This study evaluated the acceptability and effects of a Mindful Parenting course in mental health care. Parents (n = 86) referred to secondary mental health care because of their children’s and/or their own psychopathology, or parent–child relationship problems, followed a Mindful Parenting course in a group format (10 groups). Assessments took place just before the course (pre-test), immediately after the nine-week course (post-test), and at 8-week follow-up. A waitlist assessment took place only for those parents who had to wait for a course (n = 23). Measures concerned parent report of psychopathology symptoms of their target child, as well as their own psychopathology symptoms, parental stress, parenting behaviors, coparenting, and marital functioning. Only one parent dropped out and parents evaluated the program as valuable and effective in many areas of family functioning. No improvement was reported during waitlist, except for an improvement in parental externalizing symptoms. Improvements after the course occurred in the target child’s internalizing and externalizing psychopathology symptoms, parents’ own internalizing symptoms and further improvement on their externalizing symptoms. Also, improvements occurred on parental stress, parenting, and coparenting, but not on marital functioning. Improvements were generally maintained at follow-up. In conclusion, the very low dropout rate as well as the positive evaluations, suggest that Mindful Parenting is an acceptable and feasible intervention in mental health care. Mindful Parenting appears a promising new intervention for parents in mental health care, as it seems effective on a broad range of child, parent, and family variables. Studies comparing Mindful Parenting to other effective interventions, such as Parent Management training, are needed to gain more knowledge about its relative and differential effectiveness.
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Abidin, R. R. (1983). Parenting Stress Index Manual. Charlottesville: Pediatric Psychology Press.
Achenbach, T. M. (1997). Manual for the young adult self-report and young adult behavior checklist. Burlington: University of Vermont, Research Center for Children, Youth, and Families.
Achenbach, T. M., & Rescorla, L. A. (2000). Manual for the ASEBA Preschool Forms & Profiles. Burlington: University of Vermont, Research Center for Children, Youth, and Families.
Achenbach, T. M., & Rescorla, L. A. (2001). Manual for the ASEBA School-Age Forms & Profiles. Burlington: University of Vermont, Research Center for Children, Youth, and Families.
Achenbach, T. M., & Rescorla, L. A. (2003). Manual for the ASEBA Adult Forms & Profiles. Burlington: University of Vermont, Research Center for Children, Youth, and Families.
Altmaier, E., & Maloney, R. (2007). An initial evaluation of a mindful parenting program. Journal of Clinical Psychology, 63, 1231–1238.
Baker-Ericzen, M. J., Brookman-Frazee, L., & Stahmen, A. (2005). Stress levels and adaptability in parents of children with and without autism-spectrum disorder. Research and Practice for Persons with Severe Developmental Disabilities, 30, 194–204.
Bardacke, N. (2012). Mindful birthing: training the mind, body and heart for childbirth and beyond. New York: Harper Collins.
Barkley, R. A., Edwards, G., Laneri, M., Fletcher, K., & Metevia, L. (2004). The efficacy of problem-solving communication training alone, behavior management training alone, and their combination for parent-adolescent conflict in teenagers with ADHD and ODD. Journal of Consulting and Clinical Psychology, 69, 924–941.
Barkley, R. A., & Murphy, K. R. (2010). Impairment in occupational functioning and adult ADHD: the predictive utility of executive function (EF) ratings versus EF tests. Archives of Clinical Neuropsychology, 25, 157–173.
Bögels, S. M., 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, 1–17.
Bögels, S. M., Lehtonen, A., & Restifo, K. (2010). Mindful parenting in mental health care. Mindfulness, 1, 107–120.
Bögels, S. M., & van Melick, M. (2004). The relationship between child-report, parent self-report, and partner report of perceived parental rearing behaviors and anxiety in children and parents. Personality and Individual Differences, 37, 1583–1596.
Bögels, S. M., & Restifo, K. (2013). Mindful parenting in mental health care. New York: Springer.
Brock, A., de Vermulst, A. A., Gerris, J. R. M., & Abidin, R. R. (1992). Nijmeegse Ouderlijke Stress Index. Handleiding experimentele versie.[Nijmeegse Parental Stress Index: Manual]. Lisse: Swets & Zeitlinger.
Brody, G. H., & Forehand, R. (1985). The efficacy of parent training with maritally distressed and nondistressed mothers: a multimethod assessment. Behavior Research and Therapy, 23, 291–296.
Chronis, A. M., Chacko, A., Fabiano, G. A., Wymbs, B. T., & Pelham, W. E. (2004). Enhancements to the behavioral parent training paradigm for families of children with ADHD: review and future directions. Clinical Child and Family Psychology Review, 7, 1–27.
Coatsworth, J. D., Duncan, L., Greenberg, M., & Nix, R. (2010). Changing parents 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.
Crnic, K. A., Gaze, C., & Hoffman, C. (2005). Cumulative parenting stress across the preschool period: relations to maternal parenting and child behaviour at 5 years. Infant and Child Development, 14, 117–132.
Cummings, E. M. (1994). Marital conflict and children’s functioning. Social Development, 3, 16–36.
Dearing, K. F., & Gotlib, I. H. (2009). Interpretation of ambiguous information in girls at risk for depression. Journal of Abnormal Child Psychology, 37, 79–91.
de Bruin, E. I., Zijlstra, B. J., Geurtzen, N., van Zundert, R. M., van de Weijer-Bergsma, E., Hartman, E. E., Pouwer, F., Duncan, L. & Bögels, S. M. (in press) Mindful parenting assessed further: Psychometric properties of the Dutch version of the Interpersonal Mindfulness in Parenting Scale (IM-P). Mindfulness.
Dekovic, M., Groenendaal, J. H. A., & Gerrits, L. A. W. (1996). Opvoederkenmerken [Parent characteristics]. Opvoeden in Nederland [Parenting in the Netherlands], 70–94.
Dumas, J. E. (2005). Mindfulness-based parent training: strategies to lessen the grip of automaticity in families with disruptive children. Journal of Clinical Child and Adolescent Psychology, 34, 779–791.
Duncan, L.G. (2007). Assessment of mindful parenting among parents of early adolescents: Development and validation of the Interpersonal Mindfulness in Parenting Scale. Unpublished dissertation. The Pennsylvania State University.
Duncan, L. G., Coatsworth, J. D., & Greenberg, M. T. (2009). A model of mindful parenting: implications for parent–child relationships and prevention research. Clinical Child and Family Psychology Review, 12, 255–270.
Ferdinand, R. F., Verhulst, F. C., & Wiznitzer, M. (1995). Continuity and change of self-reported problem behaviors from adolescence into young adulthood. Journal of the American Academy of Child and Adolescent Psychiatry, 34, 680–690.
Firestone, P., & Witt, J. E. (1982). Characteristics of families completing and prematurely discontinuing a behavioral parent-training program. Journal of Pediatric Psychology, 7, 209–222.
Forehand, R., Furey, W. M., & McMahon, R. J. (1984). The role of maternal distress in a parent training program to modify child non-compliance. Behavioural Psychotherapy, 12, 93–108.
Freeman, W. S., Johnston, C., & Barth, F. M. (1997). Parent attributions for inattentive-overactive, oppositional-defiant, and prosocial behaviours in children with attention deficit hyperactivity disorder. Canadian Journal of Behavioural Science/Revue canadienne des sciences du comportement, 29, 239.
Gambrel, L. E., & Keeling, M. L. (2010). Relational aspects of mindfulness: Implications for the practice of marriage and family therapy. Contemporary Family Therapy, 32, 412–426.
Germer, C. (2009). The mindful path to self-compassion: freeing yourself from destructive thoughts and emotions. New York: The Guilford Press.
Gerris, J. R. M., Vermulst, A. A., Boxtel, D. A. A. M., van Janssens, J. M. A. M., van Zutphen, R. A. H., & Felling, A. J. A. (1993). Parenting in Dutch families. A representative description of Dutch family life in terms of validated concepts representing characteristics of parents, children, the family as a system and parental socio-cultural value orientations. Nijmegen: University of Nijmegen, Institute of Family Studies.
Harnett, P.H. & Dawe, S. (2012 online). The contribution of mindfulness-based therapies for children and families and proposed conceptual integration. Child and Adolescent Mental Health.
Kabat-Zinn, J. (1990). Full catastrophe living. New York: Bantam Doubleday Dell.
Kabat-Zinn, M., & Kabat-Zinn, J. (1997). Everyday blessings: the inner work of mindful parenting. New York: Hyperion.
Karreman, A., Tuijl, C. van, Aken, M. A. G. van & Dekovic, M. (2008). Parenting, coparenting, and effortful control in preschoolers. Journal of Family Psychology, 22, 30-40.
Kazdin, A. E. (2007). Mediators and mechanisms of change in psychotherapy research. Annual Review of Clinical Psychology, 3, 1–27.
Kadzin, A. J., Stolar, M. J., & Marciano, P. L. (1995). Risk factors for dropping out of treatment among White and Black families. Journal of Family Psychology, 9, 402–417.
Lord, C., Rutter, M., & Le Couteur, A. (1994). Autism diagnostic interview—revised: A revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders. Journal of Autism and Developmental Disorders, 24, 659–685.
Lundahl, B., Risser, H. J., & Lovejoy, M. (2005). A meta-analysis of parent training: moderators and follow-up effects. Clinical Psychology Review, 26, 86–104.
Majdandzic, M., Vente, W., Feinman, M., Aktar, E., & Bögels, S. M. (2012). Coparenting and parental and child anxiety: a review. Clinical Child and Family Psychology Review, 15, 28–42.
McHale, J. P. (1997). Overt and covert coparenting processes in the family. Family Process, 36, 183–201.
Neff, K. D. (2003). Self-compassion: an alternative conceptualization of a healthy attitude toward oneself. Self and Identity, 2, 85–102.
Owens, E. B., Hinshaw, S. P., Kraemer, H. C., Arnold, L. E., Abikoff, H. B., Cantwell, D. P., et al. (2003). Which treatment for whom for ADHD? Moderators of treatment response in the MTA. Journal of Consulting and Clinical Psychology, 71, 540–552.
Perren, S., von Wyl, A., Simoni, H., Stadlmayr, W., Bürgin, D., & von Klitzing, K. (2003). Parental psychopathology, marital quality, and the transition to parenthood. The American Journal of Orthopsychiatry, 73, 55–64.
Raes, F., Pommier, E., Neff, K. D., & Van Gucht, D. (2011). Construction and factorial validation of a short form of the self–compassion scale. Clinical Psychology & Psychotherapy, 18, 250–255.
Reisinger, J. J., Frangia, G. W., & Hoffman, E. H. (1976). Toddler management training: generization and marital status. Journal of Behavior Therapy and Experimental Psychiatry, 7, 335–340.
Restifo, K., & Bögels, S. M. (2009). Family risk factors for youth depression: a family systems integration and treatment model. Clinical Psychology Review, 29, 294–316.
Reyno, S. M., & McGrath, P. J. (2006). Predictors of parent training efficacy for child externalizing behavior problems—a meta-analytic review. Journal of Child Psychology and Psychiatry, 47, 99–111.
Sbarra, D. A., Smith, H. L., & Mehl, M. R. (2012). When leaving your ex, love yourself: observational ratings of self-compassion predict the course of emotional recovery following marital separation. Psychological Science, 23, 261–269.
Segal, Z., Williams, J., & Teasdale, J. (2002). Mindfulness-based cognitive therapy for depression: a new approach to preventing relapse. New York: Guilford Press.
Segal, Z., Williams, J., & Teasdale, J. (2012). Mindfulness-based cognitive therapy for depression: a new approach to preventing relapse. New York: Guilford Press.
Serketich, W. J., & Dumas, J. E. (1996). The effectiveness of behavioral parent training to modify antisocial behavior in children: a meta-analysis. Behavior Therapy, 27, 171–186.
Siegel, D., & Hartzell, M. (2004). Parenting from the inside out. USA: Penguin Group.
Silverman, W. K., & Albano, A. M. (1996). Anxiety disorders interview schedule for DSM-IV child version, child interview schedule. San Antonio: The Psychological Corporation.
Singh, N., Lancioni, G., Winton, A., Fisher, B. C., Curtis, W., Wahler, R., et al. (2006). Mindful parenting decreases aggression, noncompliance, and self-injury in children with autism. Journal of Emotional and Behavioral Disorders, 14, 169–177.
Singh, N., Lancioni, G., Winton, A., Singh, J., Curtis, W., Wahler, R., et al. (2007). Mindful parenting decreases aggression and increases social behavior in children with developmental disabilities. Behavior Modification, 31(120), 749–771.
Singh, N., Singh, A. N., Lancioni, G. E., Singh, J., Winton, A. S. W., Singh, J., et al. (2010). Mindfulness training for parents and their children with ADHD increases the children’s compliance. Journal of Child and Family Studies, 19, 157–174.
Sonuga-Barke, E. J. S., Daley, D., & Thompson, M. (2002). Does maternal ADHD reduce the effectiveness of parent training for preschool children’s ADHD? Journal of the American Academy of Child and Adolescent Psychiatry, 41, 696–702.
Srivastava, M., Gupta, A., Talukdar, U., Kalra, B. P., & Lahan, V. (2011). Effect of parental training in managing the behavioral problems of early childhood. Indian Journal of Pediatrics, 78, 973–978.
Van den Troost, A. (2005). Marriage in motion: a study on the social context and processes of marital satisfaction (Vol. 10). Leuven: Leuven University Press.
Van den Hoofdakker, B. J., Nauta, M. H., Van den Veen-Mulders, L. J., Sytema, S., Emmelkamp, P. M. G., Minderaa, R. B., et al. (2010). Behavioral parent training as an adjunct to routine care in children with attention-deficit/hyperactivity disorder: moderators of treatment response. Journal of Pediatric Psychology, 35, 317–326.
Van der Oord, S., Bögels, S. M., & 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.
Verhoeven, M., Bögels, S. M., & Van der Bruggen, C. (2012). Unique roles of mothering and fathering in child anxiety: moderation by child’s age and gender. Journal of Child and Family Studies, 21, 331–343.
Verhulst, F. C., Van der Ende, J., & Koot, H. M. (1996). Dutch Manual for the CBCL/4–18. Rotterdam: Afdeling Kinder- en Jeugdpsychiatrie, Sophia Kinderziekenhuis/Academisch Ziekenhuis Rotterdam, Erasmus Universiteit Rotterdam.
Wahler, R. G., & Dumas, J. E. (1989). Attentional problems in dysfunctional mother–child interactions: an interbehavioral model. Psychological Bulletin, 105, 116.
Webster-Stratton, C. (1985). Predictors of treatment outcome in parent training for conduct disordered children. Behavior Therapy, 16, 223–243.
Webster-Stratton, C. (1990). Long-term follow-up of families with young conduct problem children: from preschool to grade school. Journal of Clinical Child Psychology, 19, 144–149.
Weijer-Bergsma, E., Formsma, A.E., de Bruin, E.I., & Bögels, S.M. (2012 online). The effectiveness of mindfulness training on behavioral problems and attentional functioning in adolescents with ADHD. Journal of Child and Family Studies.
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.
Wiznitzer, M., Verhulst, F. C., van den Brink, W., Koeter, M., van der Ende, J., Giel, R., et al. (1992). Detecting psychopathology in young adults: the Young adult self report, the general health questionnaire and the symptom checklist as screening instruments. Acta Psychiatrica Scandinavica, 86, 32–37.
Young, J. E. (1994). Cognitive therapy for personality disorders: a schema-focused approach. Florida: Sarasota.
We are grateful to all parents for participating in the study, to Anne Formsma and Dorreke Peijnenburg for their help with the data collection, to Kathleen Restifo for her feedback on an earlier version of this paper, and to Bonne Zijlstra for his statistical support.
Appendix 1: Evaluation of the Mindful Parenting Training
Appendix 1: Evaluation of the Mindful Parenting Training
|1. Do you feel you got something of lasting value or importance as a result of taking the training?||95 %||5 %|
|2. Have you made any changes in your lifestyle, in dealing with your child or family, or in your child-rearing practices as a result of the training?||88 %||12 %|
|3. Did you become more “conscious” as a result of the training? Did this change something in relation to your thoughts, your feelings, and your reaction on your thoughts and feelings?||92 %||9 %|
|4. Is it your intention to keep on practicing the formal exercises, i.e. the body scan, sitting meditation, walking meditation, and laying and standing yoga?||86 %||14 %|
|5. Is it your intention to keep on practicing to be conscious in daily life?||95 %||5 %|
|6. Has the training been sufficient to move on with your life?||66 %||34 %|
|Never||1 or 2 times a week||3 to 4 times a week||5 to 7 times a week|
|1. How many times a week, on average, did you practice the meditation exercises?||2 %||36 %||37 %||24 %|
|Less than before the training||The same as before the training||More often than before the training||Much more often than before the training|
|1. How many times do you pay attention to your child in moments you are together||0 %||14 %||66 %||21 %|
Did, as a result of the training, something changed on the following issues?
|Negative change||No change||Some positive change||Great positive change|
|1. Knowing to take better care of myself||0 %||19 %||44 %||37 %|
|2. Actually taking better care of myself||0 %||27 %||53 %||20 %|
|3. Periods of bother, stress, frustration||2 %||9 %||71 %||19 %|
|4. Intensity of bother, stress, frustration||0 %||17 %||53 %||31 %|
|5. Believing that I can improve the relationship with my child and family||0 %||17 %||40 %||43 %|
|6. Feeling self-confident||2 %||28 %||40 %||31 %|
|7. Feeling hopeful||2 %||22 %||37 %||39 %|
|8. Dealing with emotions (anger, sadness, fear)||0 %||14 %||64 %||22 %|
|9. Awareness of what is stressful in my life||0 %||7 %||53 %||41 %|
|10. Awareness of stressful rearing situations at the time they are happening||2 %||9 %||53 %||36 %|
|11. Ability to handle stressful rearing situations appropriately||0 %||17 %||62 %||21 %|
Judgments about (parts of the) training (from 1 = not important at all to 10 = very important)
|1. How important has the training been for you?||8.0|
|2. Sitting meditation in the group||8.2|
|3. Sitting meditation at home||7.5|
|4. Walking meditation in the group||5.4|
|5. Walking meditation at home||5.0|
|6. Body scan in the group||7.8|
|7. Body scan at home||6.7|
|8. Lying/sitting yoga in the group||6.8|
|9. Lying/sitting yoga at home||6.3|
|10. Standing yoga in the group||6.6|
|11. Standing yoga at home||6.0|
|12. Awareness in daily life||8.2|
|13. Group discussions and education||8.5|
|14. The diaries||7.1|
|15. The texts in the workbook||7.8|
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Bögels, S.M., Hellemans, J., van Deursen, S. et al. Mindful Parenting in Mental Health Care: Effects on Parental and Child Psychopathology, Parental Stress, Parenting, Coparenting, and Marital Functioning. Mindfulness 5, 536–551 (2014). https://doi.org/10.1007/s12671-013-0209-7
- Mindful Parenting
- Child psychopathology
- Parental psychopathology
- Parental stress