Abstract
Background & Objectives: Cochlear implants provide effective hearing for patients with severe to profound sensorineural hearing loss. However, children's hearing problems are not only a medical problem, but also a social problem and involve their families as well. Some mothers of deaf and disabled children become socially isolated, limit their social relationships, and may be more vulnerable to environmental anxieties. There are various treatments for psychological problems. Emotion regulation training includes teaching skills that can help people manage their emotions, especially when they are under stress. Identifying correlates of mental status among mothers of children with special problems is important to support the mothers and their children's well–being. There is limited research on the effectiveness of emotion regulation training in enhancing mothers' happiness, and specifically, no studies have examined the impact of emotion regulation training on the happiness of mothers with cochlear implants. Therefore, in this research, we aim to investigate the effect of emotion regulation training on the happiness of mothers whose children have received cochlear implants.
Methods: This quasi–experimental study employed a pretest–posttest design with a control group. The statistical population consisted of mothers of children with cochlear implants who referred to hearing training clinics in Yazd city, Iran. Thirty eligible volunteers from the population were randomly selected, with 15 assigned to the intervention group and 15 to the control group. The inclusion criteria for the study were as follows: mothers of children with cochlear implants, not using other treatment methods such as behavioral therapy, and not using medication. The exclusion criteria were as follows: participants who were absent from a training session and did not complete the questionnaire during the study. Each family completed a consent form to participate in the study. The happiness variable scores were compared using the Oxford Happiness Questionnaire (Argyle et al., 1989) before and after the emotion regulation training. Individuals in the intervention group received eight 90–minute emotion regulation training sessions twice a week in a group setting over four weeks. However, no therapy was provided to the control group. In the present study, individuals were assured that their information would remain confidential and that their data would be analyzed in a group setting. Data analysis was performed in SPSS version 17. In the descriptive statistics section, the mean and standard deviation of the scores related to the variables were extracted. Then, in the inferential statistics section, data analysis was performed using the analysis of covariance statistical test. The significance level of the tests was set at 0.05.
Results: After adjusting for the pretest effect between the intervention group receiving emotion regulation training and the control group without any intervention, there was a significant difference in the mean of the happiness variable in the posttest (p<0.001). The results related to the effect size indicated that 58% of the difference between the intervention group and the control group in the happiness component was due to the emotion regulation group training.
Conclusion: The present study's results indicate that eight 90–minute group emotion regulation training sessions improve the happiness of mothers with cochlear–implanted children. Furthermore, group emotion regulation training can be used as a complementary treatment alongside other methods to address depression in mothers with cochlear implants.
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