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.
child & adolescent psychiatry
Journal
Evidence-based mental health
ISSN: 1468-960X
Titre abrégé: Evid Based Ment Health
Pays: England
ID NLM: 100883413
Informations de publication
Date de publication:
12 Jul 2022
12 Jul 2022
Historique:
received:
24
02
2022
accepted:
15
06
2022
entrez:
12
7
2022
pubmed:
13
7
2022
medline:
13
7
2022
Statut:
aheadofprint
Résumé
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. 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. 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. 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. There is no evidence that MT improves affective control or downstream mental health of young people during stressful periods. We need to identify interventions that can enhance affective control and thereby young people's mental health.
Sections du résumé
BACKGROUND
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
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
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
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
CONCLUSIONS
There is no evidence that MT improves affective control or downstream mental health of young people during stressful periods.
CLINICAL IMPLICATIONS
CONCLUSIONS
We need to identify interventions that can enhance affective control and thereby young people's mental health.
Identifiants
pubmed: 35820991
pii: ebmental-2022-300460
doi: 10.1136/ebmental-2022-300460
pmc: PMC9340025
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : Medical Research Council
ID : MR/V027751/1
Pays : United Kingdom
Organisme : Medical Research Council
ID : MC_UU_00030/5
Pays : United Kingdom
Organisme : Medical Research Council
ID : MC_UU_00005/14
Pays : United Kingdom
Organisme : Medical Research Council
ID : MC_U105579212
Pays : United Kingdom
Organisme : Wellcome Trust
Pays : United Kingdom
Investigateurs
Ruth Baer
(R)
Daniel Brett
(D)
Eleanor-Rose Farley
(ER)
Triona Casey
(T)
Nicola Dalrymple
(N)
Katherine De Wilde
(K)
Katie Fletcher
(K)
Jennifer Harper
(J)
Verena Hinze
(V)
Nils Kapplemann
(N)
Maria Kempnich
(M)
Konstantina Komnindou
(K)
Suzannah Laws
(S)
Liz Lord
(L)
Emma Medlicott
(E)
Lucy Palmer
(L)
Ariane Petit
(A)
Alice Phillips
(A)
Isobel Pryor-Nitsch
(I)
Lucy Radley
(L)
Anam Raja
(A)
Elsie Sellars
(E)
Jem Shackleford
(J)
Anna Sonley
(A)
Laura Taylor
(L)
Alice Tickell
(A)
Lucy Warriner
(L)
Sarah Byford
(S)
Mark Greenberg
(M)
Tamsin Ford
(T)
Susan Gathercole
(S)
Russell Viner
(R)
Phil Zelazo
(P)
Rachel Knight
(R)
Blanca Piera Pi-Sunyer
(BP)
Kirsten Thomas
(K)
Susan Ball
(S)
Poushali Ganguli Ben Jones
(PG)
Nick Allen
(N)
Susan Bogels
(S)
Pim Cuijpers
(P)
Celene Domitrovich
(C)
Uta Frith
(U)
Terrie Moffitt
(T)
Vikram Patel
(V)
Informations de copyright
© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: WK is the Director of the Oxford Mindfulness Centre and receives royalties for several books on mindfulness. JMGW is former Director of the Oxford Mindfulness Centre and receives royalties for several books on mindfulness.
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