general health of mothers of children with disability under the community-based rehabilitation program. Archives of Rehabilitation, 19(4), 326-339. https://doi.org/10.32598/rj.19.4.326
Furlanetto, L. M., Mendlowicz, M. V., & Bueno, J. R. (2005). The validity of the Beck Depression Inventory-Short Form as a screening and diagnostic instrument for moderate and severe depression in medical inpatients. Journal of Affective Disorders, 86(1), 87-91.  https://doi.org/ 10.1016/j.jad.2004.12.011
Gogoi, R. R., Kumar, R., & Deuri, S. P. (2017). Anxiety, depression, and quality of life in mothers of children with intellectual disability. Open Journal of Psychiatry & Allied Sciences, 8(1), 71-75. https://dergipark.org.tr/tr/download/article-file/196712
Gratz, K. L., & Gunderson, J. G. (2006). Preliminary data on an acceptance-based emotion regulation group intervention for deliberate self-harm among women with borderline personality disorder. Behavior Therapy, 37(1), 25-35.  https://doi.org/10.1016/j.beth.2005.03.002
Gross, J. J. (2015). Emotion regulation: Current status and future prospects. Psychological Inquiry, 26(1), 1-26. https://doi.org/10.1080/1047840X. 2014.940781
Grumi, S., Provenzi, L., Gardani, A., Aramini, V., Dargenio, E., Naboni, C., ... & Engaging with Families through On-line Rehabilitation for Children during the Emergency (EnFORCE) Group. (2021). Rehabilitation services lockdown during the COVID-19 emergency: the mental health response of caregivers of children with neurodevelopmental disabilities. Disability and Rehabilitation, 43(1), 27-32. https://doi.org/10.1080/09638288.2020.1842520
Hango, D. (2020). Support received by caregivers in Canada. Statistics Canada= Statistique Canada. https://www.researchgate.net/publication/ 338457046_Support_received_by_caregivers_in_Canada
Hsiao, Y. J. (2018). Parental stress in families of children with disabilities. Intervention in School and Clinic, 53(4), 201-25. https://doi.org/10.1177/ 1053451217712956
Jenaro, C., Flores, N., Gutiérrez-Bermejo, B., Vega, V., Pérez, C., & Cruz, M. (2020). Parental stress and family quality of life: Surveying family members of persons with intellectual disabilities. International Journal of Environmental Research and Public Health, 17(23), 9007. https://doi.org/ 10.3390/ijerph17239007 
Kazemi, N., Arjmandnia, A. A., & Moradi, R. (2020). The effectiveness of self compassion training program on psychological well-being and rumination of the mothers of children with special learning disabilities. Rooyesh-e-Ravanshenasi Journal (RRJ), 9(1), 27-36. https://doi.org/ 10.22070/CPAP.2022.7261.0 [Persian]
Keleynikov, M., Benatov, J., & Cohen, N. (2023). Emotion Regulation among Parents Raising a Child with Disability: A Systematic Review and Conceptual Model. Journal of Child and Family Studies32(3), 858-875. https://doi.org/10.1007/s10826-022-02530-8
Kharatzadeh, H., Alavi, M., Mohammadi, A., Visentin, D., & Cleary, M. (2020). Emotional regulation training for intensive and critical care nurses. Nursing & Health Sciences, 22(2), 445-453. https://doi.org/ 10.1111/nhs.12679
Khodabandeh, N., Mohammadi, F., Taghinejad, N., & Jalali, F. (2016). Psychological characteristics and marital satisfaction in mothers of children with mental retardation and physical disabilities. Hormozgan Medical Journal20(5), 337-344. http://hmj.hums.ac.ir/article-1-1530-en.html
Masefield, S. C., Prady, S. L., Sheldon, T. A., Small, N., Jarvis, S., & Pickett, K. E. (2020). The caregiver health effects of caring for young children with developmental disabilities: A meta-analysis. Maternal and Child Health Journal, 24(5):561-574. https://doi.org/10.1007/s10995-020-02896-5
Megreya, A. M., Al-Attiyah, A. A., Moustafa, A. A., & Hassanein, E. E. (2020). Cognitive emotion regulation strategies, anxiety, and depression in mothers of children with or without neurodevelopmental disorders. Research in Autism Spectrum Disorders76, 101600.  https://doi.org/ 10.1016/j.rasd.2020.101600
Moradikia, H., Sattarpour Iranaghi, F., & Emamgholian, S. (2017). Compare the effectiveness of emotion regulation and resilience training on psychological well-being of mothers of students with intellectual disability. Iranian Journal of Health Education and Health Promotion5(3), 213-223. https://doi.org/10.30699/acadpub.ijhehp.5.3.213
Motamedi, S. H., Seyednour, R., Noori Khajavi, M., & Afghah, S. (2007). A study in depression levels among mothers of disabled children. Iranian Rehabilitation Journal5(1), 3-7. http://irj.uswr.ac.ir/article-1-13-fa.html
Narimani, M., Ariapooran, S, Abolghasemi, A, & Ahadi, B. (2011). Effectiveness of mindfulness and emotion regulation trainings on physical and psychological well-being among chemical weapon victims. Journal of Kermanshah University of Medical Sciences, 15(5):347-57. https:// brieflands.com/articles/jkums-79021 [Persian]
Narimani, M., Ariapooran, S, Abolghasemi, A, & Ahadi, B. (2012). Effectiveness of mindfulness-based stress reduction and emotion regulation training in the affect and mood of chemical weapons victims. Journal of Arak University of Medical Sciences, 15(2), 107-18. https://www.sid.ir/paper/384027/en [Persian]
Pan, K. Y., Kok, A. A., Eikelenboom, M., Horsfall, M., Jörg, F., Luteijn, R. A., ... & Penninx, B. W. (2021). The mental health impact of the COVID-19 pandemic on people with and without depressive, anxiety, or obsessive-compulsive disorders: a longitudinal study of three Dutch case-control cohorts. The Lancet Psychiatry, 8(2), 121-129. https://doi.org/ 10.1016/S2215-0366(20)30491-0
Panicker, A. S., & Ramesh, S. (2019). Psychological status and coping styles of caregivers of individuals with intellectual disability and psychiatric illness. Journal of Applied Research in Intellectual Disabilities, 32(1), 1-14.  https://doi.org/10.1111/jar.12496
Pariente, G., Broder, O. W., Sheiner, E., Battat, T. L., Mazor, E., Salem, S. Y., ... & Wainstock, T. (2020). Risk for probable post-partum depression among women during the COVID-19 pandemic. Archives of Women's Mental Health23(6), 767-773. https://doi.org/10.1007/s00737-020-01075-3
Patton, K. A., Ware, R., McPherson, L., Emerson, E., & Lennox, N. (2018). Parent‐related stress of male and female carers of adolescents with intellectual disabilities and carers of children within the general population: A cross-sectional comparison. Journal of Applied Research in Intellectual Disabilities, 31(1), 51-61. https://doi.org/10.1111/jar.12292
Pocinho, M., & Fernandes, L. (2018). Depression, stress and anxiety among parents of sons with disabilities. The Psychologist: Practice & Research Journal, 1(1), 103-114. http://www.psyprjournal.com/index.php/PPRJ/ article/view/29
Rajabi. G. R. (2005). Psychometric properties of short-form female Beck Depression Inventory (BDI-13). Journal of Iranian Psychologists, 1(4), 291-298. https://sanad.iau.ir/journal/jip/Article/512442?jid=512442&lang=en [Persian]
Rahmanian, M., Hossein Zare, H., & Pour Kashani, A. (2019). The comparison of the effect of transactional analysis and emotion regulation strategies on irrational beliefs and decision making styles in female adolescents. Journal of Psychological Achievements, 26(2), 27-48. https://doi.org/10.22055/psy.2019.25136.2023 [Persian]
Riaz, M., Abid, M., & Bano, Z. (2021). Psychological problems in general population during covid-19 pandemic in Pakistan: Role of cognitive emotion regulation. Annals of Medicine, 53(1), 189-196. https://doi.org/ 10.1080/07853890.2020.1853216  
Scherer, N., Verhey, I., & Kuper, H. (2019). Depression and anxiety in parents of children with intellectual and developmental disabilities: A systematic review and meta-analysis. PloS one, 14(7), e0219888. https://doi.org/10.1371/journal.pone.0219888
Schlebusch, L., Chambers, N., Rosenstein, D., Erasmus, P., WHO CST Team, & de Vries, P. J. (2024). Supporting caregivers of children with developmental disabilities: Findings from a brief caregiver well-being programme in South Africa. Autism28(1), 199-214. https://doi.org/ 10.1177/13623613221133182
Singh, N. N., Lancioni, G. E., Karazsia, B. T., Myers, R. E., Hwang, Y. S., & Anālayo, B. (2019). Effects of mindfulness-based positive behavior support (MBPBS) training are equally beneficial for mothers and their children with autism spectrum disorder or with intellectual disabilities. Frontiers in Psychology, 10, 385-398. https://doi.org/10.3389/fpsyg. 2019.00385
Sklad, M., Diekstra, R., Ritter, M. D., Ben, J., & Gravesteijn, C. (2012). Effectiveness of school-based universal social, emotional, and behavioral programs: Do they enhance students’ development in the area of skill, behavior, and adjustment? Psychology in the Schools, 49(9), 892-909. https://doi.org/10.1002/pits.21641
Taquet, M., Luciano, S., Geddes, J. R., & Harrison, P. J. (2021). Bidirectional associations between COVID-19 and psychiatric disorder: retrospective cohort studies of 62 354 COVID-19 cases in the USA. The Lancet Psychiatry, 8(2), 130-140. https://doi.org/10.1016/S2215-0366(20)30462-4
Xia, C., Wei, T., Tang, Q., Zheng, H., Chen, G., & Lu, J. (2023). Depression and Associated Factors among Family Caregivers of Children with Disabilities: Analysis of Intergenerational Differences. Healthcare, 11, (19), 2693-2703. https://doi.org/10.3390/healthcare11192693
Zangrillo, A., Beretta, L., Silvani, P., Colombo, S., Scandroglio, A. M., Dell'Acqua, A., ... & Tresoldi, M. (2020). Fast reshaping of intensive care unit facilities in a large metropolitan hospital in Milan, Italy: facing the COVID-19 pandemic emergency. Critical Care and Resuscitaton, 22(2), 91-94. https://doi.org/10.51893/2020.2.pov1