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Gepubliceerd in: Mindfulness 11/2019

16-07-2019 | ORIGINAL PAPER

Mindfulness-Based Cognitive Therapy for Children (MBCT-C) for Prevention of Internalizing Difficulties: a Small Randomized Controlled Trial with Australian Primary School Children

Auteurs: Kathleen M. Wright, Rachel Roberts, Michael J. Proeve

Gepubliceerd in: Mindfulness | Uitgave 11/2019

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Abstract

Objectives

The use of mindfulness-based programs (MBP) with children is rapidly growing, but calls for well-designed randomized controlled trials (RCTs) of existing programs. Mindfulness-Based Cognitive Therapy for Children (MBCT-C) has preliminary evidence for targeting internalizing symptoms in children. Within MBCT-C (and MBPs more broadly), attention is thought to be a key component of change, but mediation has been relatively unexplored. The overall aim of this small RCT was to compare MBCT-C to cognitive behavior therapy (CBT), as a preventive program for children experiencing internalizing difficulties.

Methods

A mixed factorial design was used, with 2 (program group) by 2 (pre- and post-intervention) conditions. Children from 3 primary schools were randomized to MBCT-C (n = 45) or CBT (n = 44) using random permuted blocks, with stratification by school, gender, and age. Main analyses were multi-level mixed models.

Results

Contrary to the hypotheses, only limited differences were found between programs. Both programs had small effects on symptoms of anxiety and depression, quality of life, attention control, and parent- and teacher-SDQ Total Difficulties, as well as moderate-large effects on shifting attention. There were no statistically significant changes in mindfulness or sustained attention.

Conclusions

This RCT provides a robust test of MBCT-C in a “real life” setting, demonstrating that it may be used as a clinically oriented preventive program in schools to reduce internalizing symptoms. The results challenge whether attention (as measured in this study) is a unique component of change for MBCT-C.
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Literatuur
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Metagegevens
Titel
Mindfulness-Based Cognitive Therapy for Children (MBCT-C) for Prevention of Internalizing Difficulties: a Small Randomized Controlled Trial with Australian Primary School Children
Auteurs
Kathleen M. Wright
Rachel Roberts
Michael J. Proeve
Publicatiedatum
16-07-2019
Uitgeverij
Springer US
Gepubliceerd in
Mindfulness / Uitgave 11/2019
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI
https://doi.org/10.1007/s12671-019-01193-9

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