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Research Review: The effects of mindfulness-based interventions on cognition and mental health in children and adolescents - a meta-analysis of randomized controlled trials.

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cam.issuedOnline2018-10-22
dc.contributor.authorDunning, Darren L
dc.contributor.authorGriffiths, Kirsty
dc.contributor.authorKuyken, Willem
dc.contributor.authorCrane, Catherine
dc.contributor.authorFoulkes, Lucy
dc.contributor.authorParker, Jenna
dc.contributor.authorDalgleish, Tim
dc.contributor.orcidGriffiths, Kirsty [0000-0001-7158-2683]
dc.contributor.orcidDalgleish, Tim [0000-0002-7304-2231]
dc.date.accessioned2019-01-15T00:31:08Z
dc.date.accessioned2020-01-20T00:30:07Z
dc.date.available2019-01-15T00:31:08Z
dc.date.available2020-01-20T00:30:07Z
dc.date.issued2019-03
dc.description.abstractBACKGROUND: Mindfulness based interventions (MBIs) are an increasingly popular way of attempting to improve the behavioural, cognitive and mental health outcomes of children and adolescents, though there is a suggestion that enthusiasm has moved ahead of the evidence base. Most evaluations of MBIs are either uncontrolled or nonrandomized trials. This meta-analysis aims to establish the efficacy of MBIs for children and adolescents in studies that have adopted a randomized, controlled trial (RCT) design. METHODS: A systematic literature search of RCTs of MBIs was conducted up to October 2017. Thirty-three independent studies including 3,666 children and adolescents were included in random effects meta-analyses with outcome measures categorized into cognitive, behavioural and emotional factors. Separate random effects meta-analyses were completed for the seventeen studies (n = 1,762) that used an RCT design with an active control condition. RESULTS: Across all RCTs we found significant positive effects of MBIs, relative to controls, for the outcome categories of Mindfulness, Executive Functioning, Attention, Depression, Anxiety/Stress and Negative Behaviours, with small effect sizes (Cohen's d), ranging from .16 to .30. However, when considering only those RCTs with active control groups, significant benefits of an MBI were restricted to the outcomes of Mindfulness (d = .42), Depression (d = .47) and Anxiety/Stress (d = .18) only. CONCLUSIONS: This meta-analysis reinforces the efficacy of using MBIs for improving the mental health and wellbeing of youth as assessed using the gold standard RCT methodology. Future RCT evaluations should incorporate scaled-up definitive trial designs to further evaluate the robustness of MBIs in youth, with an embedded focus on mechanisms of action.
dc.format.mediumPrint-Electronic
dc.identifier.doi10.17863/CAM.48098
dc.identifier.eissn1469-7610
dc.identifier.issn0021-9630
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/301023
dc.languageeng
dc.language.isoeng
dc.publisherWiley
dc.publisher.urlhttp://dx.doi.org/10.1111/jcpp.12980
dc.relation.replaceshttps://www.repository.cam.ac.uk/handle/1810/287988
dc.relation.replaces1810/287988
dc.relation.replaces1810/286616
dc.relation.replaceshttps://www.repository.cam.ac.uk/handle/1810/286616
dc.rightsAttribution 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectMindfulness
dc.subjectadolescence
dc.subjectattention
dc.subjectintervention
dc.subjectmeta-analysis
dc.subjectAdolescent
dc.subjectBehavioral Symptoms
dc.subjectChild
dc.subjectCognitive Dysfunction
dc.subjectHumans
dc.subjectMindfulness
dc.subjectRandomized Controlled Trials as Topic
dc.titleResearch Review: The effects of mindfulness-based interventions on cognition and mental health in children and adolescents - a meta-analysis of randomized controlled trials.
dc.typeArticle
dcterms.dateAccepted2018-07-30
prism.endingPage258
prism.issueIdentifier3
prism.publicationDate2019
prism.publicationNameJ Child Psychol Psychiatry
prism.startingPage244
prism.volume60
pubs.funder-project-idWellcome Trust (via University of Oxford) (107496/Z/15/Z?)
pubs.funder-project-idMRC (unknown)
pubs.funder-project-idMRC (1790757)
pubs.funder-project-idMedical Research Council (MC_UU_00005/4)
pubs.merge-from1810/286616
pubs.merge-fromhttps://www.repository.cam.ac.uk/handle/1810/286616
rioxxterms.licenseref.startdate2019-03
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserved
rioxxterms.typeJournal Article/Review
rioxxterms.versionVoR
rioxxterms.versionofrecord10.1111/jcpp.12980

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