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Gepubliceerd in: Mindfulness 6/2015

14-04-2015 | ORIGINAL PAPER

Development of a Mindfulness-Based Coping with Stress Group for Parents of Adolescents and Adults with Developmental Disabilities

Auteurs: Yona Lunsky, Suzanne Robinson, Margaret Reid, Anna Palucka

Gepubliceerd in: Mindfulness | Uitgave 6/2015

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Abstract

It is well recognized that parenting children with intellectual and other developmental disabilities (IDD) is associated with stress, fatigue, anxiety, and depression. Given the unique challenges that parents of adults with IDD face, it is important to explore interventions that are helpful for this population. This paper describes the development of a mindfulness-based coping with stress group intervention targeted toward such parents and presents some preliminary outcomes. Following a 4-week pilot group of ten parents, we held three consecutive 6-week groups for parents. Of the 30 parents initially registered to participate in the 6-week groups, 22 (73.3 %) attended over half of the weekly 2-h sessions and completed pre and post measures. Over half (63.3 %) of the parents who completed the intervention reported a significant reduction in stress, and the overall mean stress level was significantly lower following the intervention, t(21) = 5.15, p < 0.01. Parents did not report significant change in mindfulness or mindful parenting scores, however. This is the first study to describe a mindfulness-based group targeted specifically toward parents of adolescents and adults with IDD. Results suggest that it proved feasible and was associated with reduced feelings of stress.
Literatuur
go back to reference Abidin, R. R., & Brunner, J. F. (1995). Development of a parenting alliance inventory. Journal of Clinical Child Psychology, 24(1), 31–40.CrossRef Abidin, R. R., & Brunner, J. F. (1995). Development of a parenting alliance inventory. Journal of Clinical Child Psychology, 24(1), 31–40.CrossRef
go back to reference American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.
go back to reference Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13(1), 27–45.CrossRefPubMed Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13(1), 27–45.CrossRefPubMed
go back to reference Bazzano, A., Wolfe, C., Zylowska, L., Wang, S., Schuster, E., Barrett, C., & Lehrer, D. (2013). Mindfulness based stress reduction (MBSR) for parents and caregivers of individuals with developmental disabilities: a community-based approach. Journal of Child and Family Studies. doi:10.1007/s10826-013-9836-9. Advance online publication. Bazzano, A., Wolfe, C., Zylowska, L., Wang, S., Schuster, E., Barrett, C., & Lehrer, D. (2013). Mindfulness based stress reduction (MBSR) for parents and caregivers of individuals with developmental disabilities: a community-based approach. Journal of Child and Family Studies. doi:10.​1007/​s10826-013-9836-9. Advance online publication.
go back to reference Beer, M., Ward, L., & Moar, K. (2013). The relationship between mindful parenting and distress in parents of children with an autism spectrum disorder. Mindfulness, 4(2), 102–112.CrossRef Beer, M., Ward, L., & Moar, K. (2013). The relationship between mindful parenting and distress in parents of children with an autism spectrum disorder. Mindfulness, 4(2), 102–112.CrossRef
go back to reference Benn, R., Akiva, T., Arel, S., & Roeser, R. W. (2012). Mindfulness training effects for parents and educators of children with special needs. Developmental Psychology, 48(5), 1476.CrossRefPubMed Benn, R., Akiva, T., Arel, S., & Roeser, R. W. (2012). Mindfulness training effects for parents and educators of children with special needs. Developmental Psychology, 48(5), 1476.CrossRefPubMed
go back to reference Berry, J. O., & Jones, W. H. (1995). The parental stress scale: initial psychometric evidence. Journal of Social and Personal Relationships, 12(3), 463–472.CrossRef Berry, J. O., & Jones, W. H. (1995). The parental stress scale: initial psychometric evidence. Journal of Social and Personal Relationships, 12(3), 463–472.CrossRef
go back to reference Birnie, K., Garland, S. N., & Carlson, L. E. (2010). Psychological benefits for cancer patients and their partners participating in mindfulness-based stress reduction (MBSR). Psycho-Oncology, 19(9), 1004–1009.CrossRefPubMed Birnie, K., Garland, S. N., & Carlson, L. E. (2010). Psychological benefits for cancer patients and their partners participating in mindfulness-based stress reduction (MBSR). Psycho-Oncology, 19(9), 1004–1009.CrossRefPubMed
go back to reference Blackledge, J. T., & Hayes, S. C. (2006). Using acceptance and commitment training in the support of parents of children diagnosed with autism. Child and Family Behavior Therapy, 28(1), 1–18.CrossRef Blackledge, J. T., & Hayes, S. C. (2006). Using acceptance and commitment training in the support of parents of children diagnosed with autism. Child and Family Behavior Therapy, 28(1), 1–18.CrossRef
go back to reference Bögels, S., Hoogstad, B., van Dun, L., de Schutter, S., & Restifo, K. (2008). Mindfulness training for adolescents with externalizing disorders and their parents. Behavioural and Cognitive Psychotherapy, 36(2), 193–209.CrossRef Bögels, S., Hoogstad, B., van Dun, L., de Schutter, S., & Restifo, K. (2008). Mindfulness training for adolescents with externalizing disorders and their parents. Behavioural and Cognitive Psychotherapy, 36(2), 193–209.CrossRef
go back to reference Bögels, S. M., Hellemans, J., van Deursen, S., Römer, M., & van der Meulen, R. (2014). Mindful parenting in mental health care: effects on parental and child psychopathology, parental stress, parenting, coparenting, and marital functioning. Mindfulness, 5(5), 536–551.CrossRef Bögels, S. M., Hellemans, J., van Deursen, S., Römer, M., & van der Meulen, R. (2014). Mindful parenting in mental health care: effects on parental and child psychopathology, parental stress, parenting, coparenting, and marital functioning. Mindfulness, 5(5), 536–551.CrossRef
go back to reference Botsford, A. L., & Rule, D. (2004). Evaluation of a group intervention to assist aging parents with permanency planning for an adult offspring with special needs. Social Work, 49(3), 423–431.CrossRefPubMed Botsford, A. L., & Rule, D. (2004). Evaluation of a group intervention to assist aging parents with permanency planning for an adult offspring with special needs. Social Work, 49(3), 423–431.CrossRefPubMed
go back to reference Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84(4), 822.CrossRefPubMed Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84(4), 822.CrossRefPubMed
go back to reference Chou, Y. C., Fu, L. Y., Lin, L. C., & Lee, Y. C. (2011). Predictors of subjective and objective caregiving burden in older female caregivers of adults with intellectual disabilities. International Psychogeriatrics, 23(04), 562–572. Chou, Y. C., Fu, L. Y., Lin, L. C., & Lee, Y. C. (2011). Predictors of subjective and objective caregiving burden in older female caregivers of adults with intellectual disabilities. International Psychogeriatrics, 23(04), 562–572.
go back to reference Conner, C. M., & White, S. W. (2014). Stress in mothers of children with autism: trait mindfulness as a protective factor. Research in Autism Spectrum Disorders, 8(6), 617–624.CrossRef Conner, C. M., & White, S. W. (2014). Stress in mothers of children with autism: trait mindfulness as a protective factor. Research in Autism Spectrum Disorders, 8(6), 617–624.CrossRef
go back to reference Dillenburger, K., & McKerr, L. (2011). ‘How long are we able to go on?’Issues faced by older family caregivers of adults with disabilities. British Journal of Learning Disabilities, 39(1), 29–38. Dillenburger, K., & McKerr, L. (2011). ‘How long are we able to go on?’Issues faced by older family caregivers of adults with disabilities. British Journal of Learning Disabilities, 39(1), 29–38.
go back to reference Eberth, J., & Sedlmeier, P. (2012). The effects of mindfulness meditation: a meta-analysis. Mindfulness, 3(3), 174–189.CrossRef Eberth, J., & Sedlmeier, P. (2012). The effects of mindfulness meditation: a meta-analysis. Mindfulness, 3(3), 174–189.CrossRef
go back to reference Epstein-Lubow, G., McBee, L., Darling, E., Armey, M., & Miller, I. W. (2011). A pilot investigation of mindfulness-based stress reduction for caregivers of frail elderly. Mindfulness, 2(2), 95–102.CrossRef Epstein-Lubow, G., McBee, L., Darling, E., Armey, M., & Miller, I. W. (2011). A pilot investigation of mindfulness-based stress reduction for caregivers of frail elderly. Mindfulness, 2(2), 95–102.CrossRef
go back to reference Essex, E., & Hong, J. (2005). Older caregiving parents: division of household labor, marital satisfaction, and caregiver burden. Family Relations, 54(3), 448–460. Essex, E., & Hong, J. (2005). Older caregiving parents: division of household labor, marital satisfaction, and caregiver burden. Family Relations, 54(3), 448–460.
go back to reference Ferraioli, S. J., & Harris, S. L. (2013). Comparative effects of mindfulness and skills-based parent training programs for parents of children with autism: feasibility and preliminary outcome data. Mindfulness, 4(2), 89–101.CrossRef Ferraioli, S. J., & Harris, S. L. (2013). Comparative effects of mindfulness and skills-based parent training programs for parents of children with autism: feasibility and preliminary outcome data. Mindfulness, 4(2), 89–101.CrossRef
go back to reference Gallagher, S., & Whiteley, J. (2012). Social support is associated with blood pressure responses in parents caring for children with developmental disabilities. Research in Developmental Disabilities, 33, 2099–2105.CrossRefPubMed Gallagher, S., & Whiteley, J. (2012). Social support is associated with blood pressure responses in parents caring for children with developmental disabilities. Research in Developmental Disabilities, 33, 2099–2105.CrossRefPubMed
go back to reference Hastings, R. P., & Beck, A. (2004). Practitioner review: stress intervention for parents of children with intellectual disabilities. Journal of Child Psychology and Psychiatry, 45(8), 1338–1349.CrossRefPubMed Hastings, R. P., & Beck, A. (2004). Practitioner review: stress intervention for parents of children with intellectual disabilities. Journal of Child Psychology and Psychiatry, 45(8), 1338–1349.CrossRefPubMed
go back to reference Hastings, R. P., & Manikam, R. (2013). Mindfulness and acceptance in developmental disabilities: introduction to the special issue. Mindfulness, 4(2), 85–88.CrossRef Hastings, R. P., & Manikam, R. (2013). Mindfulness and acceptance in developmental disabilities: introduction to the special issue. Mindfulness, 4(2), 85–88.CrossRef
go back to reference Haveman, M., van Berkum, G., Reijnders, R., & Heller, T. (1997). Differences in service needs, time demands, and caregiving burden among parents of persons with mental retardation across the life cycle. Family Relations, 46(4), 417–425.CrossRef Haveman, M., van Berkum, G., Reijnders, R., & Heller, T. (1997). Differences in service needs, time demands, and caregiving burden among parents of persons with mental retardation across the life cycle. Family Relations, 46(4), 417–425.CrossRef
go back to reference Hayes, S. A., & Watson, S. L. (2013). The impact of parenting stress: a meta-analysis of studies comparing the experience of parenting stress in parents of children with and without autism spectrum disorder. Journal of Autism and Developmental Disorders, 43(3), 629–642.CrossRefPubMed Hayes, S. A., & Watson, S. L. (2013). The impact of parenting stress: a meta-analysis of studies comparing the experience of parenting stress in parents of children with and without autism spectrum disorder. Journal of Autism and Developmental Disorders, 43(3), 629–642.CrossRefPubMed
go back to reference Heller, T., Miller, A. B., & Hsieh, K. (1999). Impact of a consumer-directed family support program on adults with developmental disabilities and their family caregivers. Family Relations, 48(4), 419–427.CrossRef Heller, T., Miller, A. B., & Hsieh, K. (1999). Impact of a consumer-directed family support program on adults with developmental disabilities and their family caregivers. Family Relations, 48(4), 419–427.CrossRef
go back to reference Henry, J. D., & Crawford, J. R. (2005). The short-form version of the depression anxiety stress scales (DASS-21): construct validity and normative data in a large non-clinical sample. British Journal of Clinical Psychology, 44(2), 227–239.CrossRefPubMed Henry, J. D., & Crawford, J. R. (2005). The short-form version of the depression anxiety stress scales (DASS-21): construct validity and normative data in a large non-clinical sample. British Journal of Clinical Psychology, 44(2), 227–239.CrossRefPubMed
go back to reference Jacobson, N. S., & Truax, P. (1991). Clinical significance: a statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59(1), 12.CrossRefPubMed Jacobson, N. S., & Truax, P. (1991). Clinical significance: a statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59(1), 12.CrossRefPubMed
go back to reference Jones, L., Hastings, R. P., Totsika, V., Keane, L., & Rhule, N. (2014). Child behavior problems and parental well-being in families of children with autism: the mediating role of mindfulness and acceptance. American Journal on Intellectual and Developmental Disabilities, 119(2), 171–185.CrossRefPubMed Jones, L., Hastings, R. P., Totsika, V., Keane, L., & Rhule, N. (2014). Child behavior problems and parental well-being in families of children with autism: the mediating role of mindfulness and acceptance. American Journal on Intellectual and Developmental Disabilities, 119(2), 171–185.CrossRefPubMed
go back to reference Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: past, present, and future. Clinical Psychology: Science and Practice, 10(2), 144–156. Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: past, present, and future. Clinical Psychology: Science and Practice, 10(2), 144–156.
go back to reference Khoury, B., Lecomte, T., Fortin, G., Masse, M., Therien, P., Bouchard, V., Chapleau, M. A., Paquin, K., & Hofmann, S. G. (2013). Mindfulness-based therapy: a comprehensive meta-analysis. Clinical Psychology Review, 33(6), 763–771.CrossRefPubMed Khoury, B., Lecomte, T., Fortin, G., Masse, M., Therien, P., Bouchard, V., Chapleau, M. A., Paquin, K., & Hofmann, S. G. (2013). Mindfulness-based therapy: a comprehensive meta-analysis. Clinical Psychology Review, 33(6), 763–771.CrossRefPubMed
go back to reference Lochman, J. E., & Wells, K. C. (2004). The coping power program for preadolescent aggressive boys and their parents: outcome effects at the 1-year follow- up. Journal of Consulting and Clinical Psychology, 72(4), 571.CrossRefPubMed Lochman, J. E., & Wells, K. C. (2004). The coping power program for preadolescent aggressive boys and their parents: outcome effects at the 1-year follow- up. Journal of Consulting and Clinical Psychology, 72(4), 571.CrossRefPubMed
go back to reference MacDonald, E. E., Hastings, R. P., & Fitzsimons, E. (2010). Psychological acceptance mediates the impact of the behaviour problems of children with intellectual disability on fathers’ psychological adjustment. Journal of Applied Research in Intellectual Disabilities, 23(1), 27.CrossRef MacDonald, E. E., Hastings, R. P., & Fitzsimons, E. (2010). Psychological acceptance mediates the impact of the behaviour problems of children with intellectual disability on fathers’ psychological adjustment. Journal of Applied Research in Intellectual Disabilities, 23(1), 27.CrossRef
go back to reference Murphy, N. A., Christian, B., Caplin, D. A., & Young, P. C. (2007). The health of caregivers for children with disabilities: caregiver perspectives. Child: Care, Health and Development, 33(2), 180–187. Murphy, N. A., Christian, B., Caplin, D. A., & Young, P. C. (2007). The health of caregivers for children with disabilities: caregiver perspectives. Child: Care, Health and Development, 33(2), 180–187.
go back to reference Neece, C. L. (2014). Mindfulness-based stress reduction for parents of young children with developmental delays: implications for parental mental health and child behavior problems. Journal of Applied Research in Intellectual Disabilities, 27(2), 174–186.CrossRefPubMed Neece, C. L. (2014). Mindfulness-based stress reduction for parents of young children with developmental delays: implications for parental mental health and child behavior problems. Journal of Applied Research in Intellectual Disabilities, 27(2), 174–186.CrossRefPubMed
go back to reference Perkins, E. A., & Haley, W. E. (2010). Compound caregiving: when lifelong caregivers undertake additional caregiving roles. Rehabilitation Psychology, 55(4), 409.CrossRefPubMed Perkins, E. A., & Haley, W. E. (2010). Compound caregiving: when lifelong caregivers undertake additional caregiving roles. Rehabilitation Psychology, 55(4), 409.CrossRefPubMed
go back to reference Piazza, V. E., Floyd, F. J., Mailick, M. R., & Greenberg, J. S. (2014). Coping and psychological health of aging parents of adult children with developmental disabilities. American Journal on Intellectual and Developmental Disabilities, 119(2), 186–198.PubMedCentralCrossRefPubMed Piazza, V. E., Floyd, F. J., Mailick, M. R., & Greenberg, J. S. (2014). Coping and psychological health of aging parents of adult children with developmental disabilities. American Journal on Intellectual and Developmental Disabilities, 119(2), 186–198.PubMedCentralCrossRefPubMed
go back to reference Reaven, J., Blakeley-Smith, A., Culhane-Shelburne, K., & Hepburn, S. (2012). Group cognitive behavior therapy for children with high-functioning autism spectrum disorders and anxiety: a randomized trial. Journal of Child Psychology and Psychiatry, 53(4), 410–419.PubMedCentralCrossRefPubMed Reaven, J., Blakeley-Smith, A., Culhane-Shelburne, K., & Hepburn, S. (2012). Group cognitive behavior therapy for children with high-functioning autism spectrum disorders and anxiety: a randomized trial. Journal of Child Psychology and Psychiatry, 53(4), 410–419.PubMedCentralCrossRefPubMed
go back to reference Santelli, B., & Marquis, J. (1993). Parent to parent programs: ongoing support for parents of young adults with special needs. Journal of Vocational Rehabilitation, 3, 25–37. Santelli, B., & Marquis, J. (1993). Parent to parent programs: ongoing support for parents of young adults with special needs. Journal of Vocational Rehabilitation, 3, 25–37.
go back to reference Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression. New York: The Guilford Press. Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression. New York: The Guilford Press.
go back to reference Seltzer, M. M., Floyd, F., Song, J., Greenberg, J., & Hong, J. (2011). Midlife and aging parents of adults with intellectual and developmental disabilities: impacts of lifelong parenting. American Journal on Intellectual and Developmental Disabilities, 116(6), 479–499.PubMedCentralCrossRefPubMed Seltzer, M. M., Floyd, F., Song, J., Greenberg, J., & Hong, J. (2011). Midlife and aging parents of adults with intellectual and developmental disabilities: impacts of lifelong parenting. American Journal on Intellectual and Developmental Disabilities, 116(6), 479–499.PubMedCentralCrossRefPubMed
go back to reference Singh, N. N., Singh, J., Lancioni, G. E., Winton, A. S. W., Curtis, W. J., Wahler, R. G., McAleavey, K., Singh, J., & Sabaawi, M. (2006). Mindful staff increase learning and reduce aggression in adults with developmental disabilities. Research in Developmental Disabilities, 27(5), 545–558.CrossRefPubMed Singh, N. N., Singh, J., Lancioni, G. E., Winton, A. S. W., Curtis, W. J., Wahler, R. G., McAleavey, K., Singh, J., & Sabaawi, M. (2006). Mindful staff increase learning and reduce aggression in adults with developmental disabilities. Research in Developmental Disabilities, 27(5), 545–558.CrossRefPubMed
go back to reference Singh, N. N., Lancioni, G. E., Winton, A. S., 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.CrossRefPubMed Singh, N. N., Lancioni, G. E., Winton, A. S., 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.CrossRefPubMed
go back to reference Singh, N. N., Lancioni, G. E., Winton, A. S. W., Singh, J., Singh, A. N., Adkins, A. D., & Wahler, R. G. (2010). Training in mindful caregiving transfers to parent–child interactions. Journal of Child and Family Studies, 19(2), 167–174.CrossRef Singh, N. N., Lancioni, G. E., Winton, A. S. W., Singh, J., Singh, A. N., Adkins, A. D., & Wahler, R. G. (2010). Training in mindful caregiving transfers to parent–child interactions. Journal of Child and Family Studies, 19(2), 167–174.CrossRef
go back to reference Singh, N. N., Lancioni, G. E., Winton, A. S., Karazsia, B. T., Myers, R. E., Latham, L. L., & Singh, J. (2014). Mindfulness-based positive behavior support (MBPBS) for mothers of adolescents with autism spectrum disorder: effects on adolescents’ behavior and parental stress. Mindfulness, 5(6), 646–657.CrossRef Singh, N. N., Lancioni, G. E., Winton, A. S., Karazsia, B. T., Myers, R. E., Latham, L. L., & Singh, J. (2014). Mindfulness-based positive behavior support (MBPBS) for mothers of adolescents with autism spectrum disorder: effects on adolescents’ behavior and parental stress. Mindfulness, 5(6), 646–657.CrossRef
go back to reference Smith, T. B., Oliver, M. N., & Innocenti, M. S. (2001). Parenting stress in families of children with disabilities. American Journal of Orthopsychiatry, 71(2), 257–261.CrossRefPubMed Smith, T. B., Oliver, M. N., & Innocenti, M. S. (2001). Parenting stress in families of children with disabilities. American Journal of Orthopsychiatry, 71(2), 257–261.CrossRefPubMed
go back to reference Syeda, M., Weiss, J., & Lunsky, Y. (2011). Experiences of families of individuals with intellectual disability and psychiatric disorder. Journal on Developmental Disabilities, 17(2), 64–68. Syeda, M., Weiss, J., & Lunsky, Y. (2011). Experiences of families of individuals with intellectual disability and psychiatric disorder. Journal on Developmental Disabilities, 17(2), 64–68.
go back to reference Walden, S., Pistrang, N., & Joyce, T. (2000). Parents of adults with intellectual disabilities: quality of life and experiences of caring. Journal of Applied Research in Intellectual Disabilities, 13(2), 62–76.CrossRef Walden, S., Pistrang, N., & Joyce, T. (2000). Parents of adults with intellectual disabilities: quality of life and experiences of caring. Journal of Applied Research in Intellectual Disabilities, 13(2), 62–76.CrossRef
go back to reference Williams, M., & Penman, D. (2011). Mindfulness: a practical guide to finding peace in a frantic world. London: Piatkus. Williams, M., & Penman, D. (2011). Mindfulness: a practical guide to finding peace in a frantic world. London: Piatkus.
Metagegevens
Titel
Development of a Mindfulness-Based Coping with Stress Group for Parents of Adolescents and Adults with Developmental Disabilities
Auteurs
Yona Lunsky
Suzanne Robinson
Margaret Reid
Anna Palucka
Publicatiedatum
14-04-2015
Uitgeverij
Springer US
Gepubliceerd in
Mindfulness / Uitgave 6/2015
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI
https://doi.org/10.1007/s12671-015-0404-9

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