Additive Effectiveness of Mindfulness Meditation to a School-Based Brief Cognitive-Behavioral Alcohol Intervention for Adolescents

K A Patton; J P Connor; J Sheffield; M J Gullo; Andrew Wood

doi:10.1037/ccp0000382

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Additive Effectiveness of Mindfulness Meditation to a School-Based Brief Cognitive-Behavioral Alcohol Intervention for Adolescents

Journal article

Peer reviewed

Additive Effectiveness of Mindfulness Meditation to a School-Based Brief Cognitive-Behavioral Alcohol Intervention for Adolescents

K A Patton, J P Connor, J Sheffield, M J Gullo and Andrew Wood

Journal of Consulting and Clinical Psychology, Vol.87(5), pp.407-421

2019

DOI: https://doi.org/10.1037/ccp0000382

Appears in UniSC Diversity and Inclusion Research Collection

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Abstract

adolescent

cognitive behavior therapy

mindfulness

alcohol

prevention

UniSC Diversity Area - Life Stages

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 AustralianNew 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.

Details

Title: Additive Effectiveness of Mindfulness Meditation to a School-Based Brief Cognitive-Behavioral Alcohol Intervention for Adolescents
Authors: K A Patton (Author) - University of Queensland
J P Connor (Author) - University of Queensland
J Sheffield (Author) - University of Queensland
M J Gullo (Author) - University of Queensland
Andrew Wood (Author) - University of the Sunshine Coast - School of Social Sciences
Publication details: Journal of Consulting and Clinical Psychology, Vol.87(5), pp.407-421
Publisher: American Psychological Association
Date published: 2019
DOI: 10.1037/ccp0000382
ISSN: 0022-006X
Organisation Unit: School of Social Sciences - Legacy; University of the Sunshine Coast, Queensland; School of Health and Behavioural Sciences - Legacy
Language: English
Record Identifier: 99450443802621
Output Type: Journal article

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Collaboration types: Domestic collaboration
Web Of Science research areas: Psychology, Clinical

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