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A Randomized Trial Evaluating School-Based Mindfulness Intervention for Ethnic Minority Youth: Exploring Mediators and Moderators of Intervention Effects

  • Joey Fung
  • Joanna J. Kim
  • Joel Jin
  • Grace Chen
  • Laurel Bear
  • Anna S. Lau
Article

Abstract

The study examined the efficacy of a school-based mindfulness intervention on mental health and emotion regulation outcomes among adolescents in a wait-list controlled trial. The study also explored mediators and moderators of intervention effects. A total of 145 predominantly ethnic minority (Asian and Latino) 9th grade students with elevated mood symptoms were randomized to receive a 12-week mindfulness intervention at the start of the academic year, or in the second semester of the year. Students completed measures of emotion regulation and mental health symptoms at baseline, post-intervention, and 3-month follow-up. Intent-to-treat analyses revealed significant treatment effects of the mindfulness intervention for internalizing symptoms and perceived stress at post-treatment. Pooled pre-to-post treatment analyses of the entire sample revealed a small effect size for attention problems, medium for internalizing and externalizing problems, and large for perceived stress. We also found a small effect size for cognitive reappraisal, medium for expressive suppression, emotional processing, emotional expression, and rumination and large for avoidance fusion. Mediation analyses showed that treatment effects on internalizing symptoms and perceived stress were mediated by reductions in expressive suppression and rumination. Moderation analyses revealed that treatment effects were larger among youth with more severe problems at baseline for internalizing problems, externalizing problems, and perceived stress. However, for attention problems, students with lower severity at baseline appeared to have larger treatment gains. The study provided evidence that mindfulness intervention was beneficial for low-income ethnic minority youth in reducing perceived stress and internalizing problems, and improving emotion regulation outcomes. Furthermore, mindfulness training was associated with reduced mental health symptoms via improvements in emotion regulation.

Keywords

School-based intervention Mindfulness Ethnic minority youth Depression Emotion regulation 

Notes

Funding

This study was funded by the Spencer Foundation (Grant #201600077; 2015–2017, $49,909 direct costs; PI: Joey Fung).

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Approval

The authors attest that they have complied with ethical standards, including, but not limited to, oversight by the Institutional Review Board of the Fuller Theological Seminary and University of California, Los Angeles.

Informed Consent

Informed assent was obtained by all study participants and informed consent was obtained by participant parents/guardians.

References

  1. Abela, J. R. Z., Vanderbilt, E., & Rochon, A. (2004). A test of the integration of the response styles and social support theories of depression in third and seventh grade children. Journal of Social and Clinical Psychology, 23(5), 653–674.  https://doi.org/10.1521/jscp.23.5.653.50752.CrossRefGoogle Scholar
  2. Achenbach, T. M. (1991). Manual for the youth self-report and 1991 profile. Burlington, VT: University of Vermont, Department of Psychiatry.Google Scholar
  3. Ahmed, S. P., Bittencourt-Hewitt, A., & Sebastian, C. L. (2015). Neurocognitive bases of emotion regulation development in adolescence. Developmental Cognitive Neuroscience, 15, 11–25.  https://doi.org/10.1016/j.dcn.2015.07.006.CrossRefPubMedGoogle Scholar
  4. Aldao, A., Nolen-Hoeksema, S., & Schweizer, S. (2010). Emotion-regulation strategies across psychopathology: a meta-analytic review. Clinical Psychology Review, 30(2), 217–237.  https://doi.org/10.1016/j.cpr.2009.11.004.CrossRefPubMedGoogle Scholar
  5. Angold, A., Prendergast, M., Cox, A., Harrington, R., Simonoff, E., & Rutter, M. (1995). The child and adolescent psychiatric assessment (CAPA). Psychological Medicine, 25(04), 739–753.  https://doi.org/10.1017/S003329170003498X.CrossRefPubMedGoogle Scholar
  6. Angold, A., Erkanli, A., Farmer, E. M., Fairbank, J. A., Burns, B. J., Keeler, G., & Costello, E. J. (2002). Psychiatric disorder, impairment, and service use in rural African American and white youth. Archives of General Psychiatry, 59(10), 893–901.CrossRefPubMedGoogle Scholar
  7. 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.  https://doi.org/10.1177/1533210107311624.CrossRefGoogle Scholar
  8. Betts, J., Gullone, E., & Allen, J. S. (2009). An examination of emotion regulation, temperament, and parenting style as potential predictors of adolescent depression risk status: A correlational study. British Journal of Developmental Psychology, 27(2), 473–485.  https://doi.org/10.1348/026151008X314900.CrossRefPubMedGoogle Scholar
  9. 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.  https://doi.org/10.1037/a0016241.CrossRefPubMedGoogle Scholar
  10. Bishop, S. R., Lau, M., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J., et al. (2004). Mindfulness: A proposed operational definition. Clinical Psychology: Science and Practice, 11(3), 230–241.  https://doi.org/10.1093/clipsy.bph077.Google Scholar
  11. Black, D. S., Milam, J., & Sussman, S. (2009). Sitting-meditation interventions among youth: A review of treatment efficacy. Pediatrics, 124, 532–541.  https://doi.org/10.1542/peds.2008-3434.CrossRefGoogle Scholar
  12. Borders, A., Earleywine, M., & Jajodia, A. (2010). Could mindfulness decrease anger, hostility, and aggression by decreasing rumination? Aggressive Behavior, 36(1), 28–44.  https://doi.org/10.1002/ab.20327.CrossRefPubMedGoogle Scholar
  13. Bridges, L. J., Denham, S. A., & Ganiban, J. M. (2004). Definitional issues in emotion regulation research. Child Development, 75(2), 340–345.  https://doi.org/10.1111/j.1467-8624.2004.00675.x.CrossRefPubMedGoogle Scholar
  14. Broderick, P. C. (2013). Learning to Breathe: A mindfulness curriculum for adolescents to cultivate emotion regulation, attention, and performance. New Harbinger Publications.Google Scholar
  15. 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(1), 35–46.  https://doi.org/10.1080/1754730X.2009.9715696.CrossRefGoogle Scholar
  16. Brown, K. W., & Ryan, R. M. (2004). Perils and promise in defining and measuring mindfulness: Observations from experience. Clinical Psychology: Science and Practice, 11(3), 242–248.  https://doi.org/10.1093/clipsy.bph078.Google Scholar
  17. 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.  https://doi.org/10.1007/s10826-009-9282-x.CrossRefGoogle Scholar
  18. Butler, E. A., Egloff, B., Wlhelm, F. H., Smith, N. C., Erickson, E. A., & Gross, J. J. (2003). The social consequences of expressive suppression. Emotion, 3(1), 48–67.  https://doi.org/10.1037/1528-3542.3.1.48.CrossRefPubMedGoogle Scholar
  19. 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.  https://doi.org/10.1037/1528-3542.7.1.30.CrossRefPubMedGoogle Scholar
  20. Chambers, R., Gullone, E., & Allen, N. B. (2009). Mindful emotion regulation: An integrative review. Clinical Psychology Review, 29(6), 560–572.  https://doi.org/10.1016/j.cpr.2009.06.005.CrossRefPubMedGoogle Scholar
  21. Chang, E. C., Tsai, W., & Sanna, L. J. (2010). Examining the relations between rumination and adjustment: Do ethnic differences exist between Asian and European Americans? Asian American Journal of Psychology, 1(1), 46–56.  https://doi.org/10.1037/a0018821.CrossRefGoogle Scholar
  22. Cohen, S., Kamarck, T., & Mermelstein, R. (1994). Perceived stress scale. Measuring stress: A guide for health and social scientists.Google Scholar
  23. Davis, R. N., & Nolen-Hoeksema, S. (2000). Cognitive inflexibility among ruminators and nonruminators. Cognitive Therapy and Research, 24(6), 699–711.CrossRefGoogle Scholar
  24. Dickson, K. S., Ciesla, J. A., & Reilly, L. C. (2012). Rumination, worry, cognitive avoidance, and behavioral avoidance: Examination of temporal effects. Behavior Therapy, 43(3), 629–640.  https://doi.org/10.1016/j.beth.2011.11.002.CrossRefPubMedGoogle Scholar
  25. Dimidjian, S., Hollon, S. D., Dobson, K. S., Schmaling, K. B., Kohlenberg, R. J., Addis, M. E., et al. (2006). Randomized trial of behavioral activation, cognitive therapy, and antidepressant medication in the acute treatment of adults with major depression. Journal of Consulting and Clinical Psychology, 74(4), 658–670.  https://doi.org/10.1037/0022-006X.74.4.658.CrossRefPubMedGoogle Scholar
  26. Elkin, I., Gibbons, R. D., Shea, M. T., Sotsky, S. M., Watkins, J. T., Pilkonis, P. A., & Hedeker, D. (1995). Initial severity and differential treatment outcome in the National Institute of Mental Health treatment of depression collaborative research program. Journal of Consulting and Clinical Psychology, 63(5), 841–847.  https://doi.org/10.1037/0022-006X.63.5.841.CrossRefPubMedGoogle Scholar
  27. Evans, D. R., & Segerstrom, S. C. (2011). Why do mindful people worry less?. Cognitive Therapy and Research, 35(6), 505–510.CrossRefGoogle Scholar
  28. Fung, J., Guo, S., Jin, J., Bear, L., & Lau, A. (2016). A pilot randomized trial evaluating a school-based mindfulness intervention for ethnic minority youth. Mindfulness, 7(4), 819–828.CrossRefGoogle Scholar
  29. Greco, L. A., Lambert, W., & Baer, R. A. (2008). Psychological inflexibility in childhood and adolescence: Development and evaluation of the avoidance and fusion questionnaire for youth. Psychological Assessment, 20(2), 93–102.  https://doi.org/10.1037/1040-3590.20.2.93.CrossRefPubMedGoogle Scholar
  30. Gross, J. J. (1998a). Antecedent-and response-focused emotion regulation: Divergent consequences for experience, expression, and physiology. Journal of Personality and Social Psychology, 74(1), 224–237.  https://doi.org/10.1037/0022-3514.74.1.224.CrossRefPubMedGoogle Scholar
  31. Gross, J. J. (1998b). The emerging field of emotion regulation: An integrative review. Review of General Psychology, 2(3), 271–299.  https://doi.org/10.1037/1089-2680.2.3.271.CrossRefGoogle Scholar
  32. Gross, J. J. (2002). Emotion regulation: Affective, cognitive, and social consequences. Psychophysiology, 39(3), 281–291.  https://doi.org/10.1017/S0048577201393198.CrossRefPubMedGoogle Scholar
  33. 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.  https://doi.org/10.1037/0022-3514.85.2.348.CrossRefPubMedGoogle Scholar
  34. Gross, J. J., & Thompson, R. A. (2007). Emotion regulation: Conceptual foundations. In J. J. Gross (Ed.), Handbook of emotion regulation (pp. 3–24). New York: Guilford Press.Google Scholar
  35. 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.  https://doi.org/10.1007/s10566-008-9056-4.CrossRefGoogle Scholar
  36. Gudiño, O. G., Lau, A. S., Yeh, M., McCabe, K. M., & Hough, R. L. (2009). Understanding racial/ethnic disparities in youth mental health services: Do disparities vary by problem type? Journal of Emotional and Behavioral Disorders, 17(1), 3–16.  https://doi.org/10.1177/1063426608317710.CrossRefGoogle Scholar
  37. Gullone, E., & Taffe, J. (2012). The emotion regulation questionnaire for children and adolescents (ERQ–CA): A psychometric evaluation. Psychological Assessment, 24(2), 409–417.  https://doi.org/10.1037/a0025777.CrossRefPubMedGoogle Scholar
  38. 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.  https://doi.org/10.1007/s12310-013-9108-2.CrossRefGoogle Scholar
  39. Hayes, S. C. (2004). Acceptance and commitment therapy, relational frame theory, and the third wave of behavioral and cognitive therapies. Behavior Therapy, 35(4), 639–665.  https://doi.org/10.1016/S0005-7894(04)80013-3.CrossRefGoogle Scholar
  40. Hayes, A. F. (2006). A primer on multilevel modeling. Human communication research, 32(4), 385–410.CrossRefGoogle Scholar
  41. Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York: Guilford Press.Google Scholar
  42. Hayes, A. M., & Feldman, G. (2004). Clarifying the construct of mindfulness in the context of emotion regulation and the process of change in therapy. Clinical Psychology: Science and Practice, 11(3), 255–262.  https://doi.org/10.1093/clipsy.bph080.Google Scholar
  43. Hilt, L. M., McLaughlin, K. A., & Nolen-Hoeksema, S. (2010). Examination of the response styles theory in a community sample of young adolescents. Journal of Abnormal Child Psychology, 38(4), 545–556.  https://doi.org/10.1007/s10802-009-9384-3.CrossRefPubMedPubMedCentralGoogle Scholar
  44. 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.  https://doi.org/10.1037/0022-006X.75.5.693.CrossRefPubMedGoogle Scholar
  45. Howe-Martin, L. S., Murrell, A. R., & Guarnaccia, C. A. (2012). Repetitive nonsuicidal self‐injury as experiential avoidance among a community sample of adolescents. Journal of Clinical Psychology, 68(7), 809–829.CrossRefPubMedGoogle Scholar
  46. Huang, K., Leong, F. T., & Wagner, N. S. (1994). Coping with peer stressors and associated dysphoria: Acculturation differences among Chinese-American children. Counselling Psychology Quarterly, 7(1), 53–68.  https://doi.org/10.1080/09515079408254134.CrossRefGoogle Scholar
  47. Hwang, W. C., & Ting, J. Y. (2008). Disaggregating the effects of acculturation and acculturative stress on the mental health of Asian Americans. Cultural Diversity and Ethnic Minority Psychology, 14(2), 147–154.  https://doi.org/10.1037/1099-9809.14.2.147.CrossRefPubMedGoogle Scholar
  48. Izard, C. E. (2002). Translating emotion theory and research into preventive interventions. Psychological Bulletin, 128(5), 796–824.  https://doi.org/10.1037/0033-2909.128.5.796.CrossRefPubMedGoogle Scholar
  49. 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 Traumatic Stress, 23, 223–231.  https://doi.org/10.1002/jts.20518.PubMedPubMedCentralGoogle Scholar
  50. Jazaieri, H., McGonigal, K., Jinpa, T., Doty, J. R., Gross, J. J., & Goldin, P. R. (2014). A randomized controlled trial of compassion cultivation training: Effects on mindfulness, affect, and emotion regulation. Motivation and Emotion, 38(1), 23–35.  https://doi.org/10.1007/s11031-013-9368-z.CrossRefGoogle Scholar
  51. 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.CrossRefPubMedGoogle Scholar
  52. Joyce, A., Etty-Leal, J., Zazryn, T., & Hamilton, A. (2010). Exploring a mindfulness meditation program on the mental health of upper primary children: A pilot study. Advances in School Mental Health Promotion, 3(2), 17–25.  https://doi.org/10.1080/1754730X.2010.9715677.CrossRefGoogle Scholar
  53. Kabat-Zinn, J. (1994). Wherever you go, there you are: Mindfulness meditation in everyday life. New York, NY: Hyperion.Google Scholar
  54. Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: Past, present, and future. Clinical Psychology: Science and Practice, 10(2), 144–156.  https://doi.org/10.1093/clipsy.bpg016.Google Scholar
  55. Keune, P. M., Bostanov, V., Hautzinger, M., & Kotchoubey, B. (2011). Mindfulness-based cognitive therapy (MBCT), cognitive style, and the temporal dynamics of frontal EEG alpha asymmetry in recurrently depressed patients. Biological Psychology, 88(2), 243–252.  https://doi.org/10.1016/j.biopsycho.2011.08.008.CrossRefPubMedGoogle Scholar
  56. Kim, S. Y., & Chao, R. K. (2009). Heritage language fluency, ethnic identity, and school effort of immigrant Chinese and Mexico adolescents. Cultural Diversity and Ethnic Minority Psychology, 15(1), 27.CrossRefPubMedPubMedCentralGoogle Scholar
  57. Kroenke, K., & Spitzer, R. L. (2002). The PHQ-9: a new depression diagnostic and severity measure. Psychiatric Annals, 32(9), 509–515.CrossRefGoogle Scholar
  58. Kwon, H., Yoon, K. L., Joormann, J., & Kwon, J. H. (2013). Cultural and gender differences in emotion regulation: Relation to depression. Cognition and Emotion, 27(5), 769–782.  https://doi.org/10.1080/02699931.2013.792244.CrossRefPubMedGoogle Scholar
  59. Larsen R. J., & Prizmic Z. (2004). Affect regulation. In R. F. Baumeister RF, & K. D. Vohs (Eds), Handbook of self-regulation: Research, theory, and applications (pp. 40–61). New York: Guilford Press.Google Scholar
  60. Lau, A. S., Guo, S., Tsai, W., Nguyen, D. J., Nguyen, H. T., Ngo, V., & Weiss, B. (2016). Adolescents’ stigma attitudes toward internalizing and externalizing disorders: cultural influences and implications for distress manifestations. Clinical Psychological Science, 4(4), 704–717.CrossRefPubMedPubMedCentralGoogle Scholar
  61. Luoma, J., & Hayes, S. C. (2003). Cognitive defusion. In W. T. Donohue, J. E. Fisher, & S. C. Hayes (Eds.), Empirically supported techniques for cognitive behavior therapy: A step-by-step guide for clinicians (pp. 71–78). New York: Wiley.Google Scholar
  62. Lutz, A., Slagter, H. A., Dunne, J. D., & Davidson, R. J. (2008). Attention regulation and monitoring in meditation. Trends in Cognitive Sciences, 12(4), 163–169.  https://doi.org/10.1016/j.tics.2008.01.005.CrossRefPubMedPubMedCentralGoogle Scholar
  63. Martinez, W., Polo, A. J., & Carter, J. S. (2012). Family orientation, language, and anxiety among low-income Latino youth. Journal of Anxiety Disorders, 26(4), 517–525.CrossRefPubMedGoogle Scholar
  64. 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.  https://doi.org/10.1080/15374416.2013.782817.CrossRefPubMedPubMedCentralGoogle Scholar
  65. McLaughlin, K. A., & Hatzenbuehler, M. L. (2009). Mechanisms linking stressful life events and mental health problems in a prospective, community-based sample of adolescents. Journal of Adolescent Health, 44(2), 153–160.  https://doi.org/10.1016/j.jadohealth.2008.06.019.CrossRefPubMedGoogle Scholar
  66. Mennin, D., & Farach, F. (2007). Emotion and evolving treatments for adult psychopathology. Clinical Psychology: Science and Practice, 14(4), 329–352.  https://doi.org/10.1111/j.1468-2850.2007.00094.x.Google Scholar
  67. Merikangas, K. R., Nakamura, E. F., & Kessler, R. C. (2009). Epidemiology of mental disorders in children and adolescents. Dialogues in Clinical Neuroscience, 11(1), 7–20 Retrieved from https://www.dialogues-cns.org/.PubMedPubMedCentralGoogle Scholar
  68. Merikangas, K. R., He, J. P., Burstein, M., Swanson, S. A., Avenevoli, S., Cui, L., … & Swendsen, J. (2010). Lifetime prevalence of mental disorders in US adolescents: results from the National Comorbidity Survey Replication–Adolescent Supplement (NCS-A). Journal of the American Academy of Child & Adolescent Psychiatry, 49(10), 980–989.  https://doi.org/10.1016/j.jaac.2010.05.017.
  69. 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.  https://doi.org/10.1080/15427609.2013.818488.CrossRefGoogle Scholar
  70. Michl, L. C., McLaughlin, K. A., Shepherd, K., & Nolen-Hoeksema, S. (2013). Rumination as a mechanism linking stressful life events to symptoms of depression and anxiety: Longitudinal evidence in early adolescents and adults. Journal of Abnormal Psychology, 122(2), 339–352.  https://doi.org/10.1037/a0031994.CrossRefPubMedPubMedCentralGoogle Scholar
  71. Newman, M. G., & Llera, S. J. (2011). A novel theory of experiential avoidance in generalized anxiety disorder: A review and synthesis of research supporting a contrast avoidance model of worry. Clinical Psychology Review, 31(3), 371–382.  https://doi.org/10.1016/j.cpr.2011.01.008.CrossRefPubMedPubMedCentralGoogle Scholar
  72. Nguyen-Rodriguez, S. T., Chou, C. P., Unger, J. B., & Spruijt-Metz, D. (2008). BMI as a moderator of perceived stress and emotional eating in adolescents. Eating Behaviors, 9(2), 238–246.  https://doi.org/10.1016/j.eatbeh.2007.09.001.CrossRefPubMedGoogle Scholar
  73. Nolen-Hoeksema, S. (1991). Responses to depression and their effects on the duration of depressive episodes. Journal of Abnormal Psychology, 100(4), 569–582.  https://doi.org/10.1037/0021-843X.100.4.569.CrossRefPubMedGoogle Scholar
  74. Papadakis, A. A., Prince, R. P., Jones, N. P., & Strauman, T. J. (2006). Self-regulation, rumination, and vulnerability to depression in adolescent girls. Development and Psychopathology, 18(03), 815–829.  https://doi.org/10.1017/S0954579406060408.CrossRefPubMedGoogle Scholar
  75. Pescosolido, B. A., Jensen, P. S., Martin, J. K., Perry, B. L., Olafsdottir, S., & Fettes, D. (2008). Public knowledge and assessment of child mental health problems: Findings from the National Stigma Study-Children. Journal of the American Academy of Child & Adolescent Psychiatry, 47(3), 339–349.  https://doi.org/10.1097/CHI.0b013e318160e3a0.CrossRefGoogle Scholar
  76. Polo, A. J., & López, S. R. (2009). Culture, context, and the internalizing distress of Mexican American youth. Journal of Clinical Child and Adolescent Psychology, 38(2), 273–285.  https://doi.org/10.1080/15374410802698370.CrossRefPubMedGoogle Scholar
  77. 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.  https://doi.org/10.1037/1099-9809.14.3.234.CrossRefPubMedGoogle Scholar
  78. Schonert-Reichl, K., Oberle, E., Lawlor, M. S., Abbott, D., Thomson, K., Oberlander, T. F., & Diamond, A. (2015). Enhancing cognitive and social-emotional development through a simple-to-administer school program for elementary school children: A randomized controlled trial. Developmental Psychology, 51(1), 52–66.  https://doi.org/10.1037/a0038454.CrossRefPubMedPubMedCentralGoogle Scholar
  79. 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.  https://doi.org/10.1007/s10826-009-9301-y.CrossRefGoogle Scholar
  80. Silk, J. S., Steinberg, L., & Morris, A. S. (2003). Adolescents' emotion regulation in daily life: Links to depressive symptoms and problem behavior. Child Development, 74(6), 1869–1880.  https://doi.org/10.1046/j.1467-8624.2003.00643.x.CrossRefPubMedGoogle Scholar
  81. Singh, N. N., Lancioni, G. E., Winton, A. S., Singh, J., Curtis, W. J., Wahler, R. G., & McAleavey, K. M. (2007). Mindful parenting decreases aggression and increases social behavior in children with developmental disabilities. Behavior Modification, 31(6), 749–771.  https://doi.org/10.1177/0145445507300924.CrossRefPubMedGoogle Scholar
  82. Smyth, J. M. (1998). Written emotional expression: Effect sizes, outcome types, and moderating variables. Journal of Consulting and Clinical Psychology, 66(1), 174–184.  https://doi.org/10.1037/0022-006X.66.1.174.CrossRefPubMedGoogle Scholar
  83. So, K. T., & Orme-Johnson, D. W. (2001). Three randomized experiments on the longitudinal effects of the transcendental meditation technique on cognition. Intelligence, 29(5), 419–440.  https://doi.org/10.1016/S0160-2896(01)00070-8.CrossRefGoogle Scholar
  84. 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.  https://doi.org/10.1037/a0023340.CrossRefPubMedGoogle Scholar
  85. Stanton, A. L., Kirk, S. B., Cameron, C. L., & Danoff-Burg, S. (2000). Coping through emotional approach: Scale construction and validation. Journal of Personality and Social Psychology, 78(6), 1150–1169.  https://doi.org/10.1037//0022-3514.78.6.1150.CrossRefPubMedGoogle Scholar
  86. Stanton, A. L., Parsa, A., & Austenfeld, J. L. (2002). The adaptive potential of coping through emotional approach. In C. R. Snyder & S. J. Lopez (Eds.), Handbook of positive psychology (pp. 148–158). New York: Oxford University Press.Google Scholar
  87. Stephan, S. H., Weist, M., Kataoka, S., Adelsheim, S., & Mills, C. (2007). Transformation of children's mental health services: The role of school mental health. Psychiatric Services, 58(10), 1330–1338.  https://doi.org/10.1176/ps.2007.58.10.1330.CrossRefPubMedGoogle Scholar
  88. Stoep, A., Mccauley, E., Thompson, K. A., Herting, J. R., Kuo, E. S., Stewart, D. G., et al. (2005). Universal emotional health screening at the middle school transition. Journal of Emotional and Behavioral Disorders, 13(4), 213–223.  https://doi.org/10.1177/10634266050130040301.CrossRefPubMedPubMedCentralGoogle Scholar
  89. Su, J. C., Lee, R. M., Park, I. J., Soto, J. A., Chang, J., Zamboanga, B. L., et al. (2015). Differential links between expressive suppression and well-being among Chinese and Mexican American college students. Asian American Journal of Psychology, 6(1), 15–24.  https://doi.org/10.1037/a0036116.CrossRefGoogle Scholar
  90. Taylor‐Piliae, R. E., Haskell, W. L., Waters, C. M., & Froelicher, E. S. (2006). Change in perceived psychosocial status following a 12‐week Tai Chi exercise programme. Journal of Advanced Nursing, 54(3), 313–329.CrossRefPubMedGoogle Scholar
  91. Tsai, W., Nguyen, D. J., Weiss, B., Ngo, V., & Lau, A. S. (2017). Cultural differences in the reciprocal relations between emotion suppression coping, depressive symptoms and interpersonal functioning among adolescents. Journal of Abnormal Child Psychology, 45(4), 657–669.  https://doi.org/10.1007/s10802-016-0192-2.CrossRefPubMedGoogle Scholar
  92. Tull, M. T., Gratz, K. L., & Lacroce, D. M. (2006). The role of anxiety sensitivity and lack of emotional approach coping in depressive symptom severity among a non-clinical sample of uncued panickers. Cognitive Behaviour Therapy, 35(2), 74–87.  https://doi.org/10.1080/16506070500466730033.CrossRefPubMedGoogle Scholar
  93. Verstraeten, K., Vasey, M. W., Raes, F., & Bijttebier, P. (2009). Temperament and risk for depressive symptoms in adolescence: Mediation by rumination and moderation by effortful control. Journal of Abnormal Child Psychology, 37(3), 349–361.  https://doi.org/10.1007/s10802-008-9293-x.CrossRefPubMedGoogle Scholar
  94. Waters, L., Barsky, A., Ridd, A., & Allen, K. (2015). Contemplative education: A systematic, evidence-based review of the effect of meditation interventions in schools. Educational Psychology Review, 27(1), 103–134.  https://doi.org/10.1007/s10648-014-9258-2.CrossRefGoogle Scholar
  95. Wegner, D. M. (1994). Ironic processes of mental control. Psychological Review, 101(1), 34–52.  https://doi.org/10.1037/0033-295X.101.1.34.CrossRefPubMedGoogle Scholar
  96. Whelton, W. J. (2004). Emotional processes in psychotherapy: Evidence across therapeutic modalities. Clinical Psychology & Psychotherapy, 11, 58–71.  https://doi.org/10.1002/cpp.392.CrossRefGoogle Scholar
  97. Yeh, M., McCabe, K., Lambros, K., Hough, R., Landsverk, J., Hurlburt, M., & Culver, S. (2005). Racial/ethnic representation across five public sectors of care for youth with EBD: Implications for students in school settings. In P. Clough et al. (Eds.), Handbook of emotional and behavioural difficulties (pp. 195–221). Thousand Oaks, CA: Sage Publications.CrossRefGoogle Scholar
  98. Zeman, J., Shipman, K., & Suveg, C. (2002). Anger and sadness regulation: Predictions to internalizing and externalizing symptoms in children. Journal of Clinical Child and Adolescent Psychology, 31(3), 393–398.  https://doi.org/10.1207/S15374424JCCP3103_11.CrossRefPubMedGoogle Scholar
  99. Zenner, C., Herrnleben-Kurz, S., & Walach, H. (2014). Mindfulness-based interventions in schools—A systematic review and meta-analysis. Frontiers in Psychology, 5, 603.  https://doi.org/10.3389/fpsyg.2014.00603.CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Joey Fung
    • 1
  • Joanna J. Kim
    • 2
  • Joel Jin
    • 1
  • Grace Chen
    • 1
  • Laurel Bear
    • 3
  • Anna S. Lau
    • 2
  1. 1.Graduate School of Psychology, Fuller Theological SeminaryPasadenaUSA
  2. 2.Department of PsychologyUniversity of California, Los AngelesLos AngelesUSA
  3. 3.Alhambra Unified School DistrictAlhambraUSA

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