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The Distinguishing Characteristics of Parents Seeking a Mindful Parenting Intervention in Child Mental Health Care

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Abstract

As a clinical intervention, Mindful Parenting has positive effects on parental stress and psychopathology, as well as child psychopathology. However, previous studies have not considered what characterizes parents and families who receive this type of intervention. The current study utilized a quasi-experimental design to determine the characteristics that distinguish parents seeking or referred to a mindful parenting intervention in community child mental health care centers. Two groups of parents were recruited to the study: treatment-seeking parents (n = 89), and a comparison group of parents from a community population (n = 66). All parents completed measures relating to their child’s psychopathology, their own psychopathology, general mindful awareness, and parenting measures of stress, over-reactivity, experiential avoidance and mindful parenting. A cross-sectional comparison confirmed that the treatment-seeking parents reported significantly higher psychopathology in their child (d = 0.91–1.19) and in themselves (d = 0.99–1.21), lower general mindful awareness, and higher parenting stress, over-reactivity, parental experiential avoidance and lower mindful parenting than the community parents. Across all outcomes, group differences in mindful parenting indicated the largest effect (d = 1.77), followed by parenting stress (d = 1.42), general mindfulness (d = 1.34), parental over-reactivity (d = 1.32), and parental experiential avoidance (d = 1.21). Hierarchical binary logistic regression analyses indicated that, next to higher child internalizing problems, lower mindful parenting distinguished treatment-seeking parents from community parents. Those parents seeking or referred to a mindful parenting intervention may benefit most from improvements in the very construct that the intervention targets: cultivating mindful parenting.

Highlights

  • Characteristics of parents seeking or referred to a mindful parenting intervention were compared to those of parents from the community.

  • Treatment-seeking parents reported higher psychopathology in their child and themselves compared to community parents.

  • Treatment-seeking parents were distinguished from community parents by lower mindfulness and mindful parenting, higher parental stress, overreactivity and experiential avoidance.

  • Higher internalizing child problems and lower mindful parenting mostly distinguished treatment-seeking parents.

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References

  • Abrahamse, M., Niec, L., Junger, M., Boer, F., & Lindauer, R. J. L. (2016). Risk factors for attrition from an evidence-based parenting program: findings from the Netherlands. Children and Youth Services Review, 64, 42–50. https://doi.org/10.1016/j.childyouth.2016.02.025.

    Article  Google Scholar 

  • Achenbach, T. M., & Rescola, L. A. (2001). Manuel for the ASEBA school-age forms & profiles. Burlington, VT: University of Vermont, Research Center for Children, Youth, & Families.

    Google Scholar 

  • Achenbach, T. M., & Rescola, L. A. (2003). Manual for the ASEBA adult forms & profiles. Burlington, VT: University of Vermont, Research Center for Children, Youth, & Families.

    Google Scholar 

  • Adams, D., Young, K., Simpson, K., & Keen, D. (2019). Parent descriptions of the presentation and management of anxiousness in children on the autism spectrum. Autism, 23, 980–992. https://doi.org/10.1177/1362361318794031.

    Article  PubMed  Google Scholar 

  • Adler, L. A., Barkley, R. A., Newcorn, J. H., Spencer, T. J., & Weiss, M. D. (2007). Managing ADHD in children, adolescents, and adults with comorbid anxiety in primary care. Primary Care Companion to the Journal of Clinical Psychiatry, 9, 129–138.

    Article  Google Scholar 

  • Arnold, D. S., O’Leary, S. G., Wolff, L. S., & Acker, M. M. (1993). The parenting scale: a measure of dysfunctional parenting in discipline situations. Psychological Assessment, 5, 137. https://doi.org/10.1037/1040-3590.5.2.137.

    Article  Google Scholar 

  • Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13, 27–45. https://doi.org/10.1177/1073191105283504.

    Article  PubMed  Google Scholar 

  • 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. https://doi.org/10.1046/j.1365-2788.2003.00484.x.

    Article  PubMed  Google Scholar 

  • Bitsika, V., & Sharpley, C. F. (2004). Stress, anxiety and depression among parents of children with autism spectrum disorder. Australian Journal of Guidance and Counseling, 14, 151–161.

    Article  Google Scholar 

  • Bӧgels, S. M., & Emerson, L.-M. (2018). The mindful family: a systemic approach to mindfulness, relational functioning, and somatic and mental health. Current Opinion in Psychology, 28. https://doi.org/10.1016/j.copsyc.2018.12.001.

  • Bӧgels, S. M., Hellemans, J., van Deursen, S., Rӧmer, M., & van der Meulen, R. (2014). Mindful parenting in mental health care: effects on parental and child psychopathology, parental stress, parenting, coparenting and marital functioning. Mindfulness, 5, 536–551. https://doi.org/10.1007/s12671-013-0209-7.

    Article  Google Scholar 

  • Bögels, S. M., Lehtonen, A., & Restifo, K. (2010). Mindful parenting in mental health care. Mindfulness, 1, 107–120. https://doi.org/10.1007/s12671-010-0014-5.

    Article  PubMed  PubMed Central  Google Scholar 

  • Bögels, S. M., & Restifo, K. (2013). Mindful parenting: A guide for mental health practitioners. New York: Springer.

  • Bohlmeijer, E., Peter, M., Fledderus, M., Veehof, M., & Baer, R. (2011). Psychometric properties of the Five Facet Mindfulness Questionnaire in depressed adults and development of a short form. Assessment, 18, 308–320. https://doi.org/10.1177/1073191111408231.

    Article  PubMed  Google Scholar 

  • Brock, A., de Vermulst, A. A., Gerris, J. R. M., & Abidin, R. R. (1992). Nijmeegse Ouderlijke stress index. Handleiding experimentele versie. Lisse: Swets & Zeitlinger.

    Google Scholar 

  • Brown, F. L., Whittingham, K., & Sofronoff, K. (2014). Parental experiential avoidance as a potential mechanism of change in a parenting intervention for parents of children with pediatric acquired brain injury. Journal of Pediatric Psychology, 40, 464–474. https://doi.org/10.1093/jpepsy/jsu109.

    Article  PubMed  Google Scholar 

  • Buckholdt, K. E., Parra, G. R., & Jobe-Shields, L. (2014). Intergenerational transmission of emotion dysregulation through parental invalidation of emotions: implications for adolescent internalizing and externalizing behaviors. Journal of Child and Family Studies, 23, 324–332. https://doi.org/10.1007/s10826-013-9768-4.

    Article  PubMed  Google Scholar 

  • Cheron, D. M., Ehrenreich, J. T., & Pincus, D. B. (2009). Assessment of parental experiential avoidance in a clinical sample of children with anxiety disorders. Child Psychiatry and Human Development, 40, 383–403. https://doi.org/10.1007/s10578-009-0135-z.

    Article  PubMed  Google Scholar 

  • Cohen, J. (1988). Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale, NJ: Lawrence Earlbaum Associates.

    Google Scholar 

  • Corning, A. F., & Malofeeva, E. V. (2004). The application of survival analysis to the study of psychotherapy termination. Journal of Counseling Psychology, 51, 354–367. https://doi.org/10.1037/0022-0167.51.3.354.

    Article  Google Scholar 

  • Costello, E. J., Egger, H., & Angold, A. (2005). 10-year research update review: the epidemiology of child and adolescent psychiatric disorders: I. Methods and public health burden. Journal of the American Academy of Child & Adolescent Psychiatry, 44, 972–986.

    Article  Google Scholar 

  • de Bruin, E. I., Topper, M., Muskens, J. G., Bögels, S. M., & Kamphuis, J. H. (2012). Psychometric properties of the Five Facets Mindfulness Questionnaire (FFMQ) in a meditating and a non-meditating sample. Assessment, 19, 187–197. https://doi.org/10.1097/01.chi.0000172552.41596.6f.

    Article  PubMed  Google Scholar 

  • de Bruin, E. I., Zijlstra, B. J. H., Geurtzen, N., van Zundert, R. M. P., van de Weijer-Bergsma, E., Hartman, E. E., Nieuwesteeg, A. M., Duncan, L. G., & Bögels, S. M. (2014). Mindful parenting assessed further: psychometric properties of the Dutch version of the interpersonal mindfulness in parenting scale (IM-P). Mindfulness, 5, 200–212. https://doi.org/10.1177/1073191112446654.

    Article  PubMed  Google Scholar 

  • 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. https://doi.org/10.1007/s10567-009-0046-3.

    Article  PubMed  PubMed Central  Google Scholar 

  • Dutch Youth Institute (Nederlands Jeugs Instituut—NJI). (2020). https://www.nji.nl/nl/Databank/Databank-Effectieve-Jeugdinterventies.

  • Emerson, L.-M., Aktar, E., de Bruin, E., Potharst, E., Bögels, S. M. (2019). Mindful parenting in secondary child mental health: key parenting predictors of treatment effects. Mindfulness, https://doi.org/10.1007/s12671-019-01176-w.

  • GGZ Nederland (2020). https://www.ggzstandaarden.nl/zorgstandaarden/autisme/introductie.

  • Gouveia, M. J., Carona, C., Canavarro, M. C., & Moreira, H. (2016). Self-compassion and dispositional mindfulness are associated with parenting styles and parenting stress: the mediating role of mindful parenting. Mindfulness, 7, 700–712. https://doi.org/10.1007/s12671-016-0507-y.

    Article  Google Scholar 

  • Han, Z. R., Ahemaitijiang, N., Yan, J., Hu, X., Parent, J., Dale, C., DiMarzio, K., & Singh, N. N. (2019). Parent mindfulness, parenting, and child psychopathology in China. Mindfulness, https://doi.org/10.1007/s12671-019-01111-z.

  • Hayes, S. A., & Watson, S. L. (2013). The impact of parenting stress: a meta-analysis of studies comparing the experience of parenting stress in parents of children with and without autism spectrum disorder. Journal of Autism and Developmental Disorders, 43(3), 629–642. https://doi.org/10.1007/s10803-012-1604-y.

    Article  PubMed  Google Scholar 

  • Johnson, E., Mellor, D., & Brann, P. (2008). Differences in dropout between diagnoses in Child and Adolescent Mental Health Services. Clinical Child Psychology and Psychiatry, 13, 515–530.

    Article  PubMed  Google Scholar 

  • Kabat-Zinn, M., & Kabat-Zinn, J. (1997). Everyday blessings: The inner work of mindful parenting. New York: Hyperion.

    Google Scholar 

  • Kessler, R. C., Angermeyer, M., & Anthony, J. C., et al. (2007). Lifetime prevalence and age-of-onset distributions of mental disorders in the World Health Organization’s World Mental Health Survey Initiative. World Psychiatry, 6, 168–176.

    PubMed  PubMed Central  Google Scholar 

  • Knowledge Center Child and Adolescent Psychiatry (2020). https://www.kenniscentrum-kjp.nl/professionals/autisme/.

  • Kovess-Masfety, V., Husky, M. M., Keyes, K., Hamilton, A., Pez, O., Bitfoi, A., Carta, M. G., Goelitz, D., Kuijpers, R., Otten, R., Koç, C., Lesinskiene, & Mihova, Z. (2016). Comparing the prevalence of mental health problems in children 6–11 across Europe. Social Psychiatry and Psychiatric Epidemiology, 51, 1093–1103. https://doi.org/10.1007/s00127-016-1253-0.

    Article  PubMed  PubMed Central  Google Scholar 

  • Mathis, E. T., Shapiro, A., Hawkins, J. T., Charlot-Swilley, D., Lingo, K.J., Spencer, T., Trachtenberg, D., McPherson, S. K. L., Domitrovich, C. E., & Biel, M. G. (2018). Cultivating mindfulness in parents of young children: effects of a mindful parenting intervention pilot in a low-income community. Journal of the American Academy of Child & Adolescent Psychiatry, 57(10S). https://doi.org/10.1016/j.jaac.2018.09.055.

  • Meppelink, R., de Bruin, E. I., Wanders-Mulder, F. H., Vennik, C. J., & Bögels, S. M. (2016). Mindful Parenting training in child psychiatric settings: heightened parental mindfulness reduces parents’ and children’s psychopathology. Mindfulness, 7, 680–689. https://doi.org/10.1007/s12671-016-0504-1.

    Article  PubMed  PubMed Central  Google Scholar 

  • Mingerbach, T., Kamp-Becker, I., Christiansen, H., & Weber, L. (2018). Meta-meta-analysis on the effectiveness of parent-based interventions for the treatment of child externalizing behavior problems. PLoS ONE, 26, 13. https://doi.org/10.1371/journal.pone.0202855.

    Article  Google Scholar 

  • Moroney, E., Tung, I., Brammer, W. A., Peris, T. S., & Lee, S. S. (2017). Externalizing outcomes of youth with and without ADHD: time-varying prediction by parental ADHD and mediated effects. Journal of Abnormal Child Psychology, 45, 457–470.

    Article  PubMed  Google Scholar 

  • National Institute for Health and Care Excellence. (2017). Antisocial behaviour and conduct disorders in children and young people: recognition and management. https://www.nice.org.uk/guidance/CG158/chapter/1-Recommendations#psychosocial-interventions-treatment-and-indicated-prevention.

  • National Institute for Health and Care Excellence. (2019). Attention deficit hyperactivity disorder: diagnosis and management. https://www.nice.org.uk/guidance/ng87.

  • Pohar, M., Blas, M., & Turk, S. (2004). Comparison of logistic regression and linear discriminant analysis: a simulation study. Metodolski Zvezk, 1, 143–161.

    Google Scholar 

  • Polanczyk, G. V., Salum, G. A., Sugaya, L. S., Caye, A., & Rohde, L. A. (2015). Annual research review: a meta-analysis of the worldwide prevalences of mental disorders in children and adolescents. Journal of Child Psychology and Psychaitry, 56, 345–365. https://doi.org/10.1111/jcpp.12381.

    Article  Google Scholar 

  • Potharst, E. S., Baartmans, J. M., & Bögels, S. M. (2018). Mindful parenting training in a clinical versus non-clinical setting: an explorative study. Mindfulness, 1–15. https://doi.org/10.1007/s12671-018-1021-1.

  • Ridderinkhof, A., de Bruin, E. I., Blom, R., & Bӧgels, S. M. (2018). Mindfulness-based program for children with Autism Spectrum Disorder and their parents: direct and long-term improvements. Mindfulness, 9, 773–791. https://doi.org/10.1007/s12671-017-0815-x.

    Article  PubMed  Google Scholar 

  • Rutherford, H. J., Wallace, N. S., Laurent, H. K., & Mayes, L. C. (2015). Emotion regulation in parenthood. Developmental Review, 1, 1–14. https://doi.org/10.1016/j.dr.2014.12.008.

    Article  Google Scholar 

  • Ryan, S. M., Jorm, A. F., Toumbourou, J. W., & Lubman, D. I. (2015). Parent and family factors associated with service use by young people with mental health problems: a systematic review. Early Intervention in Psychiatry, 9, 433–446. https://doi.org/10.1111/eip.12211.

    Article  PubMed  Google Scholar 

  • Tabachnick, B. G., & Fidell, L. S. (2012). Using multivariate statistics. 6th ed. Boston: Allyn & Bacon.

    Google Scholar 

  • Theule, J., Wiener, J., Tannock, R., & Jenkins, J. M. (2013). Parenting stress in families of children with ADHD: a meta-analysis. Journal of Emotional and Behavioral Disorders, 21, 3–17. https://doi.org/10.1177/1063426610387433.

    Article  Google Scholar 

  • Thomas, R., & Zimmer-Gembeck, M. (2007). Behavioral outcomes of Parent-Child Interaction Therapy and Triple P-Positive Parenting Program: a review and meta-analysis. Journal of Abnormal Child Psychology, 35, 475–495.

    Article  PubMed  Google Scholar 

  • Siegel, D. J., & Hartzell, M. (2013). Parenting from the inside out: How a deeper self-understanding can help you raise children who thrive. New York: Penguin.

  • Smith, J. D., & Dishion, T. J. (2013). Mindful parenting as a transdiagnostic family process in the development and maintenance of youth psychopathology. In J. T. Ehrenreich-May, B. C. Chu (Eds), Transdiagnostic Mechanisms and Treatment for Youth Psychopathology. New York: Guilford Press.

  • Swift, J. K., & Greenberg, R. P. (2012). Premature discontinuation in adult psychotherapy: a meta-analysis. Journal of Consulting and Clinical Psychology, 80, 547–559.

    Article  PubMed  Google Scholar 

  • Tiwari, S., Podell, J. C., Martin, E. D., Mychailyszyn, M. P., Furr, J. M., & Kendall, P. C. (2008). Experiential avoidance in the parenting of anxious youth: theory, research, and future directions. Cognition and Emotion, 22, 480–496. https://doi.org/10.1080/02699930801886599.

    Article  Google Scholar 

  • Van den Akker, A. L., Dekovic, M., & Prinzie, P. (2010). Transitioning to adolescence: how changes in child personality and overreactive parenting predict adolescent adjustment problems. Developmental Psychopathology, 22, 151–163. https://doi.org/10.1017/S0954579409990320.

    Article  Google Scholar 

  • van Steensel, F. J. A., Bögels, S. M., & de Bruin, E. I. (2013). Psychiatric comorbidity in children with autism spectrum disorders: a comparison with children with ADHD. Journal of Child and Family Studies, 22, 368–376. https://doi.org/10.1007/s10826-012-9587-z.

    Article  PubMed  Google Scholar 

  • Vanheusden, K., van der Ende, J., Mulder, C. L., van Lenthe, F. J., Verhulst, F. C., & Mackenbach, J. P. (2009). Beliefs about mental health problems and help-seeking behavior in Dutch young adults. Social Psychiatry and Psychiatric Epidemiology, 44, 239–246. https://doi.org/10.1007/s00127-008-0428-8.

    Article  PubMed  Google Scholar 

  • 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.

    Google Scholar 

  • Warden, D., Rush, A. J., Wisniewski, S. R., Lesser, I. M., Thase, M. E., Balasubramani, G. K., & Trivedi, M. H. (2009). Income and attrition in the treatment of depression: a STARD report. Depression and Anxiety, 26, 622–633. https://doi.org/10.1002/da.20541.

    Article  PubMed  Google Scholar 

  • Weber, L., Kamp-Becker, I., Christiansen, H., & Mingebach, T. (2019). Treatment of child externalizing behavior problems: a comprehensive review and meta-meta-analysis on effects of parent-based interventions on parental characteristics. European Child and Adolescent Psychiatry, 28, 1025–1036. https://doi.org/10.1007/s00787-018-1175-3.

    Article  PubMed  Google Scholar 

  • Woodruff-Borden, J., Morrow, C. M., Bourland, S., & Cambron, S. (2002). The behavior of anxious parents: examining mechanisms of transmission of anxiety from parent to child. Journal of Clinical Child and Adolescent Psychology, 31, 364–374. https://doi.org/10.1207/S15374424JCCP3103_08.

    Article  PubMed  Google Scholar 

  • Zimmerman, F. J. (2005). Social and economic determinants of disparities in professional help-seeking for child mental health problems: evidence from a national sample. Health Services Research, 40, 1514–1533. https://doi.org/10.1111/j.1475-6773.2005.00411.x.

    Article  PubMed  PubMed Central  Google Scholar 

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Authors and Affiliations

  1. School of Health Sciences, University of Canterbury, Christchurch, New Zealand

    Lisa Marie Emerson

  2. Research Institute of Child Development and Education, University of Amsterdam, Amsterdam, The Netherlands

    Julia Biesters, Esther de Bruin & Susan Bögels

  3. Research Priority Area Yield, University of Amsterdam, Amsterdam, The Netherlands

    Julia Biesters, Esther de Bruin & Susan Bögels

  4. UvA Minds, Academic Outpatient (Child and Adolescent) Treatment Center, University of Amsterdam, Amsterdam, The Netherlands

    Esther de Bruin & Susan Bögels

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  1. Lisa Marie Emerson
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Emerson, L.M., Biesters, J., de Bruin, E. et al. The Distinguishing Characteristics of Parents Seeking a Mindful Parenting Intervention in Child Mental Health Care. J Child Fam Stud 30, 881–893 (2021). https://doi.org/10.1007/s10826-020-01890-3

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