School of Psychology, Flinders University, Adelaide, South Australia, Australia.
Early Interv Psychiatry. 2019 Jun;13(3):387-397. doi: 10.1111/eip.12490. Epub 2017 Oct 5.
Despite widespread enthusiasm to adopt universal mindfulness-based interventions (MBIs) for youth, high-quality evidence is still lacking. It remains unknown how best to modify the successful adult curricula to render them accessible for young people but still effective. Specifically, it is unclear whether particular elements of mindfulness are key ingredients. The aim of this research was to identify the relation between aspects of baseline mindfulness and longitudinal trajectories related to well-being in adolescence.
We examined associations between eight aspects of mindfulness at baseline and longitudinal trajectories of depression, anxiety, well-being, weight concern and shape concern over a 12-month period in early adolescents (N = 499; 46% female; M at baseline 13.45 years; SD = .33).
We found a transdiagnostic protective effect for those high in Accepting and Nonjudgmental Orientation, Decentering and Nonreactivity and Acting with Awareness, with effect sizes across the variables ranging from small to large (Cohen's d = .29-1.26) although this benefit reduced over time, especially for weight and shape concerns in girls.
This natural but waning protective effect strengthens the case for MBIs in youth. The isolation of three key elements is an important preliminary step in identifying ways to improve the effectiveness of current adolescent curricula. Of the three, the current study suggests that teaching young adolescents to respond to their mistakes with kindness and non-judgement should be a prime focus.
尽管人们普遍热衷于采用通用的正念干预措施(MBI)来帮助年轻人,但目前仍缺乏高质量的证据。目前仍不清楚如何最好地修改成功的成人课程,使其更容易被年轻人接受,同时仍然有效。具体来说,尚不清楚正念的哪些特定元素是关键因素。本研究旨在确定基线正念的各个方面与青少年幸福感相关的纵向轨迹之间的关系。
我们考察了基线时正念的八个方面与青少年早期抑郁、焦虑、幸福感、体重担忧和体型担忧的纵向轨迹之间的关联(N=499;46%为女性;基线时的平均年龄为 13.45 岁;标准差=0.33)。
我们发现,对于那些在接纳和非评判性定向、去中心化和非反应性以及有意识行动方面得分较高的人,存在一种跨诊断的保护效应,各变量的效应大小从较小到较大不等(Cohen's d=0.29-1.26),尽管这种益处随着时间的推移而减弱,尤其是对于女孩的体重和体型担忧。
这种自然但逐渐减弱的保护效应为年轻人的 MBI 提供了更有力的支持。隔离出三个关键要素是确定如何提高当前青少年课程有效性的重要初步步骤。在这三个要素中,本研究表明,教导青少年在犯错时以善意和非评判的态度回应,应该是一个首要重点。