Assessment & Research

Mediator or moderator? The role of mindfulness in the association between child behavior problems and parental stress.

Chan et al. (2017) · Research in developmental disabilities 2017
★ The Verdict

Mindfulness shields parents from stress only when someone else flags the child’s behavior problems.

✓ Read this if BCBAs writing behavior plans for kids with ID who come with both parent and teacher rating scales.
✗ Skip if Clinicians serving only autistic adults or typically developing kids.

01Research in Context

01

What this study did

Oi and colleagues asked two questions. Does parent mindfulness soften the link between child behavior problems and parent stress? And does it matter who reports the behavior problems?

They gave surveys to parents and teachers of children with intellectual disability. Parents rated their own mindfulness and stress. Both groups rated child behavior.

02

What they found

When teachers said the child had tough behaviors, highly mindful parents felt far less stress. Mindfulness acted like a shock absorber.

When parents themselves rated the behaviors, mindfulness worked differently. It no longer buffered stress. The reporter changed the story.

03

How this fits with other research

Edwards et al. (2007) trained parents in mindfulness and saw child aggression drop. Oi et al. did not train anyone; they simply measured trait mindfulness. Together they show both teaching mindfulness and already-having it can help.

Shawler et al. (2021) found informal social support buffers Egyptian parents. Oi et al. found mindfulness does the same job in another sample. Different shields, same stress arrow.

Scior et al. (2023) showed that sleep, behavior and parent stress swing back and forth day-to-day. Oi et al. add the twist that who you ask about the behavior changes the pathway you see.

04

Why it matters

Before you treat parent stress, check who described the child’s behavior. If the report came from school, boosting parent mindfulness may give quick relief. If the parent already sees severe problems, mindfulness alone may not be enough; add skills training or support networks. Always ask, “Who filled out this rating scale?” The answer steers your intervention.

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Score the teacher and parent forms separately; lead with mindfulness coaching only if teacher scores are high and parent stress is the target.

02At a glance

Intervention
not applicable
Design
survey
Sample size
271
Population
intellectual disability
Finding
positive

03Original abstract

BACKGROUND: Raising a child with intellectual disability (ID) may be stressful for parents. Previous studies have suggested the mediating role of mindfulness in the association between child behavior problems and parental stress. AIMS: The present study examined whether this mediating role is a result of parents' self-report bias. It also explored whether mindfulness has a moderating role instead when child behavior problems are reported by teachers. METHODS: In a questionnaire survey, 271 Chinese parents of children with ID in 6 Hong Kong special schools reported their levels of stress and mindfulness, as well as their children's behavior problems. The latter was also reported by teachers. RESULTS: When child behavior problems were reported by parents, parental mindfulness was a mediator between child behavior problems and parental stress. In contrast, when child behavior problems were reported by teachers, parental mindfulness was a moderator between child behavior problems and parental stress. CONCLUSION: The mediation role of mindfulness maybe an artifact of measurement. The findings provide an encouraging message that parenting a child with ID and behavior problems does not necessarily mean more stress among all parents. Parents with a high level of mindfulness may experience less stress than those with a low level of mindfulness. WHAT THIS PAPER ADDS: Parents of children with intellectual disability (ID) tend to report high psychological stress. Previous self-report studies have identified mindfulness as a mediator in the association between child behavior problems and parental stress. The present study differs from previous studies by including third-party's reports. It has contributed to the existing body of knowledge in two respects. First, it examined whether the mediation effect resulted from parent self-report bias. Second, it tested an alternative hypothesis of the moderation effect by using teachers' reports to measure child behavior problems. The results showed that when child behavior problems were measured by parents' reports, parental mindfulness was a mediator between child behavior problems and parental stress. The more the parents reported that their children had behavior problems, the less they reported being mindful, which in turn the more stressful they were. However, when child behavior problems were measured by teachers' reports, parental mindfulness was a moderator instead, moderating the association between child behavior problems and parental stress. The association was ameliorated when parents reported high levels of mindfulness. These findings reveal another possible role of mindfulness and shed light on the support for parents of children with ID.

Research in developmental disabilities, 2017 · doi:10.1016/j.ridd.2017.08.007