The effect of a mindfulness-based stress reduction program on stress and quality of life in mothers of children with physical disabilities: A single-blind randomized controlled trial

Abstract

Background Mothers of children with physical disabilities often experience caregiving-related stress that may negatively affect their psychological well-being and quality of life. Mindfulness-based interventions may help reduce stress by improving awareness and emotional regulation. Objectives This study aimed to examine the effect of a mindfulness-based stress reduction (MBSR) program on parental stress, mindfulness, and quality of life in mothers of children with physical disabilities. Method This single-blind randomized controlled trial included 62 mothers randomly assigned to either the MBSR group ( n = 32) or the control group ( n = 30). The intervention group received an 8-week MBSR program with weekly 60–90 minute sessions, while the control group received no intervention. Outcomes were assessed at baseline and post-intervention using the Parent Stress Scale (PSS), Mindful Attention Awareness Scale (MAAS), and World Health Organization Quality of Life Questionnaire–Brief Version (WHOQOL-BREF). Data were analyzed using repeated measures two-way analysis of variance in SPSS version 25. Results Compared with the control group, the MBSR group showed a significant reduction in parental stress and a significant increase in mindfulness ( p < 0.05). Significant improvements were also observed in the psychological and environmental domains of quality of life (p < 0.05), whereas no significant between-group differences were found in the physical and social domains ( p > 0.05). Conclusions The MBSR program increases the level of mindfulness in parents of physically disabled children, reduces perceived stress, and significantly improves the quality of life, particularly in terms of psychological and environmental dimensions. Mindfulness-based interventions may be considered as a supportive approach within family-centered rehabilitation programs. Copyright © 2026. Published by Elsevier B.V.