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The Efficacy of a Resilience-Enhancement Program for Mothers Based on Emotion Regulation: A Randomized Controlled Trial in Japan

Author

Listed:
  • Hiromi Tobe

    (Department of Family Nursing, Global Nursing Research Center, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku 113-0033, Tokyo, Japan)

  • Mariko Sakka

    (The Faculty of Medicine, University of Tsukuba, 1-1-1 Tennoudai, Tsukuba-shi 305-8575, Ibaraki, Japan)

  • Sachiko Kita

    (Department of Family Nursing, Global Nursing Research Center, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku 113-0033, Tokyo, Japan)

  • Mari Ikeda

    (Department of Family Nursing, Global Nursing Research Center, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku 113-0033, Tokyo, Japan)

  • Kiyoko Kamibeppu

    (Department of Family Nursing, Global Nursing Research Center, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku 113-0033, Tokyo, Japan
    Department of Nursing, Graduate School of Health and Welfare Science, International University of Health and Welfare, 4-1-26 Akasaka, Minato City 107-8402, Tokyo, Japan)

Abstract

This study evaluated the efficacy of a brief (four 2-h sessions) group-based resilience-enhancement program focused on emotion regulation in Japan. Mothers (n = 123) of children aged 3–6 years were recruited in two prefectures and allocated with stratified randomization by the prefecture to either a bi-weekly intervention or treatment as usual. Mothers self-reported online at pre/post-intervention and at 2-month follow-up. Analysis of covariance was used to compare groups. At post-intervention and 2-month follow-up, the intervention group mothers showed significant improvements compared to the control group in resilience ( p < 0.001/ p = 0.001), self-esteem ( p = 0.008/ p = 0.001), anger control toward the child ( p < 0.001/ p = 0.012), and positive attribution toward the child’s misbehavior ( p < 0.001/ p = 0.003). The partners of mothers in both groups answered the same questionnaire at the same timepoints without participating in either program; no differences between groups were found. This study was the first randomized controlled trial investigating how a resilience-enhancement program improves maternal resilience, emotion regulation, and cognition toward children and themselves. This preliminary study provides evidence that improving resilience may reduce the risk of child maltreatment. Further research regarding implementing this intervention in the community is warranted.

Suggested Citation

  • Hiromi Tobe & Mariko Sakka & Sachiko Kita & Mari Ikeda & Kiyoko Kamibeppu, 2022. "The Efficacy of a Resilience-Enhancement Program for Mothers Based on Emotion Regulation: A Randomized Controlled Trial in Japan," IJERPH, MDPI, vol. 19(22), pages 1-20, November.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:22:p:14953-:d:971615
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    References listed on IDEAS

    as
    1. Michele Tugade & Barbara Fredrickson, 2007. "Regulation of Positive Emotions: Emotion Regulation Strategies that Promote Resilience," Journal of Happiness Studies, Springer, vol. 8(3), pages 311-333, September.
    2. Aaron L Leppin & Pavithra R Bora & Jon C Tilburt & Michael R Gionfriddo & Claudia Zeballos-Palacios & Megan M Dulohery & Amit Sood & Patricia J Erwin & Juan Pablo Brito & Kasey R Boehmer & Victor M Mo, 2014. "The Efficacy of Resiliency Training Programs: A Systematic Review and Meta-Analysis of Randomized Trials," PLOS ONE, Public Library of Science, vol. 9(10), pages 1-15, October.
    3. Ozge Sensoy Bahar & Alice Boateng & Portia B. Nartey & Abdallah Ibrahim & Kingsley Kumbelim & Proscovia Nabunya & Fred M. Ssewamala & Mary M. McKay, 2022. "“ ANZANSI Program Taught Me Many Things in Life ”: Families’ Experiences with a Combination Intervention to Prevent Adolescent Girls’ Unaccompanied Migration for Labor," IJERPH, MDPI, vol. 19(20), pages 1-19, October.
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