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A School-Based Mindfulness Pilot Study for Ethnically Diverse At-Risk Adolescents

Mindfulness volume 7, pages 90–104 (2016)Cite this article

Abstract

Adolescence is a critical period for intervention with at-risk youth to promote emotional well-being, deter problematic behavior, and prevent the onset of life-long challenges. Despite preliminary evidence supporting mindfulness interventions for at-risk youth, few studies have included implementation details or reported feasibility and acceptance in ethnically diverse at-risk adolescents in a school setting. We conducted a randomized pilot study of a school-based mindfulness program, Learning to BREATHE, with ethnically diverse at-risk adolescents. Twenty-seven students were randomly assigned to a mindfulness or substance abuse control class that occurred for 50 min, once a week, over one school semester. Adjustments were made to increase acceptability of the mindfulness class, including enhanced instructor engagement in school activities. Reductions in depression were seen for students in the mindfulness class compared to controls. Initially, students’ perceived credibility of the mindfulness class was lower than that of the substance abuse class. Over the semester, perceived credibility of the mindfulness class increased while that of the substance abuse class decreased. Qualitative acceptability measures revealed that the mindfulness class helped to relieve stress and that students favored continuing the class. This study provides practical knowledge about what works with this unique population in a school setting and offers suggestions for future studies.

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References

  • Angold, A., Costello, E. J., & Messer, S. C. (1995). Development of a short questionnaire for use in epidemiological studies of depression in children and adolescents. International Journal of Methods in Psychiatric Research, 5, 237–249.

    Google Scholar 

  • Biegel, G., Brown, K., Shapiro, S., & Schubert, C. (2009). Mindfulness-based stress reduction for the treatment of adolescent psychiatric outpatients: a randomized clinical trial. Journal of Clinical and Consulting Psychology, 77(5), 855–866.

    Article  Google Scholar 

  • Black, D. S., Milam, J., & Sussman, S. (2009). Sitting-meditation interventions among youth: a review of treatment efficacy. Pediatrics, 124(3), e532–e541. doi:10.1542/peds. 2008-3434.

    Article  PubMed Central  PubMed  Google Scholar 

  • Blakemore, S. J., & Mills, K. L. (2014). Is adolescence a sensitive period for sociocultural processing? Annual Review of Psychology, 65, 187–207. doi:10.1146/annurev-psych-010213-115202.

    Article  PubMed  Google Scholar 

  • Blakemore, J., Berenbaum, S., & Liben, L. (2009). Gender development. Clifton: Psychology Press.

    Google Scholar 

  • Boggess, L. N., & Linnemann, T. W. (2011). At-risk youth. In W. J. Chambliss (Ed.), Juvenile crime and justice. New York: Sage.

    Google Scholar 

  • Borkovec, T. D., & Nau, S. D. (1972). Credibility of analogue therapy rationales. Journal of Behaioral Therapy & Experimental Psychiatry, 3, 257–260.

    Article  Google Scholar 

  • Britton, W., Bootzin, R., Cousins, J., Hasler, B., Peck, T., & Shapiro, S. (2010). The contribution of mindfulness practice to a multicomponent behavioral sleep intervention following substance abuse treatment in adolescents: a treatment-development study. Substance Abuse, 31(2), 86–97. doi:10.1080/08897071003641297.

    Article  PubMed  Google Scholar 

  • Broderick, P. (2013). Learning to BREATHE: a mindfulness curriculum for adolescents to cultivate emotion regulation, attention, and performance. Oakland: New Harbinger Press.

    Google Scholar 

  • Broderick, P., & 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.

    Article  Google Scholar 

  • 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. doi:10.1007/s10826-009-9282-x.

    Article  Google Scholar 

  • Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale: L. Erlbaum Associates.

    Google Scholar 

  • Cohen, S., & Williamson, G. (1988). Perceived stress in a probability sample of the United States. In S. Spacapan & S. Oskamp (Eds.), The social psychology of health. Newbury Park: Sage.

    Google Scholar 

  • Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24(4), 385–396.

    Article  PubMed  Google Scholar 

  • Cumming, G. (2014). The new statistics: why and how. Psychological Science, 25(1), 7–29. doi:10.1177/0956797613504966.

    Article  PubMed  Google Scholar 

  • Divall, S., & Radovick, S. (2008). Pubertal development and menarche. Annals of the New York Academy of Sciences, 1135, 19–28.

    Article  PubMed  Google Scholar 

  • Durlak, J. A. (2009). How to select, calculate, and interpret effect sizes. Journal of Pediatric Psychology, 34(9), 917–928. doi:10.1093/jpepsy/jsp004.

    Article  PubMed  Google Scholar 

  • Durlak, J. A., Weissberg, R. P., Dymnicki, A. B., Taylor, R. D., & Schellinger, K. B. (2011). The impact of enhancing students’ social and emotional learning: a meta-analysis of school-based universal interventions. Child Development, 82(1), 405–432. doi:10.1111/j.1467-8624.2010.01564.x.

    Article  PubMed  Google Scholar 

  • Forman, E. M., & Davies, P. T. (2003). Family instability and young adolescent maladjustment: the mediating effects of parenting quality and adolescent appraisals of family security. Journal of Clinical Child and Adolescent Psychology, 32(1), 94–105.

    Article  PubMed  Google Scholar 

  • Grabbe, L., Nguy, S. T., & Higgins, M. K. (2012). Spirituality development for homeless youth: a mindfulness meditation feasibility pilot. Journal of Child and Family Studies, 21(6), 925–937.

    Article  Google Scholar 

  • Greco, L., Baer, R. A., & Smith, G. T. (2011). Assessing mindfulness in children and adolescents: development and validation of the child and adolescent mindfulness measure (CAMM). Psychological Assessment, 23(3), 606–614.

    Article  PubMed  Google Scholar 

  • Greenwood, P., Niemann, L., Schmidt, S., & Walach, H. (2004). Mindfulness-based stress reduction and health benefits: a meta-analysis. Journal of Psychosomatic Research, 57(1), 35–43.

    Article  Google Scholar 

  • Greeson, J. M. (2009). Mindfulness research update: 2008. Complementary Health Practice Review, 14(10), 10–18.

    PubMed Central  PubMed  Google Scholar 

  • Himelstein, S. (2011). Mindfulness-based substance abuse treatment for incarcerated youth: a mixed method pilot study. International Journal of Transpersonal Studies, 30(1–2), 1–10.

    Google Scholar 

  • Himelstein, S. (2012). A qualitative investigation of the experience of a mindfulness-based intervention with incarcerated adolescents. Child and Adolescent Mental Health. doi:10.1111/j.1475-3588.2011.00647.

    Google Scholar 

  • Himelstein, S., Hastings, A., Shapiro, S., & Heery, M. (2011). Mindfulness training for self-regulation and stress with incarcerated youth: a pilot study. Probation Journal, 59(2), 151–165.

    Article  Google Scholar 

  • Himelstein, S., Saul, S., Garcia-Romeu, A., & Pinedo, D. (2014). Mindfulness training as an intervention for substance user incarcerated adolescents: a pilot grounded theory study. Substance Use and Misuse, 49(5), 560–570. doi:10.3109/10826084.2013.852580.

    Article  PubMed  Google Scholar 

  • Johnson, D., & Greenberg, M. T. (2013). Parenting and early adolescence internalizing: the importance of teasing apart anxiety and depressive symptoms. Journal of Early Adolescence, 33, 201–226.

    Article  PubMed Central  PubMed  Google Scholar 

  • Kabat-Zinn, J. (1990). Full catastrophe living. New York: Random House.

    Google Scholar 

  • Keenan, K., Hipwell, A., Feng, X., Babinski, D., Hinze, A., Rischall, M., & Henneberger, A. (2008). Subthreshold symptoms of depression in preadolescent girls are stable and predictive of depressive disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 47(12), 1433–1442.

    Article  PubMed Central  PubMed  Google Scholar 

  • Kerrigan, D., Johnson, K., Stewart, M., Magyari, T., Hutton, N., Ellen, J. M., & Sibinga, E. M. (2011). Perceptions, experiences, and shifts in perspective occurring among urban youth participating in a mindfulness-based stress reduction program. Complementary Therapies in Clinical Practice, 17(2), 96–101. doi:10.1016/j.ctcp.2010.08.003.

    Article  PubMed  Google Scholar 

  • Khoury, B., Lecomte, T., Fortin, G., Masse, M., Therien, P., Bouchard, V., & Hofmann, S. G. (2013). Mindfulness-based therapy: a comprehensive meta-analysis. Clinical Psychology Review, 33(6), 763–771. doi:10.1016/j.cpr.2013.05.005.

    Article  PubMed  Google Scholar 

  • Kuyken, W., Weare, K., Ukoumunne, O. C., Vicary, R., Motton, N., Burnett, R., & Huppert, F. (2013). Effectiveness of the mindfulness in schools programme: non-randomised controlled feasibility study. British Journal of Psychiatry, 203(2), 126–131. doi:10.1192/bjp.bp.113.126649.

    Article  PubMed  Google Scholar 

  • Lee, R. M., & Robbins, S. B. (1995). Measuring belongingness—the social connectedness and the social assurance scales. Journal of Counseling Psychology, 42(2), 232–241. doi:10.1037//0022-0167.42.2.232.

    Article  Google Scholar 

  • Leonard, N. R., Jha, A. P., Casarjian, B., Goolsarran, M., Garcia, C., Cleland, C. M., & Massey, Z. (2013). Mindfulness training improves attentional task performance in incarcerated youth: a group randomized controlled intervention trial. Frontiers in Psychology, 4, 792. doi:10.3389/fpsyg.2013.00792.

    Article  PubMed Central  PubMed  Google Scholar 

  • Lovallo, W. R. (2001). Stress and health: biological and psychological interactions. Thousand Oaks: Sage.

    Google Scholar 

  • Lupien, S. J., McEwan, B. S., Gunnar, M. R., & Heim, C. (2009). Effects of stress throughout the lifespan on the brain, behaviour and cognition. Nature Reviews Neuroscience, 10(6), 434–445.

    Article  PubMed  Google Scholar 

  • Marteau, T. M., & Bekker, H. (1992). The development of a six-item short-form of the state scale of the Spielberger State-Trait Anxiety Inventory (STAI). British Journal of Clinical Psychology, 31(Pt 3), 301–306.

    Article  PubMed  Google Scholar 

  • McEwan, B. S. (2008). Central effects of stress hormones in health and disease: understanding the protective and damaging effects fo stress and strss mediators. European Journal of Pharmacology, 583(2–3), 174–185.

    Article  Google Scholar 

  • McKenry, P. C., & Price, S. J. (2005). Families coping with change. In P. C. McKenry & S. J. Price (Eds.), Families and change: coping with stressful events and transitions (3rd ed., p. 10). Thousand Oaks: Sage.

    Google Scholar 

  • McKnight, C., Huebner, E., & Suldo, S. (2002). Relationships among stressful life events, temperament, problem behavior, and global life satisfaction in adolescents. Psychology in the Schools, 39(6), 677–687. doi:10.1002/pits.10062.

    Article  Google Scholar 

  • Merikangas, K. R., He, J. P., Brody, D., Fisher, P. W., Bourdon, K., & Koretz, D. S. (2010). Prevalence and treatment of mental disorders among US children in the 2001–2004 NHANES. Pediatrics, 125(1), 75–81. doi:10.1542/peds. 2008-2598.

    Article  PubMed Central  PubMed  Google Scholar 

  • Metz, S., Frank, J., Reibel, D., Cantrell, T., Sanders, R., & Broderick, P. (2013). The effectiveness of the learning to BREATHE program on adolescent emotion regulation. Research in Human Development, 10(3), 252–272.

    Article  Google Scholar 

  • Moher, D., Hopewell, S., Schulz, K. F., Montori, V., Gotzsche, P. C., Devereaux, P. J., & Altman, D. G. (2010). CONSORT 2010 explanation and elaboration: updated guidelines for reporting parallel group randomised trials. Journal of Clinical Epidemiology, 63(8), e1–e37. doi:10.1016/j.jclinepi.2010.03.004.

    Article  PubMed  Google Scholar 

  • Murray, D. M., Varnell, S. P., & Blitstein, J. L. (2004). Design and analysis of group-randomized trials: a review of recent methodological developments. American Journal of Public Health, 94, 422–432.

    Article  Google Scholar 

  • Neff, K. D. (2003). Self-compassion: an alternative conceptualization of a healthy attitude toward oneself. Self and Identity, 2, 85–101.

    Article  Google Scholar 

  • Paus, T., Keshavan, M., & Giedd, J. N. (2008). Why do many psychiatric disorders emerge during adolescence? Nature Reviews Neuroscience, 9(12), 947–957.

    PubMed Central  PubMed  Google Scholar 

  • Pine, D. S., Cohen, E., & Brook, J. (1999). Adolescent depressive symptoms as predictors of adult depression: moodiness or mood disorder? American Journal of Psychiatry, 156(1), 133–135.

    Article  PubMed  Google Scholar 

  • Raes, F., Pommier, E., Neff, K. D., & Van Gucht, D. (2011). Construction and factorial validation of a short form of the self-compassion scale. Clinical Psychology & Psychotherapy, 18(3), 250–255. doi:10.1002/Cpp.702.

    Article  Google Scholar 

  • Robles-Pina, R. A., DeFrance, E., Cox, D., & Woodward, A. (2005). Depression in urban adolescents. International Journal on School Disaffection, 3(2), 8–14.

    Google Scholar 

  • Sibinga, E. M., Stewart, M., Magyari, T., Welsh, C. K., Hutton, N., & Ellen, J. M. (2008). Mindfulness-based stress reduction for HIV-infected youth: a pilot study. Explore (New York), 4(1), 36–37. doi:10.1016/j.explore.2007.10.002.

    Article  Google Scholar 

  • Sibinga, E. M., Kerrigan, D., Stewart, M., Johnson, K., Magyari, T., & Ellen, J. M. (2011). Mindfulness-based stress reduction for urban youth. Journal of Alternative and Complementary Medicine, 17(3), 213–218. doi:10.1089/acm.2009.0605.

    Article  PubMed Central  PubMed  Google Scholar 

  • Sibinga, E. M., Perry-Parrish, C., Chung, S., Johnson, S. B., Smith, M., & Ellen, J. M. (2013). School-based mindfulness instruction for urban male youth: a small randomized controlled trial. Preventative Medicine, 57(6), 799–801. doi:10.1016/j.ypmed.2013.08.027.

    Article  Google Scholar 

  • Smith, D. C., Hall, J. A., Williams, J. K., An, H., & Gotman, N. (2006). Comparative efficacy of family and group treatment for adolescent substance abuse. American Journal on Addictions, 15, s131–s136. doi:10.1080/10550490601006253.

    Article  Google Scholar 

  • Stevens, S. J., Schwebel, R., & Ruiz, B. (2007). Seven challenges: an effective treatment for adolescents with co-occurring substance abuse and mental health problems. Journal of Social Work Practice in the Addictions, 7(3), 29–49.

    Article  Google Scholar 

  • Susman, E., & Dorn, L. (2009). Puberty: its role in development. In R. M. Lerner & L. Steinberg (Eds.), Handbook of adolescent psychology (3rd ed.). New York: Wiley.

    Google Scholar 

  • Whitaker, R. C., Dearth-Wesley, T., Gooze, R. A., Becker, B. D., Gallagher, K. C., & McEwen, B. S. (2014). Adverse childhood experiences, dispositional mindfulness, and adult health. Preventive Medicine, 67, 147–153.

    Article  PubMed  Google Scholar 

  • Zoogman, S., Goldberg, S., Hoyt, W., & Miller, L. (2014). Mindfulness interventions with youth: a meta-analysis. Mindfulness. doi:10.1007/s12671-013-0260-4.

    Google Scholar 

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Acknowledgments

Funding was provided in part by grant number T32AT003378-04 from the National Center on Complementary and Alternative Medicine (NCCAM) and grant number R01 MH099076 from the National Institute of Mental Health (NIMH) at the National Institutes of Health (NIH). Analyses and conclusions are the responsibility of the authors rather than the funders.

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Authors and Affiliations

  1. Program on Integrative Medicine, Department of Physical Medicine and Rehabilitation, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA

    Karen Bluth, Rebecca A. Campo, Sarah Pruteanu-Malinici & Amanda Reams

  2. Department of Psychology, University of Texas at Austin, Austin, TX, USA

    Michael Mullarkey

  3. Bennett Pierce Prevention Research Center at Penn State University, University Park, PA, USA

    Patricia C. Broderick

Authors
  1. Karen Bluth
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  2. Rebecca A. Campo
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  3. Sarah Pruteanu-Malinici
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  4. Amanda Reams
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  5. Michael Mullarkey
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  6. Patricia C. Broderick
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Correspondence to Karen Bluth.

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Bluth, K., Campo, R.A., Pruteanu-Malinici, S. et al. A School-Based Mindfulness Pilot Study for Ethnically Diverse At-Risk Adolescents. Mindfulness 7, 90–104 (2016). https://doi.org/10.1007/s12671-014-0376-1

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Keywords

  • Mindfulness
  • Ethnically diverse
  • At-risk adolescents
  • School-based interventions
  • Feasibility
  • Psychosocial outcomes