Empowering Exceptional Children

Empowering Exceptional Children

Comparing the Effectiveness of Child-Centered Mindfulness Training and Drawing Therapy on Loneliness and Behavioral Problems of Hearing Impaired Children

Document Type : Original Article

Authors
1 . Ph.D. student in general psychology, Islamic Azad University, Urmia branch, Urmia, Iran
2 . Associate Professor, Department of Psychology, Islamic Azad University, Urmia branch, Urmia, Iran. Corresponding Author, Email: ali.shaker2000@gmail.com
3 Professor, Department of Psychology, Islamic Azad University, Urmia branch, Urmia, Iran
Abstract
The purpose of this study was to compare the effectiveness of child-centered mindfulness training and art therapy on loneliness and behavioral problems in children with hearing impairment in the city of Bukan. This research, considering its applied purpose, was conducted using a quasi-experimental design with a pretest-posttest structure. The research method was semi-experimental with a pretest-posttest design. The study population consisted of children with hearing impairment who attended the Bukan counseling center. A total of 45 participants were randomly assigned to two experimental groups and one control group (30 participants in the experimental groups and 15 in the control group). The research instruments included the child-centered mindfulness training package, the Liebmann art therapy training package, and two questionnaires: the Asher et al. (1984) Loneliness Scale and the Quay & Peterson (RBPC) Behavioral Problems Questionnaire for children and adolescents. Hypothesis testing was conducted using covariance analysis (ANCOVA) in SPSS v26. The findings indicate that art therapy had an effect of 0.802 on loneliness, while child-centered mindfulness training had an effect of 0.311 on loneliness (p < 0.05). Additionally, art therapy reduced behavioral problems by 0.386, while child-centered mindfulness training reduced behavioral problems by 0.567 (p < 0.05). Furthermore, the results suggest that art therapy was more effective than mindfulness training in reducing loneliness in children with hearing impairment, whereas child-centered mindfulness training was more effective than art therapy in reducing behavioral problems in these children (p < 0.05). Therefore, it can be concluded that art therapy is effective in treating loneliness, while child-centered mindfulness training is effective in addressing behavioral problems in children with hearing impairment.
Keywords

Subjects


Aghaziarati, A., Ashori, M., Norouzi, G., Hallahan, D. P. (2023). The effectiveness of mindful parenting on cognitive and behavioral emotion regulation in mothers of children with hearing loss. Feyz Medical Sciences Journal, 27(1), 76-83.‏
American Speech-Language-Hearing Association (ASHA). (2024). Early intervention for hearing loss.
Annous, N., Al-Hroub, A., & El Zein, F. (2022). A systematic review of empirical evidence on art therapy with traumatized refugee children and youth. Frontiers in psychology, 13, 811515.‏
Awan, N. U., Malik, U., Azam, M., Nasrullah, A., Tahir, F., Zulfiqar, R., & Awais, A. (2024). Behavioral and Emotional Difficulties In Hearing Impaired Children And Adolescents: A Systematic Review. Kurdish Studies, 12(4), 544-554.‏
Aylaz, R., Aktürk, U., Erci, C., Öztürk, H., & Aslan, H. (2014). Relationship between depression and loneliness in elderly and examination of influential factors. Archives of Gerontology and Geriatrics. 55(3),684-699.
Baer, R. A. (2006). Mindfulness-based treatment approaches: Clinicians guide to evidence base and application. USA: Academic Press is an Imprint of Elsevier.
Bernier, A., Ratcliff, K., Hilton, C., Fingerhut, P., & Li, C. Y. (2022). Art interventions for children with autism spectrum disorder: A scoping review. The American Journal of Occupational Therapy, 76(5), 7605205030.‏
Bincy, P. (2023). Self acceptance and socio-emotional adjustment in relation to level of aspiration among hearing impaired secondary school students in inclusive and special schools (Doctoral dissertation, Department of Education, University of Calicut).‏
Booth, L., Pauwels, J., Chadha, N. K., & Felton, M. (2024). “A lonely time for deaf and hard of hearing kids”: A qualitative study of the impact of pandemic precautions on classroom communication for adolescents with hearing loss. International Journal of Pediatric Otorhinolaryngology, 111989.‏
Bøttcher, L., & Dammeyer, J. (2013). Disability as a risk factor? Development of psychopathology in children with disabilities. Research in Developmental Disabilities34(10), 3607-3617.‏
Cohen-Yatziv. Liat (2019). The effectiveness and contribution of art therapy work with children in 2018 -what progress has been made so far? A systematic review, International journal of art therapy, volume 24, pages 100-112.
Craig, F., Operto, F. F., De Giacomo, A., Margari, L., Frolli, A., Conson, M., ... & Margari, F. (2016). Parenting stress among parents of children with neurodevelopmental disorders. Psychiatry research242, 121-129.‏
De Jong, T. J., van der Schroeff, M. P., Stapersma, L., & Vroegop, J. L. (2023). A systematic review on the impact of auditory functioning and language proficiency on psychosocial difficulties in children and adolescents with hearing loss. International Journal of Audiology, 1-11.‏
Fellinger, J., Holzinger, D., Sattel, H., Laucht, M., & Goldberg, D. (2009). Correlates of mental health disorders among children with hearing impairments. Developmental Medicine & Child Neurology51(8), 635-641.‏
Haile, L. M., Orji, A. U., Reavis, K. M., Briant, P. S., Lucas, K. M., Alahdab, F., ... & GBD 2019 USA Hearing Loss Collaborators. (2024). Hearing loss prevalence, years lived with disability, and hearing aid use in the United States from 1990 to 2019: Findings from the global burden of disease study. Ear and hearing, 45(1), 257-267.‏
Hallahan, D. P., Pullen, P. C., & Kauffman, J. M. (2023). Exceptional learners: An introduction to special education (15th Ed). Published by Pearson Education, Inc.
Hammad, M. A., & Shalhoub, H. A. B. (2024). Effects of a Mindfulness-Based Program in Improving Self-Regulation and Attention Among Hard-of-Hearing Children: A Preliminary Investigation. Mindfulness, 1-11.‏
Holzinger, D., Hofer, J., Dall, M., & Fellinger, J. (2022). Multidimensional family-centred early intervention in children with hearing loss: A conceptual model. Journal of Clinical Medicine, 11(6), 1548.‏
Huang, C. C., Chen, Y., Jin, H., Stringham, M., Liu, C., & Oliver, C. (2020). Mindfulness, life skills, resilience, and emotional and behavioral problems for gifted low-income adolescents in China. Frontiers in psychology, 11, 594.‏
Kemp, S., & Dale, P. (2022). The impact of hearing loss on social-emotional development in children. International Journal of Speech-Language Pathology, 24(4), 1-10.
Langer, E., & Hesse, J. (2023). The effects of mindfulness training on reducing loneliness in children with hearing impairment. Journal of Positive Psychology, 31(1), 45-58.
Malchiodi, C. A. (2023). Art therapy: Foundations, methods, and applications (3rd ed.). Routledge.
McDaid, D., Park, A., & Chadha, S. H. (2021). Estimating the global costs of hearing loss. International Journal of Audiology. 60(3), 162-170
McDonald A, Drey NS. (2018). Primary-school-based art therapy: a review of controlled studies. International Journal of Art Therapy.23(1):33-44.
McGuire, K. (2024). Examining the Impacts of Mindfulness Martial Arts Intervention On Neural Indices of Auditory Selective Attention In Youth With ADHD (Doctoral dissertation, Mount Saint Vincent University).‏
Muratori, P., Lochman, J. E., Lai, E., Milone, A., Nocentini, A., Pisano, S., ... & Masi, G. (2016). Which dimension of parenting predicts the change of callous unemotional traits in children with disruptive behavior disorder? Comprehensive psychiatry69, 202-210.‏
Parish, C. P., Linder, N. C., Webb, L., & Siinga, M. S. (2016). Indfulness- based approaches for children and youth. Current Problems in Pediatric and Adolescent Health Care, 46(6): 172-178.
Pimperton, H., & Ross, C. (2023). Loneliness in children with hearing loss: A systematic review and meta-analysis. Trends in Hearing, 27(1), 1-24.
Sadikovna, R. K. (2022). Hearing-speech rehabilitation of children with cochlear implants as a socio-pedagogical problem. Asian Journal of Multidimensional Research, 11(11), 6-9.‏
Sharma, A., & Kaur, S. (2022). Loneliness and social isolation among children with hearing loss: A scoping review. Journal of Clinical and Experimental Research, 27(1), 1-10.
Timmer, B. H., Bennett, R. J., Montano, J., Hickson, L., Weinstein, B., Wild, J., ... & Dyre, L. (2024). Social-emotional well-being and adult hearing loss: clinical recommendations. International Journal of Audiology, 63(6), 381-392.‏
Topol, D., Girard, N., Pierre, L. S., Tucker, R., & Vohr, B. (2011). The effects of maternal stress and child language ability on behavioral outcomes of children with congenital hearing loss at 18–24 months. Early human development87(12), 807-811.‏
VanDam, M., Ambrose, S. E., & Moeller, M. P. (2012). Quantity of parental language in the home environments of hard-of-hearing 2-year-olds. Journal of deaf studies and deaf education17(4), 402-420.‏
World Health Organization. (2021). World report on hearing. Retrieved from https://www.who.int/publications/i/item/world-report-on-hearing
Yazdanipour, M., Ashori, M., & Abedi, A. (2022). Impact of group theraplay on the social–emotional assets and resilience in children with hearing loss. International Journal of Play Therapy, 31(2), 107.‏
Zhang, F., Underwood, G., McGuire, K., Liang, C., Moore, D. R., & Fu, Q. J. (2019). Frequency change detection and speech perception in cochlear implant users. Hearing research379, 12-20.‏

  • Receive Date 15 October 2023
  • Revise Date 03 November 2023
  • Accept Date 09 July 2024