Comparison of the Effectiveness of Mindfulness-based Cognitive Therapy and Transdiagnostic Therapy on Mind Wandering in Mothers of Children with Autism
Keywords:
Mindfulness-based Cognitive Therapy, Transdiagnostic Therapy, Mind Wandering, Mothers, Children with AutismAbstract
Purpose: This study assessed the effectiveness of mindfulness-based cognitive therapy (MBCT) and transdiagnostic therapy (TDT) in mind wandering in mothers of children with autism.
Methods and Materials: This study employed a semi-experimental design with a pre-test and post-test control group structure aimed at assessing the effects of two interventions on mothers of children with autism. The target population includes all mothers of children with autism who were referred to the Autism Association in Tehran during the year 2024. Purposive sampling was used to select participants. A sample of 47 participants was randomly selected and divided into three groups: the intervention group receiving Mindfulness-Based Cognitive Therapy (MBCT; n = 16), the intervention group receiving Transdiagnostic Therapy (TDT; n = 16), and a control group (n = 15). The experimental groups participated in ten sessions of their respective interventions, each lasting 90 minutes for MBCT and 75 minutes for TDT, conducted weekly. The control group received no intervention during this period. The research instruments included the Mind-Wandering Questionnaire (Mrazek et al. ,2013). Univariate and multivariate analyses of covariance (ANCOVA) and Bonferroni post hoc tests were conducted using SPSS-27.
Findings: ANCOVA results showed a significant difference between mindfulness-based cognitive therapy and transdiagnostic therapy in reducing mind wandering among mothers of children with autism (F = 40.30, p < 0.01). The Bonferroni test also revealed significant reductions in mind wandering in both intervention groups compared to the control (p < 0.001). Furthermore, with a mean difference of 3.07, transdiagnostic therapy was more effective than mindfulness-based cognitive therapy (p < 0.05), demonstrating its greater impact on reducing mind wandering.
Conclusion: The findings showed that both mindfulness-based cognitive therapy and transdiagnostic therapy effectively reduced mind wandering in mothers of children with autism, with transdiagnostic therapy being more effective. These therapies can thus enhance awareness and address emotional challenges, offering a cost- and time-efficient alternative to traditional treatments requiring extensive clinical training.
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References
Agius, H., Luoto, A. K., Backman, A., Eriksdotter, C., Jayaram-Lindström, N., Bölte, S., & Hirvikoski, T. (2024). Mindfulness-based stress reduction for autistic adults: A feasibility study in an outpatient context. Autism, 28(2), 403-414. https://doi.org/10.1177/13623613231172809
Asai, K., Yamashita, Y., & Kase, Y. (2022). A literature study on the difficulties and problem-solving behaviors of mothers of children with autism spectrum disorders- Focusing on psychological support. The Bulletin of Meiji University of Integrative Medicine, 23-24, 13-23.
Barlow, D. H., Ellard, K. K., Fairholme, C. P., Farchione, T. J., Boisseau, C. L., Ehrenreich May, J. T., & Allen, L. B. (2011). Unified protocol for transdiagnostic treatment of emotional disorders: Workbook. Oxford University Press. https://books.google.de/books/about/Unified_Protocol_for_Transdiagnostic_Tre.html?id=i4ttMqxVGTAC&redir_esc=y
Barlow, D. H., Farchione, T. J., Bullis, J. R., Gallagher, M. W., Murray-Latin, H., Sauer-Zavala, S., Bentley, K. H., Thompson-Hollands, J., Conklin, L. R., Boswell, J. F., Ametaj, A., Carl, J. R., Boettcher, H. T., & Cassiello-Robbins, C. (2017). The unified protocol for transdiagnostic treatment of emotional disorders compared with diagnosis-specific protocols for anxiety disorders: A randomized clinical trial. JAMA Psychiatry, 74(9), 875-884. https://doi.org/10.1001/jamapsychiatry.2017.2164
Farchione, T. J., Long, L. J., Spencer-Laitt, D., Moreno, J., & Barlow, D. H. (2024). State of the science: The unified protocol for transdiagnostic treatment of emotional disorders. Behavior therapy, 55(6), 1189-1204. https://doi.org/10.1016/j.beth.2024.04.007
Higgins, L., Mannion, A., Chen, J. L., & Leader, G. (2023). Adaptation of parents raising a child with ASD: The role of positive perceptions, coping, self-efficacy, and social support. Journal of Autism and Developmental Disorders, 53(3), 1224-1242. https://doi.org/10.1007/s10803-022-05537-8
Hofmann, S. G. (2023). Transdiagnostic approaches to mental health: A review. Clinical psychology review, 102, 102249.
Hou, Y., Zhang, Y., Liu, Y., Yuan, H., & Lei, X. (2023). Mindfulness profiles among Chinese university students: exploring differences in phenomenon, cognition, and performance of mind wandering. Mindfulness, 14(4), 908-918. https://doi.org/10.1007/s12671-023-02080-0
Kangavary, A., Halliday, E. R., Durocher, J., & Ehrenreich-May, J. (2023). A transdiagnostic prevention support group for caregivers of children with autism spectrum disorder: A case example. Clinical Case Studies, 22(5), 484-500. https://doi.org/10.1177/15346501231198889
Keng, S. L. (2023). Mindfulness-based cognitive therapy: Effects on rumination in caregivers. Journal of Clinical Psychology, 79(2), 123-135.
Keulers, E. H., & Jonkman, L. M. (2019). Mind wandering in children: Examining task-unrelated thoughts in computerized tasks and a classroom lesson, and the association with different executive functions. Journal of Experimental Child Psychology, 179, 276-290. https://doi.org/10.1016/j.jecp.2018.11.013
Kiełb, K., Bargiel-Matusiewicz, K. M., & Pisula, E. (2019). Posttraumatic stress symptoms and posttraumatic growth in mothers of children with intellectual disability-the role of intrusive and deliberate ruminations: a preliminary report. Frontiers in psychology, 10, 2011. https://doi.org/10.3389/fpsyg.2019.02011
Lee, J. (2023). Transdiagnostic therapy and coping mechanisms in mothers of children with autism. Cognitive therapy and research, 47(3), 243-259.
Lunsky, Y., Albaum, C., Baskin, A., Hastings, R. P., Hutton, S., Steel, L., Wang, W., & Weiss, J. (2021). Group virtual mindfulness-based intervention for parents of autistic adolescents and adults. Journal of Autism and Developmental Disorders, 1-11. https://doi.org/10.1007/s10803-020-04835-3
Machado, M. S., Londero, A. D., & Pereira, C. R. R. (2018). Tornar-se família de uma criança com transtorno do espectro autista. Contextos Clínicos, 11(3), 335-350. https://doi.org/10.4013/ctc.2018.113.05
Maenner, M. J. (2023). Prevalence and characteristics of autism spectrum disorder among children aged 8 years-autism and developmental disabilities monitoring network, 11 sites, United States, 2020. MMWR. Surveillance summaries, 72. https://doi.org/10.15585/mmwr.ss7202a1
McCartney, M., Nevitt, S., Lloyd, A., Hill, R., White, R., & Duarte, R. (2021). Mindfulness‐based cognitive therapy for prevention and time to depressive relapse: Systematic review and network meta‐analysis. Acta Psychiatrica Scandinavica, 143(1), 6-21. https://doi.org/10.1111/acps.13242
Mohammadi, A., Zargar, F., Omidi, A., Mehrabi, A., & Akbari, M. (2015). An Introduction to the Third Generation of Cognitive-Behavioral Therapies. Tehran: Arjomand Publications.
Mohammadi, Z. D., Bavi, S., & Human, F. (2023). Effectiveness of Transdiagnostic Therapy in Behavioral-Emotional Disorder and Excessive Mind Wandering in Children with Attention Deficit Hyperactivity Disorder: A Randomized Controlled Trial. Jundishapur Journal of Chronic Disease Care, 12(2). https://doi.org/10.5812/jjcdc-132186
Mohseni-Ezhiyeh, A., Malekpour, M., & Ghamarani, A. (2016). The Effect of Transdiagnostic Treatment on Mothers of Children with Autism Spectrum Disorder. PCP, 4(3), 199-207. https://doi.org/10.15412/J.JPCP.06040308
Mooneyham, B. W., & Schooler, J. W. (2013). The costs and benefits of mind-wandering: A review. Canadian Journal of Experimental Psychology, 67(1), 11-18. https://doi.org/10.1037/a0031569
Mrazek, M. D., Phillips, D. T., Franklin, M. S., Broadway, J. M., & Schooler, J. W. (2013). Young and restless: validation of the Mind-Wandering Questionnaire (MWQ) reveals disruptive impact of mind-wandering for youth. Frontiers in psychology, 4, 560. https://doi.org/10.3389/fpsyg.2013.00560
Papadopoulos, D. (2021). Mothers' experiences and challenges raising a child with autism spectrum disorder: A qualitative study. Brain Sciences, 11(3), 309. https://doi.org/10.3390/brainsci11030309
Patel, A. D., Arya, A., Agarwal, V., Gupta, P. K., & Agarwal, M. (2022). Burden of care and quality of life in caregivers of children and adolescents with autism spectrum disorder. Asian Journal of Psychiatry, 70, 103030. https://doi.org/10.1016/j.ajp.2022.103030
Pourabdol, S. (2023). Psychometric Properties of the Mind Wandering Questionnaire. Clinical Psychology Studies, 13(51), 91-118. http://jcps.atu.ac.ir/article_17000.html?lang=en
Rios, K., Aleman-Tovar, J., & Burke, M. M. (2020). Special education experiences and stress among Latina mothers of children with autism spectrum disorder (ASD). Research in Autism Spectrum Disorders, 73, 101534. https://doi.org/10.1016/j.rasd.2020.101534
Roefs, A., Fried, E. I., Kindt, M., Martijn, C., Elzinga, B., Evers, A. W., Wiers, R. W., Borsboom, D., & Jansen, A. (2022). A new science of mental disorders: Using personalised, transdiagnostic, dynamical systems to understand, model, diagnose and treat psychopathology. Behaviour Research and Therapy, 153, 104096. https://doi.org/10.1016/j.brat.2022.104096
Saha, S., Jarl, J., Gerdtham, U. G., Sundquist, K., & Sundquist, J. (2020). Economic evaluation of mindfulness group therapy for patients with depression, anxiety, stress and adjustment disorders compared with treatment as usual. The British Journal of Psychiatry, 216(4), 197-203. https://doi.org/10.1192/bjp.2018.247
Schoevers, R. A. (2024). The role of MBCT in enhancing emotional regulation: A meta-analysis. Psychological bulletin, 150(1), 45-68. https://doi.org/10.1037/bul0000415
Shao, H., Ren, G., Ding, X., Shi, M., Li, R., & Li, Y. (2023). The influence of mindfulness meditation on mind wandering and its mechanism. Advances in Psychological Science, 31(12), 2368. https://doi.org/10.3724/SP.J.1042.2023.02368
Steele, S. J., Farchione, T. J., Cassiello-Robbins, C., Ametaj, A., Sbi, S., Sauer-Zavala, S., & Barlow, D. H. (2018). Efficacy of the Unified Protocol for transdiagnostic treatment of comorbid psychopathology accompanying emotional disorders compared to treatments targeting single disorders. Journal of psychiatric research, 104, 211-216. https://doi.org/10.1016/j.jpsychires.2018.08.005
Talebi, M. (2021). The effectiveness of mindfulness-based cognitive therapy on anxiety, happiness and mindfulness in nurses. Avicenna Journal of Nursing and Midwifery Care, 29(2), 126-136. https://doi.org/10.30699/ajnmc.29.2.126
Tonarely, N. A., Kennedy, S., Halliday, E., Sherman, J. A., & Ehrenreich-May, J. (2021). Impact of youth transdiagnostic treatment on parents' own emotional responding and socialization behaviors. Journal of Child and Family Studies, 30, 1141-1155. https://doi.org/10.1007/s10826-021-01946-y
Valizadeh, H., & Ahmadi, V. (2023). The effectiveness of mindfulness-based cognitive therapy on the happiness and ambiguity of mothers with children with autism spectrum disorder. Quarterly of Applied psychology, 17(1), 193-212. https://psycnet.apa.org/record/2024-18114-009
Welz, A., Reinhard, I., Alpers, G. W., & Kuehner, C. (2018). Happy thoughts: Mind wandering affects mood in daily life. Mindfulness, 9(1), 332-343. https://doi.org/10.1007/s12671-017-0778-y
Wong, Y. S., Willoughby, A. R., & Machado, L. (2023). Reconceptualizing mind wandering from a switching perspective. Psychological Research, 87(2), 357-372. https://doi.org/10.1007/s00426-022-01676-w
World Health Organization. (2021). ICD-11 for mortality and morbidity statistics. Geneva: World Health Organization. https://www.who.int/standards/classifications/classification-of-diseases
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Copyright (c) 2025 Shima Mousavi (Author); Hossein Ebrahimi Moghaddam; Shahram Nematzadeh (Author)
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