The Effectiveness of Eye Movement Desensitization and Cognitive Reprocessing Intervention on Improving the Sense of Parental competence and reducing the social isolation in mothers of deaf children

Document Type : Research Paper

Authors

1 PhD Student, Counseling Group, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran

2 Assistant Professor, Department of Counseling, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran

Abstract

Intrudoction:
 Deafness in children is one of the disabilities that has a great impact on mothers; Because mothers have a greater role to play in caring for their children's physical, emotional, and social needs.The aim of the present study was to investigate the effectiveness of Eye Movement Desensitization and CognitiveReprocessing Intervention on improving the Sense of parental competence and reducing the social isolation of mothers of deaf children studying in primary school of exceptional schools in Ahvaz.
Methods: This research is one of the quasi-experimental studies of pre-test-post-test with control group. In this study, 30 mothers were selected by available sample method and randomly divided into two groups of 15 experimental and control. The treatment protocol was performed in 10 sessions of 60 minutes in the experimental group. Participants in both groups were assessed for variables of parenting competence and social isolation at the beginning and end of the study. Abidin (1990) Parental Stress Questionnaire was used to assess the sense of parenting competence and social isolation.
Findings: The results of covariance analysis showed that in the significance level of (P<0/001) the Eye Movement Desensitization and Cognitive Reprocessing Intervention therapy led to improvements Parental Sense of competence Mothers of deaf children in both the post-test and follow-up stages.
Conclution: It can be said that Eye Movement Desensitization and Cognitive Reprocessing Intervention of non-pharmacological therapy is relatively short and effective in improving the sense of parental competence and reducing social isolation.

Keywords


  1. Landsberger SA, Diaz DR. Inpatient psychiatric
    treatment of deaf adults: demographic and
    diagnostic comparisons with hearing inpatients.
    Psychiatric Services. 2010 Feb;61(2):196-9.
    2. Daulay N, Ramdhani N, Hadjam NR. Sense of
    Competence as Mediator on Parenting Stress. The
    Open Psychology Journal. 2018 Nov 14;11(1).
    3. Calcus A, Tuomainen O, Campos A, Rosen S,
    Halliday LF. Functional brain alterations following
    mild-to-moderate sensorineural hearing loss in
    children. eLife. 2019;8.
    4. Szarkowski A, Brice PJ. Hearing parents’
    appraisals of parenting a deaf or hard-of-hearing
    child: Application of a positive psychology
    framework. Journal of deaf studies and deaf
    education. 2016 Jul 1;21(3):249-58.
    5. Sahli S. Investigating child raising attitudes of
    fathers having or not having a child with hearing
    loss. International journal of pediatric
    otorhinolaryngology, 2011;75(5): 681-685.
    6. Abidin RR, Abidin RR. Parenting Stress Index
    (PSI). Charlottesville, VA: Pediatric Psychology
    Press; 1990.
    7. McCann D, Bull R, Winzenberg T. The daily
    patterns of time use for parents of children with
    complex needs: A systematic review. Journal of
    Child Health Care. 2012 Mar;16(1):26-52.
    8. Fogel A. Infancy: Infant, family, and society.(3ed
    Ed.).
    9. Farkas C, Valdés N. Maternal stress and perceptions
    of self-efficacy in socioeconomically
    disadvantaged mothers: An explicative model.
    Infant Behavior and Development. 2010 Dec
    1;33(4):654-62.
    10. de Montigny F, Lacharité C. Perceived parental
    efficacy: Concept analysis. Journal of advanced
    nursing. 2005 Feb;49(4):387-96.
    11. Ardelt M, Eccles JS. Effects of mothers' parental
    efficacy beliefs and promotive parenting strategies
    on inner-city youth. Journal of Family issues. 2001
    Nov;22(8):944-72.
    12. Johnston C, Mash EJ. A measure of parenting
    satisfaction and efficacy. Journal of clinical child
    psychology. 1989 Jun 1;18(2):167-75.
    13. Golan M. Parents as agents of change in childhood
    obesity–from research to practice. International
    Journal of Pediatric Obesity. 2006 Jan 1;1(2):66-76.
    14. Ngai FW, Chan SW. Stress, maternal role
    competence, and satisfaction among Chinese
    women in the perinatal period. Research in Nursing
    & Health. 2012 Feb;35(1):30-9.
    15. Cao F, Su L, Liu T, Gao X. The relationship
    between impulsivity and Internet addiction in a
    sample of Chinese adolescents. European
    Psychiatry. 2007 Oct 1;22(7):466-71.
    16. Windham RC. The changing landscape of
    adolescent Internet communication and its
    relationship to psychosocial adjustment and
    academic performance. Washington, DC: George
    Washington University. 2008 Jan 31.
    17. Komeyjani M. Exceptional children and their
    mothers' challenges. Exceptional Education
    Journal.2012;2(110), 38-44 [in Persian]
    18. Taylor ZE, Larsen-Rife D, Conger RD, Widaman
    KF, Cutrona CE. Life stress, maternal optimism,
    and adolescent competence in single mother, African American families. Journal of family
    psychology. 2010 Aug;24(4):468.
    19. Barlow JH, Ellard DR. The psychosocial well‐
    being of children with chronic disease, their parents
    and siblings: An overview of the research evidence
    base. Child: care, health and development. 2006
    Jan;32(1):19-31.
    20. Shaterian M, Sohrabzadeh M, Emamalizadeh H.
    Identity crisis and social exclusion in the new cities
    and its relationship to the satisfaction of living in
    this cities. Journal of Research and Urban Planning.
    2017;8(1):111-134 [in Persian]
    21. Gardiner C, Geldenhuys G, Gott M. Interventions
    to reduce social isolation and loneliness among
    older people: an integrative review. Health & social
    care in the community. 2018 Mar;26(2):147-57.
    22. Humphries T, Kushalnagar P, Mathur G, Napoli DJ,
    Rathmann C, Smith S. Support for parents of deaf
    children: Common questions and informed,
    evidence-based answers. International journal of
    pediatric otorhinolaryngology. 2019 Mar
    1;118:134-42.
    23. Flaherty M. What we can learn from hearing parents
    of deaf children. Australasian journal of special
    education. 2015 Jul;39(1):67-84.
    24. Shapiro F. Eye movement desensitization and
    reprocessing (EMDR) therapy: Basic principles,
    protocols, and procedures. Guilford Publications;
    2017 Nov 20.
    25. Mohammad Tehrani H, Fazeli M, Mohammad
    Tehrani M. (The effectiveness of Eye movement
    desensitization and reprocessing (EMDR) in
    reducing anxiety. Thought & Behavior in Clinical
    Psychology. 2011;6(22):61-18. [in Persian]
    26. Nikmorad A, Soltaninejhad A, Anessi G, Panahi H.
    Comparing the Effectiveness of Eye Movement
    Desensitization Reprocessing and CognitiveBehavioral Therapy on Reducing Post Traumatic
    Stress Disorder in War Veterans. Journal of Police
    Medical. 2014;2(4):239-248. [in Persian]
    27. Prochaska JO, Norcross JC, DiClemente CC.
    Applying the stages of change. Psychotherapy in
    Australia. 2013 Feb;19(2):10.
    28. Dibajnia P, Zahirrodin A, Moghadasin M, Gheidar
    Z. Eye Movement Desensitization Reprocessing
    (EMDR) treatment in patients with Post Traumatic
    Stress Disorder (PTSD). Journal of Basic and
    Applied Scientific research. 2012;2(9): 9321-9325.
    [in Persian]
    29. Capezzani L, Ostacoli L, Cavallo M, Carletto S,
    Fernandez I, Solomon R, Pagani M, Cantelmi T.
    EMDR and CBT for cancer patients: Comparative
    study of effects on PTSD, anxiety, and depression.
    Journal of EMDR Practice and Research. 2013 Jan
    1;7(3):134-43.
    30. Sadatmadani SA,Tavallaii Zavareh A, Tavallaii V.
    Effectiveness of Regular Eye Movement
    Desensitization and Reprocessing in Therapy and
    Reducing the Symptoms of Anxiety. Health
    Research Journal. 2018;3(1):37-43.[in Persian]
    31. Madrid A. Repairing Maternal‐ Infant Bonding
    Failures. Handbook of EMDR and family therapy
    processes. 2007 Jan 19:131-45.
    32. Rezayi S, Khanjani M. The effectiveness of Eye
    Movement Desensitization and Cognitive
    Reprocessing Intervention (EMDR) on Improving
    the Quality of Life and Reducing the Guilt Feeling
    in Parents of Children with Low-Functioning
    Autism. Journal of Family Research.
    2017;13(3):461-475. [in Persian]
    33. Namjoo S, Ahadi H, Borjali A, Seirafi M. Effect
    of Eye Movement Desensitization and
    Reprocessing on Body Image Satisfaction and SelfEsteem in Amputees with Phantom Limb Pain.
    Journal of Disability Studies. 2017;1(7):1-8. [in
    Persian]
    34. van den Berg DP, van der Gaag M. Treating trauma
    in psychosis with EMDR: a pilot study. Journal of
    behavior therapy and experimental psychiatry. 2012
    Mar 1;43(1):664-71.
    35. Ghanbari-hashem-abadi BA. The effectiveness of
    therapeutic method of eye movement
    desensitization and reprocessing on social anxiety.
    Journal of Culture, Counseling and Psychotherapy.
    2010;1(2):127-150. [in Persian]
    36. Usta FD, Yasar AB, Abamor AE, Caliskan M. A
    case series: Efficacy of short term EMDR on
    patients with persistent complex bereavement
    disorder (PCBD). European Psychiatry. 2017 Apr
    1;41:S360-1.
    37. Rocha GM, Téllez A. Use of Clinical hypnosis and
    EDMR in kidnapping and rape: A case report.
    Australian Journal of Clinical & Experimental
    Hypnosis. 2016 May 1;41(1).
    38. Dadstan P. Stress or new disease of civilization (3rd
    Ed). Tehran: Roshd Publications.2008. [in Persian]
    39. Roshanbin M, Pouretemad HR, Khooshabi K. The
    impact of positive parenting program on maternal
    stress of mothers of 4-6 years old children with
    attention deficit and hyperactivity disorder. Journal
    of Family Research. 2007;3(10):555-572.[in
    Persian]
    40. Shapiro FE. EMDR as an integrative psychotherapy
    approach: Experts of diverse orientations explore
    the paradigm prism. American Psychological
    Association; 2002.
    41. Arnold A. Eye movement desensitization and
    reprocessing and specific state anxiety in female
    gymnasts (Doctoral dissertation, Union Institute
    and University).
  2. 42. Shapiro F. Eye movement desensitization and
    reprocessing (EMDR) and the anxiety disorders:
    Clinical and research implications of an integrated
    psychotherapy treatment. Journal of Anxiety
    disorders. 1999 Jan 1;13(1-2):35-67.
    43. Narimani M, Rajabi S. Comparison of efficacy of
    eye movement, desensitization and reprocessing
    and cognitive behavioral therapy methods in the
    Treatment of stress disorder. Medical sciences.
    2008;19(4):236-245. [in Persian]
    44. Jarero I, Uribe S. The EMDR protocol for recent
    critical incidents: Brief report of an application in a
    human massacre situation. Journal of EMDR
    Practice and Research. 2011 Jan 1;5(4):156-65.
    45. Schubert SJ, Lee CW, Drummond PD. The efficacy
    and psychophysiological correlates of dualattention tasks in eye movement desensitization and
    reprocessing (EMDR). Journal of anxiety disorders.
    2011 Jan 1;25(1):1-11.
    46. Gunter RW, Bodner GE. EMDR works... but how?
    Recent progress in the search for treatment
    mechanisms. Journal of EMDR Practice and
    Research. 2009 Aug 1;3(3):161-8.
    47. Ashaiery H, hooman HA, Jamali M, Vatankhah,
    HR. The compares effects of eye movement
    desensitization and reprocessing, medical,
    cognitive therapies approaches on decreasing the
    state anxiety. Journal of psychological researches.
    2009;1(3):51-63. [in Persian]
    48. Vaziri SH, Lotfikashani F, Abyar hosseini SA.
    Comparison between pharmacotherapy and eye
    movement desensitization reprocessing in
    decreasing the symptoms of obsessive-compulsive
    disorder. Journal of Thought and Behavior in
    Clinical Psychology . 2011;5(20):7-16. [in Persian]
    49. Shapiro F. The role of eye movement
    desensitization and reprocessing (EMDR) therapy
    in medicine: addressing the psychological and
    physical symptoms stemming from adverse life
    experiences. The Permanente Journal.
    2014;18(1):71.