Effectiveness of mindfulness parent training on parenting stress and children’s ADHD-related behaviors: A systematic review and meta-analysis
Open accessAbstract
Background/Objective: Literature shows that there is a circular relationship between children’s ADHD-related behaviors and parenting stress. This systematic review and meta-analysis aimed to understand if mindfulness parent trainings have benefits for both parenting stress and the problem behaviors in children with ADHD. Methods: Five databases, CINAHL, Embase, PsycINFO, PubMED, and Web of Science, were searched. Within-group effects at post-treatment and follow-up assessment, and between-group effects at post-treatment were analyzed. Effect sizes (Hedges’ g) were also calculated. Results: Ten studies (5 RCTs and 5 non-RCTs) met the selection criteria and were selected for systematic review, and nine of them were included for meta-analysis. Among these 10 studies, five studies involved mindfulness training for both parents and children, while the other five studies involved mindfulness training for parents only. Within-group effects at post-treatment were small-to-large for all outcomes. Hedges’ g ranged between −0.17 [95% CI (−0.98, 0.64)] and 4.70 [95% CI (3.59, 5.81)] for parenting stress; 0.17 [95% CI (−0.03, 0.37)] and 4.03 [95% CI (2.97, 5.09)] for children’s problem behaviors; and 0.20 [95% CI (−0.10, 0.50)] and 2.98 [95% CI (2.16, 3.80)] for children’s ADHD symptoms. Between-group comparisons showed mindfulness parent training was superior to other active controls on all outcomes. Conclusion: Findings suggest that mindfulness parent training may be beneficial for parenting stress and children’s ADHD-related behaviors, and due to the small number of studies reviewed, cautions should be taken when interpreting the results.
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A wide range of interventions have been developed to improve mental health of parents of children with NDDs, including mindfulness and positive psychology interventions.
“A wide range of interventions have been developed to improve mental health of parents of children with NDDs, including mindfulness and positive psychology interventions (PPIs) [20, 22, 33, 53].”
From Effectiveness of a positive psychology and mindfulness-based app on mental health for parents of children with a neurodevelopmental disorder: study protocol of a pragmatic international randomized controlled trial (2024) · cites this paper as [53]
The passages indexed under Abstract > Conclusion (page not provided) describe mindfulness parent training as an intervention and report benefits for parental stress in families of children with ADHD. The cited paper does not establish the claim about positive psychology interventions or the wider range of neurodevelopmental disorders. (LLM, conf=0.87)
Experimental — accuracy not yet measuredMindfulness training is effective in reducing parenting stress in parents of children with ADHD and mothers of children with ASD.
“Mindfulness training has also shown to be effective in reducing parenting stress in parents of children with ADHD [53, 70] and mothers of children with ASD [25].”
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Tönis, K. J. M., Drossaert, C. H. C., ten Klooster, P. M., Schaer, M., Bourgeron, T., Buitelaar, J. K., Sadaka, Y., Freitag, C. M., Lapidus, K. M., Chiocchetti, A. G., et al. (2024) · Trials · doi:10.1186/s13063-024-08256-w · Cited by 3 · see citing works
“A wide range of interventions have been developed to improve mental health of parents of children with NDDs, including mindfulness and positive psychology interventions (PPIs) [20, 22, 33, 53].”
Background
- Authors
- Lee, C. S. C., Ng, K.-H., Chan, P. C. K., & Peng, X.
- Affiliations
- Hong Kong Polytechnic University (HK)
- Corresponding author
- Lee, Clara S.C.
- ORCID
- Lee, Clara S.C.
- Venue
- Hong Kong Journal of Occupational Therapy
- Publisher
- SAGE Publications
- Published
- 2022-03-03
- Volume
- 35
- Issue
- 1
- Pages
- 3-24
- ISSN
- 1569-1861 (ISSN-L)
- 1876-4398
- PMC
- PMC9279872
- OpenAlex
- W4214856242
- Cited by
- 28
- References
- 49
- Citations by year
- 2026: 6 · 2025: 9 · 2024: 9 · 2023: 3 · 2022: 1
- FWCI
- 0.92
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- Locations
- Hong Kong Journal of Occupational Therapy (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- PolyU Institutional Research Archive (Hong Kong Polytechnic University) (submittedVersion, cc-by-nc)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
- Keywords
- mindfulness, parent training, parental stress, attention deficit hyperactivity disorder, child behavior problems, ADHD symptoms, parent-child relationship, intervention effectiveness
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