Effectiveness of Mindfulness-Based Cognitive Therapy–Child With Youth Who Have a Parent Diagnosed With Bipolar I Disorder

Kaitlyn M. Bruns, Amanda C. La Guardia, Michael D. Brubaker, J. Farrow, S. Cotton, M. DelBello
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Abstract

Youth who have parents with bipolar I disorder appear to be most at risk for developing early-onset bipolar symptoms. The current study examined how one group counseling intervention, mindfulness-based cognitive therapy–child, may improve emotional awareness and influence the family environment over a 12-week treatment interval for a group of youth aged 11–16. Improving emotional awareness and the family environment may help slow symptom expression for youth at risk for developing bipolar I disorder. Changes in depressive symptoms for each participant were assessed using a single-case research design method to help better understand the mechanisms of change throughout treatment. While results indicate changes in emotional awareness, the majority were statistically nonsignificant. Notably, participants’ perception of control significantly changed, and participants reported significant positive changes in family environment. Some participants experienced decreases in depression over the course of the intervention.
基于正念的认知疗法的有效性——父母被诊断为双相情感障碍的儿童和青少年
父母患有双相I型障碍的青少年似乎最有可能出现早发性双相症状。目前的研究考察了一组咨询干预,即基于正念的认知治疗-儿童,如何在12周的治疗间隔内改善一组11-16岁的青少年的情绪意识并影响家庭环境。改善情绪意识和家庭环境可能有助于减缓青少年患双相I型障碍的症状表现。采用单例研究设计方法评估每位参与者抑郁症状的变化,以帮助更好地了解整个治疗过程中变化的机制。虽然结果表明情绪意识发生了变化,但大多数人在统计上没有显著意义。值得注意的是,被试对控制的感知发生了显著的变化,被试报告了家庭环境的显著积极变化。在干预过程中,一些参与者的抑郁程度有所下降。
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