Volume 29, Issue 4 (7-2022)                   RJMS 2022, 29(4): 91-101 | Back to browse issues page

Research code: 01
Ethics code: IR.IAU.SDJ.REC.1399.039
Clinical trials code: 123657

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Gheyasvandian M, Akbari M, Godarzi M, Moradi O. The effectiveness of model of acceptance and practice based on early maladaptive schemas with the mediating role of emotion regulation difficulties on improving the quality of life of mothers of exceptional children. RJMS 2022; 29 (4) :91-101
URL: http://rjms.iums.ac.ir/article-1-7134-en.html
Assistant Professor, Department of Psychology, Sanandaj Branch, Islamic Azad University, Sanandaj, Iran , Akbari@iausdj.ac.ir
Abstract:   (904 Views)
Background & Aims: Having an exceptional child in the family often causes irreparable damage. The vulnerability of the family to this injury is sometimes so great that the family is severely damaged in terms of mental health. Quality of life is a broad concept that encompasses all aspects of life, including health. The term, which is also used in a variety of political, social, and economic contexts, is often used in medical research and is considered by most experts to have different dimensions: physiological, social, physical, and even spiritual. Acceptance and practice therapy has six central processes that lead to psychological flexibility. These six processes are: acceptance, failure, self as context, present communication, recognition of values and action, acceptance and practice therapy Its purpose is not to make a direct change in the client, but to help the client to relate to his or her experiences in different ways and to be able to fully engage in meaningful and value-based loss that seems to be able to help mothers of exceptional children. ; However, and in general, according to the presented principles, mothers with mentally retarded children have many challenges in quality of life and mood that these factors may affect the family structure as well as family relationships and marital issues. Cause problems for them in these areas. Therefore, appropriate solutions to improve the perception of quality of life and mood of mothers with mentally retarded children can improve the family environment. However, considering the research gap in the effectiveness of the acceptance and practice approach based on early maladaptive schemas on the quality of women with exceptional children, this study seeks to determine whether the causal model of acceptance and practice based on primary maladaptive schemas with a mediating role Does the difficulty in regulating emotion improve the quality of life of mothers of exceptional children fit the experimental model?
Methods: This research is both an experimental-field research that was performed by pre-test and post-test with the control group and also by correlation-modeling method. The statistical population includes all mothers with children with mental and physical disabilities in Kermanshah. 30 sample males were purposefully selected and randomly divided into two groups. Admission-based treatment interventions were performed on the experimental group in one of the exceptional children's schools twice a week in 90-minute sessions for eight sessions. Data collection tools included Weir et al.'s (1996) Quality of Life Questionnaire, the Hertzgertz and Roemer (2004) Difficulty in Emotional Adjustment Questionnaire, the Young (2005) Adaptive Schema Scale (2005), and the Bond et al. (2017) Acceptance and Action Questionnaire. In this study, covariance in SPSS software and structural equations in PLS software were used to analyze the data.
Results: The results show that the condition of non-alignment is met. The second criterion for evaluating the internal model is the path coefficients, which in order to examine their significance, the self-management procedure has been used. The results indicate that disconnection and rejection have a positive and significant effect on the difficulty of emotion
regulation; Impaired self-control has a positive and significant effect on the difficulty of emotion regulation; Orientation has a positive and significant effect on the difficulty of emotion regulation; Listening has a positive and significant effect on the difficulty of regulating emotion; Impaired limitation has a positive and significant effect on the difficulty of emotion regulation; Disconnection and rejection have a positive and significant effect on action and acceptance; Impaired self-government has a positive and significant effect on action and acceptance; Orientation has a positive and significant effect on practice and acceptance; Listening has a positive and significant effect on practice and acceptance; Impaired constraints have a positive and significant effect on action and acceptance, and the difficulty of regulating emotion has a positive and significant effect on action and acceptance. Also, based on the obtained results, the indirect effect of disconnection and rejection on action and acceptance is significant with the role of a difficult mediator in emotion regulation; The indirect effect of impaired self-regulation on action and acceptance is significant with a difficult mediating role in emotion regulation; Another indirect effect of direction on action and acceptance is significant with a difficult mediating role in emotion regulation; Another indirect effect of listening is significant on action and acceptance with a difficult mediating role in emotion regulation, and another indirect effect of impaired constraint on action and acceptance with a difficult mediating role in emotion regulation is significant. Also, the interaction between the group and the quality of life test is not significant. In other words, the data support the hypothesis of homogeneity of regression slopes (p = 0.188 and F = 1.830). Also, after adjusting the quality of life test pretest scores, there was no significant difference between the effects of the experimental and control groups (sig = .001 and. Therefore, the null hypothesis that there is no difference between the two groups is rejected and it is concluded that the education program based on the causal model of action and acceptance has been effective on the quality of life of mothers with exceptional children.
Conclusion: The goal of acceptance and practice therapy is to create more psychological flexibility. Psychological resilience refers to the ability to change or perpetuate behavioral classes of action that contribute to valuable goals. Because it is not possible to eliminate or displace the language processes that cause human problems, the goal is to bring these processes into contextual control. These processes are related to the change of central language processes that interfere with psychological flexibility. Acceptance and practice treatment interventions can be performed through any of these processes. In acceptance and practice therapy, no action is taken to reduce, change, avoid, suppress or control private experiences (thoughts and feelings). Rather, clients learn to reduce the impact of unwanted thoughts and feelings through the effective use of pervasive consciousness.
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Type of Study: Research | Subject: Psychiatry

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