Araştırma Makalesi
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Effectiveness of the Group Psychological Counseling Program Applied to Mothers of Moderate-Severe Mentally and Physically Handicapped Children / Orta-Ağır Zihinsel ve Bedensel Engelli Çocukların Annelerine Uygulanan Grup Psikolojik Danışmanlık Programının Etkililiği

Yıl 2022, Cilt: 13 Sayı: 6, 65 - 85, 30.12.2022
https://doi.org/10.19160/e-ijer.1185879

Öz

Abstract

The main purpose of the present study was to examine the effectiveness of the Group Counseling Program applied to mothers of children with moderate-severe mental and physical disabilities on psychological well-being, experiential avoidance, depression, anxiety, and stress. Groups were formed with the participation of 28 people in total, 14 people in the experimental group, and 14 people in the control group. For this reason, the study was designed according to the pretest-posttest matched control group design, and random sampling method was used to determine the study group. The study group was formed considering that it is easily accessible and applicable. The study design can be classified as a randomized controlled experimental test in terms of its function. Sessions includes different themes [An orientation/doing design for group counseling, the personal values and Powers, the mind and behavior, a creative despair, the concept of gratitude (appreciation), forgiveness, self/conscious awareness, the meaning of life and hope, evaluation]. Personal Information Form, Acceptance and Action Form-II (KEF-II), Depression Anxiety Stress Scale Short Form (DASS-21), Five-Dimensional Well-Being Scale (PERMA) forms were used to collect data. A group counseling program that was based on Contextual Positive Psychology Approach was applied to the experimental group, and no interventions were applied to the control group. A pretest was applied At the beginning of the sessions, and after the end (final session), the same set of measuring instruments was applied to the experimental and control group as a posttest. As a result of the study, a significant decrease in favor of the experimental group was detected in terms of depression, stress, anxiety, and experiential avoidance levels, and a significant increase was detected in the level of well-being.

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Orta-Ağır Zihinsel ve Bedensel Engelli Çocukların Annelerine Uygulanan Grup Psikolojik Danışmanlık Programının Etkililiği / Effectiveness of the Group Psychological Counseling Program Applied to Mothers of Moderate-Severe Mentally and Physically Handicapped Children

Yıl 2022, Cilt: 13 Sayı: 6, 65 - 85, 30.12.2022
https://doi.org/10.19160/e-ijer.1185879

Öz

Bu araştırmanın temel amacı orta-ağır düzey zihinsel ve bedensel engelli çocuğa sahip annelere uygulanan grupla psikolojik danışma programının psikolojik iyi oluş, yaşantısal kaçınma, depresyon, anksiyete ve stres üzerindeki etkililiğinin incelenmesidir. Bu araştırma deseni işlevi açısından seçkisiz kontrollü deneysel sınama olarak sınıflandırılabilir. Bu amacla çalışma deneysel desenlerden öntest sontest eşleştirilmiş kontrol gruplu desene göre desenlemiş, çalışma grubunun belirlenmesinde seçkisiz örnekleme yönteminden yararlanılmıştır. Kolay ulaşılabilir ve uygulama yapılabilir olması göz önünde bulundurularak araştırmanın çalışma grubu oluşturulmuştur. Deney grubunda 14 kişi ve Kontrol grubunda 14 kişi olmak üzere toplamda 28 kişinin katılımı ile gruplar oluşmuştur. Veri toplamak için Kişisel Bilgi Formu, Kabul ve Eylem Formu-II (KEF-II), Depresyon Anksiyete Stres Ölçeği Kısa Formu (DASS-21), Beş Boyutlu İyi Oluş Ölçeği (PERMA) formalarından faydalanılmıştır. Deney grubuna 9 oturumluk Bağlamsal Pozitif Psikoloji Yaklaşımına Dayalı Grupla Psikolojik Danışma Programı uygulanmış olup kontrol grubu ile ilgili herhangi bir çalışma yapılmamıştır. Oturumlar, grupla psikolojik danışmaya oryantasyon/yapılandırma, kişisel değerler ve güçler, zihin ve davranışlar, yaratıcı umutsuzluk, minnettarlık (değerbilirlik) olgusunu merkeze alma, affedicilik üzerine odaklanma, kendindelik/bilinçli farkındalık üzerine odaklanma, yaşam anlamı ve umut odaklı temaları içermektedir. Oturumların başlangıcında ön-test, bitişinden (son oturumdan) sonra deney ve kontrol gruplarına aynı ölçme aracı seti son-test olarak uygulanmıştır. Çalışmanın neticesinde; uygulanan eğitim programının deney grubunun kabul-eylem becerilerini geliştirme noktasında etkili olmuştur, depresyon, stres, anksiyete ve yaşantısal kaçınma düzeyleri açısından; deney grubun lehine anlamlı düzeyde bir azalma, iyi oluş düzeyin de ise anlamlı düzeyde bir yükselme gözlenmiştir.

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  • Pelchat, D., Ricard N., Bouchard JM., Perreault M., Saucier J-F., Berthiaume M., & Bisson J. (1999). Adaptation of parents in relation to their 6-month-old infant’s type of disability. Child Care Health Dev;25:377–397.
  • Peshawaria, R., Menon, D. K., Ganguly, R., Roy, S., Rajam Pillay, P. R. S., & Gupta, S. (1998). A study of facilitators and inhibitors that affect coping in parents of children with mental retardation in India. Asia Pacific Disability Rehabilitation Journal, 9(1), 118-126.
  • Pivik, J., Mc Comas J., & Laflamme M. (2002). Barries and facilitators to inclusive education. Except Child;69:97–107.
  • Ralpmund, V., & Moore C. (2000). Women’s stories of depression: a constructivist approach. S Afr J Psychol;30:20–31.
  • Köroğlu, E. (2004). Depresyon: nedir, nasıl bas¸ edilir. I. Baski. Ankara: Hekimler Yayin Birligi Yayini.
  • Krauss, M. W. (1993). Child-related and parenting stress: Similarities and differences between mothers and fathers of children with disabilities. American journal on mental retardation.
  • Roach, MA., Orsmond GI., & Barrat SM. (1999). Mothers and fathers of children with Down syndrome. Am J Ment Retard;104:422–436.
  • Rodriguez, CM., & Murphy LE. (1997). Parenting stress and abuse potential in mothers of children with developmental disabilities. Child Maltreat; 3: 245–252.
  • Ryde-Brandt, B. (1990). Anxiety and depression in mothers of children with psychotic disorders and mental retardation. Br J Psychiatry., 156: 118-21.
  • Rudolph, M., Rosanowski F., Eysholdt U., & Kummer P. (2003). Anxiety and depression in mothers of speech impaired children. Int J Pediatr Otorhinolaryngol.;67: 1337-41.
  • Russell, G. (1986). Primary caretaking and role-sharing fathers. In M. E. Lamb (Ed.), The father’s role: Applied perspectives (pp. 29-57). New York, NY: Wiley.
  • Sahdra, B. K., Ciarrochi, J., Parker, P., & Scrucca, L. (2016). Using genetic algorithms in a large nationally representative American sample to abbreviate the multidimensional experiential avoidance questionnaire. Frontiers in Psychology, 7, 189.
  • Sanders, JL., & Morgan SB. (1997). Family stress and adjustment as perceived by parents of children with autism or Down syndrome: Implications for intervention. Child & Family Behavior Therapy.;19: 15-32.
  • Sarisoy, M. (2000). Marital adjustment of autistic and mentally etarted children parents. MSc thesis. Izmir, Turkey: Ege University;. p 83
  • Schafer, W. (2000). Stress management for wellness. (3rd ed.). New York: Holt, Reinhart & Winston.
  • Schalock, R., Luckasson, R., & Shogren, K. (2007). The renaming of mental retardation: Understanding the change to the term intellectual disability. Intellectual and Developmental Disabilities, 45(2), 116-124.
  • Scherer, N., Verhey, I., & Kuper, H. (2019). Depression and anxiety in parents of children with intellectual and developmental disabilities: A systematic review and meta-analysis. PloS one, 14(7), e0219888.
  • Seltzer, MM., Greenberg JS., Floyd FJ., Pettee Y., & Hpng J. (2001). Life course impacts of parenting a child with a disability. Am J Ment Retard;106:265–286.
  • Shapiro, J. (1983). Family reactions and coping strategies in response to the physically ill or handicapped child: a review. Soc Sci Med;17:913–931.
  • Shin, JY. (2002). Social support for families of children with mental retardation: comparison between Korea and the United States. Ment Retard;40:103–118.
  • Singer, G. (2006). Meta-Analysis of comparative studies of depression in mothers of children with and without developmental disabilities. Am J Ment Retard.; 111(3):155–169. PMID: 16597183
  • Slentz, K. L., & Bricker, D. (1992). Family-guided assessment for IFSP development: Jumping off the family assessment bandwagon. Journal of Early Intervention, 16(1), 11–19.
  • Sloper, T., & Beresford B. (2006).Families with disabled children. BMJ;333:929–930.
  • Smith, T. B., Innocenti MS., Boyce GC., & Smith CS. (1993). Depressive symptomatology and interaction behaviors of mothers having a child with disabilities. Psyhol Rep.;73: 1184-6.
  • Smith, T. B., Oliver, M. N. I., & Innocenti, M. S. (2001). Parenting stress in families of children with disabilities. American Journal of Orthopsychiatry, 71(2), 257–261.
  • Stoneman, Z., &Crapps, J. M. (1988). Correlates of stress, perceived competence, and depression among family care providers. American Journal on Mental Retardation.
  • Summers, J. A., Dell'Oliver, C., Turnbull, A. P., Benson, H. A., Santelli, E., Campbell, M., & Siegel-Causey, E. (1990). Examining the individualized family service plan process: What are family and practitioner preferences?. Topics in Early Childhood Special Education, 10(1), 78-99.
  • Siegel-Causey, E. (1990). Examining the individualized family service plan process: What are family and practitioner preferences? Topics in Early Childhood Special Education, 10(1), 78–99.
  • Tavakolizadeh, J., Dashti, S., & Panahi, M. (2012). The effect of rational-emotional training on mothers’ mental health condition of children with mental retardation. Procedia-Social and Behavioral Sciences, 69, 649-658.
  • Tazaki, M & Landlaw, K. (2006). Behavioural mechanisms and cognitive-behavioural interventions of somatoform disorders. International Review of Psychiatry, 18 (1), 67-73.
  • Toprakçı, E. & Altunay, E. (2014). The relationship of psychological counseling and guidance staff and their administrators (a qualitative analysis in the stories) Elementary Education Online, 13(2), 526‐545, 2014. [Online]: http://ilkogretim‐online.org.tr
  • Trute, B., & Hiebert-Murphy, D. (2002). Family adjustment to childhood developmental disability: A measure of parent appraisal of family impacts. Journal of Pediatric Psychology, 27(3), 271–280.
  • Trute, B., & Hiebert-Murphy, D. (2005). Predicting family adjustment and parenting stress in childhood: Disability services using brief assessment tools. Journal of Intellectual and Developmental Disability, 30(4), 217–225.
  • Trute, B., Hiebert-Murphy, D., & Levine, K. (2007). Parental appraisal of the family impact of childhood developmental disability: Times of sadness and times of joy. Journal of Intellectual and Developmental Disability, 32(1), 1–9.
  • Uğuz, Ş., Toros, F., İnanç, B. Y., & Çolakkadıoğlu, O. (2004). Zihinsel ve/veya bedensel engelli çocukların annelerinin anksiyete, depresyon ve stres düzeylerinin belirlenmesi. Klinik Psikiyatri, 7(1), 42-7.
  • Uncu, Y., Bayram N., & Bilgel N. (2007) Job related affective wellbeing among primary health care physicians. Eur J Public Health 17(5):514–519
  • Vernon, H.G. & David, J. (2001). Coping and ıllness cognitions: chronic fatigue syndrome. Psychological studies, 21(2), 161-178.
  • Warren, R, Deffenbacher, JL. & Brading, P. (1976). Rational-emotive therapy and the reduction of test anxiety in elementary school students. Rational Living, 11(2), 26-29.
  • Wilton, K., & Renaut, J. (1986). Stress levels in families with intellectually handicapped preschool children and families with non-handicapped preschool children. Journal of Mental Defciency Research.
  • Woodman, A., Mawdsley H., &Hauser-Cram P. (2015). Parenting stress and child behavior problems within families of children with developmental disabilities: transactional relations across 15 years. Res Dev Disabil.; 36(1):264–276. https://doi.org/10.1016/j.ridd.2014.10.011 PMID: 25462487.
  • XU, Wenwei. (2006). Wuxi Mental Health Center,;Therapeutic effect of Ellis rational emotive behavior therapy on depression; Journal of Clinical Psychiatry; -04.
  • Yavuz, F., Iskin, M., Ulusoy, S., Esen, F. B., & Burhan, H. S. (2014). Turkish Version of AAQ-II: Preliminary analysis of reliability and validity. In ACBS Annual World Conference (Vol. 12, pp. 17-22).
  • Yılmaz, Ö., Boz, H., & Arslan, A. (2017). Depresyon anksiyete stres ölçeğinin (DASS 21) Türkçe kısa formunun geçerlilik-güvenilirlik çalışması. Finans Ekonomi ve Sosyal Araştırmalar Dergisi, 2(2), 78-91.
  • Yüksel, A. & Uyanık, Y. (2021). Engelli çocuk sahibi kadınların yaşadıkları güçlüklerin incelenmesi. Ankara Hacı Bayram Veli Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi, 23(3), 805-830. https://doi.org/10.26745/ahbvuibfd.997669
  • Yüksel, M. Y. & Eren, B. S. (2007). Otistik çocuğa sahip ailelerle yapilan grupla psikolojik danışma çalişmasının ailelerin depresyon ve problem çözme becerileri üzerine etkisi. Eğitim Bilimleri Dergisi, 25(25), 197-210.
  • Zare, M. & Shafiabadi, A. (2007). The comparison of effectuality of rational-emotive, behavioral group counseling and psychodram counseling on improving mental health and emotional expressing in women clients. Scientific and Research Journal Of Women Studies 2(1).
  • Zigler, E. & Hodapp, R.M. (1986). Unresponsiveness in children with severe disabilities: potential effects on parent-child ınteractions. The Exceptional Child, 34(1), 32-36.
Toplam 146 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Eğitim Üzerine Çalışmalar
Bölüm Sayı Makaleleri
Yazarlar

Fatıma Firdevs Adam Karduz 0000-0003-1765-6287

Adnan Özbey 0000-0002-5198-8026

Yayımlanma Tarihi 30 Aralık 2022
Yayımlandığı Sayı Yıl 2022Cilt: 13 Sayı: 6

Kaynak Göster

APA Adam Karduz, F. F., & Özbey, A. (2022). Effectiveness of the Group Psychological Counseling Program Applied to Mothers of Moderate-Severe Mentally and Physically Handicapped Children / Orta-Ağır Zihinsel ve Bedensel Engelli Çocukların Annelerine Uygulanan Grup Psikolojik Danışmanlık Programının Etkililiği. E-Uluslararası Eğitim Araştırmaları Dergisi, 13(6), 65-85. https://doi.org/10.19160/e-ijer.1185879

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