Singh Nirbhay N, Lancioni Giulio E, Karazsia Bryan T, Myers Rachel E, Hwang Yoon-Suk, Anālayo Bhikkhu
Medical College of Georgia, Augusta University, Augusta, GA, United States.
Department of Neuroscience and Sense Organs, University of Bari, Bari, Italy.
Front Psychol. 2019 Mar 6;10:385. doi: 10.3389/fpsyg.2019.00385. eCollection 2019.
Parenting a child with autism spectrum disorder (ASD) or intellectual disabilities (IDs) can be stressful for many parents. Mindfulness-Based Positive Behavior Support (MBPBS) is a customized mindfulness program that enables parents and other caregivers to reduce their perceived psychological stress to normative levels through mindfulness procedures and to support children with ASD or ID to self-manage their challenging behaviors through positive behavior support (PBS). In this study, we evaluated whether MBPBS would have differential effects on the stress levels of mothers of adolescents with ASD ( = 47) or with ID ( = 45) and the effects of the program on the aggressive, disruptive, and compliance behaviors of their children. Both groups of mothers participated in the 40-week study (10 weeks control and 30 weeks MBPBS program), rated their own stress levels, and collected daily observational data on the adolescents' behavior. Results showed significant reductions in the level of stress in both groups of mothers, but no differential effects on mothers of children with ASD or with ID. In addition, significant reductions in aggression and disruptive behavior and increases in compliance behaviors were observed in the adolescents in both groups. The results suggest that MBPBS is equally beneficial for mothers of adolescents with ASD or ID. In the present study, although the mothers of children with ID had slightly higher levels of stress at baseline and mothers of children with ASD had lower levels of stress following the MBPBS program, the program can be considered equally effective in reducing the stress levels of both groups of mothers. This suggests that the program may be effective regardless of baseline levels of mothers' stress.
养育患有自闭症谱系障碍（ASD）或智力障碍（ID）的孩子，对许多家长来说压力重重。基于正念的积极行为支持（MBPBS）是一项定制的正念计划，它能让家长和其他照料者通过正念程序将他们感知到的心理压力降低到正常水平，并通过积极行为支持（PBS）来帮助患有ASD或ID的孩子自我管理具有挑战性的行为。在本研究中，我们评估了MBPBS是否会对患有ASD（n = 47）或ID（n = 45）的青少年母亲的压力水平产生不同影响，以及该计划对其孩子的攻击性行为、破坏性行为和顺从行为的影响。两组母亲都参与了这项为期40周的研究（10周对照期和30周MBPBS计划），她们对自己的压力水平进行评分，并收集有关青少年行为的每日观察数据。结果显示，两组母亲的压力水平均显著降低，但对患有ASD或ID孩子的母亲没有产生不同影响。此外，两组青少年的攻击性行为和破坏性行为显著减少，顺从行为增加。结果表明，MBPBS对患有ASD或ID的青少年母亲同样有益。在本研究中，尽管患有ID孩子的母亲在基线时压力水平略高，而患有ASD孩子的母亲在MBPBS计划实施后压力水平较低，但该计划在降低两组母亲的压力水平方面可被视为同样有效。这表明，无论母亲压力的基线水平如何，该计划可能都是有效的。
