The Effectiveness of Self Compassion Based Training Program on Resilience of Mothers of Children with Type 1 Diabetes in Isfahan, Iran
Abstract
Background: Concerns about the complications of diabetes and the responsibility of constantly managing a child’s blood glucose are stressful for parents, especially for mothers, and can reduce their resilience. This study aimed to investigate the effectiveness of a self‑compassion‑based training program on the resilience of mothers of children with type 1 diabetes.
Materials and Methods: This is a randomized clinical trial study. The statistical population of the study consisted of all mothers of children with type 1 diabetes who were being treated at the Isfahan Endocrine and Metabolism Research Centre, Iran. The study samples were recruited conveniently, 64 of whom were randomly divided into two groups (compassion training program = 32; control group = 32). The intervention group participated in eight training sessions. Data were analyzed using t‑test, and Analysis of Covariance (ANCOVA) tests for between‑group comparisons of dependent variables.
Results: There was no significant difference between the mean scores of resilience before intervention (p > 0.05). Mean scores of resilience in the intervention group were significantly higher than the control group immediately (F 1,60 = 9.726 p = 0.003) and 1 month after intervention (F1, 60 = 13.146, p = 0.001).
Conclusions: It may be worthwhile to suggest compassion‑based training program for mothers of children with type 1 diabetes to improve their resilience.
Background: Concerns about the complications of diabetes and the responsibility of constantly managing a child’s blood glucose are stressful for parents, especially for mothers, and can reduce their resilience. This study aimed to investigate the effectiveness of a self‑compassion‑based training program on the resilience of mothers of children with type 1 diabetes.
Materials and Methods: This is a randomized clinical trial study. The statistical population of the study consisted of all mothers of children with type 1 diabetes who were being treated at the Isfahan Endocrine and Metabolism Research Centre, Iran. The study samples were recruited conveniently, 64 of whom were randomly divided into two groups (compassion training program = 32; control group = 32). The intervention group participated in eight training sessions. Data were analyzed using t‑test, and Analysis of Covariance (ANCOVA) tests for between‑group comparisons of dependent variables.
Results: There was no significant difference between the mean scores of resilience before intervention (p > 0.05). Mean scores of resilience in the intervention group were significantly higher than the control group immediately (F 1,60 = 9.726 p = 0.003) and 1 month after intervention (F1, 60 = 13.146, p = 0.001).
Conclusions: It may be worthwhile to suggest compassion‑based training program for mothers of children with type 1 diabetes to improve their resilience.
Keywords: Self‑Compassion, resilience, diabetes mellitus, type 1
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Holt RI, Cockram C, Flyvbjerg A, Goldstein BJ. Textbook of Diabetes. John Wiley & Sons; 2017.
Pierce JS, Kozikowski C, Lee JM, Wysocki T. Type 1 diabetes in very young children: A model of parent and child influences on management and outcomes. Pediatr Diabetes 2017;18:17 25.
He J, Ryder AG, Li S, Liu W, Zhu X. Glycemic extremes are related to cognitive dysfunction in children with type 1 diabetes: A meta analysis. J Diabetes Investig 2018;9:1342 53.
Stanisławska Kubiak M, Mojs E, Wójciak R, Piasecki B, Matecka M, Sokalski J, et al. An analysis of cognitive functioning of children and youth with type 1 diabetes (T1DM) in the context of glycemic control. Eur Rev Med Pharmacol Sci 2018;11:3453 60.
Eilander M, Snoek FJ, Rotteveel J, Aanstoot HJ, Bakker van Waarde WM, Houdijk EC, et al. Parental diabetes behaviors and distress are related to glycemic control in youth with type 1 diabetes: Longitudinal data from the DINO study. J Diabetes Res 2017;2017:146204.
Pate T, Klemenčič S, Battelino T, Bratina N. Fear of hypoglycemia, anxiety, and subjective well being in parents of children and adolescents with type 1 diabetes. J Health Psychol 2019;24:209 18.
Whittemore R, Jaser S, Chao A, Jang M, Grey M. Psychological experience of parents of children with type 1 diabetes: A systematic mixed studies review. Diabetes Educ 2012;38:562 79.
Hannonen R, Aunola K, Eklund K, Ahonen T. Maternal parenting styles and glycemic control in children with type 1 diabetes. Int J Environ Res Public Health 2019;16:214.
Hashemipour Zavareh M, Yousofi Z, Hashemipour M. Comparison of the dimensions of coherence and family adaptability among the mothers of children with type 1 diabetes and healthy children in Isfahan city, Iran. J Isfahan Med Sch 2018;36:1183 90.
Van Gampelaere C, Luyckx K, van der Straaten S, Laridaen J, Goethals ER, Casteels K, et al. Families with pediatric type 1 diabetes: A comparison with the general population on child well being, parental distress, and parenting behavior. Pediatr Diabetes 2020;21:395 408.
Mendoza AN, Fruhauf CA, MacPhee D. Grandparent caregivers’ resilience: Stress, support, and coping predict life satisfaction. Int J Aging Hum Dev 2020;91:3 20.
Galatzer Levy IR, Huang SH, Bonanno GA. Trajectories of resilience and dysfunction following potential trauma: A review and statistical evaluation. Clin Psychol Rev 2018;63:41 55.
Lebares CC, Hershberger AO, Guvva EV, Desai A, Mitchell J, Shen W, et al. Feasibility of formal mindfulness based stress resilience training among surgery interns: A randomized clinical trial. JAMA Surg 2018;153:e182734.
Lord JH, Rumburg TM, Jaser SS. Staying positive: Positive affect as a predictor of resilience in adolescents with type 1 diabetes. J Pediatr Psychol 2015;40:968 77.
Nasiri Z, Alavi M, Ghazavi Z, Rabiei K. The effectiveness of mindfulness based intervention on perceived stress and perception of disease in patients with acute coronary syndrome. J Educ Health Promot 2020;9:130.
Abedi Z, Alavi M, Ghazavi Z, Visentin D, Cleary M. Improving coping styles in family caregivers of psychiatric inpatients using planned behavior problem solving training. J Nurs Res 2020;28:e70.
Sotoudeh R, Pahlavanzadeh S, Alavi M. The effect of a family based training program on the care burden of family caregivers of patients undergoing hemodialysis. Iranian J Nursing Midwifery Rres 2019;24:144 50.
Gilbert P. A brief outline of the evolutionary approach for compassion focused therapy. EC Psychol Psychiat 2017;3:218 27.
Delaney MC. Caring for the caregivers: Evaluation of the effect of an eight week pilot Mindful self compassion (MSC) training program on nurses’ compassion fatigue and resilience. PLoS One 2018;13:e020726124.
Rafiee Z, Karami J. Effectiveness of self compassion group training on the reduction of anxiety, stress, and depression in type 2 diabetic patients. Int J Behav Sci 2018;12:102 7.
Asadi Bijaeyeh JS, Amiri Majd M, Ghamari M, Fathi Aghdam G. The effectiveness of the self compassion training on life satisfaction and resilience of the elderly women. Aging Psy 2021;7:67 55.
Connor KM, Davidson JR. Development of a new resilience scale: The Connor Davidson Resilience scale (CD RISC). Depress Anxiety 2003;18:76 82.
Mohammadi M. The Reliably and Validity of Connor Davidson Resilience Scale (CD RISC) in Iran. Tehran: University of Social Welfare and Rehabilitation Sciences; 2005.
Taher Karami Z, Hossieni O, Dasht Bozorgi Z. The effectiveness of compassion focused therapy on resiliency, self discrepancy, hope and psychological well being of menopausal women in Ahvaz. J Community Health 2018;5:189 97.
Nuri HR, Shahabi B. The effectiveness of self compassion training on increase of mothers’ resiliency with autistic children. Knowl Res Appl Psychol 2017;18:118 26.
Grover S, Bhadada S, Kate N, Sarkar S, Bhansali A, Avasthi A, et al. Coping and caregiving experience of parents of children and adolescents with type 1 diabetes: An exploratory study. Perspect Clin Res 2016;7:32 9.
Kalantarzadeh M, Alavi M, Yousefi H, Maghsoudi J, Hungerford C, Cleary M. Coping with chronic cardiovascular disease in Iran: A qualitative study. Nurs Health Sci 2021;23:843 51.
Tara M, Hobbs M, Lorraine M, Arthur KC. The role of compassion and mindfulness in building parental resilience when caring for children with chronic illness or disability: A conceptual model. Front Psychol 2019;10:1602.
Hilliard ME, Iturralde E, Weissberg Benchell J, Hood KK. The diabetes strengths and resilience measure for adolescents with type 1 diabetes (DSTAR Teen): Validation of a new, brief self report measure. J Pediatr Psychol 2017;42:995 1005.
Akbari M, Alavi M, Irajpour A, Maghsoudi J, Lopez V, Cleary M. Support needs for family caregivers of clients with mental illness in Iran: A qualitative study. Issues Ment Health Nurs 2018;39:896 903.
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