International Journal of Pediatrics

Current Issue

By Issue

By Author

By Subject

Author Index

Keyword Index

About Journal

Aims and Scope

Editorial Board

Publication Ethics

Indexing and Abstracting

Related Links

FAQ

Peer Review Process

News

The Effect of Mindful Parenting-Based Telepsychology on Behavioral Symptoms of ADHD Children during Covid-19 Outbreak

Document Type : original article

Authors

1 Department of Psychiatry, Kashan University of Medical Sciences, Kashan, Iran

2 Student Research Committee, Faculty of medicine, Kashan University of Medical Sciences, Kashan, Iran

3 Student Research Committee, Faculty of Medicine, Kashan University of Medical Sciences, Kashan, Iran

4 Psychiatry and Behavioral Sciences Research Center, Addiction Institute, Mazandaran University of Medical Sciences, Sari, Iran

5 Department of Pediatrics, Faculty of Medicine, Kashan University of Medical Sciences, Kashan, Iran

6 Department of Biostatistics and Epidemiology, Faculty of Health, Kashan University of Medical Sciences, Kashan, Iran

10.22038/ijp.2024.77117.5414

Abstract

Background: Attention Deficit/Hyperactivity Disorder (ADHD) is one of the most common psychiatric disorders that cause major complications in children, and it is essential to identify the best treatment method especially during COVID-19 pandemic. Therefore, the aim of this study was to discuss the effects of mindful parenting-based telepsychology on behavioral symptoms of ADHD children during COVID-19 outbreak.
Methods: This randomized clinical trial was conducted on parents with ADHD children. All mothers underwent eight 45-min-sessions of mindful parenting-based telepsychology, administered once a week. Child Behavior Checklist (CBCL) was evaluated before, immediately after, and 2 months after the intervention.
Results: We did not find significant differences in the following subscales of CBCL: anxious/depressed, depressed, somatic complaints and thought problems, after and 2 months after the intervention between the two groups (P>0.05). While, after the intervention, social problems (11.65 ± 3.03 vs. 14.55 ± 1.93, P=0.001), attention problems (9.65 ± 2 vs. 11.25 ± 1.8, P=0.034), rule-breaking behavior (14.15 ± 2.15 vs17.35 ± 2.85, P=0.002), aggressive behavior (14.25 ± 2.19 vs. 19.75 ± 3.66, P<0.001), and total score of CBCL (90.55 ± 5.56 vs. 106.5 ± 8.81, P<0.001) were found to be significantly lower in the intervention group as compared to the control group; and they remained significantly lower in the intervention group, after a 2-month follow up (P<0.05).
Conclusion: Mindful parenting-based telepsychology significantly improves symptoms in children with ADHD from the parents' point of view. This type of training can also lead to an improvement in parent-child relationships, and so can be suggested as necessary for parents.

Keywords

References
  1. Qian X, Ren R, Wang Y, Guo Y, Fang J, Wu ZD, Liu PL, Han TR; Members of Steering Committee, Society of Global Health, Chinese Preventive Medicine Association. Members of Steering Committee, Society of Global Health, Chinese Preventive Medicine Association. Fighting against the common enemy of COVID-19: a practice of building a community with a shared future for mankind. Infect Dis Poverty 2020; 9(02):8–13.
  2. Soltani-Zangbar MS, Hajivalili M, Daneshdoost D, Ghadir S, Savari G, Zolfaghari M, Aghebati-Maleki L, Oloufi S, Nouri N, Amini N, Mehdizadeh A, Ghasemi Moghadam H, Mahmoodpoor A, Ahmadian Heris J, Yousefi M. SARSCoV2 infection induce miR-155 expression and skewed Th17/Treg balance by changing SOCS1 level: A clinical study. Cytokine. 2023 Sep; 169:156248. doi: 10.1016/j.cyto.2023.156248. Epub 2023 Jun 8. PMID: 37307689; PMCID: PMC10247889.
  3. Mahmoodnia L, Asgari Savadjani S, Mostafavi L, Sotoudehnia Korani S, Mohammad Alizadeh F, Chenarani Moghadam MS, Jahantigh HR, Neshat S, Shirbacheh A, Baharani J, Masomi R, Golestani Hotkani Z. IgA vasculitis nephritis (Schönlein-Henoch purpura with nephritis) following COVID-19 vaccination. J Nephropathol. 2023; 12 (2):e21447. DOI: 10.34172/jnp.2023.21447.
  4. Masjedi Esfahani, M., Talari, H., Azadbakht, J., Heidari, M. M., Salehi, M., Soltani, B., Nazemi, S., Ghasemi Adl, M., Tabatabaei, S. M. H. A Comparative Evaluation of the Clinical Course, Laboratory Data and Chest CT scan Findings in Pediatric Patients with Covid-19 and Their Prognostic Value in Disease Outcome Estimation. International Journal of Pediatrics, 2023; 11(10): 18327-18339. doi: 10.22038/ijp.2023.74419.5366.
  5. Nonweiler J, Rattray F, Baulcomb J, Happé F, Absoud M. Prevalence and associated factors of emotional and behavioral difficulties during COVID-19 pandemic in children with neurodevelopmental disorders. Children. (2020) 7:128. doi: 10.3390/children7090128.
  6. Waite P, Pearcey S, Shum A, Jasmine R, Patalay P, Creswell C. How did the mental health symptoms of children and adolescents change over early lockdown during the COVID-19 pandemic in the UK? J Child Psychol Psychiatry. (2021) 1:e12009. doi: 10.1111/jcv2.12009.
  7. Global Prevalence of Depressive and Anxiety Symptoms in Children and Adolescents during COVID-19: A Meta-analysis | Adolescent Medicine | JAMA Pediatrics | JAMA Network. Available online at: https://jamanetworkcom.ezpum.biu-montpellier.fr/journals/jamapediatrics/fullarticle/2782796 (accessed September 29, 2021).
  8. Bignardi G, Dalmaijer ES, Anwyl-Irvine AL, Smith TA, Siugzdaite R, Uh S, Uh S, Astle DE. Longitudinal increases in childhood depression symptoms during the COVID-19 lockdown. Arch Dis Child. (2020) 106:791–7. doi: 10.31219/osf.io/v7f3q.
  9. Ford T, John A, Gunnell D. Mental health of children and young people during pandemic. BMJ. (2021) 372:n614. doi: 10.1136/bmj.n614.
  10. Purper-Ouakil D, Wohl M, Michel G, Mouren MC, Gorwood P. (Symptom variations in ADHD: importance of context, development and comorbidity). Encephale. (2004) 30:533–9. doi: 10.1016/S0013-7006(04)95467-X.
  11. Purper-Ouakil D, Kerbage H. Enfants et al. Adolescents au Cours De la Crise Sanitaire. La Presse Médicale Formation. (2021) 2:259–66. doi: 10.1016/j.lpmfor.2021.06.012.
  12. Caye A, Swanson JM, Coghill D, Rohde LA. Treatment strategies for ADHD: an evidence-based guide to select optimal treatment. Molecular psychiatry. 2019; 24(3):390-408.
  13. Rowland AS, Skipper BJ, Rabiner DL, Qeadan F, Campbell RA, Naftel AJ, Umbach DM. Attention‐Deficit/Hyperactivity Disorder (ADHD): Interaction between socioeconomic status and parental history of ADHD determines prevalence. Journal of Child Psychology and Psychiatry. 2018; 59(3):213-22.
  14. Bögels S, Restifo K. Mindful parenting: A guide for mental health practitioners: Springer; 2013.
  15. Torvik FA, Eilertsen EM, McAdams TA, Gustavson K, Zachrisson HD, Brandlistuen R, Gjerde LC, Havdahl A, Stoltenberg C, Ask H, Ystrom E. Mechanisms linking parental educational attainment with child ADHD, depression, and academic problems: a study of extended families in The Norwegian Mother, Father and Child Cohort Study. Journal of Child Psychology and Psychiatry. 2020; 61(9):1009-18.
  16. Bernocchi P, Bonometti F, Serlini M, Assoni G, Zanardini M, Pasotti E, Guerrini S, Scalvini S. Telehealth and Telecare: A Real-Life Integrated Experience in the COVID-19 Pandemic. Telemedicine and e-Health. 2021.
  17. Spencer T, Noyes E, Biederman J. Telemedicine in the Management of ADHD: Literature Review of Telemedicine in ADHD. Journal of attention disorders. 2020; 24(1):3-9.
  18. Fogler JM, Normand S, O’Dea N, Mautone JA, Featherston M, Power TJ, Nissley-Tsiopinis J. Implementing group parent training in telepsychology: Lessons learned during the COVID-19 pandemic. Journal of pediatric psychology. 2020; 45(9):983-9.
  19. Behbahani M, Zargar F, Assarian F, Akbari H. Effects of mindful parenting training on clinical symptoms in children with attention deficit hyperactivity disorder and parenting stress: Randomized controlled trial. Iranian journal of medical sciences. 2018; 43(6):596.
  20. Achenbach T, Edelbrock C. The child behavior checklist manual. Burlington, VT: The University of Vermont; 1991.
  21. Achenbach TM. The classification of children's psychiatric symptoms: a factor-analytic study. Psychol Monogr. 1966; 80(7):1–37. doi: 10.1037/h0093906.
  22. Minaei a. Adaptation and standardization of child behavior checklist, youth self-report, and teacher's report forms. Journal of exceptional children (research on exceptional children). 2006; 6(1 (19)).
  23. Sadock BJ, Ruiz P. Synopsis of psychiatry behavioral sciences clinical psychiatry. 11th ed. Alphen aan den Rijn: Wolters Kluwer; 2013. pp. 443–61.
  24. Heath CL, Curtis DF, Fan W, McPherson R. The association between parenting stress, parenting self-efficacy, and the clinical significance of child ADHD symptom change following behavior therapy. Child Psychiatry Hum Dev. 2015; 46:118–29. doi: 10.1007/s10578-014-0458-2.
  25. Theule J, Wiener J, Tannock R, Jenkins JM. Parenting stress in families of children with ADHD: A meta-analysis. J Emot Behav Disord. 2013; 21:3–17. doi: 10.1177/1063426610387433.
  26. Townshend K. Conceptualizing the key processes of Mindful Parenting and its application to youth mental health. Australas Psychiatry. 2016; 24:575–7. doi: 10.1177/1039856216654392.
  27. Duncan LG, Coatsworth JD, Gayles JG, Geier MH, Greenberg MT. Can mindful parenting be observed? Relations between observational ratings of mother-youth interactions and mothers’ self-report of mindful parenting. J Fam Psychol. 2015; 29:276–82. doi: 10.1037/a0038857.
  28. van der Oord S, Bogels SM, Peijnenburg D. The Effectiveness of Mindfulness Training for Children with ADHD and Mindful Parenting for their Parents. J Child Fam Stud. 2012; 21:139–47. doi: 10.1007/s10826-011-9457-0.
  29. Lo HH, Wong SY, Wong JY, Wong SW, Yeung JW. The effect of a family-based mindfulness intervention on children with attention deficit and hyperactivity symptoms and their parents: design and rationale for a randomized, controlled clinical trial (Study protocol) BMC Psychiatry. 2016; 16:65. doi: 10.1186/s12888-016-0773-1.
  30. Duncan LG, Coatsworth JD, Greenberg MT. A model of mindful parenting: implications for parent-child relationships and prevention research. Clin Child Fam Psychol Rev. 2009; 12:255–70. doi: 10.1007/s10567-009-0046-3.
  31. Bogels SM, Lehtonen A, Restifo K. Mindful Parenting in Mental Health Care. Mindfulness (N Y) 2010; 1:107–20. doi: 10.1007/s12671-010-0014-5.
  32. Zargar F, Bagherian R, Sararoudi. Mindful Parenting: The Role of Third Wave Behavior Therapies in Parenting. Journal of Research in Behavioural Sciences. 2016; 13(4):587-94.
  33. Fazli n, Sajjadian i. The Effectiveness of Mindful Parenting Education on Child Behavior’s Problems and Parenting Stress among Mothers with Attention-deficit Hyperactivity Disorder. Knowledge & Research in Applied Psychology. 2016; 17(3 (65)):-.
  34. Pakdaman SN. Susan Bögels and Kathleen Restifo: Mindful Parenting: A Guide for Mental Health Practitioners. Springer, New York, 2014, 328 pp. Mindfulness 2014; 5:467–70. doi: 10.1007/s12671-013-0256-0.
  35. van der Oord S, Bogels SM, Peijnenburg D. The Effectiveness of Mindfulness Training for Children with ADHD and Mindful Parenting for their Parents. J Child Fam Stud. 2012; 21:139–47. doi: 10.1007/s10826-011-9457-0.
  36. Singh, N. N., Lancioni, G. E., Winton, A. S. W., Singh, J., Curtis, J. W., Wahler, R. G., McAleavey K.M. (2007). Mindful parenting decreases aggression and increases social behavior in children with developmental disabilities. Behavior Modification, 31, 749– 771.
  37. Singh, N. N., Lancioni, G. E., Winton, A. S. W., Fisher, B. C., Wahler, R. G., McAleavey, K., et al. (2006b). Mindful parenting decreases aggression, noncompliance, and self-injury in children with autism. Journal of Emotional and Behavioral Disorders, 14, 169–177.
International Journal of Pediatrics
Volume 12, Issue 1
January 2024
Pages 18461-18473
Files
Share
How to cite
Statistics