Abstract
Parents of children with developmental delays (DD) often report significantly heightened levels of stress when compared to families of typically developing (TD) children. While elevated levels of early parenting stress are shown to negatively impact social development in TD children, this effect may be compounded for children with DD, who are already at greater risk of experiencing social difficulties. We sought to examine whether changes in child social skills occur after parent participation in mindfulness based stress reduction (MBSR) intervention, and whether these changes were associated with parent–child relational factors. Parental stress was reduced through an 8-week MBSR training group. Changes in child social skills were measured using the social skills improvement system (SSIS), which was completed by 3 categories of respondents: parents participating in the study, a secondary informant, and the child’s teacher. Parent–child relational factors were measured using the parenting relationship questionnaire (PRQ). Data from 24 families of children with DD (ages 2.5–5) was examined in this study. Paired samples t-tests examining pre-post differences revealed that mothers, secondary informants, and teachers acknowledged improvements in child self-control. Mothers and teachers also reported improvements in empathy and engagement, while secondary informants and teachers reported improvements in child assertion. Teachers also reported improvements in children’s communication, responsibility, and cooperation. Variance in child self-control was significantly accounted for by changes in two parent–child relational factors: attachment and discipline practices. These results suggest that addressing parental mental health may enhance the efficacy of child-focused interventions by promoting parental consistency in discipline and perceived attachment (i.e. parent–child closeness).
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Allen, N. B., Blashki, G., & Gullon, E. (2006). Mindfulness-based psychotherapies: A review of conceptual foundations, empirical evidence and practical considerations. Australian and New Zealand Journal of Psychiatry, 40, 285–294.
Anastopoulos, A. D., Guevremont, D. C., Shelton, T. L., & DuPaul, G. J. (1992). Parenting stress among families of children with attention deficit hyperactivity disorder. Journal of Abnormal Child Psychology, 20, 503–520.
Anthony, L. G., Anthony, B. J., Glanville, D. N., Naiman, D. Q., Waanders, C., & Shaffer, S. (2005). The relationships between parenting stress, parenting behaviour and preschoolers’ social competence and behaviour problems in the classroom. Infant and Child Development, 14, 133–154.
Baer, R. A., Smith, G. T., Lykins, E., Button, D., Krietemeyer, J., Sauer, S., et al. (2008). Construct validity of the five facet mindfulness questionnaire in meditating and nonmeditating samples. Assessment, 15, 329–342.
Baker, B. L., Blacher, J., Crnic, K. A., & Edelbrock, C. (2002). Behavior problems and parenting stress in families of three-year-old children with and without developmental delays. American Journal on Mental Retardation, 107, 433–444.
Baker, B. L., McIntyre, L. L., Blacher, J., Crnic, K., Edelbrock, C., & Low, C. (2003). Pre-school children with and without developmental delay: Behaviour problems and parenting stress over time. Journal of Intellectual Disability Research, 47, 217–230.
Barnett, M. A., Gustafsson, H., & Deng, M. (2012). Bidirectional associations among sensitive parenting, language development, and social competence. Infant and Child Development, 393(10), 374–393.
Baxter, C., Cummins, R. A., & Yiolitis, L. (2000). Parental stress attributed to family members with and without disability: A longitudinal study. Journal of Intellectual and Developmental Disability, 25, 105–118.
Bazzano, A., Wolfe, C., Zylovska, L., Wang, S., Schuster, E., Barrett, C., & Lehrer, D. (2010). Stress-reduction and improved well-being following a pilot community-based participatory mindfulness-based stress-reduction (MBSR) program for parents/caregivers of children with developmental disabilities. Disability and Health Journal, 3, e6–e7.
Beck, A., Hastings, R. P., Daley, D., & Stevenson, J. (2004). Pro-social behaviour and behaviour problems independently predict maternal stress. Journal of Intellectual and Developmental Disability, 29(4), 339–349.
Benn, R., Akiva, T., Arel, S., & Roeser, R. W. (2012). Mindfulness training effects for parents and educators of children with special needs. Developmental Psychology, 48, 1476–1487.
Blacker, M., Meleo-Meyer, F., Kabat-Zinn, J., & Santorelli, S. (2009). Stress reduction clinic mindfulness-based stress reduction (MBSR) curriculum guide. Massachusetts: Center for Mindfulness in Medicine, Health Care and Society, University of Massachusetts Medical School.
Bogels, S., Hoogstad, B., Van Dun, L., De Shutter, S., & Restifo, K. (2008). Mindfulness training for adolescents with externalizing disorders and their parents. Behavioral and Cognitive Psychotherapy, 36, 193–209.
Bohnert, A. M., Crnic, K. A., & Lim, K. G. (2003). Emotional competence and aggressive behavior in school-age children. Journal of Abnormal Child Psychology, 31(1), 79–91.
Briggs-Gowan, M. J., Carter, A. S., Skuban, E. M., & Horwitz, S. M. (2001). Prevalence of social–emotional and behavioral problems in a community sample of 1- and 2-year-old children. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 811–819.
Chiesa, A., & Serretti, A. (2009). Mindfulness-based stress reduction for stress management in healthy people: A review and meta-analysis. The Journal of Alternative and Complementary Medicine, 15, 593–600.
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale: Lawrence Erlbaum Associates.
Cohen, J., Cohen, P., West, S., & Aiken, L. (2002). Applied multiple regression/correlation analysis for the behavioral sciences (3rd ed.). Hillsdale: Lawrence Erlbaum Associates.
Coldwell, J., Pike, A., & Dunn, J. (2006). Household chaos—links with parenting and child behaviour. Journal of Child Psychology and Psychiatry, 47, 1116–1122.
Crnic, K. A., Gaze, C., & Hoffman, C. (2005). Cumulative parenting stress across the preschool period: Relations to maternal parenting and child behaviour at age 5. Infant and Child Development Special Issue Parenting Stress and Children’s Development, 14, 117–132.
Davis, N. O., & Carter, A. S. (2008). Parenting stress in mothers and fathers of toddlers with autism spectrum disorders: Associations with child characteristics. Journal of Autism and Developmental Disorders, 38, 1278–1291.
Deater-Deckard, K., Dodge, K. A., Bates, J. E., & Pettit, G. S. (1998). Multiple risk factors in the development of externalizing behavior problems: Group and individual differences. Development and Psychopathology, 10, 469–493.
Donenberg, G., & Baker, B. L. (1993). The impact of young children with externalizing behaviors on their families. Journal of Abnormal Child Psychology, 21, 179–198.
Downey, G., & Coyne, J. C. (1990). Children of depressed parents: An integrative review. Psychological Bulletin, 108, 50–76.
Eisenhower, A. S., Baker, B. L., & Blacher, J. (2009). Children’s delayed development and behavior problems: Impact on mothers’ perceived physical health across early child-hood. Social Science and Medicine, 68, 89–99.
Emerson, E. (2003). Mothers of children and adolescents with intellectual disability: social and economic situation, mental health status, and self-assessed social and psychological impact of the child’s difficulties. Journal of Intellectual Disability Research, 47, 385–399.
Fenning, R. M., Baker, B. L., & Juvonen, J. (2011). Emotion discourse, social cognition, and social skills in children with and without developmental delays. Child Development, 82(2), 717–731.
Fonseca, A., Nazaré, B., & Canavarro, M. C. (2013). Parental psychological distress and confidence after an infant’s birth: The role of attachment representations in parents of infants with congenital anomalies and parents of healthy infants. Journal of Clinical Psychology in Medical Settings, 20(2), 143–155.
Frey, R. J., Elliot, S. N., & Kaiser, A. P. (2014). Social skills intervention planning for preschoolers: Using the SSIS-Rating scales to target behaviors valued by parents and teachers. Assessment for Effective Intervention, 39(3), 182–192.
Garland, E., Gaylord, S., & Park, J. (2009). The role of mindfulness in positive reappraisal. Explore NY, 5(1), 37–44.
Gilliam, J. E. (2006). Gilliam autism rating scale (2nd ed.). Austin: PRO-ED Inc.
Green, S., & Baker, B. (2011). Parents’ emotion expression as a predictor of child’s social competence: Children with or without intellectual disability. Journal of Intellectual Disability Research, 5(3), 324–338.
Gresham, F. M., & Elliott, S. N. (2008). Social skills improvement system rating scales. Minneapolis: NCS Pearson.
Guralnick, M. J. (1999). Family and child influences on the peer-related social competence of young children with developmental delays. Mental Retardation and Developmental Disabilities Research Reviews, 5, 21–29.
Guralnick, M. J., Neville, B., Connor, R. T., & Hammond, M. A. (2003). Family factors associated with the peer social competence of young children with mild delays. American Journal on Mental Retardation, 108(4), 272–287.
Hart, C. H., DeWolf, D. M., Wozniak, P., & Burts, D. C. (1992). Maternal and paternal disciplinary styles: Relations with preschoolers’ playground behavioral orientations and peer status. Child Development, 63(4), 879–892.
Hassall, R., Rose, J., & McDonald, J. (2005). Parenting stress in mothers of children with an intellectual disability: The effects of parental cognitions in relation to child characteristics and family support. Journal of Intellectual Disability Research, 49(Part 6), 405–418.
Hastings, R. P. (2003). Child behaviour problems and partner mental health as correlates of stress in mothers and fathers of children with autism. Journal of Intellectual Disability Research, 47(4–5), 231–237.
Hastings, R. P., & Beck, A. (2004). Practitioner review: Stress intervention for parents of children with intellectual disabilities. Journal of Child Psychology and Psychiatry, 45(8), 1338–1349.
Hastings, R. P., Daley, D., Burns, C., & Beck, A. (2006). Maternal distress and expressed emotion: Cross-sectional and longitudinal relationships with behavior problems of children with intellectual disabilities. American Journal on Mental Retardation, 111, 48–61.
Hauser-Cram, P., Warfield, M. E., Shonkoff, J. P., & Krauss, M. W. (2001). Children with disabilities: A longitudinal study of child development and parent well-being. Monographs of the Society for Research in Child Development, 66, 1–131.
Hoffman, C. D., Sweeney, D. P., Hodge, D., Lopez-Wagner, M. C., & Looney, L. (2009). Parenting stress and closeness: Mothers of typically developing children and mothers of children with autism. Focus on Autism and Other Developmental Disabilities, 24(3), 178–187.
Jarvis, P. A., & Creasy, G. L. (1991). Parental stress, coping, and attachment in families with an 18 month old infant. Infant Behaviour and Development, 14, 383–395.
Johnston, C., & Mash, E. J. (2001). Families of children with attention-deficit/hyperactivity disorder: Review and recommendations for future research. Clinical Child and Family Psychology Review, 4, 183–207.
Jones, T. L., & Prinz, R. J. (2005). Potential roles of parental self-efficacy in parent and child adjustment: A review. Clinical Psychology Review, 25(3), 341–363.
Kabat-Zinn, J., Massion, A. O., Kristeller, J., & Peterson, L. G. (1992). Effectiveness of a meditation-based stress reduction program in the treatment of anxiety disorders. The American Journal of Psychiatry, 149, 936–943.
Kamphaus, R. W., & Reynolds, C. R. (2006). Parenting relationship questionnaire. Minneapolis: NCS Pearson.
Kersh, J., Hedvat, T. T., Hauser-Cram, P., & Warfield, M. E. (2006). The contribution of marital quality to the well-being of parents of children with developmental disabilities. Journal of Intellectual Disability Research, 50, 883–893.
Kim, E. S., & Kim, B. S. (2009). The structural relationships of social support, mother’s psychological status, and maternal sensitivity to attachment security in children with disabilities. Asia Pacific Education Review, 10(4), 561–573.
Lengua, L. J., Honorado, E., & Bush, N. R. (2011). Contextual risk and parenting as predictors of effortful control and social competence in preschool children. Journal of Applied Developmental Psychology, 28(1), 40–55.
Liu, C. C., Chen, Y. C., Yeh, Y. P., & Hsieh, Y. S. (2012). Effects of maternal confidence and competence on maternal parenting stress in newborn care. Journal of Advanced Nursing, 68(4), 908–918.
Merrell, K. W., & Holland, M. L. (1997). Social–emotional behavior of preschool-age children with and without developmental delays. Research in Developmental Disabilities, 18, 393–405.
Neece, C. L. (2013). Mindfulness-based stress reduction for parents of young children with developmental delays: Implications for parental mental health and child behavior problems. Journal of Applied Research in Intellectual Disabilities, 27(2), 174–186.
Neece, C. L., & Baker, B. L. (2008). Predicting maternal parenting stress in middle childhood: The roles of child intellectual status, behavior problems, and social skills. Journal of Intellectual Disability Research, 52, 1114–1128.
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.
Nieman, P., Calgary, A., & Shea, S. (2004). Effective discipline for children. Pediatric Child Health, 9(1), 37–41.
Oelofsen, N., & Richardson, P. (2006). Sense of coherence and parenting stress in mothers and fathers of preschool children with developmental disability. Journal of Intellectual and Developmental Disability, 31, 1–12.
Ooi, Y. P., Ang, R. P., Fung, D. S. S., Wong, G., & Cai, Y. (2006). The impact of parent–child attachment on aggression, social stress and self-esteem. School Psychology International, 27, 552–566.
Orsmond, G. I., Seltzer, M. M., Krauss, M. W., & Hong, J. (2003). Behavior problems in adults with mental retardation and maternal well-being: Examination of the direction of effects. American Journal on Mental Retardation, 108, 257–271.
Pettit, G. S., Bates, J. E., & Dodge, K. A. (1997). Supportive parenting, ecological context, and children’s adjustment: A seven-year longitudinal study. Child Development, 68(5), 908–923.
Pfiffner, L. J., McBurnett, K., Rathouz, P. J., & Judice, S. (2005). Family correlates of oppositional and conduct disorders in children with attention deficit/hyperactivity disorder. Journal of Abnormal Child Psychology, 33(5), 551–563.
Placone-Willey, P. M. (2002). A curriculum for mindful parenting: A model development dissertation. Dissertation Abstracts International, 63, 586B.
Reynolds, C. R., & Kamphaus, R. W. (2004). Behavior assessmen system for children (2nd ed.) Minneapolis, MN: NCS Pearson.
Robinson, E. A., Eyberg, S. M., & Ross, A. W. (1980). The standardization of an inventory of child conduct problem behaviors. Journal of Clinical Child and Adolescent Psychology, 9, 22–28.
Sameroff, A. J. (1998). Environmental risk factors in infancy. Pediatrics, 102(5), 1287–1292.
Sameroff, A. J. (Ed.). (2009). The transactional model of development: How children and contexts shape each other. Washington: American Psychological Association.
Sepa, A., Frodi, A., & Ludvigsson, J. (2004). Psychosocial correlates of parenting stress, lack of support and lack of confidence/security. Scandinavian Journal of Psychology, 45(2), 169–179.
Shin, H., Park, Y.-J., Ryu, H., & Seomun, G.-A. (2008). Maternal sensitivity: A concept analysis. Journal of Advanced Nursing, 64(3), 304–314.
Shoda, Y., Mischel, W., & Peak, P. K. (1990). Predicting adolescent cognitive and self-regulatory competencies from preschool delay of gratification: Identifying diagnostic conditions. Developmental Psychology, 26(6), 978–986.
Singh, N. N., Lancioni, G. E., Winton, A. S., Fisher, B. C., Wahler, R. G., Mcaleavey, K., 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. N., Lancioni, G. E., Winton, A. S., Singh, J., Curtis, J. W., 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.
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.
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.
Sparrow, S. S., Cichetti, D. V., & Balla, D. A. (2005). Vineland adaptive behavior scales: Parent/caregiver rating form (2nd ed.). Minneapolis: NCS Pearson.
Sparrow, S. S., Cichetti, D. V., & Balla, D. A. (2006). Vineland adaptive behavior scales: Teacher rating form (2nd ed.). Minneapolis: NCS Pearson.
Suárez, L. M., & Baker, B. L. (1997). Child externalizing behavior and parents’ stress: The role of social support. Family Relations, 46, 373.
Teti, D. M., Nakagawa, M., Das, R., & Wirth, O. (1991). Security of attachment between preschoolers and their mothers: Relations among social interaction, parenting stress, and mother’s sorts of the attachment Q-Set. Developmental Psychology, 27(3), 440–447.
Webster, R. I., Majnemer, A., Platt, R. W., & Shevell, M. I. (2008). Child health and parental stress in school-age children with a preschool diagnosis of developmental delay. Journal of Child Neurology, 23, 32–38.
Wilson, B. J., Fernandes-Richards, S., Aarskog, C., Osborn, T., & Capetillo, D. (2007). The role of emotion regulation in the social problems of boys with developmental delays. Early Education and Development, 18(2), 199–220.
Woolfson, L., & Grant, E. (2006). Authoritative parenting and parental stress in parents of pre-school and older children with developmental disabilities. Child Care Health and Development, 32(2), 177–184.
Yamagata, S., Takahashi, Y., Ozaki, K., Fujisawa, K. K., Nonaka, K., & Ando, J. (2013). Bidirectional influences between maternal parenting and children’s peer problems: A longitudinal monozygotic twin difference study. Developmental Science, 16(2), 249–259.
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Lewallen, A.C., Neece, C.L. Improved Social Skills in Children with Developmental Delays After Parent Participation in MBSR: The Role of Parent–Child Relational Factors. J Child Fam Stud 24, 3117–3129 (2015). https://doi.org/10.1007/s10826-015-0116-8
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DOI: https://doi.org/10.1007/s10826-015-0116-8