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Stress in caregivers of individuals with intellectual or developmental disabilities: A systematic review of mindfulness-based interventions.

Journal of applied research in intellectual disabilities : JARID
March 1, 2018
Seán Ó Donnchadha
Journal ArticleReviewSystematic ReviewHuman Study
Study Details

Study Goal

The researchers aimed to evaluate the efficacy of mindfulness-based interventions (MBIs) for reducing stress and psychological distress in professional caregivers of individuals with intellectual or developmental disabilities (IDDs).

Results Summary

The review found inconsistent effects on stress but consistent improvements in caregivers' distress ratings. Process outcomes indicated increased mindful awareness, cognitive defusion, and reduced thought suppression, with treatment effects maintained or growing at follow-up.

Population

Professional caregivers supporting individuals with intellectual or developmental disabilities (IDDs).

Effective Dosage

Not available

Duration

Not specified

Interactions

None mentioned

Extracted Claims (7)
InterventionDirectionEndpointPopulationDosageImpactClaim #
mindfulness-based interventions (MBIs)
no change
stress
professional caregivers supporting individuals with intellectual or developmental disabilities (IDDs)
inconsistent findings
inconsistent findings in relation to stress, with significant reductions or increases reported
#1
mindfulness-based interventions (MBIs)
increase
caregivers' ratings of distress
professional caregivers supporting individuals with intellectual or developmental disabilities (IDDs)
-
consistently improved
#2
mindfulness-based interventions (MBIs)
increase
mindful awareness
professional caregivers supporting individuals with intellectual or developmental disabilities (IDDs)
-
suggested increased
#3
mindfulness-based interventions (MBIs)
increase
cognitive defusion
professional caregivers supporting individuals with intellectual or developmental disabilities (IDDs)
-
suggested increased
#4
mindfulness-based interventions (MBIs)
decrease
thought suppression
professional caregivers supporting individuals with intellectual or developmental disabilities (IDDs)
-
suggested reduced
#5
mindfulness-based interventions (MBIs)
increase
treatment effects
professional caregivers supporting individuals with intellectual or developmental disabilities (IDDs)
-
effects were maintained or continued to grow
#6
mindfulness-based interventions (MBIs)
increase
management of stress and distress
caregivers of individuals with IDDs
short-term
supports, at least, short-term benefits
#7
Abstract

BACKGROUND: The efficacy of mindfulness-based interventions (MBIs) for stress and psychological distress in professional caregivers supporting individuals with intellectual or developmental disabilities (IDDs) is reviewed. METHODS: Eight studies met inclusion criteria and were systematically reviewed, including RCTs and single-group designs. RESULTS: As per Reichow, Volkmar, and Cicchetti (Journal of Autism and Developmental Disorders, 38, 2008), three studies were classified as "adequate quality" and five were classified as "weak." There were inconsistent findings in relation to stress, with significant reductions or increases reported by caregivers following MBIs. MBIs consistently improved caregivers' ratings of distress. Process outcomes suggested increased mindful awareness, increased cognitive defusion and reduced thought suppression. Treatment effects were maintained or continued to grow at follow-up. CONCLUSIONS: Caregivers of individuals with IDDs face multiple challenges on a daily basis. This review supports, at least, short-term benefits for MBIs in the management of stress and distress in caregivers of individuals with IDDs.

Medical Subject Headings (MeSH)
CaregiversDevelopmental DisabilitiesHumansIntellectual DisabilityMindfulnessStress, PsychologicalTreatment Outcome
Study Links
Quality Scores
SafetyNot Assessed
Efficacy70/10
Quality65/10
Citation Metrics
Total Citations16
Citations/Year2.3
Relative Citation Ratio1.45
NIH Percentile64%
Research Impact Scores
APT Score0.50
Weight Score1.85
Normalized Score0.61
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