Effectiveness of Resilience-Based Training for Mothers on Reducing Parenting Stress and Promoting Resilience of 4-6 Year-old Children

Document Type : Research Paper

Authors

1 Assistant Professor, Department of Psychology, Faculty of Humanities and Social Sciences, Ardakan University, Ardakan, Iran

2 M.A. Student of School Counseling, Department of Counseling, Faculty of Humanities and Social Sciences, Ardakan University, Ardakan, Iran

3 M.A. Student of Family Counseling, Department of Counseling, Faculty of Humanities and Social Sciences, Ardakan University, Ardakan, Iran

Abstract

The objective of the present study was to determine the effectiveness of resilience-based training for mothers on reducing parenting stress and promoting resilience of 4-6 year-old children. This study was a quasi-experimental study with a pretest-posttest design. In this study, using convenience sampling method, 24 mothers with 4-6 year-old children in Meybod, who were studying at Nobahar Preschool Center during 2019-2020 were selected and randomly divided into experimental and control groups. The experimental group underwent children resilience training program for nine sessions of 90 minutes and the control group received no intervention. The participants in both groups completed Parenting Stress Index and Child and Adolescent Resilience Scale before and one week after the intervention. The results showed that resilience training for parents significantly reduced parenting stress and increased children's resilience.
Introduction: Children comprise a major portion of the world's population. According to the latest report of the United Nations International Children's Emergency Fund (UNICEF) in 2020, there are about 1.9 billion children in the world, making 27% of the world's population. Hence, addressing their mental health helps them be mentally and physically healthy, and play their social role better (Hayden and Mash, 2014). Among the factors affecting child development, family is the first and most enduring element, which in almost all societies is considered a constructive factor and the cornerstone for development of the child's personality and future behaviors (Amiri and Kalkian, 2012). Among family members, mothers are the first person to build a close relationship with children, not only during the fetal period, but also after that. Due to the central role of mothers in the psychological and emotional development of children, mother’s mental health is one of the most fundamental factors that shape child's personality (Diaz, 2005). Parenting stress which most mothers experience in several areas of life related to parenting is the result of a perceived mismatch between parental demand and individual resources (Rabiee-Kenari et al., 2014). Such stress has not only negative impacts on maternal health, but also destructive effects on the child (Hughes et al., 2015). Resilience-based training is one of the important interventions to improve mothers’ mental health and reduce their stress (Shahriarimanesh et al., 2020). Studies have shown the effectiveness of resilience training for mothers on increasing psychological well-being and reducing maternal parenting stress (Halstead et al., 2018; Kaboudi et al., 2018; Ambrosio et al., 2021; Chitra et al., 2018; Tabatabaei et al., 2020). In addition, different theoretical models support resilience training for parents, especially mothers (McCobin, 1996; quoted by Sixbey, 2005; Tommy et al., 2012; Henry et al., 2015). However, in today's stressful life, no child is safe from stress and even children who are not exposed to stress experience pressures and expectations (Arianfar et al., 2016). Therefore, the importance of raising resilient children becomes clearer than ever. Hence, the objective of the present study was to investigate the effectiveness of resilience training for mothers with 4-6 year-old children on promoting and nurturing children's resilience and reducing parenting stress.
Methods: This study used a quasi-experimental design with pretest-posttest and a control group. The statistical population included all mothers with 4-6 year-old children in Meybod during 2019-2020. The sample consisted of 24 mothers whose children were studying at Nobahar Preschool Center. These mothers were selected by convenience sampling method and randomly divided into experimental and control groups. The participants first completed the Parenting Stress Index (PSI) (Abidin, 1983) and the Child and Adolescent Resilience Scale (Angar and Liebenberg, 2011). Then, the experimental group received a training program for promoting and developing children's resilience in nine sessions of 90 minutes, but the control group did not. One week after the last session, the same scales were given to the participants of both groups again. Data were analyzed with descriptive (frequency, mean and standard deviation) and inferential (multivariate analysis of covariance) statistical methods.
Results: Table 1 shows a significant difference between the experimental and control groups in terms of the variables of parenting stress (F = 27.25, P<0.01) and children’s resilience (F = 37.21, P<0.01) in the post-test. In other words, resilience-based training reduced parenting stress and increased children's resilience, and the effect of the intervention on parenting stress and children's resilience was 0.44 and 0.69, respectively. This finding means that 44% and 69% of the changes in the variables of parenting stress and children's resilience were explained by group membership (resilience-based training), respectively.
Discussion and conclusion: The study results showed that resilience training for mothers was effective on reducing parenting stress. In other words, resilience-based training approach helps mothers become aware of their individual characteristics and abilities, use resilience as an internal resilient factor, and increase their power by learning problem-solving, and help their child act more effectively in the face of adverse conditions (Hosseini Ghomi and Jahanbakhshi, 2021). Also, the study results showed that resilience training for mothers was effective on increasing children's resilience. Resilience training can lead to the strengthening of abilities such as managing negative emotions, problem solving, and constructive thinking in mothers, which improves the parent-child relationship, and mothers encourage their children to do their favorite hobbies and activities, help improve self-efficacy and self-confidence, and finally promote and nurture their children's resilience (Fogarty et al., 2019). The limitations of the present study included recruiting only mothers and its cross-sectional nature. Therefore, it is suggested to conduct longitudinal studies to investigate if the effectiveness of this program sustains. It is also suggested to conduct studies on fathers and compare the results with the present study results. In addition, it is suggested that relevant counselors and specialists use intervention programs to increase parental resilience at schools, especially in regions that lack professional facilities and counselors.

Keywords


Abidin, R. R. (1990). Introduction to the special issue: The stresses of parenting. Journal of clinical child psychology, 19(4), 298-301. https://doi.org/10.1207/s15374424jccp1904_1
Ambrosio, A. D., & Adiletta, V. (2021). The Resilience Training: Experimental Evaluation of a Group Psycho-educational Training on the Development of Resilience. International Journal of Psychological and Brain Sciences, 6(4), 52-57. http://dx.doi.org/10.11648/j.ijpbs.20210604.11
Amiri, Sh., & KolKian, M. (2012). Study of the difference between separation anxiety rate of preschool children in Isfahan and working and housewives. Third National Conference on Counseling, Khomeini Shahr, Esfahan. (Text in Persian)
Arianfar, N., Katani, M., & Abedi, A. (2016). Resilience in children (for mothers and specialists). Esfahan: Neveshte. (Text in Persian)
Ayala-Nunes, L., Nunes, C., & Lemos, I. (2017). Social support and parenting stress in at-risk Portuguese families. Journal of Social Work, 17(2), 207-225. https://psycnet.apa.org/doi/10.1177/1468017316640200
Bagner, D. M., Sheinkopf, S. J., Miller-Loncar, C., LaGasse, L. L., Lester, B. M., Liu, J., Bauer, C. R., Shankaran, S., Bada, H., & Das, A. (2009). The Effect of Parenting Stress on Child Behavior Problems in High-Risk Children with Prenatal Drug Exposure. Child Psychiatry Human Development, 40, 73-84. https://doi.org/10.1007/s10578-008-0109-6
Bakhshizadeh, S., Afrooz, G. A., Beh-Pajooh, A., Ghobari-Bonab, B., Shokoohi-Yekta, M. (2016). The Effectiveness of Resiliency based on Islamic Spirituality Training on Mental Health and Spiritual Resiliency among Mothers of Slow Pace (Mentally Retarded) Children. Armaghane danesh. 21(5), 492-512. (Text in Persian)
Barlow, J. (2016). Effects of parenting programmes: A review of six Campbell systematic reviews. (Campbell Policy Brief No. 1).
Barlow, J., Bergman, H., Kornør, H., Wei, Y., & Bennett, C. (2016). Group based parent training programmes for improving emotional and behavioral adjustment in young children. Cochrane Library of Systematic Reviews, 8(8), 264-279. https://doi.org/10.1002/14651858.cd003680.pub3
Brown, I., & Brown, R. (2003). Quality of Life and Disability: An Approach for Community Practitioners. Jessica Kingsley Publishers, London.
Brown, O., & Robinson, J. (2012). Resilience in remarried families. South African Journal of Psychology, 42, 114-126.
Card, N. A., & Toomey, R. B. (2012). Applying the social relations model to developmental research. In B. Laursen, T. D. Little, & N. A. Card (Eds.), Handbook of developmental research methods (pp. 557–576). The Guilford Press.
Chitra, T., & Karunanidhi, S. (2021). The impact of resilience training on occupational stress, resilience, job satisfaction, and psychological well-being of female police officers. Journal of Police and Criminal Psychology, 36(1), 8-23. https://psycnet.apa.org/doi/10.1007/s11896-018-9294-9
Chronis-Tuscano, A, Lewis-Morrarty, E, Woods, K. E., O’Brien, K. A., Mazursky-Horowitz, H., & Thomas, S. R. (2016). Parent–Child Interaction Therapy with Emotion Coaching for Preschoolers with Attention Deficit/Hyperactivity Disorder. Cognitive and Behavioral Practice, 23(1), 62-78. https://psycnet.apa.org/doi/10.1016/j.cbpra.2014.11.001
Dardas, L. A., & Ahmad, M. M. (2015). For fathers raising children with autism, do coping strategies mediate or moderate the relationship between parenting stress and quality of life? Research in Developmental Disabilities, 36, 620-629. https://doi.org/10.1016/j.ridd.2014.10.047
Diaz, Y. (2005). Association between parenting and child behavior problems among Latino mothers and children. Unpublished Master Thesis, University of Maryland, Maryland.
EO, Y. S., & Kim, J. S. (2017). Parenting Stress and Maternal-Child Interactions among Preschool Mothers from the Philippines, Korea, Vietnam: A Cross-Sectional, Comparative Study. Journal of Transcultural Nursing, 29(5), 449-456. https://doi.org/10.1177/1043659617747686
Fadaei, Z., Dehghani, M., Tahmasian, K., & Farhadei, F. (2011). Investigating reliability, validity and factor structure of parenting stress- short form in mothers of 7–12-year-old children. Journal of Research in Behavioral Sciences, 8(2), 81-91. (Text in Persian)
Fogarty, A., Woolhouse, H., Giallo, R., Wood, C., Kaufman, J., & Brown, S. (2019). Promoting resilience and wellbeing in children exposed to intimate partner violence: a qualitative study with mothers. Child abuse & neglect, 95, 104039. https://doi.org/10.1016/j.chiabu.2019.104039
Ginsberg, K. (2005). Resilience education in children: a guide for parents and educators. Translated by Sajjad Salehi (2018). Tehran: Treasure of Science. (Text in Persian)
Haddadi, P., & Besharat, M. A. (2010). Resilience, vulnerability and mental health. Procedia-Social and Behavioral Sciences, 5, 639-642. https://doi.org/10.1016/j.sbspro.2010.07.157
Halstead, E., Ekas, N., Hastings, R. P., & Griffith, G. M. (2018). Associations between resilience and the well-being of mothers of children with autism spectrum disorder and other developmental disabilities. Journal of Developmental Disorders, 48(4), 1108-1121. https://doi.org/10.1007/s10803-017-3447-z
Hashemi-Malekshah, S. (2017). The Effectiveness of Adlerian Parent Training on Change of parenting styles of parents with Children Suffering from Attention- Deficit/ Hyperactivity Disorder. Psychology of Exceptional Individuals, 7(27), 135-159. https://doi.org/10.22054/jpe.2018.21922.1563 (Text in Persian)
Hayden, E. P., & Mash, E. J. (2014). Child psychopathology: A developmental-systems perspective. In E. J. Mash & R. A. Barkley (Eds.), Child psychopathology (pp. 3–72). The Guilford Press.
Henry, C. S., Sheffield Morris, A., & Harrist, A. W. (2015). Family resilience: Moving into the third wave. Family Relations, 64(1), 22-43. https://doi.org/10.1111/fare.12106
Hosseini-Ghomi, T., & Jahanbakhshi, Z. (2021). Effectiveness of resilience training on stress and mental health of mothers whose have children suffering mental retardation. Counseling Culture and Psycotherapy, 12(46), 205-228. https://doi.org/10.22054/qccpc.2020.50262.2327  (Text in Persian)
Hughes, S. O., Power, T. G., Liu, Y., Sharp, C., & Nicklas, T. A. (2015). Parent emotional distress and feeding styles in low-income families: the role of parent depression and parenting stress. Appetite. 92, 337-342. https://doi.org/10.1016/j.appet.2015.06.002
Hullmann, S. E., Wolfe-Christensen, C., Ryan, J. L., Fedele, D. A., Rambo, P. L., Chaney, J. M., & Mullins, L. L. (2010). Parental Overprotection, Perceived Child Vulnerability, and Parenting Stress: A Cross-Illness Comparison. Journal of Clin Psychol Med Settings. 17(1), 357-365. http://dx.doi.org/10.1007/s10880-010-9213-4
Kaboudi, M., Abbasi, P., Heidarisharaf, P., Dehghan, F., & Ziapour, A. (2018). The effect of resilience training on the condition of style of coping and parental stress in mothers of children with leukemia. International Journal of Pediatrics, 6(3), 7299-7310. https://doi.org/10.22038/ijp.2018.29245.2559
Kaveh, M., Alizadeh, H., Delavar, A., & Borjali, A. (2011). Development of a resilience fostering program against stress and its impact on quality-of-life components in parents of children with mild intellectual disability. Journal of Exceptional Children, 11(2), 119-140. http://dorl.net/dor/20.1001.1.16826612.1390.11.2.2.2 (Text in Persian)
Kaveh, M., & Keramati, H. (2017). The impact of resilience fostering program on parenting stress, marital satisfaction and resiliency of children with learning disability. Journal of Learning Disabilities, 6(3), 69-91. https://doi.org/10.22098/jld.2017.520  (Text in Persian)
Kazerouni-zand, B., Sepehri, Z., & Mirzaiyan, B. (2013). The study of Psychometric features For Child and Youth Resilience Measure (CYRM-28) Iranian Society: Validity and Reliability. Quarterly Journal of Health Breeze, 2(3), 15-21. (Text in Persian)
Menon, I., Nagarajappa, R., Ramesh, G., & Tak, M. (2013). Parental stress as a predictor of early caries among preschool children in India. International Journal of Paediatric Dentistry, 23(1), 160-165. https://doi.org/10.1111/j.1365-263x.2012.01238.x
Putnick, D. L., Bornstein, M. H., Hendricks, C., Painter, K. M., Suwalsky, J. T. D., & Collins, W. A. (2010). Stability, continuity, and similarity of parenting stress in European American mothers and fathers across their child's transition to adolescence. Parenting: Science & Practice, 10, 60-77. https://doi.org/10.1080%2F15295190903014638
Rabiee, F., Jadidian, A., & Solgi, M. (2015). Effectiveness of Resilience Training on Reduction of Parental Stress of Autistic Childrens Mothers. Journal of Ilam University of Medical Sicences. 23(4), 95-105. (Text in Persian)
Raffaele-Mendez, L. M., Berkman, K., Lam, G. Y. H., & Dawkins. C. (2019). Fostering Resilience among Couples Coparenting a Young Child with Autism: An Evaluation of Together We Are Stronger. The American Journal of Family Therapy, 47(3), 165-182. https://doi.org/10.1080/01926187.2019.1624225
Rollè, L., Prino, L. E., Sechi, C., Vismara, L., Neri, E., Polizzi, C., … & Brustia, P. (2017). Parenting stress, mental health, and dyadic adjustment: A structure equation model. Frontiers in Psychology, 8(839), 1-10. https://doi.org/10.3389%2Ffpsyg.2017.00839
Saleh, A. (2017). Child and youth resilience measure: The most informed person-child form. Tehran: Aramis. (Text in Persian)
Shahriarimanesh, M., Ghasemzadeh, S., & Yazdi, S. (2020). The Effectiveness of Training Program Based on Resilience on Mothers’ Resilience and Communication Skills of Children with autism spectrum disorder. Journal of Psychological Studies, 16(1), 57-74 (Text in Persian)
Sixbey, M. T. (2005). Development of the family resilience assessment scale to identify family resilience constructs. University of Florida.
Tabatabaei, S. M., & Chalabainloo, G. (2020). The Effectiveness of Resilience Training on Positive and Negative Affect and Reduction of Psychological Distress in Mothers of Children with Attention Deficit Hyperactivity Disorder. Journal of Arak Uni Med Sci, 23(4), 438-449. http://dx.doi.org/10.32598/jams.23.4.1224.5  (Text in Persian)
Ungar, M., & Liebenberg, L. (2011). Assessing resilience across cultures using mixed methods: Construction of the child and youth resilience measure. Journal of Mixed Methods Research, 5(2), 126-149. https://doi.org/10.1177/1558689811400607
Walsh, F. (2011). Family resilience: A collaborative approach in response to stressful life challenges. In S. Southwick, D. Charney, B. Litz, M. & Freedman, A. (Eds.), Resilience and mental health: Challenges across the life span. (pp. 149 – 161). New York, NY: Cambridge University Press. http://dx.doi.org/10.1017/CBO9780511994791.012
Wen, Y., & Hanley, J. (2015). Rural‐to‐urban migration, family resilience, and policy framework for social support in China. Asian Social Work and Policy Review, 9(1), 18-28. http://dx.doi.org/10.1111/aswp.12042