Faegheh Abdollahimanesh1 ,
Athare Amini2 ,
Mahdie Korhani1 ,
Mahboobeh Dehghani firoozabadi1 ,
Mahya Shabanzadeh1 ,
Sahar Fotrosi2 ,
Mahdie Abedini2 ,
Sahar Sandooghsaz2 ,
Fatemeh Fallah tafti2 ,
Mitra Koraghli1 ,
Elahe Ghanizadeh1 ,
Mohsen Saeidmanesh * 2
1- Azad University
2- Science and Arts university
Abstract: (25 Views)
Background & Objective: Attention-deficit/hyperactivity disorder is characterized by persistent and disruptive symptoms of age-disproportionate inattention, hyperactivity, and impulsivity. This disorder is one of the most common childhood disorders with a global prevalence of about 7%. The problems of these children in a significant part of the cases remain until adulthood and are associated with poor academic, occupational and social results. Patients with attention-deficit/hyperactivity disorder have difficulty in the higher-level cognitive functions necessary for goal-directed behaviors driven by the fronto-striato-parietal and fronto-cerebellar networks, leading to problems in motor response inhibition, working memory, sustained attention, variability The answer is excitement and impulsiveness. Cognitive regulation of emotion is described as conscious and mental strategies of people to deal with receiving emotionally stimulating information. The theory of information processing and the process model of emotion regulation suggest that emotion regulation as a goal-oriented behavior requires the involvement of cognitive control mechanisms. People have limited cognitive resources and therefore impose restrictions on the processes of continuous emotion generation, and these limitations lead to a constant competition between emotion generation and the emotion regulation process to dominate the output of the cognitive system.
Dysregulation of emotion increases the risk of other psychopathology in attention deficit/hyperactivity disorder. Despite the significant disorder in emotion regulation in children and adolescents with attention deficit/hyperactivity disorder, current treatments are unable to treat emotion regulation problems. In addition, so far, there has not been a study that examines the effectiveness of cognitive behavioral family therapy on the cognitive regulation of emotions in adolescents with attention deficit/hyperactivity disorder. Therefore, the purpose of this research was to investigate the effectiveness of cognitive behavioral family therapy on the cognitive regulation of emotions in adolescents with attention deficit/hyperactivity disorder.
Methods: This research was a semi-experimental type with a pre-test and a post-test with a control group. Among adolescents aged 12 to 16 with symptoms of attention deficit/hyperactivity disorder who referred to psychiatric clinics in Yazd, 30 eligible volunteers were included in the study in a simple random manner, and 15 of them were randomly assigned to the intervention group and 15 people were included in the control group. The scores of the cognitive regulation of emotion variable were compared using the cognitive regulation of emotion questionnaire (Granifsky and Kraij, 2006) in two time periods before and after the cognitive behavioral family therapy treatment. Data analysis was done using covariance analysis. The significance level of the tests was 0.05.
Results: The analysis of the data showed that the test score of the cognitive regulation of emotion questionnaire in adolescents with attention deficit/hyperactivity disorder in the intervention group and after receiving cognitive behavioral family therapy has increased significantly compared to the control group (P=0.001).
Conclusion: The aim of this study was to investigate the effectiveness of cognitive behavioral family therapy on the cognitive regulation of emotions in adolescents with attention deficit/hyperactivity disorder. The results of the present study showed that cognitive behavioral family therapy has a significant effect on the cognitive regulation of emotion in adolescents with attention deficit/hyperactivity disorder and can lead to the improvement of cognitive regulation of emotion in these patients. The results of this research with the study of Lopez and colleagues who stated that short-term cognitive-behavioral treatments are useful for the treatment of adults with attention-deficit/hyperactivity disorder and there may be secondary disorders common in adults with attention-deficit/hyperactivity disorder such as depression and anxiety. also improves, is aligned. It is also consistent with the study of Hamid et al. who reported that the cognitive-behavioral family therapy approach improves the behavioral and academic performance of male high school students. It is also consistent with the study of Kajbaf et al., who showed in a study that the cognitive-behavioral family therapy approach is probably effective on the behavior of divorced children and can significantly reduce the behavioral problems of divorced children compared to the control group.
The use of cognitive-behavioral family therapy techniques will educate and educate couples and regulate their behavior towards their children. Also, the use of cognitive behavioral family therapy will lead to changing beliefs, attitudes and misconceptions in couples' relationships and their interactions with children. Family education reduces children's behavioral incompatibility and as a result improves their emotional performance. It seems that this treatment, by targeting and correcting the behavior and recognizing the incompatible behaviors of couples, leads to the improvement of relationships and increasing family functioning. The approach of cognitive-behavioral family therapy through the improvement of dysfunctional beliefs and attitudes of parents with a disordered teenager. Attention deficit/hyperactivity disorder leads to improvement of the efficiency and communication of couples and children, and as a result, increasing vitality in the family, and this affects people's ability to regulate emotions and thus provide a basis for reducing vulnerability to depression.