Cited by 324Family and Disability Support ResearchDown syndrome and intellectual disability researchBehavioral and Psychological Studies

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Practitioner Review: Stress intervention for parents of children with intellectual disabilities

Hastings, Richard P., Beck, Alexandra·2004·Journal of Child Psychology and Psychiatry

DOI 10.1111/j.1469-7610.2004.00357.x

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Abstract

BACKGROUND: Parents of children with intellectual disabilities are at increased risk for stress and other mental health problems. The purpose of the present review is to consider the evidence base for psychological intervention to remediate stress in these parents. METHODS: A selective review of interventions designed to reduce stress in parents of children with intellectual disabilities, with a focus on group interventions that incorporate various cognitive behavioural techniques. RESULTS: Research evidence suggests that standard service models (e.g., respite care, case management) probably help to reduce parental stress. The strongest evidence base is for cognitive behavioural group interventions, especially for the reduction of stress in mothers. Some data also indicate the potential value of parent-led support networks. CONCLUSIONS: More research and clinical development are needed to establish a firmer evidence base for stress interventions with parents of children with intellectual disabilities. There are also a number of potential practical implications of reducing parental stress for maximising the efficacy of general parent training interventions and also behavioural programmes for children's challenging behaviours.

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Wong, D. F. K., Poon, A., & Kwok, S. Y. C. L. (2011) · Journal of Intellectual Disability Research · doi:10.1111/j.1365-2788.2011.01431.x · Cited by 11
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Koca, A. (2019) · Dusunen Adam The Journal of Psychiatry and Neurological Sciences · doi:10.14744/dajpns.2019.00008 · Cited by 11
“In addition to these results, a large number of studies found that the stress level in mothers of intellectually disabled children was higher than in mothers who did not have disabled children (25).”
Result
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“This argument is based on evidence to the link between parental adjustment difficulties and children’s outcomes [8,12].”
Background
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“Parents of adolescents with intellectual disabilities reported higher levels of stress and need for parental support than parents of normal adolescents (Hastings & Beck, 2004).”
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Perceived stress moderates the relationship between family support and family quality of life among parents of children living with intellectual and developmental disabilities
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Effects of Stress Management Training by Using Cognitive-Behavioral Method on Reducing Anxiety and Depression among Parents of Children with Mental Retardation
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“Several studies have also documented that the co-occurrence of ID and problem behaviors is associated with increased stress on families and caregivers ( Hastings & Beck, 2004 ; Lecavalier, Leone, & Wiltz, 2006 ; Matthews, Weston, Baxter, Felce, & Kerr, 2008 ; Mitchell & Hastings, 2001 ).”
Background
Families as Partners
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“In another review of the literature, Hastings & Beck (2004) found strong evidence for CBT in decreasing parental stress among parents of children with DD.”
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“…special needs of the family member with ID. Studies investigating ID and families report mental health difficulties in family members, high stress levels, and poor quality of life (Ajuwon & Brown, 2012; Hassall et al., 2005; Hastings & Beck, 2004; Saloviita et al., 2003; White & Hastings, 2004).”
Background
Getting Ready for Preschool: Linking Early Intervention and Family Mental Health for Infants and Toddlers with Developmental Delay
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“Cognitive-behavioral strategies—cognitive restructuring, problem solving, and interpersonal skills training—are associated with reducing stress and depressive symptoms for parents of children with DD (Hastings and Beck 2004).”
Background
Gaining super control: Psychoeducational group intervention for adolescents with mild intellectual disability and their parents
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“…impact marital satisfaction (Hartley, Barker, Baker, Seltzer, & Greenberg, 2012), are correlated with higher rates of problem behavior in siblings (Hastings & Beck, 2004), and parents of children with disabilities who engage in problem behavior find it harder to maintain employment (Hall,…”
Background
The experiences of “autism mothers” who become behavior analysts: A qualitative study.
Barbera, M. L. (2007) · The Journal of Speech and Language Pathology – Applied Behavior Analysis · doi:10.1037/h0100227 · Cited by 8
“…and fathers of children with autism report significantly more stress than do parents of children without disabilities or parents of children with other disabilities, including chronic illnesses (Hastings, Kovshoff, Ward, Espinosa, Brown, & Remington, 2005; Gray, 2002; Hastings & Beck, 2004).”
Background
Parenting Styles, Parental Involvement in School, and Educational Functioning of Children with Special Needs Integrated into Mainstream Education
Yaffe, Y. (2015) · Journal of Studies in Education · doi:10.5296/jse.v5i4.8588 · Cited by 8
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“Research on families of Children with intellectual disability has repeatedly indicated three stressful effects of the intellectual disability – a) Social isolation increased indicators of stress in the parents and c) a greater incidence of problems in school and in the society when the parents learn that the child is…”
Background
Psychosocial interventions for people with intellectual disabilities
Dagnan, D. (2001) · Cambridge University Press eBooks · doi:10.1017/cbo9780511543616.021 · Cited by 7
Effectiveness of counselling on the attitudes of mothers towards their children with intellectual disability
Saravanan, C., & Rangaswamy, K. (2012) · Asia Pacific Journal of Counselling and Psychotherapy · doi:10.1080/21507686.2011.648648 · Cited by 7
“However, if mothers’ negative attitudes do not change after parental counselling, they mothers may need to undergo long-term evidence-based psychological intervention to reduce their stress, modify their dysfunctional attitudes and enhance their mental health (Hastings & Beck, 2004).”
Background
Systemic Consultation in Intellectual Disability Case Management
Fennessy, K., Rhodes, P., Wilson, V., Uddin, S., Dickens, K., Wilson, A., Bless, R., Ellery, A., Errol, V., & Ogilvy, L. (2015) · Australian and New Zealand Journal of Family Therapy · doi:10.1002/anzf.1104 · Cited by 7
Additional Treatment Parameters and Issues Requiring Study: Early Intensive Behavioral Intervention (EIBI)
Eikeseth, S. (2017) · Autism and child psychopathology series · doi:10.1007/978-3-319-61738-1_13 · Cited by 7
A psychodynamic understanding of parental stress among parents of children with learning and developmental disability and behaviours that challenge
Coetzee, O., Adnams, C. M., & Swartz, L. M. (2018) · Psychodynamic Practice · doi:10.1080/14753634.2018.1526106 · Cited by 7
“…behaviour in the child’s profile has been linked to elevated levels of parental stress and depression among a significant minority of mothers of children with learning and developmental disability (LDD) (Hastings & Beck, 2004; Hayes & Watson, 2013; Singer, 2006; Singer, Ethridge, & Aldana, 2007).”
Background

Authors: Hastings, R. P., & Beck, A.
Affiliations: Bangor University (GB)
Corresponding author: Hastings, Richard P.
ORCID: Hastings, Richard P.
Venue: Journal of Child Psychology and Psychiatry
Publisher: Wiley
Published: 2004-11
Volume: 45
Issue: 8
Pages: 1338-1349
ISSN: 0021-9630 (ISSN-L)
1469-7610
DOI: 10.1111/j.1469-7610.2004.00357.x
OpenAlex: W1999748683
Semantic Scholar: fb7c8eef6f89891ece4e4757708feab9f7aa2691
Cited by: 324
References: 88
Citations by year: 2026: 6 · 2025: 10 · 2024: 8 · 2023: 8 · 2022: 13 · 2021: 16 · 2020: 11 · 2019: 15 · 2018: 16 · 2017: 28 · 2016: 30 · 2015: 23 · 2014: 26 · 2013: 27 · 2012: 15
FWCI: 9.60
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor, 1335 d)
Locations: Journal of Child Psychology and Psychiatry (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Down syndrome and intellectual disability research
Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
Keywords: parental stress, intellectual disability, parents of children with intellectual disabilities, psychological intervention, respite care, case management, mothers, parent training, behavioral problems
MeSH terms: Adult, Child, Depression, Humans, Intellectual Disability, Parents, Practice Patterns, Physicians', Stress, Psychological, Cognitive Behavioral Therapy

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Practitioner Review: Stress intervention for parents of children with intellectual disabilities

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