مجله اصول بهداشت روانی

مجله اصول بهداشت روانی

آموزش مجازی مهارت‌های فرزندپروری و بازی‌درمانی برای بهبود مادری: شواهدی از همه‌گیری کووید-۱۹ در ایران

نوع مقاله : مقاله پژوهشی

نویسندگان
Sarah Pishdadian 1
Seyyed Mohsen Asgharinekah 2
Seyedeh Soleil Ziaee 3
1 Department of Psychology, Islamic Azad University, Shahrood, Iran.
2 Department of Educational and Counseling Psychology, Faculty of Educational Sciences and Psychology, Ferdowsi University of Mashhad, Mashhad, Iran.
3 Department of Islamic Education, Institute for Islamic Studies in Humanities, Ferdowsi University of Mashhad, Mashhad, Iran.
10.22038/JFMH.2025.90031.3268
چکیده
مقدمه: در طول همه‌گیری کووید-۱۹، والدین با چالش‌های مختلفی روبرو شدند که بر رفاه خانواده، به ویژه مادر بودن، تأثیر گذاشت. ما روابط بین افسردگی، اضطراب و استرس مادران را با اضطراب کودک در طول همه‌گیری کووید-۱۹ ارزیابی کردیم و سپس اثربخشی آموزش مجازی مهارت‌های فرزندپروری و بازی‌درمانی را بر اضطراب، افسردگی و استرس مادران و همچنین اضطراب کودک بررسی کردیم.
روش‌ کار: در مطالعه حاضر، مادران کودکان بین چهار تا شش سال (۳۱۵ نفر) در فوریه ۲۰۲۱ در ایران انتخاب شدند. پس از غربالگری اولیه بر اساس سطح اضطراب کودک و تعداد کل انصراف‌دهندگان، شرکت‌کنندگان به طور تصادفی به گروه مداخله (۲۶ نفر) یا گروه کنترل (۳۱ نفر) اختصاص داده شدند. مداخله شامل هشت جلسه آموزش مجازی ۹۰ دقیقه‌ای آنلاین به همراه فعالیت‌های پیگیری با استفاده از یک گروه مجازی آفلاین بود. برای ارزیابی متغیرها، از روش‌های DASS-21، SCAS-Parent و تحلیل کوواریانس استفاده شد.

نتایج: نتایج نشان داد که آموزش مجازی منجر به کاهش معنادار اضطراب، افسردگی و اضطراب مادران شده است. در مجموع، این برنامه در بهبود سلامت روان مادران و کودکان مؤثر بوده است.

نتیجه‌گیری: با توجه به یافته‌ها، آموزش مجازی مهارت‌های فرزندپروری و بازی‌درمانی می‌تواند یک روش درمانی مؤثر برای کاهش اضطراب و افسردگی مادران و کودکان در شرایط قرنطینه، مانند همه‌گیری کووید-۱۹، در نظر گرفته شود.
کلیدواژه‌ها
بازی‌درمانی
فرزندپروری
کووید-۱۹
  1. Bruining H, Bartels M, Polderman TJ, Popma A. COVID-19 and child and adolescent psychiatry: an unexpected blessing for part of our population? Eur Child Adolescent Psychiatry 2021; 30: 1139-40.
  2. Clemens V, Deschamps P, Fegert JM, Anagnostopoulos D, Bailey S, Doyle M, et al. Potential effects of “social” distancing measures and school lockdown on child and adolescent mental health. New York: Springer; 2020: 739-42.
  3. Cluver L, Lachman JM, Sherr L, Wessels I, Krug E, Rakotomalala S, et al. Parenting in a time of COVID-19. Lancet 2020; 395(10231): e64. 
  4. Gallagher S, Wetherell MA. Risk of depression in family caregivers: unintended consequence of COVID-19. BJPsych Open 2020; 6(6): e119.
  5. Fancourt D, Steptoe A, Bu F. Trajectories of anxiety and depressive symptoms during enforced isolation due to COVID-19 in England: a longitudinal observational study. Lancet Psychiatry 2021; 8(2): 141-9.
  6. Fegert JM, Vitiello B, Plener PL, Clemens V. Challenges and burden of the Coronavirus 2019 (COVID-19) pandemic for child and adolescent mental health: a narrative review to highlight clinical and research needs in the acute phase and the long return to normality. Child Adolesc Psychiatry Ment Health 2020; 14: 1-11.
  7. Mahase E. Covid-19: EU states report 60% rise in emergency calls about domestic violence. BMJ 2020; 223: 369.
  8. Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, et al. The psychological impact of quarantine and how to reduce it: Rapid review of the evidence. Lancet 2020; 395(10227): 912-20.
  9. Salari N, Hosseinian-Far A, Jalali R, Vaisi-Raygani A, Rasoulpoor S, Mohammadi M, et al. Prevalence of stress, anxiety, depression among the general population during the COVID-19 pandemic: A systematic review and meta-analysis. Global Health 2020; 16(1): 57.
  10. Stavridou A, Stergiopoulou AA, Panagouli E, Mesiris G, Thirios A, Mougiakos T, et al. Psychosocial consequences of COVID‐19 in children, adolescents and young adults: A systematic review. Psychiatry Clin Neurosci 2020; 74(11): 615.
  11. Russell BS, Hutchison M, Tambling R, Tomkunas AJ, Horton AL. Initial challenges of caregiving during COVID-19: Caregiver burden, mental health, and the parent-child relationship. Child Psychiatr Hum Dev 2020; 51: 671-82.
  12. Spinelli M, Lionetti F, Pastore M, Fasolo M. Parents' stress and children's psychological problems in families facing the COVID-19 outbreak in Italy. Front Psychol 2020; 11: 1713.
  13. Beland L-P, Brodeur A, Haddad J, Mikola D. Covid-19, family stress and domestic violence: Remote work, isolation and bargaining power. GLO Discussion paper; 2020.
  14. Brown SM, Doom JR, Lechuga-Peña S, Watamura SE, Koppels T. Stress and parenting during the global COVID-19 pandemic. Child Abuse Negl 2020; 110: 104699.
  15. Chung G, Lanier P, Wong PYJ. Mediating effects of parental stress on harsh parenting and parent-child relationship during coronavirus (COVID-19) pandemic in Singapore. J Fam Viol 2022; 37(5): 801-12.
  16. Fussell E, Lowe SR. The impact of housing displacement on the mental health of low-income parents after Hurricane Katrina. Soc Sci Med 2014; 113: 137-44.
  17. Wang Y, Tian L, Guo L, Huebner ES. Family dysfunction and Adolescents' anxiety and depression: A multiple mediation model. J Appl Dev Psychol 2020; 66: 101090.
  18. Achtergarde S, Postert C, Wessing I, Romer G, Müller JM. Parenting and child mental health: Influences of parent personality, child temperament, and their interaction. Fam J 2015; 23(2): 167-79.
  19. Pastorelli C, Lansford JE, Luengo Kanacri BP, Malone PS, Di Giunta L, Bacchini D, et al. Positive parenting and children's prosocial behavior in eight countries. J Child Psychol Psychiatry 2016; 57(7): 824-34.
  20. Cost KT, Mudiyanselage P, Unternaehrer E, Korczak DJ, Crosbie J, Anagnastou E, et al. The role of parenting practices in parent and child mental health over time. BJPsych Open 2023; 9(5): e147.
  21. Nikneshan S, Golparvar M, Abedi A. [The effectiveness of cognitive-behavioral play therapy and resiliency based play therapy on parenting stress in children with functional abdominal pain]. Razi journal of medical sciences 2020; 27(5): 86-97. (Persian)
  22. Van der Giessen D, Van Steensel FJ. Parent-child interactions and cognitive-behavioral therapy: A focus on anxious children. Handbook of lifespan cognitive behavioral therapy. 2023: 259-74.
  23. Smirnova EO. Character toys as psychological tools. International journal of early years education 2011; 19(1): 35-43.
  24. Štimac M. The puppet, the client and me in the spotlight: A heuristic study of the role of a puppet in dramatherapy. Josip Juraj Strossmayer University of Osijek; 2021.
  25. Snir S, Regev D, Ulitzur-Semel M, Belity I, Domany Y, Sali A, et al. Observation of Art Therapy Relationships (OART): An observational tool for the research of therapist-client and client-artwork relationships in art therapy. The arts in psychotherapy 2024; 87: 102100.
  26. Amir Ardejani N. [The effectiveness of cognitive-behavioral doll therapy on behavioral problems in children aged 9-7 years with visual impairment]. Rooyesh-e-Ravanshenasi journal 2023; 11: 195-204. (Persian)
  27. Didehban N, Afshani S. [The effectiveness of traplay on depressive symptoms and grief of bereaved children in COVID-19 epidemic]. Toloo-e-Behdasht 2023; 22(2): 15-30. (Persian)
  28. Madyawati L, Zubadi H, Yudi D. 'Doll made of unused goods' decreases the children's anxiety in disaster areas. Proceeding of the 3rd International Conference on Early Childhood Education; 2016. Atlantis Press.
  29. Bartik K, Toruner EK. Effectiveness of a preoperative preparation program on children's emotional states and parental anxiety. J Perianesth Nurs 2018; 33(6): 972-80.
  30. Moore PS, Whaley SE, Sigman M. Interactions between mothers and children: Impacts of maternal and child anxiety. J Abnorm Psychol 2004; 113(3): 471.
  31. Spence SH. A measure of anxiety symptoms among children. Behav Res Ther 1998; 36(5): 545-66.
  32. Jalali M, Mahmmodi H, Pourahmadi Esfestani E. Spence children’s anxiety scale through parent report: Psychometric properties in a community sample of Iranian children. Journal of Research in Psychopathology 2020; 1(2): 40-48.
  33. Samani S, Joukar B. [A study on the reliability and validity of the short form of the Depression, Anxiety, and Stress Scale-21 (DASS-21)]. Journal of social sciences and humanities of Shiraz University 2006; 26: 65-77. (Persian)
  34. Vindegaard N, Benros ME. COVID-19 pandemic and mental health consequences: Systematic review of the current evidence. Brain Behav Immunity 2020; 89: 531-42.
  35. Orsini A, Corsi M, Pedrinelli V, Santangelo A, Bertelloni C, Dell’Oste V, et al. Post-traumatic stress, anxiety, and depressive symptoms in caregivers of children tested for COVID-19 in the acute phase of the Italian outbreak. J Psychiatr Res 2021; 135: 256-63.
  36. Akbari M, Seydavi M, Zamani E. The mediating role of personalized psychological flexibility in the association between distress intolerance and psychological distress: A national survey during the fourth waves of COVID-19 pandemic in Iran. Clin Psychol Psychother 2021; 28(6): 1416-26.
  37. Badrfam R, Zandifar A, Khonsari NM, Qorbani M. Suicidal ideation, burnout, and their correlation among health care workers at the end of the fourth wave of the Covid-19 pandemic in Alborz Province, Iran. Front Psychiatry 2023; 14: 1261105.
  38. Zakeri MA, Dakkalirad A, Saedi F, Shahnavazi A, Kordi M, Ahmadipour M, et al. Depression and self-efficacy among Iranian children during the prevalence of COVID-19 disease. Front Pediatr 2022; 10: 888712.
  39. Altafim ERP, Linhares MBM. Universal violence and child maltreatment prevention programs for parents: A systematic review. Psychosocial intervention 2016; 25(1): 27-38.
  40. Zolfaghari A, Elahi T. Children’s level of anxiety in relation to their level of awareness and attitude towards corona virus based on the health belief model and the level of stress, anxiety and depression of mothers. Journal of research in psychological health 2020; 14(1): 40-55.
مجله اصول بهداشت روانی
دوره 28، شماره 1
بهمن و اسفند 1405
صفحه 25-36