Interventions for parents of children with neurodevelopmental disorders and their effectiveness in self-compassion
DOI:
https://doi.org/10.14295/bjs.v5i8.859Keywords:
self-compassion, parenting, autism, stressAbstract
This systematic review evaluates the efficacy of interventions designed to enhance self-compassion in parents of children with neurodevelopmental disorders (NDDs), a population documented to experience elevated levels of parenting stress. Adhering to PRISMA guidelines, a search of PubMed, Scopus, and PsycINFO (covering the period 2015 to 2025) identified studies evaluating self-compassion educational programs, training, or workshops for parents of children with NDDs. Eligible studies included Randomized Controlled Trials (RCTs) and pre-post designs using a quantitative measure of self-compassion as the outcome. Eight studies were included, featuring varied interventions like Acceptance and Commitment Therapy (ACT), psychoeducation, and Mindfulness-Based approaches. The results suggest that these interventions are generally associated with significant short-term improvements in parental self-compassion and secondary outcomes including reduced stress and depression. However, the current evidence base is limited by methodological heterogeneity. Future research must prioritize rigorous RCTs and longitudinal follow-up to establish sustainable, evidence-based practices for this population.
References
Abidin, R. R., & Wilfong, E. (1989). Parenting stress and its relationship to child health care. Children’s Health Care, 18(2), 114–116. https://doi.org/10.1207/s15326888chc1802_9 DOI: https://doi.org/10.1207/s15326888chc1802_9
Ahmed, A. N., & Raj, S. P. (2023). Self-compassion intervention for parents of children with developmental disabilities: A feasibility study. Advances in Neurodevelopmental Disorders, 7, 277–289. https://doi.org/10.1007/s41252-022-00305-2 DOI: https://doi.org/10.1007/s41252-022-00305-2
Allen, A. B., & Leary, M. R. (2010). Self-compassion, stress, and coping. Social and Personality Psychology Compass, 4(2), 107–118. https://doi.org/10.1111/j.1751-9004.2009.00246.x DOI: https://doi.org/10.1111/j.1751-9004.2009.00246.x
Antonopoulou, K., Manta, N., Maridaki-Kassotaki, K., Kouvava, S., & Stampoltzis, A. (2020). Parenting and coping strategies among parents of children with and without autism: The role of anxiety and emotional expressiveness in the family. Austin Journal of Autism & Related Disabilities, 6(1), Article 1054. https://austinpublishinggroup.com/autism/fulltext/autism-v6-id1054.php
Craig, F., Operto, F. F., De Giacomo, A., Margari, L., Frolli, A., Conson, M., Ivagnes, S., Monaco, M., & Margari, F. (2016). Parenting stress among parents of children with neurodevelopmental disorders. Psychiatry Research, 242, 121–129. https://doi.org/10.1016/j.psychres.2016.05.016 DOI: https://doi.org/10.1016/j.psychres.2016.05.016
Curl, E. L., & Hampton, L. H. (2024). Virtual mindfulness workshops for parents of children on the autism spectrum. Journal of Early Intervention, 46(3), 323–337. https://doi.org/10.1177/10538151231169950 DOI: https://doi.org/10.1177/10538151231169950
Curley, K., Colman, R., Rushforth, A., & Kotera, Y. (2023). Stress reduction interventions for parents of children with autism spectrum disorder: A focused literature review. Youth, 3(1), 246–260. https://doi.org/10.3390/youth3010017 DOI: https://doi.org/10.3390/youth3010017
Cuzzocrea, F., Murdaca, A. M., Costa, S., Filippello, P., & Larcan, R. (2016). Parental stress, coping strategies and social support in families of children with a disability. Child Care in Practice, 22(1), 3–19. https://doi.org/10.1080/13575279.2015.1064357 DOI: https://doi.org/10.1080/13575279.2015.1064357
Deater-Deckard, K. (2004). Parenting stress. Yale University Press. https://doi.org/10.12987/yale/9780300103939.001.0001 DOI: https://doi.org/10.12987/yale/9780300103939.001.0001
Dehkordian, P., Hamid, N., Beshlideh, K., & Mehrabizade, M. (2017). The effectiveness of mindful parenting, social thinking and exercise on quality of life in ADHD children. Journal of Pediatric Perspectives, 5(2), 4295–4302. https://doi.org/10.22038/ijp.2016.7900
Dykens, E. M., Fisher, M. H., Taylor, L., Lambert, J. W., & Miodrag, N. (2014). Reducing distress in mothers of children with autism and other disabilities: A randomized trial. Pediatrics, 134, 454–463. https://doi.org/10.1542/peds.2013-3164 DOI: https://doi.org/10.1542/peds.2013-3164
Gould, E., Tarbox, J., & Coyne, L. (2018). Evaluating the effects of acceptance and commitment training on the overt behavior of parents of children with autism. Journal of Contextual Behavioral Science, 7, 81–88. https://doi.org/10.1016/j.jcbs.2017.06.003 DOI: https://doi.org/10.1016/j.jcbs.2017.06.003
Haddaway, N. R., Page, M. J., Pritchard, C. C., & McGuinness, L. A. (2022). PRISMA2020: An R package and Shiny app for producing PRISMA 2020-compliant flow diagrams, with interactivity for optimised digital transparency and Open Synthesis. Campbell Systematic Reviews, 18(2), Article e1230. https://doi.org/10.1002/cl2.1230 DOI: https://doi.org/10.1002/cl2.1230
Higgins, J. P. T., Altman, D. G., Gøtzsche, P. C., Jüni, P., Moher, D., Oxman, A. D., Savović, J., Schulz, K. F., Weeks, L., & Sterne, J. A. C. (2011). The Cochrane Collaboration's tool for assessing risk of bias in randomised trials. BMJ, 343, Article d5928. https://doi.org/10.1136/bmj.d5928 DOI: https://doi.org/10.1136/bmj.d5928
Jones, L., Gold, E., Totsika, V., Hastings, R. P., Jones, M., Griffiths, A., & Silverton, S. (2018). A mindfulness parent well-being course: Evaluation of outcomes for parents of children with autism and related disabilities recruited through special schools. European Journal of Special Needs Education, 33(1), 16–30. https://doi.org/10.1080/08856257.2017.1297571 DOI: https://doi.org/10.1080/08856257.2017.1297571
Kim, S. Y., Park, J. E., Lee, Y. J., Seo, H. J., Sheen, S. S., Hahn, S., Jang, B. H., & Son, H. J. (2013). Testing a tool for assessing the risk of bias for nonrandomized studies showed moderate reliability and promising validity. Journal of Clinical Epidemiology, 66(4), 408–414. https://doi.org/10.1016/j.jclinepi.2012.09.016 DOI: https://doi.org/10.1016/j.jclinepi.2012.09.016
Lodder, A., Papadopoulos, C., & Randhawa, G. (2020). SOLACE: A psychosocial stigma protection intervention to improve the mental health of parents of autistic children—A feasibility randomised controlled trial. Journal of Autism and Developmental Disorders, 50, 4477–4491. https://doi.org/10.1007/s10803-020-04498-0 DOI: https://doi.org/10.1007/s10803-020-04498-0
Lunsky, Y., Albaum, C., Baskin, A., Hastings, R. P., & Weiss, J. A. (2021). Group virtual mindfulness-based intervention for parents of autistic adolescents and adults. Journal of Autism and Developmental Disorders, 51(11), 3959–3969. https://doi.org/10.1007/s10803-020-04835-3 DOI: https://doi.org/10.1007/s10803-020-04835-3
Lunsky, Y., Hastings, R. P., Weiss, J. A., Palucka, A. M., Hutton, S., & White, K. (2017). Comparative effects of mindfulness and support and information group interventions for parents of adults with autism spectrum disorder and other developmental disabilities. Journal of Autism and Developmental Disorders, 47(6), 1769–1779. https://doi.org/10.1007/s10803-017-3099-z DOI: https://doi.org/10.1007/s10803-017-3099-z
Neff, K. D. (2003). Self-compassion: An alternative conceptualization of a healthy attitude toward oneself. Self and Identity, 2(2), 85–102. https://doi.org/10.1080/15298860309032 DOI: https://doi.org/10.1080/15298860309032
Neff, K. D. (2009). The role of self-compassion in development: A healthier way to relate to oneself. Human Development, 52(4), 211–214. https://doi.org/10.1159/000215071 DOI: https://doi.org/10.1159/000215071
Neff, K. D., & Faso, D. J. (2015). Self-compassion and well-being in parents of children with autism. Mindfulness, 6(4), 938–947. https://doi.org/10.1007/s12671-014-0359-2 DOI: https://doi.org/10.1007/s12671-014-0359-2
Neff, K. D., & Germer, C. K. (2013). A pilot study and randomized controlled trial of the mindful self‐compassion program. Journal of Clinical Psychology, 69(1), 28–44. https://doi.org/10.1002/jclp.21923 DOI: https://doi.org/10.1002/jclp.21923
Ozturk, C., & Guzel, H. S. (2025). Self-compassion and psychological health of parents: A meta-analysis focused on some neurodevelopmental disorders. Journal of Autism and Developmental Disorders. Advance online publication. https://doi.org/10.1007/s10803-025-06841-9 DOI: https://doi.org/10.1007/s10803-025-06841-9
Pyszkowska, A., & Górnik-Durose, M. E. (2023). Effectiveness of on-line and off-line Acceptance and Commitment Therapy in developing psychological flexibility, self-compassion and ego-resiliency in parents of children with autism spectrum disorder. Polish Psychological Bulletin, 54(2), 156–167. https://doi.org/10.24425/ppb.2023.146587 DOI: https://doi.org/10.24425/ppb.2023.146587
Raphael, J. L., Zhang, Y., Liu, H., & Giardino, A. P. (2010). Parenting stress in US families: Implications for paediatric healthcare utilization. Child: Care, Health and Development, 36(2), 216–224. https://doi.org/10.1111/j.1365-2214.2009.01052.x DOI: https://doi.org/10.1111/j.1365-2214.2009.01052.x
Robinson, S., Hastings, R. P., Weiss, J. A., Pagavathsing, J., & Lunsky, Y. (2018). Self-compassion and psychological distress in parents of young people and adults with intellectual and developmental disabilities. Journal of Applied Research in Intellectual Disabilities, 31(3), 454–458. https://doi.org/10.1111/jar.12423 DOI: https://doi.org/10.1111/jar.12423
Scherer, N., Verhey, I., & Kuper, H. (2019). Depression and anxiety in parents of children with intellectual and developmental disabilities: A systematic review and meta-analysis. PLOS One, 14(7), Article e0219888. https://doi.org/10.1371/journal.pone.0219888 DOI: https://doi.org/10.1371/journal.pone.0219888
Shamseer, L., Moher, D., Clarke, M., Ghersi, D., Liberati, A., Petticrew, M., Shekelle, P., Stewart, L. A., & PRISMA-P Group. (2015). Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015: Elaboration and explanation. BMJ, 350, Article g7647. https://doi.org/10.1136/bmj.g7647 DOI: https://doi.org/10.1136/bmj.g7647
Shenaar-Golan, V., Wald, N., & Yatzkar, U. (2021). Parenting a child with mental health problems: The role of self-compassion. Mindfulness, 12, 2810–2819. https://doi.org/10.1007/s12671-021-01744-z DOI: https://doi.org/10.1007/s12671-021-01744-z
Smith, J., & Noble, H. (2025). Understanding sources of bias in research. Evidence-Based Nursing, 28, 137–139. https://doi.org/10.1136/ebnurs-2024-104231 DOI: https://doi.org/10.1136/ebnurs-2024-104231
Sterne, J. A. C., Savović, J., Page, M. J., Elbers, R. G., Blencowe, N. S., Boutron, I., Cates, C. J., Cheng, H. Y., Corbett, M. S., Eldridge, S. M., Emberson, J. R., Hernán, M. A., Hopewell, S., Hróbjartsson, A., Junqueira, D. R., Jüni, P., Kirkham, J. J.,
Lasserson, T., Li, T., McAleenan, A., … Higgins, J. P. T. (2019). RoB 2: A revised tool for assessing risk of bias in randomised trials. BMJ, 366, Article l4898. https://doi.org/10.1136/bmj.l4898 DOI: https://doi.org/10.1136/bmj.l4898
World Health Organization. (2023). New report highlights neglected health needs of children with developmental disabilities. https://www.who.int/news/item/15-09-2023-new-reports-highlights-neglected-health-needs-of-children-with-developmental-disabilities
Wong, C. Y., Mak, W. S., & Liao, K. Y. (2016). Self-compassion: A potential buffer against affiliate stigma experienced by parents of children with autism spectrum disorders. Mindfulness, 7, 1385–1395. https://doi.org/10.1007/s12671-016-0580-2 DOI: https://doi.org/10.1007/s12671-016-0580-2
Zablotsky, B., Ng, A. E., Black, L. I., & Blumberg, S. J. (2023). Diagnosed developmental disabilities in children aged 3-17 years: United States, 2019-2021. NCHS Data Brief, (473), 1–8. https://pubmed.ncbi.nlm.nih.gov/37440277/ DOI: https://doi.org/10.15620/cdc:129520
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Foteini Papageorgiou, Filomeni Armakola, Anna Tsiakiri, Theodoros Sergentanis, Panagoula Papadimitropoulou, Ioanna Katsouri, Pinelopi Vlotinou

This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
