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Group Schema Therapy for Reducing Parenting Stress in Families with Children with Disabilities

https://doi.org/10.21603/2078-8975-2022-24-4-517-524

Abstract

Parents experience stress that manifests itself as a negative reaction to the situation when the demands of being a parent exceed the expectations of oneself as a parent. Stress level in parents of children with disabilities is significantly higher than in standard families. Schema therapy is an effective psychological intervention for managing this stress. The paper reviews foreign and Russian publications on schema therapy for parents of children with special needs. The comparative analysis showed that schema-therapy approach might have higher efficacy in managing this type of stress than other popular psychotherapeutic approaches, e.g., CBT, MCT, PST, etc. These approaches often focus on teaching specific parenting skills or changing parents' behavior and attitude but leave behind their emotional well-being. Schema therapy develops effective parenting skills and behavioral practices while teaching emotion management strategies. A comprehensive schema therapy program may reduce stress in parents of children with disabilities. 

About the Authors

K. A. Kim
Far Eastern Federal University
Russian Federation

Vladivostok



R. V. Kadyrov
Pacific State Medical University
Russian Federation

Vladivostok



References

1. Hartley S. L., Barker E. T., Seltzer M. M., Floyd F., Greenberg J., Orsmond G., Bolt D. The relative risk and timing of divorce in families of children with an autism spectrum disorder. Journal of Family Psychology, 2010, 24(4): 449–457. https://doi.org/10.1037/a0019847

2. Barroso N. E., Mendez L., Graziano P. A. Parenting stress through the lens of different clinical groups: a systematic review & meta-analysis. Journal of Abnormal Child Psychology, 2018, 46(3): 449–461. https://doi.org/10.1007/s10802-017-0313-6

3. Savenysheva S. S., Anikina V. O., Meldo E. V. Factors of parenting stress in mothers of young and preschool children: an analysis of foreign studies. Journal of Modern Foreign Psychology, 2019, 8(4): 38–48. (In Russ.) https://doi.org/10.17759/ jmfp.2019080404

4. Abidin R. R. Parenting Stress Index. 3rd ed. Odessa, FL: Psychological Assessment Resources, 1995, 76.

5. Samadi S. A., McConkey R., Bunting B. Parental wellbeing of Iranian families with children who have developmental disabilities. Research in Developmental Disabilities, 2014, 35(7): 1639–1647. https://doi.org/10.1016/j.ridd.2014.04.001

6. Rodriguez G., Hartley S. L., Bolt D. M. Transactional relations between parenting stress and child autism symptoms and behavior problems. Journal of Autism and Developmental Disorders, 2019, 49(4-5): 1887–1898. https://doi.org/10.1007/s10803-018-3845-x

7. Hoffman C. D., Sweeney D. P., Hodge D., Lopez-Wagner M. C., Looney L. Parenting stress and closeness: mothers of typically developing children and mothers of children with autism. Focus on Autism and Other Developmental Disabilities, 2009, 24(3): 178–187. https://doi.org/10.1177/1088357609338715

8. Lee J. H. Effectiveness of group art therapy for mothers of children with disabilities. The Arts in Psychotherapy, 2021, 73: 101–754. https://doi.org/10.1016/j.aip.2020.101754

9. Palermo T. M. Impact of recurrent and chronic pain on child and family daily functioning: a critical review of the literature. Journal of Developmental & Behavioral Pediatrics, 2000, 21(1): 58–69. https://doi.org/10.1097/00004703-200002000-00011

10. Savage E., Beirne P. V., Chroinin N. M., Duff A., Fitzgerald T., Farrell D. Self-management education for cystic fibrosis. Cochrane Database of Systematic Reviews, 2011, (7). https://doi.org/10.1002/14651858.CD007641.pub2

11. Lewin S., Munabi-Babigumira S., Glenton C., Daniels K., Bosch-Capblanch X., van Wyk B. E., Odgaard-Jensen J., Johansen M., Aja G. N., Zwarenstein M., Scheel I. B. Lay health workers in primary and community health care for maternal and child health and the management of infectious diseases. Cochrane Database of Systematic Reviews, 2010, (3). https://doi.org/10.1002/14651858.CD004015.pub3

12. Law E., Fisher E., Eccleston C., Palermo T. M. Psychological interventions for parents of children and adolescents with chronic illness. Cochrane Database of Systematic Reviews, 2019, (3). https://doi.org/10.1002/14651858.CD009660.pub4

13. Skinner B. F. Science and human behaviour. NY: The Macmillan Company, 1953, 461.

14. Bandura A. Human agency in social cognitive theory. The American psychologist, 1989, 44(9): 1175–1184. https://doi.org/10.1037/0003-066x.44.9.1175

15. Bargh J. A., Morsella E. The Unconscious Mind. Perspectives on Psychological Science, 2008, 3(1): 73–79. https://doi.org/10.1111/j.1745-6916.2008.00064.x

16. Beck A. T., Rush A. J., Shaw B. F., Emery G. Cognitive Therapy of Depression. NY: Guilford Press, 1979, 425.

17. Ellis A. Reason and Emotion in Psychotherapy. NY: Stuart, 1962, 479. 18. D'Zurilla T. J., Goldfried M. R. Problem solving and behavior modification. Journal of abnormal psychology, 1971, 78(1): 107–126. https://doi.org/10.1037/h0031360

18. Haley J. Problem-solving therapy. San Francisco: Jossey-Bass, 1976, 275.

19. Minuchin S. Families & family therapy. Cambridge: Harvard University, 1974, 280.

20. Henggeler S. W., Lee T. Multisystemic treatment of serious clinical problems. Evidence-based Psychotherapies for Children and Adolescents, eds. Weisz J. R., Kazdin A. E. NY: Guilford, 2003, 301–24.

21. Ergüner-Tekinalp B., Akkök F. The effects of a coping skills training program on the coping skills, hopelessness, and stress levels of mothers of children with autism. International Journal for the Advancement of Counselling, 2004, 26(3): 257–269. https://doi.org/10.1023/B:ADCO.0000035529.92256.0d

22. Von Klitzing K., Döhnert M., Kroll M., Grube M. Mental Disorders in Early Childhood. Deutsches Arzteblatt international, 2015, 112: 375–386. https://doi.org/10.3238/arztebl.2015.0375

23. Sipal R. F., Schuengel C., Voorman J. M., van Eck M., Becher J. G. Course of behaviour problems of children with cerebral palsy: the role of parental stress and support. Child: care, health and development, 2010, 36(1): 74–84. https://doi.org/10.1111/j.1365-2214.2009.01004.x

24. Young J. E., Klosko J. S., Weishaar M. E. Schema therapy: a practitioner’s guide. NY: Guilford Press, 2003, 436.

25. Farrell J. M., Shaw I. A. Group schema therapy for borderline personality disorder: a step-by-step treatment manual with patient workbook. West Sussex: Wiley-Blackwell, 2012, 328.

26. Taylor C. D. J., Bee P., Haddock G. Does schema therapy change schemas and symptoms? A systematic review across mental health disorders. Psychology and Psychotherapy Theory Research and Practice, 2017, 90(3): 456–479. https://doi.org/10.1111/papt.12112

27. Nadort M., van Dyck R., Smit J. H., Giesen-Bloo J., Eikelenboom M., Wensing M., Spinhoven P., Dirksen C., Bleecke J., van Milligen B., van Vreeswijk M., Arntz A. Three preparatory studies for promoting implementation of outpatient schema therapy for borderline personality disorder in general mental health care. Behaviour Research and Therapy, 2009, 47(11): 938–945. https://doi.org/10.1016/j.brat.2009.07.004

28. Reiss N., Lieb K., Arntz A., Shaw I. A., Farrell J. Responding to the treatment challenge of patients with severe BPD: results of three pilot studies of inpatient schema therapy. Behavioural and Cognitive Psychotherapy, 2014, 42(3): 355–367. https:// doi.org/10.1017/S1352465813000027

29. Taylor C. D. J., Harper S. F. Early maladaptive schema, social functioning and distress inpsychosis: a preliminary investigation. Clinical Psychologist, 2017, 21(2): 135–142. https://doi.org/10.1111/cp.12082

30. Waller G., Kennerley H., Ohanian V. Schema-focused cognitive-behavioral therapy for eating disorders. Cognitive schemas and core beliefs in psychological problems: a scientist-practitioner guide, eds. Riso L. P., du Toit P. L., Stein D. J., Young J. E. American Psychological Association, 2007, 139–175. https://doi.org/10.1037/11561-007

31. Cockram D. M., Drummond P. D., Lee C. W. Role and treatment of early maladaptive schemas in Vietnam veterans with PTSD. Clinical Psychology & Psychotherapy, 2010, 17(3): 165–182. https://doi.org/10.1002/cpp.690

32. Malogiannis I. A., Arntz A., Spyropoulou A., Tsartsara E., Aggeli A., Karveli S., Vlavianou M., Pehlivanidis A., Papadimitriou G. N., Zervas I. Schema therapy for patients with chronic depression: a single case series study. Journal of Behavior Therapy and Experimental Psychiatry, 2014, 45(3): 319–329. https://doi.org/10.1016/j.jbtep.2014.02.003

33. Hoffart A., Versland S., Sexton H. Self-understanding, empathy, guided discovery, and schema belief in schema-focused cognitive therapy of personality problems: a process–outcome study. Cognitive Therapy and Research, 2002, 26(2): 199–219. https://doi.org/10.1023/A:1014521819858

34. Giesen-Bloo J., van Dyck R., Spinhoven P., Tilburg W., Dirksen C., Asselt T., Kremers I. P., Nadort M., Arntz A. Outpatient psychotherapy for borderline personality disorder: randomized trial of schema-focused therapy vs transference-focused psychotherapy. Archives of general psychiatry, 2006, 63(6): 649–658. https://doi.org/10.1001/archpsyc.63.6.649

35. Bamelis L. L. M., Evers S. M. A. A., Spinhoven P., Arntz A. Results of a multicenter randomized controlled trial of the clinical effectiveness of schema therapy for personality disorders. American Journal of Psychiatry, 2014, 171(3): 305–322. https://doi.org/10.1176/appi.ajp.2013.12040518

36. Videler A. C., van Royen R., Heijnen-Kohl S. M. J., Rossi G. M. P., van Alphen S. P. J., van der Feltz-Cornelis C. Adapting schema therapy for personality disorders in older adults. International Journal of Cognitive Therapy, 2017, 10(1): 62–78. https://doi.org/10.1521/ijct.2017.10.1.62

37. Skewes S., Samson R. A., Simpson S. G., van Vreeswijk M. F. Short-term group schema therapy for mixed personality disorders: a pilot study. Frontiers in Psychology, 2015, 5. https://doi.org/10.3389/fpsyg.2014.01592

38. Simpson S. G., Morrow E., van Vreeswijk M. F., Reid C. Group schema therapy for eating disorders: a pilot study. Frontiers in Psychology, 2010, 1. https://doi.org/10.3389/fpsyg.2010.00182

39. Kopf-Beck J., Zimmermann P., Egli S., Rein M., Kappelmann N., Fietz J., Tamm J., Rek K., Lucae S., Brem A. K., Sämann P., Schilbach L., Keck M. E. Schema therapy versus cognitive behavioral therapy versus individual supportive therapy for depression in an inpatient and day clinic setting: study protocol of the OPTIMA-RCT. BMC psychiatry, 2020, 20. https://doi.org/10.1186/s12888-020-02880-x

40. Louis J. P., Wood A. M., Lockwood G. Development and validation of the Positive Parenting Schema Inventory (PPSI) to complement the Young Parenting Inventory (YPI) for schema therapy (ST). Assessment, 2020, 27(4): 766–786. https://doi.org/10.1177/1073191118798464

41. Williamson V., Creswell C., Fearon P., Hiller R. M., Walker J., Halligan S. L. The role of parenting behaviors in childhood post-traumatic stress disorder: a meta-analytic review. Clinical Psychology Review, 2017, 53: 1–13. https://doi.org/10.1016/j.cpr.2017.01.005

42. Louis J. P., Ortiz V., Barlas J., Lee J. S., Lockwood G., Chong W. F., Louis K. M., Sim P. The Good Enough Parenting early intervention schema therapy-based program: participant experience. PloS one, 2021, 16(1). https://doi.org/10.1371/journal.pone.0243508

43. Yap M. B. H., Morgan A. J., Cairns K., Jorm A. F., Hetrick S. E., Merry S. Parents in prevention: a meta-analysis of randomized controlled trials of parenting interventions to prevent internalizing problems in children from birth to age 18. Clinical Psychology Review, 2016, 50: 138–158. https://doi.org/10.1016/j.cpr.2016.10.003


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For citations:


Kim K.A., Kadyrov R.V. Group Schema Therapy for Reducing Parenting Stress in Families with Children with Disabilities. The Bulletin of Kemerovo State University. 2022;24(4):517-524. (In Russ.) https://doi.org/10.21603/2078-8975-2022-24-4-517-524

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