درخت حوزه‌های تخصصی

This study aims to explore the impact of sleep disorders on daily functioning in children with Autism Spectrum Disorder (ASD) through the perspectives of their caregivers. A qualitative research design was employed, involving semi-structured interviews with 23 caregivers of children aged 4-12 years diagnosed with ASD. Participants were recruited through local autism support groups, special education schools, and pediatric clinics. Interviews focused on the types, frequency, and severity of sleep disorders, their impact on the child's behavior, academic performance, social interactions, physical health, and family dynamics, as well as the strategies used to manage these issues. Thematic analysis was used to identify key themes and patterns from the data. The study identified several types of sleep disorders among children with ASD, including insomnia, sleep apnea, and night terrors, varying in frequency and severity. Sleep disturbances were found to significantly impact daily functioning, leading to behavioral issues, academic challenges, social difficulties, and physical health problems. Caregivers employed a range of coping strategies, such as medical interventions, behavioral routines, environmental modifications, dietary adjustments, and alternative therapies, with varying degrees of success. Barriers to effective management included cost, accessibility, and lack of knowledge. The need for individualized, adaptive approaches to treatment was emphasized. Sleep disorders in children with ASD have profound effects on their daily functioning and overall quality of life. Addressing these issues requires a comprehensive, individualized approach that considers the unique needs of each child. Collaboration with caregivers and regular adjustments to intervention strategies are essential for effective management. Further research should focus on larger, more diverse samples and incorporate objective sleep measures to provide a more comprehensive understanding of these challenges.

This study aims to examine the relationship between self-advocacy skills, assistive technology use, and self-esteem among adults with physical disabilities. A cross-sectional design was employed, with data collected from 244 adults with physical disabilities. Participants completed validated self-report measures assessing self-esteem, self-advocacy skills, and assistive technology use. Pearson correlation coefficients were calculated to explore the relationships between the variables. A linear regression analysis was conducted to determine the extent to which self-advocacy skills and assistive technology use predict self-esteem. All analyses were performed using SPSS version 27. The results indicated significant positive correlations between self-esteem and both self-advocacy skills (r = .62, p < .01) and assistive technology use (r = .58, p < .01). Self-advocacy skills and assistive technology use were found to be significant predictors of self-esteem, accounting for 49% of the variance (R² = .49, F(2, 241) = 115.63, p < .001). The regression analysis revealed that self-advocacy skills (B = 0.34, β = .42, p < .001) and assistive technology use (B = 0.28, β = .36, p < .001) both positively influence self-esteem. The study concludes that self-advocacy skills and assistive technology use are crucial determinants of self-esteem in adults with physical disabilities. These findings highlight the importance of providing support and training in self-advocacy and access to appropriate assistive technology to enhance psychological well-being and autonomy in this population. Future research should explore these relationships longitudinally and across diverse disability groups.

This study aimed to investigate the predictors of academic self-concept in children with hearing impairments, focusing on the roles of emotion socialization and grit. Understanding these relationships can inform interventions to support the academic success and well-being of these children. The study employed a cross-sectional design with a sample of 271 children with hearing impairments, selected based on the Morgan and Krejcie table. Participants were assessed using the Self-Description Questionnaire I for academic self-concept, the Coping with Children's Negative Emotions Scale for emotion socialization, and the Grit Scale. Data were analyzed using Pearson correlation to examine bivariate relationships and linear regression to evaluate the predictive power of emotion socialization and grit on academic self-concept, using SPSS-27. Descriptive statistics indicated moderately high levels of academic self-concept (M = 3.45, SD = 0.58), emotion socialization (M = 4.12, SD = 0.73), and grit (M = 3.89, SD = 0.65). Pearson correlation showed significant positive relationships between academic self-concept and both emotion socialization (r = 0.45, p < 0.001) and grit (r = 0.52, p < 0.001). The regression model was significant (F(2, 268) = 76.45, p < 0.001), explaining 36% of the variance in academic self-concept (R² = 0.36). Emotion socialization (B = 0.35, p < 0.001) and grit (B = 0.45, p < 0.001) were significant predictors of academic self-concept. The study found that both emotion socialization and grit are significant predictors of academic self-concept in children with hearing impairments. These findings suggest that interventions aimed at improving emotion socialization practices and fostering grit could enhance the academic self-concept of these children, supporting their academic success and overall well-being.

This study aimed to evaluate the effectiveness of Interpersonal Reconstructive Therapy (IRT) in enhancing empathy and conflict resolution skills among parents of autistic children. This randomized controlled trial included 30 parents of autistic children, divided into an intervention group (n = 15) receiving IRT and a control group (n = 15) receiving no intervention. Participants were assessed at baseline, post-intervention, and four months post-intervention using the Interpersonal Reactivity Index (IRI) and Conflict Resolution Styles Inventory (CRSI). Data analysis involved repeated measures ANOVA and Bonferroni post-hoc tests, conducted using SPSS-27. The intervention group showed significant improvements in empathy and conflict resolution scores. Empathy scores increased from 54.78 (SD = 5.32) at baseline to 67.32 (SD = 5.67) post-intervention and were maintained at 65.91 (SD = 5.42) at follow-up. Conflict resolution scores rose from 62.14 (SD = 6.23) to 74.89 (SD = 5.47) post-intervention, with scores at follow-up being 73.28 (SD = 5.63). ANOVA results indicated significant main effects for Time (empathy: F(2, 56) = 45.67, p < 0.001, η² = 0.62; conflict resolution: F(2, 56) = 49.18, p < 0.001, η² = 0.64), Group (empathy: F(1, 28) = 32.78, p < 0.001, η² = 0.54; conflict resolution: F(1, 28) = 35.91, p < 0.001, η² = 0.57), and Time × Group interactions (empathy: F(2, 56) = 41.23, p < 0.001, η² = 0.59; conflict resolution: F(2, 56) = 43.89, p < 0.001, η² = 0.60). Bonferroni post-hoc tests confirmed significant improvements from baseline to post-intervention and baseline to follow-up. IRT significantly enhances empathy and conflict resolution skills in parents of autistic children, with improvements maintained over a four-month period. These findings highlight the potential of IRT as an effective intervention to support parents in managing the challenges of raising children with autism.