Volume 9, Issue 4 (Autumn 2023)                   JCCNC 2023, 9(4): 243-254 | Back to browse issues page


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Karami B, Khodabakhshi-Koolaee A, Heidari H, Davoodi H. The Effectiveness of Solution-focused Narrative Therapy and Mindfulness-based Stress Reduction on the Level of Expressed Emotion in Mothers of Boys With Gross Motor Disabilities. JCCNC 2023; 9 (4) :243-254
URL: http://jccnc.iums.ac.ir/article-1-468-en.html
1- Department of Counseling, Faculty of Humanities, Khomein Branch, Islamic Azad University, Khomein, Iran.
2- Department of Psychology & Educational Sciences, Faculty of Humanities, Khatam University, Tehran, Iran. , a.khodabakhshid@khatam.ac.ir
Abstract:   (1532 Views)
Background: Mothers with disabled children often express emotions, such as aggression and criticism toward their children. This study aimed to compare the effectiveness of solution-focused narrative therapy (SFNT) and mindfulness-based stress reduction (MBSR) on managing the expressed emotions of mothers of boys with gross motor disabilities.
Methods: This quasi-experimental study has a pre-test-post-test design with intervention and control groups. The research population consisted of all the mothers of children with gross motor disabilities referred to the “Success Counseling Center” in Tehran City, Iran, in 2022. A total of 45 eligible mothers were selected and randomly assigned to three groups: Two intervention groups and one control group (each 15). The SFNT was held in nine 90-minute sessions and the MBSR therapy in eight 90-minute sessions. The data were collected with the level of expressed emotion (LEE) scale and analyzed using descriptive statistics, such as frequency, percentage, Mean±SD, and the multivariate analysis of covariance (MANCOVA) and LSD post hoc test in SPSS software, version 26. The significance level was set at P<0.05.
Results: The post-test results showed a statistically significant difference between the mean scores of expressed emotion of the three groups (P<0.05). However, compared to MBSR, SFNT demonstrated greater efficacy in reducing mothers’ expressed negative emotions (P<0.05).
Conclusion: Both therapies effectively reduced expressed negative emotions in mothers with disabled male children. However, SFNT had a greater effect on expressed emotion compared to MBSR. In addition to pharmacological treatments, psychological interventions (SFNT and MBSR) can help mothers of boys with gross motor disabilities manage their expressed emotions and care for their children better.
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Mothers of children with gross motor disabilities experience objective and subjective care burdens, leading to highly expressed and negative emotions, such as hostility, severe criticism, and intolerance toward their children.
• Psychological interventions could reduce the intensely expressed emotion of mothers toward their children. 
• This study examined the effects of solution-focused narrative therapy (SFNT) and mindfulness-based stress reduction on the expressed emotions of mothers of male children with gross motor disabilities.
• The results revealed that both treatments were effective, but SFNT was more effective in reducing the expressed emotions. 
• It seems that SFNT and the efforts of mothers to redefine their life stories give them more strength and power to control their life conditions, explaining the superiority of SFNT.

Plain Language Summary 
Mothers with highly expressed negative emotions, such as hostility and criticism toward their disabled children, experience higher psychological distress and lower quality of child-mother interactions. The present study determined that solution-focused narrative therapy (SFNT) and mindfulness-based stress reduction (MBSR) could decrease the expressed emotions of these mothers. However, SFNT had a greater effect than MBSR in reducing expressed emotion in mothers.

Type of Study: Research | Subject: Special
Received: 2023/03/3 | Accepted: 2023/06/24 | Published: 2023/11/1

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