The impact of mindfulness training in early adolescence on affective executive control, and on later mental health during the COVID-19 pandemic: a randomised controlled trial.
Por:
Dunning D, Ahmed S, Foulkes L, Griffin C, Griffiths K, Leung JT, Parker J, Piera Pi-Sunyer B, Sakhardande A, Bennett M, Haag C, Montero J, Packman D, Vainre M, Watson P, Kuyken W, Williams JMG, Ukoumunne OC, Blakemore SJ and Dalgleish T
Publicada:
12 jul 2022
Ahead of Print:
12 jul 2022
Categoría:
Psychiatry and mental health
Resumen:
BACKGROUND: Previous research suggests that mindfulness training (MT) appears effective at improving mental health in young people. MT is proposed to work through improving executive control in affectively laden contexts. However, it is unclear whether MT improves such control in young people. MT appears to mitigate mental health difficulties during periods of stress, but any mitigating effects against COVID-related difficulties remain unexamined. OBJECTIVE: To evaluate whether MT (intervention) versus psychoeducation (Psy-Ed; control), implemented in after-school classes: (1) Improves affective executive control; and/or (2) Mitigates negative mental health impacts from the COVID-19 pandemic. METHODS: A parallel randomised controlled trial (RCT) was conducted (Registration: https://osf.io/d6y9q/; Funding: Wellcome (WT104908/Z/14/Z, WT107496/Z/15/Z)). 460 students aged 11-16 years were recruited and randomised 1:1 to either MT (N=235) or Psy-Ed (N=225) and assessed preintervention and postintervention on experimental tasks and self-report inventories of affective executive control. The RCT was then extended to evaluate protective functions of MT on mental health assessed after the first UK COVID-19 lockdown. FINDINGS: Results provided no evidence that the version of MT used here improved affective executive control after training or mitigated negative consequences on mental health of the COVID-19 pandemic relative to Psy-Ed. No adverse events were reported. CONCLUSIONS: There is no evidence that MT improves affective control or downstream mental health of young people during stressful periods. CLINICAL IMPLICATIONS: We need to identify interventions that can enhance affective control and thereby young people's mental health.
Filiaciones:
Dunning D:
Medical Research Council Cognition and Brain Sciences Unit, Cambridge University, Cambridge, Cambridgeshire, UK
Ahmed S:
Institute of Cognitive Neuroscience, University College London, London, UK
Foulkes L:
Institute of Cognitive Neuroscience, University College London, London, UK
Griffin C:
Institute of Cognitive Neuroscience, University College London, London, UK
Griffiths K:
Medical Research Council Cognition and Brain Sciences Unit, Cambridge University, Cambridge, Cambridgeshire, UK
Leung JT:
Institute of Cognitive Neuroscience, University College London, London, UK
Parker J:
Medical Research Council Cognition and Brain Sciences Unit, Cambridge University, Cambridge, Cambridgeshire, UK
Piera Pi-Sunyer B:
Institute of Cognitive Neuroscience, University College London, London, UK
Sakhardande A:
Institute of Cognitive Neuroscience, University College London, London, UK
Bennett M:
Medical Research Council Cognition and Brain Sciences Unit, Cambridge University, Cambridge, Cambridgeshire, UK
Haag C:
Medical Research Council Cognition and Brain Sciences Unit, Cambridge University, Cambridge, Cambridgeshire, UK
Montero J:
Teaching, Research and Innovation Unit, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Spain
Department of Psychiatry, University of Oxford, Oxford, Oxfordshire, UK
Packman D:
College of Medicine and Health, University of Exeter, Exeter, UK
Vainre M:
Medical Research Council Cognition and Brain Sciences Unit, Cambridge University, Cambridge, Cambridgeshire, UK
Watson P:
Medical Research Council Cognition and Brain Sciences Unit, Cambridge University, Cambridge, Cambridgeshire, UK
Kuyken W:
Department of Psychiatry, University of Oxford, Oxford, Oxfordshire, UK
Williams JMG:
Department of Psychiatry, University of Oxford, Oxford, Oxfordshire, UK
Ukoumunne OC:
NIHR CLAHRC South West Peninsula, University of Exeter Medical School, Exeter, UK
Blakemore SJ:
Institute of Cognitive Neuroscience, University College London, London, UK
Department of Psychology, University of Cambridge, Cambridge, UK
Green Published, hybrid
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