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Research Article

ACT-based interventions for reducing psychological distress in parents and caregivers of children with autism spectrum disorders: Recommendations for higher education programs

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Pages 133-157 | Received 17 Apr 2019, Accepted 06 Feb 2020, Published online: 23 Feb 2020

References

  • Almogbel, Y. S., Goyal, R., & Sansgiry, S. S. (2017, May). Association between parenting stress and functional impairment among children diagnosed with neurodevelopmental disorders. Community Mental Health Journal, 53(4), 405–414.
  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed. ed.). Washington, DC: Author.
  • Azeredo, A., Moreira, D., & Barbosa, F. (2018). ADHD, CD, and ODD: Systematic review of genetic and environmental risk factors. Research in Developmental Disabilities, 82, 10–19.
  • Backen Jones, L., Whittingham, K., Coyne, L., & Lightcap, A. (2016). A contextual behavioral science approach to parenting intervention and research. In R. D. Zettle, S. C. Hayes, D. Barnes‐Holmes, & A. Biglan (Eds.), The wiley handbook of contextual behavioral science (pp. 398–322). Hoboken, NJ: Wiley.
  • Barkley, R. A. (2002). Major life activity and health outcomes associated with attention-deficit/hyperactivity disorder. The Journal of Clinical Psychiatry 63(12), 10–15.
  • Barnes, D., Lawlor, H., Smeets, P. M., & Roche, B. (1996). Stimulus equivalence and academic self-concept among mildly mentally handicapped and nonhandicapped children. The Psychological Record, 46(1), 87–107.
  • Baxter, A. J., Brugha, T. S., Erskine, H. E., Scheurer, R. W., Vos, T., & Scott, J. G. (2015). The epidemiology and global burden of autism spectrum disorders. Psychological Medicine, 45(3), 601–613.
  • Birnbrauer, J. S., & Leach, D. J. (1993). The Murdoch early intervention program after 2 years. Behaviour Change, 10(2), 63–74.
  • Blackledge, J. T., & Hayes, S. C. (2006). Using acceptance and commitment training in the support of parents of children diagnosed with autism. Child and Family Behavior Therapy, 28(1), 1–18.
  • Bögels, S., Hoogstad, B., van Dun, L., de Schutter, S., & Restifo, K. (2008). Mindfulness training for adolescents with externalizing disorders and their parents. Behavioural and Cognitive Psychotherapy, 36(2), 193–209.
  • Bohlin, G., Bromark, G., Granat, T., Haglund, N., Sjöholm-Lif, E., & Zander, E. (2004). Mångsidiga intensiva insatser för barn med autism i förskoleåldern. Föreningen Sveriges habiliteringschefer. Föreningen Sveriges habiliteringschefer.
  • Brown, F., Whittingham, K., Boyd, R., McKinlay, L., & Sofronoff, K. (2014). Improving child and parenting outcomes following pediatric acquired brain injury: A randomised controlled trial of stepping stones triple P plus acceptance and commitment therapy. Journal of Child Psychology and Psychiatry, 55, 1172–1183.
  • Brown, F. L., Whittingham, K., & Sofronoff, K. (2015). Parental experiential avoidance as a potential mechanism of change in a parenting intervention for parents of children with pediatric acquired brain injury. Journal of Pediatric Psychology, 40(4), 464–474.
  • Buchanan-Pascall, S., Gray, K. M., Gordon, M., & Melvin, G. A. (2018). Systematic review and meta-analysis of parent group interventions for primary school children aged 4–12 years with externalizing and/or internalizing problems. Child Psychiatry and Human Development, 49, 244–267.
  • Cassone, A. R. (2015). Mindfulness training as an adjunct to evidence-based treatment for ADHD within families. Journal of Attention Disorder, 19(2), 147–157.
  • Cohen, J. A. S., & Semple, R. J. (2010). Mindful parenting: A call for research. Journal of Child and Family Studies, 19(2), 145–151.
  • Corti, C., Pergolizzi, F., Vanzin, L., Cargasacchi, G., Villa, L., Pozzi, M., & Molteni, M. (2018). Acceptance and commitment therapy-oriented parent-training for parents of children with autism. Journal of Child and Family Studies, 27(9), 2887–2900.
  • Coyne, L. W., & Wilson, K. G. (2004). The role of cognitive fusion in impaired parenting: An RFT analysis. International Journal of Psychology and Psychological Therapy, 4(3), 469–486.
  • Drmic, I. E., Szatmari, P., & Volkmar, F. (2018). Life course health development in autism spectrum disorders. In N. Halfon, C. B. Forrest, R. M. Lerner, & E. M. Faustman (Eds), Handbook of life course health development (pp. 237–274). Cham: Springer.
  • Dumas, J. E. (2005). Mindfulness-based parent training: Strategies to lessen the grip of automaticity in families with disruptive children. Journal of Clinical Child and Adolescent Psychology, 34(4), 779–791.
  • Duncan, L. G., Coatsworth, J. D., & Greenberg, M. T. (2009). A model of mindful parenting: Implications for parent–child relationships and prevention research. Clinical Child and Family Psychology Review, 12(3), 255–270.
  • Dykens, E. M. (2000). Psychopathology in children with intellectual disability. Journal of Child Psychology and Psychiatry, 41(4), 407–417.
  • Dykens, E. M., & Lambert, W. (2013). Trajectories of diurnal cortisol in mothers of children with autism and other developmental disabilities: Relations to health and mental health. Journal of Autism and Developmental Disorders, 43(10), 2426–2434.
  • Eikeseth, S. (2009). Outcome of comprehensive psycho-educational interventions for young children with autism. Research in Developmental Disabilities, 30, 158–178.
  • Eikeseth, S. (2011). Intensive early intervention. In J. L. Matson & P. Sturmey (Eds.), International handbook of autism and pervasive developmental disorders(pp. 321–338). New York, NY: Springer.
  • Eikeseth, S., Klintwall, L., Hayward, D., & Gale, C. (2015). Stress in parents of children with autism participating in early and intensive behavioral intervention. European Journal of Behavior Analysis, 16, 112–120.
  • Eldevik, S., Hastings, R. P., Hughes, J. C., Jahr, E., Eikeseth, S., & Cross, S. (2009). Meta-analysis of early intensive behavioral intervention for children with autism. Journal of Clinical Child & Adolescent Psychology, 38, 439–450.
  • Epel, E. S., Blackburn, E. H., Lin, J., Dhabhar, F. S., Adler, N. E., Morrow, J. D., & Cawthon, R. M. (2004). Accelerated telomere shortening in response to life stress. Proceedings of the National Academy of Sciences of the United States of America, 101(49), 17312–17315.
  • Erskine, H. E., Ferrari, A. J., Polanczyk, G. V., Moffitt, T. E., Murray, C. J., Vos, T., … Scott, J. G. (2014). The global burden of conduct disorder and attention-deficit/hyperactivity disorder in 2010. Journal of Child Psychology and Psychiatry, 55(4), 328–336.
  • Evans, T., Whittingham, K., & Boyd, R. (2012). What helps the mother of a preterm infant become securely attached, responsive, and well‐adjusted? Infant Behavior and Development, 35, 1–11.
  • Fabiano, G. A., Pelham, W. E., William, E., Coles, E. K., Gnagy, E. M., Chronis-Tuscano, A., & O’Connor, B. C. (2009). A meta-analysis of behavioral treatments for attention-deficit/hyperactivity disorder. Clinical Psychology Review, 29, 129–140.
  • Fledderus, M., Bohlmeijer, E. T., & Pieterse, M. E. (2010). Does experiential avoidance mediate the effects of maladaptive coping styles on psychopathology and mental health? Behavior Modification, 34(6), 503–519.
  • Furlong, M., McGilloway, S., Bywater, T., Hutchings, J., Smith, S. M., & Donnelly, M. (2012). Behavioral and cognitive-behavioral group- based parenting programs for early-onset conduct problems in children aged 3 to 12 years. Cochrane Database of Systematic Reviews. doi:10.1002/14651858.CD008225.pub2
  • Gallagher, S., Phillips, A. C., & Carroll, D. (2010). Parental stress is associated with poor sleep quality in parents caring for children with developmental disabilities. Journal of Pediatric Psychology, 35(7), 728–737.
  • Gallagher, S., Phillips, A. C., Drayson, M. T., & Carroll, D. (2009). Parental caregivers of children with developmental disabilities mount a poor antibody response to pneumococcal vaccination. Brain, Behavior, and Immunity, 23(3), 338–346.
  • Ganz, M. L. (2007). The lifetime distribution of the incremental societal costs of autism. Archives of Pediatrics & Adolescent Medicine, 161(4), 343–349.
  • Gernsbacher, M. A. (2006, September). The science of autism: Beyond the myths and misconceptions. Paper presented at the meeting of the National Autism Committee, Nashua, NH.
  • Gould, E. R., Tarboxa, J., & Coyne, L. (2018). Evaluating the effects of acceptance and commitment training on the overt behavior of parents of children with autism. Journal of Contextual Behavioral Science, 7, 81–88.
  • Greco, L. A., & Eifert, G. H. (2004). Treating parent–adolescent conflict: Is acceptance the missing link for an integrative family therapy? Cognitive and Behavioral Practice, 11(3), 305–314.
  • Greco, L. A., Heffner, M., Poe, S., Ritchie, S., Polak, M., & Lynch, S. K. (2005). Maternal adjustment following preterm birth: Contributions of experiential avoidance. Behavior Therapy, 36, 177–184.
  • Grindle, C. F., Kovshoff, H., Hastings, R. P., & Remington, B. (2009). Parents’ experiences of home-based applied behavior analysis programs for young children with autism. Journal of Autism and Developmental Disorders, 39(1), 42–56.
  • Hahs, A. D., Dixon, M. R., & Paliliunas, D. (2019). Randomized controlled trial of a brief acceptance and commitment training for parents of individuals diagnosed with autism spectrum disorders. Journal of Contextual Behavioral Science. 12, 154–159.
  • Harris, R. (2008). The happiness trap: How to stop struggling and start living. Boston, MA: Trumpeter. Trad. it. La trappola della felicità. Milano: Franco Angeli, 2010.
  • Harris, R. (2009). ACT made simple. Oakland, CA: New Harbinger Publications. Trad. it. Fare ACT - Una guida pratica per professionisti all’ Acceptance and Commitment Therapy. Milano: Franco Angeli, 2011.
  • Harris, R. (2012). The reality slap: Finding peace and fulfillment when life hurts. Oakland, CA: New Harbinger Publications.
  • Hassall, R., Rose, J., & McDonald, J. (2005). Parenting stress in mothers of children with an intellectual disability: The effects of parent cognition in relation to child characteristics and family support. Journal of Applied Research in Intellectual Disabilities, 496, 405–418.
  • Hayes, L. L., & Ciarrochi, J. V. (2015). The thriving adolescent: Using acceptance and commitment therapy and positive psychology to help teens manage emotions, achieve goals, and build connection. New Harbinger Publications.
  • Hayes, S., Villate, M., Levin, M., & Hildebrandt, M. (2011). Open, aware, and active: contextual approaches as an emerging trend in the behavioral and cognitive therapies. Annual Review of Clinical Psychology, 7, 141–168.
  • Hayes, S. C. (2002). Buddhism and Acceptance And Commitment Therapy. Cognitive and Behavioral Practice, 9(1), 58–66.
  • Hayes, S. C. (2004). Acceptance and commitment therapy, relational frame theory, and the third wave of behavior therapy. Behavior Therapy, 35, 639–665.
  • Hayes, S. C., Barnes-Holmes, D., & Roche, B. (2001). Relational frame theory: A post- Skinnerian account of human language and cognition. New York: Plenum Press.
  • Hayes, S. C., & Hofmann, S. G. (Eds.). (2018). Process-based CBT: The science and core clinical competencies of cognitive behavioral therapy. Oakland, CA: New Harbinger Publications.
  • Hayes, S. C., Luoma, J. B., Bond, F., Masuda, A., & Lillis, J. (2006). Acceptance and commitment therapy: Model, processes and outcomes. Behavior Research and Therapy, 44, 1–25.
  • Hayes, S. C., Strosahl, K., & Wilson, K. G. (1999). Acceptance and commitment therapy: An experiential approach to behavior change. New York: Guilford Press.
  • Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (2012). Acceptance and commitment therapy: The process and practice of mindful change (2nd ed.). New York, NY: The Guilford Press.
  • Hirvikoski, T., Boman, M., Chen, Q., D’Onofrio, B. M., Mittendorfer-Rutz, E., Lichtenstein, P., … Larsson, H. (2019). Individual risk and familial liability for suicide attempt and suicide in autism: A population-based study. Psychological Medicine, 1–12. doi:10.1017/S0033291719001405
  • Hutchinson, V. D., Rehfeldt, R. A., & Root, W. B. (2019). Exploring the efficacy of acceptance and commitment therapy and behavioral skills training to teach interview skills to adults with autism spectrum disorders. Advances in Neurodevelopmental Disorders, 3(4), 450–456.
  • Istituto Superiore di Sanità. (2011). Il trattamento dei disturbi dello spettro autistico nei bambini e negli adolescenti. Linea guida n 21.
  • Kabat-Zinn, J. (1990). Full catastrophe living: The program of the stress reduction clinic at the University of Massachusetts Medical Center. 10.1099/00221287-136-2-327
  • Kaminski, J. W., Valle, L. A., Filene, J. H., & Boyle, C. L. (2008). A metaanalytic review of components associated with parent training program effectiveness. Journal of Abnormal Child Psychology, 36(4), 567–589.
  • Kazdin, A. E. (2005). Parent management training: Treatment for oppositional, aggressive, and antisocial behavior in children and adolescents. New York, NY, US: Oxford University Press.
  • Leeming, E., & Hayes, S. C. (2016). Parents are people too: The importance of parental psychological flexibility. Clinical Psychology: Science and Practice, 23, 158–160.
  • Leslie, J. C., Tierney, K. J., Robinson, C. P., Keenan, M., Watt, A., & Barnes, D. (1993). Differences between clinically anxious and non-anxious subjects in a stimulus equivalence training task involving threat words. The Psychological Record, 43(1), 153.
  • Linehan, M. M. (1993). Cognitive-behavioral treatment of borderline personality disorder. New York: Guilford Press.
  • Ljung, T., Chen, Q., Lichtenstein, P., & Larsson, H. (2014). Common etiological factors of attention-deficit/hyperactivity disorder and suicidal behavior: A population-based study in Sweden. JAMA Psychiatry (Chicago, Ill.), 71(8), 958–964.
  • Lloyd, T. J., & Hastings, R. (2009). Hope as a psychological resilience factor in mothers and fathers of children with intellectual disabilities. Journal of Intellectual Disability Research, 53, 957–968.
  • Lovaas, O. I. (2003). Teaching individuals with developmental delays: Basic intervention techniques. Austin, TX: PRO-ED.
  • Lunsky, Y., Fung, K., Lake, J., Steel, L., & Bryce, K. (2018). Evaluation of Acceptance and Commitment Therapy (ACT) for mothers of children and youth with autism spectrum disorder. Mindfulness, 9(4), 1110–1116.
  • McHugh, R. K., & Barlow, D. H. (2010). The dissemination and implementation of evidence-based psychological treatments: A review of current efforts. American Psychologist, 65(2), 73.
  • Miodrag, N., & Hodapp, R. M. (2010). Chronic stress and health among parents of children with intellectual and developmental disabilities. Current Opinion in Psychiatry, 23(5), 407–411.
  • Moderato, P., Antonioli, S., Cavagnola, R., & Giannattasio, R. (2017). Oltre l’efficacia. Una valutazione sperimentale della sostenibilità di interventi basati sull’Applied behavior analysis (ABA). Giornale Italiano Dei Disturbi Del Neurosviluppo, 2(2), 66–78.
  • Moderato, P., Copelli, C., Villa, L., & Molteni, M. (2013). Valutazione sperimentale dell’efficacia di interventi comportamentali intensivi e precoci (EIBI) in un centro riabilitativo. Life Span and Disability, XVI(1), 99–117.
  • Moderato, P., Pergolizzi, F., & Anchisi, R. (2016). Roots and Leaves: Radici e sviluppi contestualisti in terapia comportamentale e cognitiva. Milano: Franco Angeli.
  • Morris, E. K. (2009). A case study in the misrepresentation of applied behavior analysis in autism: The Gernsbacher lectures. The Behavior Analyst, 32(1), 205–240.
  • Murrell, A., Wilson, K., LaBorde, C., Drake, C., & Rogers, L. (2009). Relational responding in parents. The Behavior Analyst Today, 9(3–4), 196–214.
  • Neece, C. L., Green, S. A., & Baker, B. L. (2012). Parenting stress and child behavior problems: A transactional relationship across time. American Journal on Intellectual and Developmental Disabilities, 117(1), 48–66.
  • Oppo, A., Schweiger, M., Ristallo, A., Presti, G., Pergolizzi, F., & Moderato, P. (2019). Mindfulness skills and psychological inflexibility: Two useful tools for a clinical assessment for adolescents with internalizing behaviors. Journal of Child and Family Studies, 28(12), 3569–3580.
  • Pahnke, J., Lundgren, T., Hursti, T., & Hirvikoski, T. (2014). Outcomes of an acceptance and commitment therapy-based skills training group for students with high-functioning autism spectrum disorder: A quasi-experimental pilot study. Autism, 18(8), 953–964.
  • Parish, S. L., Rose, R. A., Weiss-Grinstein, M., Richman, E. L., & Andrews, M. E. (2008). Material hardship in US families raising children with disabilities. Exceptional Children, 75, 71–92.
  • Piquero, A. R., Jennings, W. J., Diamond, B., Farrington, D. P., Tremblay, R. E., Welsh, B. C., & Reingle Gonzalez, J. M. (2017). A meta-analysis update on the effects of early family/parent training programs on antisocial behavior and delinquency. Journal of Experimental Criminology, 12, 229–248.
  • Plumb, J. C., Stewart, I., Dahl, J., & Lundgren, T. (2009). In search of meaning: Values in modern clinical behavior analysis. The Behavior Analyst, 32, 85–103.
  • Polk, K. L., Schoendorff, B., Webster, M., & Olaz, F. O. (2016). The essential guide to the ACT matrix: A step-by-step approach to Using the ACT matrix model in clinical practice. Oakland, CA: New Harbinger Publications. Trad. It. La Matrice ACT: Guida all’utilizzo nella pratica clinica. Milano: Franco Angeli, 2017.
  • Postorino, V., Sharp, W. G., McCracken, C. E., Bearss, K. T., Burrell, T. L., Evans, A. N., & Scahill, L. (2017). Systematic review and meta-analysis of parent training for disruptive behavior in children with autism spectrum disorder. Clinical Child and Family Psychology Review, 20, 391–402.
  • Presti, G., & Moderato, P. (2013). Dalla discriminazione semplice alla risposta relazionale arbitraria e non arbitraria: Esiste uno spazio per una prospettiva evolutiva in analisi del comportamento? In P. Moderato & G. Presti (Eds.), Cent’anni di comportamentismo: Dal manifesto di Watson alla teoria della mente, dalla BT all’ACT (pp. 63–67). Milano: Franco Angeli.
  • Presti, G., & Moderato, P. (2016). Verbal behavior: What is really researched? An analysis of the papers published in TAVB over 30 years. European Journal of Behavior Analysis, 17, 166–181.
  • Prevedini, A. B., Presti, G., Rabitti, E., Miselli, G., & Moderato, P. (2011). Acceptance and Commitment Therapy (ACT): The foundation of the therapeutic model and an overview of its contribution to the treatment of patients with chronic physical diseases. G Ital Med Lav Erg, 33(1 Suppl A), 53–63.
  • Reichow, B. (2011). Overview of meta-analyses on early intensive behavioral intervention for young children with autism spectrum disorders. Journal of Autism and Developmental Disorders, 42, 512–520.
  • Remington, B., Hastings, R. P., Kovshoff, H., Degli Espinosa, F., Jahr, E., Brown, T., … Ward, N. (2007). Early intensive behavioral intervention: Outcomes for children with autism and their parents after two years. American Journal of Mental Retardation, 112, 418–438.
  • Rimestad, M. L., Lambek, R., Christiansen, H. Z., & Hougaard, S. (2016). Short- and long-term effects of parent training for preschool children with or at risk of ADHD: A systematic review and meta-analysis. Journal of Attention Disorders, 1–12. doi:10.1177/1087054716648775
  • Ristallo, A., Schweiger, M., Oppo, A., Pergolizzi, F., Presti, G., & Moderato, P. (2016). Misurare la mindfulness in età evolutiva: Proprietà psicometriche e struttura fattoriale della versione italiana della child and adolescent mindfulness measure (I-CAMM). Psicoterapia Cognitiva E Comportamentale, 22(3), 297–315.
  • Scagnelli, M., Copelli, C., Presti, G., & Moderato, P. (2017). Does a treatment for increasing social skill affect the occurrence of challenging behaviors? Life Span and Disability, 2, 163–181. XX.
  • Schreibman, L., Dawson, G., Stahmer, A. C., Landa, R., Rogers, S. J., McGee, G. G., … McNerney, E. (2015). Naturalistic developmental behavioral interventions: Empirically validated treatments for autism spectrum disorder. Journal of Autism and Developmental Disorders, 45(8), 2411–2428.
  • Schweiger, M., Ristallo, A., Oppo, A., Pergolizzi, F., Presti, G., & Moderato, P. (2017). Ragazzi in lotta con emozioni e pensieri: La validazione della versione italiana dellʼAvoidance and Fusion Questionnaire for Youth (I-AFQ-Y). Psicoterapia Cognitiva E Comportamentale, 23(2), 141–162.
  • Segal, R. (2000). Adaptive strategies of mothers with children with attention deficit hyperactivity disorder: Enfolding and unfolding occupations. American Journal of Occupational Therapy, 54, 300–306.
  • Segal, R., & Hinojosa, J. (2006). The activity setting of homework: An analysis of three cases and implications for occupational therapy. American Journal of Occupational Therapy, 60, 50–59.
  • Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2001). Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse. New York: Guilford Press.
  • Seltzer, M. M., Greenberg, J. S., Hong, J., Smith, L. E., Almeida, D. M., Coe, C., & Stawski, R. S. (2010). Maternal cortisol levels and behavior problems in adolescents and adults with ASD. Journal of Autism and Developmental Disorders, 40(4), 457–469.
  • Shaw, M., Hodgkins, P., Caci, H., Young, S., Kahle, J., Woods, A. G., & Arnold, L. E. (2012). A systematic review and analysis of long-term outcomes in attention deficit hyperactivity disorder: Effects of treatment and non-treatment. BMC Medical, 4, 10–99.
  • Shea, S. E., & Coyne, L. W. (2011). Maternal dysphoric mood, stress, and parenting practices in mothers of head start preschoolers: The role of experiential avoidance. Child and Family Behavior Therapy, 33, 231–247.
  • Shimoff, E., Catania, A. C., & Matthews, B. A. (1981). Uninstructed human responding: Sensitivity of low-rate performance to schedule contingencies. Journal of the Experimental Analysis of Behavior, 36, 207–220.
  • Simonoff, E., Pickles, A., Charman, T., Chandler, S., Loucas, T., & Baird, G. (2008). Psychiatric disorders in children with autism spectrum disorders: Prevalence, comorbidity, and associated factors in a population-derived sample. Journal of the American Academy of Child & Adolescent Psychiatry, 47(8), 921–929.
  • Singer, G. H. S. (2006). Meta-analysis of comparative studies of depression in mothers of children with and without children with developmental disabilities. American Journal of Mental Retardation, 111(3), 155–169.
  • Singh, N. N., Lancioni, G. E., Karazsia, B. T., Myers, R. E., Kim, E., Chan, J., ... & Janson, M. (2019). Surfing the Urge: An informal mindfulness practice for the self-management of aggression by adolescents with autism spectrum disorder. Journal of Contextual Behavioral Science, 12, 170–177.
  • Skinner, B. (1969). Contingencies of reinforcement. NY: Appleton-Century-Crofts.
  • Szabo, T. G. (2019). Acceptance and Commitment Training for reducing inflexible behaviors in children with autism. Journal of Contextual Behavioral Science, 12, 178–188.
  • Taylor, J. L., & Warren, Z. E. (2012). Maternal depressive symptoms following autism spectrum diagnosis. Journal of Autism and Developmental Disorders, 42(7), 1411–1418.
  • Tellegen, C. L., & Sanders, M. R. (2013). Stepping stones triple P-positive parenting program for children with disability: A systematic review and meta-analysis. Research in Developmental Disabilities, 34, 1556–1571.
  • Theule, J., Wiener, J., Tannock, R., & Jenkins, J. M. (2013). Parenting stress in families of children with ADHD: A meta-analysis. Journal of Emotional and Behavioral Disorders, 21(1), 3–17.
  • Tsai, M., Kohlenberg, R. J., Kanter, J. W., Kolemberg, B., Folletto, W. C., & Callaghan, G. M. (2009). A guide to functional analytic psychotherapy awareness, courage, love, and behaviorism. New York: Springer.
  • Villatte, J., Vilardaga, L., Villatte, M., Vilardaga, J., Atkins, D., & Hayes, S. (2016). Acceptance and commitment therapy modules: Differential impact on treatment processes and outcomes. Behavior Research and Therapy, 77, 52–61.
  • Wells, A. (2000). Emotional disorders and metacognition: Innovative cognitive therapy. Chichester, UK: Wiley.
  • Whittingham, K. (2013). Parents of children with disabilities, mindfulness and acceptance: A review and a call for research. Mindfulness, 5(6), 704–709.
  • Whittingham, K., Sanders, M., McKinlay, L., & Boyd, R. N. (2014). Interventions to reduce behavioral problems in children with cerebral palsy: An RCT. Pediatrics, 133, 1–9.
  • Whittingham, K., Sanders, M. R., McKinlay, L., & Boyd, R. N. (2016). Parenting intervention combined with acceptance and commitment therapy: A trial with families of children with cerebral palsy. Journal of Pediatric Psychology, 41, 531–542.
  • Whittingham, K., Sofronoff, K., Sheffield, J., & Sanders, M. R. (2009a). Behavioral family intervention with parents of children with ASD:What do they find useful in the parenting program stepping stones triple P? Research in Autism Spectrum Disorders, 3, 702–713.
  • Whittingham, K., Sofronoff, K., Sheffield, J., & Sanders, M. R. (2009b). Stepping stones triple P: An RCT of a parenting program with parents of a child diagnosed with an autism spectrum disorder. Journal of Abnormal Child Psychology An Official Publication of the International Society for Research in Child and Adolescent Psychopathology, 37(4), 469–480.
  • Whittingham, K., Wee, D., Sanders, M. R., & Boyd, R. (2013). Predictors of psychological adjustment, experienced parenting burden and chronic sorrow symptoms in parents of children with cerebral palsy. Child: Care, Health and Development, 39, 366–373.
  • Wilson, K. G., Bordieri, M., Flynn, M. K., Lucas, N., & Slater, R. (2010). Understanding Acceptance and Commitment Therapy in context: A history of similarities and differences with other cognitive behavior therapies. In J. Herbert & E. Forman (Eds.), Acceptance and mindfulness in cognitive behavior therapy  (pp. 233–263). Hoboken, NJ: Wiley.

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