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 aimed to examine the effectiveness of play therapy in improving sensory processing and distress tolerance in adolescents with mild intellectual disabilities. A randomized controlled trial was conducted with 30 adolescents aged 12 to 17 years, randomly assigned to either an intervention group (n = 15) receiving eight 90-minute sessions of play therapy or a control group (n = 15) receiving no intervention. Sensory processing and distress tolerance were assessed at baseline, post-intervention, and five-month follow-up using standardized measures. Data analysis was performed using repeated-measures analysis of variance (ANOVA) and Bonferroni post-hoc tests in SPSS-27 to evaluate within-group and between-group differences over time. The results indicated a significant main effect of time for both sensory processing (F(2, 84) = 92.32, p < 0.001) and distress tolerance (F(2, 84) = 111.60, p < 0.001), demonstrating substantial improvements across timepoints. The intervention group showed a notable increase in sensory processing scores from baseline (M = 48.72, SD = 5.91) to post-intervention (M = 64.15, SD = 6.38) and follow-up (M = 69.03, SD = 5.79), whereas the control group exhibited minimal change. Similarly, distress tolerance scores improved significantly in the intervention group (baseline: M = 42.85, SD = 6.27; post-intervention: M = 58.74, SD = 5.69; follow-up: M = 63.92, SD = 6.08), with no substantial improvement in the control group. The Bonferroni post-hoc test confirmed significant pairwise differences between baseline and subsequent assessments. Play therapy was found to be an effective intervention for enhancing sensory processing and distress tolerance in adolescents with mild intellectual disabilities, with improvements sustained at follow-up. These findings suggest that play-based interventions can be a valuable therapeutic approach for promoting sensory integration and emotional regulation in this population.

The objective of this study was to explore the experiences and perceptions of community integration and social participation among adults with intellectual disabilities (ID). This qualitative research employed semi-structured interviews to gather in-depth data from 27 adults with intellectual disabilities. Participants were recruited through purposive sampling from various community centers, support groups, and social service organizations. Data were collected until theoretical saturation was achieved. Thematic analysis was used to analyze the transcribed interviews, identifying key themes and subthemes that captured the essence of the participants' experiences and perceptions. The study identified four main themes: experiences of community integration, types of social activities, perceived benefits and challenges, and influencing factors. Participants reported a strong sense of belonging and personal growth through community activities, despite facing barriers such as stigma, accessibility issues, and financial constraints. Support systems, including family, professionals, and peer networks, played a crucial role in facilitating participation. Recreational, cultural, and educational activities, as well as volunteering, provided significant physical, emotional, and social benefits. Technological advancements, inclusive policies, and personal resilience were identified as critical factors influencing community integration. The findings highlight the importance of enhancing accessibility, support systems, and inclusive policies to promote community integration and social participation for adults with intellectual disabilities. Addressing the identified barriers and leveraging facilitators can improve their quality of life and well-being. Future research should employ mixed-methods approaches, include longitudinal studies, and consider the perspectives of family members, caregivers, and professionals to provide a more comprehensive understanding of the factors influencing community participation.

This study aimed to explore the barriers and facilitators influencing the implementation of virtual reality (VR)-based therapy for emotional regulation in youth with exceptional needs. A qualitative research design was employed using semi-structured interviews with 23 purposefully selected participants, including special education teachers, therapists, caregivers, and VR developers, all based in Minnesota, USA. Participants were selected based on their direct involvement with VR therapy programs for youth with neurodevelopmental or emotional regulation challenges. Interviews were conducted until theoretical saturation was reached. Data were transcribed verbatim and analyzed using thematic analysis in NVivo 14, following Braun and Clarke’s six-phase framework. The analysis revealed two main thematic categories: facilitators and barriers. Facilitators included seven subthemes: technological appeal, personalization, therapist control, motivation and engagement, institutional support, caregiver involvement, and observable emotional gains. Barriers were categorized into seven subthemes as well: accessibility and equity issues, sensory limitations, stakeholder resistance, cultural irrelevance, technical difficulties, ethical and privacy concerns, and lack of standardized guidelines. Participants reported that immersive features, real-time therapist adjustments, and family buy-in enhanced VR’s therapeutic effectiveness. Conversely, cost constraints, lack of culturally appropriate content, and technical or ethical challenges hindered adoption. Quotes from stakeholders enriched the thematic interpretation and contextualized the results. VR-based therapy shows promising potential in enhancing emotional regulation among youth with exceptional needs due to its immersive, customizable, and engaging design. However, successful implementation depends on addressing contextual challenges, including accessibility, technical infrastructure, and cultural inclusivity. Stakeholder collaboration and the development of standardized protocols are essential to scale VR interventions in educational and clinical contexts.

This study aimed to examine the relationship between social cognition and loneliness in gifted underachievers, with a specific focus on the mediating role of rejection sensitivity. A descriptive correlational design was employed with a sample of 399 gifted underachieving adolescents from Argentina, selected according to Morgan and Krejcie's (1970) sample size table. Standardized tools were used to assess social cognition, rejection sensitivity, and loneliness. Data analysis was conducted using SPSS-27 and AMOS-21. Pearson correlation was used to evaluate bivariate relationships between variables, and Structural Equation Modeling (SEM) was applied to test the proposed mediational model. Fit indices, including χ², RMSEA, GFI, CFI, and TLI, were reported to evaluate model adequacy. Results indicated that social cognition was significantly and negatively correlated with both rejection sensitivity (r = –.43, p < .01) and loneliness (r = –.39, p < .01). Rejection sensitivity showed a significant positive correlation with loneliness (r = .58, p < .01). SEM analysis confirmed the mediating role of rejection sensitivity in the relationship between social cognition and loneliness. The indirect path from social cognition to loneliness via rejection sensitivity was significant (β = –.28, p < .001), and the total effect of social cognition on loneliness was substantial (β = –.49, p < .001). Model fit indices indicated a good fit (χ²/df = 2.22, CFI = 0.96, RMSEA = 0.054). These findings suggest that deficits in social cognition contribute to heightened feelings of loneliness in gifted underachievers, primarily through increased sensitivity to perceived rejection. Interventions aimed at reducing rejection sensitivity may mitigate the impact of social cognitive difficulties on emotional well-being in this vulnerable group.

The study aimed to evaluate the effectiveness of drama therapy on friendship quality and emotion regulation in adolescents with physical disabilities. A randomized controlled trial was conducted with 40 adolescents aged 13-18 years, randomly assigned to either an intervention group receiving drama therapy (n=20) or a control group (n=20). The intervention comprised ten 60-minute sessions over three months. Measures used included the Friendship Quality Scale (FQS) and the Emotion Regulation Questionnaire (ERQ), assessed at pre-intervention, post-intervention, and three-month follow-up. Data were analyzed using repeated measures ANOVA and Bonferroni post-hoc tests, with analyses performed in SPSS version 27. Significant improvements were observed in the intervention group compared to the control group. For friendship quality, the intervention group’s scores increased from a mean (M) of 55.12 (SD = 5.47) at pre-intervention to 68.25 (SD = 6.23) post-intervention and slightly decreased to 66.84 (SD = 6.01) at follow-up. Emotion regulation scores in the intervention group increased from 36.45 (SD = 4.12) at pre-intervention to 45.78 (SD = 4.96) post-intervention and slightly decreased to 44.67 (SD = 4.81) at follow-up. ANOVA results showed significant main effects for group and time (p < .001), with significant interactions between time and group for both variables (p < .001). Bonferroni post-hoc tests confirmed significant pre- to post-intervention and pre- to follow-up improvements in the intervention group (p < .001). Drama therapy significantly enhances friendship quality and emotion regulation in adolescents with physical disabilities, with effects sustained at a three-month follow-up. These findings support the incorporation of drama therapy in therapeutic programs for this population to address their unique psychosocial challenges.