Kallapiran Kannan, Koo Siew, Kirubakaran Richard, Hancock Karen
The Children's Hospital at Westmead, The Sydney Children's Hospital Network, Locked Bag 4001, Westmead, 2145, NSW, Australia.
South Asian Cochrane Network, Vellore, India.
Child Adolesc Ment Health. 2015 Nov;20(4):182-194. doi: 10.1111/camh.12113. Epub 2015 Sep 8.
Mindfulness-based interventions (MBIs) are increasingly used in the management of various mental health disorders in children and adolescents. However, there is limited evidence about the efficacy of various interventions used.
A systematic review was performed to examine the effects of different MBIs on mental health symptoms and quality of life in both clinical and nonclinical samples of children and adolescents using data from only randomized control trials. The studies were also assessed for quality. Based on the type of MBI, study population, and control arm we had three comparisons for meta-analyses.
Fifteen studies were included in the qualitative analysis but only 11 trials with comparable interventions and controls were included for meta-analyses. Mindfulness-based stress reduction/mindfulness-based cognitive therapy arm was more effective than nonactive control in the nonclinical populations. Acceptance commitment therapy was comparable to active treatments in patients in the clinical range. Other MBIs were also effective improving anxiety and stress but not depression in nonclinical populations compared to nonactive control.
Mindfulness-based interventions can be effective in children and adolescents with mental health symptoms. As there were significant limitations these results must be interpreted with caution.
基于正念的干预措施（MBIs）越来越多地用于儿童和青少年各种心理健康障碍的管理。然而，关于所使用的各种干预措施的疗效证据有限。
进行了一项系统综述，以使用仅来自随机对照试验的数据，研究不同的基于正念的干预措施对儿童和青少年临床和非临床样本中心理健康症状和生活质量的影响。还对研究质量进行了评估。根据基于正念的干预措施的类型、研究人群和对照臂，我们进行了三项荟萃分析比较。
定性分析纳入了15项研究，但荟萃分析仅纳入了11项具有可比干预措施和对照的试验。在非临床人群中，基于正念的减压/基于正念的认知疗法组比无活性对照更有效。在临床范围内，接受与承诺疗法与积极治疗相当。与无活性对照相比，其他基于正念的干预措施在非临床人群中也能有效改善焦虑和压力，但不能改善抑郁。
基于正念的干预措施对有心理健康症状的儿童和青少年可能有效。由于存在重大局限性，这些结果必须谨慎解释。
