Effects of mindfulness interventions on depressive symptoms in adolescents: A meta-analysis

Depression among adolescents is rising globally and is the leading cause of illness and disability among adolescents. While antidepressants and psychotherapy are effective, only about 40% of depressed adolescents receive treatments due to lack of professionals and barriers such as cost and personal...

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Bibliographic Details
Published in:International journal of nursing studies 2021-03, Vol.115, p.103848-103848, Article 103848
Main Authors: Reangsing, Chuntana, Punsuwun, Sasinun, Schneider, Joanne Kraenzle
Format: Article
Language:English
Subjects:
Adolescents
Antidepressants
At risk populations
Cognitive therapy
Counseling
Depression
Disability
Discrepancies
Intervention
Meditation
Mental depression
Meta-analysis
Mindfulness
Moderators
Motivation
Nursing
Pediatrics
Psychotherapy
Quality management
Random effects
Stigma
Stress management
Symptoms
Teams
Teenagers
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Summary:Depression among adolescents is rising globally and is the leading cause of illness and disability among adolescents. While antidepressants and psychotherapy are effective, only about 40% of depressed adolescents receive treatments due to lack of professionals and barriers such as cost and personal obstacles including stigma, lack of motivation, and negative perceptions of treatment. Use of alternative and complementary treatments for depression is growing. One such treatment is mindfulness meditation. We examined the effects of mindfulness interventions on depression among adolescents and explored the moderator effects of participants, methods, and intervention characteristics. We searched 17 databases from their inception to April 2019 to identify studies written in English. Search terms included depress* AND mindful* OR meditat* AND adolescen* OR student*; 29 studies met inclusion criteria. Two researchers independently coded data from all primary studies. Discrepancies were discussed with a third researcher to reach consensus. Using the random effects model, we computed the effect sizes (ESs) of mindfulness interventions on depression using standardized mean differences (Hedge's g) with 95% confidence intervals (CI). Funnel plot, Q statistics, and I2 were used to test the heterogeneity across studies. We examined moderators to explore sources of heterogeneity. Across 29 studies (N=3688), 1839 adolescents participated in mindfulness interventions; 1849 served as controls. Mean ages ranged from 10.2 to 19.5 years. Mindfulness groups showed reduced depression compared to control groups (g=.14, 95%CI[.01−.28], p
ISSN:0020-7489
1873-491X
DOI:10.1016/j.ijnurstu.2020.103848