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Journal of Autism and Developmental Disorders

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03-01-2021 | Original Paper

Interventions to Improve the Mental Health of Mothers of Children with a Disability: Systematic Review, Meta-analysis and Description of Interventions

Auteurs: Helen M. Bourke-Taylor, Den-Ching Angel Lee, Loredana Tirlea, Kahli Joyce, Prue Morgan, Terrence P. Haines

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 10/2021

Abstract

To investigate the effectiveness of interventions that aim to improve the mental health of mothers of children with disabilities. Seven databases were searched. Interventions incorporated primarily cognitive-behavioural, psychoeducation, mindfulness or support-group approaches. The Template-for-Intervention-Description-and-Replication guided descriptions. Meta-analyses using a random effect model of randomized controlled trials assessed intervention effects on parenting stress and mental health. Of the 1591 retrieved papers, 31 met criteria to be appraised and 17 were included in the meta-analysis. Cognitive-behavioural approaches reduced parenting stress [2 studies, n = 64, pooled Standardized-Mean-Difference (SMD) = 0.86, 95% CI (0.43, 1.29)] and improved mental health [3 studies, n = 186, pooled SMD = 1.14, 95% CI (0.12, 2.17)], psychoeducation approaches improved mental health [2 studies, n = 165, SMD = 0.60, 95% CI (0.17, 1.03)]. Cognitive-behavioural and psychoeducation interventions are effective. Further research and clinical guidelines are warranted.

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Anclair, M., & Hiltunen, A. J. (2014). Cognitive behavioral therapy for stress-related problems: Two single-case studies of parents of children with disabilities. Clinical Case Studies, 13(6), 472–486. https://doi.org/10.1177/1534650114522090.CrossRef

Anclair, M., Hjarthag, F., & Hiltunen, A. J. (2017). Cognitive behavioural therapy and mindfulness for Health-Related Quality of Life: Comparing treatments for parents of children with chronic conditions-A pilot feasibility study. Clinical Practice and Epidemiology in Mental Health, 13, 1–9. https://doi.org/10.2174/1745017901713010001.CrossRefPubMedPubMedCentral

Arakkathara, J. G., & Blance, L. O. (2019). Promotion of wellbeing, resilience and stress management (POWER): An intervention ofor mothers of children with intellectual disability, a pilot study. Indian Journal of Positive Psychology, 10(4), 294–299.

Armijo-Olivo, S., Stiles, C. R., Hagen, N. A., Biondo, P. D., & Cummings, G. G. (2012). Assessment of study quality for systematic reviews: A comparison of the Cochrane Collaboration Risk of Bias Tool and the Effective Public Health Practice Project Quality Assessment tool: Methodological research. Journal of Evaluation in Clinical Practice, 18(1), 12–18. https://doi.org/10.1111/j.1365-2753.2010.01516.x.CrossRefPubMed

Baker, K., Devine, R. T., Ng-Cordell, E., Raymond, F. L., & Hughes, C. (2020). Childhood intellectual disability and parents’ mental health: Integrating social, psychological and genetic influences. The British Journal of Psychiatry. https://doi.org/10.1192/bjp.2020.38.CrossRefPubMed

Barlow, J., Smailagic, N., Huband, N., Roloff, V., & Bennett, C. (2014). Group-based parent training programmes for improving parental psychosocial health. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD002020.pub4.CrossRef

Barog, Z. S., Younesi, S. J., Sedaghati, A. H., & Sedaghati, Z. (2015). Efficacy of mindfulness-based cognitive therapy on quality of life of mothers of children with cerebral palsy. Iranian Journal of Psychiatry, 10(2), 86–92.

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 & Family Studies, 22(8), 1–11. https://doi.org/10.1007/s10826-013-9836-9.CrossRef

Blake, L., Bray, L., & Carter, B. (2019). “It’s a lifeline”: Generating a sense of social connectedness through befriending parents of disabled children or children with additional need. Patient Education and Counselling, 102(12), 2279–2285. https://doi.org/10.1016/j.pec.2019.07.012.CrossRef

Bourke-Taylor, H., Howie, L., & Law, M. (2010). Impact of caring for a school-aged child with a disability: Understanding mothers’ perspectives. Australian Occupational Therapy Journal, 57(2), 127–136. https://doi.org/10.1111/j.1440-1630.2009.00817.x.CrossRefPubMed

Bourke-Taylor, H. M., Jane, F., & Peat, J. (2019). Healthy mothers healthy families workshop intervention: A preliminary investigation of healthy lifestyle changes for mothers of a child with a disability. Journal of Autism & Developmental Disorders, 49(3), 935–949. https://doi.org/10.1007/s10803-018-3789-1.CrossRef

Brehaut, J. C., Kohen, D. E., Garner, R. E., Miller, A., Lach, L., Klassen, A. F., & Rosenbaum, P. (2009). Health among caregivers of children with health problems: Findings from a Canadian Population-Based Study. American Journal of Public Health, 99(7), 1254–1262. https://doi.org/10.2105/AJPH.2007.129817.CrossRefPubMedPubMedCentral

Bunning, K., Gona, J. K., Newton, C. R., Andrews, F., Blazey, C., Ruddock, H., et al. (2020). Empowering self-help groups for caregivers of children with disabilities in Kilifi, Kenya: Impacts and their underlying mechanisms. PLoS ONE, 15(3), e0229851. https://doi.org/10.1371/journal.pone.0229851.CrossRefPubMedPubMedCentral

Chambers, H. G., & Chambers, J. A. (2015). Effects of caregiving on the families of children and adults with disabilities. Physical Medicine & Rehabilitation Clinics of North America, 26(1), 1–19. https://doi.org/10.1016/j.pmr.2014.09.004.CrossRef

Collins, P. Y., Pringle, B., Alexander, C., Darmstadt, G. L., Heymann, J., Huebner, G., et al. (2017). Global services and support for children with developmental delays and disabilities: Bridging research and policy gaps. PLoS Medicine, 14(9), e1002393. https://doi.org/10.1371/journal.CrossRefPubMedPubMedCentral

Covidence. (2020). Covidence systematic review software. Melbourne: Veritas Health Innovation.

Da Paz, N. S., & Wallander, J. L. (2017). Interventions that target improvements in mental health for parents of children with autism spectrum disorders: A narrative review. Clinical Psychology Review, 51(4), 1–14. https://doi.org/10.1016/j.cpr.2016.10.006.CrossRefPubMed

Dykens, E. M., Fisher, M. H., Taylor, J. L., Lambert, W., & Miodrag, N. (2014). Reducing distress in mothers of children with autism and other disabilities: A randomized trial. Pediatrics, 134, e454.CrossRef

Estes, A., Olson, E., Sullivan, K., Greenson, J., Winter, J., Dawson, G., & Munson, J. (2013). Parenting-related stress and psychological distress in mothers of toddlers with autism spectrum disorders. Brain & Development, 35(2), 133–138. https://doi.org/10.1016/j.braindev.2012.10.004.CrossRef

Fairthorne, J., Jacoby, P., Bourke, J., de Klerk, N., & Leonard, H. (2015). Onset of maternal psychiatric disorders after the birth of a child with intellectual disability: A retrospective cohort study. Journal of Psychiatric Research, 61, 223–230.CrossRef

Feinberg, E., Augustyn, M., Fitzgerald, E., Sandler, J., Ferreira-Cesar Suarez, Z., Chen, N., et al. (2014). Improving maternal mental health after a child’s diagnosis of autism spectrum disorder: Results from a randomized clinical trial. JAMA Pediatrics, 168(1), 40–46.CrossRef

Fernández Sánchez, H., Enríquez Hernández, B. E. E., Sidani, S., Hernández Osorio, C., Castellanos Contreras, E., & Salazar Mendoza, J. (2020). Dance intervention for Mexican family caregivers of children with developmental disability: A pilot study. Journal of Transcultural Nursing, 31(1), 38–44. https://doi.org/10.1177/1043659619838027.CrossRefPubMed

Gilson, K. M., Johnson, S., Davis, E., Brunton, S., Swift, E., & Reddihough, D. (2018). Supporting the mental health of mothers of children with a disability: Health professional perceptions of need, role, and challenges. Child: Care, Health and Development, 44(5), 721–729.

Gonzalez-Fraile, E., Dominguez-Panchon, A. I., Berzosa, P., Costas-Gonzalez, A. B., Garrido-Jimenez, I., Rufino-Ventura, D., et al. (2019). Efficacy of a psychoeducational intervention in caregivers of people with intellectual disabilities: A randomized controlled trial (EDUCA-IV trial). Research in Developmental Disabilities, 94(6), 103458. https://doi.org/10.1016/j.ridd.2019.103458.CrossRefPubMed

Green, S. E. (2007). “We’re tired, not sad”: Benefits and burdens of mothering a child with a disability. Social Science & Medicine, 64(1), 150–163. https://doi.org/10.1016/j.socscimed.2006.08.025.CrossRef

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 & Developmental Disorders, 43(3), 629–642. https://doi.org/10.1007/s10803-012-1604-y.CrossRef

Hemdi, A., & Daley, D. (2017). The effectiveness of a psychoeducation intervention delivered via whatsapp for mothers of children with autism spectrum disorder (ASD) in the Kingdom of Saudi Arabia: A randomized controlled trial. Child: Care, Health and Development, 43(6), 933–941.

Higgins, J., & Green, S. (2011). Cochrane handbook for systematic reviews of interventions version 5.1.0 [updated March 2011]. In The Cochrane Collaboration (Ed.).

Higgins, J., Thompson, S. G., Deeks, J. J., & Altman, D. G. (2003). Measuring inconsistency in meta-analyses. BMJ, 327(7414), 557–560.CrossRef

Hoffmann, T. C., Glasziou, P. P., Boutron, I., Milne, R., Perera, R., & Moher, D. (2014). Better reporting of interventions: Template for intervention description and replication (TIDieR) checklist and guide. British Medical Journal, 348, 1687. https://doi.org/10.1136/bmj.g1687.CrossRef

Hu, J., Lin, J. D., Yen, C. F., Loh, C. H., Hsu, S. W., Lin, L. P., & Wu, S. R. (2010). Effectiveness of a stress-relief initiative for primary caregivers of adolescents with intellectual disability. Journal of Intellectual & Developmental Disability, 35(1), 29–35.CrossRef

Izadi-Mazidi, M., Riahi, F., & Khajeddin, N. (2015). Effect of cognitive behavior group therapy on parenting stress in mothers of children with autism. Iranian Journal of Psychiatry and Behavioral Sciences, 9(3), e1900.CrossRef

Kirkham, M. A., & Schilling, R. F. (1990). Life skills training with mothers of handicapped children. Journal of Social Service Research, 13(2), 67–87.CrossRef

Kirkham, M. A., Schilling, R. F., II., Norelius, K., & Schinke, S. P. (1986). Developing coping styles and social support networks: An intervention outcome study with mothers of handicapped children. Child: Care, Health and Development, 12(5), 313–323.

Lee, J. H. (2017). Group art therapy and self-care for mothers of children with disabilities. Doctor of Philosophy electronic. Lesley University. Retrieved from https://digitalcommons.lesley.edu/expressive_dissertations/49?utm_source=digitalcommons.lesley.edu%2Fexpressive_dissertations%2F49&utm_medium=PDF&utm_campaign=PDFCoverPages.

Lindo, E. J., Kliemann, K. R., Combes, B. H., & Frank, J. (2016). Managing stress levels of parents of children with developmental disabilities: A meta-analytic review of interventions. Family Relations, 65(1), 207–224. https://doi.org/10.1111/fare.12185.CrossRef

Lo, H. H. M., Chan, S. K. C., Szeto, M. P., Chan, C. Y. H., & Choi, C. W. (2017). A feasibility study of a brief mindfulness-based program for parents of preschool children with developmental disabilities. Mindfulness, 8(6), 1665–1673.CrossRef

Lopez-Liria, R., Vargas-Muñoz, E., Aguilar-Parra, J. M., Padilla-Góngora, D., Mañas-Rodriguez, M. A., & Rocamora-Pérez, P. (2019). Effectiveness of a training program in the management of stress for parents of disabled children. Journal of Child and Family Studies. https://doi.org/10.1007/s10826-019-01665-5.CrossRef

Lovell, B., Moss, M., & Wetherell, M. A. (2016). Assessing the feasibility and efficacy of written benefit-finding for caregivers of children with autism: A pilot study. Journal of Family Studies, 22(1), 32–42.CrossRef

Lovenfosse, M., & Viney, L. L. (1999). Understanding and helping mothers of children with “special needs” using personal construct group work. Community Mental Health Journal, 35(5), 431–442.CrossRef

Magana, S., Li, H., Miranda, E., & Paradiso de Sayu, R. (2015). Improving health behaviours of Latina mothers of youths and adults with intellectual and developmental disabilities. Journal of Intellectual Disability Research, 59(5), 397–410.CrossRef

Marquis, S. M., McGrail, K., & Hayes, M. (2020a). Mental health of parents of children with a developmental disability in British Columbia, Canada. Journal of Epidemiology and Community Health, 74(2), 173. https://doi.org/10.1136/jech-2018-211698.CrossRefPubMed

Marquis, S. M., McGrail, K., & Hayes, M. (2020b). Mental health outcomes among parents of a child who has a developmental disability: Comparing different types of developmental disability. Disability and Health Journal, 13(2), 1–8. https://doi.org/10.1016/j.dhjo.2019.100874.CrossRef

Masefield, S. C., Prady, S. L., & Sheldon, T. A. (2020). The caregiver health effects of caring for young children with developmental disabilities: A meta-analysis. Maternal Child Health Journal, 24(2), 561–574. https://doi.org/10.1007/s10995-020-02896-5.CrossRefPubMed

Masulani-Mwale, C., Kauye, F., Gladstone, M., & Mathanga, D. (2019). Development of a psycho-social intervention for reducing psychological distress among parents of children with intellectual disabilities in Malawi. PLoS ONE, 14(2), e0210855. https://doi.org/10.1371/journal.pone.0210855.CrossRefPubMedPubMedCentral

Minnes, P., Perry, A., & Weiss, J. A. (2015). Predictors of distress and well-being in parents of young children with developmental delays and disabilities: The importance of parent perceptions. Journal of Intellectual Disability Research, 59(6), 551–560. https://doi.org/10.1111/jir.12160.CrossRefPubMed

Montes, G., & Halterman, J. S. (2007). Psychological functioning and coping among mothers of children with autism: A population-based study. Pediatrics, 119(5), e1040-1046. https://doi.org/10.1542/peds.2006-2819.CrossRefPubMed

Niinomi, K., Asano, M., Kadoma, A., Yoshida, K., Ohashi, Y., Furuzawa, A., et al. (2016). Developing the “Skippu-Mama” program for mothers of children with autism spectrum disorder. Nursing & Health Sciences, 18(3), 283–291.CrossRef

Ogourtsova, T., O’Donnell, M., De Souva Silva, W., & Majnemer, A. (2019). Health coaching for parents of children with developmental disabilities: A systematic review. Developmental Medicine & Child Neurology, 61(11), 1259–1265. https://doi.org/10.1111/dmcn.14206.CrossRef

Osborn, R., Girgis, M., Morse, S., Sladakovic, J., Kneebone, I., Shires, A., et al. (2018). Mindfulness-integrated cbt (micbt) for reducing distress in parents of children with intellectual disability (id): A case series. Journal of Developmental and Physical Disabilities, 30, 559–568. https://doi.org/10.1007/s10882-018-9602-4.CrossRef

Pourmohamadreza-Tajrishi, M., Azadfallah, P., Hemmati Garakani, S., & Bakhshi, E. (2015). The effect of problem-focused coping strategy training on psychological symptoms of mothers of children with down syndrome. Iranian Journal of Public Health, 44(2), 254–262.PubMedPubMedCentral

Raina, P., O’Donnell, M., Rosenbaum, P., Brehaut, J., Walter, S. D., Russell, D., et al. (2005). The health and well-being of caregivers of children with cerebral palsy. Pediatrics, 115(6), e626-636.CrossRef

Raina, P., O’Donnell, M., Schwellnus, H., Rosenbaum, P., King, G., Brehaut, J., et al. (2004). Caregiving process and caregiver burden: Conceptual models to guide research and practice. BMC Pediatrics, 4, 1. https://doi.org/10.1186/1471-2431-4-1.CrossRefPubMedPubMedCentral

Sawyer, M. G., Bittman, M., La Greca, A. M., Crettenden, A. D., Borojevic, N., Raghavendra, P., & Russo, R. (2011). Time demands of caring for children with cerebral palsy: What are the implications for maternal mental health? Developmental Medicine & Child Neurology, 53(4), 338–343.CrossRef

Schnabel, A., Youssef, G. J., Hallford, D. J., Hartley, E. J., McGillivray, J. A., Stewart, M., et al. (2020). Psychopathology in parents of children with autism spectrum disorder: A systematic review and meta-analysis of prevalence. Autism, 24(1), 26–40. https://doi.org/10.1177/1362361319844636.CrossRefPubMed

Shu, B. C., & Lung, F. W. (2005). The effect of support group on the mental health and quality of life for mothers with autistic children. Journal of Intellectual Disability Research, 49(Pt 1), 47–53.CrossRef

Thenu, C. T., & Natesan, H. (2013). Management of stress in parents of special children through positive therapy. Indian Journal of Health and Wellbeing, 4(6), 1310–1312.

Wei, K. C., Lee, C., Mahendran, R., & Lim, C. G. (2012a). Improving mental health care for people with an intellectual disability in Singapore: Bridging the health-social care divide. Singapore Medical Journal, 53(7), 428–432.PubMed

Wei, Y.-S., Chu, H., Chen, C.-H., Hsueh, Y.-J., Chang, Y.-S., Chang, L.-I., & Chou, K.-R. (2012b). Support groups for caregivers of intellectually disabled family members: Effects on physical-psychological health and social support. Journal of Clinical Nursing, 21(11/12), 1666–1677. https://doi.org/10.1111/j.1365-2702.2011.04006.x.CrossRefPubMed

Whittingham, K., Sanders, M., McKinlay, L., & Boyd, R. N. (2014). Child quality of life and parent psychological adjustment can be improved with Stepping Stones Triple P and ACT: An RCT. Developmental Medicine and Child Neurology, 56, 75.CrossRef

Wong, F. K., & Poon, A. (2010). Cognitive behavioural group treatment for Chinese parents with children with developmental disabilities in Melbourne, Australia: An efficacy study. Australian & New Zealand Journal of Psychiatry, 44(8), 742–749. https://doi.org/10.3109/00048671003769769.CrossRef

Woodman, A. C. (2014). Trajectories of stress among parents of children with disabilities: A dyadic analysis. Family Relations, 63(1), 39–54. https://doi.org/10.1111/fare.12049.CrossRef

Yıldırım, A., Hacıhasanoğlu, A. R., & Karakurt, P. (2013). Effects of a nursing intervention program on the depression and perception of family functioning of mothers with intellectually disabled children. Journal of Clinical Nursing, 22(1/2), 251–261. https://doi.org/10.1111/j.1365-2702.2012.04280.x.CrossRefPubMed

Zhang, W., Yan, T. T., Du, Y. S., & Liu, X. H. (2014). Brief report: Effects of solution-focused brief therapy group-work on promoting post-traumatic growth of mothers who have a child with ASD. Journal of Autism and Developmental Disorders., 44(8), 2052–2056.CrossRef

Titel: Interventions to Improve the Mental Health of Mothers of Children with a Disability: Systematic Review, Meta-analysis and Description of Interventions
Auteurs: Helen M. Bourke-Taylor
Den-Ching Angel Lee
Loredana Tirlea
Kahli Joyce
Prue Morgan
Terrence P. Haines
Publicatiedatum: 03-01-2021
Uitgeverij: Springer US
Gepubliceerd in: Journal of Autism and Developmental Disorders / Uitgave 10/2021
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI: https://doi.org/10.1007/s10803-020-04826-4

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