Psychology of Exceptional Individuals

The Effect of Group Training to Increase Patience on Self-Efficacy and Attitude of Mothers with Exceptional Children

Document Type : Research Paper

Authors

Najme Ebrahimzade 1
Seyyed Mohsen Asgharinekah 2
Sakineh Soltani Kouhbanani 3

1 MA in Counseling, Ferdowsi University of Mashhad, Mashhad, Iran.

2 Associate Professo, Department of Counseling and Educational Psychology, Ferdowsi University of Mashhad, Mashhad, Iran.

3 Assistant Professor, Department of Counseling and Educational Psychology, Ferdowsi University of Mashhad, Mashhad, Iran.

https://doi.org/10.22054/jpe.2023.67103.2437
Abstract
Abstract
The study aimed to investigate the effect of increasing patience group training on self-efficacy and attitude of mothers with exceptional children. This quasi-experimental study involved a pre-test-post-test design with a control group. The population of the study included all mothers with exceptional children in Mashhad who were registered with the exceptional education department in Khorasan province. Voluntary participation and sample selection using random sampling were utilized. Thirty-two mothers of exceptional children were randomly assigned to experimental and control groups (16 participants per group). The instruments used to measure the study variables were the patience, Domka self-efficacy, and parents' attitudes toward exceptional children questionnaires. A pre-test was conducted on both groups. The experimental group underwent ten sessions of patience training, while no training was provided to the control group. After the training sessions, both groups took the questionnaires again (post-test). Data were analyzed using univariate analysis of covariance (ANCOVA) and multivariate analysis of covariance (MONCOVA). The results revealed that patience training led to enhanced self-efficacy, reduced hopelessness, improved attitude, increased failure tolerance, and lower levels of shame in mothers with exceptional children. As a result, it is recommended that counselors and psychologists focus on patience training in family education programs and groups of parents of exceptional children.
Keywords: Patience, Self-Efficacy, Attitude, Mothers Of Exceptional Children.
 
 
 
Extended Abstract

Introduction

When an exceptional child is born, the parent's experience of parenting and the process of acceptance will be different. (Azad Yekta, 2021). An exceptional child is defined as a child with mental, physical, social, or emotional disorders that may stop or slow down their growth and development. This could lead to behavioral and emotional issues, and pose challenges for parents (Joe and Associates, 2020, Afsari & Zeinali, 2021). Parents may feel a wide range of emotions, including anger, guilt, and disappointment, in their struggle to adapt to the situation of having an exceptional child. This experience has been linked to mental health issues and marriage problems and often leads to a need for receiving educational and empowerment programs (Rane, 2020; Kargar and Asghari Ebrahim Abad, 2015; Rezapour Mirsaleh and associates, 2020). One of the primary reasons for educating mothers is to shape, change and improve their behavior. Group education has been found to be among the most effective approaches in recent years (Norouzi and Associates, 2019). However, there has been a lack of focus on the importance of patience in regard to factors such as self-efficacy and attitude. The potential benefits of cultural and spiritual practices in improving self-efficacy and changing attitudes towards exceptional children have also not received sufficient attention.
This study aims to investigate the effects of a patient-education group based on cultural and religious teachings to enhance endurance and acceptance of hardships in the mothers of exceptional children. The goal is to examine whether this intervention will improve self-efficacy and attitudes in these mothers or not.

Literature review

The experience of living with an exceptional child can be highly challenging for mothers, who are under tremendous mental pressure to help their children navigate various difficulties and maintain their well-being. In this environment, their attitude towards their children is crucial, as it can greatly impact their ability to manage the various challenges they face and ensure their family's well-being (Jebelli & Khademi, 2019; Rani, 2020). Belief in one's self-efficacy has been identified as an important factor in influencing people's attitudes. Triandis explains that improvements in attitude can lead to increases in self-efficacy (Namazi & Associates, 2020). Along with positive attitudes, self-efficacy can fulfill basic cognitive needs such as a sense of worth, autonomy, and social relations. Moreover, the journey towards building self-efficacy can be a challenging one for exceptional children's parents, with potential ups and downs (Smart, 2016).
The role of self-efficacy in life is well-documented, particularly in the context of providing mothers of exceptional children with the necessary skills and support to navigate the challenges they face. Improving self-efficacy has been identified as a priority for these mothers and makes it urgent to develop interventions to address this need. Patience, as outlined by Currier and associates (2015), is central in allowing individuals to find meaning and purpose in times of difficulty. This can provide a valuable framework for understanding the role of self-efficacy in supporting mothers of exceptional children to navigate challenges and find a sense of purpose in their roles.
Patience can be defined as an individual's capability to delay a desired outcome without experiencing negative emotions or reactions towards the present situation (Roberts & Fishbach, 2020). Patience, from a psychological perspective, refers to one's ability to effectively manage internal and external pressures. This can involve learning to respond to challenging situations in a way that reduces stress levels and promotes a sense of emotional security. Psychologists identify three main components in the development and maintenance of patience: emotional, cognitive, and behavioral. These components relate to an individual's ability to tolerate uncertainty, regulate their emotions and beliefs, and modify their behaviors accordingly (Ghebari Bonab & Associates, 2017). Overall, patience

Methodology

This research study examines the impact of patience education on the self-efficacy and attitudes of mothers with children with special needs. The study utilizes a quasi-experimental design, with a randomized control group consisting of two groups of moms: the examination group that received 10 training sessions on patience and the witness group that did not receive any training. The study collected data from 32 moms via pre-testing and post-testing, using questionnaires focused on patience, self-efficacy, and parental attitudes towards exceptional children. This is an important area of research as there is a need to identify and implement effective methods to improve the well-being of mothers with children with special needs.
Introduction to intervention program
Based on this information, it appears that the 10-session training program focused on building patience through a variety of strategies, including:

Learning to use software to facilitate the process
Understanding pain conservation and acceptance
Developing a new perspective on life events
Acquiring an understanding of the process of grief
Recognizing the blessings bestowed by God
Learning to not put oneself in pain while raising exceptional children
Finding inspiration by studying the story of Moses and Khizr
Distincting between tolerance and patience
Improving anger management skills
Developing a sense of positivity
Understanding the different types of angry people and managing anger
Developing existential capacity and assumptions
Identifying ways to develop patience, including changing attitudes towards life and recognizing that patience is a learnable skill
Studying holy verses on patience and its consequences, and engaging in Q&A.

Overall, the program aimed to promote patience among mothers of exceptional children through a combination of educational, spiritual and emotional tools.

Results

The research data was analyzed using single and multi-factor analysis of covariance, and the results indicate that the training of patience can have a positive effect on self-efficacy, change of attitude, failure, disappointment, shame, and patience of mothers of exceptional children.
 
Table 1. results of comparing two groups in self-efficacy and patience.




factor


Source for change


Sum of squares


Degree od freedom


Average sum of squares


F


P


Effect size




Self-effocacy


Pre-test


84/94


1


84/94


10/1


30/0


03/0




group


17/692


1


7/692


08/8


008/0


21/0




error


34/2483


29


63/85


 


 


 




total


81689


32


 


 


 


 




 


Pre-test


75/360


1


75/360


96/5


02/0


17/0




Patience


group


05/684


1


05/687


35/11


002/0


28/0




 


error


93/1754


29


51/60


 


 


 




 


total


256823


32


 


 


 


 




Based on the table provided, it is clear that there is a significant difference between the examination group, which received the training of patience, and the witness group, which did not receive training, in terms of self-efficacy and patience. Specifically, the examination group demonstrated higher self-efficacy and patience in the post-test phase compared to the pre-test phase, indicating that the training of patience has been effective in improving these outcomes. These findings suggest that the training of patience may be an effective intervention strategy to enhance the well-being of mothers of exceptional children.

Discussion

From the findings of this study, it is evident that training in patience can positively influence the self-efficacy, change of attitude, failure, disappointment, shame, and patience of mothers of exceptional children. Patience is an innate human trait that enables individuals to develop the ability to handle life pressures with resilience. The ability to defer one's own interests with the hope of attaining knowledge or a desirable outcome in the future is critical for personal growth and well-being. By improving their patience skills, mothers of exceptional children may be better equipped to handle the challenges of raising children with special needs.

Conclusion 

The study showed significant differences in the self-efficacy, change of attitude, failure, disappointment, shame, and patience levels of mothers of children with exceptional needs between the examination and witness groups. As a result, it is recommended that counselors and psychologists consider incorporating patient training in the family education and group programs of mothers of children with exceptional needs to enhance their well-being.

Acknowledgements

We extend our gratitude to the mothers who participated in the study and provided valuable insights into the effect of patient training on their well-being. Their participation was crucial in helping us gather important data and make meaningful contributions to the field. We hope that this research can contribute to developing more effective interventions to support the needs of mothers of exceptional children.

Keywords

Patience
Self-Efficacy
Attitude
Mothers Of Exceptional Children
fsari M, Zeinali A. (2022). The effect of parental management training on reducing of oppositional defiant disorder in mentally retarded students. J Except Educ;5(165):93-93.
Aghayousefi, A. R., Tarkhan, M., & Farmani, A. (2017). The Role of the Big Five Factors of Personality in Predicting Cognitive Emotion Regulation Strategies with the Mediating Role of Patience Components. Clinical Psychology Studies, 7(26), 43-64.
Ahmadi, K., & Darabi, A. (2017). The effectiveness of patience training on reducing grief and facilitating posttraumatic growth. Cultural Psychology, 1(1), 114-131.
Aini، F.، & Kurniawati، F. (2019). The Effectiveness of the SERASI Intervention Program in Improving Parents’ Positive Attitudes towards Students with Disabilities. In 2nd International Conference on Intervention and Applied Psychology (ICIAP): 576-587.
Albarracin، D.، & Shavitt، S. (2018). Attitudes and attitude change. Annual review of psychology،  69، 299-327.
Al-Dababneh، K. A.، & Al-Zboon، E. K. (2018). Parents’ attitudes towards their children with cerebral palsy. Early Child Development and Care،  188(6)، 731-747.
Arman، A. N. Z.، & Kurniawati، F. (2019). Does the Availability of Information Matter for Parents’ Attitude Towards Children with Special Needs?. In 2nd International Conference on Intervention and Applied Psychology (ICIAP 2018). Atlantis Press: 537-544.
Asgharinekah.s.m, Bolghan Abadi. M. (2013). Validation and Revision of the Parental Attitudes Scale towards Children with Special Needs. Psychology of Exceptional Individuals, 3(11), 147-163.
Aydogmus، M. (2021). Investigation of the effect of social entrepreneurship on professional attitude and self-efficacy perception: a research on prospective teachers. Studies in Higher Education،  46(7)، 1462-1476.
Azadyekta M. (2021). The Effectiveness of Positive Psychology on Psychological Well-being of Mothers with a Mentally Retarded Child. J Except Educ; 3 (163) :9-20.
Bahadori Khosro Shahi, J. (2017). Communication Parental Self-Efficacy and Self Forgiveness with Mother-Child Interaction in Mothers of Children with Mental Retardation. Empowering Exceptional Children, 8(2), 26-36.
Bakhshi zdeh, S., Afroz, G., Beh pazhoh, A., Ghobari Bonab, B., & Shokohi yekta, M. (2016). TThe Effectiveness of Resiliency based on Islamic Spirituality Training on Marital Satisfaction & Components of Resiliency based on Islamic Spirituality in Mothers of Slow Pace Children. Empowering Exceptional Children, 7(4), 60-75.
Bandura، A. (1989). Regulation of cognitive processes through perceived self-efficacy. Developmental psychology،  25(5)، 729.
Bar، M. A.، Shelef، L.، & Bart، O. (2016). Do participation and self-efficacy of mothers to children with ASD predict their children’s participation?. Research in Autism Spectrum Disorders،  24، 1-10.
Cheraghi F, Rostaie Z, Asgari M, Shamsaei F, Tapak L. (2017).The Effect of Training of Parental Role on Mothers’ Attitude with Children Aged 1-5 Years with Respect to Children’ Abuse . Iran J Health Educ Health Promot; 5 (3) :182-190.
Coleman، P. K.، & Karraker، K. H. (2000). Parenting self‐efficacy among mothers of school‐age children: Conceptualization، measurement، and correlates. Family relations،  49(1)، 13-24.
Currier، J. M.، Kuhlman، S.، & Smith، P. N. (2015). Empirical and ethical considerations for addressing spirituality among veterans and other military populations at risk for suicide. Spirituality in Clinical Practice،  2(1)، 68.
Deng، J.، Li، T.، Wang، J.، & Zhang، R. (2020). Optimistically accepting suffering boosts happiness: associations between Buddhism patience، selflessness، and subjective authentic-durable happiness. Journal of Happiness Studies،  21(1)، 223-240.
Dias، P. C.، Mamas، C.، & Gomes، R. (2020). Attitudes of students towards peers with special educational needs in mainstream Portuguese schools. European journal of special needs education،  35(5)، 636-647.
Dumka، L. E.، Stoerzinger، H. D.، Jackson، K. M.، & Roosa، M. W. (1996). Examination of the cross-cultural and cross-language equivalence of the parenting self-agency measure. Family Relations، 216-222.
Eskandari B, Pouretemad H, Habibi Asgarabad M, Mazaheri Tehrani M A. (2016). Effect of Sensory Processing Style Interventions on Increasing Parental Self-efficacy and Child-parent Relationship in Children with Autism. J Except Educ; 1 (138) :14-21 .
Fereydooni، A.، Heidari، A.، Eftekhar Saadi، Z.، Ehteshamzadeh، P.، & Pasha، R. (2020). A Comparison of the Effects of Happiness and Mindfulness Training on Parenting Self-Efficacy in Mothers of Anxious Preschool Children. International Journal of Pediatrics،  8(11)، 12327-12337.
Gadampour, E. Rahimipour, T. Amiri,F& Khalili Ghasnigan. (2017). The effectiveness of teaching patience based on religious teachings on resilience. Psychology and Religion, 11(1), 31-46.
Gawronski، B.، Rydell، R. J.، De Houwer، J.، Brannon، S. M.، Ye، Y.، Vervliet، B.، & Hu، X. (2018). Contextualized attitude change. In Advances in experimental social psychology . Academic Press 57:1-52.
Ghbaribanab, Bagher and Raqibian, Roya. (2018). Teaching patience to children to improve their spiritual health: a guide for parents. Journal of Culture and Health Promotion, 1(1), 49-58.
Govender، N. (2002). Attitudes of parents towards their mentally retarded children: a rural area examination (Doctoral dissertation).
Haroon Rashidi H, Ghalavandi M. (2019).The relationship between schema emotional and coping strategies with psychological distress in mother's exceptional children. J Except Educ; 5 (154) :27-36.
Hoseyn Sabet, F. (2012). Religious Principles and Psychological Analysis of Patience. Seraje Monir, 3(8), 95-113.
Jajormaneh F, Ghazavi Z, Mehrabi T, Najafi M. (2016). The effect of stress management training program on self- efficacy mothers of children with thalassmia. Journal of Clinical Nursing and Midwifery; 5 (2) :84-93.
Jebeli M, Khademi A. (2020). Comparison of the Flexibility and Psychological Hardiness among Exceptional Children Mothers (Blind, Deaf and Mental Retardation). MEJDS; 10 :18-18.
kargar M, Asgari Ebrahimabad M J. (2015). Comparing problem solving style and marital adjustment in exceptional and normal children mothers. J Except Educ; 2 (130) :37-44.
Khodadadi Sangdeh, J., Tavalaeyan, S. A., & Bolghan-Abadi, M. (2021). The effectiveness of positive group psychotherapy in increasing the happiness among mothers of children with special needs. Journal of Family Psychology, 1(1), 53-62.
khormaee, F., Farmani, A., & Soltani, E. (2014). The Patience Scale:Instrument development and Estimates of Psychometric properties. Quarterly of Educational Measurement, 5(17), 83-99.
khormaei F, azadi dehbidi F, haghjoo S. (2016). The study of structural model of relationship between patience and difficulty in emotion regulation. Journal of Research in Psychological Health; 10 (1) :22-31.
Lavelock، C. R. (2015). Good things come to those who (peacefully) wait: Toward a theory of patience.
Moradisani, R., & kh, A. (2017). A comparative study of anemia in primary students with attention deficit and its relationship with learning disorders. Journal of Learning Disabilities, 7(1), 119-135. doi: 10.22098/jld.2017.580.
Mubaraki, Asiah and Zadeh Bagheri, Qadir. (2012). Comparison of the knowledge and attitude of mothers with mentally disabled children and those without mentally disabled children in the field of mental disabilities in Gachsaran. Armaghane Danesh, 8(31), 81-90.
Namaziandost، E.، & Çakmak، F. (2020). An account of EFL learners’ self-efficacy and gender in the Flipped Classroom Model. Education and Information Technologies،  25(5)، 4041-4055.
Nematipour, Z., Golzari, M., & Baqeri, F. (2012). evaluating the effectiveness of collective patience training on reduction of depression and stress symptoms of bereaved mothers. Clinical Psychology Studies, 2(7), 31-59.
Patten، S. B. (2014). Support، patience، and expectancy: therapeutic options alongside intensified treatments for depression?. The Canadian Journal of Psychiatry،  59(7)، 347-348.
Reis، H.، Silva، A.، Simões، B.، Moreira، J.، Dias، P.، & Dixe، M. (2020). Preschool Children’s Attitudes Towards Their Peers with Special Needs. International Journal of Disability، Development and Education، 1-11.
Rezapur Mirsaleh, Y., shomali ahmadabadi, M., akbarian torkabad, E., emarati, S., & barkhordari, A. (2021). Effectiveness of Emotion-focused Group Intervention on sexual satisfaction, marital satisfaction and dimensions of mental health in mothers of children with intellectual disability. Psychology of Exceptional Individuals, 11(42), 217-243.
Roberts، A. R.، & Fishbach، A. (2020). When wanting closure reduces patients’ patience. Organizational Behavior and Human Decision Processes، 161، 85-94.
Sabila، H.، & Kurniawati، F. (2019). Parental attitudes of preschool children toward students with special needs in inclusive and non-inclusive kindergartens: A comparative study. In Advances in Social Science، Education and Humanities Research: Proceedings of the 2nd International Conference on Intervention and Applied Psychology (ICIAP 2018) . 229: 602-609.
Safara, M., Khanbabaee, M., & Khanbabaee, M. (2020). The efficacy of Spiritual skills training in promoting quality of life and life hope of mothers Having Child with intellectual disability. Psychology of Exceptional Individuals, 10(37), 161-180.
Sartippi, Z., Sohrabi, F., & Pasandideh, A. (2016). The efficacy of patience training based on the patience component of the Islamic model of Happiness on well-being of housewives. Journal of Islamic Psychology, 2(4), 45-69.
Schnitker، S. A. (2012). An examination of patience and well-being. The Journal of Positive Psychology،  7(4)، 263-280.
Schnitker، S. A.، & Emmons، R. A. (2007). Patience as a virtue: Religious and psychological perspectives. In Research in the Social Scientific Study of Religion 18: 177-207.
Shabahang R, Khosrojavid M, Ahmadi A. (2018). The Role of Attitude and Resiliency in Predicting the Quality of Life of Parents of Children with Special Needs . J Child Ment Health; 5 (3) :11-21.
Shiau، W. L.، Yuan، Y.، Pu، X.، Ray، S.، & Chen، C. C. (2020). Understanding fintech continuance: perspectives from self-efficacy and ECT-IS theories. Industrial Management & Data Systems.
Smart، L. K. (2016). Parenting self-efficacy in parents of children with autism spectrum disorders. Brigham Young University.
Talei, Ali; Tahmasian, Karine and Vafai, Narges. (2011). Effectiveness of positive parenting program training on mothers' parenting self-efficacy. Journal of Family Research, 7(39), 311-323.
Temiz، G. (2020). The relationship between mothers’ psychological well-being and their attitudes towards their children. Psychology، 10(1)، 1-9.
Vance، A. J.، Pan، W.، Malcolm، W. H.، & Brandon، D. H. (2020). Development of parenting self-efficacy in mothers of high-risk infants. Early human development، 141، 104946.
Wardana، L. W.، Narmaditya، B. S.، Wibowo، A.، Mahendra، A. M.، Wibowo، N. A.، Harwida، G.، & Rohman، A. N. (2020). The impact of entrepreneurship education and students' entrepreneurial mindset: the mediating role of attitude and self-efficacy. Heliyon، 6(9)، e04922.
Weiss، J. A.، Tint، A.، Paquette-Smith، M.، & Lunsky، Y. (2016). Perceived self-efficacy in parents of adolescents and adults with autism spectrum disorder. Autism، 20(4)، 425-434.
Wittkowski، A.، Garrett، C.، Calam، R.، & Weisberg، D. (2017). Self-report measures of parental self-efficacy: A systematic review of the current literature. Journal of child and family studies، 26(11)، 2960-2978.
Yada، A.، & Savolainen، H. (2017). Japanese in-service teachers’ attitudes toward inclusive education and self-efficacy for inclusive practices. Teaching and Teacher Education، 64، 222-229.
Psychology of Exceptional Individuals
Volume 13, Issue 51
Summer 2023
Pages 105-143

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