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The Effectiveness of Mindfulness-Based Interventions in Improving the Mental Health of Parents of Children with Intellectual or Developmental Disabilities: A Systematic Review and Meta-Analysis.

Tingting Yang, Yufei Wang, Ping Xu, Yuexian Tao

Journal of autism and developmental disorders March 13, 2025 DOI: 10.1007/s10803-025-06790-3 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Systematic review and meta-analysis Randomized Peer reviewed
Sample size 1,124
Population Parents of children with intellectual and developmental disabilities
Intervention mindfulness-based interventions
Duration 8-week intervention or more (subgroup analysis)
Topics Meditation
Keywords Caregivers Developmental disability Intellectual disability Meta-analysis
Citations 3
Key findings Mindfulness-based interventions moderately reduce stress, depressive symptoms, distress, and anxiety in parents of children with intellectual and developmental disabilities, and improve parent-child relationships.

Abstract

This review aims to evaluate the effectiveness of mindfulness-based interventions in improving the mental health of parents of children with intellectual and developmental disabilities (IDDs), specifically focusing on outcomes such as parental stress, anxiety, depression, and parent-child relationships. A systematic search was conducted across multiple databases, including Web of Science, PubMed, Embase, and others, up to December 2024. Two reviewers independently screened studies, extracted data, and assessed bias risk using the Cochrane Risk of Bias tool. Studies involving parents of children with intellectual or developmental disabilities who received mindfulness-based interventions and reported psychological outcomes were included. The meta-analysis was conducted using Review Manager 5.4 software, with a random effects model applied. This systematic review included 15 studies (1124 participants), of which 14 were used for meta-analysis (1078 participants). The results indicate that mindfulness-based interventions reduced the stress levels [SMD = - 0.26, 95% CI (- 0.49, - 0.04)], depressive symptoms [SMD = - 0.37, 95% CI (- 0.66, - 0.08)], distress [SMD = - 0.26, 95% CI (- 0.43, - 0.09)] and anxiety symptoms[SMD = - 0.35, 95% CI (- 0.66, - 0.04)] of parents of children with IDDs, while also improving parent-child relationships [SMD = - 0.32, 95% CI (- 0.05, - 0.58)], although the effects were moderate. Subgroup analyses revealed that interventions lasting 8 weeks or more [SMD =- 0.41, 95% CI (-0.67, -0.14)] and those targeting only the parents [SMD = - 0.26, 95% CI (- 0.44, - 0.08)] showed some positive effects in improving parent-child relationships or parent stress. Mindfulness-based interventions appear to have a positive effect on improving the mental health of parents of children with IDDs. However, the evidence of their effectiveness in enhancing parental mindfulness remains inconclusive. Future studies should consider the key factors influencing intervention implementation and optimize the design of large-scale randomized controlled trials to systematically and comprehensively assess the effectiveness and applicability of mindfulness-based interventions.

Comparable studies

Other systematic reviews and meta-analyses on meditation, most cited first.

Study Year Design Participants
Meditation Programs for Psychological Stress and Well-being Diverse adult clinical populations 2014 Meta-analysis n = 3,515
Mindfulness-Based Stress Reduction for Stress Management in Healthy People: A Review and Meta-Analysis Healthy subjects 2009 Systematic review and meta-analysis
The psychological effects of meditation: A meta-analysis. Nonclinical groups of adult meditators 2012 Meta-analysis n = 163
Efficacy of Mindfulness-Based Cognitive Therapy in Prevention of Depressive Relapse Adults with recurrent depression in full or partial remission 2016 Meta-analysis of individual patient data from randomized controlled trials n = 1,258
Mindfulness‐Based Stress Reduction and Mindfulness‐Based Cognitive Therapy – a systematic review of randomized controlled trials 2011 Systematic review

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