بررسی وضعیت ارتباطات خانوادگی کودکان مبتلا به بیش فعالی / نارسایی توجه

نوع مقاله : مقاله پژوهشی

نویسندگان

1 گروه روانپرستاری، دانشکده پرستاری و مامایی، علوم پزشکی تهران، دانشگاه آزاد اسلامی، تهران، ایران

2 گروه روان پرستاری ،دانشکده پرستاری مامایی ،دانشگاه آزاد واحد علوم پزشکی تهران ، ایران

3 گروه مدیریت، دانشگاه آزاد اسلامی واحد علوم پزشکی تهران، تهران، ایران

چکیده

زمینه و هدف: اختلال نقص توجه/ بیش فعالی به عنوان شایع ترین اختلال عصبی رفتاری دوره ی کودکی شناخته شده است که عدم توجه و تشخیص آن می تواند آثار زیانباری را برای فرد و خانواده به همراه داشته باشد. پژوهش حاضر با هدف بررسی ارتباط خانوادگی در کودکان بیش فعال صورت گرفته است.
مواد و روش: این مطالعه از نوع توصیفی تحلیلی بر روی 160 نفر از مادران با کودکان پنج تا دوازده ساله ی دارای اختلال بیش فعالی / نقص توجه مراجعه کننده به مراکز تحت نظارت بهزیستی شهر تهران در سال 1397با روش نمونه گیری تصادفی انجام شده است. به منظور جمع آوری داده ها از پرسشنامه دموگرافیک، مقیاس ارزیابی ارتباط مادر و کودک (MCRE) و پرسشنامه سبک های حل تعارض رحیم(ROCI-II) استفاده شد. جهت تجزیه تحلیل آماری از آمار توصیفی و استنباطی استفاده گردید.
یافته ها: یافته ها نشان داد سبک تعاملی پذیرش در مادران دانش آموزان دارای اختلال بیش فعالی-نقص توجه کمتر و سبک های تعاملی ناکارآمد طرد، سهل گیری و بیش حمایت گری بیشتر می باشد. همچنین بین متغیرهای اجتناب با سهل گیری 275/0، مصالحه با طرد 243/0، ملزم با سهل گیری 241/0 و مسلط با طرد 268/0 و مسلط با حمایت گری 346/0 در سطح خطای 5 درصد میان متغیرهای تحقیق همبستگی وجود دارد.
نتیجه گیری: نتایج مطالعه حاضر نشان می دهد که مشکلات در ارتباط مادر و کودک بیش فعال, در سبک های حل تعارض همسران نیز موثر است. از این رو ارتباط خانوادگی در این کودکان باید مورد توجه قرار بگیرد

کلیدواژه‌ها


1-Hedden SL, Behavioral health trends in the United States: results from the 2014 National Survey on Drug Use andHealth: Substance Abuse and Mental Health Services Administration, Department of Heath & Human Services . 2015.16(3): 35-48
2-Pahlavanzadeh S, Mousavi S, and Maghsoudi J  ,Exploring  the Needs of Family Caregivers of Children with Attention Deficit Hyperactivity Disorder,A Qualitative Stud. 2018.30(3): 162-178
3-Sadock BN. J, Sadock V.A & Kaplan. Downloaded fromattention deficit/hyperactivity disorder: new findings suggest partial specificity of effects. Journal American Acaemy Child Adolescents Psychiatry. 2015; 48: 146-54.
4-kordestani D.  The effect of behavioral parent training on improving the mental healthof mothers with attention deficit hyperactivity disorder children and decreasing their children's externalizing behavior. International Journal of Behavioral Sciences1;2014. 8(3):279-86.
5-Johnston, C. Parenting in adults with attention-deficit/hyperactivity disorder (ADHD). Clinical Psychology Review. 2015;  32: 215–228.
6-Zayer M. The Effects of Equilibrium Exercise on the Extent of the Attention Children of the 8-12 Year Old Girl in Semnan. Quarterly Journal of Psychology and Educational Sciences. 2017; 2(3): 93-101.
7-Ghoreishi FS, Heidarzadeh-Arani M, Moravveji SA, Sharif RS. The association between attention deficiency and hyperactivity among the asthmatic children in Kashan. Feyz.  2016; 20(4): 391-6. [Persian]
8-Ghadampour E, Shirazi A, Tehrani M.A. Effectiveness of Training of Mindfulness-based Stress Reduction on Psychological Well-being of ADHD Children’s Mothers. Exceptional Children's Quarterly. 2017; 16(3): 35-48. [Persian]
9-Amiri.M.  Effectiveness of Parent Behavioral Training on Hyperactivity/ Impulsivity and Rule-Breaking Behaviors in Children with ADHD(Hyperactivity-Impulsivity Domain Type). Journal of Research in Psychological Health. 2014; 9(4): 37-49. [Persian]
10-Salami F, Ashayeri Hassan, Estaki M, Farzad V, Koochak Entezar R. Mother-Based Combination Training and Its Effect on the Symptoms Attention Deficit/ Hyperactivity Disorder (ADHD). Neuropsychology. 2016; 2(1): 28-42. [Persian]
11-Abdollahpour N, Seyedfatemi N, Hakim Shooshtari M, Mehran A. The Effect of Education on Sense of Competence of Mothers of Children with Hyperactivity Disorder. Psychiatric Nursing. 2017; 5(4): 19-26. [Persian
12-Olson D, DeFrain J, Skogrand L. Marriages and families: Intimacy, diversity, and strengths. 2nd ed. New York: McGraw-Hill.  2010: 32-59.
13-Richardson RW. Couples in conflict: A family systems approach to marriage counseling. 1nd ed. Minneapolis: Fortress Press. 2010: 108-10.
14-Rahim MA. Managing conflict in organizations. 1nd ed. Piscataway: Transaction Publishers. 2010: 47-52.
15-Shariat A, Shariat A, Abedi A, & Tamrin S.B.M.  Physical activity as a prescription for the children with cerebral palsy. 2014; 3(1): 1-8. [Persian]
16-Khodabakhshi Koolaee AK, Khazan S, Tagvaee D. Mother- child relationship and burden in families of children with mental retardation. Middle East Journal of family medicine. 2014; 7 (10): 32-36. )Persian(
17- Khanjani  Z, Peymannia  B, Hashemi T.  Predicting the Quality of Mother-Child Interaction with Anxiety Disorders in Primary School Children based on Iranian Mothers’ Cultural Characteristics. Journal of Educational New Thoughts. 2016; 12(2): 239-260. [Persian]
18-Rahim MA, Magner NR. Confirmatory factor analysis of the styles of handling interpersonal conflict: first-order factor model and its invariance across groups . 1995;4-7.
19-Azadifard S, Anani A, Relation of Relationship Beliefs and Conflict Styles with Marital Satisfaction,  2016 [Persian]
20-Haghighi, H, Zarei, Ghaderi F, Investigating factor structure and psychometric vispages of ROCI-II conflict resolution styles questionnaire among Iranian couples, Quarterly Journal of Family Counseling and Psychotherapy, First Year, Number 4(2012) [Persian]
21-Alizadeh H AC. Interaction of parenting styles and attention deficit hyperactivity disorder in Iranian parents. Child Fam Behav Ther;2002. 24(3):37–52.
22-Mautone JA, Lefler EK PT. Promoting family and school success for children with ADHD: Strengthening relationships while building skills. Theory Pract.;2011. 50(1):43–51.
23-Karbasdehi F. Abolghasemi A. Karbasdehi A. The Effect of Cognitive-Behavioral Stress Management Training on Improving Parent-Child Relationship and Psychological Well-being of Mothers of Mentally Infant Children. Child Mental Health Quarterly 2016. 3(3) [Persian]
24-Klahr AM, Thomas KM, Hopwood CJ, Klump KL, burt SA. Evocative geneenvironment correlation in mother – child relationship: A twin study of interpersonal processes. Devpsychol Athol. 2013; 25(1):105-118.
25-Anbari Kh, Mahdaveyan A, Nadri S. Propagating factors of maternal and child relationship patterns in patients referred to Shahid Madani Hospital in Khorramabad in 2012. Journal of Lorestan University of Medical Sciences.2014; 15(5): 13-22. [Persian]
26-Jafari A, Samadi Javaheri M and Hesampour F. The comparison of quality of mother-child relationship and anger self-regulation skill between mothers of normal and with ADHD students. Quarterly journal of social work. 2016; 5 (4); 13-24. [Persian]
27-Nejati A, Mousavi R, Roshan R, Mahmoudi J. [The Effect of Group Interventions Based on Parent-Child Relations (CPRT) on Improving Parenting of Mothers of Children aged 8-11 years with (ADHD) Disorder]. Clin Psychol. 2016; 8(1):37-49. [Persian]
28-Kagbaf MB. Azimi M.Comparing parenting practices of parents with children with and without attention deficit hyperactivity disorder. Research in exceptional children.2007.1(41). 14-29[Persian]
29-Dortaj F, Mohammadi A, Comparison of the Performance of Children with Attention Deficit / Hyperactivity Disorder in Children with Hyperactivity Disorder Family. Quarterly Journal of Family Studies 2010-2116.6(22).
30-Yaqoubi A, Mohammadzadeh S. The Effect of Social Surveying on Conflict Resolution Couples Style. Quarterly Journal of Counseling and Psychotherapy. 2016; 7 (28): 131-103. [Persian]
31-Aghajani S., Afrooz G, Narimani M., Gobari Bonab M., Mohsenpour Z, The Effectiveness of the Social Problems Solving Method in Promoting the Mother-Child Interaction in Mothers of Slow-Step Children. Quarterly Journal of Family Psychotherapy. 2014.4 (4) 691-717. [Persian]
32-Barkley RA E . Attention-deficit hyperactivity disorder: A handbook for diagnosis and treatment.2014:1023-5.
33-Karence. C-H.Child–Parent Relationship Therapy for Adoptive Families. Fam Journal.;2012.20(14):419–26.
34-Homauni M, Mariani BM, Yaacob SN AM, Parent-child relationship and aggression among adolescents in Tehran, Iran. Life Sci J.2014;11(9):766–70.
365-Schilling CM, Walsh A YI . ADHD and criminality: A primer on the genetic,neurobiological, evolutionary, and treatment literature for criminologists. J Crim Justice.;2011.39(1):3–11.
36-Karzadeh, sh, Abdi, M HH, Studying Family Functioning and the Role of Maternal Parenting Styles in Predicting Children’s Behavioral Problems in Boys Aged 5 to 10 Years in Ahvaz City. J Thought Behav Clin Psychol.2015.9(36):17–26.
37-Chambers J.R. and De Dreu, Carsten K. W. Egocentrism Drives Conflict  Misperceptions . Journal of Experimental Social Psychology. 2014; 51: 15-26 .
38- Leblanc E, Gilin A, Calnan K, Solarz B.(2012). Perspective Taking, Empathy, and Relational Conflict at Work: An Investigation Among Participants in a Workplace Conflict Resolution Program. Intl. Association for Conflict Management, IACM 25th Annual Conference
39-Rizkalla L, Wertheim E.H., Hodgson L.K. (2008) The roles of emotion management and perspective taking in individuals’ conflict management styles and disposition to forgive. Journal of Research in Personality.  2008; 42(6): 1594–1601.
40-Amiri M, Effectiveness of Parent Behavioral Training on Hyperactivity/ Impulsivity and Rule-Breaking Behaviors in Children with ADHD (Hyperactivity-Impulsivity DomainType). Journal of Research in Psychological Health. 2015.9(4) . 37-49[Persian]
41-Moghaddam M.F, Nia R.F, Rakhshani T, Heidaripoor A.H, Taravatmanesh S. The effectiveness of parent management training (PMT) on anxiety and depression in Parents of children with ADHD. Shiraz E-Medical Journal. 2016;  17(6): 1-4. [Persian]
42-Abdullahi  E. (2015). The Effectiveness of parenting-child-based parenting education based on admission and commitment, parenting-child relationship improvement, child-rearing practices and aggression in preschool children in Neishabour. Master's Degree in Clinical Psychology. Islamic Azad University, Khorasgan Branch. [Persian]
43-Jamali A. Afrooz gh. Lavasani M. Zahra Kar K. The Effectiveness of Marathon Enrichment Program Education on the Romantic (Romantic) Women's Affiliation 2011;10(4).