Neece Cameron L, Chan Neilson, Klein Keith, Roberts Lisa, Fenning Rachel M
Loma Linda University.
Southern Illinois University - Carbondale.
Mindfulness (N Y). 2019 Jun;10(6):1017-1030. doi: 10.1007/s12671-018-1011-3. Epub 2018 Sep 6.
Parents of children with developmental delays (DD) report elevated mental health difficulties compared to parents of children with typical development, which appear largely associated with child behavior problems. Latino parents of children with DD may experience heightened risk for poor mental health outcomes due additional stressors associated with minority status. Mindfulness-Based Stress Reduction (MBSR) appears to be efficacious for reducing parenting stress and improving wellbeing in families of children with DD; however, studies have rarely focused on families from racial and ethnic minority backgrounds. The current study employed a mixed-methods, waitlist-control design to examine the efficacy of MBSR for improving parent and child outcomes in Latino and non-Latino families. Results indicate that MBSR is similarly efficacious for Latino and non-Latino families in improving parent mental health (parenting stress, depressive symptomatology, and life satisfaction) and reducing parent-reported child behavior problems. Qualitative analyses further highlight avenues for improving the efficacy of MBSR for Latino families by providing intervention directly in Spanish, rather than using translation services, for Spanish-speaking families. Findings reveal the efficacy of standard MSBR for Latino parents of children with DD and underscore the potential benefits of disseminating this practice to traditionally underrepresented families.
与发育正常儿童的父母相比,发育迟缓(DD)儿童的父母报告的心理健康问题更多,这在很大程度上似乎与儿童行为问题有关。由于与少数族裔身份相关的额外压力源,患有DD的拉丁裔儿童的父母可能面临心理健康状况不佳的更高风险。基于正念的减压疗法(MBSR)似乎对减轻患有DD儿童家庭的育儿压力和改善幸福感有效;然而,研究很少关注来自种族和少数民族背景的家庭。本研究采用混合方法、等待名单对照设计,以检验MBSR对改善拉丁裔和非拉丁裔家庭中父母和孩子状况的效果。结果表明,MBSR在改善父母心理健康(育儿压力、抑郁症状和生活满意度)以及减少父母报告的孩子行为问题方面,对拉丁裔和非拉丁裔家庭同样有效。定性分析进一步强调了通过直接为说西班牙语的家庭提供西班牙语干预而非使用翻译服务来提高MBSR对拉丁裔家庭效果的途径。研究结果揭示了标准MBSR对患有DD的拉丁裔儿童父母的有效性,并强调了将这种做法推广到传统上代表性不足家庭的潜在益处。