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07-06-2022 | ORIGINAL PAPER

Nonattachment Alleviates the Longitudinal Impact of Experienced and Anticipated Discrimination on Parents of Children with Autism Spectrum Disorder

Auteurs: Kevin Ka Shing Chan, Charles Chiu Hung Yip, Zixin Wang

Gepubliceerd in: Mindfulness | Uitgave 7/2022

Abstract

Objectives

Research shows that stigma has an adverse psychological impact on parents of children with autism spectrum disorder (ASD). However, there are very few studies examining the potential protective factors that may buffer the adverse impact. The present study investigated the longitudinal associations of experienced discrimination and anticipated discrimination with detrimental cognitive consequences (i.e., self-stigma content and self-stigma process) and affective consequences (i.e., parenting stress and depressive symptoms) for parents of children with ASD and tested whether these associations would be moderated by nonattachment.

Methods

At two time points separated by 24 months, 381 Hong Kong parents of children with ASD completed standardized questionnaires to provide data on experienced discrimination, anticipated discrimination, nonattachment, self-stigma content, self-stigma process, parenting stress, and depressive symptoms.

Results

Hierarchical regressions showed that experienced discrimination and anticipated discrimination had significant interactions with nonattachment at baseline in predicting adverse psychological consequences (i.e., self-stigma content, self-stigma process, parenting stress, and depressive symptoms) at follow-up. In addition, simple slope analyses showed that the associations of experienced discrimination and anticipated discrimination with the adverse psychological consequences were weaker in parents with high nonattachment than in parents with low nonattachment.

Conclusions

Our findings indicate the longitudinal associations of experienced discrimination and anticipated discrimination with detrimental cognitive consequences and affective consequences for parents of children with ASD, and highlight the protective effects of nonattachment against such associations. These findings suggest the importance of supporting parents of children with ASD to increase nonattachment in order to cope with discrimination and improve psychological well-being.

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Abidin, R. R. (1995). Parenting stress index — Manual (3rd ed.). Psychological Assessment Resources.

Arch, J. J., Landy, L. N., & Brown, K. W. (2016). Predictors and moderators of biopsychological social stress responses following brief self-compassion meditation training. Psychoneuroendocrinology, 69, 35–40. https://doi.org/10.1016/j.psyneuen.2016.03.009CrossRefPubMed

Bhambhani, Y., & Cabral, G. (2016). Evaluating nonattachment and decentering as possible mediators of the link between mindfulness and psychological distress in a nonclinical college sample. Journal of Evidence-Based Complementary and Alternative Medicine, 21(4), 295–305. https://doi.org/10.1177/2156587215607109CrossRefPubMed

Broady, T. R., Stoyles, G. J., & Morse, C. (2017). Understanding carers’ lived experience of stigma: The voice of families with a child on the autism spectrum. Health and Social Care in the Community, 25(1), 224–233. https://doi.org/10.1111/hsc.12297CrossRefPubMed

Chan, K. K. S., & Lam, C. B. (2016). Parental maltreatment of children with autism spectrum disorder: A developmental-ecological analysis. Research in Autism Spectrum Disorders, 32, 106–114. https://doi.org/10.1016/j.rasd.2016.09.006CrossRef

Chan, K. K. S., & Lam, C. B. (2017). Trait mindfulness attenuates the adverse psychological impact of stigma on parents of children with autism spectrum disorder. Mindfulness, 8(4), 984–994. https://doi.org/10.1007/s12671-016-0675-9CrossRef

Chan, K. K. S., & Lam, C. B. (2018). Self-stigma among parents of children with autism spectrum disorder. Research in Autism Spectrum Disorders, 48, 44–52. https://doi.org/10.1016/j.rasd.2018.01.001CrossRef

Chan, K. K. S., & Leung, D. C. K. (2020). The impact of child autistic symptoms on parental marital relationship: Parenting and coparenting processes as mediating mechanisms. Autism Research, 13(9), 1516–1526. https://doi.org/10.1002/aur.2297CrossRefPubMed

Chan, K. K. S., & Leung, D. C. K. (2021). Linking child autism to parental depression and anxiety: The mediating roles of enacted and felt stigma. Journal of Autism and Developmental Disorders, 51(2), 527–537. https://doi.org/10.1007/s10803-020-04557-6CrossRefPubMed

Chan, K. K. S., Lam, C. B., Law, N. C. W., & Cheung, R. Y. M. (2018a). From child autistic symptoms to parental affective symptoms: A family process model. Research in Developmental Disabilities, 75, 22–31. https://doi.org/10.1016/j.ridd.2018.02.005CrossRefPubMed

Chan, K. K. S., Lee, C. W. L., & Mak, W. W. S. (2018b). Mindfulness model of stigma resistance among individuals with psychiatric disorders. Mindfulness, 9(5), 1433–1442. https://doi.org/10.1007/s12671-018-0887-2CrossRef

Chio, F. H. N., Lai, M. H. C., & Mak, W. W. S. (2018). Development of the Nonattachment Scale-Short Form (NAS-SF) using item response theory. Mindfulness, 9(4), 1299–1308. https://doi.org/10.1007/s12671-017-0874-zCrossRef

Ciarrochi, J., Sahdra, B. K., Yap, K., & Dicke, T. (2020). The role of nonattachment in the development of adolescent mental health: A three-year longitudinal study. Mindfulness, 11(9), 2131–2139. https://doi.org/10.1007/s12671-020-01421-7CrossRef

Deguchi, N. K., Asakura, T., & Omiya, T. (2021). Self-stigma of families of persons with autism spectrum disorder: A scoping review. Review Journal of Autism and Developmental Disorders, 8(3), 373–388. https://doi.org/10.1007/s40489-020-00228-5CrossRef

Desbordes, G., Gard, T., Hoge, E. A., Hölzel, B. K., Kerr, C., Lazar, S. W., Olendzki, A., & Vago, D. R. (2015). Moving beyond mindfulness: Defining equanimity as an outcome measure in meditation and contemplative research. Mindfulness, 6(2), 356–372. https://doi.org/10.1007/s12671-013-0269-8CrossRef

Farrugia, D. (2009). Exploring stigma: Medical knowledge and the stigmatisation of parents of children diagnosed with autism spectrum disorder. Sociology of Health and Illness, 31(7), 1011–1027. https://doi.org/10.1111/j.1467-9566.2009.01174.xCrossRefPubMed

Feliu-Soler, A., Soler, J., Luciano, J. V., Cebolla, A., Elices, M., Demarzo, M., & García-Campayo, J. (2016). Psychometric properties of the Spanish version of the Nonattachment Scale (NAS) and its relationship with mindfulness, decentering, and mental health. Mindfulness, 7(5), 1156–1169. https://doi.org/10.1007/s12671-016-0558-0CrossRef

Feng, X. J., Krägeloh, C. U., Medvedev, O. N., Billington, D. R., Jang, J. Y., & Siegert, R. J. (2016). Assessing mechanisms of mindfulness: Improving the precision of the Nonattachment Scale using a Rasch model. Mindfulness, 7(5), 1082–1091. https://doi.org/10.1007/s12671-016-0546-4CrossRef

Green, S. E. (2007). “We’re tired, not sad”: Benefits and burdens of mothering a child with a disability. Social Science and Medicine, 64(1), 150–163. https://doi.org/10.1016/j.socscimed.2006.08.025CrossRefPubMed

Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006). Acceptance and commitment therapy: Model, processes and outcomes. Behaviour Research and Therapy, 44(1), 1–25. https://doi.org/10.1016/j.brat.2005.06.006CrossRefPubMed

Helps, S., Newsom-Davis, I. C., & Callias, M. (1999). Autism: The teacher’s view. Autism, 3(3), 287–298. https://doi.org/10.1177/1362361399003003006CrossRef

Joss, D., Lazar, S. W., & Teicher, M. H. (2020). Nonattachment predicts empathy, rejection sensitivity, and symptom reduction after a mindfulness-based intervention among young adults with a history of childhood maltreatment. Mindfulness, 11(4), 975–990. https://doi.org/10.1007/s12671-020-01322-9CrossRefPubMedPubMedCentral

Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: Past, present, and future. Clinical Psychology: Science and Practice, 10(2), 144–156. https://doi.org/10.1093/clipsy.bpg016CrossRef

Kabat-Zinn, J. (1994). Where you go, there you are: Mindfulness meditation in everyday life. Hyperion.

Klein, R. J., & Robinson, M. D. (2019). Mindfulness, nonattachment, and the feeling-action relationship. Mindfulness, 10(10), 2121–2132. https://doi.org/10.1007/s12671-019-01180-0CrossRef

Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2001). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine, 16(9), 606–613. https://doi.org/10.1046/j.1525-1497.2001.016009606.xCrossRefPubMedPubMedCentral

Lamis, D. A., & Dvorak, R. D. (2014). Mindfulness, nonattachment, and suicide rumination in college students: The mediating role of depressive symptoms. Mindfulness, 5(5), 487–496. https://doi.org/10.1007/s12671-013-0203-0CrossRef

Liao, X., Lei, X., & Li, Y. (2019). Stigma among parents of children with autism: A literature review. Asian Journal of Psychiatry, 45, 88–94. https://doi.org/10.1016/j.ajp.2019.09.007CrossRefPubMed

Ling, C. Y. M., Mak, W. W. S., & Cheng, J. N. S. (2010). Attribution model of stigma towards children with autism in Hong Kong. Journal of Applied Research in Intellectual Disabilities, 23(3), 237–249. https://doi.org/10.1111/j.1468-3148.2008.00456.xCrossRef

Mak, W. W. S., & Cheung, R. Y. M. (2008). Affiliate stigma among caregivers of people with intellectual disability or mental illness. Journal of Applied Research in Intellectual Disabilities, 21(6), 532–545. https://doi.org/10.1111/j.1468-3148.2008.00426.xCrossRef

Mak, W. W. S., & Kwok, Y. T. Y. (2010). Internalization of stigma for parents of children with autism spectrum disorder in Hong Kong. Social Science and Medicine, 70(12), 2045–2051. https://doi.org/10.1016/j.socscimed.2010.02.023CrossRefPubMed

Masuda, A., Hill, M. L., Morgan, J., & Cohen, L. L. (2012). A psychological flexibility-based intervention for modulating the impact of stigma and prejudice: A descriptive review of empirical evidence. Psychology, Society, and Education, 4(2), 211–223. https://doi.org/10.25115/psye.v4i2.492

Mazumder, R., & Thompson-Hodgetts, S. (2019). Stigmatization of children and adolescents with autism spectrum disorders and their families: A scoping study. Review Journal of Autism and Developmental Disorders, 6(1), 96–107. https://doi.org/10.1007/s40489-018-00156-5CrossRef

Mickelson, K. D., Wroble, M., & Helgeson, V. S. (1999). “Why my child?”: Parental attributions for children’s special needs. Journal of Applied Social Psychology, 29(6), 1263–1292. https://doi.org/10.1111/j.1559-1816.1999.tb02039.xCrossRef

Neely-Barnes, S. L., Hall, H. R., Roberts, R. J., & Graff, J. C. (2011). Parenting a child with an autism spectrum disorder: Public perceptions and parental conceptualizations. Journal of Family Social Work, 14(3), 208–225. https://doi.org/10.1080/10522158.2011.571539CrossRef

Nissenbaum, M. S., Tollefson, N., & Reese, R. M. (2002). The interpretative conference: Sharing a diagnosis of autism with families. Focus on Autism and Other Developmental Disabilities, 17(1), 30–43. https://doi.org/10.1177/108835760201700103CrossRef

Papadopoulos, C., Lodder, A., Constantinou, G., & Randhawa, G. (2019). Systematic review of the relationship between autism stigma and informal caregiver mental health. Journal of Autism and Developmental Disorders, 49(4), 1665–1685. https://doi.org/10.1007/s10803-018-3835-zCrossRefPubMed

Sahdra, B. K., Shaver, P. R., & Brown, K. W. (2010). A scale to measure nonattachment: A Buddhist complement to Western research on attachment and adaptive functioning. Journal of Personality Assessment, 92(2), 116–127. https://doi.org/10.1080/00223890903425960CrossRefPubMed

Sahdra, B., Ciarrochi, J., & Parker, P. (2016). Nonattachment and mindfulness: Related but distinct constructs. Psychological Assessment, 28(7), 819–829. https://doi.org/10.1037/pas0000264CrossRefPubMed

Serchuk, M. D., Corrigan, P. W., Reed, S., & Ohan, J. L. (2021). Vicarious stigma and self-stigma experienced by parents of children with mental health and/or neurodevelopmental disorders. Community Mental Health Journal, 57(8), 1537–1546.CrossRef

Teasdale, J. D., Segal, Z. V., Williams, J. M. G., Ridgeway, V. A., Soulsby, J. M., & Lau, M. A. (2000). Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Journal of Consulting and Clinical Psychology, 68(4), 615–623. https://doi.org/10.1037/0022-006X.68.4.615CrossRefPubMed

Thompson, C. G., Kim, R. S., Aloe, A. M., & Becker, B. J. (2017). Extracting the variance inflation factor and other multicollinearity diagnostics from typical regression results. Basic and Applied Social Psychology, 39(2), 81–90. https://doi.org/10.1080/01973533.2016.1277529CrossRef

Whitehead, R., Bates, G., & Elphinstone, B. (2018a). Stories of suffering and growth: An investigation of the lived experience of nonattachment. Contemporary Buddhism, 19(2), 448–475.CrossRef

Whitehead, R., Bates, G., Elphinstone, B., Yang, Y., & Murray, G. (2018b). Letting go of self: The creation of the Nonattachment to Self Scale. Frontiers in Psychology, 9, 2544. https://doi.org/10.3389/fpsyg.2018.02544CrossRefPubMedPubMedCentral

Whitehead, R., Bates, G., Elphinstone, B., Yang, Y., & Murray, G. (2019). Nonattachment mediates the relationship between mindfulness and psychological well-being, subjective well-being, and depression, anxiety and stress. Journal of Happiness Studies, 20(7), 2141–2158. https://doi.org/10.1007/s10902-018-0041-9CrossRef

Whitehead, R., Bates, G., & Elphinstone, B. (2020). Growing by letting go: Nonattachment and mindfulness as qualities of advanced psychological development. Journal of Adult Development, 27(1), 12–22. https://doi.org/10.1007/s10804-018-09326-5CrossRef

Wong, C. C. Y., Mak, W. W. S., & Liao, K. Y. H. (2016). Self-compassion: A potential buffer against affiliate stigma experienced by parents of children with autism spectrum disorders. Mindfulness, 7(6), 1385–1395. https://doi.org/10.1007/s12671-016-0580-2CrossRef

World Health Organization. (2021). Autism spectrum disorders: Fact sheet. Retrieved March 5, 2022, from https://www.who.int/news-room/fact-sheets/detail/autism-spectrum-disorders

Yang, Y., Fletcher, K., Michalak, E. E., & Murray, G. (2020). An investigation of self-compassion and nonattachment to self in people with bipolar disorder. Journal of Affective Disorders, 262, 43–48. https://doi.org/10.1016/j.jad.2019.10.042CrossRefPubMed

Yeh, C. H., Chen, M. L., Li, W., & Chuang, H. L. (2001). The Chinese version of the Parenting Stress Index: A psychometric study. Acta Paediatrica, 90(12), 1470–1477. https://doi.org/10.1111/j.1651-2227.2001.tb01615.xCrossRefPubMed

Zaidman-Zait, A., Mirenda, P., Zumbo, B. D., Georgiades, S., Szatmari, P., Bryson, S., Fombonne, E., Roberts, W., Smith, I., Vaillancourt, T., Volden, J., Waddell, C., Zwaigenbaum, L., Duku, E., Thompson, A., Pathways in ASD Study Team. (2011). Factor analysis of the Parenting Stress Index-Short Form with parents of young children with autism spectrum disorders. Autism Research, 4(5), 336–346. https://doi.org/10.1002/aur.213CrossRefPubMed

Titel: Nonattachment Alleviates the Longitudinal Impact of Experienced and Anticipated Discrimination on Parents of Children with Autism Spectrum Disorder
Auteurs: Kevin Ka Shing Chan
Charles Chiu Hung Yip
Zixin Wang
Publicatiedatum: 07-06-2022
Uitgeverij: Springer US
Gepubliceerd in: Mindfulness / Uitgave 7/2022
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI: https://doi.org/10.1007/s12671-022-01911-w

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Nonattachment Alleviates the Longitudinal Impact of Experienced and Anticipated Discrimination on Parents of Children with Autism Spectrum Disorder

Abstract

Objectives

Methods

Results

Conclusions

Andere artikelen Uitgave 7/2022

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Abstract

Objectives

Methods

Results

Conclusions

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Mindfulness in Survivors of Cumulative Childhood Interpersonal Trauma: a Buddhist Conceptualization of Suffering and Healing

Mindfulness, Parental Attributions, and Parenting: the Moderating Role of Child Mental Health

Virtual Group–Based Mindfulness Intervention for Autistic Adults: a Feasibility Study

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