Department of Psychology, Hospital for Sick Children, 555 University Avenue, Toronto, ON, M5G 1X8, Canada.
Child Health Evaluative Sciences, Hospital for Sick Children, Toronto, ON, Canada.
J Clin Psychol Med Settings. 2020 Mar;27(1):68-78. doi: 10.1007/s10880-019-09622-6.
The aim of the study is to explore the feasibility and initial outcomes of a mindfulness-based group intervention (MBI) for adolescents with inflammatory bowel disease (IBD). A mixed-methods uncontrolled study using an adapted 8-week group MBI for adolescents with IBD was conducted at a pediatric tertiary hospital. Primary outcomes focused on feasibility. Secondary outcomes focused on preliminary efficacy via quality of life, mindfulness, and symptoms of anxiety and depression. Of a total of 44 adolescents invited to participate, 16 adolescents completed the study. Group attendance and home meditation practice was satisfactory. There were significant differences in emotional functioning relative to IBD following MBI-A participation. Qualitative analysis rendered two themes: (1) personal interpretation and application of mindfulness and (2) the benefits of IBD-specific peer support. Several key adaptations are needed to increase feasibility of group MBIs prior to randomized controlled trials. Findings can be generalized to inform group-based therapies for adolescents with IBD.
本研究旨在探索基于正念的团体干预(MBI)在炎症性肠病(IBD)青少年中的可行性和初步效果。在一家儿科三级医院,采用经过改良的 8 周团体 MBI 对青少年 IBD 患者进行了混合方法非对照研究。主要结局指标聚焦于可行性,次要结局指标则通过生活质量、正念、焦虑和抑郁症状评估初步疗效。共邀请了 44 名青少年参与研究,其中 16 名青少年完成了研究。团体出勤率和家庭冥想练习情况令人满意。MBI-A 参与后,在情绪功能方面与 IBD 相关的差异具有统计学意义。定性分析得出两个主题:(1)对正念的个人理解和应用,(2)IBD 特定同伴支持的益处。在进行随机对照试验之前,需要对团体 MBI 进行多项关键调整以提高其可行性。研究结果可推广至为青少年 IBD 患者提供团体为基础的治疗。