The impact of mindfulness training in early adolescence on affective executive control, and on later mental health during the COVID-19 pandemic: a randomised controlled trial.

IF 6.6 2区医学 Q1 PSYCHIATRY

Evidence Based Mental Health Pub Date : 2022-07-12 DOI:10.1136/ebmental-2022-300460

Darren Dunning, S Ahmed, L Foulkes, C Griffin, K Griffiths, J T Leung, J Parker, Blanca Piera Pi-Sunyer, A Sakhardande, M Bennett, C Haag, Jesus Montero-Marin, D Packman, Maris Vainre, P Watson, Willem Kuyken, J Mark G Williams, Obioha C Ukoumunne, Sarah-Jayne Blakemore, Tim Dalgleish

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Abstract

Background: Previous research suggests that mindfulness training (MT) appears effective at improving mental health in young people. MT is proposed to work through improving executive control in affectively laden contexts. However, it is unclear whether MT improves such control in young people. MT appears to mitigate mental health difficulties during periods of stress, but any mitigating effects against COVID-related difficulties remain unexamined.

Objective: To evaluate whether MT (intervention) versus psychoeducation (Psy-Ed; control), implemented in after-school classes: (1) Improves affective executive control; and/or (2) Mitigates negative mental health impacts from the COVID-19 pandemic.

Methods: A parallel randomised controlled trial (RCT) was conducted (Registration: https://osf.io/d6y9q/; Funding: Wellcome (WT104908/Z/14/Z, WT107496/Z/15/Z)). 460 students aged 11-16 years were recruited and randomised 1:1 to either MT (N=235) or Psy-Ed (N=225) and assessed preintervention and postintervention on experimental tasks and self-report inventories of affective executive control. The RCT was then extended to evaluate protective functions of MT on mental health assessed after the first UK COVID-19 lockdown.

Findings: Results provided no evidence that the version of MT used here improved affective executive control after training or mitigated negative consequences on mental health of the COVID-19 pandemic relative to Psy-Ed. No adverse events were reported.

Conclusions: There is no evidence that MT improves affective control or downstream mental health of young people during stressful periods.

Clinical implications: We need to identify interventions that can enhance affective control and thereby young people's mental health.

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在 COVID-19 大流行期间，青少年早期正念训练对情感执行控制和日后心理健康的影响：随机对照试验。

背景：以往的研究表明，正念训练（MT）似乎能有效改善青少年的心理健康。正念训练被认为是通过提高执行控制能力来实现的。然而，目前尚不清楚正念训练是否能改善青少年的这种控制能力。MT似乎可以缓解压力时期的心理健康困难，但对COVID相关困难的任何缓解作用仍未得到研究：目的：评估在课后班实施的 MT（干预）与心理教育（Psy-Ed；对照）是否能：（1）改善情感执行控制；和/或（2）减轻 COVID-19 大流行对心理健康的负面影响：方法：进行了一项平行随机对照试验（RCT）（注册号：https://osf.io/d6y9q/；资金来源：Wellcome (WT104909)）：威康（WT104908/Z/14/Z，WT107496/Z/15/Z））。该研究招募了460名11-16岁的学生，以1:1的比例随机分配到MT（235人）或Psy-Ed（225人），并在干预前和干预后对实验任务和情感执行控制自我报告清单进行评估。然后，对该研究进行了扩展，以评估 MT 在英国第一次 COVID-19 封锁后对心理健康的保护功能：结果：与心理教育相比，没有证据表明本文使用的 MT 版本在训练后改善了情感执行控制，或减轻了 COVID-19 大流行对心理健康的负面影响。没有不良事件的报告：没有证据表明 MT 能改善青少年在压力时期的情感控制或下游心理健康：临床意义：我们需要确定能够提高情感控制能力的干预措施，从而提高青少年的心理健康水平。

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

Evidence Based Mental Health PSYCHIATRY-

CiteScore

18.10

自引率

7.70%

发文量

期刊介绍： Evidence-Based Mental Health alerts clinicians to important advances in treatment, diagnosis, aetiology, prognosis, continuing education, economic evaluation and qualitative research in mental health. Published by the British Psychological Society, the Royal College of Psychiatrists and the BMJ Publishing Group the journal surveys a wide range of international medical journals applying strict criteria for the quality and validity of research. Clinicians assess the relevance of the best studies and the key details of these essential studies are presented in a succinct, informative abstract with an expert commentary on its clinical application.Evidence-Based Mental Health is a multidisciplinary, quarterly publication.