Interventions to Improve the Mental Health of Mothers of Children with a Disability: Systematic Review, Meta-analysis and Description of Interventions

To investigate the effectiveness of interventions that aim to improve the mental health of mothers of children with disabilities. Seven databases were searched. Interventions incorporated primarily cognitive-behavioural, psychoeducation, mindfulness or support-group approaches. The Template-for-Inte...

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Bibliographic Details
Published in:Journal of autism and developmental disorders 2021-10, Vol.51 (10), p.3690-3706
Main Authors: Bourke-Taylor, Helen M., Lee, Den-Ching Angel, Tirlea, Loredana, Joyce, Kahli, Morgan, Prue, Haines, Terrence P.
Format: Article
Language:English
Subjects:
Behavior
Behavioral Science and Psychology
Child and School Psychology
Child Rearing
Children
Children with disabilities
Clinical practice guidelines
Clinical research
Clinical trials
Cognition
Cognitive ability
Cognitive behavioral therapy
Cognitive-behavioral factors
Demographic aspects
Disabilities
Disability
Disabled children
Family
Health aspects
Intervention
Medical research
Mental Health
Mental health services
Meta-analysis
Mindfulness
Mothers
Neurosciences
Original Paper
Parental stress
Parents & parenting
Pediatrics
People with disabilities
Program Effectiveness
Psychiatric services
Psychoeducational treatment
Psychological aspects
Psychology
Public Health
Random effects
Research Reports
Stress
Stress Variables
Systematic review
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Summary:To investigate the effectiveness of interventions that aim to improve the mental health of mothers of children with disabilities. Seven databases were searched. Interventions incorporated primarily cognitive-behavioural, psychoeducation, mindfulness or support-group approaches. The Template-for-Intervention-Description-and-Replication guided descriptions. Meta-analyses using a random effect model of randomized controlled trials assessed intervention effects on parenting stress and mental health. Of the 1591 retrieved papers, 31 met criteria to be appraised and 17 were included in the meta-analysis. Cognitive-behavioural approaches reduced parenting stress [2 studies, n = 64, pooled Standardized-Mean-Difference (SMD) = 0.86, 95% CI (0.43, 1.29)] and improved mental health [3 studies, n = 186, pooled SMD = 1.14, 95% CI (0.12, 2.17)], psychoeducation approaches improved mental health [2 studies, n = 165, SMD = 0.60, 95% CI (0.17, 1.03)]. Cognitive-behavioural and psychoeducation interventions are effective. Further research and clinical guidelines are warranted.
ISSN:0162-3257
1573-3432
DOI:10.1007/s10803-020-04826-4