Effectiveness of Mindfulness-Based Intervention on Perceived Stress, Anxiety, and Depression Among Parents of Children with Autism Spectrum Disorder
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Parents of children with autism spectrum disorder (ASD) frequently report poor psychological well-being. Previous research has supported mindfulness-based interventions to enhance psychological well-being in parents of children with ASD, but studies about this topic are still rare. The purpose of this study was to examine the effectiveness of brief mindfulness-based intervention (MBI) on perceived stress, anxiety, and depression among parents of children with ASD in Jordan. A quasi-experimental pretest–posttest design with a comparison group was used. A sample of 104 parents of children with ASD has completed the study. Parents were matched on measures of age, gender, and level of severity of ASD in their children based on DSM-V criteria and randomized to one of the two groups. The intervention group participated in 5-week mindfulness-based intervention program, while participants in the comparison group had not attended the program between pretest and posttest measures. Participants in both groups had poor psychological well-being before the intervention program. After the intervention program, the one-way analyses of covariance (ANCOVA) indicated that parents in the intervention group had better outcomes on the measures of psychological well-being and mindfulness than those in the comparison group (P < 0.01). Furthermore, results of paired samples t test indicated that parents in the intervention group demonstrated significant improvements in measures of stress, anxiety, depression, and mindfulness scores with medium to large effect size (Cohen d between 0.42 and 0.85, P < 0.01). Although the comparison group demonstrated small improvement in measures of the dependent variables, these improvements were much less than improvements in the intervention group. The MBIs are culturally adaptable, feasible, and effective interventions to improve psychological well-being in parents of children with ASD.
KeywordsParent Mindfulness Anxiety Stress Depression Autism Child
Compliance with Ethical Standards
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or National Research Committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.
Conflict of Interest
The authors declare that they have no conflict of interest.
Informed consent was obtained from all individual participants included in the study.
The authors acknowledge the partial funding from the University of Jordan.
- Ahmad, M., & Dardas, L. (2016). Jordan: aspiration for a culturally sensitive nursing model. In J. J. Fitzpatrick & A. L. Whall (Eds.), Conceptual models of nursing: global perspectives. Upper Saddle: Pearson.Google Scholar
- American Psychiatric Association (APA). (2013a). Diagnostic and statistical manual of mental disorders, (DSM-5®). American Psychiatric Pub.Google Scholar
- American Psychiatric Association. (2013b). The clinician-rated severity of autism spectrum and social communication disorders scale. Retrieved from http://www.psychiatry.org/File%20Library/Practice/DSM/DSM-5/ClinicianRatedSeverityOfAutismSpectrumAndSocialCommunicationDisorders.pdf.
- Bazzano, A., Wolfe, C., Zylowska, L., Wang, S., Schuster, E., Barrett, C., & Lehrer, D. (2015). Mindfulness-based stress reduction (MBSR) for parents and caregivers of individuals with developmental disabilities: a community-based approach. Journal of Child and Family Studies, 24, 298–308.Google Scholar
- Bögels, S., & Restifo, K. (2013). Mindful parenting: a guide for mental health practitioners. Springer.Google Scholar
- Brislin, R. W. (1970). Back translation for the cross-cultural research. Journal of Cross Cultural Research, 1(13), doi: 10.1177/135910457000100301.
- Cachia, R. L., Anderson, A., & Moore, D. W. (2016). Mindfulness, stress and well-being in parents of children with autism spectrum disorder: a systematic review. Journal of Child and Family Studies, 25, 1–14. doi: 10.1007/s10826-015-0193-8.
- Chapman, D. W., & Carter, J. F. (1979). Translation procedures for the cross cultural use of measurement instrument. Education Evaluation and Public Analysis, 1(3). doi: 10.3102/01623737001003071.
- de Bruin, E. I., Blom, R., Smit, F. M., Steensel, V., & Bögels, S. M. (2014). MYmind: mindfulness training for youngsters with autism spectrum disorders and their parents. Autism, 19, 906–911.Google Scholar
- Ellis-Jones, I. (2013). Mindfulness and Islam. Retrieved 11 1, 2014, from https://www.google.jo/?gfe_rd=cr&ei=uSlVVPbUCe2q8wfejYHAAg#q=mindfulness+and+islam.Google Scholar
- Epstein, B. J. (2010). Effects of a mindfulness based stress reduction program on fathers of children with developmental disability. Hofstra University.Google Scholar
- Gunaratana, H. (2011). Mindfulness in plain English. USA: Wisdom Publications. Retrieved 10 15, 2014, from http://www.urbandharma.org/pdf2/Mindfulness%20in%20Plain%20English%20Book%20Preview.pdf.Google Scholar
- 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.PubMedCrossRefGoogle Scholar
- Kabat-Zinn, J. (1990). Full catastrophe living: using the wisdom of your body and mind to face stress, pain and illness. New York: Delacorte.Google Scholar
- Kabat-Zinn, J. (1994). Wherever you go, there you are: mindfulness meditation in everyday life. New York: Hyperion.Google Scholar
- Kabat-Zinn, J. (2011). Mindfulness for beginners: reclaiming the present moment—and your life. Sounds True.Google Scholar
- Lai, W. W., & Oei, T. P. S. (2014). Coping in parents and caregivers of children with autism spectrum disorders (ASD): a review. Review Journal of Autism and Developmental Disorders, 1(3), 207–224.Google Scholar
- Lovibond, S. H., & Lovibond, P. F. (1995). Manual for the depression anxiety stress scales. Sydney: Psychology Foundation.Google Scholar
- Masri, A. T., Al Suluh, N., & Nasir, R. (2013). Diagnostic delay of autism in Jordan: review of 84 cases. The Libyan Journal of Medicine, 8. doi: 10.3402/ljm.v8i0.21725.
- Nyklíček, I., Dijksman, S. C., Lenders, P. J., Fonteijn, W. A., & Koolen, J. J. (2014). A brief mindfulness based intervention for increase in emotional well-being and quality of life in percutaneous coronary intervention (PCI) patients: the MindfulHeart randomized controlled trial. Journal of Behavioral Medicine, 37(1), 135–144.PubMedCrossRefGoogle Scholar
- Phang, C., & Oei, T. (2012). From mindfulness to meta-mindfulness: further integration of meta-mindfulness concept and strategies into cognitive-behavioral therapy. Mindfulness, 3, 104–116.Google Scholar
- Rayan, A., & Jaradat, A. (2016). Stigma of mental illness and attitudes toward psychological help-seeking in Jordanian university students. Research in Psychology and Behavioral Sciences, 4(1), 7–14.Google Scholar
- Retso, J. (2002). Arabs in antiquity: their history from the Assyrians to the Umayyads. Florence: Routledge. 9780700716791. ISBN 0-7007-1679-3.Google Scholar
- Segal, Z. V., Williams, J. M., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression: a new approach to preventing relapse. New York: The Guilford Press.Google Scholar
- Taouk, M., Lovibond, P., & Laube, R. (2001). Psychometric properties of an Arabic version of the Depression Anxiety Stress Scales (DASS21). Report for New South Wales Transcultural Mental Health Centre, Cumberland Hospital, SydneyGoogle Scholar