The Effectiveness of Mindful self-Compassion Training on Worry and Distress Tolerance in the Mothers of Children with Intellectual Disability

Authors
nasrin homayounfar 1
Behzad Taghipuor 2
Parisa Serajmohammadi 3
Latifeh Dida 4
Fariba Abdi 3
Elham Ahadi 4
1 Department of midwifery, School of Nursing and Midwifery, Ardabil university of Medical sciences, Ardabil, Iran.
2 Department of Psychology, Faculty of Education and psychology, University of Mohaghegh Ardabili, Ardabil, Iran.
3 Department of Psychology, Faculty of human Sciences, University of Islamic, Ardabil unit, Ardabil, Iran
4 Department of Psychology, Faculty of human Sciences, University of Islamic, Khalkhal unit, Khalkhal, Iran
Abstract
The present study was conducted with the aim of determining the effectiveness of Mindful Self-Compassion Training on worry and Distress Tolerance in the mothers of children with intellectual disability. This semi-experimental study was conducted using pre-test and post-test with control group. The statistical population was whole client mothers of the children with intellectual disability in Ardabil comprehensive health clinic in the year 2022. 30 mothers were selected through the purposive sampling method and randomly assigned into two equal experimental and control. Experimental group received 8 weeks of Mindful Self-Compassion Training 90 minutes each session. During this period, the control group did not receive any intervention. Pennsylvania Worry Questionnaire and Distress Tolerance were used in pre-test, post-test to assess the subjects. Data were analyzed by Multivariate Analysis of Covariance (MANCOVA) and Analysis of Covariance (ANCOVA). The result showed that Mindful self-Compassion Training was effective on worry and distress tolerance. Therefore, it could be said that the Mindful self-Compassion Training improvement worry and distress tolerance scores in the mothers of children with intellectual disability.
Keywords
Mindful self-Compassion Training
worry
distress tolerance
mothers
children with intellectual disability
1- Arya, A., Verma, S., Roy, D., Gupta, P., & Jawaid, F. (2019). A study of burden of care among mothers of mentally retarded children and adolescents attending child and adolescent psychiatry OPD in a tertiary care center in North India. DELHI Psychiatr Sociology, 22(2), 238.
2- AlTourah, A. J., Al Ansari, A. M., & Jahrami, H. A. (2020). Depression, anxiety and stress among mothers of children with autism spectrum disorder. Bahrain Medical Bulletin, 42(2), 125-128.

3- Baker, K., Devine, R. T., Ng-Cordell, E., Raymond, F. L., & Hughes, C. (2021). Childhood intellectual disability and parents' mental health: integrating social, psychological and genetic influences. The British Journal of Psychiatry, 218(6), 315-322
4- Bakker, A. M., Cox, D. W., Hubley, A. M., & Owens, R. L. (2019). Emotion regulation as a mediator of self-compassion and depressive symptoms in recurrent depression. Mindfulness, 10, 1169-1180.
5- Choi, N. G., Sullivan, J. E., DiNitto, D. M., & Kunik, M. E. (2019). Associations between psychological distress and health-related behaviors among adults with chronic kidney disease. Preventive Medicine, 126, 105749.
6- Clemence, B., Akinyemi, A., Laurene, H., Thierry, C., Claire, M., & Bagnis, C. I. (2021). POS-820 Mindfulness and compassion training for clinicians: a qualitative study. Kidney International Reports, 6(4), S356.
7- Doorley, J. D., Kashdan, T. B., Weppner, C. H., & Glass, C. R. (2022). The effects of self-compassion on daily emotion regulation and performance rebound among college athletes: comparisons with confidence, grit, and hope. Psychology of Sport and Exercise, 58, 102081.
8- Durkin, M., Gurbutt, R., & Carson, J. (2022). Effectiveness of an online short compassion strengths course on nursing students compassion: A mixed methods non-randomised pilot study. Nurse Education Today, 111, 105315.
9- Eagleson, C., Hayes, S., Mathews, A., Perman, G., & Hirsch, C. R. (2016). The power of positive thinking: Pathological worry is reduced by thought replacement in Generalized Anxiety Disorder. Behaviour research and therapy, 78, 13-18.
10- Franco, P. L., & Christie, L. M. (2021). Effectiveness of a one day self-compassion training for pediatric nurses’ resilience. Journal of Pediatric Nursing, 61, 109-114.
11- Germer, C., Germer, C. K., & Neff, K. (2019). Teaching the mindful self-compassion program: A guide for professionals. Guilford Publications.
12- Germer, C., Germer, C. K., & Neff, K. (2019). Teaching the mindful self-compassion program: A guide for professionals. Guilford Publications
13- Gaete, H. P. (2021). HPA axis, Social Support, Mindfulness training, Compassion (Self/others) training and Resilience. Psychoneuroendocrinology, 131, 105472.
14- Mikaeili, N., Salmani, A., & Sharei, A. (2023). The effect of communication skills training on family adaptability/cohesion and coping strategies in parents of female students with learning disabilities. Journal of Learning Disabilities, 13(1).
15- Kratzke, I. M., Barnhill, J. L., Putnam, K. T., Rao, S., Meyers, M. O., Meltzer-Brody, S., ... & Bluth, K. (2023). Self-compassion training to improve well-being for surgical residents. EXPLORE, 19(1), 78-83.
16- Kumari, S., & Kiran, M. (2020). PARENTING STRESS, PSYCHOLOGICAL WELLBEING AND SOCIAL SUPPORT IN MOTHERS OF CHILDREN WITH MENTAL RETARDATION. International Journal of Scientific Research.
17- LaFreniere, L. S., & Newman, M. G. (2020). Exposing worry’s deceit: Percentage of untrue worries in generalized anxiety disorder treatment. Behavior Therapy, 51(3), 413-423.
18- Lathren, C. R., Sloane, P. D., Zimmerman, S., Bluth, K., Silbersack, J., & Wretman, C. J. (2020). Mindful self-compassion training for nursing assistants in long-term care: Challenges and future directions. Journal of the American Medical Directors Association, 21(5), 708-709.
19- Meyer, T. J., Miller, M. L., Metzger, R. L., & Borkovec, T. D. (1990). Development and validation of the penn state worry questionnaire. Behaviour research and therapy, 28(6), 487-495.
20- Razavian, F., Imani, S., & Nourbakhsh, M. (2021). Effectiveness of mental toughness on distress tolerance and mental vitality in parents of children with leukemia. Quarterly of Applied Psychology, 15 (3): 403, 422, 2.
21- Seekis, V., Farrell, L., & Zimmer-Gembeck, M. (2023). A classroom-based pilot of a self-compassion intervention to increase wellbeing in early adolescents. EXPLORE, 19(2), 267-270.
22- Simons, J. S., & Gaher, R. M. (2005). The Distress Tolerance Scale: Development and validation of a self-report measure. Motivation and emotion, 29, 83-102.
23- Sim, S. S., Bourke-Taylor, H., Fossey, E., & Yu, M. L. (2021). Being more than a mother: A qualitative study of Asian immigrant mothers in Australia who have children with disabilities. Research in Developmental Disabilities, 117, 104060.
24- Steinfurth, E. C., Alius, M. G., Wendt, J., & Hamm, A. O. (2017). Physiological and neural correlates of worry and rumination: Support for the contrast avoidance model of worry. Psychophysiology, 54(2), 161-171.
25- Stevens, E. S., Jendrusina, A. A., Legrand, A. C., Nahin, E. R., Kaufman, M. G., Borkovec, T. D., & Behar, E. (2018). The effects of worry and relaxation on flexibility during cognitive restructuring. Behavior modification, 42(6), 838-863.
26- Taghipuor, B., Toosi, M., & Abdi, F. (2022). The effectiveness of reality therapy on worry and rumination in the mothers of children with intellectual disability. Woman and Culture, 2(52), 71. . [Persian]
27- Taghipuor, B., & Barzegaran, R. (2019). The effectiveness of group existencetherapy on self-compassion and resilience of mothers with children with intellectual disability. Knowledge & Research in Applied Psychology, 20(2), 100-109. [Persian]
28- Tang, F., Byrne, M., & Qin, P. (2018). Psychological distress and risk for suicidal behavior among university students in contemporary China. Journal of affective disorders, 228, 101-108.
29- Veilleux, J. C., Hyde, K. C., & Clift, J. B. (2022). When is your distress harder to tolerate? A qualitative analysis of situations in which distress tolerance is impaired and strengthened. Journal of Contextual Behavioral Science, 23, 85-91.
30- Yidirim, A., Hacihasanog, A., Ilar, R., Karakurt, P. (2013). Effects of a nursing intervention programs on the depression
31- and perception of family functioning of mothers with intellectually disabled children. Journal of Clinical Nursing, 22, 251-261.
32- .