Examining the Effectiveness of Integrative Training in Mindfulness Techniques and Self-Care on the Resilience of Parents with Children with Developmental Delay (A Single-Subject Study)

Authors

    Maryam Etemadan PhD Student, Department of Psychology and Education of Exceptional Children, Fars Science and Research Branch, Islamic Azad University, Fars, Iran | Department of Psychology and Education of Exceptional Children, Shiraz Branch, Islamic Azad University, Shiraz, Iran
    Siamak Samani * Associate Professor, Department of Psychology, Shiraz Branch, Islamic Azad University, Shiraz, Iran siamaksamani@iau.ac.ir
    Sajjad Amini Manesh Assistant Professor, Department of Psychology, Shiraz Branch, Islamic Azad University, Shiraz, Iran
    Mohammad Reza Bardideh Assistant Professor, Department of Psychology, Firoozabad Branch, Islamic Azad University, Firoozabad, Iran

Keywords:

Developmental delay, resilience, mindfulness, self-care, child, parent

Abstract

This study aimed to examine the effectiveness of an integrative protocol combining mindfulness techniques and self-care on the resilience of parents with children with developmental delay. This study employed a single-subject experimental design with an ABA framework. The statistical population included all parents of children aged 2 to 5 years with developmental delay who had undergone developmental screening by pediatric specialists in the city of Bushehr. The mothers completed the Ages and Stages Questionnaire (ASQ-3), and children diagnosed with developmental delays were referred to psychologists specializing in child rehabilitation in the second half of 2022 at two psychology clinics. From this population, five couples (10 parents) were selected through random sampling based on inclusion and exclusion criteria. The intervention was conducted over 16 sessions for the participating couples. The research instrument used was the Connor-Davidson Resilience Scale. Visual data analysis was performed at both intra-situational and inter-situational levels. The results indicated that the intervention involving the integrative protocol of mindfulness techniques and self-care had a significant positive impact on the resilience of parents with children with developmental delay. Based on the study's findings, the effectiveness of the integrative mindfulness and self-care protocol in enhancing the resilience of parents with children with developmental delay was confirmed. Therefore, this intervention can be considered a useful and practical therapeutic approach for these parents.

Downloads

Download data is not yet available.

References

Abotalebi, H., Yazdchi, N., & Esmkhani Akbari Nejad, H. (2022). Effectiveness of mindfulness-based cognitive therapy on resilience and pain intensity in women with chronic headaches. Anesth Pain, 13(1), 13-11. https://jap.iums.ac.ir/browse.php?a_id=5598&slc_lang=en&sid=1&printcase=1&hbnr=1&hmb=1

Abotalebi Isazadegan, A., Yazdchi, N., & Akbarinejhad, H. (2022). Effectiveness of Mindfulness-based Cognitive Therapy on Resilience and Intensity of Pain Experience of Women With Chronic Headache. Journal of Applied Psychology, 13(1), 1-13.

Akbarinejad, H., & Naqizadeh Alamdari, M. (2023). Comparison of the effectiveness of mindfulness-based cognitive therapy and brief solution-focused therapy on quality of life and resilience in adolescent girls with heart disease. Journal of Psychological Research, 18(108), 59-91. magiran.com/p2676151

Bao, H. (2022). Intervention effect of mindfulness-based cognitive therapy on diabetes-related distress and self-care. Iranian Journal of Public Health, 51(3), 606. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9276602/

Boughdady, A. M., Ghazi, H. A., Elmawla, A., Abd Elhameed, D., & Ali, S. M. (2024). Effect of Illness Perception and Medication Adherence on Self-Care Ability of Elderly Patients with Hypothyroidism. NILES journal for Geriatric and Gerontology, 7(1), 127-151. https://doi.org/10.21608/niles.2024.320452

Foroozan, I., Kooroush, N., Hossein, S., & Ahmad, A. (2023). Comparing the Effectiveness of Combination Therapy Based on Psychological Resilience and Mindfulness to Cognitive Behavioral Therapy for Anxiety, Depression, Stress, and Job Burnout in the Staff of Isfahan Regional Electric Company. Journal of Applied Psycology Research, 14(2), 195-215. https://www.magiran.com/paper/2630121

Ghayour Kazemi, F., Shahhabizadeh, F., Safara, M., & Shahidsales, S. (2022). Effectiveness of Transdiagnostic Intervention and Mindfulness-Based Schema Therapy on Cancer Self-Efficacy and Resilience in Women with Breast Cancer. North Khorasan University of Medical Sciences, 14(3), 24-33. https://doi.org/10.32592/nkums.14.3.24

Hedayati Dana, S., Saberi, H., & Nasrollahi, B. (2023). Comparison of the effectiveness of mindfulness-based cognitive therapy and spirituality therapy on resilience. Behavioral Sciences Research Journal, 21(1), 1-10. http://rbs.mui.ac.ir/article-1-1431-fa.html

Helmi, K. (2015). A clinicians guide to teaching mindfulness: The comprehensive session-by-session program for mental health professionals and health care providers. Arjmandpub. https://www.arjmandpub.com/Book/1652

Hosseini, S. A. (2024). Comparison of the Effectiveness of Cognitive Behavioral Therapy and Schema Therapy on Emotional Regulation and Resilience of Mothers with Children with Attention Deficit/Hyperactivity Disorder. Journal of Psychological Dynamics in Mood Disorders (PDMD), 3(1), 12-29. https://doi.org/10.22034/pdmd.2024.442238.1045

Hosseini, S. S., Ahadi, M., Hatami, M., & Khalatbari, J. (2021). Comparison of the effectiveness of mindfulness-based therapy and acceptance and commitment therapy on resilience, psychological well-being and blood sugar levels in patients with type 2 diabetes. Iranian Journal of Psychiatric Nursing, 9(1), 89-102. http://ijpn.ir/browse.php?a_id=1773&sid=1&slc_lang=en

Jalali Nadooshan, A., Khademolreza, N., & Naserbakht, M. (2017). Aguide to the principles of self-care in mental health. http//counseling.ut.ac.ir

Khajeh Hasani Rabari, F., Rezaei, F., Mirzai, F., & Sedighi, F. (2023). Investigating the role of coping strategies, personality traits and mindfulness with self-care in leukemia patients. Journal of Assessment and Research in Applied Counseling (JARAC), 5(4), 51-59. https://doi.org/10.61838/kman.jarac.5.4.7

Kiasalar, M. (2017). Healthy Lifestyle. Parsaye Salamati. https://sthn.tums.ac.ir/uploads/193/old/sabkeZzendegiZ1.pdf

Kütük, H., Hatun, O., Ekşi, H., & Ekşi, F. (2022). Investigation of the Relationships Between Mindfulness, Wisdom, Resilience and Life Satisfaction in Turkish Adult Population. Journal of Rational-Emotive & Cognitive-Behavior Therapy. https://doi.org/10.1007/s10942-022-00468-w

Malekpour Golsefidi, Z., Keshavarzi Arshadi, Farnaz, Emamipour, Suzan. (2022). Beneficial Effects of Mindfulness-based Cognitive Therapy on Resilience and Psychological Distress in Patients Recovered From COVID-19. Journal of Research and Health, 12(6), 407-414. https://doi.org/10.32598/jrh.12.6.2046.1

Mealer, M., Boeldt, D., Cochran, K., Hodapp, R., Forster, J., Conrad, D., & Moss, M. (2021). A mindfulness-based cognitive therapy (MBCT) intervention to improve resilience and mitigate symptoms of burnout syndrome in critical care nurses: Results of a randomized trial. Open Journal of Nursing, 11(8), 653-667. https://doi.org/10.4236/ojn.2021.118055

Monroe, C., Loresto, F., Horton-Deutsch, S., Kleiner, C., Eron, K., Varney, R., & Grimm, S. (2021). The value of intentional self-care practices: The effects of mindfulness on improving job satisfaction, teamwork, and workplace environments. Archives of Psychiatric Nursing, 35(2), 189-194. https://doi.org/10.1016/j.apnu.2020.10.003

Nikan, A., Torabi, a., mohseninasab, z., bahadori, a., javanmard, z., & hosinirad, m. (2023). Comparing the effectiveness of schema therapy and cognitive therapy based on mindfulness on stress, resilience, emotion regulation and psychological well-being of cardiovascular patients [مقایسه اثربخشی طرحواره درمانی و شناخت درمانی مبتنی بر ذهن اگاهی بر استرس، تاب آوری، تنظیم هیجان و بهزیستی روان شناختی بیماران قلبی- عروقی]. rph, 19(1), 46-60. http://rph.khu.ac.ir/article-1-4370-en.html

Nobakht, L., Khalili, M., & Kananibahri, S. H. (2018). Mindfulness skills workbook for clinicians and clients 111 tools techniques activities and worksheets. Arasbaran. https://ravabook.ir/%D8%B1%D8%A7%D9%87%D9%86%D9%85%D8%A7%D9%8A-%D9%85%D9%87%D8%A7%D8%B1%D8%AA-%D9%87%D8%A7%D9%8A-%D8%AA%D9%88%D8%AC%D9%87-%D8%A2%DA%AF%D8%A7%D9%87%D9%8A-%D8%A8%D8%B1%D8%A7%D9%8A-%D9%85%D9%86%D8%AE%D8%B5%D8%B5%D8%A7%D9%86-%D9%88-%D9%85%D8%B1%D8%A7%D8%AC%D8%B9%D8%A7%D9%86

Parvaresh, M., Taghinezhad, N., Amirfakhraei, A., & Sabahizadeh, M. (2024). Providing an Optimal Model for Enhancing Cognitive Flexibility Based on Mindfulness in Nurses. Journal of Psychological Dynamics in Mood Disorders (PDMD), 3(1), 112-123. https://doi.org/10.22034/pdmd.2024.434590.1033

Rezvani, S. R., Abolghasemi, S., & Farhangi, A. (2022). Presenting the model of self-care behaviors of pregnant women based on health literacy and mindfulness with the mediation of a health-oriented lifestyle. Applied Family Therapy Journal (AFTJ), 3(5), 176-195. https://doi.org/10.61838/kman.aftj.3.5.11

Sabetfar, N., Meschi, F., & Hoseinzadeh Taghvaei, M. (2021). The Effectiveness of Cognitive Mindfulness-Based Group Therapy on Perceived Stress, Cognitive Emotion Regulation, and Self-Care Behaviors of Patients with Hypertension. Journal of Modern Internal Medicine, 27(2), 246-263. https://doi.org/10.32598/hms.27.2.3502.1

Sabetfar, N., Meschi, F., & Hosseinzade Taghvaei, M. (2021). The Effectiveness of Mindfulness-based Group Therapy on Perceived Stress, Emotional Cognitive Regulation, and Self-care Behaviors in Patients With Hypertension. Intern Med Today, 27(2), 246-263. https://doi.org/10.32598/hms.27.2.3502.1

Sedighi Arfaee, F., Rashidi, A., & Tabesh, R. (2021). The Distress Tolerance in the Elderly: The Role of Experiential Avoidance, Rumination and Mindfulness. Aging Psychology, 7(1), 12-11. https://doi.org/10.22126/jap.2021.6108.1498

Sharifi, N., Kiasalar, M., & Daniali, M. (2015). Do I need to see the doctor? : The home- treatment encyclopedia , written by doctors, that lets you decide.

Soleymany, E., & Sarifi, P. (2023). The Role of Self-Compassion, Emotion Regulation, and Corona Anxiety in Predicting the Self-Care Behaviors of Family Members of People with Covid-19. Health Psychology, 11(44), 121-136. https://doi.org/10.30473/hpj.2023.61062.5361

Torabi, F., Amir Ali Akbari, S., Amiri, S. A. U. S. F., & Alavi Majd, H. (2012). Correlation between, 7(1), high-risk pregnancy and developmental delay in children aged 4-60 months. Libyan Journal of MedicineVL - 7, 18811 (Persian). https://doi.org/10.3402/ljm.v7i0.18811

Vahabi, M., Pui-Hing Wong, J., Moosapoor, M., Akbarian, A., & Fung, K. (2022). Effects of Acceptance and Commitment Therapy (ACT) on Mental Health and Resiliency of Migrant Live-in Caregivers in Canada: Pilot Randomized Wait List Controlled Trial [Original Paper]. JMIR Form Res, 6(1), e32136. https://doi.org/10.2196/32136

Wilson, C. A., & Saklofske, D. H. (2018). The relationship between trait emotional intelligence,resiliency, and mental health in older adults: The mediating role of savouring. Aging & mental health, 22(5), 646-654. https://doi.org/10.1080/13607863.2017.1292207

Wu, X., Hayter, M., Lee, A. J., & Zhang, Y. (2021). Nurses' experiences of the effects of mindfulness training: A narrative review and qualitative meta-synthesis. Nurse Education Today, 100, 104830. https://doi.org/10.1016/j.nedt.2021.104830

Zamani, S., & Zolfaghari, M. (2022). The Relationship Between Mindfulness and Tolerance of Ambiguity with Death Anxiety and Improving Sleep Quality in the Elderly. Aging Psychology, 8(3), 299-310. https://doi.org/10.22126/jap.2023.8258.1649

Zarifi, K. (2022). Climing the stairs of evolution with Maman Doctor. Adib Mostafavi publication. https://abee.ir/product/K-174173/

Additional Files

Published

2025-02-21

Submitted

2024-12-13

Revised

2025-02-07

Accepted

2025-02-15

Issue

Section

Individuals With Special Needs

Categories

How to Cite

Etemadan , M. ., Samani, S., Amini Manesh, S., & Bardideh, M. R. (2025). Examining the Effectiveness of Integrative Training in Mindfulness Techniques and Self-Care on the Resilience of Parents with Children with Developmental Delay (A Single-Subject Study). KMAN Counseling & Psychology Nexus, 3, 1-9. https://www.journals.kmanpub.com/index.php/psychnexus/article/view/3698