ارائه يك مدل جهت تبيين تعارضات خانوادگي در خانواده هاي داراي كودكان نقص توجه همراه با بيش فعالي

A causal model for explaining family conflicts in families with ADHD children in Shiraz

ﭘﮋوﻫﺶ ﺣﺎﺿﺮ ﺑﺎ ﻫﺪف ﻃﺮاﺣﯽ و آزﻣﻮن ﻣﺪل ﻋﻠﯽ ﺟﻬﺖ ﺗﺒﯿﯿﻦ ﺗﻌﺎرﺿﺎت ﺧﺎﻧﻮادﮔﯽ در ﺧﺎﻧﻮاده ﻫﺎي داراي ﮐﻮدﮐﺎن ﻧﻘﺺ ﺗﻮﺟﻪ ﻫﻤﺮاه ﺑﺎ ﺑﯿﺶ ﻓﻌﺎﻟﯽ ﺑﺮ روي 250 ﻧﻔﺮ از ﻣﺎدران ﻣﺮاﺟﻌﻪ ﮐﻨﻨﺪه ﺑﻪ رواﻧﺸﻨﺎﺳﺎن و ﻣﺸﺎوران ﺷﻬﺮﺳﺘﺎن ﺷﯿﺮاز ﮐﻪ ﺑﻪ روش ﻧﻤﻮﻧﻪ ﮔﯿﺮي ﺗﺼﺎدﻓﯽ اﻧﺘﺨﺎب ﺷﺪه ﺑﻮدﻧﺪ اﻧﺠﺎم ﺷﺪ. روش اﯾﻦ ﭘﮋوﻫﺶ ﻫﻤﺒﺴﺘﮕﯽ اﺳﺖ، ﺟﻬﺖ ﺟﻤﻊ آوري داده ﻫﺎ از ﺳﻪ ﭘﺮﺳﺸﻨﺎﻣﻪ ﻧﺸﺎﻧﻪ ﻫﺎي ﺑﯿﻤﺎري دراﮔﺎﺗﯿﺲ، ﻣﻘﯿﺎس ﻣﺤﯿﻂ ﺧﺎﻧﻮاده ﻣﻮس و ﻫﻤﮑﺎران و ﺳﯿﺎﻫﻪ رﻓﺘﺎري ﮐﻮدك آﺧﻨﺒﺎخ و ﻫﻤﮑﺎران اﺳﺘﻔﺎده ﺷﺪ. ﺑﺮاي ﺗﺤﻠﯿﻞ داده ﻫﺎ از ﻧﺮم اﻓﺰار AMOS و SPSS اﺳﺘﻔﺎده ﮔﺮدﯾﺪ. ﯾﺎﻓﺘﻪ ﻫﺎ ﻧﺸﺎن داد ﮐﻪ ﻣﺸﮑﻼت رﻓﺘﺎري ﮐﻮدﮐﺎن اﺛﺮ ﻣﺴﺘﻘﯿﻢ و ﻣﻌﻨﯽ داري ﻫﻢ ﺑﺮ ﭘﺮﯾﺸﺎﻧﯽ ﻣﺎدر و ﻫﻢ ﺑﺮ ﺗﻌﺎرﺿﺎت ﺧﺎﻧﻮادﮔﯽ دارد، ﭘﺮﯾﺸﺎﻧﯽ ﻣﺎدر اﺛﺮ ﻣﺴﺘﻘﯿﻢ و ﻣﻌﻨﯽ دار ﺑﺮ ﺗﻌﺎرﺿﺎت ﺧﺎﻧﻮادﮔﯽ دارد و ﻫﻤﭽﻨﯿﻦ اﺛﺮﻏﯿﺮ ﻣﺴﺘﻘﯿﻢ از ﻣﺸﮑﻼت رﻓﺘﺎري ﮐﻮدﮐﺎن ﺑﻪ ﺗﻌﺎرﺿﺎت ﺧﺎﻧﻮاده از ﻃﺮﯾﻖ ﭘﺮﯾﺸﺎﻧﯽ ﻣﺎدر ﻧﯿﺰ ﻣﻌﻨﯽ دار ﺑﻪ دﺳﺖ آﻣﺪ. در ﮐﻞ داده ﻫﺎ ﻧﺸﺎن داد ﮐﻪ ﻣﺪل ﭘﯿﺸﻨﻬﺎدي ﺑﺎRAMSE=0/069 ﺑﺮازش ﮔﺮدﯾﺪ. ﺑﻨﺎﺑﺮاﯾﻦ ﻧﺘﺎﯾﺞ ﻓﻮق ﻧﺸﺎن ﻣﯽ دﻫﺪ ﮐﻪ ﻣﺪل ﻓﻮق ﺑﻪ دﻟﯿﻞ ﺗﻮﺟﻪ ﮐﺮدن ﺑﻪ ﻧﻘﺶ ﻋﻮاﻣﻞ ﺗﺎﺛﯿﺮ ﮔﺬار ﻣﺴﯿﺮي ﻣﻬﻢ در ﺟﻬﺖ اﻓﺰاﯾﺶ ﺳﻼﻣﺖ و اﺳﺘﺤﮑﺎم ﺧﺎﻧﻮاده ﺑﺎﺷﺪ.

The purpose of this study was to design and test the causal model for explaining family conflicts in families with ADHD children, among 250 mothers who were referred to psychologist and counselors in shiraz who were selected by random sampling method. The method of this research is a correlation. To collect data, used three questionnaires, Brief Symptom Inventor, family scale of Mouse and colleagues and The Child Behavior Check List were used. The data were analyzed using AMOS and SPSS software. Findings showed that children's behavioral problems have a direct and significant effect on both mother's distress and family conflicts. Mother distress has an immediate and considerable impact on family conflicts, as well as the indirect impact of children's non-behavioral problems on family conflicts was significant due to suffering in the mother. In general, the data showed that the proposed model of RAMSE = /069 was fitted. Therefore, the above results show that the high model due to paying attention to the role of possible factors is an effective route for family health and well-being. Key words: family conflicts, mother's distress, children's behavioral problems, Attention Deficit/Hyperactivity Disorder