The Effect of Touch and Massage Techniques Applied to Children on Parental Role Perception and Perceived Stress

Yıl 2024, Sayı: 23, 722 - 736, 31.08.2024

Beyza Aslı Bilsel , Barış Metin

https://doi.org/10.38079/igusabder.1488676

Öz

Aim: The study examined the effects of tactile and massage techniques on the occupational therapist’s perspective on the role perception and stress levels of parents and the changes in children’s sensory processing.
Method: A total of 30 children, (18 females and 12 males), aged 3-6, with normal development, and their parents were included in the study. A diverse community sample of mothers (M=33.6±5.521 years) and their preschool-aged children (M=4.5±1.2 years) participated in the study. The following instruments were employed: Parental Stress Index, Self-Perception Scale for Parenting Role, and Sensory Profile Test. Parents were instructed in a number of touch and massage techniques devised by the Occupational Therapist within the framework of Sensory Integration Theory. Following the 15-minute and 20-session implementation period, the parents were then tested. After the sessions were completed, the tests were repeated.
Results: The findings indicated that at the end of the study, there was a decrease in parental stress levels, and an increase in parental role perception and children's sensory processing skills (p <0.05). The study demonstrated that touch and massage techniques can positively impact parent-child interaction.
Conclusion: Studies examining the potential enduring effects of positive parental touch on stress levels and parental role perception rarely extend beyond infancy. It is believed that research with a larger sample size on this topic would contribute significantly to the existing literature.

Anahtar Kelimeler

Occupational therapy, tactile sense, proprioception, massage, stress, parenting role, sensory processing

Çocuklara Uygulanan Dokunma ve Masaj Tekniklerinin Ebeveynlik Rolü Algısı ve Algılanan Stresi Üzerine Etkisi

Öz

Amaç: Araştırma ergoterapist bakış açısıyla planlanan dokunma ve masaj tekniklerinin ebeveyn üzerindeki rol algısı ve algılanan stres üzerindeki etkilerini ve duyusal işlemleme açısından çocuktaki değişimi incelemek için yapılmıştır.
Yöntem: Uygulamaya normal gelişim gösteren 3-6 yaş aralığında 18’i kız, 12’si erkek toplam 30 çocuk ve ebeveynleri dahil edilmiştir. Araştırmaya annelerden (33,6±5,521 yaş) ve onların okul öncesi çağındaki çocuklarından (4,5±1,2 yaş) oluşan çeşitli bir topluluk örneği katılmıştır. Ebeveyn Stres İndeksi, Ebeveynlik Rolüne İlişkin Kendilik Algısı Ölçeği ve Duyu Profili Testi kullanılmıştır. Ebeveynlere ergoterapist tarafından Duyu Bütünleme Teorisi çerçevesinde planlanmış birtakım dokunma ve masaj teknikleri öğretilmiştir. Ebeveynlerce uygulanan günlük 15 dakikalık ve 20 seanslık uygulama süreci takip edilmiştir. Seanslar tamamlanınca testler tekrar uygulanmıştır.
Bulgular: Bulgulara göre uygulamanın sonunda ebeveyn stres düzeyinde düşüş, ebeveynlik rol algısı ve çocukların duyusal işlemleme becerilerinde artış görülmüştür (p<0.05). Çalışma, dokunma ve masaj tekniklerinin ebeveyn çocuk etkileşimine katkı sağladığını göstermiştir.
Sonuç: Olumlu ebeveyn dokunuşunun stres düzeyi ve ebeveynlik rol algısı üzerindeki olası devam eden etkisini inceleyen çalışmaların bebeklik döneminin ötesine nadiren uzandığı bilinmektedir. Daha büyük örneklem grubu ile ilgili konuda yapılacak çalışmaların literatüre katkı sağlayacağı düşünülmektedir.

Anahtar Kelimeler

Ergoterapi, dokunma duyusu, propriyosepsiyon, masaj, stres, ebeveynlik rolü, duyusal ı̇şlemleme

Kaynakça

• 1. Benoit B, Boerner K, Campbell-Yeo M, Chambers C. The power of human touch for babies. Canadian Association of Pediatric Health Center. Retrieved on September 26, 2018.
• 2. Hertenstein MJ, Keltner D, App B, Bulleit BA, Jaskolka AR. Touch communicates distinct emotions. Emotion. 2006;6(3):528.
• 3. Hertenstein MJ, Holmes R, McCullough M, Keltner D. The communication of emotion via touch. Emotion. 2009;9(4):566.
• 4. Davis EP, Stout SA, Molet J, et al. Exposure to unpredictable maternal sensory signals influences cognitive development across species. Proceedings of the National Academy of Sciences. 2017;114(39):10390-10395.
• 5. Ayres AJ, Robbins J. Sensory Integration and the Child: Understanding Hidden Sensory Challenges. Western Psychological Services; 2005.
• 6. Kranowitz CS. The Out-Of-Sync Child: Recognizing and Coping with Sensory Processing Disorder. Penguin. 2006.
• 7. Kramer P. Frames of Reference for Pediatric Occupational Therapy. Lippincott Williams & Wilkins. 2018.
• 8. Mailloux Z. The vestibular system: Why is it so critical. Sensory Integration Quarterly. 1993;Spring:11.
• 9. Bales KL, Witczak LR, Simmons TC, et al. Social touch during development: Long-term effects on brain and behavior. Neuroscience & Biobehavioral Reviews. 2018;95:202-219.
• 10. Lee HK. The effects of infant massage on weight, height, and mother-infant interaction. Journal of Korean academy of nursing. 2006;36(8):1331-1339.
• 11. Weeks S, Boshoff K, Stewart H. Systematic review of the effectiveness of the Wilbarger protocol with children. Pediatr Health Med Ther. 2012;3:79-89.
• 12. Field T, Hernandez-Reif M, Diego M, Feijo L, Vera Y, Gil K. Massage therapy by parents improves early growth and development. Infant Behavior and Development. 2004;27(4):435-442.
• 13. Field T, Hernandez-Reif M, Diego M, Schanberg S, Kuhn C. Cortisol decreases and serotonin and dopamine increase following massage therapy. Int J Neurosci. 2005;115(10):1397-1413.
• 14. Levine S. Developmental determinants of sensitivity and resistance to stress. Psychoneuroendocrinology. 2005;30(10):939-946.
• 15. Feldman R, Rosenthal Z, Eidelman AI. Maternal-preterm skin-to-skin contact enhances child physiologic organization and cognitive control across the first 10 years of life. Biological Psychiatry. 2014;75(1):56-64.
• 16. Bigelow A, Power M, MacLellan-Peters J, Alex M, McDonald C. Effect of mother/infant skin-to-skin contact on postpartum depressive symptoms and maternal physiological stress. Journal of Obstetric, Gynecologic & Neonatal Nursing. 2012;41(3):369-382.
• 17. Meaney MJ. Epigenetics and the biological definition of gene×environment interactions. Child Development. 2010;81(1):41-79.
• 18. Perkeybile AM, Bales KL. Early rearing experience is associated with vasopressin immunoreactivity but not reactivity to an acute non-social stressor in the prairie vole. Physiology & Behavior. 2015;147:149-156.
• 19. de Montigny F, Lacharité C. Perceived parental efficacy: Concept analysis. Journal of Advanced Nursing. 2005;49(4):387-396.
• 20. Lerner JV, Galambos NL. Maternal role satisfaction, mother-child interaction, and child temperament: A process model. In: Adolescents and Their Families. Routledge; 2013:251-258.
• 21. Dunn W. Sensory Profile. San Antonio. Texas: Psicological Corporation; 1999.
• 22. Güler M, Yetim Ü. Ebeveyn rolüne ilişkin kendilik algısı ölçeği: geçerlik ve güvenirlik çalışması. Turk Psikol Yaz. 2008;11(22):34-43.
• 23. Cekic A, Hamamci Z. Anne-Baba Stres Ölçeği Kısa Formunun Türkçe’ye uyarlanması: Geçerlilik ve güvenilirlik çalismasi. Anadolu Psikiyatri Dergisi. 2018;19(1):63-71.
• 24. Wilbarger P, Wilbarger JL. Sensory defensiveness: A comprehensive treatment approach. Panorama City: Avanti Educational Programs; 2001.
• 25. Syu YC, Lin LY. Sensory overresponsivity, loneliness, and anxiety in Taiwanese adults with autism spectrum disorder. Occupational Therapy International. 2018;2018:9165978.
• 26. Scott MG, Smiley PA, Ahn A, Lazarus MF, Borelli JL, Doan SN. A mother's touch: Preschool‐aged children are regulated by positive maternal touch. Developmental Psychobiology. 2022;64(2):e22243.
• 27. Jirikowic T, Olson HC, Astley S. Parenting stress and sensory processing: Children with fetal alcohol spectrum disorders. OTJR: Occupation, Participation and Health. 2012;32(4):160-168.
• 28. Huri M, Mehr BK, Altuntaş O, Kayıhan H. Yaygın gelişimsel bozukluğu olan ve normal gelişim gösteren çocukların taktiksel tercihlerinin karşılaştırılması. Ergoterapi ve Rehabilitasyon Dergisi. 2014;2(1):21-28.
• 29. Gabriel B, Bodenmann G. Elterliche Kompetenzen und Erziehungskonflikte: eine ressourcenorientierte Betrachtung von familiären Negativdynamiken. Kindheit und Entwicklung. 2006;15(1):9-18.
• 30. Matthiesen AS, Ransjö‐Arvidson AB, Nissen E, Uvnäs‐Moberg K. Postpartum maternal oxytocin release by newborns: effects of infant hand massage and sucking. Birth. 2001;28(1):13-19.
• 31. Bai S, Repetti RL, Sperling, JB. Children’s expressions of positive emotion are sustained by smiling, touching, and playing with parents and siblings: A naturalistic observational study of family life. Developmental Psychology. 2016;52(1):88.