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Gepubliceerd in: Mindfulness 5/2014

01-10-2014 | ORIGINAL PAPER

School-Based Prevention and Reduction of Depression in Adolescents: a Cluster-Randomized Controlled Trial of a Mindfulness Group Program

Auteurs: Filip Raes, James W. Griffith, Katleen Van der Gucht, J. Mark G. Williams

Gepubliceerd in: Mindfulness | Uitgave 5/2014

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Abstract

Our objective was to conduct the first randomized controlled trial of the efficacy of a group mindfulness program aimed at reducing and preventing depression in an adolescent school-based population. For each of 12 pairs of parallel classes with students (age range 13–20) from five schools (N = 408), one class was randomly assigned to the mindfulness condition and one class to the control condition. Students in the mindfulness group completed depression assessments (the Depression Anxiety Stress Scales) prior to and immediately following the intervention and 6 months after the intervention. Control students completed the questionnaire at the same times as those in the mindfulness group. Hierarchical linear modeling showed that the mindfulness intervention showed significantly greater reductions (and greater clinically significant change) in depression compared with the control group at the 6-month follow-up. Cohen's d was medium sized (>.30) for both the pre-to-post and pre-to-follow-up effect for depressive symptoms in the mindfulness condition. The findings suggest that school-based mindfulness programs can help to reduce and prevent depression in adolescents.
Literatuur
go back to reference Baer, R. A., Carmody, J., & Hunsinger, M. (2012). Weekly change in mindfulness and perceived stress in a mindfulness-based stress reduction program. Journal of Clinical Psychology, 68, 755–765. doi:10.1002/jclp.21865.PubMedCrossRef Baer, R. A., Carmody, J., & Hunsinger, M. (2012). Weekly change in mindfulness and perceived stress in a mindfulness-based stress reduction program. Journal of Clinical Psychology, 68, 755–765. doi:10.​1002/​jclp.​21865.PubMedCrossRef
go back to reference Beurs, E., de Van Dyck, R., Marquenie, L. A., Lange, A., & Blonk, R. W. B. (2001). De DASS: een vragenlijst voor het meten van depressie, angst en stress [The DASS: a questionnaire for the measurement of depression, anxiety, and stress]. Gedragstherapie, 34, 35–53. Beurs, E., de Van Dyck, R., Marquenie, L. A., Lange, A., & Blonk, R. W. B. (2001). De DASS: een vragenlijst voor het meten van depressie, angst en stress [The DASS: a questionnaire for the measurement of depression, anxiety, and stress]. Gedragstherapie, 34, 35–53.
go back to reference Biegel, G. M., Brown, K. W., Shapiro, S. L., & Schubert, C. M. (2009). Mindfulness-based stress reduction for the treatment of adolescent psychiatric outpatients: a randomized clinical trial. Journal of Consulting and Clinical Psychology, 77, 855–866. doi:10.1037/a0016241.PubMedCrossRef Biegel, G. M., Brown, K. W., Shapiro, S. L., & Schubert, C. M. (2009). Mindfulness-based stress reduction for the treatment of adolescent psychiatric outpatients: a randomized clinical trial. Journal of Consulting and Clinical Psychology, 77, 855–866. doi:10.​1037/​a0016241.PubMedCrossRef
go back to reference Broderick, P. C., & Metz, S. (2009). Learning to BREATHE: a pilot trial of mindfulness curriculum for adolescents. Advances in School Mental Health Promotion, 2, 35–46.CrossRef Broderick, P. C., & Metz, S. (2009). Learning to BREATHE: a pilot trial of mindfulness curriculum for adolescents. Advances in School Mental Health Promotion, 2, 35–46.CrossRef
go back to reference Burke, C. A. (2010). Mindfulness-based approaches with children and adolescents: a preliminary review of current research in an emergent field. Journal of Child and Family Studies, 19, 133–144. doi:10.1007/s10826-009-9282-x.CrossRef Burke, C. A. (2010). Mindfulness-based approaches with children and adolescents: a preliminary review of current research in an emergent field. Journal of Child and Family Studies, 19, 133–144. doi:10.​1007/​s10826-009-9282-x.CrossRef
go back to reference Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale: Lawrence Erlbaum. Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale: Lawrence Erlbaum.
go back to reference Cohen, P., Cohen, J., Aiken, L. S., & West, S. G. (1999). The problem of units and the circumstance for POMP. Multivariate Behavioral Research, 34, 315–346.CrossRef Cohen, P., Cohen, J., Aiken, L. S., & West, S. G. (1999). The problem of units and the circumstance for POMP. Multivariate Behavioral Research, 34, 315–346.CrossRef
go back to reference Dewulf, D. (2009). Mindfulness voor jongeren. Tielt, Belgium: Lannoo. Dewulf, D. (2009). Mindfulness voor jongeren. Tielt, Belgium: Lannoo.
go back to reference Dewulf, D. (2013). Mindfulnesstraining voor jongeren: Stappenplan voor hulpverleners. Houten, the Netherlands: Lannoo Campus. Dewulf, D. (2013). Mindfulnesstraining voor jongeren: Stappenplan voor hulpverleners. Houten, the Netherlands: Lannoo Campus.
go back to reference Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (1999). Acceptance and commitment therapy. New York: Guilford. Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (1999). Acceptance and commitment therapy. New York: Guilford.
go back to reference Huppert, F. A., & Johnson, D. M. (2010). A controlled trial of mindfulness training in schools: the importance of practice for an impact on well-being. The Journal of Positive Psychology, 5, 264–274. doi:10.1080/17439761003794148.CrossRef Huppert, F. A., & Johnson, D. M. (2010). A controlled trial of mindfulness training in schools: the importance of practice for an impact on well-being. The Journal of Positive Psychology, 5, 264–274. doi:10.​1080/​1743976100379414​8.CrossRef
go back to reference Jacobson, N. S., & Truax, P. (1991). Clinical significance: a statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59, 12–19.PubMedCrossRef Jacobson, N. S., & Truax, P. (1991). Clinical significance: a statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59, 12–19.PubMedCrossRef
go back to reference Kabat-Zinn, J. (1990). Full catastrophe living: how to cope with stress, pain and illness using mindfulness meditation. New York: Delacorte. Kabat-Zinn, J. (1990). Full catastrophe living: how to cope with stress, pain and illness using mindfulness meditation. New York: Delacorte.
go back to reference Kabat-Zinn, J. (1994). Wherever you go there you are: mindfulness meditation in everyday life. New York: Hyperion. Kabat-Zinn, J. (1994). Wherever you go there you are: mindfulness meditation in everyday life. New York: Hyperion.
go back to reference Linehan, M. (1993). Cognitive-behavioral treatment of borderline personality disorder. New York: Guilford. Linehan, M. (1993). Cognitive-behavioral treatment of borderline personality disorder. New York: Guilford.
go back to reference Lovibond, S. H., & Lovibond, P. F. (1995). Manual for the depression anxiety stress scales (2nd ed.). Sydney: Psychology Foundation. Lovibond, S. H., & Lovibond, P. F. (1995). Manual for the depression anxiety stress scales (2nd ed.). Sydney: Psychology Foundation.
go back to reference Meiklejohn, J., Philips, C., Freedman, M. L., Griffin, M. L., Biegel, G., Roach, A., et al. (2012). Integrating mindfulness training into K-12 education: fostering the resilience of teachers and students. Mindfulness, 3, 291–307. doi:10.1007/s12671-012-0094-5.CrossRef Meiklejohn, J., Philips, C., Freedman, M. L., Griffin, M. L., Biegel, G., Roach, A., et al. (2012). Integrating mindfulness training into K-12 education: fostering the resilience of teachers and students. Mindfulness, 3, 291–307. doi:10.​1007/​s12671-012-0094-5.CrossRef
go back to reference Mendelson, T., Greenberg, M. T., Dariotis, J. K., Feagans Gould, L., Rhoades, B. L., & Leaf, P. J. (2010). Feasibility and preliminary outcomes of a school-based mindfulness intervention for urban youth. Journal of Abnormal Child Psychology, 38, 985–994. doi:10.1007/s10802-010-9418-x.PubMedCrossRef Mendelson, T., Greenberg, M. T., Dariotis, J. K., Feagans Gould, L., Rhoades, B. L., & Leaf, P. J. (2010). Feasibility and preliminary outcomes of a school-based mindfulness intervention for urban youth. Journal of Abnormal Child Psychology, 38, 985–994. doi:10.​1007/​s10802-010-9418-x.PubMedCrossRef
go back to reference Napoli, M., Krech, P. R., & Holley, L. C. (2005). Mindfulness training for elementary school students: the attention academy. Journal of Applied Psychology, 21, 99–125. doi:10.1300/J008v21n01_05. Napoli, M., Krech, P. R., & Holley, L. C. (2005). Mindfulness training for elementary school students: the attention academy. Journal of Applied Psychology, 21, 99–125. doi:10.​1300/​J008v21n01_​05.
go back to reference Raes, F., Dewulf, D., Van Heeringen, C., & Williams, J. M. G. (2009). Mindfulness and reduced cognitive reactivity to sad mood: evidence from a correlational study and a non-randomized waiting list controlled study. Behaviour Research and Therapy, 47, 623–627. doi:10.1016/j.brat.2009.03.007.PubMedCrossRef Raes, F., Dewulf, D., Van Heeringen, C., & Williams, J. M. G. (2009). Mindfulness and reduced cognitive reactivity to sad mood: evidence from a correlational study and a non-randomized waiting list controlled study. Behaviour Research and Therapy, 47, 623–627. doi:10.​1016/​j.​brat.​2009.​03.​007.PubMedCrossRef
go back to reference Raudenbush, S. W., & Bryk, A. S. (2002). Hierarchical linear models: applications and data analysis methods (2nd ed.). London: Sage. Raudenbush, S. W., & Bryk, A. S. (2002). Hierarchical linear models: applications and data analysis methods (2nd ed.). London: Sage.
go back to reference Schonert-Reichl, K. A., & Lawlor, M. S. (2010). The effects of a mindfulness-based education program on pre- and early adolescents' well-being and social and emotional competence. Mindfulness, 1, 137–151. doi:10.1007/s12671-010-0011-8.CrossRef Schonert-Reichl, K. A., & Lawlor, M. S. (2010). The effects of a mindfulness-based education program on pre- and early adolescents' well-being and social and emotional competence. Mindfulness, 1, 137–151. doi:10.​1007/​s12671-010-0011-8.CrossRef
go back to reference Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression: a new approach to preventing relapse. New York: Guilford. Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression: a new approach to preventing relapse. New York: Guilford.
go back to reference Singh, N. N., Singh, A. N., Lancioni, G. E., Singh, J., Winton, A. S. W., & Adkins, A. D. (2010). Mindfulness training for parents and their children with ADHD increases the children's compliance. Journal of Child and Family Studies, 19, 157–166. doi:10.1007/s10826-009-9272-z.CrossRef Singh, N. N., Singh, A. N., Lancioni, G. E., Singh, J., Winton, A. S. W., & Adkins, A. D. (2010). Mindfulness training for parents and their children with ADHD increases the children's compliance. Journal of Child and Family Studies, 19, 157–166. doi:10.​1007/​s10826-009-9272-z.CrossRef
go back to reference Stice, E., Shaw, H., Bohon, C., Marti Nathan, C., & Rohde, P. (2009). A meta-analytic review of depression prevention programs for children and adolescents: factors that predict magnitude of intervention effects. Journal of Consulting and Clinical Psychology, 77, 486–503. doi:10.1037/a0015168.PubMedCrossRefPubMedCentral Stice, E., Shaw, H., Bohon, C., Marti Nathan, C., & Rohde, P. (2009). A meta-analytic review of depression prevention programs for children and adolescents: factors that predict magnitude of intervention effects. Journal of Consulting and Clinical Psychology, 77, 486–503. doi:10.​1037/​a0015168.PubMedCrossRefPubMedCentral
go back to reference Van de Weijer-Bergsma, E., Langenberg, G., Brandsma, R., Oort, F. J., & Bögels, S. M. (2013). The effectiveness of a school-based mindfulness training as a program to prevent stress in elementary school children. Mindfulness. doi: 10.1007/s12671-012-0171-9. Van de Weijer-Bergsma, E., Langenberg, G., Brandsma, R., Oort, F. J., & Bögels, S. M. (2013). The effectiveness of a school-based mindfulness training as a program to prevent stress in elementary school children. Mindfulness. doi: 10.​1007/​s12671-012-0171-9.
go back to reference Willemsen, J., Markey, S., Declercq, F., & Vanheule, S. (2011). Negative emotionality in a large community sample of adolescents: the factor structure and measurement invariance of the short version of the Depression Anxiety Stress Scales (DASS-21). Stress and Health, 27, 120–128. doi:10.1002/smi.1342.CrossRef Willemsen, J., Markey, S., Declercq, F., & Vanheule, S. (2011). Negative emotionality in a large community sample of adolescents: the factor structure and measurement invariance of the short version of the Depression Anxiety Stress Scales (DASS-21). Stress and Health, 27, 120–128. doi:10.​1002/​smi.​1342.CrossRef
Metagegevens
Titel
School-Based Prevention and Reduction of Depression in Adolescents: a Cluster-Randomized Controlled Trial of a Mindfulness Group Program
Auteurs
Filip Raes
James W. Griffith
Katleen Van der Gucht
J. Mark G. Williams
Publicatiedatum
01-10-2014
Uitgeverij
Springer US
Gepubliceerd in
Mindfulness / Uitgave 5/2014
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI
https://doi.org/10.1007/s12671-013-0202-1

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