Acceptance and Commitment Therapy Effectivity towards Parents Stress – Meta Analysis
DOI:
https://doi.org/10.38035/jim.v4i3.1143Keywords:
Acceptance and Commitment Therapy, Parents, Stress, Randomized Controlled Trials (RCT)Abstract
Background: Stress in parents inhibits their abilities to optimize parenting role. Acceptance and Commitment Therapy (ACT) helps parents to embrace their feelings and thoughts to be more committed in achieving well-being. Objective: This study aims to analyze the effectiveness of ACT to reduce stress in parents. Method: This research use meta-analytical method from RCT studies to provide in-depth analysis. Results: Result shows a large effect of ACT toward stress intervention within parents particularly in group-based format (I2 = 93.01%). Conclusion: This research has given significance proof to use ACT in order to reduce stress within parenting context. Further research should be focused on ACT intervention in Asian parents context with RCT, especially Indonesia.
References
Barroso, N. E., Mendez, L., Graziano, P. A., & Bagner, D. M. (2018). Parenting Stress through the Lens of Different Clinical Groups: a Systematic Review & Meta-Analysis. Journal of Abnormal Child Psychology, 46(3), 449–461. https://doi.org/10.1007/s10802-017-0313-6
Brown, F. L., Whittingham, K., Boyd, R. N., McKinlay, L., & Sofronoff, K. (2015). Does Stepping Stones Triple P plus Acceptance and Commitment Therapy improve parent, couple, and family adjustment following paediatric acquired brain injury? A randomised controlled trial. Behaviour Research and Therapy, 73, 58–66. https://doi.org/10.1016/j.brat.2015.07.001
Chodidjah, S., & Kusumasari, A. P. (2018). Pengalaman Ibu Merawat Anak Usia Sekolah Dengan Autis. Jurnal Keperawatan Indonesia, 21(2), 94–100. https://doi.org/10.7454/jki.v21i2.545
Chong, Y. Y., Mak, Y. W., Leung, S. P., Lam, S. Y., & Loke, A. Y. (2019). Acceptance and commitment therapy for parental management of childhood asthma: An RCT. Pediatrics, 143(2). https://doi.org/10.1542/peds.2018-1723
Chua, J. Y. X., & Shorey, S. (2022). The Effect of Mindfulness-Based and Acceptance Commitment Therapy-Based Interventions to Improve the Mental Well-Being Among Parents of Children with Developmental Disabilities: A Systematic Review and Meta-Analysis. Journal of Autism and Developmental Disorders, 52(6), 2770–2783. https://doi.org/10.1007/s10803-021-04893-1
Chung, G., Lanier, P., & Wong, P. Y. J. (2022). Mediating Effects of Parental Stress on Harsh Parenting and Parent-Child Relationship during Coronavirus (COVID-19) Pandemic in Singapore. Journal of Family Violence, 37(5), 801–812. https://doi.org/10.1007/s10896-020-00200-1
Corti, C., Pergolizzi, F., Vanzin, L., Cargasacchi, G., Villa, L., Pozzi, M., & Molteni, M. (2018). Acceptance and Commitment Therapy-Oriented Parent-Training for Parents of Children with Autism. Journal of Child and Family Studies, 27(9), 2887–2900. https://doi.org/10.1007/s10826-018-1123-3
Craig, F., Operto, F. F., De Giacomo, A., Margari, L., Frolli, A., Conson, 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
Gharashi, K., Moheb, N., & Abdi, R. (2019). Effects of acceptance and commitment therapy on decreasing anxiety and depression symptoms in mothers of hearing-impaired or deaf children. Auditory and Vestibular Research, 28(2), 116–123. https://doi.org/10.18502/avr.v28i2.866
Gouveia, M. J., Carona, C., Canavarro, M. C., & Moreira, H. (2016). Self-Compassion and Dispositional Mindfulness Are Associated with Parenting Styles and Parenting Stress: the Mediating Role of Mindful Parenting. Mindfulness, 7(3), 700–712. https://doi.org/10.1007/s12671-016-0507-y
Hahs, A. D., Dixon, M. R., & Paliliunas, D. (2019). Randomized controlled trial of a brief acceptance and commitment training for parents of individuals diagnosed with autism spectrum disorders. Journal of Contextual Behavioral Science, 12(February 2017), 154–159. https://doi.org/10.1016/j.jcbs.2018.03.002
Harris, R. (2009). ACT made simple an easy-to-read primer on acceptance and commitment therapy. Act Made Simple, (October), 110–146. Retrieved from http://search.ebscohost.com/login.aspx?direct=true&scope=site&db=nlebk&db=nlabk&AN=421259
Holly, L. E., Fenley, A. R., Kritikos, T. K., Merson, R. A., Abidin, R. R., & Langer, D. A. (2019). Evidence-Base Update for Parenting Stress Measures in Clinical Samples. Journal of Clinical Child and Adolescent Psychology, 48(5), 685–705. https://doi.org/10.1080/15374416.2019.1639515
Holmberg Bergman, T., Renhorn, E., Berg, B., Lappalainen, P., Ghaderi, A., & Hirvikoski, T. (2023). Acceptance and Commitment Therapy Group Intervention for Parents of Children with Disabilities (Navigator ACT): An Open Feasibility Trial. Journal of Autism and Developmental Disorders, 53(5), 1834–1849. https://doi.org/10.1007/s10803-022-05490-6
Joekar, S., Farid, A., Birashk, B., Gharraee, B., & Mohammadian, M. (2016). Effectiveness of acceptance and commitment therapy in the support of parents of children with high-functioning autism. International Journal of Humanities and Cultural Studies, 2(4), 2763–2772. Retrieved from http://www.ijhcs.com/index.php/ijhcs/index
Lappalainen, P., Pakkala, I., Strömmer, J., Sairanen, E., Kaipainen, K., & Lappalainen, R. (2021). Supporting parents of children with chronic conditions: A randomized controlled trial of web-based and self-help ACT interventions. Internet Interventions, 24. https://doi.org/10.1016/j.invent.2021.100382
Lawrenz, P., Yousafzai, A. K., & Habigzang, L. F. (2021). ACT Raising Safe Kids Program improves parenting practices, beliefs about physical punishment, management of anger, and mental health: Initial evidence from a study in Brazil. Children and Youth Services Review, 131(November), 106299. https://doi.org/10.1016/j.childyouth.2021.106299
Lu, M. H., Wang, G. H., Lei, H., Shi, M. L., Zhu, R., & Jiang, F. (2018). Social Support as Mediator and Moderator of the Relationship Between Parenting Stress and Life Satisfaction Among the Chinese Parents of Children with ASD. Journal of Autism and Developmental Disorders, 48(4), 1181–1188. https://doi.org/10.1007/s10803-017-3448-y
Lunsky, Y., Fung, K., Lake, J., Steel, L., & Bryce, K. (2018). Evaluation of Acceptance and Commitment Therapy (ACT) for Mothers of Children and Youth with Autism SpectrumDisorder. Mindfulness, 9(4), 1110–1116. https://doi.org/10.1007/s12671-017-0846-3
Marino, F., Failla, C., Chilà, P., Minutoli, R., Puglisi, A., Arnao, A. A., … Pioggia, G. (2021). The effect of acceptance and commitment therapy for improving psychological well?being in parents of individuals with autism spectrum disorders: A randomized controlled trial. Brain Sciences, 11(7), 1–15. https://doi.org/10.3390/brainsci11070880
Maughan, A. L., Lunsky, Y., Lake, J., Mills, J. S., Fung, K., Steel, L., & Weiss, J. A. (2023). Parent, child, and family outcomes following Acceptance And Commitment Therapy for parents of autistic children: A randomized controlled trial. Autism. https://doi.org/10.1177/13623613231172241
Mosher, C. E., Secinti, E., Hirsh, A. T., Hanna, N., Einhorn, L. H., Jalal, S. I., … Johns, S. A. (2019). Acceptance and Commitment Therapy for Symptom Interference in Advanced Lung Cancer and Caregiver Distress: A Pilot Randomized Trial. Journal of Pain and Symptom Management, 58(4), 632–644. https://doi.org/10.1016/j.jpainsymman.2019.06.021
Oktama Wardani, R., Agustani, H., & Elsari Novianti, L. (2017). Penerapan Acceptance and Commitment Therapy (Act) Untuk Menurunkan Derajat Stres Pengasuhan. Jurnal Intervensi Psikologi (JIP), 9(2), 187–205. https://doi.org/10.20885/intervensipsikologi.vol9.iss2.art4
Prevedini, A., Hirvikoski, T., Holmberg Bergman, T., Berg, B., Miselli, G., Pergolizzi, F., & Moderato, P. (2020). ACT-based interventions for reducing psychological distress in parents and caregivers of children with autism spectrum disorders: Recommendations for higher education programs. European Journal of Behavior Analysis, 21(1), 133–157. https://doi.org/10.1080/15021149.2020.1729023
Sairanen, E., Lappalainen, R., Lappalainen, P., & Hiltunen, A. (2020). Mediators of change in online acceptance and commitment therapy for psychological symptoms of parents of children with chronic conditions: An investigation of change processes. Journal of Contextual Behavioral Science, 15(July 2019), 123–130. https://doi.org/10.1016/j.jcbs.2019.11.010
Sairanen, E., Lappalainen, R., Lappalainen, P., Kaipainen, K., Carlstedt, F., Anclair, M., & Hiltunen, A. (2019). Effectiveness of a web-based Acceptance and Commitment Therapy intervention for wellbeing of parents whose children have chronic conditions: A randomized controlled trial. Journal of Contextual Behavioral Science, 13(July), 94–102. https://doi.org/10.1016/j.jcbs.2019.07.004
Samadi, S. A., McConkey, R., & Bunting, B. (2014). Parental wellbeing of Iranian families with children who have developmental disabilities. Research in Developmental Disabilities, 35(7), 1639–1647. https://doi.org/10.1016/j.ridd.2014.04.001
Sasaki, N., Imamura, K., Nishi, D., Watanabe, K., Asaoka, H., Sekiya, Y., … Kawakami, N. (2023). The effect of internet-based acceptance and commitment therapy (iACT) on psychological well-being among working women with a pre-school child: A randomized controlled trial. Journal of Contextual Behavioral Science, 28(March), 33–47. https://doi.org/10.1016/j.jcbs.2023.03.002
Thomas, J., & Mathew, L. (2023). Effectiveness of Jacobson Progressive Relaxation, Acceptance & Commitment Therapy and Cognitive Behavioral Therapy on Stress, Anxiety and Quality of Life in Mothers of Differently Abled Children: A Quasi Experimental Study. International Journal of Science and Healthcare Research, 8(2), 1–16. https://doi.org/10.52403/ijshr.20230201
Tronieri, J. S., Wadden, T. A., Leonard, S. M., & Berkowitz, R. I. (2019). A pilot study of acceptance-based behavioural weight loss for adolescents with obesity. Behavioural and Cognitive Psychotherapy, 47(6), 686–696. https://doi.org/10.1017/S1352465819000262
Whittingham, K., Sanders, M. R., Mckinlay, L., & Boyd, R. N. (2016). Parenting intervention combined with acceptance and commitment therapy: A trial with families of children with cerebral palsy. Journal of Pediatric Psychology, 41(5), 531–542. https://doi.org/10.1093/jpepsy/jsv118
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Kezia Jeni Hindrawan, Ananta Yudiarso

This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share— copy and redistribute the material in any medium or format
- Adapt— remix, transform, and build upon the material for any purpose, even commercially.
The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution— You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions— You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
- You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation.
- No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rightsmay limit how you use the material.