Tayebeh Madanifar, Parisa Seyed Mousavi, Mahin Hashemipour, Mahdi Tabrizi, Majid Koohi Esfahani5,
Volume 23, Issue 89 (6-2024)
Abstract
Aim: This research was conducted with the aim of designing and validating the Mentalization promoting program for parents of a child with type 1 diabetes and investigating its effectiveness on parents' reflective Functioning and emotional-behavioral problems of the child. Methods: A mixed method was used in this research. In the qualitative part, the mentalization problems of 18 children with T1D and 22 of their parents were extracted through the analysis of interviews with the method of transcendental phenomenology, and three general themes,18 main sub-themes and 50 sub-themes were obtained. Then, based on these themes and within the framework of the concepts of mentalization theory, a program to promote the mentalization of parents with a child with type 1 diabetes was designed. After confirming the content validity based on the CVI, with a semi-experimental method and a single-subject design of the type (A-B) with different subjects, 5 parents of children with diabetes who met the criteria for entering the research, were selected with a purposeful sampling method and participated in the program. The effectiveness of this program was assessed in four phases (baseline, during intervention, after intervention and follow-up) using the Child Behavior Checklist (CBCL) and the Parental Reflective Functioning Questionnaire (PRFQ) and indicators of program goals. Then data was checked based on visual analysis indicators. Results: The final outcome of this phenomenological study is the extraction of three general themes, including the underlying factors of breakdowns in mentalizing, types of common mentalizing problems, and the consequences of breakdowns in mentalizing which became the basis for design the program to promote the mentalization of parents with a child with type 1 diabetes The results showed that the designed program, while having sufficient validity, was effective in increasing the parents reflective Functioning and reducing the emotional-behavioral problems of the child, and this effectiveness continued in the follow-up phase. Conclusion: Considering the validity of this program and its effectiveness, it is suggested that this program be widely implemented to help improve the physical and mental health of children with diabetes and their families, and also for children with other chronic diseases should also be adapted.
Fatemeh Kafinia, Tayebeh Sharifi, Ahmad Ghazanfari,
Volume 24, Issue 93 (3-2025)
Abstract
Aim: This study aimed to compare the effectiveness of compassion-based mindfulness therapy and mentalization-based therapy on the resilience of mothers of children with educable intellectual disabilities. Methods: A quasi-experimental design with pre-test, post-test, and follow-up assessments and a control group was used. The statistical population consisted of mothers of children with educable intellectual disabilities in Farsan during the second half of 2023. Using convenience sampling, 45 participants were selected and randomly assigned to three groups (15 in each group). The first experimental group received eight 90-minute sessions of compassion-based mindfulness therapy, and the second experimental group received eight 90-minute sessions of mentalization-based therapy. The control group did not receive any intervention. The research instruments included the Connor-Davidson Resilience Scale (CD-RISC, 2003) and a brief clinical interview. Data were analyzed using repeated measures ANOVA. Findings: The results indicated that both mentalization-based (p < 0.001) and compassion-based mindfulness (p < 0.001) interventions had a lasting impact on increasing overall resilience and its subscales. Moreover, no significant difference was found between the effectiveness of the two treatment methods in enhancing resilience and its components (p > 0.05). Conclusion: Based on the findings, both compassion-based mindfulness therapy and mentalization-based therapy can be effectively used to enhance the resilience of mothers of children with educable intellectual disabilities
