Griffith University, Gold Coast, Australia.
School of Applied Psychology, Health Building (G40), Parklands Drive, Southport, QLD, 4222, Australia.
Child Psychiatry Hum Dev. 2024 Oct;55(5):1342-1353. doi: 10.1007/s10578-023-01492-2. Epub 2023 Jan 23.
Parenting behaviour and rearing style contribute to the intergenerational relationship between parental and child anxiety. Current psychological interventions for child anxiety typically do not adequately address parental mental health, parenting behaviours or the parent-child relationship. The current pilot study examines the effectiveness of a mindful parenting intervention (MPI) for parents of young children with clinical anxiety. It was hypothesised that the intervention would be associated with improvements in parental stress, mental health, and mindfulness, and a reduction in child clinical anxiety symptoms. Twenty-one parents of children aged 3-7 years diagnosed with anxiety disorders participated in an 8-week group MPI program that aimed to increase their intentional moment to moment awareness of the parent-child relationship. Parental (anxiety, depression, hostility, stress, burden, mindfulness, mindful parenting) and child (anxiety diagnoses, anxiety severity, comorbidities) outcomes were assessed at pre- and post-intervention, and at 3-month follow-up. Parents reported a significant increase in mindful parenting and a significant reduction in parent-child dysfunctional interaction, but no change in mental health symptoms. There was a significant reduction in parent-rated child anxiety symptoms, severity of child anxiety diagnosis and number of comorbid diagnoses at post and 3-month follow-up. Limitations include a lack of waitlist control, small sample size, and participants were largely mothers, from intact families and highly educated. There was attrition of 43% and outcomes were predominantly self-report. MPIs offer a novel and potentially effective method of increasing mindful parenting, decreasing dysfunctional parent-child interactions, reducing parenting stress and might also be an effective early intervention for indirectly decreasing young children's clinical anxiety symptoms. Larger-scale controlled trials of MPIs are needed.
养育行为和养育方式促成了父母与子女焦虑之间的代际关系。目前针对儿童焦虑的心理干预措施通常不能充分解决父母的心理健康、养育行为或亲子关系问题。本研究旨在检验正念养育干预(MPI)对有临床焦虑的幼儿父母的有效性。研究假设该干预措施与父母压力、心理健康和正念的改善以及儿童临床焦虑症状的减少有关。21 名 3-7 岁被诊断为焦虑障碍的儿童的父母参加了为期 8 周的小组 MPI 项目,该项目旨在提高他们对亲子关系的即时意识。在干预前、干预后和 3 个月随访时评估父母(焦虑、抑郁、敌意、压力、负担、正念、正念养育)和儿童(焦虑诊断、焦虑严重程度、共病)的结果。父母报告说,他们的正念养育能力显著提高,父母与孩子之间的功能失调互动显著减少,但心理健康症状没有变化。父母对孩子焦虑症状、孩子焦虑诊断严重程度和共病诊断数量的评估在干预后和 3 个月随访时显著降低。研究的局限性包括缺乏等待对照、样本量小,以及参与者主要是来自完整家庭和受过高等教育的母亲。研究存在 43%的参与者流失,结果主要是自我报告。MPI 提供了一种新颖且潜在有效的增加正念养育、减少功能失调的亲子互动、减轻养育压力的方法,也可能是一种间接减少幼儿临床焦虑症状的有效早期干预方法。需要进行更大规模的、针对 MPI 的对照试验。