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09-08-2021 | ORIGINAL PAPER

App-Based Mindfulness Training for Adolescent Rumination: Predictors of Immediate and Cumulative Benefit

Auteurs: Christian A. Webb, Caroline M. Swords, Laura Murray, Lori M. Hilt

Gepubliceerd in: Mindfulness | Uitgave 10/2021

Abstract

Objectives

Rumination is a transdiagnostic risk factor for depression and anxiety, which surge during the adolescent years. Mindfulness training—with its emphasis on metacognitive awareness and present-moment attention—may be effective at reducing rumination. Mindfulness apps offer a convenient, engaging, and cost-effective means for accessing mindfulness training for teens. Despite their increasing popularity among adolescents, no study to date has investigated which teens are well-suited to app-based mindfulness training.

Methods

Eighty adolescents (M age = 14.01 years, 45% girls) with elevated rumination were enrolled in a 3-week trial of app-based mindfulness training. Repeated daily ecological momentary assessment (EMA) surveys assessed problem-focused and emotion-focused rumination immediately prior to and following each mindfulness exercise. Elastic net regularization (ENR) models tested baseline predictors of “immediate” (post-mindfulness exercise) and “cumulative” (post-3-week intervention) benefit from app-based mindfulness training.

Results

Ninety percent (72/80) of adolescents completed the 3-week trial, and the mean number of mindfulness exercises completed was 28.7. Baseline adolescent characteristics accounted for 14–25% of the variance in outcomes (i.e., reduction in problem-focused or emotion-focused rumination). Higher baseline rumination, and lower emotional suppression, predicted better immediate and cumulative outcomes. In contrast, female gender and older age predicted better immediate, but not cumulative, outcomes. Differences in results across outcome timeframes (immediate vs. cumulative) are discussed.

Conclusions

Findings from this study highlight the potential of data-driven approaches to inform which adolescent characteristics may predict benefit from engaging with an app-based mindfulness training program. Additional research is needed to test these predictive models against a comparison (non-mindfulness) condition.

vorige artikel Examining Practice Effects in a Randomized Controlled Trial: Daily Life Mindfulness Practice Predicts Stress Buffering Effects of Mindfulness Meditation Training

volgende artikel Positive Self-Compassion, Self-Coldness, and Psychological Outcomes in College Students: a Person-Centered Approach

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Titel: App-Based Mindfulness Training for Adolescent Rumination: Predictors of Immediate and Cumulative Benefit
Auteurs: Christian A. Webb
Caroline M. Swords
Laura Murray
Lori M. Hilt
Publicatiedatum: 09-08-2021
Uitgeverij: Springer US
Gepubliceerd in: Mindfulness / Uitgave 10/2021
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI: https://doi.org/10.1007/s12671-021-01719-0

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