Effectiveness of Mindfulness in Marital Burnout Among Mothers of ADHD Children

Document Type : Original


1 MA in clinical psychology-Family Therapy, university of Science & culture, Tehran, Iran

2 Associate Professor, Behavioral Sciences Research Center, University of Baqiyatallah, Tehran, Iran

3 MA in clinical psychology, University of AllamehTabatabaeeuniversity, Tehran, Iran

4 MA in General Psychology, Islamic Azad University, Amol, Iran


Purpose: The purpose of this research was to study the effectiveness of mindfulness on decreasing marital burnout in mothers Attention Deficit-Hyperactive Disorder children.
Methods: The design of  the study was semi experimental, with control group and pretest- posttest. The population comprised mothers of children with ADHD, referred to health centers in Tehran. The research sample consisted of 24 mothers that were selected convinience sampling method, randomly assigned to experimental and control groups. AnADHD  assessment scale and a marital burnout scale were used to gather data. The experimental groups received eight 2-hour sessions of mindfulness each week while the control group received no specific interventions. At the end, both were re-evaluated (post-test). Data were analyzed by multivariable and univariable Analysis of Covariance.
Findings: The results indicate that mindfulness training was significantly effective on marital burnout and its components in mothers of children with ADHD, as the experimental group, compared to the control showed a significant reduction in marital burnout.
Conclusion: According to these findings, mindfulness training is recommended to be used for the reduction of marital burnout and improving the mental health in mothers of children with ADHD and the whole family as a system.


Ahola, K. (2007). Occupational burnout and health. Helsinki, Finland: Finnish Institute Occupational Health.
 Baer, R.A. (2006), Mindfulness-Based Treatment Approaches: clinicians Guide to Evidence Base and Application. USA: Academic Press is an imprint of Elsevier. Bakker B, The crossover of burnout and its relation to partner health, Stress and Health (2009) 25: 343–353
 DOI: 10.1002/smi.1278. Beck SJ, Young GH, Tarnowski KG. Maternal characteristics and perceptions of pervasive and situational hyper actives and normal controls. J Am Acad Child Adolescent Psychiatry 1990; 88: 150-6.
Bohlmeijer E, Prenger R, Taal E, Cuijpers P.(2010). The effects of mindfulness-based stress reduction therapy on mental health of adults with a chronic medical disease: A meta-analysis. J Psychosomatic Res. 68: 539-544.
 Brown KW, Ryan RM. The benefits of being present: Mindfulness and its role in psychological well-being. J Pers Psycho 2003 Apr., 84(4): 822-48
 Burpee, L, C. & Langer, E, J. (2005). Mindfulness and Marital Satisfaction. Journal of Adult Development. 12(1), 43-51, DOI: 10.1007/s10804-005-1281-6.
Chronis, A.M., Lahey, B.B., Pelham, W.E., Williams, S.H., Baumann, B.L., Kipp, H., et al. (2007). Maternal Depression and Early Positive Parenting Predict Future Conduct Problems in Young Children with Attentiondeficit hyperactivity Disorder, Developmental Psychology, 43: 70-82.
 Coghill, D., Soutullo, C. Aubuisson, C., Preuss, U., Lindback, T., Silverberg, M. and Buitelaar, J.(2008). Impact of Attention-Deficit/hyperactivity Disorder on the Patient and Family: Results from a European Survey, Child and Adolescent Psychiatry and Mental Health, 2:31, doi: 10.1186/1753-2000-2-31
Flugel Colle K, Vincent ACha SS, Loehrer LL, Bauer BA, Wahner-Reodler DL.(2010) Measurement of quality of life and participant experience with the mindfulness-based stress reduction program Complement The Clin Pract.16:36-40.
 Goldin PR, Gross JJ.(2010),Effects of mindfulness-based stress reduction (MBSR) on emotion regulation in social anxiety disorder. Emotion. 10; 83-91.
Gorkin, M. (2009). The four stage of burnout. online. http;//stressdoc.com/ 4 stages. htm. Howard L M, Incidence of burnout or compassion fatigue reported among medical dosimetrists[Dissertation], University of Wisconsin-La Crosse La Crosse WI,2011; http://www.uwlax.edu/md/forms/Michelle%20FINAL.pdf.
Kabat-Zinn, J.(2003), Mindfulness-Based intervention in context: Past, present, and future, clinical psychology: Science and practical, 10, 144-156.
 Kieviet- Stijnen A, Visser A, Garssen B, Hudig H.(2008) mindfulness-based stress reduction training for oncology patients: Patients appraisal and changes in wellbeing. Patient Educ and Couns.(72): 436-442.
 Lara, C., Fayyad, J., Graaf, R., Kessler, R. C., Aguilar-Gaxiola, S., Angermeyer, M. et al (2009). Childhood Predictors of Adult Attention-Deficit/Hyperactivity Disorder: Results from the World Health Organization World, Mental Health Survey Initiative. Biological Psychiatry, 65:46–54.
Leas, Timo. & Leas, Tuula. (2001). Career burnout & its relationship to couple burnout in finland. http:// www.eric. ed. gov Lingren, H. G. (2003). marriage burnout. University of Nebraska-Lincoln Cooperative Extension. http;//utahmarriage.org. OR http;//strongermarriage.org/htm/married/marriage-burnout
 Ma, SH. Teasdel, JD. (2004). Mindfulness based cognitive therapy for depression: replication and exploration of deferential relapse prevention effects. Consulting and clinical psychology. 72: 31-40
. Mash E J, Johnston C. Families of Children with Attention Deficit / Hyperactivity Disorder: Review and Recommendation for Future Research. Clinical Child and Family Psychology Review 2001; 4: 183- 207.
 Melamed, S., Shirom, A., Toker, S., Berliner, S., & shapira, I. (2006). burnout and risk of cardiovascular disease: Evidence, possible causal paths, and promising research direction. Psychological Bulletin, 132, 327-353.
 National Institute of Mental Health. (2008). Attention deficit hyperactivity disorder. http://www.nimh.nih.gov/publicat/adhd.cfm. Neils, H. (2009). 13 sings of burnout and how to help you avoid it. http://www.assessment.com.
Ost, L-G. (2008), Efficacy of the third wave of Behavioral therapies: A systematic review and meta-analysis. Behavior Research and Therapy, 49, 296-321.
Pines M A, Hammer B L, Neal B M, Icekson T, Job Burnout and Couple Burnout in Dual-Earner Couples in the Sandwiched Generation. Social Psychology. QuarterlyDecember 2011; (74) 4: 361-386 doi: 10.1177/0190272511422452.
Pressman, L. J., Loo, S. K., Carpenter, E. M., Asarnow, J. R., Lynn, D., McCracken, J. T., et al. (2006). Relationship of family environment and parental psychiatric diagnosis to impairment in ADHD. Journal of the American Academy of Child and Adolescent Psychiatry, 45: 346–354.
 Segal, Z.V., Williams, M. G., & Teasdale, J.D.(2002), Mindfulness-Based Cognitive Therapy for depression.New York: Guilford Press
 Schroder, V. M., Kelly, M. L. (2008). Association between family environment, Parenting practice and executive Functioning of Children with and without ADHD. Journal of Family and Child study. DOI 10.1007/s10826-008-9223-0.
Shapiro SL, Bootzin RR, Figueredo AJ, Lopez AM, Schwartz GE.(2003) The efficacy of mindfulness-based stress reduction in the treatment of sleep disturbance in women with breast cancer An exploratory study. J Psychosom Res. (54): 85-91.
Teasdel, J. D., Segal, Z. V., Williams, J. M. G., Ridgeway, V, A., Soulsby, J., Lau, M. A (2000). Prevention of relapse in major depression by mindfulness based cognitive therapy. Consulting and clinical psychology. 68:615-623.
Zeidan F, Johnson SK, Diamond BJ, David Z, Goolkasian P.(2010) Mindfulness meditation improves cognition: Evidence of brief mental training. Conscious Cogn.19: 597-605.