Volume 12 - Articles-1401                   MEJDS (2022) 12: 124 | Back to browse issues page

XML Persian Abstract Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Mortazavi M, Rakebi N, Akbarinejad Mousavi M, Soleymani Rudbali Z. The Effectiveness of Dialectic Behavioral Therapy on Family Functioning and Communication Patterns of Mothers of Children With Attention-Deficit Hyperactivity Disorder. MEJDS 2022; 12 :124-124
URL: http://jdisabilstud.org/article-1-1708-en.html
The Effectiveness of Dialectic Behavioral Therapy on Family Functioning and Communication Patterns of Mothers of Children With Attention-Deficit Hyperactivity Disorder
Masoumeh Mortazavi *1 , Nazanin Rakebi2 , Mandana Akbarinejad Mousavi3 , Zahra Soleymani Rudbali4
1- Azadshahr Branch, Islamic Azad University
2- Islamshahr Branch, Islamic Azad University
3- Payame Noor University of Shiraz
4- Payam Noor University of Assaluyeh
Abstract:   (2639 Views)

Background & Objectives: Attention-Deficit Hyperactivity Disorder (ADHD) is one of the most common disorders in childhood and adolescence. Rearing a child with disabilities is often considered a stressor for the family and affects all its aspects, including family functioning. However, the concept of communication patterns has been considered to promote family functioning and health. Research suggests that psychosocial interventions can make parents more effective at improving their family's functioning, as well as reducing symptoms of ADHD in their children. In this regard, one of the most common therapies effective in this field that has received little attention from researchers is dialectical behavior therapy. This therapy is an approach that utilizes emotion regulation strategies to solve emotional and behavioral problems and emphasizes emotion training, acceptance, and accreditation in therapeutic interventions. The present study was conducted to determine the effectiveness of dialectical behavior therapy on family functioning and communication patterns of mothers of children with ADHD.
Methods: This study was a quasi-experimental study with a pretest-posttest design with a control group. The statistical population of the present study was all mothers of children with ADHD living in Baharestan City, Iran, during the academic year of 2018-2019. A total of 30 parents were selected by convenience sampling and randomly divided into the experimental (n=15) and control groups. The inclusion criteria included performing a 4-CSI questionnaire on mothers to screen for ADHD from other disorders with a score of 6, a clinical interview with a child psychiatrist or psychologist to diagnose the disorder, and mothers' literacy. We used parents of children with various ADHD disorders. The exclusion criteria comprised not participating in treatment sessions, participation of the mother in similar treatment sessions, a history of mental illness in the mother, and other concurrent disorders in the child such as mental retardation and psychotic disorders according to the child's record and psychiatrist diagnosis. The treatment sessions were based on Robbins et al. (2001) dialectical behavior therapy guide. The experimental group received dialectical behavioral therapy training interventions, but the control group did not receive training. The intervention comprised ten 60-min sessions, twice a week for five weeks. Family Assessment Device (Epstein et al., 1983) and Communication Patterns Questionnaire (Christensen & Sullaway, 1984) were used in the pretest and posttest stages. The collected data were described with descriptive statistics (mean and standard deviation). Data analysis was done by the univariate analysis of variance in SPSS 22 (α=0.05).
Results: According to the results, there was a significant difference between the experimental group and the control group in family functioning (p=0.008) and the communication patterns of mothers of children with ADHD, including the mutual constructive communication pattern (p<0.001), the mutual avoidance communication pattern (p<0.001), and the expectation/withdrawal communication pattern (p<0.001).
Conclusion: Based on the study results, dialectical behavior therapy is effective in improving family functioning, reducing mutual avoidance communication patterns and expectation/withdrawal communication, as well as increasing the constructive communication pattern in mothers of children with ADHD.

Keywords: Dialectical behavior therapy, Family function, Communication patterns, Attention-Deficit Hyperactivity Disorder
Full-Text [PDF 603 kb]   (415 Downloads)    
Type of Study: Original Research Article | Subject: Psychology
References
1. Ougrin D, Chatterton S, Banarsee R. Attention deficit hyperactivity disorder (ADHD): review for primary care clinicians. London J Prim Care (Abingdon). 2010;3(1):45–51. [DOI]
2. Hartung CM, Lefler EK, Canu WH, Stevens AE, Jaconis M, LaCount PA, et al. DSM-5 and other symptom thresholds for adhd: which is the best predictor of impairment in college students? J Atten Disord. 2019;23(13):1637–46. [DOI]
3. Lindblad I, Gillberg C, Fernell E. ADHD and other associated developmental problems in children with mild mental retardation. The use of the "Five-To-Fifteen" questionnaire in a population-based sample. Res Dev Disabil. 2011;32(6):2805–9. [DOI]
4. Farid A, Najafzadeh A. The effectiveness of drawing therapy on attention deficit – hyperactivity disorders of elementary students ducation (teacher evaluation). J Sabzevar Uni Med Sci. 2017;24(5):353–8. [Persain] [Article]
5. Nejati, Mosavi, Roshan, Mahmodigharaei. Effectiveness of child-parent relationship therapy (CPRT) on the improvement of mothers' parenting of children 8 - 11 years with ADHD. J Cli Psy. 2016;8(1):37–49. [Persian] [DOI]
6. Motahhari ZS, Ahmadi K, Behzadpoor S, Azmoodeh F. Effectiveness of mindfulness in marital burnout among mothers of ADHD children. Family Counseling and Psychotherapy. 2014;3(4):591–613. [Persian] [Article]
7. Seyyed Moharrami I, Ghanbary Hashem Abady B, Asghari Ebrahim Abad M. Effectiveness of group counseling with structured approach on family function and marital satisfaction. Research in Clinical Psychology and Counseling. 2017;4(2):32–8. [Persian] [DOI]
8. Nikzad Z, Keshvari M, Farajzadegan Z. The role of family function in locus of control of adolescent girls in Isfahan. Journal of Pediatric Nursing. 2017;4(2):32–8. [Persain] [DOI]
9. Landreth GL. Play Therapy: the art of the relationship. New York: Brunner-Routledge; 2012.
10. Bakhshi H, Asadpour M, Khodadadizadeh A. Correlation between marital satisfaction and depression among couples in Rafsanjan. J Qazvin Med Sci. 2007;11(2):37–43. [Persian] [Article]
11. Bartle‐Haring S. The relationships among parent–adolescent differentiation, sex role orientation and identity development in late adolescence and early adulthood. Journal of Adolescence. 1997;20(5):553-65. [DOI]
12. Faramarzi S, Karamimanesh V, Mahmoudi M. Meta-analysis of effectiveness of psychological interventions in mental health of families with children with mental disabilities (2012-2013). Clinical Psychology Studies. 2013;4(13):89–106. [Persian] [Article]
13. Jamali Paghale S, Abedi A, Aghaie E. Meta-analysis effectiveness of psychological intervention on rate of ADHD symptoms. Journal of Exceptional Children. 2012;11(4):321–34. [Persain] [Article]
14. Abedi A, Jamali S, Faramarz S, Aghaie E, Behruz M. A comprehensive meta-analysis of the common interventions in ADHD. Contemporary Psychology. 2012;7(1):17–34. [Persian] [Article]
15. Swales MA, Heard HL. Dialectical Behaviour Therapy: distinctive features. London ; New York: Routledge; 2016.
16. Alavi K, Modares Gharavi M, Amin-Yazdi SA, Salehi Fardadi J. Effectiveness of group dialectical behavior therapy (based on core mindfulness, distress tolerance and emotion regulation components) on depressive symptoms in university students. Journal of Fundamentals of Mental Health. 2011;13(50):35–124. [Persain] [DOI]
17. Zargar F, Mohammadi A, Omidi A, Bagherian Saraverdi R. The third wave of behavior therapy with emphasis on Acceptance- Based Behavior Therapy. J Res Beh Sci. 2013;10(5):383–90. [Persian] [Article]
18. Zamani N, Farhadi M, Jamilian HR, Habibi M. Effectiveness of Group Dialectical Behavior Therapy (Based on Core Distress Tolerance and Emotion Regulation Components) on Expulsive Anger and Impulsive Behaviors. J Arak Uni Med Sci. 2015;17(11):53–61. [Persain] [Article]
19. Narimani M, Bagiyan-Kulemarez MJ, Ahadi B, Abolghasemi A. The study of effectiveness of group training of Dialectical Behavioral Therapy (DBT) on reducing of symptoms of Attention Deficit / Hyperactivity Disorder (ADHD) and promoting quality of life of students. Journal of Clinical Psychology. 2014;6(1):39–51. [Persian] [DOI]
20. Bratton SC, Ray D, Rhine T, Jones L. the efficacy of play therapy with children: a meta-analytic review of treatment outcomes. Professional Psychology: Research and Practice. 2005;36(4):376–90. [DOI]
21. Mirnasab M. Barrasi asar–bakhshi darmangar-haye raftari va shenakhti dar kahesh neshane-haye balini ekhtelal naresaie tavajoh/fozoun koneshi koodakan [The effectiveness of behavioral and cognitive-behavioral therapies in reducing the clinical symptoms of attention deficit/hyperactivity disorder in children] [Ph.D. dissertion in Education of Exceptional Children]. [Tehran, Iran]: University of Tehran; 2006. [Persian]
22. Beyrami M, Hekmati I, Soudmand M. Comparison of family functioning of mothers with and without ADHD children. Journal of Modern Psychological Researches. 2010;4(16):21–41. [Persian] [Article]
23. Delavar A. Educational and Psychological Research. Tehran: Virayesh Pub; 2015. [Persian]
24. Sprafkin J, Gadow K. Early Childhood Symptom Inventories Manual. New York: Checkmate Plus. 1994.
25. Grayson P, Carlson GA. The utility of a DSM-III-R-based checklist in screening child psychiatric patients. J Am Acad Child Adolesc Psychiatry. 1991;30(4):669–73. [DOI]
26. Mohammad Esmaeel E. Adaptation and standardization of Child Symptom Inventory-4 (CSI-4). Journal of Exceptional Children. 2007;7(1):79–96. [Article]
27. Epstein NB, Baldwin LM, Bishop DS. The McMaster family assessment device. Journal of Marital and Family Therapy. 1983;9(2):171–80. [DOI]
28. Chavoshi M, Yazdi S, Hosseinian S. Effectiveness based on the Indigenous Happiness-Oriented Family Model on the Function of Family. Journal of Woman and Family Studies. 2019;7(1):97-115. [DOI]
29. Christensen A, Sullaway M. Communication Patterns Questionnaire. Unpublished manuscript. Los Angeles: University of California: 1984.
30. Samadzadeh M, Shaieri MR, Javidi N. Communication patterns questionnair: the reliability and validity. Family Counseling and Psychotherapy. 2013;3(1):124–50. [Persian] [Article]
31. Robins CJ, Ivanoff AM, Linehan MM. Dialectical Behavior Therapy. In: Handbook of Personality Disorders: Theory, research, and treatment. New York, US: Guilford Press; 2001. pp: 437–59.
32. Najarpour S, Khalatbari J. The effectiveness of group cognitive therapy and dialectical behavior therapy on students' general health. Thoughts and Behavior in Clinical Psychology. 2016;10(38):17–26. [Persian] [Article]
33. Miller AL, Rathus JH, Linehan M. Dialectical Behavior Therapy with Suicidal Adolescents. New York: Guilford Press; 2007.
34. Van Dijk S, Jeffrey J, Katz MR. A randomized, controlled, pilot study of dialectical behavior therapy skills in a psychoeducational group for individuals with bipolar disorder. J Affect Disord. 2013;145(3):386–93. [DOI]
Add your comments about this article : Your username or Email:
CAPTCHA
Send email to the article author

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2025 CC BY-NC 4.0 | Middle Eastern Journal of Disability Studies

Designed & Developed by : Yektaweb