Effect of acceptance and commitment therapy combined with compassion-focused therapy on behavioral problems and mother-child interactions in children with hearing impairment
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Abstract
Background and Aim: Hearing loss is and invisible disability that adversely affects the quality of life. This study aimed to investigate the effect of acceptance and commitment therapy (ACT) combined with compassion-focused therapy (CFT) on behavioral problems and mother-child interactions in children with hearing impairment.
Methods: This is a quasi-experimental study with pretest/posttest design using a control group. The study population consists of all mothers of children with hearing impairment in Yazd, Iran. A total of 30 mothers were selected using a purposive sampling method, and randomly assigned into control (n = 15) and intervention (n = 15) groups. The intervention group received ACT combined with CFT at eight sessions of 90 minutes, one session per week, while the control did not receive any treatment. Data collections tool were the Parent-Child Relationship Scale and the Child Behavior Checklist. Data were analyzed using descriptive and inferential statistics.
Results: The intervention had a significant effect on mother-child interaction and behavioral problems in children with hearing impairment.
Conclusion: ACT combined with CFT can be used for intervention of mothers of children with hearing loss to reduce the behavioral problems of their children and improve their interactions with them.
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2. Laur A. Healthcare access for deaf patients–The legal and ethical perspectives. Med Leg J. 2018;86(1): 6-41. doi: 10.1177/0025817217743416
3. Taylor LK, Merrilees CE, Geoke-Morey MC, Shirlow P, Cummings E. Trajectories of adolescent aggression and family cohesion: The potential to perpetuate or ameliorate political conflict. J Clin Child Adolesc Psychol. 2016;45(2):114-28; doi: 10.1080/15374416.2014.945213
4. Pinquart M. Associations of parenting dimensions and styles with externalizing problems of children and adolescents: An updated meta-analysis. Developmental Psychology. 2017;53(5):873-932. doi: 10.1037/dev0000295
5. Guttmannova K, Szanyi JM, Cali PW. Internalizing and externalizing behavior problems scores: cross-ethnic and longitudinal measurement invariance of the behavior problem index. Educ psychol meas. 2008;68(4):676-94. doi: 10.1177/0013164407310127
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7. Aliakbar Dehkordi M, Kakojouibari AA, Mohtashami T. Yekdelehpour N. The effect of positive parenting program on parenting stress of mothers with impaired hearing children. Aud Vestib Res. 2015;23(6): 66-75.
8. Shinn MM. Parent-child interaction therapy with a deaf and hard of hearing family. Clin Case Stud. 2013; 12(6):411-27. doi: 10.1177/1534650113500065
9. Stevenson J, Kreppner J, Pimperton H, Worsfold S, Kennedy C. Emotional and behavioural difficulties in children and adolescents with hearing impairment: a systematic review and meta-analysis. Eur Child Adolesc Psychiatry. 2015;24(5):477-96.
10. Ariapooran S. Relationship between mother-child interaction and symptoms of anxiety disorders in deaf and hard-of-hearing children. Empowering. Exceptional Children. 2018;9(2):51-63. doi: 10.22034/CECIRANJ.2018.77389
11. Mazaheri Z, Mirseifi Fard LS, Mohamad Ali Vatankhah V, Darbani SA. Effectiveness of compassion-focused therapy (CFT) on self-esteem and resilience in children and adolescents with divorced parents. Journal of Child Mental Health. 2020;7(2):280-93. doi: 10.29252/jcmh.7.2.24
12. Gilbert P. Compassion: Conceptualizations, research and use in psychotherapy. 1st ed. London: Routledge; 2005.
13. Golpayegani F, Bayat B, Majdiyan V, Aghabozorgi S. [Effectiveness of acceptance and commitment therapy on the quality of attachment and altruism of the children with externalized behavioral problems]. Journal of Exceptional Children. 2019;18(4):77-88. Persian.
14. Zarling A, Bannon S, Berta M. Evaluation of acceptance and commitment therapy for domestic violence offenders. Psychology of Violence. 2019, 9(3), 257-68. doi: 10.1037/vio0000097
15. Flujas-Contreras JM, Gómez I. Improving flexible paren¬ting with acceptance and commitment therapy: A case study. Journal of Contextual Behavioral Science. 2018;8:29-35. doi: 10.1016/j.jcbs.2018.02.006
16. Hojatkhah SM, Mesbah I, Golmohammadian M. [The effectiveness of therapy based on acceptance and commitment on improvement of the parent-child relationship in mothers with mental retardation children]. Research in Clinical Psychology and Counseling. 2018;8(2):84-100. Persian.
17. Ardeshiri Lordejani F, Faramarzi S, Sharifi T. [Effectiveness of acceptance and commitment therapy on family performance and parent-child relationships of the parents of children with learning disability]. Iranian Journal of Pediatric Nursing. 2018;5(1):53-60. Persian. doi: 10.21859/jpen-05017
18. Pakzad M, Faramarzi S, Ghamarani A. [The effectiveness of mother training based on the model of positive parenting on the rate of behavioral disorders symptoms in deaf students]. Audiol. 2014;23(4):77-83. Persian
19. Achenbach TM. The child behavior checklist and related instruments. In: Maruish ME, editor. The use of psychological testing for treatment planning and outcomes assessment. 2nd ed. Mahwah NJ: Lawrence Erlbaum Associates Publishers; 1999. p. 429-66.
20. Mirzaie F, Shakerinia I, Asghari F. [The associations between parent-child relationship and aggressive behavior among students]. J Child Ment Health. 2016;2(4):21-34. Persian.
21. Hayes SC, Luoma JB, Bond FW, Masuda A, Lillis J. Acceptance and commitment therapy: model, processes and outcomes. Behav Res Ther. 2006;44(1):1-25. doi: 10.1016/j.brat.2005.06.006
22. Goss K, Allan S. The development and application of compassion‐focused therapy for eating disorders (CFT‐E). Br J Clin Psychol. 2014;53(1):62-77. doi: 10.1111/bjc.12039
23. Tahmasian K, Anari A, Fathabadi M. [Evaluation of effective maternal characteristics in behavioral problems of 2-6 years old children]. Journal of Modern Psychological Researches. 2012;7(26):89-104. Persian.
24. Madhi M, Ghamarani A. [The effectiveness of self-compassion-based parenting training on behavioral problems and self-concept in children with intellectual and developmental disability]. Journal of Applied Psychological Research. 2020;11(3):1-18. Persian. doi: 10.22059/JAPR.2020.294440.643402
25. Molander P, Hesser H, Weineland S, Bergwall K, Buck S, Jäder Malmlöf J. Internet-based acceptance and commitment therapy for psychological distress experienced by people with hearing problems: a pilot randomized controlled trial. Cogn Behav Ther. 2018;47(2):169-84. doi: 10.1080/16506073.2017.1365929
26. Gharashi K, Moheb N, Abdi R. Effects of acceptance and commitment therapy on decreasing anxiety and depression symptoms in mothers of hearing-impaired or deaf children. Aud Vestib Res. 2019;28(2): 116-23. doi: 10.18502/avr.v28i2.866
27. Mohammadinejad M, Niknejadi F. [The effectiveness of acceptance and commitment therapy (ACT) on psychological well-being and resilience of mothers with a deaf daughter in the city of Isfahan]. Knowledge & Research in Applied Psychology. 2020;21(2):22-31. Persian. doi: 10.30486/JSRP.2019.573628.1443
2. Laur A. Healthcare access for deaf patients–The legal and ethical perspectives. Med Leg J. 2018;86(1): 6-41. doi: 10.1177/0025817217743416
3. Taylor LK, Merrilees CE, Geoke-Morey MC, Shirlow P, Cummings E. Trajectories of adolescent aggression and family cohesion: The potential to perpetuate or ameliorate political conflict. J Clin Child Adolesc Psychol. 2016;45(2):114-28; doi: 10.1080/15374416.2014.945213
4. Pinquart M. Associations of parenting dimensions and styles with externalizing problems of children and adolescents: An updated meta-analysis. Developmental Psychology. 2017;53(5):873-932. doi: 10.1037/dev0000295
5. Guttmannova K, Szanyi JM, Cali PW. Internalizing and externalizing behavior problems scores: cross-ethnic and longitudinal measurement invariance of the behavior problem index. Educ psychol meas. 2008;68(4):676-94. doi: 10.1177/0013164407310127
6. Amini D, Afrooz GA, Sharifi Daramadi P, Homan HA. [Recognition of disorders and emotional problems of deaf children using house-tree-person and draw-a-person tests in comparison with normal children of Hamadan Province]. Sci J Hamadan Univ Med Sci. 2013;20(1):49-58. Persian.
7. Aliakbar Dehkordi M, Kakojouibari AA, Mohtashami T. Yekdelehpour N. The effect of positive parenting program on parenting stress of mothers with impaired hearing children. Aud Vestib Res. 2015;23(6): 66-75.
8. Shinn MM. Parent-child interaction therapy with a deaf and hard of hearing family. Clin Case Stud. 2013; 12(6):411-27. doi: 10.1177/1534650113500065
9. Stevenson J, Kreppner J, Pimperton H, Worsfold S, Kennedy C. Emotional and behavioural difficulties in children and adolescents with hearing impairment: a systematic review and meta-analysis. Eur Child Adolesc Psychiatry. 2015;24(5):477-96.
10. Ariapooran S. Relationship between mother-child interaction and symptoms of anxiety disorders in deaf and hard-of-hearing children. Empowering. Exceptional Children. 2018;9(2):51-63. doi: 10.22034/CECIRANJ.2018.77389
11. Mazaheri Z, Mirseifi Fard LS, Mohamad Ali Vatankhah V, Darbani SA. Effectiveness of compassion-focused therapy (CFT) on self-esteem and resilience in children and adolescents with divorced parents. Journal of Child Mental Health. 2020;7(2):280-93. doi: 10.29252/jcmh.7.2.24
12. Gilbert P. Compassion: Conceptualizations, research and use in psychotherapy. 1st ed. London: Routledge; 2005.
13. Golpayegani F, Bayat B, Majdiyan V, Aghabozorgi S. [Effectiveness of acceptance and commitment therapy on the quality of attachment and altruism of the children with externalized behavioral problems]. Journal of Exceptional Children. 2019;18(4):77-88. Persian.
14. Zarling A, Bannon S, Berta M. Evaluation of acceptance and commitment therapy for domestic violence offenders. Psychology of Violence. 2019, 9(3), 257-68. doi: 10.1037/vio0000097
15. Flujas-Contreras JM, Gómez I. Improving flexible paren¬ting with acceptance and commitment therapy: A case study. Journal of Contextual Behavioral Science. 2018;8:29-35. doi: 10.1016/j.jcbs.2018.02.006
16. Hojatkhah SM, Mesbah I, Golmohammadian M. [The effectiveness of therapy based on acceptance and commitment on improvement of the parent-child relationship in mothers with mental retardation children]. Research in Clinical Psychology and Counseling. 2018;8(2):84-100. Persian.
17. Ardeshiri Lordejani F, Faramarzi S, Sharifi T. [Effectiveness of acceptance and commitment therapy on family performance and parent-child relationships of the parents of children with learning disability]. Iranian Journal of Pediatric Nursing. 2018;5(1):53-60. Persian. doi: 10.21859/jpen-05017
18. Pakzad M, Faramarzi S, Ghamarani A. [The effectiveness of mother training based on the model of positive parenting on the rate of behavioral disorders symptoms in deaf students]. Audiol. 2014;23(4):77-83. Persian
19. Achenbach TM. The child behavior checklist and related instruments. In: Maruish ME, editor. The use of psychological testing for treatment planning and outcomes assessment. 2nd ed. Mahwah NJ: Lawrence Erlbaum Associates Publishers; 1999. p. 429-66.
20. Mirzaie F, Shakerinia I, Asghari F. [The associations between parent-child relationship and aggressive behavior among students]. J Child Ment Health. 2016;2(4):21-34. Persian.
21. Hayes SC, Luoma JB, Bond FW, Masuda A, Lillis J. Acceptance and commitment therapy: model, processes and outcomes. Behav Res Ther. 2006;44(1):1-25. doi: 10.1016/j.brat.2005.06.006
22. Goss K, Allan S. The development and application of compassion‐focused therapy for eating disorders (CFT‐E). Br J Clin Psychol. 2014;53(1):62-77. doi: 10.1111/bjc.12039
23. Tahmasian K, Anari A, Fathabadi M. [Evaluation of effective maternal characteristics in behavioral problems of 2-6 years old children]. Journal of Modern Psychological Researches. 2012;7(26):89-104. Persian.
24. Madhi M, Ghamarani A. [The effectiveness of self-compassion-based parenting training on behavioral problems and self-concept in children with intellectual and developmental disability]. Journal of Applied Psychological Research. 2020;11(3):1-18. Persian. doi: 10.22059/JAPR.2020.294440.643402
25. Molander P, Hesser H, Weineland S, Bergwall K, Buck S, Jäder Malmlöf J. Internet-based acceptance and commitment therapy for psychological distress experienced by people with hearing problems: a pilot randomized controlled trial. Cogn Behav Ther. 2018;47(2):169-84. doi: 10.1080/16506073.2017.1365929
26. Gharashi K, Moheb N, Abdi R. Effects of acceptance and commitment therapy on decreasing anxiety and depression symptoms in mothers of hearing-impaired or deaf children. Aud Vestib Res. 2019;28(2): 116-23. doi: 10.18502/avr.v28i2.866
27. Mohammadinejad M, Niknejadi F. [The effectiveness of acceptance and commitment therapy (ACT) on psychological well-being and resilience of mothers with a deaf daughter in the city of Isfahan]. Knowledge & Research in Applied Psychology. 2020;21(2):22-31. Persian. doi: 10.30486/JSRP.2019.573628.1443
| Files | ||
| Issue | Vol 30 No 4 (2021) | |
| Section | Research Article(s) | |
| DOI | https://doi.org/10.18502/avr.v30i4.7473 | |
| Keywords | ||
| Acceptance and commitment therapy compassion focused therapy behavioral problems parent-child interaction children with hearing impairment | ||
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How to Cite
1.
Azizi M, Sepehri S, Demehri F. Effect of acceptance and commitment therapy combined with compassion-focused therapy on behavioral problems and mother-child interactions in children with hearing impairment. Aud Vestib Res. 2021;30(4):256-263.
