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A Mindfulness-Based Intervention for Students With Psychiatric Disorders in a Special Education Curriculum: A Series of n-of-1 Trials on Internalized and Externalized Symptoms

Catherine Malboeuf-Hurtubise, Geneviève Taylor, Linda Paquette, Éric Lacourse

Frontiers in Education September 3, 2018 DOI: 10.3389/feduc.2018.00066 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Series of n-of-1 trials with an experimental A-B-A design Peer reviewed
Sample size 13
Population Elementary school students with psychiatric disorders in two special education classrooms (Group A, n=7; Group B, n=6), plus their teachers
Topics Meditation
Citations 6
Key findings Students in Group A showed significant decreases in inattention and a near-significant trend toward reduced anxiety (p=.051), while their teacher reported only deteriorating anxiety scores; Group B showed no significant results. The authors conclude that variation across students, cohorts, and raters was substantial, so no firm conclusion about the utility of mindfulness-based interventions for these students can be established.

Abstract

Background: Mindfulness-based interventions (MBIs) constitute a promising option to alleviate psychological symptoms in students with psychiatric disorders.

Objective: This study evaluated the impact of a MBI on psychological symptoms of elementary school students with psychiatric disorders in a special education curriculum.

Method: A series of n-of-1 trials with an experimental A-B-A design and 10 assessment time-points was used. Participants were two special education classrooms of elementary school students (Group A, n=7; Group B, n=6; ntotal = 13) and their teachers.

Results: Analyses showed that, at follow-up, students from Group A reported significant decreases in inattention and a trend (p=.051) was observed in anxiety symptoms, whereas their teacher reported only deteriorating anxiety scores. No significant results were found in students from Group B.

Conclusion: Results from this study show substantial variation between students, tested cohorts and raters of internalizing and externalizing symptoms and behaviors. Therefore, the conservative conclusion from such variation can only be that more research is needed, as no firm conclusion as to the utility of MBIs for such groups of children with special education needs can be established.

Comparable studies

Other non-randomized and open-label trials on meditation, most cited first.

Study Year Design Participants
Mindfulness-Based Stress Reduction in Relation to Quality of Life, Mood, Symptoms of Stress, and Immune Parameters in Breast and Prostate Cancer Outpatients Early-stage breast and prostate cancer patients 2003 Pre-post intervention study n = 59
Exploring self‐compassion and empathy in the context of mindfulness‐based stress reduction (MBSR) Community sample 2010 Pre-post intervention study
Mindfulness-Based Stress Reduction Lowers Psychological Distress In Medical Students Second-year medical students 2003 Prospective nonrandomized cohort-controlled study n = 302
Intensive meditation training, immune cell telomerase activity, and psychological mediators. Retreat participants and matched controls 2011 Controlled trial with wait-list control group n = 60
The Effectiveness of Mindfulness Training for Children with ADHD and Mindful Parenting for their Parents Children aged 8-12 with ADHD and their parents 2011 Within-group waitlist controlled trial n = 22

Citations in the library

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