fa اثربخشی درمان رابطه کودک-والد بر ابعاد عملکرد خانواده در مادران کودکان پیش‌دبستانی: یک مطالعه نیمه‌تجربی روانپزشكي Psychiatry پژوهشي Research <span style="font-size:10pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><a name="_Hlk113374001"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">زمینه و هدف: </span></span></span></b></a><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">عملکرد خانواده یک عامل مهم در روابط و </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">سلامت خانواده است </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">که می‌تواند توسط درمان رابطه کودک-والد بهبود یابد. پژوهش حاضر با هدف تعیین اثربخشی </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">درمان رابطه کودک-والد بر عملکرد خانواده در مادران کودکان پیش‌دبستانی انجام شد.</span></span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">مواد و روش&shy;ها:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> این پژوهش نیمه‌تجربی دارای طرح پیش‌آزمون-پس‌آزمون با گروه کنترل بود. جامعه آماری شامل مادران کودکان پیش‌دبستانی شهر اصفهان </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">در سال تحصیلی 1400-1399 </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">بود. با استفاده از نمونه‌گیری تصادفی خوشه‌ای 60 نفر انتخاب و به طور تصادفی به دو گروه 30 نفری آزمایش و کنترل تخصیص یافتند. ابتدا پیش‌آزمون در قالب پرسش‌نامه </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">سنجش خانواده </span></span></span><span lang="AR-SA" style="line-height:115%"><span b="" nazanin="" style="font-family:">‌</span></span><span lang="FA" style="line-height:115%"><span b="" nazanin="" style="font-family:">McMaster</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">در مورد دو گروه اجرا شد. سپس گروه آزمایش به مدت ده جلسه در درمان رابطه کودک-والد شرکت کرد، اما گروه کنترل در لیست انتظار باقی ماند. بعد از تکمیل جلسات درمان، پس&shy;آزمون دو گروه نیز اجرا شد.</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> داده‌ها با استفاده از آنالیز کوواریانس چندمتغیره تجزیه و تحلیل شد.</span></span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">یافته&shy;ها:</span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> نتایج تحلیل کوواریانس چندمتغیره نشان داد که ترکیب خطی ابعاد عملکرد خانواده در دو گروه به‌طور معناداری متفاوت بود </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">(635/0=</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">لامبدای ویلکز</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">، 423/3=_45،7</span></span></span>F<span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">، 005/0=</span></span></span>P<span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">). نتایج تحلیل کوواریانس&shy;های یک&shy;متغیره نیز به طور معناداری میانگین نمرات پایین‌تر (عملکرد بهتری) را در ابعاد حل مشکل (004/0=</span></span></span>P<span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">)، ارتباط و درگیری عاطفی (001/0></span></span></span>P<span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">) در گروه آزمایش نسبت به گروه کنترل نشان داد.</span></span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">نتیجه&shy;گیری:</span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> نتایج مطالعه حاضر نشان داد که درمان رابطه کودک-والد، درمانی مؤثر برای بهبود عملکرد خانواده است</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">.</span></span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">توصیه می&shy;شود این درمان حتی اگر تنها </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">با مشارکت یکی از والدین و کودکان آن&shy;ها اجرا شود، می‌تواند نتایج سودمندی برای کل خانواده داشته باشد.</span></span></span></span></span></span></span></span><br> <b><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">واژه&shy;های کلیدی:</span></span></span></b><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"> درمان رابطه، خانواده، عملکرد، مادران، پیش‌دبستانی</span></span></span><br> <span style="text-justify:kashida"><span style="text-kashida:0%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="color:black"></span></span></span></span></span></span></span></span> <span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><a name="_Hlk114425361"><b><span style="font-size:9.0pt"><span style="line-height:150%">Background and Objectives:</span></span></b></a><span style="font-size:9.0pt"><span style="line-height:150%"> Family functioning is an important factor in relationships and health of family, which can be improved by Child Parent Relationship Therapy (CPRT). This study was conducted with the aim of </span></span><span dir="RTL" lang="FA" style="font-size:9.0pt"><span style="line-height:150%">determin</span></span><span style="font-size:9.0pt"><span style="line-height:150%">ing the effectiveness of CPRT on family functioning in mothers of preschool children.</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:150%">Materials and Methods:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> This quasi-experimental research had a pretest-posttest control group design. The statistical population was mothers of preschool children of Isfahan City in the academic year 2020-2021. Using the random cluster sampling, 60 people were selected and randomly assigned to experimental (n=30) and control (n=30) groups. First, the McMaster Family Assessment Device was performed as pretest across the two groups. Then, the experimental group participated in CPRT for ten sessions, but the control group remained on the waiting list. After completing treatment sessions, the posttest was also performed in two groups, and the collected data were analyzed using multivariate analysis of covariance (MANCOVA).</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:150%">Results:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> The results of MANCOVA showed that the linear combination of dimentions of family functioning was significantly different between two groups (Wilks&#39; lambda=0.635, F_45,7=3.423, p=0.005). The results of univariate analysis of covariance also showed significantly lower scores (better functioning) in dimentions of problem solving (p= 0.004), communication, and affective involvement (p<0.001) in the experimental group.</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:150%">Conclusion:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> The results of the current study suggested that Child Parent Relationship Therapy is an effective threatment for improving the family functioning. It is recommended that this treatment can have beneficial results for the whole family even if it is implemented with the participation of only one of the parents and their children.</span></span><b><span dir="RTL" lang="FA" style="font-size:9.0pt"><span style="line-height:150%"></span></span></b></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:150%">Key words:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> Relationship therapy, Family, </span></span><span dir="RTL" lang="FA" style="font-size:9.0pt"><span style="line-height:150%">F</span></span><span style="font-size:9.0pt"><span style="line-height:150%">unction, Mothers, Preschool</span></span><b><span dir="RTL" lang="FA" style="font-size:9.0pt"><span style="line-height:150%"></span></span></b></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><span style="font-size:9.0pt"><span style="line-height:150%"></span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:150%">Funding:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> This study did not have any funds.</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:150%">Conflict of interest:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> None declared.</span></span><b><span dir="RTL" lang="FA" style="font-size:9.0pt"><span style="line-height:150%"></span></span></b></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:150%">Ethical approval:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> The Ethics Committee of Arak University of Medical Sciences approved the study (IR.ARAKMU.REC.1400.004).</span></span><b><i><span lang="EN" style="font-size:2.0pt"><span style="line-height:150%"></span></span></i></b></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:150%"></span></span></b></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:150%">How to cite this article:</span></span></b><b> </b><span style="font-size:9.0pt"><span style="line-height:150%">Sharifi</span></span> <span style="font-size:9.0pt"><span style="line-height:150%">Mina, Sepahvand Tooraj.</span></span><span style="font-size:9.0pt"><span style="line-height:150%"> The Effectiveness of Child Parent Relationship Therapy (CPRT) on Dimesions of Family Functioning in Mothers of Preschool Children: A Quasi-Experimental Study</span></span><span lang="EN" style="font-size:9.0pt"><span style="line-height:150%">. </span></span><i><span style="font-size:9.0pt"><span style="line-height:150%">J Rafsanjan</span></span></i><span style="font-size:9.0pt"><span style="line-height:150%"> <i>Univ Med Sci</i> 2023; 22 (7): 677-90. [Farsi]</span></span> <b><span style="font-size:8.0pt"><span style="line-height:150%"></span></span></b></span></span></span></span></span><br> &nbsp; درمان رابطه, خانواده, عملکرد, مادران, پیش‌دبستانی Relationship therapy, Family, Function, Mothers, Preschool 677 690 http://journal.rums.ac.ir/browse.php?a_code=A-10-4021-3&slc_lang=fa&sid=1 Mina Sharifi مینا شریفی Mina.sharifi.psy@gmail.com 6900319475328460055574 6900319475328460055574 No Arak University دانشگاه اراک Tooraj Sepahvand تورج سپهوند T-sepahvand@araku.ac.ir 6900319475328460055575 6900319475328460055575 Yes Arak University دانشگاه اراک