Ćavar Mišković Filipa, Milas Goran
Institute of Social Sciences "Ivo Pilar", 10000 Zagreb, Croatia.
Medicina (Kaunas). 2025 Jun 26;61(7):1154. doi: 10.3390/medicina61071154.
Adolescence is a critical yet vulnerable developmental stage, characterized by increased exposure to stressful life events (SLEs), which are strongly linked to the onset and progression of depression. Although mindfulness has been consistently associated with lower depressive symptoms, the mechanisms underlying this relationship-particularly in adolescents-remain underexplored. Prior research suggests that mindfulness operates through cognitive mechanisms, such as reduced rumination, enhanced emotional regulation, and greater cognitive flexibility. However, much of this work is cross-sectional, limiting causal interpretation and often overlooking distinctions between direct and indirect effects. This study aimed to clarify two proposed pathways through which trait mindfulness may reduce depressive symptoms in adolescents: (1) a direct pathway involving core cognitive-emotional processes, and (2) an indirect pathway, where mindfulness supports more adaptive stress appraisal. A secondary objective was to assess whether these indirect effects vary across different types of stressful life events. We analyzed longitudinal data from 3897 adolescents (M_age = 15.9; 51.2% female) across four waves spaced approximately six months apart. Structural equation modeling (AMOS) was used to evaluate both direct and indirect effects of trait mindfulness on depression, with stress domains included in separate analyses. Trait mindfulness was strongly negatively correlated with depression (r = -0.39 to -0.56). The direct effect of mindfulness on depression was substantial (β = -0.60 to -0.74), while indirect effects via cognitive reappraisal were smaller (β = -0.10 to -0.26 for stress reduction; up to -0.17 for depression). Indirect effects varied across stress domains and were generally modest. Mindfulness appears to reduce adolescent depressive symptoms through both direct and indirect pathways. The more pronounced direct effect likely reflects underlying mechanisms, such as reduced rumination and enhanced emotional regulation. Although weaker, the indirect pathway-mediated by more adaptive stress appraisal-adds meaningful explanatory value. Together, these findings underscore mindfulness as a key protective factor and highlight its potential for informing targeted, resilience-based interventions in adolescent mental health.
青春期是一个关键但脆弱的发育阶段,其特点是接触应激性生活事件(SLEs)的机会增加,而这些事件与抑郁症的发作和进展密切相关。尽管正念一直与较低的抑郁症状相关,但这种关系背后的机制,尤其是在青少年中,仍未得到充分探索。先前的研究表明,正念通过认知机制起作用,如减少反刍、增强情绪调节和提高认知灵活性。然而,这项工作大多是横断面研究,限制了因果解释,并且常常忽略直接和间接影响之间的区别。本研究旨在阐明特质正念可能减轻青少年抑郁症状的两条途径:(1)涉及核心认知 - 情感过程的直接途径,以及(2)间接途径,即正念支持更适应性的压力评估。第二个目标是评估这些间接影响在不同类型的应激性生活事件中是否有所不同。我们分析了来自3897名青少年(平均年龄 = 15.9岁;51.2%为女性)的纵向数据,数据收集分四波进行,每波间隔约六个月。结构方程模型(AMOS)用于评估特质正念对抑郁的直接和间接影响,并在单独分析中纳入压力领域。特质正念与抑郁呈强烈负相关(r = -0.39至 -0.56)。正念对抑郁的直接影响很大(β = -0.60至 -0.74),而通过认知重评的间接影响较小(减轻压力的β = -0.10至 -0.26;对抑郁的影响高达 -0.17)。间接影响在不同压力领域有所不同,总体上较为适度。正念似乎通过直接和间接途径减轻青少年的抑郁症状。更明显的直接影响可能反映了潜在机制,如减少反刍和增强情绪调节。虽然间接途径较弱,但由更适应性的压力评估介导,增加了有意义的解释价值。总之,这些发现强调了正念作为一个关键保护因素,并突出了其在为青少年心理健康提供有针对性的、基于复原力的干预措施方面的潜力。