Skip to main content
Top
Gepubliceerd in: Mindfulness 4/2017

16-01-2017 | ORIGINAL PAPER

Mechanisms of Action in Concurrent Parent-Child Mindfulness Training: a Qualitative Exploration

Auteurs: Jillian Haydicky, Judith Wiener, Carly Shecter

Gepubliceerd in: Mindfulness | Uitgave 4/2017

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

This study examined potential processes of change and mechanisms of action in an 8-week manualized mindfulness intervention for adolescents with attention-deficit/hyperactivity disorder (ADHD) and their parents. Five families (five adolescents aged 13–18 and seven parents) participated in semi-structured interviews about their lived experiences of mindfulness 1 to 3 months after the intervention. Thematic analysis guided by a phenomenological approach revealed several potential underlying mechanisms of action contributing to improved peer and family relationship quality after mindfulness training. Themes were consistent among parents and adolescents. Participant descriptions were indicative of enhanced present-focused awareness and detached self-observation, contributing to improved self-monitoring and self-regulation of attention, behavior, and emotions. Participants reported becoming more adept at implementing adaptive emotion regulation strategies (e.g., cognitive reappraisal, problem-solving, and acceptance) and relying less on maladaptive emotion regulation strategies (e.g., rumination). Parents and adolescents described a parallel process of enhanced self-awareness and self-regulation that conjointly contributed to increased empathy, reduced emotional reactivity, improved communication, and reductions in the intensity and duration of conflicts. Furthermore, as individuals in the parent-child dyad became more adept at regulating their emotions, they mutually reinforced the emotion regulation skills of their social partner. A model of the co-regulatory process of change in parent-adolescent mindfulness training is proposed.
Literatuur
go back to reference Atkinson, B. J. (2013). Mindfulness training and the cultivation of secure, satisfying couple relationships. Couple and Family Psychology: Research and Practice, 2(2), 73–94. doi:10.1037/cfp0000002.CrossRef Atkinson, B. J. (2013). Mindfulness training and the cultivation of secure, satisfying couple relationships. Couple and Family Psychology: Research and Practice, 2(2), 73–94. doi:10.​1037/​cfp0000002.CrossRef
go back to reference Barkley, R. A. (2004). Adolescents with attention-deficit/hyperactivity disorder: an overview of empirically based treatments. Journal of Psychiatric Practice, 10, 39–56.CrossRefPubMed Barkley, R. A. (2004). Adolescents with attention-deficit/hyperactivity disorder: an overview of empirically based treatments. Journal of Psychiatric Practice, 10, 39–56.CrossRefPubMed
go back to reference Barkley, R. A., & Fisher, M. (2010). The unique contribution of emotional impulsiveness to impairment in major life activities in hyperactive children as adults. Journal of the American Academy of Child and Adolescent Psychiatry, 49(5), 503–513. doi:10.1016/j.jaac.2010.01.019.PubMed Barkley, R. A., & Fisher, M. (2010). The unique contribution of emotional impulsiveness to impairment in major life activities in hyperactive children as adults. Journal of the American Academy of Child and Adolescent Psychiatry, 49(5), 503–513. doi:10.​1016/​j.​jaac.​2010.​01.​019.PubMed
go back to reference Barkley, R. A., & Murphy, K. R. (2010). Deficient emotional self-regulation in adults with ADHD: the relative contributions of emotional impulsiveness and ADHD symptoms to adaptive impairments in major life activities. Journal of ADHD and Related Disorders, 1(4), 5–28. Barkley, R. A., & Murphy, K. R. (2010). Deficient emotional self-regulation in adults with ADHD: the relative contributions of emotional impulsiveness and ADHD symptoms to adaptive impairments in major life activities. Journal of ADHD and Related Disorders, 1(4), 5–28.
go back to reference Bishop, S. R., Lau, M., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J., et al. (2004). Mindfulness: a proposed operational definition. Clinical Psychology: Science and Practice, 11, 230–241. doi:10.1093/clipsy.bph077. Bishop, S. R., Lau, M., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J., et al. (2004). Mindfulness: a proposed operational definition. Clinical Psychology: Science and Practice, 11, 230–241. doi:10.​1093/​clipsy.​bph077.
go back to reference Block-Lerner, J., Adair, C., Plumb, J. C., Rhatigan, D. L., & Orsillo, S. M. (2007). The case for mindfulness-based approaches in the cultivation of empathy: does nonjudgmental, present-moment awareness increase capacity for perspective-taking and empathic concern? Journal of Marital and Family Therapy, 33(4), 501–516. doi:10.1111/j.1752-0606.2007.00034.x.CrossRefPubMed Block-Lerner, J., Adair, C., Plumb, J. C., Rhatigan, D. L., & Orsillo, S. M. (2007). The case for mindfulness-based approaches in the cultivation of empathy: does nonjudgmental, present-moment awareness increase capacity for perspective-taking and empathic concern? Journal of Marital and Family Therapy, 33(4), 501–516. doi:10.​1111/​j.​1752-0606.​2007.​00034.​x.CrossRefPubMed
go back to reference Bogels, S., Hoogstad, B., van Dun, L., de Schutter, S., & Restifo, K. (2008). Mindfulness training for adolescents with externalizing disorders and their parents. Behavioral and Cognitive Psychotherapy, 36, 193–209. doi:10.1017/S1352465808004190.CrossRef Bogels, S., Hoogstad, B., van Dun, L., de Schutter, S., & Restifo, K. (2008). Mindfulness training for adolescents with externalizing disorders and their parents. Behavioral and Cognitive Psychotherapy, 36, 193–209. doi:10.​1017/​S135246580800419​0.CrossRef
go back to reference Burke, C. A. (2010). Mindfulness-based approaches with children and adolescents: a preliminary review of current research in an emergent field. Journal of Child and Family Studies, 19, 133–144. doi:10.1007/s10826-009-9282-x.CrossRef Burke, C. A. (2010). Mindfulness-based approaches with children and adolescents: a preliminary review of current research in an emergent field. Journal of Child and Family Studies, 19, 133–144. doi:10.​1007/​s10826-009-9282-x.CrossRef
go back to reference Carboni, J. A., Roach, A. T., & Fredrick, L. D. (2013). Impact of mindfulness training on the behavior of elementary students with attention-deficit/hyperactive disorder. Research in Human Development, 10(3), 234–251. doi:10.1080/15427609.2013.818487.CrossRef Carboni, J. A., Roach, A. T., & Fredrick, L. D. (2013). Impact of mindfulness training on the behavior of elementary students with attention-deficit/hyperactive disorder. Research in Human Development, 10(3), 234–251. doi:10.​1080/​15427609.​2013.​818487.CrossRef
go back to reference Coatsworth, J. D., Duncan, L. G., Greenberg, M. T., & Nix, R. L. (2009). Changing parent’s mindfulness, child management skills and relationship quality with their youth: results from a randomized pilot intervention trial. Journal of Child and Family Studies, 19, 203–217. doi:10.1007/s10826-009-9304-8.CrossRefPubMedCentral Coatsworth, J. D., Duncan, L. G., Greenberg, M. T., & Nix, R. L. (2009). Changing parent’s mindfulness, child management skills and relationship quality with their youth: results from a randomized pilot intervention trial. Journal of Child and Family Studies, 19, 203–217. doi:10.​1007/​s10826-009-9304-8.CrossRefPubMedCentral
go back to reference Coffey, K. A., Hartman, M., & Fredrickson, B. L. (2010). Desconstructing mindfulness and constructing mental health: understanding mindfulness and its mechanisms of action. Mindfulness, 1, 235–253. doi:10.1007/s12671-010-0033-2.CrossRef Coffey, K. A., Hartman, M., & Fredrickson, B. L. (2010). Desconstructing mindfulness and constructing mental health: understanding mindfulness and its mechanisms of action. Mindfulness, 1, 235–253. doi:10.​1007/​s12671-010-0033-2.CrossRef
go back to reference Conners, C. K. (2008). Conners-3rd edition. Toronto, ON: Multi-Health Systems Inc.. Conners, C. K. (2008). Conners-3rd edition. Toronto, ON: Multi-Health Systems Inc..
go back to reference Creswell, J. (1998). Qualitative inquiry and research design: choosing among five traditions. Thousand Oaks, CA: Sage. Creswell, J. (1998). Qualitative inquiry and research design: choosing among five traditions. Thousand Oaks, CA: Sage.
go back to reference 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. doi:10.1207/s15374424jccp3404_20.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. doi:10.​1207/​s15374424jccp340​4_​20.CrossRef
go back to reference Finlay, L. (2009). Debating phenomenological research methods. Phenomenology & Practice, 3(1), 6–25. Finlay, L. (2009). Debating phenomenological research methods. Phenomenology & Practice, 3(1), 6–25.
go back to reference Giorgi, A. (1997). The theory, practice, and evaluation of the phenomenological method as a qualitative research procedure. Journal of Phenomenological Psychology, 28(2), 235–260.CrossRef Giorgi, A. (1997). The theory, practice, and evaluation of the phenomenological method as a qualitative research procedure. Journal of Phenomenological Psychology, 28(2), 235–260.CrossRef
go back to reference Giorgi, A. (2008). Chapter: Phenomenological Psychology. In C. Willig & W. Stainton Rogers (Eds.), The SAGE Handbook of Qualitative Research in Psychology (pp. 165–178). doi: 10.4135/9781848607927 Giorgi, A. (2008). Chapter: Phenomenological Psychology. In C. Willig & W. Stainton Rogers (Eds.), The SAGE Handbook of Qualitative Research in Psychology (pp. 165–178). doi: 10.​4135/​9781848607927
go back to reference Gresham, F. M., Sugai, G., & Horner, R. H. (2001). Interpreting outcomes of social skills training for students with high-incidence disabilities. Exceptional Children, 67(3), 331–344.CrossRef Gresham, F. M., Sugai, G., & Horner, R. H. (2001). Interpreting outcomes of social skills training for students with high-incidence disabilities. Exceptional Children, 67(3), 331–344.CrossRef
go back to reference Harrison, L. J., Manocha, R., & Rubia, K. (2004). Sahaja yoga meditation as a family treatment programme for children with attention-deficit/hyperactivity disorder. Clinical Child Psychology and Psychiatry, 9, 479–497. doi:10.1177/1359104504046155.CrossRef Harrison, L. J., Manocha, R., & Rubia, K. (2004). Sahaja yoga meditation as a family treatment programme for children with attention-deficit/hyperactivity disorder. Clinical Child Psychology and Psychiatry, 9, 479–497. doi:10.​1177/​1359104504046155​.CrossRef
go back to reference Haydicky, J. (2014). Evaluating a mindfulness-based intervention for adolescents with ADHD and their parents: a mixed methods approach (doctoral dissertation). Toronto: University of Toronto. Haydicky, J. (2014). Evaluating a mindfulness-based intervention for adolescents with ADHD and their parents: a mixed methods approach (doctoral dissertation). Toronto: University of Toronto.
go back to reference Haydicky, J., Wiener, J., Badali, P., Milligan, K., & Ducharme, J. M. (2012). Evaluation of a mindfulness-based intervention for adolescents with learning disabilities and co-occurring ADHD and anxiety. Mindfulness, 3, 151–164. doi:10.1007/s12671-012-0089-2.CrossRef Haydicky, J., Wiener, J., Badali, P., Milligan, K., & Ducharme, J. M. (2012). Evaluation of a mindfulness-based intervention for adolescents with learning disabilities and co-occurring ADHD and anxiety. Mindfulness, 3, 151–164. doi:10.​1007/​s12671-012-0089-2.CrossRef
go back to reference Haydicky, Shecter, Wiener, & Ducharme. (2015). Evaluation of MBCT for adolescens with ADHD and their parents: impact on individual and family functioning. Journal of Child and Family Studies. doi:10.1007/s10826-013-9815-1. Haydicky, Shecter, Wiener, & Ducharme. (2015). Evaluation of MBCT for adolescens with ADHD and their parents: impact on individual and family functioning. Journal of Child and Family Studies. doi:10.​1007/​s10826-013-9815-1.
go back to reference Holzel, B. K., Lazar, S. W., Gard, T., Schuman-Olivie, Z., Vago, D. R., & Ott, U. (2011). How does mindfulness meditation work? Proposing mechanisms of action from a conceptual and neural perspective. Perspectives on Psychological Science, 6(6), 537–559. doi:10.1177/1745691611419671.CrossRefPubMed Holzel, B. K., Lazar, S. W., Gard, T., Schuman-Olivie, Z., Vago, D. R., & Ott, U. (2011). How does mindfulness meditation work? Proposing mechanisms of action from a conceptual and neural perspective. Perspectives on Psychological Science, 6(6), 537–559. doi:10.​1177/​1745691611419671​.CrossRefPubMed
go back to reference Jang, E., McDougall, D. E., Pollon, D., Herbert, M., & Russell, P. (2008). Integrative mixed methods data analytic strategies in research on school success in challenging circumstances. Journal of Mixed Methods Research, 2(3), 221–247. doi:10.1177/1558689808315323.CrossRef Jang, E., McDougall, D. E., Pollon, D., Herbert, M., & Russell, P. (2008). Integrative mixed methods data analytic strategies in research on school success in challenging circumstances. Journal of Mixed Methods Research, 2(3), 221–247. doi:10.​1177/​1558689808315323​.CrossRef
go back to reference Marton, J., Wiener, J., Rogers, M., Moore, C., & Tannock, R. (2009). Empathy and social perspective taking in children with attention-deficit/hyperativity disorder. Journal of Abnormal Child Psychology, 37, 107–118. doi:10.1007/s10802-008-9262-4.CrossRefPubMed Marton, J., Wiener, J., Rogers, M., Moore, C., & Tannock, R. (2009). Empathy and social perspective taking in children with attention-deficit/hyperativity disorder. Journal of Abnormal Child Psychology, 37, 107–118. doi:10.​1007/​s10802-008-9262-4.CrossRefPubMed
go back to reference McConney, A., Rudd, A., & Ayres, R. (2002). Getting to the bottom line: A method for synthesizing findings within mixed-method program evaluation. American Journal of Evaluation, 23, 121–140. doi:10.1177/109821400202300202 McConney, A., Rudd, A., & Ayres, R. (2002). Getting to the bottom line: A method for synthesizing findings within mixed-method program evaluation. American Journal of Evaluation, 23, 121–140. doi:10.​1177/​1098214002023002​02
go back to reference Melnick, S. M., & Hinshaw, S. P. (2000). Emotion regulation and parenting in AD/HD and comparison boys: linkages with social behaviors and peer preference. Journal of Abnormal Child Psychology, 28(1), 73–86. doi:10.1023/A:1005174102794.CrossRefPubMed Melnick, S. M., & Hinshaw, S. P. (2000). Emotion regulation and parenting in AD/HD and comparison boys: linkages with social behaviors and peer preference. Journal of Abnormal Child Psychology, 28(1), 73–86. doi:10.​1023/​A:​1005174102794.CrossRefPubMed
go back to reference Milligan, K., Badali, P., & Spiroiu, F. (2013). Using Integra mindfulness martial arts to address self-regulation challenges in youth with learning disabilities: a qualitative exploration. Journal of Child and Family Studies. Advance online publication. doi:10.1007/s10826-013-9868-1. Milligan, K., Badali, P., & Spiroiu, F. (2013). Using Integra mindfulness martial arts to address self-regulation challenges in youth with learning disabilities: a qualitative exploration. Journal of Child and Family Studies. Advance online publication. doi:10.​1007/​s10826-013-9868-1.
go back to reference Moustakas, C. (1994). Phenomenological research methods. Thousand Oaks, CA: Sage Publications.CrossRef Moustakas, C. (1994). Phenomenological research methods. Thousand Oaks, CA: Sage Publications.CrossRef
go back to reference Pruitt, I. T., & McCollum, E. E. (2010). Voices of experienced meditators: the impact of meditation practice on intimate relationships. Contemporary Family Therapy, 32(2), 135–154. doi:10.1007/s10591-009-9112-8.CrossRef Pruitt, I. T., & McCollum, E. E. (2010). Voices of experienced meditators: the impact of meditation practice on intimate relationships. Contemporary Family Therapy, 32(2), 135–154. doi:10.​1007/​s10591-009-9112-8.CrossRef
go back to reference Singh, N. N., Singh, A. N., Lancioni, G. E., Singh, J., Winton, A. S. W., & Adkins, A. D. (2010). Mindfulness training for parents and their children with ADHD increases children's compliance. Journal of Child and Family Studies, 19, 157–166. doi:10.1007/s10826-009-9272-z.CrossRef Singh, N. N., Singh, A. N., Lancioni, G. E., Singh, J., Winton, A. S. W., & Adkins, A. D. (2010). Mindfulness training for parents and their children with ADHD increases children's compliance. Journal of Child and Family Studies, 19, 157–166. doi:10.​1007/​s10826-009-9272-z.CrossRef
go back to reference Teper, R., Segal, Z. V., & Inzlicht, M. (2013). Inside the mindful mind: how mindfulness enhances emotion regulation through improvements in executive control. Current Directions in Psychological Science. Advance online publication. doi:10.1177/0963721413495869. Teper, R., Segal, Z. V., & Inzlicht, M. (2013). Inside the mindful mind: how mindfulness enhances emotion regulation through improvements in executive control. Current Directions in Psychological Science. Advance online publication. doi:10.​1177/​0963721413495869​.
go back to reference Timmermanis, V.K. (2015). Social impairment of adolescents with attention-deficit/hyperactivity disorder. (Doctoral Dissertation). University of Toronto, Toronto, Canada. Timmermanis, V.K. (2015). Social impairment of adolescents with attention-deficit/hyperactivity disorder. (Doctoral Dissertation). University of Toronto, Toronto, Canada.
go back to reference van de Weijer-Bergsma, E., Formsma, A. R., de Bruin, E. I., & Bogels, S. (2012). The effectiveness of mindfulness training on behavioral problems and attentional functioning in adolescents with ADHD. Journal of Child and Family Studies, 21, 775–787. doi:10.1007/s10826-011-9531-7.CrossRefPubMed van de Weijer-Bergsma, E., Formsma, A. R., de Bruin, E. I., & Bogels, S. (2012). The effectiveness of mindfulness training on behavioral problems and attentional functioning in adolescents with ADHD. Journal of Child and Family Studies, 21, 775–787. doi:10.​1007/​s10826-011-9531-7.CrossRefPubMed
go back to reference van der Oord, S., Bogels, S., & Peijnenburg, D. (2012). The effectiveness of mindfulness training for children with ADHD and mindful parenting for their parents. Journal of Child and Family Studies, 21, 139–147. doi:10.1007/s10826-011-9457-0.CrossRefPubMed van der Oord, S., Bogels, S., & Peijnenburg, D. (2012). The effectiveness of mindfulness training for children with ADHD and mindful parenting for their parents. Journal of Child and Family Studies, 21, 139–147. doi:10.​1007/​s10826-011-9457-0.CrossRefPubMed
go back to reference Wechsler, D. (1999). Wechsler abbreviated scale of intelligence. San Antonio, TX: Psychological Corporation. Wechsler, D. (1999). Wechsler abbreviated scale of intelligence. San Antonio, TX: Psychological Corporation.
go back to reference Zylowska, L., Ackerman, D. L., Yang, M. H., Futrell, J. L., Horton, N. L., Hale, T. S., et al. (2008). Mindfulness meditation training in adults and adolescents with ADHD: a feasibility study. Journal of Attention Disorders, 11, 737–746. doi:10.1177/1087054707308502.CrossRefPubMed Zylowska, L., Ackerman, D. L., Yang, M. H., Futrell, J. L., Horton, N. L., Hale, T. S., et al. (2008). Mindfulness meditation training in adults and adolescents with ADHD: a feasibility study. Journal of Attention Disorders, 11, 737–746. doi:10.​1177/​1087054707308502​.CrossRefPubMed
Metagegevens
Titel
Mechanisms of Action in Concurrent Parent-Child Mindfulness Training: a Qualitative Exploration
Auteurs
Jillian Haydicky
Judith Wiener
Carly Shecter
Publicatiedatum
16-01-2017
Uitgeverij
Springer US
Gepubliceerd in
Mindfulness / Uitgave 4/2017
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI
https://doi.org/10.1007/s12671-017-0678-1

Andere artikelen Uitgave 4/2017

Mindfulness 4/2017 Naar de uitgave

ORTHOGONAL ROTATION IN CONSCIOUSNESS

Am I Doing It Right?