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The original version of this article was revised: In the original online publication of this article, the direction and significance of effect sizes in Table 2 were omitted and have been included in this erratum.
A correction to this article is available online at https://doi.org/10.1007/s12671-018-1025-x.
Families exposed to maltreatment have high rates of co-occurring substance misuse. Yet, few child welfare interventions concurrently address both child maltreatment and parental substance misuse and, therefore, fail to intervene around their shared precipitants. Mindfulness is one approach that shows promise in cultivating awareness and self-regulation skills, which may in turn promote healthy family functioning. This pilot study used a randomized controlled trial (RCT) to test the initial efficacy of a six-session mindfulness-informed intervention on proximal (parenting stress, heart rate variability, coping, and mindfulness) and distal (parental substance misuse, child maltreatment potential, and child behavior) domains of family functioning. Participants included 28 child welfare-involved parents with children (birth-16 years) randomized to the mindfulness-informed intervention or wait-list control group. Intention-to-treat (ITT) analyses were conducted on the entire randomized sample for all self-report outcome measures, and repeated measures ANOVAs were conducted as secondary analyses on the per protocol sample (N = 21) for heart rate variability. ITT analyses indicated significant group by time differences, with intervention participants demonstrating reductions in parenting stress (p < 0.05, Cohen’s d = 0.98), child abuse potential (p < 0.05, Cohen’s d = 1.03), and child behavior problems (p < 0.001, Cohen’s d = 3.28), and improvements in mindfulness awareness (p < 0.01, Cohen’s d = 1.37) and non-judgment (p < 0.05, Cohen’s d = 1.21) compared to the control group from pre- to post-assessment. In addition, repeated measures ANOVAs indicated significant group by time differences on participant heart rate variability from pre- to post-assessment (p < 0.01, Cohen’s d = 1.67). Future directions for child welfare practice and intervention development and testing are discussed.
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Abidin, R. R. (1983). Parenting stress index manual. Charlottesville: Pediatric Psychology Press.
Achenbach, T. M., & Rescorla, L. A. (2000). Manual for the ASEBA preschool form & profiles. Burlington: University of Vermont, Research Center for Children, Youth, & Families.
Achenbach, T., & Rescorla, L. A. (2001). Manual for the ASEBA school-age forms & profiles. Burlington: University of Vermont, Research Center for Children, Youth, & Families.
American Psychological Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., Text Revision). Washington, DC: Author.
Anthony, L. G., Anthony, B. J., Glanville, D. N., Naiman, D. Q., Waanders, C., & Shaffer, S. (2005). The relationships between parenting stress, parenting behaviour and preschoolers’ social competence and behaviour problems in the classroom. Infant and Child Development, 14(2), 133–154. https://doi.org/10.1002/icd.385. CrossRef
Barth, R. P., Gibbons, C., & Guo, S. (2006). Substance abuse treatment and the recurrence of maltreatment among caregivers with children living at home: a propensity score analysis. Journal of Substance Abuse Treatment, 30(2), 93–104. https://doi.org/10.1016/j.jsat.2005.10.008. CrossRefPubMed
Bishop, S. (2002). What do we really know about mindfulness-based stress reduction? Psychosomatic Medicine, 67, 71–84. CrossRef
Bögels, S. M., & Restifo, K. (2014). Mindful parenting: a guide for mental health practitioners. New York: Springer. CrossRef
Bögels, S. M., Hellemans, J., van Deursen, S., Römer, M., & van der Meulen, R. (2013). Mindful parenting in mental health care: Effects on parental and child psychopathology, parental stress, parenting, coparenting, and marital functioning. Mindfulness, 1(2), 107–120. https://doi.org/10.1007/s12671-013-0209-7. CrossRef
Bowen, S., Chawla, N., & Marlatt, G. A. (2010). Mindfulness-based relapse prevention for the treatment of substance use disorders: a clinician’s guide. New York: Guilford Press.
Brown, S. M., & Bellamy, J. (2017). Feasibility, acceptability, and clinical trends of a mindfulness-informed child welfare intervention: implications for trauma-informed practice. Advances in Social Work, 18, 369–386. CrossRef
Brown, K. W., Ryan, R. M., & Creswell, J. D. (2007). Mindfulness: theoretical foundations and evidence for its salutary effects. Psychological Inquiry, 18, 211–237. CrossRef
Cash, S. J., & Wilke, D. J. (2003). An ecological model of maternal substance abuse and child neglect: issues, analyses, and recommendations. American Journal of Orthopsychiatry, 73(4), 392–404. https://doi.org/10.1037/0002-9422.214.171.1242. CrossRefPubMed
Chaffin, M., Silovsky, J. F., Funderburk, B., Valle, L. A., Brestan, E. V., Balachova, T., et al. (2004). Parent-child interaction therapy with physically abusive parents: efficacy for reducing future abuse reports. Journal of Consulting and Clinical Psychology, 72(3), 500–510. https://doi.org/10.1037/0022-006X.72.3.500. CrossRefPubMed
Chiesa, A., & Serretti, A. (2014). Are mindfulness-based interventions effective for substance use disorders? A systematic review of the evidence. Substance Use & Misuse, 49(5), 492–512. https://doi.org/10.3109/10826084.2013.770027. CrossRef
Children’s Bureau. (2014). Parental substance use and the child welfare system. Retrieved from https://www.childwelfare.gov/pubPDFs/parentalsubabuse.pdf.
Cicchetti, D., & Olsen, K. (1990). The developmental psychopathology of child maltreatment. In M. Lewis & S. Miller (Eds.), Handbook of developmental psychopathology. New York: Plenum Press.
Coatsworth, J. D., Duncan, L. G., Nix, R. L., Greenberg, M. T., Gayes, J. G., Bamberger, K. T., et al. (2015). Integrating mindfulness with parent training: effects of the mindfulness-enhanced strengthening families program. Developmental Psychology, 51(1), 26–35. https://doi.org/10.1037/a0038212. CrossRefPubMed
Collier, R. (2015). Coaching and heart rate variability (HRV) for improved sports performance [Webinar]. In SweetWater Health Webinar Series. Retrieved from http://app.webinarsonair.com/register/?uuid=d2f56897aed2488f934ea27793012382.
Conners, N. A., Bradley, R. H., Whiteside Mansell, L., Liu, J. Y., Roberts, T. J., Burgdorf, K., & Herrell, J. M. (2004). Children of mothers with serious substance abuse problems: an accumulation of risks. The American Journal of Drug and Alcohol Abuse, 30(1), 85–100. https://doi.org/10.1081/ADA-120029867. CrossRefPubMed
Dawe, S., & Harnett, P. (2007). Reducing potential for child abuse among methadone-maintained parents: results from a randomized controlled trial. Journal of Substance Abuse Treatment, 32, 381–390. https://doi.org/10.1016/j.jsat.2006.10.003. CrossRefPubMed
Deater-Deckard, K. D. (2004). Parenting stress. New Haven: Yale University Press. CrossRef
Dix, T., & Branca, S. (2003). Parenting as a goal-regulation process. In I. L. Kuczynski (Ed.), Handbook of dynamics in parent-chil relations (pp. 167–188). Thousand Oaks: Sage. CrossRef
Donohue, B., Romero, V., & Hill, H. H. (2006). Treatment of co-occurring child maltreatment and substance abuse. Aggression and Violent Behavior, 11(6), 626–640. https://doi.org/10.1016/j.avb.2005.08.007. CrossRef
Dumas, J. E. (2005). Mindfulness-based parent training: strategies to lessen the grip of automaticity in families with disruptive children. Journal of Clinical Child & Adolescent Psychology, 34(4), 779–791. https://doi.org/10.1207/s1537442jccp3404_20. CrossRef
Dutton, M. A., Bermudez, D., Matas, A., Mjid, H., & Myers, N. (2013). Mindfulness-based stress reduction for low-income, predominantly African American women with PTSD and a history if intimate partner violence. Cognitive and Behavioral Practice, 20, 23–32. https://doi.org/10.1016/j.cbpra.2011.08.003. CrossRefPubMed
Erickson, S. J., Gerstle, M., & Feldstein, S. W. (2005). Brief interventions and motivational interviewing with children, adolescents, and their parents in pediatric health care settings: a review. Archives of Pediatrics & Adolescent Medicine, 159(12), 1173. https://doi.org/10.1001/archpedi.159.12.1173. CrossRef
Eyberg S. M., & Calzada, E. J. (1998). Parent-child interaction therapy: procedures manual. Unpublished manuscript, University of Florida.
Fisher, P. A., & Stoolmiller, M. (2008). Intervention effects on foster parent stress: associations with child cortisol levels. Development and Psychopathology, 20(03). https://doi.org/10.1017/S0954579408000473.
Garland, E. L. (2013). Mindfulness-oriented recovery enhancement for addiction, stress, and pain. Washington, D.C.: NASW Press.
Garland, E. L. (2016). Restructuring reward processing with mindfulness-oriented recovery enhancement: novel therapeutic mechanisms to remediate hedonic dysregulation in addiction, stress, and pain. Annals of the New York Academy of Sciences, 1373, 25–37. https://doi.org/10.1111/nyas.13034. CrossRefPubMedPubMedCentral
Garland, E. L., Gaylord, S. A., Boettiger, C. A., & Howard, M. O. (2010). Mindfulness training modifies cognitive, affective, and physiological mechanisms implicated in alcohol dependence: results from a randomized controlled pilot trial. Journal of Psychoactive Drugs, 42, 177–192. CrossRefPubMedPubMedCentral
Garland, E. L., Farb, N. A., Goldin, P. R., & Fredrickson, B. L. (2015a). Mindfulness broadens awareness and builds eudaimonic meaning: a process model of mindful positive emotion regulation. Psychological Inquiry, 26, 293–314. https://doi.org/10.1080/1047840X.2015.1064294. CrossRefPubMedPubMedCentral
Garland, E. L., Farb, N. A., Goldin, P. R., & Fredrickson, B. L. (2015b). The mindfulness-to-meaning theory: extensions, applications, and challenges at the attention-appraisal-emotion interface. Psychological Inquiry, 26, 377–387. https://doi.org/10.1080/1047840X.2015.1092493.
Garland, E. L., Geschwind, N., Peeters, F., & Wichers, M. (2015c). Mindfulness training promotes upward spirals of positive affect and cognition: multilevel and autoregressive latent trajectory modeling analyses. Frontiers in Psychology, 6(15), 1–13. https://doi.org/10.3389/fpsyg.2015.00015.
Garland, E. L., Roberts-Lewis, A., Tronnier, C. D., Graves, R., & Kelley, K. (2016). Mindfulness-oriented recovery enhancement versus CBT for co-occurring substance dependence, traumatic stress, and psychiatric disorders: proximal outcomes from a pragmatic randomized trial. Behaviour Research and Therapy, 77, 7–16. https://doi.org/10.1016/j.brat.2015.11.012. CrossRefPubMed
Garland, E. L., Hanley, A. W., Goldin, P. R., & Gross, J. J. (2017a). Testing the mindfulness-to-meaning theory: evidence for mindful positive emotion regulation from a renanalysis of longitudinal data. PLoS One, 12(12), e0187727. https://doi.org/10.1371/journal.pone.0187727. CrossRefPubMedPubMedCentral
Garland, E. L., Kiken, L. G., Gaurot, K., Palsson, O., & Gaylord, S. A. (2017b). Upward spirals of mindfulness and reappraisal: testing the mindfulness-to-meaning theory with autoregressive latent trajectory modeling. Cognitive Therapy Reserves, 41, 381–392. https://doi.org/10.1007/s10608-016-9768-y. CrossRef
Garnefski, N., Kraaij, V., & Spinhoven, P. (2001). Negative life events, cognitive emotion regulation, and emotional problems. Personality and Individual Differences, 30, 1311–1327. CrossRef
Geshwind, N., Peeters, F., Drukker, M., van Os, J., & Wichers, M. (2011). Mindfulness training increases momentary positive emotions and reward experience in adults vulnerable to depression: a randomized controlled trial. Journal of Consulting and Clinical Psychology, 79, 618–628. https://doi.org/10.1037/a0024595. CrossRef
Harnett, P. H., & Dawe, S. (2012). The contribution of mindfulness-based therapies for children and families and proposed conceptual integration: mindfulness-based therapies for families. Child and Adolescent Mental Health, 17(4), 195–208. https://doi.org/10.1111/j.1475-3588.2011.00643.x. CrossRef
Haskett, M. E., Ahern, L. S., Ward, C. S., & Allaire, J. C. (2006). Factor structure and validity of the parenting stress index-short form. Journal of Clinical Child & Adolescent Psychology, 35(2), 302–312. https://doi.org/10.1207/s15374424jccp3502_14. CrossRef
Herschell, A. D., & McNeil, C. B. (2007). Parent-child interaction therapy with physically abusive families. In J. M. Briesmeister & C. E. Schaefer (Eds.), Handbook of parent training: helping parents prevent and solve problem behaviors (3rd ed., pp. 234–265). Hoboken: Wiley.
Hillson, J. M. C., & Kuiper, N. A. (1994). A stress and coping model of child maltreatment. Clinical Psychology Review, 14(4), 261–285. CrossRef
Jacobson, N. S., & Truax, P. (1991). Clinical significance: a statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 99(1), 12–19. CrossRef
Kabat-Zinn, J. (1994). Wherever you go, there you are: mindfulness meditation in everyday life. New York: Hyperion.
Kabat-Zinn, M., & Kabat-Zinn, J. (1997). Everyday blessings: the inner work of mindful parenting. New York: Hyperion.
Kazdin, A. E., & Whitley, M. K. (2003). Treatment of parental stress to enhance therapeutic change among children referred for aggressive and antisocial behavior. Journal of Consulting and Clinical Psychology, 71(3), 504–515. https://doi.org/10.1037/0022-006X.71.3.504. CrossRefPubMed
Kennedy, S. C., Kim, J., Tripodi, S. J., Brown, S. M., & Gowdy, G. (2016). Does parent-child interaction therapy reduce future physical abuse? A meta-analysis. Research on Social Work Practice, 26(2), 147–156. CrossRef
Larson, N. C. (2004). Parenting stress among adolescent mothers in the transition to adulthood. Child and Adolescent Social Work Journal, 21(5), 457–476. https://doi.org/10.1023/B:CASW.0000043359.38426.b4. CrossRef
Latendresse, S. J., Rose, R. J., Viken, R. J., Pulkkinen, L., Kapiro, J., & Dick, D. M. (2008). Parenting mechanisms in links between parents’ and adolescents’ alcohol use behaviors. Alcoholism: Clinical and Experimental Research, 32(2), 322–330. CrossRef
Lazarus, R., & Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer.
Lecrubier, Y., Sheehan, D., Weiller, E., Amorim, P., Bonora, I., Sheehan, K., & Dunbar, G. (1997). The mini international neuropsychiatric interview. European Psychiatry, 12, 224–231. CrossRef
Mackinnon, C. E., Lamb, M. E., Belsky, J., & Baum, C. (1990). An affective-cognitive model of mother-child aggression. Development and Psychopathology, 2, 1–13. CrossRef
Marsh, J. C., Smith, B. D., & Bruni, M. (2011). Integrated substance abuse and child welfare services for women: a progress review. Children and Youth Services Review, 33(3), 466–472. https://doi.org/10.1016/j.childyouth.2010.06.017. CrossRefPubMedPubMedCentral
Milner, J. S. (1986). The child abuse potential inventory: manual (2nd ed.). Webster: Psytec.
Moss, E., Dubois-Comtois, K., Cyr, C., Tarabulsy, G. M., St-Laurent, D., & Bernier, A. (2011). Efficacy of a home-visiting intervention aimed at improving maternal sensitivity, child attachment, and behavioral outcomes for maltreated children: a randomized control trial. Development and Psychopathology, 23(01), 195–210. https://doi.org/10.1017/S0954579410000738. CrossRefPubMed
Parent, J., McKee, L. G., Rough, J. N., & Forehand, R. (2016). The association of parent mindfulness with parenting and youth psychopathology across three developmental stages. Journal of Abnormal Child Psychology, 44, 191–202. https://doi.org/10.1007/s10802-015-9978-x. CrossRefPubMedPubMedCentral
Patterson, R. G. (1982). A social learning approach: coercive family process (Vol. 3). Eugene: Castalia.
Pinderhughes, E. E., Dodge, K. A., Bates, J. E., Pettit, G. S., & Zelli, A. (2000). Discipline responses: influences of parents’ socioeconomic status, ethnicity, beliefs about parenting, stress, and cognitive-emotional processes. Journal of Family Psychology, 14(3), 380–400. https://doi.org/10.1037/0893-3126.96.36.1990. CrossRefPubMedPubMedCentral
Rodgers, A. Y. (1993). The assessment of variables related to the parenting behavior of mothers with young children. Children and Youth Services Review, 15(5), 385–402. CrossRef
Rodriguez-JenKins, J., & Marcenko, M. O. (2014). Parenting stress among child welfare involved families: differences by child placement. Children and Youth Services Review, 46, 19–27. https://doi.org/10.1016/j.childyouth.2014.07.024. CrossRefPubMedPubMedCentral
Sanders, M. R. (1999). Triple P-Positive Parenting Program: towards an empirically validated multilevel parenting and family support strategy for the prevention of behavior and emotional problems in children. Clinical Child and Family Psychology Review, 2, 71–90. https://doi.org/10.1023/A:1021843613840. CrossRefPubMed
Schaeffer, C., Alexander, P., Bethke, K., & Kretz, L. (2005). Predictors of child abuse potential among military parents: comparing mothers and fathers. Journal of Family Violence, 20, 123–129. CrossRef
Segerstrom, S. C., & Nes, L. S. (2007). Heart rate variability reflects self-regulatory strength, effort, and fatigue. Psychological Science, 18(3), 275–281. https://doi.org/10.1111/j.1467-9280.2007/01888.x. CrossRefPubMed
Sheehan, D., Lecrubier, Y., Sheehan, K., Amorim, P., Janavs, J., Weiller, E., & Dunbar, G. (1998). The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic interview for DSM-IV and ICD-10. Journal of Clinical Psychiatry, 59, 22–33. PubMed
Singh, N. N., Lancioni, G. E., Winton, A. S. W., Singh, J., Curtis, W. J., Wahler, R. G., & McAleavey, K. M. (2007). Mindful parenting decreases aggression and increases social behavior in children with developmental disabilities. Behavior Modification, 31(6), 749–771. https://doi.org/10.1177/0145445507300924. CrossRefPubMed
Suchman, N. E., DeCoste, C., Castiglioni, N., McMahon, T. J., Rounsaville, B., & Mayes, L. (2010). The Mothers and Toddlers Program, an attachment-based parenting intervention for substance using women: post-treatment results from a randomized clinical pilot. Attachment & Human Development, 12(5), 483–504. https://doi.org/10.1080/14616734.2010.501983. CrossRef
Tang, Y., Ma, Y., Wang, J., Fan, Y., Feng, S., Lu, Q., et al. (2007). Short-term meditation training improves attention and self-regulation. Proceedings of the National Academy of Sciences of the United States of America, 104(43), 17152–17156. https://doi.org/10.1073/pnas.0707678104. CrossRefPubMedPubMedCentral
Thayer, J. F., & Lane, R. D. (2009). Claude Bernard and the heart-brain connection: further elaboration of model of neurovisceral integration. Neuroscience & Biobehavioral Reviews, 33(2), 81–88. https://doi.org/10.1016/j.neubiorev.2008.08.004. CrossRef
The National Technical Assistance and Evaluation Center, Children’s Bureau. (2008). An individualized, strengths-based approach in public child welfare driven systems of care. Retrieved from https://www.childwelfare.gov/pubPDFs/strengthsbased.pdf.
Townshend, K., Jordan, Z., Stephenson, M., & Tsey, K. (2016). The effectiveness of mindful parenting programs in promoting parents’ and children’s wellbeing: a systematic review. JBI Database of Systematic Reviews and Implementation Reports, 14(3), 139–180. https://doi.org/10.11124/JBISRIR-2016-2314. CrossRefPubMed
U.S. Department of Health and Human Services, National Clearninghouse on Child Abuse and Neglect. (2003). Substance abuse and child maltreatment. Retrieved from http://nccanch.acf.hhs.go.
Webster-Stratton, C. (1990). Stress: a potential disrupter of parent perceptions and family interactions. Journal of Clinical Child Psychology, 19(4), 302–312. CrossRef
Weinstein, N., Brown, K. W., & Ryan, R. M. (2009). A multi-method examination of the effects of mindfulness on stress attribution, coping, and emotional well-being. Journal of Research in Personality, 43(3), 374–385. https://doi.org/10.1016/j.jrp.2008.12.008. CrossRef
Winters, K., & Zenilman, J. (1994). Simple screening instrument for outreach for alcohol and other drug abuse and infectious disease (Vol. 11, Publication No. (SMA) 02-3683). Center for Substance Abuse Treatment, U.S. Department of Health and Human Services.
- A Pilot Randomized Trial of a Mindfulness-Informed Intervention for Child Welfare-Involved Families
Samantha M. Brown
Kimberly A. Bender
Jennifer L. Bellamy
Eric L. Garland
Jeffrey M. Jenson
- Springer US
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535