نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری تخصصی روان‌شناسی و آموزش کودکان استثنایی، واحد تهران مرکزی، دانشگاه آزاد اسلامی، تهران، ایران.

2 استادیار گروه روان‌شناسی و آموزش کودکان استثنایی عمومی، واحد تهران مرکزی، دانشگاه آزاد اسلامی، تهران، ایران.

3 استادیار گروه روان‌شناسی، واحد قائنات، دانشگاه آزاد اسلامی، قائنات، ایران.

4 استادیار گروه روان‌شناسی بالینی سلامت، واحد تهران مرکزی، دانشگاه آزاد اسلامی، تهران، ایران.

چکیده

هدف از این پژوهش بررسی اثربخشی برنامه خودتنظیمی کودک بر خود ادراکی و کیفیت دوستی کودکان با نارسایی توجه / بیش فعالی بود. روش پژوهش از نوع نیمه آزمایشی با طرح پیش‌آزمون – پس‌آزمون و پیگیری با گروه کنترل بود. جامعة آماری پژوهش شامل تمامی دختران 9-12 ساله با نارسایی توجه / بیش فعالی شهر تهران در سال 1400-1401 بود. حجم نمونه شامل 30 نفر (15 نفر گروه آزمایش و 15 نفر گروه گواه) از جامعه آماری به شیوه نمونه‌گیری در دسترس انتخاب‌شده و در دو گروه گواه و آزمایش جایگماری شدند. برای گروه آزمایشی، برنامه تدوین‌شده خودتنظیمی کودک اجرا شد درحالی‌که گروه کنترل در لیست انتظار باقی ماندند. ابزار پژوهش شامل مقیاس خود ادراکی هارتر (2012) و کیفیت دوستی زهره وند و حجازی (1380) بود. نتایج نشان داد که مداخله خودتنظیمی کودک بر بهبود خود ادراکی و کیفیت دوستی در مراحل پس‌آزمون و پیگیری تأثیر معنی‌دار داشته است. یافته‌های این پژوهش اطلاعات مفیدی را در ارتباط با برنامه خودتنظیمی کودک فراهم می‌کند و مشاوران و روان‌شناسان می‌توانند برای بهبود بر بهبود خود ادراکی و کیفیت دوستی در کودکان با نارسایی توجه / بیش فعالی از این مداخله استفاده نمایند.

کلیدواژه‌ها

عنوان مقاله [English]

The Effectiveness of the Child Self-regulation Program on Self-perception and Friendship Quality of Children with Attention Deficit/hyperactivity Disorder

نویسندگان [English]

  • Farzaneh Nazemi, 1
  • Parisa Tajali 2
  • Majid Ebrahimpour 3
  • Mahdieh Salehy 4

1 PhD Student, Psychology and Education of Exceptional Children, Central Tehran Branch, Islamic Azad University, Tehran, Iran.

2 Assistant professor, Department of Psychology and Education of Exceptional Children, Central Tehran Branch, Islamic Azad University, Tehran, Iran.

3 Assisstant Professor, Department of Psychology, Qaenat Branch, Islamic Azad University, Qaenat, Iran.

4 Assistant professor, Department of Clinical Health Psychology, Central Tehran Branch, Islamic Azad University, Tehran, Iran.

چکیده [English]

Abstract
The aim of this study was to examine the impact of a child self-regulation program on the self-perception and friendship quality of children diagnosed with attention deficit/hyperactivity disorder (ADHD). The study employed a semi-experimental research design with a pre-test-post-test methodology and a control group. The statistical population for this research comprised all 9-12-year-old girls diagnosed with oppositional defiant disorder (ODD) in Tehran during the 2021-2022 period. The sample size consisted of 30 participants, with 15 assigned to the experimental group and 15 to the control group, selected from the statistical population using an available sampling method. While the control group remained on the waiting list, the experimental group received a child self-regulation program. The research instruments utilized were Harter's self-perception scale (2012) and Zohrevand and Hejazi's (2001) friendship quality assessment. The results indicated that the self-regulation intervention had a significant impact on enhancing self-perception and friendship quality during the post-test and follow-up stages. These findings provide valuable insights into the effectiveness of self-regulation programs, which can be utilized by counselors and psychologists to enhance self-perception and friendship quality among children with ADHD.
Extended abstract

Introduction

Attention deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder that often starts in childhood and continues into adulthood (Singh, Kumar, Kaur, Mandal & Kumar, 2022). Literature shows that children with ADHD overestimate their own competence (Varma & Wiener, 2020); for example, in this population, their self-perceptions are often inconsistent with objective measures of performance or parent and teacher ratings of competence. This may lead children with ADHD to have unrealistic self-perceptions (Hoza, Mrug, Gerdes, Hinshaw, Bukowski, Gold & et al., 2005). However, studies show that children with autism spectrum disorder (ASD) have less stable friendships compared to neurotypical children (Powell, Riglin, Ng-Knight, Frederickson, Woolf, McManus & et al., 2021) and tend to be more friendly with people who have a learning or behavioral problem (Marton, Wiener, Rogers & Moore, 2015). Current strategies for treating children with ADHD mainly focus on pharmacological treatments, but these treatments often do not meet children's and families' needs (Villodas, McBurnett, Kaiser, Rooney & Pfiffner, 2014), and have shown a limited effect (Swanson, Baler & Volkow, 2011). As such, the importance of psychological interventions, especially self-regulation interventions, is becoming increasingly important to reduce and even resolve these problems in individuals with ADHD. The use of self-regulation interventions, such as cognitive behavior therapy, is one of the most common and widely used interventions, and it can be very effective (Guderjahn, Gold, Stadler & Gawrilow, 2013).

Research Questions

Does the child's self-regulation program effectively change the self-perception of children with ADHD?
Does the child's self-regulation program effectively improve the quality of friendship in children with ADHD?" or "What is the impact of a self-regulation program on the quality of friendship for children with ADHD?

Literature Review

In line with the effectiveness of self-regulation training, the results of Moradi, Hashemi, Farzad, Beyrami & Ketamati (2009) showed that teaching self-regulation strategies, motivational behaviors and verbal self-education have significant effects on reducing hyperactivity symptoms of students with ADHD. They are active. In another study, Ebrahimi & Taher (2019) found that self-regulation training is effective in increasing the social skills of students with mild mental retardation by improving the ability to plan, self-review and organize. The results of Abolghasemi, Barzegar & Rostamoghli (2015) also indicate the effectiveness of self-regulation training on improving students' self-efficacy and quality of life.

Methodology

The design of the research was semi-experimental with a pre-test-post-test design and follow-up with a control group. The sample consisted of female students aged 9 to 12 years with ADHD who were studying in schools in Tehran in 2022. The students were selected by education consultants who received a diagnosis of ADHD. For a more accurate diagnosis, a semi-structured clinical interview was conducted to these children. Finally, a sample of 30 students was selected based on the entry criteria and they were replaced in two experimental and control groups (15 experimental people, 15 control people). Both groups completed the Self-Perception Profile for Children (Harter, 2012) and the Friendship Quality Questionnaire (Hejazi & Zohrevand, 2001) as a pre-test. The experimental group then participated in 12 sessions of 45 minutes based on the child's self-regulation intervention, while the control group did not receive any intervention. Immediately after the end of the training sessions, the self-perception scale and the quality of friendship were assessed as a post-test for both groups. They were then followed up after 2 months.

results

The results of this analysis show that there was a significant interaction between stages (pre-test, post-test, follow-up) and groups (experimental and control) for several of the research variables, including self-perception and quality of friendship. The Bonferroni test indicated that the experimental and control groups were significantly different from each other in terms of the research variables at all stages of the study, and that the improvement in self-perception and the quality of friendship observed in the experimental group was stable over time and still present at the follow-up phase. Overall, these results suggest that the child's self-regulation education was effective in improving the self-perception and quality of friendship of the children in the experimental group, and that this effect was sustained over time.




Table 1: Results of analysis of variance with repeated measurements




Variable


Source of Changes


Total Squares


df


Mean of Squares


f


Sig.


Effect Size




Scholastic Competence


Time


208.067


2


104.033


100.832


0.001


0.78




Time×group


102.822


2


51.411


49.829


0.001


0.64




Social Competence


Time


108.022


1.280


84.385


23.720


0.001


0.46




Time×group


93.800


1.280


73.275


20.597


0.001


0.42




Athletic Competence


Time


25.956


1.640


15.831


10.297


0.001


0.27




Time×group


35.467


1.640


21.631


14.071


0.001


0.33




Physical Appearance


Time


89.689


2


44.844


45.531


0.001


0.61




Time×group


118.489


2


59.244


60.151


0.001


0.68




Behavioral Conduct


Time


171.089


2


85.544


70.819


0.001


0.71




Time×group


198.600


2


99.300


82.206


0.001


0.75




Self-Worth


Time


73.489


1.195


61.486


21.839


0.001


0.44




Time×group


38.289


1.195


32.035


11.378


0.001


0.29




quality of friendship


Time


320.267


1.173


273.041


74.979


0.001


0.72




Time×group


219.467


1.173


187.104


51.380


0.001


0.65




Keywords: Self-Regulation, Self-Perception, Friendship Quality, Attention Deficit/Hyperactivity Disorder.

کلیدواژه‌ها [English]

  • Self-Regulation
  • Self-Perception
  • Friendship Quality
  • Attention Deficit/Hyperactivity Disorder
منابع
ابراهیمی، فاطمه.، طاهر، محبوبه. (1397). تأثیر آموزش مهارت‌های خودتنظیمی بر مهارت‌های اجتماعی و کارکردهای اجرایی کودکان پیش‌دبستانی مبتلابه کم‌توانی ذهنی خفیف. روان‌شناسی افراد استثنایی. 8(32): 125-101.
ابوالقاسمی، عباس.، برزگر، سبحان.، رستم اوغلی، زهرا. (1393). اثربخشی آموزش یادگیری خودتنظیمی بر خودکارآمدی و رضایت از زندگی در دانش‌آموزان دارای اختلال ریاضی. ناتوانی‌های یادگیری. 4(2): 21-6.
باقرزاده نیم چاهی، صفورا.، حسینی طبقدهی، سیده لیلا.، حافظیان، مریم. (1397). رابطه خودآگاهی و یادگیری خودتنظیمی با سازگاری اجتماعی دانش‌آموزان دختر دوره متوسطه. مجله مطالعات روان‌شناسی تربیتی. 15(30): 50-29.
جلوه‌گر، افسانه.، کارشکی، حسین.، اصغری نکاح، سیدمحسن. (1393). تأثیر آموزش خودتنظیمی بر حل مسئله اجتماعی کودکان پیش‌دبستانی دختر و پسر. پژوهش‌های علوم شناختی و رفتاری. 4(1): 166-155
حجازی، الهه و ظهروند، زهره. (1380). بررسی ملاک‌ها و کیفیت دوستی کودکان و نوجوانان دختر. مجله روان‌شناسی و علوم تربیتی. 6 (۱): ۲۰ - ۱.
حجازی، الهه و فرتاش، سهیلا. (1385). بررسی رابطه سبک‌های هویت و تعهد هویت باکیفیت دوستی. مجله روان‌شناسی و علوم تربیتی.36 (۱):184 – 167.
سمیعی زفر قندی، مرتضی.، نعمتی، مرضیه.، علیزاده، معصومه. (1400). بررسی اثربخشی آموزش راهبردهای یادگیری خودتنظیمی بر خودکارآمدی و تفکر انتقادی دانش آموزان دختر دوره دوم متوسطه. پژوهش در برنامه‌ریزی درسی. 18(69): 169-153.
مامی، شهرام.، ناصری، نصرت.، ویسی، فاطمه. (1393). اثربخشی آموزش راهبردهای خودتنظیمی بر حل مسئله و خودکارآمدی دانش‌آموزان در درس ریاضی. مجله دست آوردهای روان‌شناختی. 21(2): 178-169.
مرادی، علیرضا.، هاشمی، تورج.، فرزاد، ولی ا...، بیرامی، منصور.، کرامتی، هادی. (1388). مقایسة اثربخشی خودتنظیمی رفتار توجهی 1، خودتنظیمی رفتار انگیزشی 2 و خودتعلیمی کلامی 3 بر نشانه‌های اختلال بیش‌فعالی همراه با نقص توجه. فصلنامه پژوهش‌های نوین روان‌شناختی. 4(3): 212-191.
نعمتی، شهروز.، اسدالهی، مریم. (1398). اثربخشی آموزش راهبردهای خودتنظیمی بر نگرش نسبت به مدرسه در دانش‌آموزان دارای اختلال یادگیری ویژه. ناتوانی‌های یادگیری. 8(3): 25-7
References
Berger, A., Kofman, O., Livneh, U. & Henik, A. (2007). Multidisciplinary perspectives on attention and the development of self-regulation. Progress in Neurobiology, 82: 256–286.
Capuzzi, E., Capellazzi, M., Caldiroli, A., Cova, F., Auxilia, A.M., Rubelli, P., Tagliabue, I., Zanvit, F.G., Peschi, G., Buoli, M., et al. (2022). Screening for ADHD Symptoms among Criminal Offenders: Exploring the Association with Clinical Features. Healthcare, 10, 180.
Cibrian, F. L., Lakes, K.D., Schuck, S. E.B., Hayes, G.R. (2022). The potential for emerging technologies to support self-regulation in children with ADHD: A literature review. Int. J. Child-Comp. Interact. 31, 3.
Crowe, L. M., Anderson, V., Catroppa, C., Yeates, K. O., Lo, W., & Greenham, M. L. (2022). Self-perception and behavioural outcomes of early acquired brain injury. Neuropsychological rehabilitation, 1–14. Advance online publication.
Dico, G. L. (2018). Self-perception theory, radical behaviuorism, and the publicity/privacy issue. Review of Philosophy and Psychology, 9(2): 429-445.
Efklides, A. (2011). Interactions of metacognition with motivation and affect in self-regulated learning: The MASRL model. Educational psychologist46(1), 6-25.
Faraone S. V. (2018). The pharmacology of amphetamine and methylphenidate: Relevance to the neurobiology of attention-deficit/hyperactivity disorder and other psychiatric comorbidities. Neuroscience and biobehavioral reviews, 87: 255–270.
Faraone, S. V., Banaschewski, T., Coghill, D., Zheng, Y., Biederman, J., Bellgrove, M. A., Newcorn, J. H., et al. (2021). The World Federation of ADHD International Consensus Statement: 208 Evidence-based conclusions about the disorder. Neuroscience and Biobehavioral Reviews, 128: 789–818.
Fuller-Thomson, E., Carrique, L., & MacNeil, A. (2022). Generalized anxiety disorder among adults with attention deficit hyperactivity disorder. Journal of affective disorders, 299: 707–714.
Fuller-Thomson, E., Lewis, D. A., & Agbeyaka, S. (2022). Attention-Deficit/Hyperactivity Disorder and Alcohol and Other Substance Use Disorders in Young Adulthood: Findings from a Canadian Nationally Representative Survey. Alcohol and alcoholism (Oxford, Oxfordshire), 57(3): 385–395.
 Gacek, M., Pilecka, W., & Fusińska-Korpik, A. (2014). Psychometric properties of Self-Perception Profile for Children in a Polish sample. Polish Journal of Applied Psychology, 12, 103 - 85.
Guderjahn, L., Gold, A., Stadler, G., & Gawrilow, C. (2013). Self-regulation strategies support children with ADHD to overcome symptom-related behavior in the classroom. Attention deficit and hyperactivity disorders, 5(4): 397–407.
Hadwin, A. F., Järvelä, S., and Miller, M. (2011). “Self-regulated, co-regulated, and socially shared regulation of learning,” in Handbook of Self-Regulation of Learning and Performance, eds B. J. Zimmerman and D. H. Schunk (New York, NY: Routledge), 65–84.
Harter S. (2012). The Construction of the Self: Developmental and Sociocultural Foundations. 2nd ed. New York City: Guilford Press.
Harter, S. (2012). Self-Perception Profile for Children: Manual and Questionnaires (Grades 3-8). Denver: University of Denver, 1-44.
Hoza, B., Mrug, S., Gerdes, A. C., Hinshaw, S. P., Bukowski, W. M., Gold, J. A. et al. (2005). What aspects of peer relationships are impaired in children with ADHD? Journal of Consulting and Clinical Psychology, 73: 411–423.
Hua, M.H., Huang, K.-L., Hsu, J.W., Bai, Y. M., Su, T.-P., Tsai, S. J., Li, C. T., Lin, W. C., Chen, T. J., & Chen, M. H. (2021). Early Pregnancy Risk Among Adolescents With ADHD: A Nationwide Longitudinal Study. Journal of Attention Disorders, 25(9): 1199–1206.
Kouvava, S., Antonopoulou, K., Kokkinos, C. M., Ralli, A. M., & Maridaki-Kassotaki, K. (2021). Friendship quality, emotion understanding, and emotion regulation of children with and without attention deficit/hyperactivity disorder or specific learning disorder. Emotional & Behavioural Difficulties. Advance online publication.
Marton, I., Wiener, J., Rogers, M., & Moore, C. (2015). Friendship characteristics of children with ADHD. Journal of Attention Disorders, 19(10): 872–881.
Matrić, M. (2018). Self-regulatory systems: Self-regulation and learning. Journal of Process Management New Technologies. 6(4):79-84
Maya Beristain, C., & Wiener, J. (2020). Friendships of Adolescents With Attention-Deficit/Hyperactivity Disorder. Canadian Journal of School Psychology, 35(4): 266–279.
Mayer, J. S., Brandt, G. A., Medda, J., Basten, U., Grimm, O., Reif, A., & Freitag, C. M. (2022). Depressive symptoms in youth with ADHD: the role of impairments in cognitive emotion regulation. European archives of psychiatry and clinical neuroscience, 272(5): 793–806.
McQuade, J. D. (2020). Peer functioning in adolescents with ADHD. In S. P. Becker (Ed.), ADHD in adolescents: Development, assessment, and treatment (pp. 128–147). The Guilford Press.
Michalsky, T., & Schechter, C. (2013). Preservice teachers' capacity to teach self-regulated learning: Integrating learning from problems and learning from successes. Teaching and Teacher Education30, 60-73.
Mikami, A. Y. (2010). The importance of friendship for youth with attention- deficit/hyperactivity disorder. Clinical Child and Family Psychology Review, 13: 181-198.
Owens, J. S., Goldfine, M. E., Evangelista, N. M., Hoza, B., & Kaiser, N. M. (2007). A critical review of self-perceptions and the positive illusory bias in children with ADHD. Clinical child and family psychology review, 10(4): 335–351.
Powell, V., Riglin, L., Ng-Knight, T., Frederickson, N., Woolf, K., McManus, C., Collishaw, S., Shelton, K., Thapar, A., & Rice, F. (2021). Investigating Friendship Difficulties in the Pathway from ADHD to Depressive Symptoms. Can Parent-Child Relationships Compensate?. Research on child and adolescent psychopathology, 49(8): 1031–1041.
Rokeach, A., & Wiener, J. (2020). Friendship Quality in Adolescents With ADHD. Journal of attention disorders, 24(8): 1156–1168.
Sawhney, I., Perera, B., Bassett, P., Zia, A., Alexander, R. T., & Shankar, R. (2021). Attention-deficit hyperactivity disorder in people with intellectual disability: statistical approach to developing a bespoke screening tool. BJPsych open. 7(6): e187.
Sedgwick-Müller, J.A., Müller-Sedgwick, U., Adamou, M., Catani, M., Champ, R., Gudjónsson, G., Hank, D., et al. (2022). University students with attention deficit hyperactivity disorder (ADHD): a consensus statement from the UK Adult ADHD Network (UKAAN). BMC Psychiatry. 22, 292.
Singh, D., Kumar, A., Kaur, R., Mandal, S., Kumar, S. (2022). A short review on Attention Deficit Hyperactivity Disorder (ADHD): Types, Symptoms, Prevention and Treatment. International Journal for Pharmaceutical Research Scholars. 7(1):1202-1204
Swanson, J., Baler, R. D., & Volkow, N. D. (2011). Understanding the effects of stimulant medications on cognition in individuals with attention-deficit hyperactivity disorder: a decade of progress. Neuropsychopharmacology: official publication of the American College of Neuropsychopharmacology, 36(1): 207–226.
Varma, A., & Wiener, J. (2020). Perceptions of ADHD Symptoms in Adolescents With Attention-Deficit/Hyperactivity Disorder: Attributions and Stigma. Canadian Journal of School Psychology, 35(4): 252–265.
Villodas, M. T., McBurnett, K., Kaiser, N., Rooney, M., & Pfiffner, L. J. (2014). Additive effects of parent adherence on social and behavioral outcomes of a collaborative school-home behavioral intervention for ADHD. Child psychiatry and human development, 45(3): 348–360.
Wilde, E. M., & Welch, G. F. (2022). Attention deficit hyperactivity disorder (ADHD) and musical behaviour: The significance of context. Psychology of Music. 1-19
Zimmerman, B.J. (2017). Self- regulated learning: Theories, Measures, and outcomes, cityuniversity of New York Graduate center, NY, USA.