The Effectiveness of Reality Therapy on Depression and Self-efficacy in Mothers of Children with Down syndrome (Tehran)

Authors

  • Masoumeh Shojaeinejad Graduate Student of General Psychology, Department of Psychology, Faculty of Humanities and Social Sciences, Islamic Azad University, Science and Research Branch, Teheran, Iran
  • Kamran Ganji Associate Professor, Department of Psychology, Islamic Azad University, Malāyer Branch, Malāyer, Iran

Keywords:

Down syndrome, Depression, Self-efficacy, Reality therapy, Glasser.

Abstract

This study examines the effectiveness of real-world therapy for depression and self-efficacy among mothers of children with Down syndrome. This applied quasi-experimental study utilized a pre-test and post-test design involving an experimental group receiving reality therapy training and a control group. The target population comprises all mothers of children with Down syndrome in Tehran. A total of 31 mothers who presented low scores for both depression and self-efficacy were selected through convenience sampling and cluster random sampling methods and then divided into two groups: 15 participants in the experimental group and 16 in the control group. The experimental group participated in seven 60-minute sessions of group reality therapy, whereas the control group received no intervention. The research employed the Beck Depression Inventory (1996) and Beck's Self-Esteem Scale (1978) as assessment tools. The research used a quasi-experimental design with a control group and pre- and post-tests. We used covariance analysis to interpret the data. Findings: The results revealed that participating in group reality therapy significantly improved self-efficacy scores while reducing depression levels among mothers in the experimental group.

Conclusion: Given that reality therapy fosters internal control within individuals and encourages them to actively pursue meaningful life changes, it promotes openness to change, which enhances overall vitality and hopefulness. Consequently, this approach can significantly improve self-efficacy and alleviate depression among mothers caring for children with Down syndrome.

 

References

Ebrahimi, M., & Ebrahimi, S. (2020). The effectiveness of reality therapy on rumination, worry levels, and distress tolerance in mothers of children with autism. Child Nursing, 7(2), 11-20. https://www.sid.ir/fa/journal/ViewPaper.aspx?id=577012

Afrouz, Gholamali (2019). An introduction to the psychology and rehabilitation of children with Down syndrome. Tehran: University of Tehran Press.

Aghaei, Hakimeh, Naseri Fadafen, Malakeh, Sanei, Amin. (2020). The effectiveness of reality therapy on postpartum depression and posttraumatic stress symptoms in women with natural childbirth. Clinical Psychology, 12(2), 1-8.

Doi: https://doi.org/10.22075/jcp.2020.18944.1750

Hosseini, Ali, & Moein, Ladan. (2020). The effectiveness of reality therapy on depression in female heads of households supported by the Imam Khomeini Relief Foundation in Shiraz in 2018. Women and Family Studies, 13(49), 65-89.

Doi: https://doi.org/10.30495/jwsf.2020.1883457.1410

Hosseini, Seyyed Rahman, Gholam Ghassemi, Marzieh, Zarei, Mohammad Ali, & Shirinbayan, Minoo (2015). Examining the effectiveness of group reality therapy on increasing academic, social, and emotional self-efficacy in female students, Second International Conference on Humanities, Psychology and Social Sciences. https://civilica.com/doc/483805

Soleiman, Z., Ghafari, M., & Baezzat, F. (2019). The effectiveness of group reality therapy on academic self-concept in students with specific learning disabilities. Psychological Achievements (Educational Sciences and Psychology), 26(2), 219-242. https://www.sid.ir/fa/journal/ViewPaper.aspx?id=508256

Sedaghat, M., Sahebi, A., & Shahabi Moghaddam, Sh. (2016). The effectiveness of case-based reality therapy on individuals with major depression who have a history of suicide attempts. Journal of Police Medicine, 5(5), 371-378.

https://www.sid.ir/fa/journal/ViewPaper.aspx?id=302567

Saram, Zahra & Manshaei, Gholamreza (2020). The effectiveness of group reality therapy on depression and anxiety in mothers of children with intellectual developmental disorders. Sixth International Conference on Psychology, Educational Sciences and Lifestyle. https://civilica.com/doc/1122920

Saram, Zahra & Manshaei, Gholamreza (2020). The effectiveness of group reality therapy on depression and anxiety in mothers of children with intellectual developmental disorders. Sixth International Conference on Psychology, Educational Sciences and Lifestyle. https://civilica.com/doc/1122920

Gharibpour, S., and Hojjati, H. (2017). The effect of reality therapy on the self-efficacy of mothers of Down syndrome children. Nursing Research, 13(6), 63-67. https://www.sid.ir/fa/journal/ViewPaper.aspx?id=491422

Gholami, R., and Naimi, A. (2016). The effect of reality therapy on the stigma of mothers of children with developmental and mental disabilities. Psychology of exceptional people, 7(27), 209-236. https://www.sid.ir/fa/journal/ViewPaper.aspx?id=356169

Qureshi, M., and Behbodi, M. (2016). Effectiveness of group reality therapy training on emotion regulation and increasing academic self-efficacy of female students. Social Health, 4(3), 238-249. https://www.sid.ir/fa/journal/ViewPaper.aspx?id=303866

Mirahamdi, M., and Manshai, G. (2018). The effectiveness of group reality therapy on self-esteem, uniqueness and body image of cosmetic surgery applicants. Assessment and research in counseling and psychology, 1(1), 47-56.

https://www.sid.ir/fa/journal/ViewPaper.aspx?id=557359

Mirlohian, Mitra, Alizadeh, Zahra, Zareh Hosseinzadegan, Zahra, Zahra, Zahra, Bazgune, Adina, Sam Khanyani, Ishaq. (1400). Comparing the effectiveness of emotion-oriented couple therapy and reality therapy in reducing depression symptoms and behavioral flexibility of couples with marital problems. Applied Family Therapy, 2(2), 250-269. Doi:https://doi.org/10.22034/aftj.2022.314020.1249

Milani Far, Behrouz (1400). Psychology of exceptional children and adolescents, Tehran: Qoms Publications.

Amireh, M. M. H. (2019). Stress Levels and Coping Strategies among Parents of Children with Autism and Down Syndrome: The Effect of Demographic Variables on Levels of Stress. Child Care in Practice, 25(2), 146–156. https://doi.org/10.1080/13575279.2018.1446907

Glasser, W. (2010). Reality Therapy : a New Approach to Psychiatry. HarperCollins e-books.

Tümlü, G. Ü., Akdoğan, R., & Türküm, A. S. (2017). The process of group counseling based on reality therapy is applied to the parents of children with disabilities. International Journal of Early Childhood Special Education, 9(2), 81–98.

ttps://doi.org/10.20489/intjecse.368465

Wubbolding, R. E. (2017a). Dealing With Loss, Posttraumatic Stress, Self-Injury, Conflict and Anger. Reality Therapy and Self-Evaluation, 135–188. Doi: https://doi.org/10.1002/9781119376248.CH7

Wubbolding, R. E. (2017b). Human Motivation: “In General Why Do People Do What They Do?” Reality Therapy and Self-Evaluation, 1–10.

Doi: https://doi.org/10.1002/9781119376248.CH1

Xue, S. A., Kaine, L., & Ng, M. L. (2010). Quantification of vocal tract configuration of older children with Down syndrome: A pilot study. International Journal of Pediatric Otorhinolaryngology, 74(4), 378–383. Doi: https://doi.org/10.1016/j.ijporl.2010.01.007

Downloads

Published

2025-02-12

How to Cite

Masoumeh Shojaeinejad, & Kamran Ganji. (2025). The Effectiveness of Reality Therapy on Depression and Self-efficacy in Mothers of Children with Down syndrome (Tehran). International Journal of Social Sciences & Humanities (IJSSH), 10(1), 9–21. Retrieved from https://ijssh.ielas.org/index.php/ijssh/article/view/110