Cousineau Tara M, Hobbs Lorraine M, Arthur Kimberly C
Counseling and Mental Health Services, Harvard University, Cambridge, MA, United States.
Center for Mindfulness and Compassion, Cambridge Health Alliance, Cambridge, MA, United States.
Front Psychol. 2019 Aug 5;10:1602. doi: 10.3389/fpsyg.2019.01602. eCollection 2019.
Compassion- and mindfulness-based interventions (CMBIs) and therapies hold promise to support parent resilience by enabling adaptive stress appraisal and coping, mindful parenting, and perhaps crucially, self-compassion. These contemplative modalities have recently been expanded to parents of children with chronic illness, building on successful applications for adults facing stress, chronic pain, or mental illness, and for healthcare professionals in response to caregiver burnout resulting from their work. The design and adaptation of interventions and therapies require a conceptual model of parent resilience in the context of childhood chronic illness that integrates mindfulness and compassion. The objective of this paper is to propose and describe such a model. First, we review the need for parent support interventions for this population. Second, we introduce a Model of Compassion, Mindfulness, and Resilience in Parental Caregiving. We highlight the mindful parenting approaches, guiding theories for adaptive coping, and family resilience frameworks that informed our model. Third, we describe a case of a parent to illustrate a practical application model. Finally, we outline future directions for intervention development and research to examine the impact of CMBIs on parent resilience.
基于同情和正念的干预措施（CMBIs）及疗法有望通过促进适应性压力评估与应对、正念养育，以及或许最为关键的自我同情，来支持父母的适应力。这些冥想方式最近已扩展至患有慢性病儿童的父母群体，其基础是针对面临压力、慢性疼痛或精神疾病的成年人，以及针对因工作导致护理人员倦怠的医疗保健专业人员的成功应用案例。干预措施和疗法的设计与调整需要一个在儿童慢性病背景下整合正念和同情的父母适应力概念模型。本文的目的是提出并描述这样一个模型。首先，我们回顾针对这一群体的父母支持干预措施的必要性。其次，我们引入一个父母护理中的同情、正念与适应力模型。我们强调正念养育方法、适应性应对的指导理论，以及为我们的模型提供信息的家庭适应力框架。第三，我们描述一个父母的案例以说明一个实际应用模型。最后，我们概述干预措施发展和研究的未来方向，以检验CMBIs对父母适应力的影响。
