Department of Psychology, Flinders University, Adelaide, South Australia, Australia.
Early Interv Psychiatry. 2019 Dec;13(6):1495-1502. doi: 10.1111/eip.12801. Epub 2019 Mar 22.
It is unclear how adult mindfulness-based interventions (MBIs) should be modified for youth, and at what ages programmes should be implemented for optimal impact. Recent non-replication with a 9-week programme in early adolescence suggested abbreviated programme content might be insufficient and/or that this age group are less receptive.
This controlled quasi-experimental design tested a more intensive 8-week MBI (longer meditation and session duration, plus inquiry) in Year 8 (M = 13.47; SD = 0.35) and Year 10 (M = 15.47; SD = 0.40) secondary students for feasibility and acceptability (N = 143, 45.9% female).
Within this format students rated the content as agreeable, and school staff deemed content developmentally appropriate, across both age bands. Efficacy was tested in a small subsample (N = 90) to provide an estimate of effect size. Linear mixed modelling demonstrated significant between-group differences in depression (Cohen's d = 0.61; 95% CI = 0.19 to 1.03) and anxiety (d = 0.52; 95% CI = 0.10 to 0.94) at 4-month follow-up, but not immediately post-intervention.
An MBI more closely modelled on adult curricula was acceptable to students, although session duration was harder to timetable by schools. Promising effect sizes support further investigation in a larger sample.
目前尚不清楚如何针对青少年修改成人正念干预(MBI),以及应该在什么年龄段实施计划才能产生最佳效果。最近,一项针对青春期早期的为期 9 周的计划未能得到重复验证,这表明缩短课程内容可能不够充分,或者说这个年龄段的人群接受程度较低。
本对照准实验设计测试了一种更密集的 8 周正念干预(更长的冥想和课程时长,外加探究),在 8 年级(M = 13.47;SD = 0.35)和 10 年级(M = 15.47;SD = 0.40)的中学生中测试其可行性和可接受性(N = 143,45.9%为女性)。
在这种形式下,学生们对内容的评价是认可的,学校工作人员认为内容在发展上是合适的,跨越了两个年龄组。在一个较小的子样本(N = 90)中测试了疗效,以提供效应大小的估计值。线性混合模型表明,在抑郁(Cohen's d = 0.61;95%置信区间为 0.19 至 1.03)和焦虑(d = 0.52;95%置信区间为 0.10 至 0.94)方面,干预后 4 个月时存在显著的组间差异,但在干预后即刻没有差异。
更接近成人课程模式的 MBI 受到学生的欢迎,尽管课程时长更难为学校安排。有希望的效应大小支持在更大的样本中进一步研究。