Document Type : Original Article
Authors
1 General Psychology, Psychology Department, Islamic Azad University, Isfahan (Khorasgan) Branch, Isfahan, Iran
2 Clinical Psychology Group, Education and Psychology Department, Islamic Azad university, Isfahan (Khorasgan) Branch, Isfahan, Iran
3 Psychology Group, Education and Psychology Department, Islamic Azad University, Isfahan (Khorasgan) Branch, Isfahan, Iran
Abstract
Background: Stuttering is one of the most important speech disorders in children, which causes anxiety and worry in parents, especially mothers. The present study sought to investigate and identify the types of anxiety experienced by mothers of children with stuttering.
Methods: This qualitative study adopted reflexive thematic analysis (Brown & Clark) to investigate the anxiety and concerns experienced by mothers of children with stuttering. The participants were 15 mothers of children with stuttering who visited speech therapy centers in Isfahan and were selected through homogenous purposive sampling. The data were collected through interviews with the participants for 45 days and analyzed by the thematic analysis method.
Results: Data analysis revealed two core categories, four organizing themes, and nineteen subthemes. The two core categories identified in this study were mother-centered anxiety (anxiety about public judgments on the mother and anxiety about the appropriateness of the mother’s behavior with the child who stutters) and child-centered anxiety (concerns about public reactions to the child’s stuttering and the concerns about the child’s future life and treatment).
Conclusion: The findings indicated that the mothers of children with stuttering were mostly concerned about public reactions to the stuttering child and their judgments about the mother. Thus, promoting a sense of self-worth in these mothers can reduce such concerns. Moreover, raising public awareness about how to treat children with stuttering and their parents can make social life easier for such children and their mothers.
Keywords
- Lorestani E, Esmaeilinasab M, Ahmadi F. Social reactions affecting the severity of stuttering among adults who stutter: a qualitative study. J Qual Res Health Sci. 2020;8(3):271-9. [Persian].
- Emami Meibodi A, Banijamali S, Yazdi SM, Shafiei M, Moazeni A. Studying the relationship between reactions to the stuttering and quality of life experienced by individuals affected by stuttering. Thoughts and Behavior in Clinical Psychology. 2016;11(41):77-87. [Persian].
- Karrass J, Walden TA, Conture EG, Graham CG, Arnold HS, Hartfield KN, et al. Relation of emotional reactivity and regulation to childhood stuttering. J Commun Disord. 2006;39(6):402-23. doi: 10.1016/j.jcomdis.2005.12.004.
- Mohammad Aminzadeh D, Kazemian S, Esmaeily M. Explanation of emotional schemas (ESs) on social relationship in students with physical disability: a qualitative study. J Qual Res Health Sci. 2020;7(4):428-40. [Persian].
- Sharifi-Ardani A, Ghamarani A, Madhi M, Hosseinalizadeh M, Pirzadi H. Explain siblings’ lived experiences in living with individuals with intellectual disability: a phenomenological approach. J Qual Res Health Sci. 2018;7(4):437-48. [Persian].
- Al-Gamal E, Long T. Anticipatory grieving among parents living with a child with cancer. J Adv Nurs. 2010;66(9):1980- 90. doi: 10.1111/j.1365-2648.2010.05381.x.
- Dana M, Soltani Koohbanani S. The relationship between stuttering and mental health with parenting styles among students with stuttering in primary school in Shirvan. Fourth National Conference on Counseling and Mental Health; Islamic Azad University, Quchan Branch; 2016. https:// elmnet.ir/article/20649184-22817.
- Movahedi Z, Fakhri M. A comparative study on function of family and parents mental health of stuttering and normal children. Quarterly Journal of Health Breeze. 2014;2(4):37- 45. [Persian].
- Dehghan Ahmadabadi A, Ashaeri H, Shahbadaghi MR. Relation of maternal speed rate and stuttering severity in children. Advances in Cognitive Sciences. 2006;8(3):52-7. [Persian].
- Guitar B, Marchinkoski L. Influence of mothers’ slower speech on their children’s speech rate. J Speech Lang Hear Res. 2001;44(4):853-61. doi: 10.1044/1092-4388(2001/067).
- Anderson JD, Conture EG. Language abilities of children who stutter: a preliminary study. J Fluency Disord. 2000;25(4):283- 304. doi: 10.1016/s0094-730x(00)00089-9.
- Ahmed I, Banu H, Al-Fageer R, Al-Suwaidi R. Cognitive emotions: depression and anxiety in medical students and staff. J Crit Care. 2009;24(3):e1-7. doi: 10.1016/j.jcrc.2009.06.003.
- Freud S. Beyond the pleasure principle. The Standard Edition of the Complete Psychological Works of Sigmund Freud, Volume XVIII (1920-1922): Beyond the Pleasure Principle, Group Psychology and Other Works. 1955. p. 1-64. https:// pep-web.org/browse/document/SE.018.0001A.
- Sadock BJ. Kaplan and Sadock’s Synopsis of Psychiatry: Behavioral Sciences, Clinical Psychiatry. 9th ed. Lippincott Williams & Wilkins; 2003.
- Druker K, Mazzucchelli T, Hennessey N, Beilby J. Parent perceptions of an integrated stuttering treatment and behavioral self-regulation program for early developmental stuttering. J Fluency Disord. 2019;62:105726. doi: 10.1016/j. jfludis.2019.105726.
- Rocha M, Yaruss JS, Rato JR. Stuttering impact: a shared perception for parents and children? Folia Phoniatr Logop. 2020;72(6):478-86. doi: 10.1159/000504221.
- Guitar B, Conture EG. The Child Who Stutters: To the Pediatrician. Stuttering Foundation of America; 2007.
- Yaşar Ö, Vural-Batık M, Özdemir Ş. Investigating resilience, perceived social support and trait anxiety levels of mothers of school-age children who stutter. Codas. 2020;32(2):e20190093. doi: 10.1590/2317- 1782/20192019093.
- Borjalilu S, Sharif Z, Sabbagh-Bani-Azad M, Afzali M, Koochakzadeh L, Afzali M. The information needs of parents of children with cancer: a qualitative study. J Qual Res Health Sci. 2020;6(3):228-37. [Persian].
- Johnson KN, Karrass J. Preliminary investigation of the relationship between the temperament of young children who stutter and the temperament of their parents. Journal of Communication Disorders, Deaf Studies & Hearing Aids. 2017;5(2):176. doi: 10.4172/2375-4427.1000176.
- Navaei J, Negarandeh R. Explaining children socialization process based on parents’ experiences. J Qual Res Health Sci. 2017;6(4):376-86. [Persian].
- Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77-101. doi: 10.1191/1478088706qp063oa.
- Braun V, Clarke V. Reflecting on reflexive thematic analysis. Qual Res Sport Exerc Health. 2019;11(4):589-97. doi: 10.1080/2159676x.2019.1628806.
- Gall MD, Borg WR, Gall JP. Educational Research: An Introduction. 6th ed. Longman Publishing; 1996.
- Guba EG, Lincoln YS. Competing paradigms in qualitative research. In: Denzin NK, Lincoln YS, Eds. Handbook of Qualitative Research. Thousand Oaks: Sage Publications, Inc; 105-117.
- Najafi S, Eshghizadeh M, Ganji Roudi M, Salehi Asl B, Ebrahimi N. The comparison of anxiety, depression and self-esteem in healthy children and children with stuttering. Iran J Pediatr Nur. 2020;6(4):1-10. [Persian].
- Mozafari AA, Adibi A, Shafiei E, Sahebi A. An 8-year-old boy with three failed suicide attempts by hanging: a case report. Iran J Psychiatry Clin Psychol. 2021;27(1):120-7. doi: 10.32598/ijpcp.27.1.3347.1.
- Barzegar E, Bostanipoor A, Fotoohabady K. Effectiveness of adlerian play therapy on reduction of social anxiety and maladaptive perfectionism in children with stuttering. J Except Child. 2021;21(2):89-100. [Persian].
- Ataabadi S, Yousefi Z, Khayatan F. Development and validation of mothers’, anxiety scale of children with stuttering disorder. Middle Eastern Journal of Disability Studies. 2021;11:188. [Persian].
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