Abstract
This study examined the feasibility and efficacy of a 12-week mindfulness intervention in a wait-list controlled trial of 19 Latino-American and Asian-American middle school students with elevated mood symptoms. ANCOVA analyses indicated that immediate treatment was associated with significant reductions in parent-reported externalizing problems at post-treatment and marginally significant reductions in youth-reported internalizing problems. The pooled pre-to-post treatment analyses revealed that mindfulness led to a reduction in parent-reported externalizing problems, youth-reported internalizing problems, and youth-reported use of expressive suppression. Overall, this pilot study offers feasibility and efficacy data for mindfulness-based program as a potential treatment for behavior problems for ethnic minority youth with elevated mood symptoms. Implications of the findings, as well as considerations in engaging low-income ethnic minority families are discussed.
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References
Achenbach, T. M. (2006). As others see us clinical and research implications of cross-informant correlations for psychopathology. Current Directions in Psychological Science, 15(2), 94–98.
Achenbach, T. M., & Edelbrock, C. S. (1987). Manual for the youth self-report and profile. Burlington, VT: University of Vermont, Department of Psychiatry.
Achenbach, T. M., McConaughy, S. H., & Howell, C. T. (1987). Child/adolescent behavioral and emotional problems: Implications of cross-informant correlations for situational specificity. Psychological Bulletin, 101(2), 213–232.
Achenbach, T. M., & Rescorla, L. (2001). ASEBA School-Age Forms & Profiles. Aseba.
Angold, A., Weissman, M. M., John, K., Merikancas, K. R., Prusoff, B. A., Wickramaratne, P., & Warner, V. (1987). Parent and child reports of depressive symptoms in children at low and high risk of depression. Journal of Child Psychology and Psychiatry, 28, 901–915.
Bear, L., Finer, R., Guo, S., & Lau, A. S. (2014). Building the gateway to success: An appraisal of progress in reaching underserved families and reducing racial disparities in school-based mental health. Psychological Services, 11(4), 388–397.
Beauchemin, J., Hutchins, T. L., & Patterson, F. (2008). Mindfulness meditation may lessen anxiety, promote social skills, and improve academic performance among adolescents with learning disabilities. Complementary Health Practice Review, 13(1), 34–45.
Bernedo, I. M., Fuentes, M. J., & Fernández, M. (2008). Behavioral problems in adolescents raised by their grandparents. The Spanish Journal of Psychology, 11(2), 453–463.
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(5), 855–866.
Black, D. S., & Fernando, R. (2014). Mindfulness training and classroom behavior among lower-income and ethnic minority elementary school children. Journal of Child and Family Studies, 23(7), 1242–1246.
Bogels, S. M., Hoogstad, B., van Dun, L., de Schutter, S., & Restifo, K. (2008). Mindfulness training for adolescents with externalizing disorders and their parents. Behavioral and Cognitive Psychotherapy, 36, 193–209.
Briggs-Gowan, M. J., Carter, A. S., & Schwab-Stone, M. (1996). Discrepancies among mother, child, and teacher reports: examining the contributions of maternal depression and anxiety. Journal of Abnormal Child Psychology, 24(6), 749–765.
Broderick, P. C. (2013). Learning to Breathe: a mindfulness curriculum for adolescents to cultivate emotion regulation, attention, and performance. New Harbinger Publications
Broderick, P. C., & Metz, S. (2009). Learning to BREATHE: a pilot trial of a mindfulness curriculum for adolescents. Advances in School Mental Health Promotion, 2, 35–46.
Bui, K. V. T., & Takeuchi, D. T. (1992). Ethnic minority adolescents and the use of community mental health care services. American Journal of Community Psychology, 20(4), 403–417.
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(2), 133–144.
Butler, E. A., Lee, T. L., & Gross, J. J. (2007). Emotion regulation and culture: are the social consequences of emotion suppression culture-specific? Emotion, 7(1), 30–48.
Cabello, R., Salguero, J. M., Fernández-Berrocal, P., & Gross, J. J. (2013). A Spanish adaptation of the Emotion Regulation Questionnaire. European Journal of Psychological Assessment, 29(4), 234–240.
Chang, L., Morrissey, R. F., & Koplewicz, H. S. (1995). Prevalence of psychiatric symptoms and their relation to adjustment among Chinese American youth. Journal of Academic Child and Adolescent Psychiatry, 34, 91–99.
Farmer, E. M., Burns, B. J., Phillips, S. D., Angold, A., & Costello, E. J. (2003). Pathways into and through mental health services for children and adolescents. Psychiatric Services, 54(1), 60–66.
Gross, J. J. (2001). Emotion regulation in adulthood: timing is everything. Current Directions in Psychological Science, 10(6), 214–219.
Gross, J. J., & John, O. P. (2003). Individual differences in two emotion regulation processes: implications for affect, relationships, and well-being. Journal of Personality and Social Psychology, 85(2), 348–362.
Gudiño, O. G., Lau, A. S., & Hough, R. L. (2008). Immigrant status, mental health need, and mental health service utilization among high-risk Hispanic and Asian Pacific Islander youth. Child & Youth Care Forum, 37, 139–152.
Gullone, E., & Taffe, J. (2012). The Emotion Regulation Questionnaire for Children and Adolescents (ERQ–CA): a psychometric evaluation. Psychological Assessment, 24, 409–417.
Guo, S., Kataoka, S. H., Bear, L., & Lau, A. S. (2014). Differences in school-based referrals for mental health care: understanding racial/ethnic disparities between Asian American and Latino youth. School Mental Health, 6(1), 27–39.
Horowitz, J. L., Garber, J., Ciesla, J. A., Young, J. F., & Mufson, L. (2007). Prevention of depressive symptoms in adolescents: a randomized trial of cognitive-behavioral and interpersonal prevention programs. Journal of Consulting and Clinical Psychology, 75(5), 693–706.
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(4), 264–274.
Jaycox, L. H., Cohen, J. A., Mannarino, A. P., Walker, D. W., Langley, A. K., Gegenheimer, K. L., Scott, M., & Schonlau, M. (2010). Children’s mental health care following hurricane Katrina: a field trial of trauma-focused psychotherapies. Journal of Trauma Stress, 23, 223–231.
John, O. P., & Gross, J. J. (2004). Healthy and unhealthy emotion regulation: personality processes, individual differences, and life span development. Journal of Personality, 72(6), 1301–1334.
Kabat-Zinn, J. (1994). Wherever you go, there you are: Mindfulness meditation in everyday life. Hyperion
Kitayama, S., Markus, H. R., & Kurokawa, M. (2000). Culture, emotion, and well-being: good feelings in Japan and the United States. Cognition & Emotion, 14(1), 93–124.
Kristeller, J. L. (2007). Mindfulness meditative. In P. Lehrer, R. L. Woolfolk, & W. E. Sime (Eds.), Principles and practice of stress management (3rd ed.). New York: Guilford Press.
Kroenke, K., & Spitzer, R. L. (2002). The PHQ-9: a new depression diagnostic and severity measure. Psychiatric Annals, 32(9), 1–7.
Larsen, R. J., & Prizmic, Z. (2004). Affect regulation. In R. F. Baumeister & K. D. Vohs (Eds.), Handbook of self-regulation: research, theory, and applications (pp. 40–61). New York: Guilford Press.
Lau, A. S. (2006). Making the case for selective and directed cultural adaptations of evidence‐based treatments: examples from parent training. Clinical Psychology: Science and Practice, 13(4), 295–310.
Lee, J., Semple, R. J., Rosa, D., & Miller, L. (2008). Mindfulness-based cognitive therapy for children: results of a pilot study. Journal of Cognitive Psychotherapy, 22(1), 15–28.
Lyon, A. R., Ludwig, K., Romano, E., Leonard, S., Vander Stoep, A., & McCauley, E. (2013). “If It’s Worth My Time, I will Make the Time”: school-based providers’ decision-making about participating in an evidence-based psychotherapy consultation program. Administration and Policy in Mental Health and Mental Health Services Research, 40(6), 467–481.
Martinez, W., Polo, A., & Carter, J. S. (2012). Family orientation, language, and anxiety among low-income Latino youth. Journal of Anxiety Disorders, 26, 517–525.
McCarty, C. A., Violette, H. D., Duong, M. T., Cruz, R. A., & McCauley, E. (2013). A randomized trial of positive thoughts and action program for depression among early adolescents. Journal of Clinical Child and Adolescent Psychology, 42(4), 554–563.
Metz, S. M., Frank, J. L., Reibel, D., Cantrell, T., Sanders, R., & Broderick, P. C. (2013). The effectiveness of the Learning to BREATHE program on adolescent emotion regulation. Research in Human Development, 10(3), 252–272.
Neary, E. M., & Eyberg, S. M. (2002). Management of disruptive behavior in young children. Infant & Young Children, 4, 53–67.
Pierce, E. W., Ewing, L. J., & Campbell, S. B. (1999). Diagnostic status and symptomatic behavior of hard-to-manage preschool children in middle childhood and early adolescence. Journal of Clinical Child Psychology, 28(1), 44–57.
Rosselló, J., Bernal, G., & Rivera-Medina, C. (2008). Individual and group CBT and IPT for Puerto Rican adolescents with depressive symptoms. Cultural Diversity and Ethnic Minority Psychology, 14(3), 234–245.
Schonert-Reichl, K., Oberle, E., Lawlor, M., Abbott, D., Thomson, K., Oberlander, T., & Diamond, A. (2011). Enhancing cognitive and social emotional development through a simple to administer school program. Manuscript submitted for publication.
Semple, R. J., Lee, J., Rosa, D., & Miller, L. F. (2010). A randomized trial of mindfulness-based cognitive therapy for children: Promoting mindful attention to enhance social-emotional resiliency in children. Journal of Child and Family Studies, 19(2), 218–229.
Singh, N. N., Lancioni, G. E., Winton, A. S., Adkins, A. D., Wahler, R. G., Sabaawi, M., & Singh, J. (2007). Individuals with mental illness can control their aggressive behavior through mindfulness training. Behavior Modification, 31(3), 313–328.
Snowden, L. R., & Yamada, A. M. (2005). Cultural differences in access to care. Annual Review of Clinical Psychology, 1, 143–166.
Soto, J. A., Perez, C. R., Kim, Y. H., Lee, E. A., & Minnick, M. R. (2011). Is expressive suppression always associated with poorer psychological functioning? A cross-cultural comparison between European Americans and Hong Kong Chinese. Emotion, 11(6), 1450–1455.
Walsh, R., & Shapiro, S. L. (2006). The meeting of meditative disciplines and Western psychology: a mutually enriching dialogue. American Psychologist, 61(3), 227–239.
Weisz, J. R., Hawley, K. M., & Jensen Doss, A. (2004). Empirically tested psychotherapies for youth internalizing and externalizing problems and disorders. Child and Adolescent Psychiatric Clinics of North America, 13(4), 729–815.
Yang, H. J., Soong, W. T., Chiang, C. N., & Chen, W. J. (2000). Competence and behavioral/emotional problems among Taiwanese adolescents as reported by parents and teachers. Journal of the American Academy of Child & Adolescent Psychiatry, 39(2), 232–239.
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Following approval by the Institutional Review Board at University of California, Los Angeles and Fuller Theological Seminary, participants were recruited from two K-8 elementary schools in an urban public school district in the greater Los Angeles area that serves a high proportion of ethnic minority and low-income immigrant families.
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The authors declare that they have no competing interests.
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The research described in this paper was supported by the AAPA-APF Okura Mental Health Leadership Foundation Fellowship from the American Psychological Foundation.
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Fung, J., Guo, S., Jin, J. et al. A Pilot Randomized Trial Evaluating a School-Based Mindfulness Intervention for Ethnic Minority Youth. Mindfulness 7, 819–828 (2016). https://doi.org/10.1007/s12671-016-0519-7
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DOI: https://doi.org/10.1007/s12671-016-0519-7