Association of Distress Tolerance and Mother-Child Interaction with Children’s Behavioral Disorders in Mothers of Children with Learning Disabilities: Mediating Role of Marital Quality

Document Type : Research Article

Authors

Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran

Abstract

Background: A mother’s distress tolerance is her ability to withstand negative emotions, which can alleviate her child’s behavioral disorders. This study was conducted to investigate the association of distress tolerance and mother-child interaction with children’s behavioral disorders through the mediating role of marital quality in mothers of children with learning disabilities.
Methods: In this descriptive correlational study, the statistical population included all the mothers of students with learning disabilities from Andimeshk, Khuzestan Province, Iran, in 2021. The convenience sampling method was employed for recruiting 210 participants. The research instruments included the Children’s Behavior Questionnaire, the Revised Dyadic Adjustment Scales, the Distress Tolerance Scale, the Mental Health Questionnaire, and the Child-Parent Relationship Scale. Structural equation modeling (SEM) was adopted to evaluate the proposed model.
Results: The results indicated that the direct paths from distress tolerance and mother-child interaction to marital quality were significant (P<0.001). Moreover, the indirect paths from distress tolerance to children’s behavioral disorders and the association between mother-child interaction and children’s behavioral disorders were significant through the mediating role of marital quality (P<0.001). However, the direct paths from distress tolerance and mother-child interaction to children’s behavioral disorders were not found to be significant.
Conclusions: The proposed model had good fitness. It could be considered as a major step towards identification of the factors affecting behavioral disorders of students with learning disabilities.

Keywords

References

  1. Yakut AD. Students with Specific Learning Disabilities in Inclusive Settings: A study of Teachers’ Self-Efficacy. Learning Disabilities Research & Practice. 2021;36(2):136-44. doi: 10.1111/ldrp.12241. ##
  2. Farhad Pour R, Azmodeh M, Tabatabaei SM, Hosseini Nasab SD. Modeling of Loneliness in Mothers with Children having Specific Learning Disorders based on Coping Strategies with the Mediating Role of Self-Efficacy. Women Health Bull. 2022;9(1):17-23. doi: 10.30476/whb.2022.93185.1149. ##
  3. Woodcock S, Faith E. Am I to blame? Teacher self-efficacy and attributional beliefs towards students with specific learning disabilities. Teacher Development. 2021;25(2):215-238. doi: 10.1080/13664530.2020.1863256. ##
  4. Bonifacci P, Tobia V, Marra V, Desideri L, Baiocco R, Ottaviani C. Rumination and Emotional Profile in Children with Specific Learning Disorders and Their Parents. Int J Environ Res Public Health. 2020;17(2):389. doi: 10.3390/ijerph17020389. PubMed PMID: 31936140; PubMed Central PMCID: PMC7013708. ##
  5. Bigler D, Burke K, Laureano N, Alfonso K, Jacobs J, Bush ML. Assessment and Treatment of Behavioral Disorders in Children with Hearing Loss: A Systematic Review. Otolaryngol Head Neck Surg. 2019;160(1):36-48. doi: 10.1177/0194599818797598. PubMed PMID: 30200810; PubMed Central PMCID: PMC6441325. ##
  6. Ogundele MO. Behavioural and emotional disorders in childhood: A brief overview for paediatricians. World J Clin Pediatr. 2018;7(1):9-26. doi: 10.5409/wjcp.v7.i1.9. PubMed PMID: 29456928; PubMed Central PMCID: PMC5803568. ##
  7. Datta P, Ganguly S, Roy BN. The prevalence of behavioral disorders among children under parental care and out of parental care: A comparative study in India. Int J Pediatr Adolesc Med. 2018;5(4):145-151. doi: 10.1016/j.ijpam.2018.12.001. PubMed PMID: 30805551; PubMed Central PMCID: PMC6363262. ##
  8. Bach SDL, Molina ML, Amaral PLD, Reyes AN, Jansen K, Silva RAD, Motta JVDS. Emotional and behavioral problems: a school-based study in southern Brazil. Trends Psychiatry Psychother. 2019;41(3):211-217. doi: 10.1590/2237-6089-2017-0119. PubMed PMID: 31390457. ##
  9. Ellis AJ, Salgari G, Miklowitz D, Loo SK. Is distress tolerance an approach behavior? An examination of frontal alpha asymmetry and distress tolerance in adolescents. Psychiatry Research. 2018;267:210-214. doi: 10.1016/j.psychres.2018.05.083. ##
  10. Van Eck K, Warren P, Flory K. A Variable-Centered and Person-Centered Evaluation of Emotion Regulation and Distress Tolerance: Links to Emotional and Behavioral Concerns. J Youth Adolesc. 2017;46(1):136-150. doi: 10.1007/s10964-016-0542-y. PubMed PMID: 27438003. ##
  11. Firoozi M, Feiz Abadi Z. Maternal Distress Tolerance and the occurrence of internalization and externalization behavioral problems in children with cancer. JPEN. 2020;6(4):21-29. Persian. ##
  12. Robinson M, Ross J, Fletcher S, Burns CR, Lagdon S, Armour C. The Mediating Role of Distress Tolerance in the Relationship Between Childhood Maltreatment and Mental Health Outcomes Among University Students. J Interpers Violence. 2021;36(15-16):7249-7273. doi: 10.1177/0886260519835002. PubMed PMID: 30852926. ##
  13. Konijnenberg C, Sarfi M, Melinder A. Mother-child interaction and cognitive development in children prenatally exposed to methadone or buprenorphine. Early Hum Dev. 2016;101:91-7. doi: 10.1016/j.earlhumdev.2016.08.013. PubMed PMID: 27614330. ##
  14. Tzuriel D, Caspi R. Intervention for peer mediation and mother-child interaction: The effects on children’s mediated learning strategies and cognitive modifiability. Contemporary Educational Psychology. 2017;49:302-323. doi: 10.1016/j.cedpsych.2017.03.005. ##
  15. Motavalli Pour A, Beh-Pajooh A, Shokoohi-Yekta M, Sorbi MH, Farahzadi MH. The Relationship between Cognitive-Behavioral Skills and Mother-Child Interaction with Conduct Disorder Symptoms and Oppositional Defiant Disorder in Children with ADHD. JCHR. 2018;7(4):231-241. doi: 10.18502/jchr.v7i4.269. ##
  16. Savell SM, Womack SR, Wilson MN, Shaw DS, Dishion TJ. Considering the role of early discrimination experiences and the parent-child relationship in the development of disruptive behaviors in adolescence. Infant Ment Health J. 2019;40(1):98-112. doi: 10.1002/imhj.21752. PubMed PMID: 30586478; PubMed Central PMCID: PMC7304493. ##
  17. Oh A, Han M, Choi Y, Lau S, Shum MSW. Exploring relationship among child maltreatment experience in childhood and behavior problems as young adults: Role of social support among college students in Hong Kong. Int Soc Work. 2019;62(2):1011-24. ##
  18. Ang KQP, Loh PR. Mental Health and Coping in Parents of Children with Autism Spectrum Disorder (ASD) in Singapore: An Examination of Gender Role in Caring. J Autism Dev Disord. 2019;49(5):2129-2145. doi: 10.1007/s10803-019-03900-w. PubMed PMID: 30706349. ##
  19. Maiuolo M, Deane FP, Ciarrochi J. Parental Authoritativeness, Social Support and Help-seeking for Mental Health Problems in Adolescents. J Youth Adolesc. 2019;48(6):1056-1067. doi: 10.1007/s10964-019-00994-4. PubMed PMID: 30783955. ##
  20. Ruhlmann LM, Gallus KL, Durtschi JA. Exploring relationship satisfaction and attachment behaviors in single- and dual-trauma couples: A pilot study. Traumatology. 2018;24(1):27-35. doi: 10.1037/trm0000129. ##
  21. DeLongis A, Zwicker A. Marital satisfaction and divorce in couples in stepfamilies. Curr Opin Psychol. 2017;13:158-161. doi: 10.1016/j.copsyc.2016.11.003. PubMed PMID: 28813287. ##
  22. Seydi MS, Rezaee K, Hoseini Shurabeh S. Investigating the Mediating role of quality of family life in relationship between parenting stress and children’s behavioral problems. Journal of Educational Psychology Studies. 2019;16(34):131-54. doi: 10.22111/jeps.2019.4729. Persian. ##
  23. Simons JS, Gaher RM. The Distress Tolerance Scale: Development and Validation of a Self-Report Measure. Motivation and Emotion. 2005;29(2):83-102. doi: 10.1007/s11031-005-7955-3. ##
  24. Tofangchi M, Ghamarani A, Rezaei H. The Psychometric Properties of Distress Tolerance Scale (DTS) in Women with Tension-Type Headaches. JAP. 2022;12(4):34-43. Persian.
  25. Azizi AR. Reliability and validity of the Persian version of distress tolerance scale. Iran J Psychiatry. 2010;5(4):154-8. PubMed PMID: 22952509; PubMed Central PMCID: PMC3395925. ##
  26. Pianta RC. Patterns of relationships between children and kindergarten teachers. Journal of School Psychology. 1994;32(1):15-31. doi: 10.1016/0022-4405(94)90026-4. ##
  27. Ashori M, Afrooz G, Arjmandnia A, Pormohammadreza-tajrishi M, Ghobari-Bonab B. The Effectiveness of Positive Parenting Program (Triple-P) on Parental Self-Efficacy and Mother-Child Interaction in Childeren Suffering from Intellectual Disability. JSSU. 2015;23(5):489-500. Persian. ##
  28. Fereydooni A, Heidari AR, Eftekhar Saadi Z, Ehteshamzadeh P, Pasha R. Comparison of Effectiveness of Mindfulness and Happiness Training in Promoting Parent-Child Interaction Case Study: Mothers of Anxious Preschool Children in Shahrekord 2018. J Community Health Research. 2020;9(1):37-45. doi: 10.18502/jchr.v9i1.2573. ##
  29. Busby DM, Christensen C, Crane DR, Larson JH. A revision of the dyadic adjustment scale for use with distressed and no distressed couples: construct hierarchy and multidimensional scales. Journal of Marital and Family Therapy. 1995;21(3):289-308. doi: 10.1111/j.1752-0606.1995.tb00163.x. ##
  30. Maroufizadeh S, Omani-Samani R, Hosseini M, Almasi-Hashiani A, Sepidarkish M, Amini P. The Persian version of the revised dyadic adjustment scale (RDAS): a validation study in infertile patients. BMC Psychology. 2020;8(1):6. doi: 10.1186/s40359-020-0375-z. ##
  31. Rutter M. A children's behaviour questionnaire for completion by teachers: preliminary findings. J Child Psychol Psychiatry. 1967;8(1):1-11. doi: 10.1111/j.1469-7610.1967.tb02175.x. PubMed PMID: 6033260. ##
  32. Asghari M, Karimzadeh M, Teymouri R. Relationship Between Using Television and Behavioral Problems of Pre-School Children. Iranian Rehabilitation Journal. 2017;15(4):325-332. doi: 10.29252/nrip.irj.15.4.325. ##
  33. Stafford M, Kuh DL, Gale CR, Mishra G, Richards M. Parent-child relationships and offspring's positive mental wellbeing from adolescence to early older age. J Posit Psychol. 2016;11(3):326-337. doi: 10.1080/17439760.2015.1081971. PubMed PMID: 27019664; PubMed Central PMCID: PMC4784487. ##
  34. Gao MM, Cummings EM. Understanding parent-child relationship as a developmental process: Fluctuations across days and changes over years. Dev Psychol. 2019;55(5):1046-1058. doi: 10.1037/dev0000680. PubMed PMID: 30652887; PubMed Central PMCID: PMC6465110. ##

Files

Share

How to cite

Statistics