Behavioral Modification Methods and Maternal Parenting Styles among Mothers with Hearing-Impaired Children

Document Type : Original Article


1 Department of Psychology, University of Zanjan, Zanjan, Iran

2 Department of Psychology, Yazd branch, Islamic Azad University, Yazd, Iran

3 Department of Clinical Psychology, Shiraz University, Shiraz, Iran

4 Department of Psychology, Islamic Azad University of Zanjan, Zanjan, Iran

5 Department of Counseling, Islamic Azad University of Kerman, Kerman, Iran


Introduction: The present study aimed to investigate the effect of behavioral parent training of mothers with severe deaf children, on enhancing maternal parenting style.
Method: The research design was an experimental study with a pre-test, post-test and a control group. The research population included all mothers with severe hearing loss children. So, 24 mothers whose children had the most severe hearing loss were selected as the main sample in the academic year of 2015 in Azna city, Iran. Then, they were placed into experimental and control groups after being matched based on age, educational level, and socioeconomic status. The research tool included the Child Behavior Checklist-Persian Version (CBCL) and the Parenting Styles and Dimensions Questionnaire (PSDQ). The parental behavior training was performed in nine 90-minute sessions in the experimental group. The data were analyzed by multivariable analyze of covariance.
Results: Findings revealed the effect of behavioral parental training on reducing authoritarian and permissive parenting styles of mothers with deaf children in the experimental group. Moreover, behavioral parent training enhanced maternal authority parenting style score in the experimental group [P<0.05].
Conclusion: Behavioral parent training is important in decreasing negative parenting styles and in enhancing positive interaction between parents and deaf children.


  1. Bubbico L, Rosano A, Spagnolo A. Prevalence of prelingual deafness in Italy. Acta otorhinolaryngologica italica. 2007;27[1]:17.
  2. Thompson DC, McPhillips H, Davis RL, Lieu TA, Homer CJ, Helfand M. Universal newborn hearing screening: summary of evidence. Jama. 2001;286[16]:2000-10.
  3. Kral A, O'donoghue GM. Profound deafness in childhood. New England Journal of Medicine. 2010;363[15]:1438-50.
  4. Fellinger J, Holzinger D, Sattel H, Laucht M. Mental health and quality of life in deaf pupils. European child & adolescent psychiatry. 2008;17[7]:414-23.
  5. Fellinger J, Holzinger D, Sattel H, Laucht M, Goldberg D. Correlates of mental health disorders among children with hearing impairments. Developmental Medicine & Child Neurology. 2009;51[8]:635-41.
  6. Coll KM, Cutler MM, Thobro P, Haas R, Powell S. An exploratory study of psychosocial risk behaviors of adolescents who are deaf or hard of hearing: Comparisons and recommendations. American Annals of the Deaf. 2009;154[1]:30-5.
  7. Wallis D, Musselman C, MacKay S. Hearing mothers and their deaf children: The relationship between early, ongoing mode match and subsequent mental health functioning in adolescence. Journal of Deaf Studies and Deaf Education. 2004;9[1]:2-14.
  8. Hintermair M. Self-esteem and satisfaction with life of deaf and hard-of-hearing people—A resource-oriented approach to identity work. Journal of Deaf Studies and Deaf Education. 2007;13[2]:278-300.
  9. Chandola A, Bhanot S. Role of parenting style in adjustment of high school children. Journal of Human Ecology. 2008;24[1]:27-30.
  10. Pipp-Siegel S, Biringen Z. Assessing the quality of relationships between parents and children: The emotional availability scales. The Volta Review. 1998.
  11. Knutson JF, Johnson CR, Sullivan PM. Disciplinary choices of mothers of deaf children and mothers of normally hearing children. Child Abuse & Neglect. 2004;28[9]:925-37.
  12. Barnett S, Klein J, Pollard R, Samar V, Schlehofer D, Starr M, et al. Community participatory research to identify health inequities with deaf sign language users. American journal of public health. 2011;101[12]:2235-8.
  13. Lederberg AR, Golbach T. Parenting stress and social support in hearing mothers of deaf and hearing children: A longitudinal study. Journal of Deaf Studies and Deaf Education. 2002;7[4]:330-45.
  14. Quittner AL, Barker DH, Cruz I, Snell C, Grimley ME, Botteri M, et al. Parenting stress among parents of deaf and hearing children: associations with language delays and behavior problems. Parenting: Science and Practice. 2010;10[2]:136-55.
  15. Sanders MR, Woolley M. The relationship between maternal self‚Äźefficacy and parenting practices: Implications for parent training. Child: care, health and development. 2005;31[1]:65-73.
  16. Chronis AM, Chacko A, Fabiano GA, Wymbs BT, Pelham WE. Enhancements to the behavioral parent training paradigm for families of children with ADHD: Review and future directions. Clinical Child and Family Psychology Review. 2004;7[1]:1-27.
  17. Sasaki, V.D., Gail, T. How to Improve Behavioral Parent and Teacher Training for Children with ADHD: Integrating
    Empirical Research on Learning and Motivation into Treatment, 2020.Clinical Child and Family Psychology Review, 23, 577–604.
  18. Amiri, M., Behpajooh, A. The effect of behavior parent training to mothers of children with Attention Deficit Hyperactivity Disorder. 2016. International Journal of Behavioral Sciences, 9(4), 220-226.
  19. Behavioral Parent Training and Psychological Problems in Mothers of Children with Autism Spectrum Disorder. 2018. International Journal of Behavioral Sciences. 12(1), 42-47
  20. Keen D, Couzens D, Muspratt S, Rodger S. The effects of a parent-focused intervention for children with a recent diagnosis of autism spectrum disorder on parenting stress and competence. Research in Autism Spectrum disorders. 2010;4[2]:229-41.
  21. Gall., M. D., Gall., Joyce P, Borg., W. R. educational Research: An Introduction, 8th Edition. 2007. Pearson.
  22. Barkley RA. Defiant children: A clinician's manual for assessment and parent training: Guilford press; 2013.
  23. Achenbach TM. Integrative guide for the 1991 CBCL/4-18, YSR, and TRF profiles: Department of Psychiatry, University of Vermont; 1991.
  24. Minaee E. Normalization of measurement systems based on experience Eschenbach. Tehran: Exceptional Children Organization Publication. 2009.
  25. Robinson C, Mandleco B, Olsen SF, Hart C. The parenting styles and dimensions questionnaire [PSDQ]. Handbook of family measurement techniques. 2001;3:319-21.
  26. Alizadeh H, Andries C. Interaction of parenting styles and attention deficit hyperactivity disorder in Iranian parents. Child & family behavior therapy. 2002;24[3]:37-52.
  27. Hauth-Charlier S, Clement C. Behavioral parent training programs for parents of children with ADHD: Practical considerations and clinical implications. Pratiques Psychologiques. 2009;15[4]:457-72.
  28. Johnston C, Jassy JS. Attention-deficit/hyperactivity disorder and oppositional/conduct problems: Links to parent-child interactions. Journal of the Canadian Academy of Child and Adolescent Psychiatry. 2007;16[2]:74.
  29. Johnston C, Hommersen P, Seipp C. Acceptability of behavioral and pharmacological treatments for attention-deficit/hyperactivity disorder: Relations to child and parent characteristics. Behavior Therapy. 2008;39[1]:22-32.