fa اثربخشی مداخله کودک‌محور بر اساس درمان فراتشخیصی یکپارچه بر تعامل والدین کودک مبتلا به اختلال نقص‌توجه- بیش‌فعالی تخصصي Special پژوهشي Research <span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""><span style="letter-spacing:.75pt">مقدمه</span></span></span></b><b><span lang="FA" style="font-size:12.0pt"><span style="font-family:BMitraBold"><span style="letter-spacing:.75pt">:</span></span></span></b> <span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:BMitra">الگوهای تعاملی والدین و کودک با </span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:BMitra">اختلال نقص&shy;توجه- بیش&shy;فعالی </span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:BMitra">متعارض است؛ و آموزش درمان&shy;های اثربخش کمتر به چشم</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:BMitra">می&shy;خورد. بنابراین، این مطالعه با هدف تعیین </span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:BMitra">اثربخشی مداخله کودک&shy;محور بر اساس </span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:BMitra">درمان فراتشخیصی یکپارچه </span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:BMitra">بر تعامل والدین کودک مبتلا به اختلال نقص&shy;توجه- بیش&shy;فعالی</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:BMitra">انجام گرفت.</span></span> &nbsp;&nbsp;&nbsp;<span lang="FA" style="font-size:12.0pt"><span style="font-family:BBadr"></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">روش کار</span></span></b><b><span lang="FA" style="font-size:12.0pt"><span style="font-family:BMitraBold">:</span></span></b> <span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:BMitra">روش مطالعه، </span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:BMitra">نیمه</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:BMitra">&shy;&shy;آزمایشی از نوع پیش&shy;آزمون- </span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:BMitra">پس &shy;آزمون- پیگیری </span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:BMitra">با گروه کنترل بود. </span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:BMitra">جامعه آماری شامل تمامی کودکان 7 تا 10 سال دارای اختلال نقص توجه- بیش فعالی مراجعه کننده به مرکز مشاوره عسل شهر تهران در سال 1401 بود. از بین آنها تعداد 30 کودک مبتلا به اختلال نقص&shy;توجه- بیش&shy;فعالی بر اساس ملاک&shy;های ورود و به شیوه نمونه&shy;گیری هدفمند انتخاب شده و به صورت تصادفی در دو گروه (15 نفری) </span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:BMitra">درمان&shy; فراتشخیصی<b> </b></span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:BMitra">و گروه کنترل گمارده شدند. مداخله کودک&shy;محور بر اساس </span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:BMitra">درمان فراتشخیصی یکپارچه</span></span> <span lang="FA" style="font-size:12.0pt"><span style="font-family:BMitra">برای هر کودک و مادر </span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:BMitra">در 12 جلسه 45 دقیقه&shy;ای</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:BMitra">اجرا شد و گروه کنترل در فهرست انتظار قرار گرفتند.</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:BMitra"> ابزار پژوهش شامل پرسشنامه</span></span><b> </b><span lang="FA" style="font-size:12.0pt"><span style="font-family:BMitra">بررسی رابطه والد- فرزند (فاین، مورلند و اسچووبل، 1983) </span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:BMitra">بود. داده&shy;ها با استفاده از روش تحلیل کوواریانس </span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:BMitra">با اندازه&shy;گیری مکرر</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:BMitra">در نرم&shy;افزار </span></span><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">SPSS²³</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:BMitra"> تحلیل شدند</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:BMitra">.</span></span><b> </b><b>&nbsp;&nbsp;</b></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">یافته&nbsp;</span></span></b><b><span lang="FA" style="font-size:12.0pt"><span style="font-family:BMitraBold">&shy;</span></span></b><b><span lang="FA" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">ها</span></span></b><b><span lang="FA" style="font-size:12.0pt"><span style="font-family:BMitraBold">:</span></span></b> <span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:BMitra">نتایج نشان داد </span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:BMitra">بین گروه آزمایش و گروه کنترل تفاوت معنی&shy;دار وجود داشت؛ و مداخله </span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:BMitra">درمان فراتشخیصی یکپارچه </span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:BMitra">باعث افزایش تعامل والدین </span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:BMitra">کودکان با </span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:BMitra">اختلال نقص&shy;توجه- بیش&shy;فعالی شده و تاثیر </span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:BMitra">این مداخله درمانی در مرحله پیگیری نیز پایدار بوده است (05/0</span></span><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">P<</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:BMitra">). </span></span><b><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin,Bold""></span></span></b></span></span></span></span></span><br> <b><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">نتیجه</span></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:BMitraBold">&shy;</span></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">گیری</span></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:BMitraBold">:</span></span></span></b> <span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:BMitra">بر اساس نتایج پژوهش حاضر، مداخله درمان فراتشخیصی یکپارچه می&shy;تواند برای بهبود </span></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:BMitra">تعامل والدین </span></span></span><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:BMitra">کودکان با </span></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:BMitra">اختلال نقص&shy;توجه- بیش&shy;فعالی</span></span></span> <span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:BMitra">کارآمد باشد؛ و توصیه می&shy;گردد که درمانگران و مشاوران در راستای بهبود </span></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:BMitra">تعامل والدین </span></span></span><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:BMitra">این کودکان از این درمان&shy; در کنار سایر مداخلات درمانی استفاده کنند</span></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:107%"><span style="font-family:BMitra">. </span></span></span>&nbsp;&nbsp;&nbsp;&nbsp; <span style="font-size:11pt"><span style="line-height:normal"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span style="font-family:" timesnewromanps-boldmt="">Introduction</span></b><b><span new="" roman="" style="font-family:" times="">:</span></b><span new="" roman="" style="font-family:" times="">Interaction patterns are conflicting in parent and child with attention deficit hyperactivity disorder; And there are few effective treatments for them. Therefore, this study aimed</span> <span new="" roman="" style="font-family:" times="">the effectiveness of child-centered intervention based on unified transdiagnostic therapy on the interaction of parents of children with attention deficit- hyperactivity disorder.</span><b> </b></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span style="font-family:" timesnewromanps-boldmt="">Methods:</span></b> <span new="" roman="" style="font-family:" times="">The research method was semi-experimental to p</span><span new="" roman="" style="font-family:" times="">retest- posttest-</span><span new="" roman="" style="font-family:" times=""> followup </span><span new="" roman="" style="font-family:" times="">with a</span> <span new="" roman="" style="font-family:" times="">control group. The statistical population included all children 7 to 10 years with attention deficit- hyperactivity disorder who referred to the Asal counseling center in Tehran in 2022. Among them, 30 children were selected based on inclusion criteria</span> <span new="" roman="" style="font-family:" times="">and by purposive sampling</span> <span new="" roman="" style="font-family:" times="">method and randomly were placed into two groups (15 people) of unified transdiagnostic therapy and control. Child-centered intervention based on unified transdiagnostic therapy was performed for each child in 12 sessions of 45 minutes, and the control group was on the waiting list. The research instrument included Parent-Child Relationship Survey (Fine&sbquo; Moreland & Schwebel, 1983). The data were analyzed using repeated measure</span> <span new="" roman="" style="font-family:" times="">of covariance analysis in SPSS²³ software. &nbsp;</span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span style="font-family:" timesnewromanps-boldmt="">Results:</span></b> <span new="" roman="" style="font-family:" times="">The results showed that there was a significant difference between the experimental group and control group; And child-centered intervention based on unified transdiagnostic therapy increased the interaction of parents of children with attention deficit- hyperactivity disorder,</span> <span new="" roman="" style="font-family:" times="">and the effect of these therapeutic intervention was stable in the followup phase (P<0.05). </span><b>&nbsp;&nbsp;&nbsp;</b></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span style="font-family:" timesnewromanps-boldmt="">Conclusions:</span></b> <span new="" roman="" style="font-family:" times="">Based on the results of the present study, child-centered intervention based on unified transdiagnostic therapy can be effective in improving the interaction of parents of children with attention deficit- hyperactivity disorder; And it is suggested that therapists and counselors use this treatment in order to improve the interaction of parents</span> <span new="" roman="" style="font-family:" times="">of these children</span> <span new="" roman="" style="font-family:" times="">along with other therapeutic interventions. &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></span></span></span><br> &nbsp; درمان فراتشخیصی یکپارچه, تعامل والدین, اختلال نقص‌توجه- بیش‌فعالی Unified Transdiagnostic Therapy, Interaction of Parents, Attention Deficit- Hyperactivity Disorder. 106 118 http://ijpn.ir/browse.php?a_code=A-10-2007-2&slc_lang=fa&sid=1 Shokufeh Asgari شکوفه عسگری shokufehasgari@yahoo.com 27900319475328460018227 0009-0003-3910-9119 No Department of Psychology, Shiraz Branch, Islamic Azad University, Shiraz, Iran گروه روانشناسی، واحد شیراز، دانشگاه آزاد اسلامی، شیراز، ایران Mohammad Mozafari محمد مظفری Mozafari937@yahoo.com 27900319475328460018228 27900319475328460018228 Yes Department of Psychology, Shiraz Branch, Islamic Azad University, Shiraz, Iran گروه روانشناسی، واحد شیراز، دانشگاه آزاد اسلامی، شیراز، ایران Sajjad Amini Menesh سجاد امینی منش sajadaminimanesh@gmail.com 27900319475328460018229 27900319475328460018229 No Department of Psychology, Shiraz Branch, Islamic Azad University, Shiraz, Iran گروه روانشناسی، واحد شیراز، دانشگاه آزاد اسلامی، شیراز، ایران Mohammad Reza Bardideh محمدرضا بردیده Mbardideh@yahoo.com 27900319475328460018230 27900319475328460018230 No Department of Psychology, Firoozabad Branch, Islamic Azad University, Firoozabad, Iran گروه روانشناسی، واحد فیروزآباد، دانشگاه آزاد اسلامی، فیروزآباد، ایران