Marital Satisfaction and Depression in Mothers of 3-4 Year Old Children with Developmental Delay in Comparison with Mothers of Normal Children
Iranian Journal of Child Neurology,
Vol. 13 No. 4 (2019),
1 October 2019
,
Page 91-108
https://doi.org/10.22037/ijcn.v13i4.18050
Abstract
Objectives
The present study evaluated the depression and marital satisfaction in mothers of 36-48 months old children with developmental delay in comparison with mothers of normal children.
Materials & Methods
This cross-sectional study was performed on 616 mothers and their children, aged 36 - 48 months, from Apr 2015 to Feb 2016, in some kindergartens in Tehran, Iran. Participants were selected through multi-stage random sampling. The children were divided according to the developmental status into two groups of normal development and developmental delay. The following instruments were used: A demographic and children specification questionnaire, marital satisfaction scale, the Beck Depression Inventory, and the Ages and Stages Questionnaire. The data were analyzed using SPSS16 software. Independent t-test and Pearson correlation were employed at significance level of 0.05.
Results
The mean age of children with developmental delay and normal development was 41.94±4.48 and 42.17±5.02 months, respectively. The prevalence of developmental delay in children aged 36-48 months was 17.4% and in normal development children was 82.6%. Developmental delay in boys was 23%. The highest incidence of developmental delays was in fine motor skills. Independent t-test revealed a significant difference between mothers' depression and marital satisfaction with and without developmental delays (P=0.0001). In addition, the correlation was observed between the mother’s depression and marital satisfaction (P=0.0001).
Conclusion
Mothers of children with developmental delay suffer more from depression and have less marital satisfaction compared to mothers of healthy children. Interventional studies to reduce depression and increase marital satisfaction and its impact on development status should be conducted.
Keywords: Depression; Developmental delay; Marital status; Satisfaction
- Depression
- Developmental delay
- Marital status
- Satisfaction
How to Cite
References
Reference:
Vohr BR, O’Shea M, Wright LL. Longitudinal
multicenter follow-up of high-risk infants: why,
who, when, and what to assess. Semin Perinatol
;27(4):333-42.
Guralnick MJ. Early Intervention for Children
with Intellectual Disabilities: Current
Knowledge and Future Prospects. J Appl Res
Intellect Disabilities 2005;18(4):313-24.
Kliegman RM, Stanton BM, Geme JS, Schor
NF. Nelson Textbook of Pediatrics E-Book.
th ed. Elsevier Health Sciences; 2016 .P.90.
Poon JK, LaRosa AC, Pai GS. Developmental
delay timely identification and assessment.
Indian Pediatr 2010;47(5):415-22.
Edmonds L. Current Diagnosis and Treatment:
Pediatrics. J Paediatr Child Health 2010;
(5):283.
Persha AJ, Rao VR. Early intervention-A service
model: early intervention to IUGR children at
risk for developmental delays. Secunderabad:
National Institute for the Mentally Handicapped.
:27-8.
Mathew A. Prenatal psychological stress: a
significant factor in mental retardation. Disabil
Impair 2002;16:42-6.
Nahar B, Hossain MI, Hamadani JD, Ahmed T,
Huda SN, Grantham-McGregor SM, Persson
LA. Effects of a community-based approach of
food and psychosocial stimulation on growth
and development of severely malnourished
children in Bangladesh: a randomized trial. Eur
J Clin Nutr 2012; 66(6):701-9.
E MCoE. Training and Youth Affairs: National
Report on Schooling in Australia. 2000.
Rydz D, Shevell MI, Majnemer A, Oskoui M.
Topical review: developmental screening. J
Child Neurol 2005;20(1):4-21.
Boyle CA, Decoufle P, Yeargin-Allsopp M.
Prevalence and health impact of developmental
disabilities in US children. Pediatrics 1994;
(3):399-403.
Earls MF, Hay SS. Setting the stage for
success: implementation of developmental and
behavioral screening and surveillance in primary
care practice- the North Carolina Assuring
Better Child Health and Development (ABCD)
Project. Pediatrics 2006;118(1):e183-8.
Afraz .S.Ahmadi doulabi .M, Sajedi. F.
Akbarzadeh Baghban. A. Development status of
-24 months children born to teenage mothers
referred to health care centers in Yasuj, 2013.
YUMSJ 2015;20 (3): 253-63. [In Persian].
Karami K, Abbasi L, Moridi F, Falah F, Bayat
Z, Pourvakhshoori N. Evaluation criteria and
factors associated with the development of
one year old children in Khorramabad. JPEN
;1(3):57-64. [In Persian]
Shahshahani S, Vameghi R, Azari N, Sajedi F,
Kazemnejad A. Shahshahani S, Vameghi R,
Azari N, Sajedi F, Kazemnejad A. Comparing
the Results of Developmental Screening of 4-60
Months Old Children in Tehran Using ASQ &
PDQ. Iran Rehabil J 2011;9 :3-7.
Shaahmadi F, Khushemehri G, Arefi Z,
Karimyan A, Heidari F. Developmental Delay
and Its Effective Factors in Children Aged 4
to12 Months. Int J Pediatr 2015;3(1.1):396-402.
Marital Satisfaction and Depression in Mothers of 3-4 Year Old Children with Developmental Delay in Comparison ...
Iran J Child Neurol. Autumn 2019 Vol.13 No. 4
Dorre F, Fattahi Bayat G. Evaluation of
children’s development (4-60mo) with history
of NICU admission based on ASQ in Amir
Kabir Hospital, Arak. JAUMS 2011;11(2):143-
[In Persian]
Shahshahani S, Vameghi R, Azari N, Sajedi
F. Developmental screening for children
-4 months in Tehran using the Denver
Developmental Screening Test 2 and Ages
and Stages Questionnaires. Quarterly J Rehab
;12(3):65-71 [In Persian].
Sajedi F, Doulabi MA, Vameghi R, Baghban
AA, Mazaheri MA, Mahmodi Z, Ghasemi E.
Development of Children in Iran: A Systematic
Review and Meta-Analysis. Glob J Health Sci
;8(8): 145-161.
Tervo RC. Identifying patterns of developmental
delays can help diagnose neurodevelopmental
disorders. Clin Pediatr 2006;45(6):509-17.
Letts C, Edwards S, Sinka I, Schaefer B,
Gibbons W. Socio-economic status and language
acquisition: children’s performance on the new
Reynell Developmental Language Scales. Int J
Lang Commun Disord 2013;48(2):131-43.
Persha A, Arya S, Nagar R, Behera P, Verma
R, Kishore M. Biological and psychosocial
predictors of developmental delay in persons
with intellectual disability: retrospective casefile
study. Asia Pacific Disabil Rehabil J
;18(1):93-100.
de Moura DR, Costa JC, Santos IS, Barros AJ,
Matijasevich A, Halpern R, et al. Risk factors
for suspected developmental delay at age 2
years in a Brazilian birth cohort. Paediatr Perinat
Epidemiol 2010;24(3):211-21.
Alwan SH, Ibraheem MF, Al-Naddawi M.
Causes of Global Developmental Delay in
Children Welfare Teaching Hospital-Baghdad.
Postgrad Med J 2013;12(3):383-9.
Arjmand Nia AA, Afrooz G, Nami M S. The
Comparison between Marital Satisfaction,
Emotional Stress, Cognitive Social Support in
Parents Having Mentally-Impaired Children and
Parents Having Normal Children. Exceptional
Education 2013; 3 (116): 5-15. [In Persian]
Herring S, Gray K, Taffe J, Tonge B, Sweeney D,
Einfeld S. Behaviour and emotional problems in
toddlers with pervasive developmental disorders
and developmental delay: Associations with
parental mental health and family functioning. J
Intellect Disabil Res 2006;50(12):874-82.
Segerstrom SC, Miller GE. Psychological stress
and the human immune system: a meta-analytic
study of 30 years of inquiry. Psychol Bulletin
;130(4): 601-630.
Khamis V. Psychological distress among parents
of children with mental retardation in the United
Arab Emirates. Soc Sci Med 2007;64(4):850-7.
Brobst JB, Clopton JR, Hendrick SS. Parenting
children with autism spectrum disorders the
couple’s relationship. Focus on Autism and Other
Developmental Disabilities 2009;24(1):38-49.
McConkey R, Truesdale-Kennedy M, Chang
M-Y, Jarrah S, Shukri R. The impact on
mothers of bringing up a child with intellectual
disabilities: A cross-cultural study. Int J Nurs
Stud 2008;45(1):65-74.
Risdal D, Singer GH. Marital adjustment in
parents of children with disabilities: A historical
review and meta-analysis. RPSD 2004;29(2):95-
Marital Satisfaction and Depression in Mothers of 3-4 Year Old Children with Developmental Delay in Comparison ...
Iran J Child Neurol. Autumn 2019 Vol.13 No. 4
Rogers ML, Hogan DP. Family life with children
with disabilities: The key role of rehabilitation. J
Marriage Fam 2003;65(4):818-33.
Meikaeilei N, Ganji M, Talebi JM. A comparison
of resiliency, marital satisfaction and mental
health in parents of children with learning
disabilities and normal children. J Learning
Disabil 2012;2(1):120-137 [In Persian]
Mehrabi H. Compare mental health normal
and exceptional parents in the Gonabad city,
[dissertation]. Birjand Univ.; 2007. [In Persian]
Kirkham MA. Two-year follow-up of skills
training with mothers of children with
disabilities. Am J Ment Retard 1993. 97(5), 509-
Liu CC, Chen YC, Yeh YP, Hsieh YS. Effects
of maternal confidence and competence on
maternal parenting stress in newborn care. J Adv
Nurs 2012;68(4):908-18.
Page M, Wilhelm MS, Gamble WC, Card NA.
A comparison of maternal sensitivity and verbal
stimulation as unique predictors of infant social–
emotional and cognitive development. Infant
Behav Dev 2010;33(1):101-10.
Ali NS, Mahmud S, Khan A, Ali BS. Impact
of postpartum anxiety and depression on
child’s mental development from two periurban
communities of Karachi, Pakistan: a
quasi-experimental study. BMC Psychiatry
;13(1):274-285.
Olsson MB, Hwang C. Depression in mothers
and fathers of children with intellectual disability.
J Intellect Disabil Res 2001;45(6):535-43.
Dumas JE, Wolf LC, Fisman SN, Culligan A.
Parenting stress, child behavior problems, and
dysphoria in parents of children with autism,
Down syndrome, behavior disorders, and
normal development. Exceptionality: J Spec
Educ 1991;2(2):97-110.
Eisenhower AS, Baker BL, Blacher J.
Preschool children with intellectual disability:
syndrome specificity, behaviour problems, and
maternal well-being. J Intellect Disabil Res
;49(9):657-71.
Blacher J, Shapiro J, Lopez S, Diaz L.
Depression in Latina mothers of children with
mental retardation: A neglected concern. Am J
Ment Retard 1997; 101(5), 483-496.
Veisson M. Parents of disabled children:
Personality traits. Soc Behav Personal
;29(6):581-92.
Singer GH, Floyd F. Meta-analysis of
comparative studies of depression in mothers
of children with and without developmental
disabilities. Am J Ment Retard 2006;111(3):155-
Lillywhite HS, Bradley DP. Communication
Problems in Mental Retardation: Diagnosis and
Management Published by Joanna Cotler Books,
New York (1969).
Kimeyayi SA, Shafiabadi A, Sahebi A. Dellavar
A. Comparison of efficacy Beck and Tyzdyl
cognitive and combining it with yoga in the
treatment of major depression. Educational
Studies and Psychology 2007;7(2):87-114. [In
Persian].
Abbeduto L, Seltzer MM, Shattuck P,
Krauss MW, Orsmond G, Murphy MM, et
Marital Satisfaction and Depression in Mothers of 3-4 Year Old Children with Developmental Delay in Comparison ...
Iran J Child Neurol. Autumn 2019 Vol.13 No. 4
al. Psychological well-being and coping in
mothers of youths with autism, down syndrome,
orfragile X syndrome. Am J Ment Retard
;109(3):237-54.
Keller D, Honig AS. Maternal and paternal
stress in families with school-aged children
with disabilities. Am J Orthopsychiatry
;74(3):337 -48.
Ben-Zur H, Duvdevany I, Lury L. Associations
of social support and hardiness with mental
health among mothers of adult children with
intellectual disability. J Intellect Disabil
Res2005;49(1):54-62.
Larson JH, Holman TB. Premarital predictors of
marital quality and stability. Family Relations.
;43(2):228-37.
Mosmann C, Wagner A, Féres-Carneiro T.
Qualidade conjugal: mapeando conceitos.
Paidéia 2006;16(35):315-25.
Gottman JM. The roles of conflict engagement,
escalation, and avoidance in marital interaction:
a longitudinal view of five types of couples. J
Consult Clin Psychol 1993;61(1):6-15.
Feeney JA, Noller P. Attachment style as a
predictor of adult romantic relationships. J Pers
Soc Psychol 1990;58(2):281-91.
Feeney JA, Noller P. Attachment style and
romantic love: Relationship dissolution. Aust J
Psychol 1992;44(2):69-74.
Karney BR, Bradbury TN. The longitudinal
course of marital quality and stability: a review
of theory, method, and research. Psychol Bull
;118(1):3-34.
Perlin, Giovana Dal Bianco. Contemporary
marriages: a study on the impacts of family-work
interaction on marital satisfaction [dissertation].
Brasília Univ; 2006: 166-176.
Jablonski B. A divisão de tarefas domésticas
entre homens e mulheres no cotidiano do
casamento. Psicologia Ciência e Profissão
;30(2):262-75.
Mosmann C, Falcke D. Marital conflicts:
causes and frequency. Revista da SPAGESP
;12(2).5-16
Acevedo BP, Aron A, Fisher HE, Brown LL.
Neural correlates of marital satisfaction and
well-being: reward, empathy, and affect. Clin
Neuropsychiatr 2012;9(1):20-31.
Winch RF, Goodman LW. Selected studies in
marriage and the family.3rd ed. Holt, Rinehart
and Winston; 1968.P.630.
Ghahremani F, Doulabi MA, Eslami M,
Shekarriz-Foumani R. Correlation between
number and gender composition of children
and marital satisfaction in women presenting
to health centers in Tehran-Iran, 2015. Iran J
Psychiatry Behav Sci 2017;11(2): 71-75.
Finkenauer C, Hazam H. Disclosure and secrecy
in marriage: Do both contribute to marital
satisfaction? J Soc Pers Relatsh 2000;17(2):245-
Kargar M , Asgari Ebrahimabad M J.Comparing
problem solving style and marital adjustment
in exceptional and normal children mothers. J
Except Educ 2015;15(130):37-44. [In Persian]
Alriksson-Schmidt AI, Wallander J, Biasini
F. Quality of life and resilience in adolescents
with a mobility disability. J Pediatr Psychol
Marital Satisfaction and Depression in Mothers of 3-4 Year Old Children with Developmental Delay in Comparison ...
Iran J Child Neurol. Autumn 2019 Vol.13 No. 4
;32(3):370-9.
Motamedin M SF, Eskandar Fathi Azar, Sadegh
Malek. Comparison of mental health, marital
satisfaction and assertiveness between parents
of students with mental retardation and normal
in West Azerbaijan province. Knowledge and
Research in Applied Psychology 2008:37-44.
[In Persian]
Taanila A, Kokkonen J, Jäirvelin MR. The longterm
effects of children`s earlyonset disability
on marital relationship. Dev Med Child Neurol
Jul;38(7):567-77.
Begab, MJ and Richardson SA. The mentally
retarded and society: A social science
perspective. Oxford, England: University
Park;1975.P.247-66.
Donovan AM. Maternal perception of family
stress and ways of coping with adolescents:
A comparison study of mothers with autistic.
Mentally retarded and non-handicapped
adolescents. J Psychol 1990;3(4):12-23.
Damrosch SP, Perry LA. Self-reported
adjustment, chronic sorrow, and coping of
parents of children with Down syndrome. J Nurs
Res 1989;38(1):25-30.
Lin YC, Raghubir P. Gender differences
in unrealistic optimism about marriage
and divorce: Are men more optimistic and
women more realistic?. Pers Soc Psychol Bull
;31(2):198-207.
Rosen-Grandon JR, Myers JE, Hattie JA. The
relationship between marital characteristics,
marital interaction processes, and marital
satisfaction. J Couns Dev 2004;82(1):58-68.
Zare, B., Safyari Jafarabad,, H. The Study
of Marital Satisfaction and its Determinants
on Married Women and Men in Tehran
City. Women’s Studies Sociological and
Psychological 2015; 13(1): 111-140. [In Persian]
Griffin K. Parental break time. The Milwaukee
Journal Sentinel. 2000; p 1G.
Morrod D. Make or break—who cares for
couples when their children are sick? Sex
Relation Ther 2004;19(3):247-63.
Stoneman Z, Gavidia-Payne S, Floyd F. Marital
adjustment in families of young children with
disabilities: Associations with daily hassles and
problem-focused coping. Am J Ment Retard
;111(1):1-14.
Hornby, G. Effects of children with disabilities
on fathers: a review and analysis of the literature.
IJDDE 41(3):171–84.
Pelchat D, Bisson J, Ricard N, Perreault M,
Bouchard J-M. Longitudinal effects of an early
family intervention programme on the adaptation
of parents of children with a disability. Int J Nurs
Stud 1999;36(6):465-77.
Flaherty EM, Masters Glidden L. Positive
adjustment in parents rearing children with Down
syndrome. Early Child. Educ J 2000;11(4):407-
Kim H-W, Greenberg J, Seltzer M, Krauss
M. The role of coping in maintaining the
psychological well-being of mothers of adults
with intellectual disability and mental illness. J
Intellect Disabil Res 2003;47(4-5):313-27.
Barooti E, Sadeghi N, Karimi-Zarchi M, Soltani
H. New results regarding trends in Iranian
Marital Satisfaction and Depression in Mothers of 3-4 Year Old Children with Developmental Delay in Comparison ...
Iran J Child Neurol. Autumn 2019 Vol.13 No. 4
women’s health and a comparison with WHO
data. Clin Exp Obstet Gynecol 2011;38(4):390.
Doulabi MA, Sajedi F, Vameghi R, Mazaheri
MA, Baghban AR. Socioeconomic status index
to interpret inequalities in child development.
Iran J Child Neuro 2017;11(2):13-25.
Asoodeh MH, Daneshpour M, Khalili S,
Lavasani MG, Shabani MA, Dadras I. Iranian
successful family functioning: Communication.
Procedia Soc Behav Sci 2011;30:367-71.
Fowers BJ, Olson DH. ENRICH Marital
Inventory: A discriminant validity and crossvalidation
assessment. J Marital Fam Ther
;15(1):65-79.
Jakšić N, Ivezić E, Jokić-Begić N, Surányi Z,
Stojanović-Špehar S. Factorial and diagnostic
validity of the Beck Depression Inventory-II
(BDI-II) in Croatian primary health care. J Clin
Psychol Med Settings 2013;20(3):311-22.
Hall BJ, Hood MM, Nackers LM, Azarbad L,
Ivan I, Corsica J. Confirmatory factor analysis
of the Beck Depression Inventory-II in bariatric
surgery candidates. Psychological Assessment
;25(1):294.
Razavi SH, Razavi-Ratki SK, Nojomi MM,
Namiranian N. Depression and general anxiety
in the prisoner of war’s children: a cross
sectional study. Med J Islam Repub Iran
;26(4):179.184.
Ghassemzadeh H, Mojtabai R, Karamghadiri N,
Ebrahimkhani N. Psychometric properties of a
Persian-language version of the Beck Depression
Inventory-Second edition: BDI-II-PERSIAN.
Depress Anxiety 2005;21(4):185-92.
Elbers J, Macnab A. The Ages and Stages
Questionnaires: feasibility of use as a screening
tool for children in Canada. Can J Rural Med
;13(1):9-14.
Yu LM, Hey E, Doyle LW, Farrell B, Spark
P, Altman DG, et al. Evaluation of the Ages
and Stages Questionnaires in identifying
children with neurosensory disability in the
Magpie Trial follow-up study. Acta Paediatr
;96(12):1803-8.
Lindsay NM, Healy GN, Colditz PB, Lingwood
BE. Use of the Ages and Stages Questionnaire
to predict outcome after hypoxic-ischaemic
encephalopathy in the neonate. J Paediatr Child
Health 2008;44(10):590-5.
Squires J, Bricker D, Potter L. Revision of a
parent-completed developmental screening
tool: Ages and Stages Questionnaires. J Pediatr
Psychol 1997;22(3):313-28.
Glascoe FP. Screening for developmental and
behavioral problems. Ment Retard Dev Disabil
Res Rev 2005;11(3):173-9.
Richter J, Janson H. A validation study of the
Norwegian version of the Ages and Stages
Questionnaires Acta Paediatr 2007;96(5):748-
Vameghi R, Sajedi F, Mojembari AK, Habiollahi
A, Lornezhad HR, Delavar B. Cross-cultural
adaptation, validation and standardization of
Ages and Stages Questionnaire (ASQ) in Iranian
children. Iran J Public Health 2013;42(5):522.
Sajedi F, Doulabi MA, Vameghi R, Mazaheri
MA, Akbarzadeh baghban A. Relationship of
mothers’ psychological status with development
Marital Satisfaction and Depression in Mothers of 3-4 Year Old Children with Developmental Delay in Comparison ...
Iran J Child Neurol. Autumn 2019 Vol.13 No. 4
of kindergarten children. Iran J Child Neurol
;10(3):61-72.
Yaghini O, Daneshf F, Mahmoudian T, Beigi
B, Ebrahimian S. Evaluation of developmental
delay in infants who came in for 6th month
vaccination in Isfahan city health centers. Iran J
Child Neurol 2012 Jun 30;6(2):29-32.
Sajedi F, Vameghi R, Mohseni Bandpei MA et
al. Motor developmental delay in 7500 Iranian
infants: Prevalence and risk factors. Iran J Child
Neurol 2009;3(3):43-50.
Anderson RJ, Freedland KE, Clouse RE,
Lustman PJ. The prevalence of comorbid
depression in adults with diabetes a metaanalysis.
Diabetes care 2001;24(6):1069-78.
Doulalas AD, Rallidis LS, Gialernios T,
Moschonas DN, Kougioulis MN, Rizos I, et
al. Association of depressive symptoms with
coagulation factors in young healthy individuals.
Atherosclerosis 2006;186(1):121-5.
Kaplan HI, Sadocks BJ. Synopsis of psychiatry
behavioral sciences: clinical psychiatry.
Translated to Persian by: Rafiee H, Rezaee F.
thed. Tehran: Arjmand Pub; 2008. p: 80 -87.
Sholehvar F, Takhshid MA, Rafiei M. Review
of Metabolism, Transport and Role of Serotonin
in the Body and the Relation between Serotonin
and Diseases. Journal of Fasa University of
Medical Sciences 2013;3(1):9-17. [In Persian]
Cano A, Weisberg JN, Gallagher RM. Marital
satisfaction and pain severity mediate the
association between negative spouse responses
to pain and depressive symptoms in a chronic
pain patient sample. Pain Med 2000;1(1):35-43.
Taanila A, Kokkonen J, Jäirvelin MR. The
Long-term effects of children’s early onest
disability on marital -relationships. Dev Med
Child Neurol 1996;38(7):567-77.
Ricci L, Hodapp R. Fathers of children with
Down’s syndrome versus other types of
intellectual disability: perceptions, stress and
involvement. J Intellect Disabil Res 2003;47(4-
:273-84.
Jenaabadi H, Nastiezaie N. The Study of
Marital Satisfaction of the Mothers with
Mental Retarded Children. Toloo-E-Behdasht
;9(2-3): 33-43. [In Persian]
Eddy LL, Walker AJ. The impact of children
with chronic health problems on marriage. J
Fam Nurs 1999;5(1):10-32.
Ki YW, Joanne CCY. Stress and marital
satisfaction of parents with children with
disabilities in Hong Kong. Psychology 2014;
(05):349-357.
Simmerman S, Blacher J, Baker BL. Fathers’
and mothers’ perceptions of father involvement
in families with young children with a disability.
Am J Intellect Dev Disabil 2001;26(4):325-38.
John DS, Pai L, Belfer ML, Mulliken JB.
Effects of a child with a craniofacial anomaly on
stability of the parental relationship. J Craniofac
Surg 2003;14(5):704-8.
Kulagina E. The social and economic situation
of families with handicapped children. Russ
Educ Soc 2003;4511:42-61.
Mokhtar Motamedin Fariba Sohrabi sSM.
Compare mental health, marital satisfaction and
assertiveness between parents of students with
Marital Satisfaction and Depression in Mothers of 3-4 Year Old Children with Developmental Delay in Comparison ...
Iran J Child Neurol. Autumn 2019 Vol.13 No. 4
intellectual disability and normal in Azerbaijan.
Knowledge and research in psychology Journal
- Research Islamic Azad University - Khorasgan
(Isfahan) 2008; 35:123-52. [In Persian]
Sarvghad S, Dianat A. A study of learning and
problem-solving styles of university students (a
case study of marvdasht islamic azad university
students). Journal Management System 2009;2:
-92. [In Persian
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