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Preventing and reducing parental burnout: A clinical trial of three interventions based on cognitive behavioural therapy, second wave positive psychology, and informal mindfulness practices / AGATA URBANOWICZ

Swansea University Author: AGATA URBANOWICZ

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DOI (Published version): 10.23889/SUthesis.61639

Abstract

Parental burnout is a context-specific syndrome characterised by four clusters of symptoms: (1) emotional and physical exhaustion related to parenting, (2) emotional distancing from the child, (3) decreased sense of self-efficacy and accomplishment in parental role, and (4) the perception of no long...

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Published: Swansea 2022
Institution: Swansea University
Degree level: Doctoral
Degree name: Ph.D
Supervisor: Rance, Jaynie ; Bennet, Paul ; Shankland, Rebecca ; Gauchet, Aurélie
URI: https://cronfa.swan.ac.uk/Record/cronfa61639
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Considering the high prevalence of parental burnout (up to 9% in general population and up to 30% among the parents of chronically ill children) as well as its deleterious consequences for the parent, the couple, and for the child it appears crucial to implement preventive measures and treatment for parental burnout (Lindstr&#xF6;m et al., 2010; Mikolajczak, Brianda et al., 2018; Roskam et al., 2021). The present doctoral thesis contributes to the field of prevention and treatment of parental burnout and its deleterious consequences through the evaluation of the efficacy of psychological interventions in this context. The first part of this doctoral thesis focuses on the identification and evaluation of already existing interventions for parental burnout. To this end, we conducted a systematic review and meta-analysis of the interventions addressed to parents of children with chronic diseases and parents from the general population. In the second part of the thesis, we focused on the evaluation of three psychological group interventions. To achieve this objective, we conducted a clinical trial of three interventions based on: (1) cognitive behavioural therapy; (2) second wave positive psychology; and (3) informal mindfulness practices. These three approaches seem to target psychological processes involved in the development and maintenance of parental burnout (e.g., perfectionism, ruminations, poor emotional skills; Kawamoto et al., 2018; Lin et al., 2021; Mikolajczak et al., 2018; Paucsik et al., 2021; Sorkkila &amp; Aunola, 2020), as well as to promote protective factors which may contribute to the reduction of parental burnout severity (e.g., stress-management skills, self-awareness, self-compassion, self-efficacy, emotional competencies, psychological flexibility; Antoni et al., 2007; Brown &amp; Ryan, 2003; Paucsik et al., 2021; Shankland et al., 2018, 2021). 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spelling 2022-10-24T11:47:36.1259973 v2 61639 2022-10-24 Preventing and reducing parental burnout: A clinical trial of three interventions based on cognitive behavioural therapy, second wave positive psychology, and informal mindfulness practices d7fc293a5bcbdd9fd9b5c11a202e3a09 AGATA URBANOWICZ AGATA URBANOWICZ true false 2022-10-24 Parental burnout is a context-specific syndrome characterised by four clusters of symptoms: (1) emotional and physical exhaustion related to parenting, (2) emotional distancing from the child, (3) decreased sense of self-efficacy and accomplishment in parental role, and (4) the perception of no longer being a good parent (Roskam et al., 2017, 2018). Considering the high prevalence of parental burnout (up to 9% in general population and up to 30% among the parents of chronically ill children) as well as its deleterious consequences for the parent, the couple, and for the child it appears crucial to implement preventive measures and treatment for parental burnout (Lindström et al., 2010; Mikolajczak, Brianda et al., 2018; Roskam et al., 2021). The present doctoral thesis contributes to the field of prevention and treatment of parental burnout and its deleterious consequences through the evaluation of the efficacy of psychological interventions in this context. The first part of this doctoral thesis focuses on the identification and evaluation of already existing interventions for parental burnout. To this end, we conducted a systematic review and meta-analysis of the interventions addressed to parents of children with chronic diseases and parents from the general population. In the second part of the thesis, we focused on the evaluation of three psychological group interventions. To achieve this objective, we conducted a clinical trial of three interventions based on: (1) cognitive behavioural therapy; (2) second wave positive psychology; and (3) informal mindfulness practices. These three approaches seem to target psychological processes involved in the development and maintenance of parental burnout (e.g., perfectionism, ruminations, poor emotional skills; Kawamoto et al., 2018; Lin et al., 2021; Mikolajczak et al., 2018; Paucsik et al., 2021; Sorkkila & Aunola, 2020), as well as to promote protective factors which may contribute to the reduction of parental burnout severity (e.g., stress-management skills, self-awareness, self-compassion, self-efficacy, emotional competencies, psychological flexibility; Antoni et al., 2007; Brown & Ryan, 2003; Paucsik et al., 2021; Shankland et al., 2018, 2021). The three programmes, as well as their mechanisms of action, are presented in the sections dedicated respectively to each intervention study. Finally, the last part of the thesis is dedicated to the summary and general discussion of the findings and their implications. The five studies presented in this doctoral thesis constitute independent articles : (1) A systematic review and meta-analysis of psychological interventions for parental burnout; (2) Cognitive Behavioural Stress Management (CBSM) for parents: prevention and reduction of parental burnout; (3) Acceptability of Cognitive Behavioural Stress Management Intervention for parental burnout reduction and prevention: a mixed methods approach; (4) Positive psychology in the prevention and reduction of parental burnout: the CARE programme; (5) Informal mindfulness practices, a new approach to the prevention and reduction of parental burnout. E-Thesis Swansea Parental burnout; psychological interventions; meta-analysis; Cognitive Behavioural Therapy, Cognitive Behavioural Stress Management, positive psychology; mindfulness 12 7 2022 2022-07-12 10.23889/SUthesis.61639 ORCiD identifier: https://orcid.org/0000-0003-2646-7111 COLLEGE NANME COLLEGE CODE Swansea University Rance, Jaynie ; Bennet, Paul ; Shankland, Rebecca ; Gauchet, Aurélie Doctoral Ph.D IDEX 2022-10-24T11:47:36.1259973 2022-10-24T10:45:00.1614603 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Nursing AGATA URBANOWICZ 1 61639__25554__ee10b7fbb67f4b80b3be66cede2aaeb4.pdf Urbanowicz_Agata_PhD_Thesis_Final_Redacted_Signature.pdf 2022-10-24T10:57:59.8315150 Output 13270156 application/pdf E-Thesis – open access true Copyright: The author, Agata M. Urbanowicz, 2022. Released under the terms of a Creative Commons Attribution-Non-Commercial No-Derivatives (CC-BY-NC-ND) License. Third party content is excluded for use under the license terms. true eng https://creativecommons.org/licenses/by-nc-nd/4.0/
title Preventing and reducing parental burnout: A clinical trial of three interventions based on cognitive behavioural therapy, second wave positive psychology, and informal mindfulness practices
spellingShingle Preventing and reducing parental burnout: A clinical trial of three interventions based on cognitive behavioural therapy, second wave positive psychology, and informal mindfulness practices
AGATA URBANOWICZ
title_short Preventing and reducing parental burnout: A clinical trial of three interventions based on cognitive behavioural therapy, second wave positive psychology, and informal mindfulness practices
title_full Preventing and reducing parental burnout: A clinical trial of three interventions based on cognitive behavioural therapy, second wave positive psychology, and informal mindfulness practices
title_fullStr Preventing and reducing parental burnout: A clinical trial of three interventions based on cognitive behavioural therapy, second wave positive psychology, and informal mindfulness practices
title_full_unstemmed Preventing and reducing parental burnout: A clinical trial of three interventions based on cognitive behavioural therapy, second wave positive psychology, and informal mindfulness practices
title_sort Preventing and reducing parental burnout: A clinical trial of three interventions based on cognitive behavioural therapy, second wave positive psychology, and informal mindfulness practices
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author AGATA URBANOWICZ
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description Parental burnout is a context-specific syndrome characterised by four clusters of symptoms: (1) emotional and physical exhaustion related to parenting, (2) emotional distancing from the child, (3) decreased sense of self-efficacy and accomplishment in parental role, and (4) the perception of no longer being a good parent (Roskam et al., 2017, 2018). Considering the high prevalence of parental burnout (up to 9% in general population and up to 30% among the parents of chronically ill children) as well as its deleterious consequences for the parent, the couple, and for the child it appears crucial to implement preventive measures and treatment for parental burnout (Lindström et al., 2010; Mikolajczak, Brianda et al., 2018; Roskam et al., 2021). The present doctoral thesis contributes to the field of prevention and treatment of parental burnout and its deleterious consequences through the evaluation of the efficacy of psychological interventions in this context. The first part of this doctoral thesis focuses on the identification and evaluation of already existing interventions for parental burnout. To this end, we conducted a systematic review and meta-analysis of the interventions addressed to parents of children with chronic diseases and parents from the general population. In the second part of the thesis, we focused on the evaluation of three psychological group interventions. To achieve this objective, we conducted a clinical trial of three interventions based on: (1) cognitive behavioural therapy; (2) second wave positive psychology; and (3) informal mindfulness practices. These three approaches seem to target psychological processes involved in the development and maintenance of parental burnout (e.g., perfectionism, ruminations, poor emotional skills; Kawamoto et al., 2018; Lin et al., 2021; Mikolajczak et al., 2018; Paucsik et al., 2021; Sorkkila & Aunola, 2020), as well as to promote protective factors which may contribute to the reduction of parental burnout severity (e.g., stress-management skills, self-awareness, self-compassion, self-efficacy, emotional competencies, psychological flexibility; Antoni et al., 2007; Brown & Ryan, 2003; Paucsik et al., 2021; Shankland et al., 2018, 2021). The three programmes, as well as their mechanisms of action, are presented in the sections dedicated respectively to each intervention study. Finally, the last part of the thesis is dedicated to the summary and general discussion of the findings and their implications. The five studies presented in this doctoral thesis constitute independent articles : (1) A systematic review and meta-analysis of psychological interventions for parental burnout; (2) Cognitive Behavioural Stress Management (CBSM) for parents: prevention and reduction of parental burnout; (3) Acceptability of Cognitive Behavioural Stress Management Intervention for parental burnout reduction and prevention: a mixed methods approach; (4) Positive psychology in the prevention and reduction of parental burnout: the CARE programme; (5) Informal mindfulness practices, a new approach to the prevention and reduction of parental burnout.
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