Razi Journal of Medical Sciences

fa اثربخشی درمان راه حل محور بومی بر خودکارآمدی و نظم جویی هیجانی مادران دارای فرزند کم توان ‌ذهنی The effectiveness of native solution therapy on self-efficacy and emotional regulation of mothers with mentally retarded children روانشناسی بالینی Clinical Psychiatry پژوهشي Research زمینه و هدف: تحقیقات نشان داده است که از جمله متغیرهایی که مادر کودک ناتوان ذهنی میتواند با آن درگیر باشد، مدیریت و تنظیم هیجان است؛ بنابراین هدف از پژوهش حاضر بررسی اثربخشی درمان راه حل محور بومی بر خودکارآمدی و نظمجویی هیجانی مادران دارای فرزند کم‌توان بود. روش کار: روش تحقیق نیمه آزمایشی و طرح تحقیق پیش آزمون - پس آزمون با گروه کنترل نابرابر استفاده شد،. جامعه آماری این پژوهش شامل کلیه مادران دارای فرزند کمتوان ذهنی مراجعه کننده به واحد توانبخشی بهزیستی شهر اراک در سه ماه اول سال 1398 بود. نمونه تحقیق شامل 40  نفر (20 گروه کنترل و 20 نفر آزمایش) بودند که به صورت نمونهگیری دردسترس و داوطلبانه انتخاب شدند. برای جمعآوری اطلاعات از پرسش نامه تنظیم هیجان گارنفسکی و خودکارآمدی شرر استفاده شد. پس از اجرای پیش آزمون، مداخله (راهحل محوری دی شازر) به گروه آزمایش ارایه گردید. پس از پایان برنامه مداخلهای، از هر دو گروه پس آزمون گرفته شد. برای تحلیل دادهها از روش تحلیل کواریانس  استفاده شد. یافته‌ها:  نتایج نشان داد که مداخله راهحل محور بر خودکارآمدی و نظمجویی هیجانی مادران دارای فرزند کمتوان ذهنی شهر اراک اثربخش بوده است (05/0>p). نتیجه‌گیری: به نظر می‌رسد که درمان راه حل محور بومی بر خودکارآمدی و نظمجویی هیجانی مادران دارای فرزند کم‌توان ذهنی اثر گذار است؛ ینابراین جهت بالا بردن اعتبار بیرونی تحقیق در جوامع دیگر و با تعداد نمونه بیشتر مورد بررسی قرار گیرد. Background & Aims: Research has shown that one of the variables that the mother of a mentally retarded child may be involved with is emotion management and regulation. Mental retardation is one of the biggest, most complex and difficult issues and problems of children and adolescents in today's human societies. Mental retardation is a heterogeneous and lifelong disorder that is mostly associated with specific problems related to brain or sensory function and includes genetic disorders that affect cognition and behavior (1). Mothers are more affected by the processes that the presence of a disabled child in the family system than fathers due to more involvement and companionship with their children (2). The results showed that there is a significant difference between the mental disorders of mothers of mentally retarded children with learning and late learning (3) and the quality of life (4) of mothers of mentally retarded children with mothers of healthy and normal children. Picat and Dolan (5) also suggest that short-term, short-term treatment is an appropriate intervention for adolescents and adults in many areas. In addition, Adigozel and Goktiork (6) consider the use of solution-oriented perspective as a more effective way to solve psychological problems; so the aim of this study was to evaluate the effectiveness of native solution therapy on self-efficacy and emotional regulation of mothers with mentally retarded children. Methods: The present study was a quasi-experimental study with a pretest-posttest design with unequal control and experimental groups. Sample of this stage of research among mothers with mentally retarded children in Arak in the first quarter of 1398 who had referred to Arak Welfare who were available by voluntary sampling method Sampling was selected. For this purpose, after informing the mentioned community and informing them of the research objectives, the applicants were registered. After enrollment, 40 eligible mothers were randomly replaced in the experimental and control groups (20 in the experimental group, 20 in the control group) using the "individual assignment to group" method. Inclusion criteria include 1- one of their first-degree relatives is mentally retarded, 2- the minimum age of the participant is 18 years, 3- the maximum age of the participant is 55 years, 4- at least 5 years with a minor ¬ has mental ability in direct contact, 5- has no extreme love or hatred for the person with mental disabilities, 6- has no mental or physical illnesses such as paranoid that affect their narratives, 7- Be willing to cooperate and participate in the interview session and 8- Other members of their family are also willing to cooperate and participate in the interview. Exclusion criteria include 1- Whenever it is determined for the researcher that the participant does not meet the conditions to enter the research and has entered the research illegally, 2- If they do not attend the interview, 3- Other families Do not participate in the research and 4- refrain from providing information in the interview session. Protocol therapy was developed based on the De Shazer-based solution therapy method, ie strengthening strengths, defining and praising clients, examining exceptions, using the special question "somewhere", scaling questions, and miracle questions. 90 minutes per week were performed for the experimental group. Results: The results showed that There is a significant difference between the experimental and control groups in at least one of the dependent variables. To find out the difference, univariate analysis of covariance (ANCOVA) test was used. Also, there is a significant difference between the research groups in the variables of emotional regulation and self-efficacy and the value of the significant level obtained is less than the alpha value in both variables (α = 0.05), thus with 95% probability of solution treatment. Axial, affects emotional regulation. Also, the observed effect coefficient is equal to 0.229 for the emotional regulation variable and 0.470 for the self-efficacy variable. There is a significant difference between the control and experimental groups in the post-test stage of the variables of emotional regulation and self-efficacy and the value of the significant level obtained is less than the alpha value (α = 0.05), thus with a 95% probability between the two experimental groups. And control There is a difference in the post-test of the emotional regulation variable. Conclusion: According to the results, after adjusting the pre-test scores, the difference in post-test scores between the experimental and control groups is significant for the self-efficacy variable. In other words, solution-oriented treatment, considering the mean of self-efficacy in the pre-test stage compared to the mean of self-efficacy of the control group, caused a significant increase in the self-efficacy of mothers with mentally retarded children in the experimental group. The effect or difference showed that the differences in the self-efficacy post-test scores were related to the effect of the solution-oriented treatment and this treatment caused the mean of the self-efficacy post-test scores to be higher in the experimental group than the control group. As a result, the increase in the mean scores of the experimental group compared to the control group in the post-self-efficacy test is due to receiving the solution-oriented treatment intervention in the experimental group. The result of this hypothesis is in line with the research of Zareinejad et al. (7), Moghaddamnia et al. (8), Fitzgerald et al. (9), Lloyd et al. (10) and Baldwin et al. (11). One of the techniques of solution-oriented treatment is problem normalization. This is a technique that assures the client that his problem is not unique. The therapist helps her to know that she is not the only one experiencing this problem, others have experienced this problem and there is hope for finding a solution to this problem. Finding exceptions to the problem as part of treatment allows clients to shift their focus from the problem to a time when there was no problem. The therapist asks the client to look for times when the problem was not in his life and how he did it. The exception question reminds the authorities that the authorities would have been difficult without it  (12). Therefore, it can be said that using the solution-oriented therapy technique, in which a person sets positive and negative goals, one can learn to evaluate the situation by relating to the environment and surroundings, and regulate emotion as a positive goal. Consider and choose low excitement as a negative goal; Therefore, solution-oriented therapy can be effective in regulating the emotions of mothers with mentally retarded children. In general, it can be said that the native solution-oriented intervention has an effect on self-efficacy and emotional regulation of mothers with mentally retarded children and it is recommended to use this intervention in different medical centers. It is also suggested that in similar cases it be placed in a relaxation plant to increase the external credibility of the research. It seems that the treatment of indigenous solution-based solutions has an effect on self-efficacy and emotional regulation of mothers with disabled children, so to increase the external validity of the research in other communities and with a larger number of samples should be examined. In general, it can be said that the native solution-oriented intervention has an effect on self-efficacy and emotional regulation of mothers with mentally retarded children and it is recommended to use this intervention in different medical centers. It is also suggested that in similar cases be placed in the resting plant to increase the validity of the outer larvae of the research. راه‌حل محوری, خودکارآمدی, نظم جویی هیجانی, مادران, کم‌توان ذهنی Solution Therapy, Self-Efficacy, Emotional Regulation, Mothers, Mental Retardation 100 108 http://rjms.iums.ac.ir/browse.php?a_code=A-10-5533-1&slc_lang=fa&sid=1 maryam farahani مریم فراهانی maryamfarahani2929@gmail.com 3900319475328460056261 3900319475328460056261 No Islamic Azad University, khomain دانشگاه آزاد اسلامی،خمین، Rahim Hamidipour رحیم حمیدی پور r.hamidipour@cfu.ac.ir 3900319475328460056262 3900319475328460056262 Yes Farhangian University, Tehran, Iran دانشگاه فرهنگیان، تهران، ایران Hassan Heidari حسن حیدری heidarihassan@yahoo.com 3900319475328460056263 3900319475328460056263 No Islamic Azad University, khomain branch دانشگاه آزاد اسلامی،خمین،