The Effectiveness of Acceptance and Commitment-Based Parenting Training on Quality of Life, Acceptance and Action, and Distress Tolerance in Mothers of Second-Grade Elementary School Children
Keywords:
Parenting education, acceptance and commitment, quality of life, acceptance and action, comprehensive distress toleranceAbstract
Objective: The aim of this study was to investigate the effectiveness of acceptance and commitment-based parenting training on quality of life, acceptance and action, and distress tolerance in mothers of second-grade elementary school children. Methods and Materials: This quasi-experimental study used a pretest-posttest control group design with a two-month follow-up. The statistical population included mothers of second-grade students in Isfahan in the 2023–2024 academic year. Thirty participants were selected using voluntary convenience sampling and randomly assigned to an experimental group (n = 15) and a control group (n = 15). Data were collected using the WHOQOL-BREF, Acceptance and Action Questionnaire-II (AAQ-II), and the Distress Tolerance Scale (DTS). The intervention comprised eight weekly 90-minute sessions based on ACT principles. Data were analyzed using repeated measures ANOVA. Findings: The results showed that ACT-based parenting training significantly improved the quality of life and distress tolerance scores while reducing acceptance and action scores (indicating enhanced psychological flexibility) in the experimental group compared to the control group. Significant time × group interaction effects were observed for all three variables across pretest, posttest, and follow-up stages, indicating the sustained impact of the intervention over time. Conclusion: Acceptance and commitment-based parenting training effectively enhances psychological indicators such as quality of life, flexibility, and distress tolerance in mothers and may serve as a beneficial approach in parent training programs.
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A-Tjak, J. G. L., Davis, M. L., Morina, N., Powers, M. B., Smits, J. A. J., & Emmelkamp, P. M. G. (2015). A meta-analysis of the efficacy of Acceptance and Commitment Therapy for clinically relevant mental and physical health conditions. Psychotherapy and psychosomatics, 84(1), 30-36. https://doi.org/10.1159/000362365
Abbasi, A., Fatil, L., Mouloudi, R., & Zarabi, H. (2012). Psychometric adequacy of the Persian version of the Acceptance and Action Questionnaire - Second Edition. Methods and Models in Psychology, 3(10), 65-80. https://doi.org/10.29252/mmp.3.10.65
Abd Ellatif Elsayed, H., & Aleriani, F. (2024). The relationship between distress tolerance and life satisfaction among young adults in Saudi Arabia. Frontiers in psychology, 15, 1447466. https://doi.org/10.3389/fpsyg.2024.1447466
Amiri Hasan Abadi, M., Asghari Nikah, S. M., & Tabibi, R. (2012). The relationship between attachment and the quality of parent-child relationships and emotional regulation in mothers of preschool children. Journal of Family Counseling and Psychotherapy, 1(4), 435-452.
Cassidy, S. (2015). Resilience Building in Students: The Role of Academic Self-Efficacy. Frontiers in psychology, 6, 1781. https://doi.org/10.3389/fpsyg.2015.01781
Coyne, L. W., McHugh, L., & Martinez, E. R. (2011). Acceptance and commitment therapy (ACT): advances and applications with children, adolescents, and families. Child and Adolescent Psychiatric Clinics of North America, 20(2), 379-399. https://doi.org/10.1016/j.chc.2011.01.010
Coyne, L. W., & Murrell, A. R. (2009). The Joy of Parenting: an Acceptance & Commitment Therapy Guide to Effective Parenting in the Early Years. 1st ed. Oakland: New Harbinger Publications.
Depape, A. M., & Lindsay, J. (2015). Distress tolerance and rumination in predicting psychological distress. Cognitive therapy and research, 39(4), 514-524. https://doi.org/10.1007/s10608-015-9686-2
Dong, Y., Lin, J., Li, H., Cheng, L., Niu, W., & Tong, Z. (2022). How parenting styles affect children's creativity: Through the lens of self. Thinking Skills and Creativity, 45, 101045. https://doi.org/10.1016/j.tsc.2022.101045
Fallahzadeh, H., Rabiei Faradneh, M., Farat Yazdi, M., Abedi Kooshki, S., & Eidi, F. (2019). Investigating the quality of life of breast cancer patients and its related factors in Yazd city in 2016. Journal of Urmia Nursing and Midwifery Faculty, 17(8), 667-673. https://doi.org/10.22054/junmf.2019.365307
Flujas-Contreras, J. M., García-Palacios, A., Castilla, D., & et al. (2024). Internet-based versus face-to-face Acceptance and Commitment Therapy for parental psychological flexibility. Current Psychology, 43, 9854-9866. https://doi.org/10.1007/s12144-023-05052-8
Goldenberg, H., & Goldenberg, A. (2021). Family therapy. Tehran: Ravan Publishing.
Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (2011). Acceptance and Commitment Therapy: The Process and Practice of Mindful Change. Guilford Press. https://books.google.com/books?hl=en&lr=&id=og28CwAAQBAJ&oi=fnd&pg=PP1&dq=Hayes,+S.+C.,+et+al.+(2011).+Acceptance+and+Commitment+Therapy:+The+Process+and+Practice+of+Mindful+Change,+Guilford+Press.+%09&ots=-8N-WN5Fuu&sig=jFWkHMBmSffH7f09GAhbyfa03qU
Homaei, F., & Yousefi, Z. (2017). The effectiveness of acceptance and commitment-based mood improvement training on reducing depression and improving parenting styles in mothers in Zarinshehr. Journal of Jiroft University of Medical Sciences, 4(2), 236-248. https://journal.jmu.ac.ir/article-1-137-fa.html
Izadi, R., & Abedi, M. R. (2016). Acceptance and Commitment Therapy. Tehran: Jungle Publishing.
Jalilian, M., Karami, J., & Parhoon, H. (2024). The effectiveness of acceptance and commitment-based parenting training on parent-child interaction, self-efficacy, and psychological flexibility in mothers of children with Attention Deficit/Hyperactivity Disorder (ADHD). Family Research, 20(3), 107-127. https://doi.org/10.48308/jfr.2024.233926.1669
López, M. Á. S., Arnaiz, E. V., Delgado, J. R. A., & Fernández, E. P. (2021). Effectiveness of Acceptance and Commitment Therapy (ACT) in the Improvement of Parental Psychological Flexibility and Emotion Regulation in Parents of Children with Special Educational Needs: A Scoping Review. International journal of environmental research and public health, 18(11), 5857. https://doi.org/10.3390/ijerph18115857
McCracken, L. M., & Vowles, K. E. (2014). Acceptance and commitment therapy and mindfulness for the treatment of chronic pain: an update and new directions. The American psychologist, 69(9), 866-896. https://doi.org/10.1037/a0038337
Motaghi, R. (2024). The effectiveness of parenting training based on acceptance and commitment on self-efficacy and parent-child relationship in young mothers. Nursing Education, 13(1), 58-67. https://doi.org/10.22037/jne.v13i1.1590
Ong, C. W., Barthel, A. L., & Hofmann, S. G. (2024). The relationship between psychological inflexibility and well-being in adults: A meta-analysis of the Acceptance and Action Questionnaire. Behavior therapy, 5(1), 26-41. https://doi.org/10.1016/j.beth.2023.05.007
Ong, C. W., Pierce, B. G., Woods, D. W., & et al. (2019). The Acceptance and Action Questionnaire - II: an Item Response Theory Analysis. Journal of psychopathology and behavioral assessment, 41, 123-134. https://doi.org/10.1007/s10862-018-9694-2
Qiu, T. (2022). A systematic review of different parenting styles relate to different outcomes in ADHD offspring. In 2022 8th International Conference on Humanities and Social Science Research (ICHSSR 2022), https://doi.org/10.2991/assehr.k.220504.163
River, L. M., O'Reilly Treter, M., Rhoades, G. K., & Narayan, A. J. (2022). Parent-Child Relationship Quality in the Family of Origin and Later Romantic Relationship Functioning: A Systematic Review. Family Process, 61(1), 259-277. https://doi.org/10.1111/famp.12741
Shari'atmadar, M., & Ghoravi, M. (2015). Distress tolerance. Journal of Clinical Psychology, 7(2), 85-98.
Simons, J. S., & Gaher, R. M. (2005). The Distress Tolerance Scale: Development and validation of a self-report measure. Motivation and Emotion, 29(2), 83-102. https://doi.org/10.1007/s11031-005-7955-3
Takmaz Adiloğlu, Z., & Yıldırım Kurtuluş, H. (2023). Effectiveness of the Acceptance and Commitment Therapy-Based Intervention Program for Women. Turkish Psychological Counseling and Guidance Journal, 13(69), 240-255. https://doi.org/10.17066/tpdrd.1230447zh
Tannenbaum, C., Ahmed, S., & Mayo, N. (2007). What drives older women's perceptions of health-related quality of life? Quality of Life Research, 16(4), 593-605. https://doi.org/10.1007/s11136-006-9148-2
Winkler, L. A., Christiansen, E., Lichtenstein, M. B., Hansen, N. B., Bilenberg, N., & Støving, R. K. (2014). Quality of life in eating disorders: a meta-analysis. Psychiatry research, 219(1), 1-9. https://doi.org/10.1016/j.psychres.2014.05.002
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