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Effects of Mindfulness and Life-Skills Training on Emotion Regulation and Anxiety Symptoms in Chinese Migrant Children: A Randomized Controlled Trial.

The Journal of adolescent health : official publication of the Society for Adolescent Medicine
September 1, 2024
Luwan Lan et al. (10 authors)
Journal ArticleRandomized Controlled TrialHuman StudyClinical
Study Details

Study Goal

The researchers aimed to evaluate the effects of mindfulness and life-skills training on emotional regulation and anxiety symptoms in Chinese rural-to-urban migrant children.

Results Summary

Mindfulness training (MT) improved cognitive reappraisal in highly integrated children but increased physical anxiety, while MT plus life-skills (MT + LS) reduced anxiety symptoms in highly integrated children but worsened emotion regulation in low-integration children. Some benefits persisted three months post-intervention for intermediately integrated children in the MT + LS group.

Population

Chinese rural-to-urban migrant children aged 9-17 years with varying levels of social integration.

Effective Dosage

Weekly small-group sessions (15 children per group) for eight weeks.

Duration

Eight weeks, with follow-up assessments at three months post-intervention.

Interactions

None mentioned

Extracted Claims (10)
InterventionDirectionEndpointPopulationDosageImpactClaim #
mindfulness training (MT)
increase
cognitive reappraisal ability
children with high social integration
p < .05
showed increased
#1
mindfulness training (MT)
increase
physical anxiety
children with high social integration
p < .01
showed higher
#2
MT plus LS mentorship (MT + LS)
decrease
anxiety symptoms of harm avoidance
children with high social integration
p < .01
had lower
#3
MT plus LS mentorship (MT + LS)
decrease
physical anxiety
children with high social integration
p < .05
had lower
#4
MT plus LS mentorship (MT + LS)
decrease
cognitive reappraisal
children with low social integration
p < .01
showed lower
#5
MT plus LS mentorship (MT + LS)
decrease
overall emotion regulation abilities
children with low social integration
p < .01
showed poorer
#6
MT plus LS mentorship (MT + LS)
decrease
separation anxiety
children with intermediate integration
p < .05
had lower
#7
MT plus LS mentorship (MT + LS)
decrease
harm avoidance anxiety
children with intermediate integration
p < .05
had lower
#8
mindfulness and LS training
increase
mental health
Chinese migrant children who have higher levels of social integration
-
may benefit
#9
mindfulness and LS training
increase
anxiety
those with lower social integration
-
increase anxiety
#10
Abstract

PURPOSE: China's rapid urbanization has been associated with increased mental health challenges, especially in rural-to-urban migrant children. This study evaluates the effects of mindfulness and life-skills (LS) training on emotional regulation and anxiety symptoms from a randomized controlled trial aimed at improving the mental health of Chinese migrant children. METHODS: Two intervention arms-mindfulness training (MT) and MT plus LS mentorship (MT + LS)-were compared to a waitlist control group of 368 migrant children aged 9-17 years. Volunteers were trained to deliver interventions to 285 migrant children in small groups of 15 for eight weeks weekly. Social integration varied: migrant children mixed with local children at public schools were considered highly integrated, those in migrant-only classrooms at public schools had intermediate levels of integration, and children in private migrant schools had low integration. Emotion regulation and anxiety symptoms were assessed preintervention, postintervention, and three months postintervention. RESULTS: Postintervention and compared to the control group, children with high social integration in the MT arm showed increased cognitive reappraisal ability (p < .05) but higher physical anxiety (p < .01). Children with high social integration in the MT + LS arm had lower anxiety symptoms of harm avoidance (p < .01) and physical anxiety (p < .05). Children with low social integration in the MT + LS arm showed lower cognitive reappraisal (p < .01) and poorer overall emotion regulation abilities (p < .01). Three months later, children with intermediate integration in the MT + LS arm had lower separation anxiety (p < .05) and harm avoidance anxiety (p < .05). No other groups showed significant improvements in emotion regulation or reducing in anxiety symptoms three months postintervention. DISCUSSION: Mindfulness and LS training may benefit Chinese migrant children who have higher levels of social integration but increase anxiety in those with lower social integration. Future research should consider the sociocultural context in which a treatment is implemented.

Medical Subject Headings (MeSH)
HumansMaleFemaleEmotional RegulationChildChinaAdolescentTransients and MigrantsAnxietyMindfulnessSocial IntegrationEast Asian People
Study Links
Quality Scores
Safety70
Efficacy75/10
Quality85/10
Citation Metrics
Total Citations1
Citations/Year1.0
Research Impact Scores
APT Score0.25
Weight Score2.70
Normalized Score0.75
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