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
{"title":"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。","authors":"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","doi":"10.1136/ebmental-2022-300460","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Objective: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Findings: </strong>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.</p><p><strong>Conclusions: </strong>There is no evidence that MT improves affective control or downstream mental health of young people during stressful periods.</p><p><strong>Clinical implications: </strong>We need to identify interventions that can enhance affective control and thereby young people's mental health.</p>","PeriodicalId":12233,"journal":{"name":"Evidence Based Mental Health","volume":" ","pages":""},"PeriodicalIF":6.6000,"publicationDate":"2022-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9340025/pdf/","citationCount":"0","resultStr":"{\"title\":\"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.\",\"authors\":\"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\",\"doi\":\"10.1136/ebmental-2022-300460\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>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.</p><p><strong>Objective: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Findings: </strong>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.</p><p><strong>Conclusions: </strong>There is no evidence that MT improves affective control or downstream mental health of young people during stressful periods.</p><p><strong>Clinical implications: </strong>We need to identify interventions that can enhance affective control and thereby young people's mental health.</p>\",\"PeriodicalId\":12233,\"journal\":{\"name\":\"Evidence Based Mental Health\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":6.6000,\"publicationDate\":\"2022-07-12\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9340025/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Evidence Based Mental Health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1136/ebmental-2022-300460\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PSYCHIATRY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Evidence Based Mental Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1136/ebmental-2022-300460","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHIATRY","Score":null,"Total":0}
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.
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.
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.
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