Mindfulness Meditation for Children



Mindfulness meditation has been described as a useful adjunct to behavioral and medical interventions in the effective management of a range of somatic symptoms, including abdominal pain and atopic dermatitis. Mindfulness approaches can be taught to children, adolescents, and their parents to help reduce stress processes that result from and/or exacerbate functional symptoms. Moreover, mindfulness parenting techniques can augment traditional behavioral approaches to improve children’s behavior through specific forms of mindful parent–child interactions. A growing body of empirical studies and clinical experience suggest that the incorporation of mindfulness meditation will enable clinicians to more effectively treat pediatric patients and their families in coping optimally with a range of challenging physical symptoms. This chapter provides a description of mindfulness approaches, theoretical mechanisms of action, literature review, a sample script for a beginning mindfulness exercise, and case studies.


Abdominal pain Atopic dermatitis Mindfulness Meditation Parent–child special time 


  1. 1.
    Kabat-Zinn J. Wherever you go, there you are. New York, NY: Hyperion; 1994.Google Scholar
  2. 2.
    O’Brien KM, Larson CM, Murrell AR. Third-wave behavior therapies for children and adolescents: progress, challenges and future directions. In: Greco LA, Hayes SC, editors. Acceptance & mindfulness treatments for children and adolescents: a Practitioner’s guide. Oakland, CA: New Harbinger; 2008. p. 15–35.Google Scholar
  3. 3.
    Kabat-Zinn J, Lipworth L, Burney R. The clinical use of mindfulness meditation for the self-regulation of chronic pain. J Behav Med. 1985;8(2):163–90.PubMedCrossRefGoogle Scholar
  4. 4.
    Baer RA. Mindfulness training as a clinical intervention: a conceptual and empirical review. Clin Psychol. 2003;10(2):125–43. doi: 10.1093/clipsy/bpg015.Google Scholar
  5. 5.
    Linehan MM. Cognitive-behavioral treatment of borderline personality disorder. New York, NY: Guilford; 1993.Google Scholar
  6. 6.
    Hayes SC, Strosahl KD, editors. A practical guide to acceptance and commitment therapy. New York, NY: Springer; 2010.Google Scholar
  7. 7.
    Segal ZV, Williams JMG, Teasdale JD. Mindfulness-based cognitive therapy for depression: a new approach to preventing relapse. New York, NY: Guilford; 2002.Google Scholar
  8. 8.
    Witkiewitz K, Marlatt GA, Walker D. Mindfulness-based relapse prevention for alcohol and substance use disorders. J Cogn Psychother. 2005;19(3):211–28.CrossRefGoogle Scholar
  9. 9.
    Breslin FC, Zack M, McMain S. An information-processing analysis of mindfulness: implications for relapse prevention in the treatment of substance abuse. Clin Psychol. 2002;9(3):275–99. doi: 10.1093/clipsy/9.3.275.Google Scholar
  10. 10.
    Lynch TR, Chapman AL, Rosenthal MZ, Kuo JR, Linehan MM. Mechanisms of change in dialectical behavior therapy: theoretical and empirical observations. J Clin Psychol. 2006;62(4):459–80.PubMedCrossRefGoogle Scholar
  11. 11.
    Hayes SC, Strosahl KD, Wilson KG. Acceptance and commitment therapy: an experiential approach to behavior change. New York, NY: Guilford; 1999.Google Scholar
  12. 12.
    Kavanagh DJ, Andrade J, May J. Beating the urge: implications of research into substance-related desires. Addict Behav. 2004;29(7):1359–72.PubMedCrossRefGoogle Scholar
  13. 13.
    Williams M, Teasdale J, Segal Z, Kabat-Zinn J. The mindful way through depression: freeing yourself from chronic unhappiness. New York, NY: Guilford; 2007.Google Scholar
  14. 14.
    Sibinga EM, Kemper KJ. Complementary, holistic, and integrative medicine; meditation practices for pediatric health. Pediatr Rev. 2010;31(12):e91–103.PubMedCrossRefGoogle Scholar
  15. 15.
    Meiklejohn J, Phillips C, Freedman ML, Griffin ML, Biegel G, Roach A, Frank J, Burke C, Pinger L, Soloway G, Isberg R, Sibinga E, Grossman L, Saltzman A. Integrating mindfulness training into K-12 education: fostering resilience of teachers and students. Mindfulness 2012;3:291–307.Google Scholar
  16. 16.
    Biegel GM, Brown KW, Shapiro SL, Schubert CM. Mindfulness-based stress reduction for the treatment of adolescent psychiatric outpatients: a randomized clinical trial. J Consult Clin Psychol. 2009;77(5):855–66.PubMedCrossRefGoogle Scholar
  17. 17.
    Bootzin RR, Stevens SJ. Adolescents, substance abuse, and the treatment of insomnia and daytime sleepiness. Clin Psychol Rev. 2005;25(5):629–44.PubMedCrossRefGoogle Scholar
  18. 18.
    Nelson-Gray RO, Keane SP, Hurst RM, Mitchell JT, Warburton JB, Chok JT. Cobb AR a modified DBT skills training program for oppositional defiant adolescents: promising preliminary findings. Behav Res Ther. 2006;44(12):1811–20.PubMedCrossRefGoogle Scholar
  19. 19.
    Goldstein TR, Axelson DA, Birmaher B, Brent DA. Dialectical behavior therapy for adolescents with bipolar disorder: a 1-years open trial. J Am Acad Child Adolesc Psychiatry. 2007;46(7):820–30.PubMedCentralPubMedCrossRefGoogle Scholar
  20. 20.
    Miller AL, Wyman SE, Huppert JD, Glassman SL, Rathus JH. Analysis of behavioral skills utilized by suicidal adolescents receiving dialectical behavior therapy. Cogn Behav Pract. 2000;7(2):183–7. doi: 10.1016/S1077-7229(00)80029-2.CrossRefGoogle Scholar
  21. 21.
    Trupin EW, Stewart DG, Beach B, Boesky L. Effectiveness of dialectical behaviour therapy program for incarcerated female juvenile offenders. Child Adolesc Ment Health. 2002;7(3):121–7.CrossRefGoogle Scholar
  22. 22.
    Sunseri PA. Preliminary outcomes on the use of dialectical behavior therapy to reduce hospitalization among adolescents in residential care. Resid Treat Child Youth. 2004;21(4):59–76. doi: 10.1300/J007v21n04_06.Google Scholar
  23. 23.
    Lee J, Semple RJ, Rosa D, Miller L. Mindfulness-based cognitive therapy for children: results of a pilot study. J Cogn Psychother. 2008;22(1):15–28. doi: 10.1891/0889.8391.22.1.15.CrossRefGoogle Scholar
  24. 24.
    Sibinga EM, Stewart M, Magyari T, Welsh CK, Hutton N, Ellen JM. Mindfulness-based stress reduction for HIV-infected youth: a pilot study. Explore (NY). 2008;4(1):36–7.CrossRefGoogle Scholar
  25. 25.
    Sibinga EMS, Kerrigan D, Stewart M, Johnson K, Magyari T, Ellen JM. Mindfulness-based stress reduction for urban youth. J Altern Complement Med. 2011;17(3):213–8.PubMedCentralPubMedCrossRefGoogle Scholar
  26. 26.
    Kerrigan D, Johnson K, Stewart M, Magyari T, Hutton N, Ellen JM, Sibinga EM. Perceptions, experiences, and shifts in perspective occurring among urban youth participating in a mindfulness-based stress reduction program. Complement Ther Clin Pract. 2011;17(2):96–101.PubMedCrossRefGoogle Scholar
  27. 27.
    Semple RJ, Reid EFG, Miller L. Treating anxiety with mindfulness: an open trial of mindfulness training for anxious children. J Cogn Psychother. 2005;19:379–92.CrossRefGoogle Scholar
  28. 28.
    Flook L, Smalley SL, Kitil MJ, Galla BM, Kaiser-Greenland S, Locke J, Ishijima E, Kasari C. Effects of mindful awareness practices on executive functions in elementary school children. J Appl School Psychol. 2010;26(1):7–95.CrossRefGoogle Scholar
  29. 29.
    Barnes VA, Treiber FA, Johnson MH. Impact of transcendental meditation on ambulatory blood pressure in African-American adolescents. Am J Hypertens. 2004;17(4):366–9.PubMedCentralPubMedCrossRefGoogle Scholar
  30. 30.
    Hanh TN. The miracle of mindfulness: an introduction to the practice of meditation. Boston, MA: Beacon; 1975.Google Scholar
  31. 31.
    Shapiro SL, Carlson LE, Astin JA, Freedman B. Mechanisms of mindfulness. J Clin Psychol. 2006;62(3):373–86.PubMedCrossRefGoogle Scholar
  32. 32.
    Sibinga EMS, Perry-Parrish C, Thorpe K, Mika M, Ellen JM. A small mixed-method RCT of mindfulness instruction for urban youth. EXPLORE: The Journal of Science & Healing. In press.Google Scholar
  33. 33.
    Kabat-Zinn J. Coming to our senses: healing ourselves and the world through mindfulness. Hyperion: New York, NY; 2005.Google Scholar
  34. 34.
    Howard BJ. Guidelines for special time. In: Jellinek M, Patel BP, Froehle MC, editors. Bright Futures in Practice: Mental Health—Volume II. Tool Kit. Arlington, VA: National Center for Education in Maternal and Child Health; 2002.Google Scholar
  35. 35.
    Dumas JE. Mindfulness-based parent training: strategies to lessen the grip of automaticity in families with disruptive children. J Clin Child Adolesc Psychol. 2005;34(4):779–91.PubMedCrossRefGoogle Scholar
  36. 36.
    Kremer-Sadlik T, Paugh AL. Everyday moments: finding “quality time” in American working families. Time Soc. 2007;16(2/3):287–308.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.Department of Psychiatry and Behavioral SciencesJohn Hopkins University School of MedicineBaltimoreUSA
  2. 2.Johns Hopkins University School of MedicineBaltimoreUSA

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