ABSTRACT
Conclusion:
In this study, it was shown that the psychometric properties of MAAS was good and it was a reliable scale in the adolescent population. Therapeutic interventions that increase mindfulness may be beneficial in the treatment of adolescent depression. It is thought that early recognition of problems of internalization and externalization seen during adolescence and effective intervention in these problems may have preventive effects on the development of depression.
Results:
The Cronbach alpha value of the MAAS showed that CFA and test-retest results were reliable measures for adolescents aged between 14 and 17 years. The levels of mindful awareness, attention deficit hyperacvitity disorder, emotional, behavioral and peer relationship problems, and social behavior skills were significantly associated with depression in the adolescent age group.
Materials and Methods:
Six hundred and eighty-seven adolescents (52% female, n=357) between 14 and 17 years of age participated the study. MAAS, the child’s depression ınventory, and strength and difficulties questionnaire self report form were used. The Cronbach alpha value was calculated and confirmatory factor analysis (CFA) was performed for MAAS. The predictive effects of mindfulness and other psychological variables on depression levels were assessed by binary regression analysis.
Objectives:
Adolescence is a period in which physical, cognitive, and emotional changes are seen, along with an increased susceptibility to stress. The aim of this study is to measure the psychometric properties of Mindful Attention Awareness Scale (MAAS).
References
1Chambers R, Gullone E, Hassed C, Knight W, Garvin T, Allen N. Mindful emotion regulation predicts recovery in depressed youth. Mindfulness. 2015;6:523-534.
2Treynor W, Gonzalez R, Nolen-Hoeksema S. Rumination reconsidered: A psychometric analysis. Cognit Ther Res. 2003;27:247-259.
3Allen NB, Sheeber LB. The importance of affective development for the emergence of depressive disorders during adolescence. Cambrige University Press, New York; 2009.
4Kabat-Zinn J. Full catastrophe living: Using the wisdom of your body and mind to face stress, pain, and illness, 15th anniversary ed. New York; 2005.
5Bishop SR, Lau M, Shapiro S, Carlson L, Anderson ND, Carmody J, Segal ZV, Abbey S, Speca M, Velting D, Devins G. Mindfulness: A proposed operational definition. Clin Psychol. 2004;11:230-241.
6Gross JJ. The emerging field of emotion regulation: an integrative review. Rev Gen Psychol. 1998;2:271-299.
7Aldao A, Nolen-Hoeksema S, Schweizer S. Emotion-regulation strategies across psychopathology: a meta-analytic review. Clin Psychol Rev. 2010;30:217-237.
8Schäfer JÖ, Naumann E, Holmes EA, Tuschen-Caffier B, Samson AC. Emotion regulation strategies in depressive and anxiety symptoms in youth: a meta-analytic review. J Youth Adolesc. 2017;46:261-276.
9Desrosiers A, Vine V, Klemanski DH, Nolen-Hoeksema S. Mindfulness and emotion regulation in depression and anxiety: common and distinct mechanisms of action. Depress Anxiety. 2013;30:654-661.
10Boettcher J, Aström V, Påhlsson D, Schenström O, Andersson G, Carlbring P. Internet-based mindfulness treatment for anxiety disorders: a randomized controlled trial. Behav Ther. 2014;45:241-253.
11Key BL, Rowa K, Bieling P, McCabe R, Pawluk EJ. Mindfulness-based cognitive therapy as an augmentation treatment for obsessive-compulsive disorder. Clin Psychol Psychother. 2017;24:1109-1120.
12Kuyken W, Crane R, Dalgleish T. Does mindfulness based cognitive therapy prevent relapse of depression. BMJ. 2012;345:e7194.
13MacKenzie MB, Abbott KA, Kocovski NL. Mindfulness-based cognitive therapy in patients with depression: current perspectives. Neuropsychiatr Dis Treat. 2018;14:1599-1605.
14Cassone AR. Mindfulness training as an adjunct to evidence-based treatment for ADHD within families. J Atten Disord. 2015;19:147-157.
15Kallapiran K, Koo S, Kirubakaran R, Hancock K. Effectiveness of mindfulness in improving mental health symptoms of children and adolescents: a meta-analysis. Child Adolesc Ment Health. 2015;20:182-194.
16Burckhardt R, Manicavasagar V, Batterham PJ, Hadzi-Pavlovic D, Shand F. Acceptance and commitment therapy universal prevention program for adolescents: a feasibility study. Child Adolesc Psychiatry Ment Health. 2017;11:27.
17Weersing VR, Jeffreys M, Do MT, Schwartz KT, Bolano C. Evidence Base Update of Psychosocial Treatments for Child and Adolescent Depression. J Clin Child Adolesc Psychol. 2017;46:11-43.
18Zisook S, Lesser I, Stewart JW, Wisniewski SR, Balasubramani GK, Fava M, Gilmer WS, Dresselhaus TR, Thase ME, Nierenberg AA, Trivedi MH, Rush AJ. Effect of age at onset on the course of major depressive disorder. Am J Psychiatry. 2007;164:1539-1546.
19Avenevoli S, Knight E, Kessler RC, MerikangasKR. Epidemiology of depression in children and adolescents. In: Abela, JRZ, Hankin BL, eds. Handbook of depression in children and adolescents. New York: Guilford Press; 2008:6-32.
20Bevan Jones R, Thapar A, Stone Z, Thapar A, Jones I, Smith D, Simpson S. Psychoeducational interventions in adolescent depression: A systematic review. Patient Educ Couns. 2018;101:804-816.
21Chronis-Tuscano A, Molina BS, Pelham WE, Applegate B, Dahlke A, Overmyer M, Lahey BB. Very early predictors of adolescent depression and suicide attempts in children with attention-deficit/hyperactivity disorder. Arch Gen Psychiatry. 2010;67:1044-1051.
22La Greca AM, Harrison HM. Adolescent peer relations, friendships, and romantic relationships: do they predict social anxiety and depression. J Clin Child Adolesc Psychol. 2005;34:49-61.
23Stein MB, Fuetsch M, Müller N, Höfler M, Lieb R, Wittchen HU. Social anxiety disorder and the risk of depression: a prospective community study of adolescents and young adults. Arch Gen Psychiatry. 2001;58:251-256.
24Kiesner J. Depressive symptoms in early adolescence: Their relations with classroom problem behavior and peer status. J Res Adolesc. 2002;12:463-478.
25Raes F, Griffith JW, Van der Gucht K, Williams JMG. School-based prevention and reduction of depression in adolescents: A cluster-randomized controlled trial of a mindfulness group program. Mindfulness. 2014;5:477-486.
26Bluth K, Eisenlohr-Moul TA. Response to a mindful self-compassion intervention in teens: A within person association of mindfulness, self-compassion, and emotional well-being outcomes. J Adolesc. 2017;57:108-118.
27Brown KW, Ryan RM. The benefits of being present: Mindfulness and its role in psychological well-being. J Pers Soc Psychol. 2003;84:822-848.
28Özyeşil Z, Arslan C, Kesici Ş, Deniz ME. Bilinçli farkındalık ölçeği’ni türkçeye uyarlama çalışması. Eğitim ve Bilim. 2011;36:224-235.
29Kovacs M. The Children’s Depression, Inventory (CDI). Psychopharmacol Bull. 1985;21:995-998.
30Öy B. Çocuklar için depresyon ölçeği: geçerlilik ve güvenirlik çalışması. Turk Psikiyatri Derg. 1991;2:132-136.
31Goodman R. The Strengths and Difficulties Questionnaire: A research note. J Child Psychol Psychiatry. 1997;38:581-586.
32Goodman R, Meltzer H, Bailey V. The Strengths and Difficulties Questionnaire: A pilot study on the validity of the self-report version. Eur Child Adolesc Psychiatry. 1998;7:125-130.
33Güvenir T, Özbek A, Baykara B, Arkar H, Şentürk B, İncekaş S. Güçler ve Güçlükler Anketi’nin (GGA) Türkçe uyarlamasının psikometrik özellikleri. Çocuk ve Gençlik Ruh Sağlığı Dergisi. 2008;15:65-74.
34Tabachnick BG, Fidel LS. Using Multivariate Statistics. MA: Allyn and Bacon, Boston; 2001.
35Pallozzi R, Wertheim E, Paxton S, Paxton S. Trait mindfulness measures for use with adolescents: a systematic review. Mindfulness. 2017;8:110-125.
36Brown KW, West AM, Loverich TM, Biegel GM. Assessing adolescent mindfulness: validation of an adapted Mindful Attention Awareness Scale in adolescent normative and psychiatric populations. Psychol Assess. 2011;23:1023-1033.
37de Bruin EI, Zijlstra BJ, van de Weijer-Bergsma E, Bögels SM. The Mindful Attention Awareness Scale for Adolescents (MAAS-A): Psychometric Properties in a Dutch Sample. Mindfulness (N.Y). 2011;2:201-211.
38Lawlor M, Schonert-Reichl K, Gadermann AM, Zumbo BD. A validation study of the mindful attention awareness scale adapted for children. Mindfulness. 2014;5:730-741.
39Hu L, Bentler PM. Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling. 1999;6:1-55.
40Marsh HW, Hocevar D. Application of confirmatory factor analysis to the study of self-concept: First- and higher order factor models and their invariance across groups. Psychol Bull. 1985;97:562-582.
41Marsh HW, Hau KT, Wen Z. In Search of Golden Rules: Comment on Hypothesis-Testing Approaches to Setting Cutoff Values for Fit Indexes and Dangers in Overgeneralizing Hu and Bentler’s (1999) Findings. Structural Equation Modeling. 2004;11:320-341.
42Chiesa A, Serretti A. A systematic review of neurobiological and clinical features of mindfulness meditations. Psychol Med. 2010;40:1239-1252.
43Hofmann SG, Sawyer AT, Witt AA, Oh D. The effect of mindfulness-based therapy on anxiety and depression: a meta-analytic review. J Consult Clin Psychol. 2010;78:169-183.
44Chen KW, Berger CC, Manheimer E, Forde D, Magidson J, Dachman L, Lejuez CW. Meditative therapies for reducing anxiety: a systematic review and meta-analysis of randomized controlled trials. Depress Anxiety. 2012;29:545-562.
45Semple RJ, Reid EFG, Miller L. Treating anxiety with mindfulness: An open trial of mindfulness training for anxious children. J Cogn Psychother. 2005;19:379-391.
46Bögel SM, Hoogstad B, van Dun, L, Schutter S, Restifo K. Mindfulness training for adolescents with externalizing disorders and their parents. Behav Cogn Psychother 2008;36;193-210.
47Morgan D. Mindfulness-based cognitive therapy for depression: a new approach to preventing relapse, Psychother Res. 2003;13:123-125.
48Shapiro SL, Astin JA, Bishop SR, Cordova M. Mindfulness-based stress reduction for health care professionals: results from a randomized trial. Int J Stress Manage. 2005;2:164-176.
49Jimenez SS, Niles BL, Park CL. A mindfulness model of affect regulation and depressive symptoms: Positive emotions, mood regulation, expectancies, and self-acceptance as regulatory mechanisms. Pers Ind Dif. 2010;49:645-650.
50Marchand WR. Mindfulness-based stress reduction, mindfulness-based cognitive therapy, and Zen meditation for depression, anxiety, pain, and psychological distress. J Psychiatr Pract. 2012;18:233-252.
51Hanstede M, Gidron Y, Nyklícek I. The effects of a mindfulness intervention on obsessive-compulsive symptoms in a non-clinical student population J Nerv Ment Dis. 2008;196:776-779.
52Van der Oord S, Bogels SM, Peijnenburg D. The effectiveness of mindfulness training for children with ADHD and mindful parenting for their parents. J Child Fam Stud. 2012;21:139-147.
53Wanden-Berghe RG, Sanz-Valero J, Wanden-Berghe C. The application of mindfulness to eating disorders treatment: a systematic review. Eat Disord. 2011;19:34-48.
54McCracken LM, Keogh E. Acceptance, mindfulness, and values based action may counteract fear and avoidance of emotions in chronic pain: an analysis of anxiety sensitivity. J Pain. 2009;10:408-415.
55Vujanovic AA, ZvolenskyMJ, Bernstein A, Feldner MT, McLeish AC. A test of the interactive effects of anxiety sensitivity and mindfulness in the prediction of anxious arousal, agoraphobic cognitions, and body vigilance. Behav Res Ther. 2007;45:1393-1400.
56McKeeL, Zvolensky MJ, Solomon SE, Bernstein A, Leen-Feldner E. Emotional-vulnerability and mindfulness: a preliminary test of associations among negative affectivity, anxiety sensitivity, and mindfulness skills. Cogn Behav Ther. 2007;36:91-101.
57Cash M, Whittingham K. What facets of mindfulness contribute to psychological well-being and depressive, anxious, and stress-related symptomatology? Mindfulness. 2010;1:177-182.
58Burke CA. Mindfulness-based approaches with children and adolescents: a preliminary review of current research in an emergent field. J Child Fam Stud. 2010;19:133-144.
59Waszczuk MA, Zavos HM, Antonova E, Haworth CM, Plomin R, Eley TC. A multivariate twin study of trait mindfulness, depressive symptoms, and anxiety sensitivity. Depress Anxiety. 2015;32:254-261.
60Meinzer MC, Pettit JW, Viswesvaran C. The co-occurrence of attention-deficit/hyperactivity disorder and unipolar depression in children and adolescents: a meta-analytic review. Clin Psychol Rev. 2014;34:595-607.
61Loeber R, Burke JD, Lahey BB, Winters A, Zera M. Oppositional defiant and conduct disorder: a review of the past 10 years, part I. J Am Acad Child Adolesc Psychiatry. 2000;39:1468-1484.
62Daviss WB. A review of co-morbid depression in pediatric ADHD: etiology, phenomenology, and treatment. J Child Adolesc Psychopharmacol. 2018;18:565-571.
63Faraone SV, Biederman J. Do attention deficit hyperactivity disorder and major depression share familial risk factors. J Nerv Ment Dis. 1997;185:533-541.
64Teasdale JD, Segal Z, Williams JM. How does cognitive therapy prevent depressive relapse and why should attentional control (mindfulness) training help. Behav Res Ther. 1995;33:25-39.
65Shapiro SL, Schwartz GE (2000) The role of intention in self-regulate: toward intentional systemic mindfulness. Eds: Zeidner M, Pintrich PR, Boekaerts M, Handbook of Self Regulation. Academic Press, San Diego, s:253–273.
66Zwaigenbaum L, Szatmari P, Boyle MH, Offord DR. Highly somatizing young adolescents and the risk of depression. Pediatrics. 1999;103:1203-1209.
67Cummings CM, Caporino NE, Kendall PC. Comorbidity of anxiety and depression in children and adolescents: 20 years after. Psychol Bull. 2014;140:816-845.
