Exploring the Long-Lasting Effect of Mindfulness-Based Intervention in Very Preterm Adolescents on Executive and Socio-Emotional Competencies

IF 1.8 4区医学 Q2 PEDIATRICS

Child Care Health and Development Pub Date : 2025-03-17 DOI:10.1111/cch.70051

Vanessa Siffredi, Maria Chiara Liverani, Natalia B. Fernandez, Petra Susan Hüppi, Cristina Borradori Tolsa, Russia Ha-Vinh Leuchter

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引用次数: 0

Abstract

Background

Very preterm (VPT) adolescents show executive and socio-emotional difficulties that persist into adulthood. Beneficial effect of mindfulness-based intervention (MBI) has been found in VPT young adolescents immediately after the end of the intervention. This study aims to examine the long-term effects of an 8-week MBI (2 to 5 years after the completion of the 8-week MBI) on executive and socio-emotional competencies in VPT adolescents.

Methods

The ‘Mindful Preterm Teens – Follow-Up’ study included 21 VPT adolescents, born before 32 weeks of gestation, who had previously completed the MBI, as well as 22 VPT and 28 full-term adolescents (aged 13 to 18) who had never participated in an MBI. Executive and socio-emotional competencies were assessed using self- and parent-reported questionnaires, as well as using neuropsychological testing. Past and current mindfulness practices were collected via self- and parent-questionnaires. Pearson's correlations were used to explore associations between current mindfulness practice and outcome measures, and group differences in outcome scores were analysed using multivariate analysis of covariance (ANCOVA).

Results

In VPT adolescents who had previously completed the MBI, current mindfulness practice was generally infrequent (ranging from at least once per month to no practice). This group showed a significant association between lower levels of current mindfulness practice with reduced parent-rated anxiety. When comparing the group of VPT adolescents who had completed the MBI with both VPT and FT participants who had not, no significant differences were observed in executive and socio-emotional competencies.

Conclusions

We observed no significant effect of MBI on the long-term (i.e., 2 to 5 years after the end of the MBI) in VPT adolescents. Regular mindfulness pratice might be needed to maintain the immediate beneficial effect of MBI.

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探索以正念为基础的干预对早产青少年执行力和社会情感能力的长期影响

背景：非常早产（VPT）青少年表现出持续到成年的执行和社会情感困难。正念干预（MBI）在VPT青少年干预结束后立即发现了有益的效果。本研究旨在探讨8周MBI（8周MBI完成后2 - 5年）对VPT青少年执行能力和社会情绪能力的长期影响。方法“注意早产儿青少年-随访”研究包括21名VPT青少年，出生在妊娠32周前，之前完成过MBI，以及22名VPT青少年和28名足月青少年（13至18岁）从未参加过MBI。通过自我和父母报告的问卷以及神经心理测试来评估执行能力和社会情感能力。过去和现在的正念练习是通过自我和父母问卷收集的。使用Pearson相关性来探索当前正念练习与结果测量之间的关联，并使用多变量协方差分析（ANCOVA）分析结果得分的组间差异。结果在先前完成MBI的VPT青少年中，目前的正念练习通常不频繁（从每月至少一次到没有练习）。这一组显示出较低水平的当前正念练习与减少父母评价的焦虑之间的显著关联。当将完成MBI的VPT青少年组与未完成MBI的VPT和FT参与者进行比较时，在执行能力和社会情绪能力方面没有观察到显著差异。结论：我们观察到MBI对VPT青少年的长期（即MBI结束后2至5年）没有显著影响。为了保持MBI的即时有益效果，可能需要定期的正念练习。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Child Care Health and Development 医学-小儿科

CiteScore

3.40

自引率

5.30%

发文量

136

审稿时长

4-8 weeks

期刊介绍： Child: care, health and development is an international, peer-reviewed journal which publishes papers dealing with all aspects of the health and development of children and young people. We aim to attract quantitative and qualitative research papers relevant to people from all disciplines working in child health. We welcome studies which examine the effects of social and environmental factors on health and development as well as those dealing with clinical issues, the organization of services and health policy. We particularly encourage the submission of studies related to those who are disadvantaged by physical, developmental, emotional and social problems. The journal also aims to collate important research findings and to provide a forum for discussion of global child health issues.