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:: Volume 24, Issue 4 (12-2022) ::
J Gorgan Univ Med Sci 2022, 24(4): 68-75 Back to browse issues page
Effectiveness of Training Mothers through the Adler-Dreikurs Approach on Reducing Anxiety in Children with Elimination Disorders
Mahla Mansouri1 , Afsaneh Khajvand Khoshali * 2, Mohammad Sobhani Shahmirzadi3
1- Ph.D Candidate in Psychology, Department of Psychology, Gorgan Branch, Islamic Azad University, Gorgan, Iran.
2- Assistant Professor, Department of Psychology, Gorgan Branch, Islamic Azad University, Gorgan, Iran. , khajevand_a@yahoo.com
3- Associate Professor, Pediatric Gastroenterologist, Neonatal and Children’s Health Research Center, Golestan University of Medical Sciences, Gorgan, Iran.
Abstract:   (1506 Views)
Background and Objective: Elimination disorders such as nocturnal enuresis, urinary incontinence during the day, and fecal incontinence are common problems in childhood. This study aimed to evaluate the effectiveness of training mothers with the Adler-Dreikurs approach for reducing anxiety in children with elimination disorders.
Methods: This field trial was done in 2021 on the mothers of 20 children with elimination disorders who had been referred to the Pediatric Gastroenterology Clinic in Gorgan with a pretest, posttest, and follow-up approach. At the physician's discretion, the children's problem had no anatomical origin. Urinary incontinence and fecal incontinence in children were identified only by psychological symptoms and functional elimination disorders. The mothers were divided into an experimental group (n=10) and a control group (n=10). The experimental group received the Adler-Dreikurs training program in 12 sessions of 90 minutes. The research instrument was the Spence Children's Anxiety Scale – Parent (SCAS-P) (2001), which was completed by the mothers in three stages: pretest, posttest, and 2-month follow-up. Sub-components of anxiety including generalized anxiety, social phobia, obsessive-compulsive, specific phobia, and separation anxiety were also measured.
Results: Mean general anxiety scores in the pretest, posttest, and follow-up stages were 69.1±4.04, 45.8±6.1, and 47.8±5.94 in the experimental group and 69±6.58, 67.8±4.89, and 67.6±5.59 in the control group, respectively. There was a significant difference in all subcomponents of child anxiety in the posttest and follow-up stages between the experimental group and the control group (P<0.05). This difference was also present during the follow-up period except for the obsessive-compulsive subcomponent.
Conclusion: Training mothers through the Adler-Dreikurs approach can reduce anxiety in children with elimination disorders.

Keywords: Mothers [MeSH], Anxiety [MeSH], Child [MeSH], Urinary Incontinence [MeSH], Fecal Incontinence [MeSH]
Article ID: Vol24-53
Full-Text [PDF 701 kb]   (5055 Downloads)    
Type of Study: Original Articles | Subject: Psychology
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Mansouri M, Khajvand Khoshali A, Sobhani Shahmirzadi M. Effectiveness of Training Mothers through the Adler-Dreikurs Approach on Reducing Anxiety in Children with Elimination Disorders. J Gorgan Univ Med Sci 2022; 24 (4) :68-75
URL: http://goums.ac.ir/journal/article-1-4138-en.html

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Volume 24, Issue 4 (12-2022) Back to browse issues page
مجله دانشگاه علوم پزشکی گرگان Journal of Gorgan University of Medical Sciences
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