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Mindfulness-based cognitive therapy for children and adolescents with anxiety disorders at-risk for bipolar disorder: A psychoeducation waitlist controlled pilot trial.

Early intervention in psychiatry
April 1, 2020
Sian Cotton et al. (10 authors)
Controlled Clinical TrialJournal ArticleResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

The researchers aimed to evaluate the effectiveness of Mindfulness-Based Cognitive Therapy for Children (MBCT-C) in improving anxiety and emotion regulation in youth with anxiety disorders at-risk for bipolar disorder.

Results Summary

MBCT-C showed significantly greater improvements in overall clinical severity compared to a waitlist period, but not in clinician- and child-rated anxiety, emotion regulation, or mindfulness. However, increases in mindfulness were associated with improvements in anxiety and emotion regulation during the MBCT-C period.

Population

Youth with anxiety disorders who have at least one parent with bipolar disorder (n = 24).

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (7)
InterventionDirectionEndpointPopulationDosageImpactClaim #
Mindfulness-Based Cognitive Therapy for Children (MBCT-C)
decrease
overall clinical severity
youth with anxiety disorders who have at least one parent with bipolar disorder
-
significantly greater improvements
#1
Mindfulness-Based Cognitive Therapy for Children (MBCT-C)
no change
clinician-rated anxiety
youth with anxiety disorders who have at least one parent with bipolar disorder
-
no significant improvements
#2
Mindfulness-Based Cognitive Therapy for Children (MBCT-C)
no change
child-rated anxiety
youth with anxiety disorders who have at least one parent with bipolar disorder
-
no significant improvements
#3
Mindfulness-Based Cognitive Therapy for Children (MBCT-C)
no change
emotion regulation
youth with anxiety disorders who have at least one parent with bipolar disorder
-
no significant improvements
#4
Mindfulness-Based Cognitive Therapy for Children (MBCT-C)
no change
mindfulness
youth with anxiety disorders who have at least one parent with bipolar disorder
-
no significant improvements
#5
Mindfulness-Based Cognitive Therapy for Children (MBCT-C)
decrease
anxiety
youth with anxiety disorders who have at least one parent with bipolar disorder
-
increases in mindfulness were associated with improvements
#6
Mindfulness-Based Cognitive Therapy for Children (MBCT-C)
increase
emotion regulation
youth with anxiety disorders who have at least one parent with bipolar disorder
-
increases in mindfulness were associated with improvements
#7
Abstract

AIM: Previous studies suggest that Mindfulness-Based Cognitive Therapy for Children (MBCT-C) is feasible and may improve anxiety and emotion regulation in youth with anxiety disorders at-risk for bipolar disorder. However, controlled studies are warranted to replicate and extend these findings. METHODS: In the current study, 24 youth with anxiety disorders who have at least one parent with bipolar disorder participated in a MBCT-C treatment period (n = 24; M RESULTS: There were significantly greater improvements in overall clinical severity in the MBCT-C period compared to the waitlist period, but not in clinician- and child-rated anxiety, emotion regulation or mindfulness. However, increases in mindfulness were associated with improvements in anxiety and emotion regulation in the MBCT-C period, but not the waitlist period. CONCLUSIONS: Findings suggest that MBCT-C may be effective for improving overall clinical severity in youth with anxiety disorders who are at-risk for bipolar disorder. However, waitlist controlled designs may inflate effect sizes so interpret with caution. Larger studies utilizing prospective randomized controlled designs are warranted.

Medical Subject Headings (MeSH)
AdolescentAnxiety DisordersBipolar DisorderChild of Impaired ParentsCognitive Behavioral TherapyFemaleHumansMaleMindfulnessPilot ProjectsProdromal SymptomsProspective StudiesTreatment OutcomeWaiting Lists
Study Links
Quality Scores
SafetyNot Assessed
Efficacy65/10
Quality70/10
Citation Metrics
Total Citations20
Citations/Year4.0
Relative Citation Ratio1.83
NIH Percentile71.7%
Research Impact Scores
APT Score0.75
Weight Score2.24
Normalized Score0.60
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