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- Title
Effects of an Online Acceptance and Commitment Therapy Intervention on Children's Quality of Life.
- Authors
Sairanen, Essi; Lappalainen, Raimo; Lappalainen, Päivi; Hiltunen, Arto
- Abstract
The present study examined if an Acceptance and Commitment Therapy (ACT)–based online intervention for parents had indirect effects on their children's quality of life mediated by changes in parental well-being, psychological flexibility and mindfulness skills. Participants were 74 adults, who either received an ACT-based guided online intervention or were allocated to the wait list control group, and their children (n = 66) who had type 1 diabetes or functional disabilities. Structural equation modeling (SEM) and a bias-corrected bootstrap approach were applied to examine the indirect effects of the treatment on children's quality of life through changes in parents' well-being and psychological processes involving psychological flexibility, cognitive defusion, and mindfulness skills. Children's quality of life was assessed both by self-reports and parents' evaluations. Significant indirect effects on children's quality of life were found through improvements in parental well-being and mindfulness skills. The intervention had significant indirect effects on parents' evaluations of their children's quality of life concerning family and other social relationships, as well as on physical well-being. In regard to children's self-reported quality of life, the intervention had significant indirect effects on self-esteem, family relations, emotional well-being, and functioning at school/kindergarten. The results indicate that it is beneficial for children's quality of life to improve parents' ability to describe their experiences, being non-reactive to one's inner experiences and acting with awareness as well as cognitive defusion. Highlights: Parents of children with chronic conditions can benefit from an ACT web intervention leading also to increased quality of life in children. Children quality of life improved though improvements in parental wellbeing and mindfulness skills. Improving parents' ability to describe their experiences, being non-reactive to one's inner experiences and acting with awareness it is beneficial for children's quality of life.
- Subjects
ACCEPTANCE &; commitment therapy; QUALITY of life; WELL-being; PSYCHOLOGICAL adaptation; MINDFULNESS; INTERNET; TYPE 1 diabetes; FAMILY relations
- Publication
Journal of Child & Family Studies, 2022, Vol 31, Issue 4, p1079
- ISSN
1062-1024
- Publication type
Article
- DOI
10.1007/s10826-022-02234-z