Effectiveness of mindfulness parent training on parenting stress and children's ADHD-related behaviors: A systematic review and meta-analysis. Issue 1 (June 2022)

• Record Type: Journal Article
• Authors: Lee, Clara S.C.; Ng, Ka-hin; Chan, Phyllis C.K.; Peng, Xianwei
• Is Part Of: Hong Kong journal of occupational therapy. Volume 35:Issue 1(2022)
• Page Start: 3
• Page End: 24
• Publication Date: 2022-06
• Subjects: Mindfulness parent training -- ADHD -- parenting stress -- problem behaviors -- children; Occupational therapy -- Periodicals; Medical rehabilitation -- Periodicals; Occupational Therapy -- Periodicals; Electronic journals; 615.8515
• DOI: 10.1177/15691861211073826
• Languages: English
• ISSNs: 1569-1861

Abstract

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.