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Mindfulness-based Intervention in Elementary School Students With Anxiety and Depression: A Series of n-of-1 Trials on Effects and Feasibility.

Catherine Malboeuf-Hurtubise, Éric Lacourse, Catherine Herba, Geneviève Taylor, Leila Ben Amor

Journal of Evidence-Based Complementary & Alternative Medicine August 30, 2017 DOI: 10.1177/2156587217726682 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Single-subject experimental A-B-A design Peer reviewed
Sample size 3
Population Three elementary school students in grades three and four with a diagnosis of anxiety or depression disorder, plus their teacher
Intervention Mindfulness-based intervention
Duration 10 measurement occasions at baseline, during the intervention, and at follow-up
Topics Anxiety Depression Meditation
Keywords Humans Feasibility studies Anxiety disorders Students Female Clinical psychology Cognitive-behavioral therapy Abnormal child psychology Mindfulness-based meditation
Key findings Two of three students reported improvements in anxiety and depression after the mindfulness-based intervention, while their teacher reported deteriorating scores on these variables. The authors interpret these n-of-1 results as consistent with other work suggesting caution regarding the overall impact and efficacy of mindfulness-based interventions as a universal treatment option for youth.

Abstract

Mindfulness-based interventions constitute a promising option to address anxiety and depression in elementary school students. This study evaluated the effect of a mindfulness-based intervention on anxiety and depression in elementary school students with a diagnosis of anxiety or depression disorder. A single-subject experimental A-B-A design was used. Participants were three elementary school students from grades three and four, along with their teacher. Anxiety and depression were measured on 10 occasions at baseline, during the intervention, and at follow-up. Primary hypotheses were tested using a univariate single case multilevel modeling strategy and visual analysis. Following intervention, 2 participants reported improvements on anxiety and depression, while their teachers reported deteriorating scores on these variables. Results from this n-of-1 trial design is consistent with other work suggesting caution with regard to the overall impact and efficacy of mindfulness-based interventions as a universal treatment option for youth. Future research is warranted.

Comparable studies

Other experimental studies on anxiety, most cited first.

Study Year Design Participants
A PILOT STUDY OF GROUP MINDFULNESS-BASED COGNITIVE THERAPY (MBCT) FOR COMBAT VETERANS WITH POSTTRAUMATIC STRESS DISORDER (PTSD) Veterans with chronic combat posttraumatic stress disorder seeking treatment at a VA... 2013 Quasi-experimental with treatment-as-usual comparison group n = 37
Being present in the face of existential threat: The role of trait mindfulness in reducing defensive responses to mortality salience. 2010 Experimental study
Neural correlates of mindfulness meditation-related anxiety relief Healthy adults with no prior meditation experience 2013 Within-subjects experimental study n = 15
Intensive mindfulness training-related changes in cognitive and emotional experience Community adults 2009 Quasi-experimental and longitudinal n = 69
Prospective examination of synthetic 5-methoxy-N,N-dimethyltryptamine inhalation: effects on salivary IL-6, cortisol levels, affect, and non-judgment Volunteers 2019 Within-subjects experimental study n = 11

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