TY - JOUR
T1 - Mindfulness-based stress reduction for mental health in youth
T2 - a cluster randomized controlled trial
AU - Vohra, Sunita
AU - Punja, Salima
AU - Sibinga, Erica
AU - Baydala, Lola
AU - Wikman, Erik
AU - Singhal, Anthony
AU - Dolcos, Florin
AU - Van Vliet, K. Jessica
N1 - Funding Information:
This study was supported by the Lotte and John Memorial Hecht Foundation and by the generosity of the Stollery Children’s Hospital Foundation and supporters of the Lois Hole Hospital for Women through the Women and Children’s Health Research Institute. Both acted solely as funders and had no role in study design, collection, analysis, or report writing. The authors gratefully acknowledge the contributions of the participants, families, and staff from CASA House for their support of this study. They also thank Dr. Catherine Phillips and Kerri Gladwin for delivering MBSR; Dr. Denise Adams for her contributions to the study’s conduct; and Dr. Sung Hyun Kang for leading the analysis of this study. The authors have declared that they have no competing or potential conflicts of interest. During the preparation of this manuscript, F.D. was supported by a Helen Corley Petit Scholarship in Liberal Arts and Sciences and an Emanuel Donchin Professorial Scholarship in Psychology from the University of Illinois.
Funding Information:
This study was supported by the Lotte and John Memorial Hecht Foundation and by the generosity of the Stollery Children's Hospital Foundation and supporters of the Lois Hole Hospital for Women through the Women and Children's Health Research Institute. Both acted solely as funders and had no role in study design, collection, analysis, or report writing.
Publisher Copyright:
© 2018 Association for Child and Adolescent Mental Health
PY - 2019/2/1
Y1 - 2019/2/1
N2 - Background: Mental illness is among the most common causes of morbidity, mortality, and disability in childhood. Mindfulness-based stress reduction (MBSR) has shown significant benefit in mental health; however, evidence of its effectiveness in youth is limited. The objective of this study was to compare the efficacy of MBSR plus usual care versus usual care alone for reducing mental health symptoms in youth. Methods: A two-arm, mixed methods, randomized cluster-controlled trial of 12–18 year olds who were residents of CASA House, a voluntary residential treatment program for adolescents, between January 2011 and March 2013 (clinicaltrials.gov, NCT01307943). Interventions: Treatment terms were randomized to usual care, or MBSR plus usual care, which included eight MBSR sessions of 2 hr/week. Outcomes: The primary outcome was impact on emotions and behavior at the end of the program, using the Behavior Assessment System for Children, Second Edition (BASC-2). Secondary outcomes included perceived stress levels, mindfulness, and emotional regulation. Results: A total of 85 participants were randomized to either the MBSR arm (n = 45) or control arm (n = 40). Significant differences in favor of MBSR were found on Teacher ratings of the Internalizing Problems (p =.038) and Adaptive Skills subscales (p =.022) on the BASC-2. No significant differences were found on other outcomes. A post hoc analysis found that the MBSR arm had a significantly shorter time to discharge (p =.02). Conclusion: The results of this study indicate that MBSR is effective for improved coping with internalizing problems and adaptive emotional skills in our sample. Future studies should focus on larger, longer-term studies in youth.
AB - Background: Mental illness is among the most common causes of morbidity, mortality, and disability in childhood. Mindfulness-based stress reduction (MBSR) has shown significant benefit in mental health; however, evidence of its effectiveness in youth is limited. The objective of this study was to compare the efficacy of MBSR plus usual care versus usual care alone for reducing mental health symptoms in youth. Methods: A two-arm, mixed methods, randomized cluster-controlled trial of 12–18 year olds who were residents of CASA House, a voluntary residential treatment program for adolescents, between January 2011 and March 2013 (clinicaltrials.gov, NCT01307943). Interventions: Treatment terms were randomized to usual care, or MBSR plus usual care, which included eight MBSR sessions of 2 hr/week. Outcomes: The primary outcome was impact on emotions and behavior at the end of the program, using the Behavior Assessment System for Children, Second Edition (BASC-2). Secondary outcomes included perceived stress levels, mindfulness, and emotional regulation. Results: A total of 85 participants were randomized to either the MBSR arm (n = 45) or control arm (n = 40). Significant differences in favor of MBSR were found on Teacher ratings of the Internalizing Problems (p =.038) and Adaptive Skills subscales (p =.022) on the BASC-2. No significant differences were found on other outcomes. A post hoc analysis found that the MBSR arm had a significantly shorter time to discharge (p =.02). Conclusion: The results of this study indicate that MBSR is effective for improved coping with internalizing problems and adaptive emotional skills in our sample. Future studies should focus on larger, longer-term studies in youth.
KW - Mental health
KW - adolescence
KW - mindfulness
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UR - http://www.scopus.com/inward/citedby.url?scp=85055038017&partnerID=8YFLogxK
U2 - 10.1111/camh.12302
DO - 10.1111/camh.12302
M3 - Article
C2 - 32677243
AN - SCOPUS:85055038017
SN - 1475-357X
VL - 24
SP - 29
EP - 35
JO - Child and Adolescent Mental Health
JF - Child and Adolescent Mental Health
IS - 1
ER -