Comparing the Effectiveness of Teaching Resilience and Emotion Regulation on the Life Quality and Self-Efficacy of the Mothers of the Children Suffering from Cerebral Paralysis

Document Type : Research Paper

Authors

1 PhD Student in General Psychology, Islamic Azad University, Isfahan Branch (Khorasgan), Isfahan, Iran.

2 Professor, Department of Psychology, Islamic Azad University, Isfahan Branch (Khorasgan), Isfahan, Iran.

3 Associate Professor, Department of Psychology, Islamic Azad University, Isfahan Branch (Khorasgan), Isfahan, Iran.

Abstract

Introduction and purpose: The emergence of physiologic and chronic diseases influences the parents’ (especially the mothers’) mental health. Therefore the present study was conducted aiming to compare the effectiveness of teaching resilience and emotion regulation on the life quality and self-efficacy of the mothers of the children suffering from cerebral paralysis.
Material and methods: It was a quasi-experimental study with pretest, posttest, control group and two-month follow-up design. The statistical population included all the mothers of the children with cerebral paralysis in the city of Shiraz in 2017. Non-probable available sampling method and random replacement were used in the present study. After selecting the sample size and replacing them into experimental and control groups, the experimental group received ninety-minute teaching interventions during three months once a week. The applied questionnaires were life quality questionnaire (World Health Organization, 1993) and self-efficacy (Shrer and Adams, 1980). The data from the study were analyzed through repeated measurement ANOVA.
Findings: The data from the study showed that teaching resilience and emotion regulation has been effective on the life quality and self-efficacy of the mothers of the children with cerebral paralysis while there was not observed any significant difference between effectiveness of these two methods on life quality and self-efficacy.
Conclusion: Based on the results of the present study, resilience and emotion regulation training can be used to improve the quality of life and self-efficacy of mothers with children with cerebral palsy.

Keywords


  1. Prudente COM, Barbosa MA, Porto CC. Relation between quality of life of mothers of children with
    cerebral palsy and the children's motor functioning, after ten months of rehabilitation. Revista
    Latino-Americana de Enfermagem, 2010; 18(2): 149-155.
    2. Altmdag O, Içcan A, Akcan S, Koksal S, Erçin M, Ege L. Anxiety and depression levels in mothers of
    children with cerebral palsy. Turkiye Fiziksel Tip ve Rehabilitasyon Dergisi, 2007; 53: 4-22.
    3. James D. A single case study of a family-centred intervention with a young girl with cerebral palsy who is
    a multimodal communicator. Child Care Health and Development, 2013; 38(1): 87-97.
    4. Wadnerkar MB, Pirinen T, Haines-Bazrafshan R, Rodgers J, James D. A single case study of a familycentred intervention with a young girl with cerebral palsy who is a multimodal communicator. Child
    Care Health and Development, 2012; 38(1): 87-97.
    5. Deon LL, Gaebler-Spira D. Assessment and treatment of movement disorders in children with cerebral
    palsy. Orthopedic Clinics, 2010; 41(4): 507-17.
    6. Krstic T, Mihic L, Mihic I. Stress and resolution in mothers of children with cerebral palsy. Research in
    Developmental Disabilities, 2015; 47: 135-143.
    7. Pugin AJ. the relationship between severity of Cerebral palsy in children and the levels of stress
    experienced by their parents. [Thesis]. Johannesburg, ZA: University of Witwatersrand, 2008.
    8. Karow A, Reimer J, Schafer I, Krausz M, Haasen C, Verthein U. Quality of life under maintenance
    treatment with heroin versus methadone in patients with opioid dependence. Drug and Alcohol
    Dependence, 2010; 112: 209–215.
    9. Raina P, O'Donnell M, Schwellnus H, Rosenbaum P, King G, Brehaut J, et al.. Caregiving process and
    caregiver burden: conceptual models to guide research and practice. BMC Pediatrics, 2004; 4(1): 1-
    10.
    10. Bender A, Ingram R. Connecting attachment style to resilience: Contributions of self-care and selfefficacy. Personality and Individual Differences, 2018; 130: 18-20.
    11. Sarvghad S, Rezaee A, Masomi F. On the relationship between thinking styles and self-efficacy of preuniversity students in Shiraz. Journal of Women and Social, 2010; 1(4): 135-156.
    12. Nariman M, Ali Sari Nasirloo K, pororsoda E. The effectiveness of emotion-focused education on
    cognitive emotion regulation strategies of emotionally abused students, Quarterly Journal of Applied
    Counseling, 2013; 3(2): 37-50. (Persian).
    13. Fouladchang M, Hassannia S. The effectiveness of emotion regulation training on happiness and selfefficacy of women heads of households, Journal of Women and Society, 2015; 6(1): 103-120.
    (Persian).
    14. Bohlmeijer E, Prenger R, Taal E, Cuijpers P. The effects of mindfulness-based stress reduction therapy
    on mental health of adults with a chronic medical disease: A meta-analysis. Journal of
    Psychosomatic Research, 2010; (68): 539-544.
    15. Bartone PT, Hystad SW, Eid J, Brevik JI. Psychological hardiness and coping style as risk/resilience
    factors for alcohol abuse. Military Medicine, 2012; 177: 517-524.
    16. Meule A, Fath K, Real GL, Sütterlin S, Vögele C, Kübler A. Quality of life, emotion regulation, and
    heart rate variability in individuals with intellectual disabilities and concomitant impaired vision,
    Psychology of Well-Being: Theory, Research and Practice, 2013; 3: 1-10.
    17. Lei H, Zhang X, Cai L, Wang Y, Bai M, Zhu X. Cognitive emotion regulation strategies in outpatients
    with major depressive disorder, Psychiatry Research, 2014; 218(1–2): 87–92.
    18. Ogelman HG, Erol A. Examination of the Predicting Effect of the Resiliency Levels of Parents on the
    Resiliency Levels of Preschool Children, Social and Behavioral Sciences, 2015; 186: 461–466.
  2. 19. Ayyash-Abdo H, Sanchez-Ruiz MJ, Barbari ML. Resiliency predicts academic performance of Lebanese
    adolescents over demographic variables and hope, Learning and Individual Differences, 2016; 48:
    9–16.
    20. Haynos AF, Hill B, Fruzzetti AE. Emotion regulation training to reduce problematic dietary restriction:
    An experimental analysis, Appetite, 2016; 103: 265-274.
    21. Malesza M. Stress and delay discounting: The mediating role of difficulties in emotion regulation.
    Personality and Individual Differences, 2019; 144: 56-60.
    22. Benfer N, Bardeen JR, Clauss K. Experimental manipulation of emotion regulation self-efficacy: Effects
    on emotion regulation ability, perceived effort in the service of regulation, and affective reactivity.
    Journal of Contextual Behavioral Science, 2018; 10: 108-114.
    23. Herwig U, Opialla S, Cattapan K, Wetter TC, Jäncke L, Brühl AB. Emotion introspection and regulation
    in depression. Psychiatry Research: Neuroimaging, 2018; 277: 7-13.
    24. Kirwan M, Pickett SM, Jarrett NL. Emotion regulation as a moderator between anxiety symptoms and
    insomnia symptom severity. Psychiatry Research, 2017; 254: 40-47.
    25. Li D, Li D, Wu N, Wang Z. Intergenerational transmission of emotion regulation through parents'
    reactions to children's negative emotions: Tests of unique, actor, partner, and mediating effects.
    Children and Youth Services Review, 2019; 101: 113-122.
    26. Joormann J, Stanton CH. Examining emotion regulation in depression: A review and future directions.
    Behavior Research and Therapy, 2016; 86: 35-49.
    27. Greshmam D, Gullone E. Emotion regulation strategy use in children and adolescents; The explanatory
    roles of personality and attachment. Personality and individual differences, 2012; 52: 616-621.
    29. Zautra AJ, Hall JS, Murray KE. Resilience: A new definition of health for people and communities. In:
    Reich, J,W., Zautra. A.J., & Hall, J.S. Hand book of adult resilience. The Guilford Press, New York,
    London, 2010.
    30. Tlapek SM, Auslander W, Edmond T, Gerke D, Schrag RV, Threlfall J. The moderating role of
    resiliency on the negative effects of childhood abuse for adolescent girls involved in child welfare.
    Children and Youth Services Review, 2017; 73: 437-444.
    31. Backmann J, Weiss M, Schippers MC, Hoegl M. Personality factors, student resiliency, and the
    moderating role of achievement values in study progress. Learning and Individual Differences, 2019;
    72: 39-48.
    32. Bonomi AE, Patrickm DL, Bushnell DM, Martin M. Validation of the United States' version of the world
    Health Organization Quality of Life (WOQOL) instrument .Journal of Clinical Epidemiologyl,
    2000; 53(1):19-23.
    33. Moradi A, Malekpour M, Amiri SH, Molavi H, Nouri A. Comparison of the effects of self-esteem, selfefficacy and achievement motivation trainings on quality of life of women with physical disabilities,
    Exceptional Children Quarterly, 2010; 10(1): 49-64. (Persian).
    34. Keramati H, Shahrarai M. Investigating the role of perceived self-efficacy in mathematical performance,
    Educational Innovation Quarterly, 2004; 3(10): 103-115. (Persian).
    35. Asgharnejad T, Ahmadi M, Qutbuddin V, Khodapnahi MK. Study of psychometric properties of Scherer
    self-efficacy scale. Journal of Psychology, 2006; 10(3): 263-276. (Persian).
    36. Rabiee kenari F, Jadidian A, Solgi M. Effectiveness of Resilience Training on Reduction of Parental
    Stress of Autistic Childrens Mothers. SJIMU. 2015; 23 (4): 95-105. (Persian).