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Gepubliceerd in: Mindfulness 6/2014

01-12-2014 | ORIGINAL PAPER

Mindfulness-Based Positive Behavior Support (MBPBS) for Mothers of Adolescents with Autism Spectrum Disorder: Effects on Adolescents’ Behavior and Parental Stress

Auteurs: Nirbhay N. Singh, Giulio E. Lancioni, Alan S. W. Winton, Bryan T. Karazsia, Rachel E. Myers, Larry L. Latham, Judy Singh

Gepubliceerd in: Mindfulness | Uitgave 6/2014

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Some parents have to deal with the challenging behaviors of their children with autism spectrum disorder (ASD), including aggressive and destructive behaviors. While pharmacological and behavioral interventions have been the treatments of choice, sometimes the pharmacological treatments are not very effective or the behavioral interventions are so labor intensive that parents fail to implement them consistently, thus leading to treatment failure and parental stress. In this proof-of-concept study, we assessed the effects of providing mindfulness-based positive behavior support (MBPBS) training to three mothers on the challenging and compliance behaviors of their adolescents with ASD. The MBPBS program included a series of meditations aimed at personal transformation during an 8-week program. The training in mindfulness-based practices was paired with applications to their interactions with their adolescent children using a positive behavior support model, whereby the mothers learned how to apply behavioral contingencies with intuitive awareness. Results showed that the adolescents’ challenging behaviors decreased and compliance behaviors increased commensurate with the mothers’ training in MBPBS. In addition, statistically significant reductions in the mothers’ stress levels were correlated with the MBPBS training. These findings provide initial support for MBPBS in assisting parents to effectively manage the challenging behaviors of their children with ASD and in increasing their positive social interactions with them, but without raising their own stress levels.

  1. Attwood, T. (2008). The complete guide to Asperger’s syndrome. London: Jessica Kingsley Publishers.
  2. Barlow, D. H., Nock, M., & Hersen, M. (2009). Single-case experimental designs (3rd ed.). New York: Allyn & Bacon.
  3. Bluth, K., & Wahler, R. G. (2011). Does effort matter in mindful parenting? Mindfulness, 2, 175–178.View Article
  4. Bluth, K., Roberson, P. N. E., Billen, R. M., & Sams, J. M. (2013). A stress model for couples parenting children with autism spectrum disorders and the introduction of a mindfulness intervention. Journal of Family Theory and Review, 5, 194–213.PubMedView ArticlePubMed Central
  5. Bögels, S. M., Hellemans, J., van Deursen, S., Römer, M., & Meulen, van der R. (2013). Mindful parenting in mental health care: effects on parental and child psychopathology, parental stress, parenting, coparenting, and marital functioning. Mindfulness. e-print in advance of publication.
  6. Brereton, A. V., Tonge, B. J., & Einfeld, S. L. (2006). Psychopathology in children and adolescents with autism compared to young people with intellectual disability. Journal of Autism and Developmental Disorders, 36, 863–870.PubMedView Article
  7. Buksbazen, J. D. (2002). Zen meditation in plain English. Boston, MA: Wisdom Publications.
  8. Carr, E. G. (2007). The expanding vision of positive behavior support: research perspectives on happiness, helpfulness, hopefulness. Journal of Positive Behavior Interventions, 9, 3–14.View Article
  9. Carr, E. G., Dunlap, G., Horner, R. H., Koegel, R. L., Turnbull, A. P., Sailor, W., et al. (2002). Positive behavior support: evolution of an applied science. Journal of Positive Behavior Interventions, 4, 4–16.View Article
  10. Chavez, B., Chavez-Brown, M., & Rey, J. A. (2006). Role of risperidone in children with autism spectrum disorder. The Annals of Pharmacotherapy, 40, 909–916.PubMedView Article
  11. Chödrön, P. (2007). Don’t bite the hook: finding freedom from anger, resentment, and other destructive emotions. Boston, MA: Shambhala Audio.
  12. Chödrön, P. (2010). Taking the leap: freeing ourselves from old habits and fears. Boston, MA: Shambhala.
  13. Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24, 385–396.PubMedView Article
  14. Cohen, S., & Williamson, G. (1988). Psychological stress in a probability sample of the United States. In S. Spacapan & S. Oskamp (Eds.), The social psychology of health: Claremont symposium on applied social psychology (pp. 31–67). Newbury Park, CA: Sage.
  15. Dominick, K. C., Davis, N. O., Lainhart, J., Tager-Flusberg, H., & Folstein, S. (2007). Atypical behaviors in children with autism and children with a history of language impairment. Research in Developmental Disabilities, 28, 145–162.PubMedView Article
  16. Durand, V. M., Hieneman, M., Clarke, S., Wang, M., & Rinaldi, M. L. (2012). Positive family intervention for severe challenging behavior I: a multisite randomized clinical trial. Journal of Positive Behavior Interventions, 15, 133–143.View Article
  17. Estes, A., Munson, J., Dawson, G., Koehler, E., Zhou, X., & Abbott, R. (2009). Parenting stress and psychological functioning among mothers of preschool children with autism and developmental delay. Autism: International Journal of Research and Practice, 13, 375–387.View Article
  18. Giommi, F., & Barendregt, H. (2014). Vipassana, insight and intuition: seeing things as they are. In N. N. Singh (Ed.), Psychology of meditation (pp. 129–146). New York: Nova.
  19. Grossman, P. (2008). On measuring mindfulness in psychosomatic and psychological research. Journal of Psychosomatic Research, 64, 405–408.PubMedView Article
  20. Grossman, P., & Van Dam, N. T. (2011). Mindfulness, by any other name. Trials and tribulations of sati in western psychology and science. Contemporary Buddhism, 12, 219–239.View Article
  21. Gupta, A., & Singhal, N. (2005). Psychosocial support for families of children with autism. Asia Pacific Disability Rehabilitation Journal, 16, 62–83.
  22. Hastings, R. P. (2002). Parental stress and behavior problems of children with developmental disability. Journal of Intellectual and Developmental Disability, 27, 149–160.View Article
  23. Hieneman, M., Childs, K., & Sergay, J. (2006). Parenting with positive behavior support. Baltimore, MD: Brookes.
  24. Hölzel, B. K., Lazar, S. W., Gard, T., Schuman-Olivier, 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, 537–559.View Article
  25. Horner, R. H., Carr, E. G., Strain, P. S., Todd, A. W., & Reed, H. K. (2002). Problem behavior interventions for young children with autism: a research synthesis. Journal of Autism and Developmental Disorders, 32, 423–446.PubMedView Article
  26. 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 of Intellectual and Developmental Disabilities, 119, 171–185.View Article
  27. Kabat-Zinn, J. (1990). Full catastrophe living: using the wisdom of your body and mind to face stress, pain and illness. NY: Delta.
  28. Kanne, S. M., & Mazurek, M. O. (2011). Aggression in children and adolescents with ASD: prevalence and risk factors. Journal of Autism and Developmental Disorders, 41, 926–937.PubMedView Article
  29. Kongtrül, D. (2008). Light comes through: Buddhist teaching on awakening to our natural intelligence. Boston, MA: Shambhala.
  30. Kyabgon, T. (2004). Mind at ease: self-liberation through Mahamudra meditation. Boston, MA: Shambhala.
  31. Laraway, S., Snycerski, S., Michael, J., & Poling, A. (2003). Motivating operations and terms to describe them: some further refinements. Journal of Applied Behavior Analysis, 36, 407–414.PubMedView ArticlePubMed Central
  32. Lecavalier, L. (2006). Behavioral and emotional problems in young people with pervasive developmental disorders: relative prevalence, effects of subject characteristics, and empirical classification. Journal of Autism and Developmental Disorders, 36, 1101–1114.PubMedView Article
  33. Lecavalier, L., Leone, S., & Wiltz, J. (2006). The impact of behavior problems on caregiver stress in young people with autism spectrum disorders. Journal of Intellectual Disability Research, 50, 173–183.View Article
  34. Lucyshyn, J. M., Dunlap, G., & Albin, R. W. (2002). Families and positive behavior support: addressing problem behaviors in family contexts. Baltimore, MD: Brookes Publishing.
  35. Malone, R. P., & Waheed, A. (2009). The role of antipsychotics in the management of behavioral symptoms in children and adolescents with autism. Drugs, 69, 535–548.PubMedView Article
  36. Matson, J. L., & Nebel-Schwalm, M. (2007). Assessing challenging behaviors in children with autism spectrum disorders: a review. Research in Developmental Disabilities, 28, 567–579.PubMedView Article
  37. Matson, M. L., Mahan, S., & Matson, J. L. (2009). Parent training: a review of methods for children with autism spectrum disorder. Research in Autism Spectrum Disorders, 3, 868–875.View Article
  38. McDonald, K. (2005). How to meditate: a practical guide. Boston, MA: Wisdom Publications.
  39. McGrath, A. (2013). Links between the conduct of carers and clients’ challenging behaviour. Learning Disability Practice, 16, 30–32.View Article
  40. Myers, R. E., Winton, A. S. W., Lancioni, G. E., & Singh, N. N. (2014). Mindfulness meditation in developmental disabilities. In N. N. Singh (Ed.), Psychology of meditation (pp. 209–240). New York: Nova.
  41. Neece, C. L. (2014). Mindfulness-based stress reduction for parents of young children with developmental delays: applications for parental mental health and child behavior. Journal of Applied Research in Intellectual Disability, 27, 174–186.View Article
  42. Neece, C. L., Green, S. A., & Baker, B. L. (2012). Parenting stress and child behavior problems: a transactional relationship across time. American Journal on Intellectual and Developmental Disabilities, 117, 48–66.PubMedView Article
  43. Parker, R. I., Hagan-Burke, S., & Vannest, K. (2007). Percentage of all non-overlapping data (PAND): an alternative to PND. Journal of Special Education, 40, 194–204.View Article
  44. Parker, R. I., & Vannest, K. (2009). An improved effect size for single-case research: nonoverlap of all pairs. Behavior Therapy, 40, 357–367.PubMedView Article
  45. Sailor, W., Dunlap, G., Sugai, G., & Horner, R. H. (2009). Handbook of positive behavior support. New York, NY: Springer.View Article
  46. Sameroff, A. J. (1995). General systems theories and developmental psychopathology. In D. Cicchetti & D. J. Cohen (Eds.), Developmental psychopathology (Theory and methods, Vol. 1, pp. 659–695). New York, NY: John Wiley.
  47. Schieve, L. A., Blumberg, S. J., Rice, C., Visser, S. N., & Boyle, C. (2007). The relationship between autism and parenting stress. Pediatrics, 119, S114–S121.PubMedView Article
  48. Silva, L., & Schalock, M. (2012). Autism parenting stress index: initial psychometric evidence. Journal of Autism and Developmental Disorders, 42, 566–574.PubMedView Article
  49. Simpson, R. L., & Myles, B. S. (1998). Aggression among children and youth who have Asperger’s syndrome: a different population requiring different strategies. Preventing School Failure, 42, 149–153.View Article
  50. Singh, N. N. (2014a). Psychology of meditation. New York, NY: Nova.
  51. Singh, N. N. (2014b). Meditation: nature and applications. In N. N. Singh (Ed.), Psychology of meditation (pp. 1–9). New York, NY: Nova.
  52. Singh, N. N., Lancioni, G. E., Winton, A. S. W., Fisher, B. C., Wahler, R. G., McAleavey, K., Singh, J., & Sabaawi, M. (2006). Mindful parenting decreases aggression, noncompliance and self-injury in children with autism. Journal of Emotional and Behavioral Disorders, 14, 169–177.View Article
  53. 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, 749–771.PubMedView Article
  54. Singh, N. N., Lancioni, G. E., Winton, A. S. W., Singh, J., Singh, A. N., Adkins, A. D., & Wahler, R. G. (2010a). Training in mindful caregiving transfers to parent–child interactions. Journal of Child and Family Studies, 19, 167–174.View Article
  55. Singh, N. N., Singh, A. N., Lancioni, G. E., Singh, J., Winton, A. S. W., & Adkins, A. D. (2010b). Mindfulness training for parents and their children with ADHD increases the children’s compliance. Journal of Child and Family Studies, 19, 157–166.View Article
  56. Singh, N. N., Lancioni, G. E., Winton, A. S. W., & Singh, J. (2011a). Aggression, tantrums, and other externally driven challenging behaviors. In J. L. Matson & P. Sturmey (Eds.), International handbook of autism and pervasive developmental disorders (pp. 413–435). New York: Springer.View Article
  57. Singh, N. N., Singh, J., Singh, A. D. A., Singh, A. N. A., & Winton, A. S. W. (2011b). Meditation on the soles of the feet for anger management: a trainer’s manual. Raleigh, NC: Fernleaf. (www.​fernleafpub.​com).
  58. Singh, N. N., Lancioni, G. E., Winton, A. S. W., Karazsia, B. T., & Singh, J. (2013). Mindfulness training for teachers changes the behavior of their preschool students. Research in Human Development, 10, 211–233.View Article
  59. Smith, J. A., Flowers, P., & Larkin, M. (2009). Interpretative phenomenological analysis: theory, method and research. Thousand Oaks, CA: Sage.
  60. Stachnik, J. M., & Nunn-Thompson, C. (2007). Use of atypical antipsychotics in the treatment of autistic disorder. The Annals of Pharmacotherapy, 41, 626–634.PubMedView Article
  61. Suchday, S., Mayson, S. J., Klepper, J., Meyer, H., & Dziok, M. (2014). Eastern and Western perspectives on meditation. In N. N. Singh (Ed.), Psychology of meditation (pp. 45–64). New York, NY: Nova.
  62. Totsika, V., Hastings, R. P., Emerson, E., Berridge, D. M., & Lancaster, G. A. (2011). Behavior problems at 5 years of age and maternal mental health in autism and intellectual disability. Journal of Abnormal Child Psychology, 39, 1137–1147.PubMedView Article
  63. Van Gordon, W., Shonin, E., Sumich, A., Sundin, E. C., & Griffiths, M. D. (2013). Meditation awareness training (MAT) for psychological well-being in a sub-clinical sample of university students: a controlled pilot study. Mindfulness. Epub in advance of print. DOI. doi:10.​1007/​s12671-012-0191-5.
  64. Williams, K. L., & Wahler, R. G. (2010). Are mindful parents more authoritative and less authoritarian? An analysis of clinic-referred mothers. Journal of Child and Family Studies, 19, 230–235.View Article
Mindfulness-Based Positive Behavior Support (MBPBS) for Mothers of Adolescents with Autism Spectrum Disorder: Effects on Adolescents’ Behavior and Parental Stress
Nirbhay N. Singh
Giulio E. Lancioni
Alan S. W. Winton
Bryan T. Karazsia
Rachel E. Myers
Larry L. Latham
Judy Singh
Springer US
Gepubliceerd in
Mindfulness / Uitgave 6/2014
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535

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