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ORIGINAL ARTICLE
Year : 2020  |  Volume : 52  |  Issue : 4  |  Page : 132-138

Effect of mindfulness-based stress reduction occupational therapy program in parents of children with autism spectrum disorder: An interventional study


1 Occupational Therapy Training School and Centre, LTMMC and GH, Sion, Mumbai, Maharashtra, India
2 Autism Intervention Centre, LTMMC and GH, Sion, Mumbai, Maharashtra, India

Correspondence Address:
Sushant D Sarang
505, Soham, Plot 66, Sector New 50, Nerul, Navi Mumbai - 400 706, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijoth.ijoth_25_20

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Background: Raising a child with autism spectrum disorder (ASD) is highly demanding. Parents of children with ASD show increased parenting stress. This may lead to parental mental health problems, such as symptoms of stress, anxiety, and depression. Stress can affect the parents functioning and also hinder the ASD child's progress. Jon Kabbat Zinn defines mindfulness as a mental state achieved by focusing one's awareness on the present moment, while calmly acknowledging and accepting one's feelings, thoughts, and bodily sensations, used and helps to increased coping and decreased reactivity to physical and emotional difficulties. Objectives: The current study aimed at finding the effect of a mindfulness-based stress reduction-occupational therapy (MBSR-OT) program on psychological functioning (stress, anxiety, depression, mindfulness, and psychological wellbeing) in parents of children with ASD. Study Design: A one-arm interventional study with subgroup analysis was conducted. Methods: Sixty parents of children diagnosed with ASD were included in the study. Parents diagnosed with schizophrenia, intellectual disability, dementia, or receiving treatment for any mental illness were excluded. All the parents were scored on the following outcome measures: Perceived Stress Scale, Mindful Attention Awareness Scale, Ryff's Psychological Scale, and Hamilton Anxiety and Depression Scale. Data were analyzed using Windows-based R-Programming software. A paired t-test was used to analyze the data. Results: When results were analyzed, it was found that there was a significant improvement in the levels of stress (at baseline: mean ± standard deviation [SD] = 20.54 ± 4.89, 95% confidence interval [CI]:18.8–22.3; postintervention mean ± SD 10.96 ± 2.32, 95% CI: 10.1–11.8, P = 0.00), mindfulness (at baseline: Mean ± SD = 4.37 ± 0.90, 95% CI: 4.05–4.69; postintervention: Mean ± SD = 5.27 ± 0.70, 95% CI: 5.02–5.52, P = 0.00) psychological wellbeing (at baseline: Mean ± SD = 170.46 ± 25.54, 95% CI: 161–180; postintervention: Mean ± SD = 190.77 ± 24.53, P = 0.05, 95% CI: 182–200), anxiety (at baseline: Mean ± SD = 14.15 ± 5.72, 95% CI: 12.1–16.2; postintervention: Mean ± SD = 190.77 ± 24.53,95% CI: 182–200, P = 0.00) and depression (at baseline: Mean ± SD = 7.77 ± 3.90, 95% CI: 6.37–9.17; postintervention: Mean ± SD = 3.35 ± 2.94, 95% CI: 2.3–4.4, P = 0.00). Conclusion: MBSR-OT program can help reduce stress, anxiety, and improve the psychological wellbeing of parents having children with ASD.


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