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Cognitive behavioural therapy and mindfulness for stress and burnout: a waiting list controlled pilot study comparing treatments for parents of children with chronic conditions
Karlstad University, Faculty of Arts and Social Sciences (starting 2013), Department of Social and Psychological Studies.ORCID iD: 0000-0002-3691-7086
University of Jyväskylä, Jyväskylä, Finland.
University of Jyväskylä, Jyväskylä, Finland.
Karlstad University, Faculty of Arts and Social Sciences (starting 2013), Department of Social and Psychological Studies.ORCID iD: 0000-0001-7453-5399
2018 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 32, no 1, p. 389-396Article in journal (Refereed) Published
Abstract [en]

Background

Parents of children with chronic conditions often experience a crisis with serious mental health problems for themselves as a consequence. The healthcare focus is on the children; however, the parents often worry about their children's health and future but are seldom offered any counselling or guidance.

Aim

The aim of this study was to investigate the effectiveness of two group-based behavioural interventions on stress and burnout among parents of children with chronic conditions.

Design, participants and setting

After a waiting list control period (n = 28), parents were offered either a cognitive behavioural (CBT, n = 10) or a mindfulness program (MF, n = 9).

Results

Both interventions decreased significantly stress and burnout. The within-group effect sizes were large in both interventions (CBT, g = 1.28–1.64; MF, g = 1.25–2.20).

Conclusions

Hence, the results of this pilot study show that treating a group using either CBT or mindfulness can be an efficient intervention for reducing stress levels and burnout in parents of children with chronic conditions.

Place, publisher, year, edition, pages
John Wiley & Sons, 2018. Vol. 32, no 1, p. 389-396
Keywords [en]
stress, care giving, chronic illness, cognitive, behaviour therapy, mindfulness, nursing models, burn-out, parents of children with chronic conditions
National Category
Psychology (excluding Applied Psychology)
Research subject
Psychology
Identifiers
URN: urn:nbn:se:kau:diva-48332DOI: 10.1111/scs.12473OAI: oai:DiVA.org:kau-48332DiVA, id: diva2:1089822
Available from: 2017-04-21 Created: 2017-04-21 Last updated: 2018-03-01Bibliographically approved
In thesis
1. Fears, Stress and Burnout in Parents of Children with Chronic Conditions: Treatment with Cognitive Behavioural Therapy and Mindfulness
Open this publication in new window or tab >>Fears, Stress and Burnout in Parents of Children with Chronic Conditions: Treatment with Cognitive Behavioural Therapy and Mindfulness
2017 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The aim of the present research was threefold: to investigate the fears of parents of children with chronic conditions; to evaluate the effectiveness of their treatment with either mindfulness-based therapy or cognitive behavioural therapy (CBT); and to assess treatment outcome in terms of health-related quality of life (HRQoL). Long-term stress can lead to some form of chronic stress reaction. In study one, fears of future cancer recurrence and of late effects of treatment were most prominent among parents of CNS tumour patients. Study two investigated the effectiveness of two group-based interventions on stress and burnout among parents of children with chronic conditions. Parents were offered either a CBT or a mindfulness programme. Both interventions significantly decreased stress and burnout. Study three focused on the HRQoL and life satisfaction of the parents in study two. The results indicate improvements for participants in both treatment groups regarding certain areas of HRQoL and life satisfaction. To conclude, fears concerning future cancer recurrence and late effects of treatment are most prominent among parents of children with cancer. Another conclusion is that CBT and mindfulness decrease stress and burnout and may have a positive effect on areas of HRQoL and life satisfaction.

Abstract [en]

The aim of the present research was threefold: to investigate the fears of parents of children with chronic conditions who suffer from fears, stress and burnout; to evaluate the effectiveness of their treatment with either mindfulness-based therapy or cognitive behavioural therapy (CBT); and to assess treatment outcome in terms of health-related quality of life (HRQoL). Research on parents of children with chronic conditions has shown that this parent group frequently suffers from psychological problems. Long-term stress can lead to some form of chronic stress reaction. In study one, parents of children with brain tumours were asked to rate the extent to which they experienced a set of specific fears related to their child’s brain tumour and its treatment. Fears of future cancer recurrence and of late effects of treatment were most prominent among parents of CNS tumour patients. Study two investigated the effectiveness of two group-based interventions on stress and burnout among parents of children with chronic conditions. After a waiting list control period, parents were offered either a CBT or a mindfulness programme. After eight group therapy sessions, both interventions significantly decreased stress and burnout. Study three focused on the HRQoL and life satisfaction of the parents in study two. The results indicate improvements for participants in both treatment groups regarding certain areas of HRQoL and life satisfaction. To conclude, many parents of children with chronic conditions suffer from stress-related mental illness and need targeted interventions for their own problems. The present research concludes that fears concerning future cancer recurrence and concerning late effects of treatment are most prominent among parents of children with cancer. Another conclusion is that CBT and mindfulness decrease stress and burnout and may have a positive effect on areas of HRQoL and life satisfaction in parents of children with chronic conditions.

Place, publisher, year, edition, pages
Karlstads universitet, 2017. p. 88
Series
Karlstad University Studies, ISSN 1403-8099 ; 2017:19
Keywords
Parents of children with chronic conditions, mindfulness, CBT, stress, burnout, HRQoL, life satisfaction
National Category
Psychology
Research subject
Psychology
Identifiers
urn:nbn:se:kau:diva-48462 (URN)978-91-7063-779-7 (ISBN)978-91-7063-780-3 (ISBN)
Public defence
2017-06-13, 9C203, Nyquistsalen, 10:15 (Swedish)
Opponent
Supervisors
Available from: 2017-05-23 Created: 2017-05-03 Last updated: 2018-02-26Bibliographically approved

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