اثربخشی برنامه یکپارچه درمان فراتشخیصی بر استرس والدینی و افسردگی در نوجوانان مبتلا به دیابت نوع یک

نوع مقاله : مقاله پژوهشی

نویسندگان

1 گروه روان شناسی و آموزش کودکان استثنایی، دانشگاه آزاد اسلامی، واحد علوم و تحقیقات، تهران، ایران

2 گروه روان شناسی و آموزش کودکان استثنایی، دانشکده روان‌شناسی و علوم تربیتی، دانشگاه تهران، تهران، ایران

چکیده

مقدمه و هدف: بیماری دیابت فرزند برای والدین می تواند استرس زا باشد از طرف دیگر شناسایی افسردگی در نوجوانان امری مهم تلقی می شود. پژوهش حاضر با هدف بررسی برنامه یکپارچه درمان فراتشخیصی  بر استرس والدینی و افسردگی در نوجوانان مبتلا به دیابت نوع یک انجام شد.
مواد و روش ها: پژوهش حاضر نیمه آزمایشی با طرح پیش آزمون و پس آزمون با گروه کنترل بود. جامعه آماری کلیه نوجوانان 15-12 سال مبتلا به دیابت نوع یک مراجعه کننده به انجمن دیابت ایران و والدین آنها در سال1399 بودند. با استفاده از روش نمونه گیری در دسترس و هدفمند، تعداد چهل و چهار نفر انتخاب و بطور تصادفی به دو گروه بیست و دو نفری تقسیم شدند. جهت بررسی استرس والدینی،  از شاخص استرس والدینی (آبیدین،1990) و جهت بررسی افسردگی نوجوانان،  از سیاهه رفتاری فرزند (آخنباخ، 1991)، قبل و بعد از ارائه برنامه استفاده گردید. برنامه طی هفده جلسه، برای گروه آزمایش اجرا شد. تجزیه وتحلیل داده ها با استفاده از روش تحلیل کوواریانس صورت گرفت.
نتایج: بین گروه ها در پس آزمون از نظر استرس والدینی (005/0>P) و از نظر افسردگی در نوجوانان (001/0>P) تفاوت معناداری وجود داشت که نشان دهنده تاثیر برنامه یکپارچه درمان فراتشخیصی برکاهش استرس والدینی و  کاهش افسردگی در نوجوانان مبتلا به دیابت نوع یک بود.
نتیجه گیری: برنامه یکپارچه درمان فراتشخیصی بر کاهش استرس والدینی و کاهش افسردگی در نوجوانان مبتلا به دیابت نوع یک، تأثیر دارد.

کلیدواژه‌ها

عنوان مقاله [English]

The effectiveness of unified transdiagnostic treatment protocols on parental stress and depression in adolescents with type 1 diabetes

نویسندگان [English]

  • Yasaman Shahriari 1
  • Sogand Ghasemzadeh 2
  • Leila Kashani Vahid 1
  • Samira Vakili 1
1 Department of Psychology and Education of Exceptional Children, Science and Research Branch, Islamic Azad University, Tehran, Iran
2 Department of Psychology and Education of Exceptional Children, Faculty of Psychology and Education, University of Tehran, Tehran, Iran
چکیده [English]

Background and Objective: The experience of diabetes by children can be stressful for parents. On the other hand, diagnosing depression in adolescents is important. This study aimed to investigate the effectiveness of unified transdiagnostic treatment protocols on parental stress and depression in adolescents with type 1 diabetes.
Materials and Methods: The present study was quasi-experimental with a pretest-posttest design and a control group. The statistical population included all adolescents aged 12-15 years with type 1 diabetes referred to the Iranian diabetes society and their parents in 2020. Forty-four participants were selected using convenience and purposive sampling, after which they were randomly divided into two groups (n=22). Parenting stress index (Abidin, 1990) and Child behavior checklist (Achenbach, 1991) were used to assess parental stress and adolescent depression, respectively, before and after treatment. The experimental group received the program during seventeen sessions. Data were analyzed using the analysis of covariance.
Results: There were significant differences between the groups in terms of parental stress (P<0.005) and adolescent depression (P<0.001), indicating the effectiveness of unified transdiagnostic treatment protocols on decreasing parental stress and also depression in adolescents with type 1 diabetes.
Conclusion: The unified transdiagnostic treatment protocols are effective in decreasing parental stress and also depression in adolescents with type 1 diabetes.

کلیدواژه‌ها [English]

  • Unified transdiagnostic treatment protocols
  • Parental stress
  • Depression
  • Adolescents
  • Type 1 diabetes

مراجع

  1. Mostafaie  MR, Bashirian  S. Comparative   survey of depression among chronic disease and healthy adolescences of Hamadan city. Journal of Hamadan Nursing & Midwifery Faculty 2012; 20(2): 65-71.
  2. 2.Cheraghi  F,  Mortazavi  SZ,  Shamsaei F ,  Moghimbeigi  A. Effect of education on management of blood glucose in children with diabetes. Journal of Nursing Education 2014; 3(1): 1-11.
  3. Mortazavi H, Tabatabaii Chehr M. Textbook of pediatric nursing .1 th ed. Tehran: Salemi 2013:474.
  4. Jafari S ,  Mohtashami   J,  Alaee Karahroudi  F,  Mansouri   S,  Rassouli R.  Perceived Social Support and Its Correlated Factors in Adolescents with Chronic Disease.  Hayat Journal 2016; 22(1): 65-78.
  5. Egan SJ, Wade TD,  Shafran  R.Perfectionism as atransdiagnostic process: A clinical review. Clinical Psychology Review 2011; 31(2): 203-12.
  6. MohammadZadeh Farhani  A,  Naderi  F ,  Rajab  A,  Ahadi H,  Kraskian S. Effectiveness of cognitive – behavioral therapy on psychological problems and Blood glucose control in children with diabetes mellitus type I. Iranian Journal of Pediatric Nursing 2018; 4(3): 56-63.
  7. Calvín JL, Gaviria A,  Ríos  MD. Prevalence of depression in type 2 diabetes mellitus. Revista Clínica Española 2015;4(3): 156-64.
  8. Azzopardi P, Willenberg L, Wulan  N, Devaera Y, Medise  B , Riyanti  A,  Ansariadi  A,  Sawyer S, Wigun T,  Kaligis  F,  Kennedy E,  Pedrana A. Borschmann  R,  Luchters  S,  Wiweko  B. Direct assessment of  mental  health  and  metabolic syndrome  amongst  Indonesian  adolescents: a study design for a mixed-methods study sampled from school and community settings. Global Health Action 2020; 23(5): 1-14.
  9. Kafali HY, Altinok Y, Ozbaran Burcu.Ozen  S, Kose  S, Tahillioglu  A, Darcan  S, Goksen  D. Exploring emotional dysregulation characteristics and comorbid psychiatric disorders in type 1 diabetic children with disordered eating behavior risk.Journal of Psychosomatic Research 2020;131: 70-89.
  10. Lawrence JM, Standiford DA,  Loots B,.  et al. Prevalence and correlates of depressed mood among youth with diabetes: The Search for Diabetes in Youth Study. Pediatrics 2016;117: 1348–1358.
  11. Hou Y, Jiang  F, Wang  X. Marital commitment, communication and marital satisfaction: An analysis based on actor-partner interdependence model. International Journal of Psychology 2019; 54(3): 369-76.
  12. Streisand R, Swift E,  Wickmark T, Chen  R,  Holmes  C. Pediatric parenting stress among parents of children with type 1 diabetes: the role of self-efficacy, responsibility, and fear. Natural Library of Medicine 2015; 30(6): 513-21.
  13. Carter MA. Stress in parents of children with type 1 diabetes. Doctoral dissertation, College of Nursing: university of Kentucky.[Serial Online] 2015. Accessed: https://uknowledge.uky.edu/cgi/viewcontent.cgi?article=1061&context=dnp_etds
  14. Smith J, Cheater F, Bekker  H. Parents' experiences of living with a childwith a long-term condition: A rapid structuredreview of the literature. Health Expect 2015;18(4): 452-474.
  15. Curtis k, Foster K, Mitchell  R, Van  C. Models of care delivery for familiesof critically ill children: An integrativereview. Journal of Pediatric Nursing 2016; 31(3): 330- 341.  
  16. Wu Y P, Graves MM, Roberts  MC & Mitchell A. C. Is insulin pump therapy better than injection for adolescents with diabetes? Diabetes. Research And Clinical Practice 2010; 89(2): 121–125.
  17. Nasri M, Ahadi A. Dortaj  F. The Effectiveness of Transdiagnostic Treatment on Cognitive Flexibility, Emotion Regulation and Hb Factor in Patients with Type 2 Diabetes. Joint Personnel Adjudication System 2017; 24(2): 81-100.
  18. Hague B, Scott S, Kellett  S. Transdiagnostic CBT treatment of comorbid anxiety and depression in an older adult: Single case experimental design. Behavioural and Cognitive Psychotherapy 2015; 43 (1): 119.124.
  19. Sandín B, García J, Valiente  M, Espinosa V. Clinical Utility of an Internet-Delivered Version of the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Adolescents (UP-A): A Pilot Open Trial.  International Journal of Environmental Research and Public Health 2020; 10(6): 1-17.  
  20. Ghasemzadeh S, Naghsh Z. The effectiveness of Unified  protocol for Transdiagnostic Treatment on mothers' emotion regulation and anxiety in children with type 1 diabetes.Iranian Red Crescent Medical Journal 2020; 11(22):1-7.
  21. Abdi R, Bakhshipour A, Mahmood Alilou  M, Farnam  A. Efficacy evaluation of unified transdiagnostic treatment in Patients with generalized anxiety disorder and a comorbid emotional disorder. Journal of Research in Behavioural Sciences 2013; 11 (5): 375-390.
  22. Achenbach T M. Manual for Child Behavior Checklist/4-18 and 1991 Profile. Burlington, VT: University of Vermont, Department of Psychiatry 1991.
  23. 23.minaei  A. Adaptation and standardization of Akhenbach's child's behavioral checklist Self-assessment questionnaire and teacher report form. Journal of Exceptional Children 2007; 6(1): 549-558.
  24. Fadaei Z, Dehghani M, Tahmasian K , Farhadei M. Investigating Reliability, Validity And Factor Structure Of Parenting Stress- Short Form In Mother`S Of 7-12 Year-Old Children. Journal of Research in Behavioural Sciences 2013; 8(16): 81 - 91.
  25. Wysocki T, Gavin L. Paternal involvement in the management of pediatric chronic diseases: Associations with adherence, quality of life, and health status. Journal of Pediatric Psychology2016;31: 501–511. 
  26. Milgram  L, Tonarely NA, May J. Youth Top Problems and Early Treatment Response to the Unified Protocols for Transdiagnostic Treatment of Emotional Disorders in Children and Adolescents. Child Psychiatry & Human Development 2021; 17(4):22-38.
  27. Tonarely NA, Kennedy S, Halliday  E,  Sherman  J, Ehrenreich-May  J. Impact of Youth Transdiagnostic Treatment on Parents’ Own Emotional Responding and Socialization Behaviors. Journal of Child and Family Studies 2021; 30(2):1141–1155.
  28. Whitmore A, Hudson S, West  E. Adapting psychosocial treatment to target parenting stress and parent–child relationships associated with transdiagnostic emotional and behavioural dysregulation in a culturally diverse population. Clinical Psychologist 2021; 25(1):55-68.
  29. Davis T , Hunt K,  Bruce  D, Starkstein  S, Skinner  T, McAullay  D. et al. Prevalence of depression and its associations with cardio-metabolic control in Aboriginal and Anglo-Celt patients with type 2 diabetes: The Fremantle Diabetes Study Phase II. Diabetes Research and Clinical Practice 2015; 107(3): 384- 91.
  30. Escalera  J, Valiente R, Chorot  P,  Ehrenreich-May  J, Kennedy  S, Sandín  B. The Spanish Version of the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Adolescents (UP-A) Adapted as a School-Based Anxiety and Depression Prevention Program: Study Protocol for a Cluster Randomized Controlled Trial. Journal of Medical Internet Research 2017;  6(8):149-158.  
  31. 31.Kennedy  K, Halliday  E, Ehrenreich  M. Trajectories of Change and Intermediate Indicators of Non-Response to Transdiagnostic Treatment for Children and Adolescents. Journal of Clinical Child & Adolescent Psychology 2020; 28(6):511-521.
  32. Lohan A, Morawska A, Mitchell A.  A Systematic review of parenting interventions for parents of children with type 1 diabetes. Journal of Child Care, Health and Development 2016; 41(6): 816- 817.
  33. Eustisa EH , Gallagherb M,  Tirpaka  J, Nauphala  M, Farchionea  TJ, Barlow  D. The Unified Protocol compared with diagnosis-specific protocols for anxiety disorders: 12-month follow-up from a randomized clinical trial. General Hospital Psychiatry 2020;67(1): 58–61.
دانشور پزشکی
دوره 30، شماره 1 - شماره پیاپی 158
فروردین و اردیبهشت 1401
صفحه 72-83

فایل ها

هم رسانی

ارجاع به این مقاله

آمار