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Additive Effectiveness of Mindfulness Meditation to a School-Based Brief Cognitive—Behavioral Alcohol Intervention for Adolescents
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- 자료유형학술지논문
- 저자명Patton, Kiri A.,Connor, Jason P.,Sheffield, Jeanie,Wood, Andrew,Gullo, Matthew J.
- 학회/출판사/기관명APA AMERICAN PSYCHOLOGICAL ASSOCIATION
- 출판년도2019
- 언어영어
- 학술지명/학위논문주기Journal of Consulting and Clinical Psychology
- 발행사항Vol.87No.5[2019]_x000D_
- ISBN/ISSN0022-006X
- 소개/요약Objective: This randomized controlled trial is the 1st study to evaluate the additive efficacy of mindfulness meditation to brief school-based universal cognitive behavior therapy (CBT + MM) for adolescent alcohol consumption. Previous studies have lacked strong controls for nonspecific effects, and treatment mechanisms remain unclear. The present study compared a CBT + MM condition to an active control CBT intervention with progressive muscle relaxation (CBT + PMR) for nonspecific effects and an assessment-only control (AoC). Method: Cluster sampling was used to recruit Australian adolescents ( N = 404; 62% female) ages 13–17 years ( M = 14.99, SD = .66) of mostly Australian−New Zealand or European descent. School classes were randomized to 3 intervention conditions (CBT + PMR = 8 classes, CBT + MM = 7 classes, AoC = 7 classes), and adolescents completed preintervention, postintervention, and 3- and 6-month follow-up assessments, including measures of alcohol consumption, mindfulness, impulsivity, and the alcohol-related cognitions of alcohol expectancies and drinking refusal self-efficacy. Results: Multilevel modeling analyses revealed that both intervention conditions reduced the growth of alcohol consumption compared to the AoC ( b = −.18, p = .014), although CBT + MM was no more effective than was CBT + PMR ( b = −.06, p = .484). Negative alcohol expectancies increased for adolescents in the intervention conditions compared to the AoC ( b = 1.09, p = .012), as did positive alcohol expectancies ( b = 1.30, p = .008). There was no effect of interventions on mindfulness, drinking refusal self-efficacy, or impulsivity. Conclusions: There was no evidence of mindfulness-specific effects beyond existing effects of CBT within a brief universal school-based CBT intervention. Hypothesized mechanisms of change were largely unsupported.
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