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Treating Adolescent Anxiety and Depression with Family Mindfulness
Treating Adolescent Anxiety and Depression with Family Mindfulness
Treating Adolescent Anxiety and Depression with Family Mindfulness

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자료유형  
 학위논문 서양
최종처리일시  
20260202104812
ISBN  
9798290614809
DDC  
362
저자명  
Bocanegra, Elizabeth Sara.
서명/저자  
Treating Adolescent Anxiety and Depression with Family Mindfulness
발행사항  
[Sl] : University of California, Los Angeles, 2025
발행사항  
Ann Arbor : ProQuest Dissertations & Theses, 2025
형태사항  
153 p
주기사항  
Source: Dissertations Abstracts International, Volume: 87-01, Section: A.
주기사항  
Advisor: Chavira, Denise A.
학위논문주기  
Thesis (Ph.D.)--University of California, Los Angeles, 2025.
초록/해제  
요약Internet-based mindfulness interventions offer a promising alternative to traditional in-person interventions, which are resource-intensive and less accessible to many populations. Although such interventions are increasingly popular, more research is needed to evaluate the feasibility and effectiveness of brief, scalable formats. This dissertation examined the feasibility, acceptability, and initial effectiveness of a paraprofessional-led, internet-based mindfulness program, called Kind Minds, for adolescents with anxiety and depression, with or without caregiver involvement. Study 1 was a randomized controlled trial evaluating the feasibility and preliminary clinical outcomes of the Kind Minds (KM) program. Youth (N = 27) were randomized to a child-only condition or a family condition that included caregiver participation concurrently but separately from youth. Across both groups, youth reported high satisfaction and low attrition, though challenges were noted in recruiting Latinx families. Youth in both conditions demonstrated significant reductions in self-reported anxiety and depression symptoms over time. Diagnostic interviews post-intervention indicated that many youth no longer met criteria for anxiety or depression, with higher remission rates observed in the family condition. Exploratory analyses also found improvements in parenting behaviors and parents' emotion regulation, regardless of group assignment. To further contextualize these findings, Study 2, a qualitative study, was conducted to examine caregivers' perspectives of the KM program. Qualitative interviews were conducted with seven caregivers randomized to the family condition. Using rapid qualitative analyses, emerging themes included caregivers' discussion of personal gains in emotion regulation, as well as perceived improvements in their children's coping skills for anxiety and depression concerns. Caregivers additionally emphasized the value of one-on-one coaching and flexible delivery in increasing engagement with the intervention. Taken together, findings provide preliminary evidence that a brief, paraprofessional-led, internet-based mindfulness programs is a feasible and promising approach for supporting adolescents with internalizing disorders and suggest that family involvement in youth's mental health interventions may enhance clinical outcomes. Qualitative results underscore the importance of therapeutic alliance and flexible implementation in optimizing engagement and outcomes in digital mental health interventions. .
일반주제명  
Mental health
일반주제명  
Individual & family studies
일반주제명  
Clinical psychology
키워드  
Anxiety
키워드  
Depression
키워드  
Latinx families
키워드  
Caregivers
키워드  
Kind Minds
기타저자  
University of California, Los Angeles Psychology 0780
기본자료저록  
Dissertations Abstracts International. 87-01A.
전자적 위치 및 접속  
로그인 후 원문을 볼 수 있습니다.

MARC

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■035    ▼a(MiAaPQ)AAI32167456
■040    ▼aMiAaPQ▼cMiAaPQ
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■1001  ▼aBocanegra,  Elizabeth  Sara.
■24510▼aTreating  Adolescent  Anxiety  and  Depression  with  Family  Mindfulness
■260    ▼a[Sl]▼bUniversity  of  California,  Los  Angeles▼c2025
■260  1▼aAnn  Arbor▼bProQuest  Dissertations  &  Theses▼c2025
■300    ▼a153  p
■500    ▼aSource:  Dissertations  Abstracts  International,  Volume:  87-01,  Section:  A.
■500    ▼aAdvisor:  Chavira,  Denise  A.
■5021  ▼aThesis  (Ph.D.)--University  of  California,  Los  Angeles,  2025.
■520    ▼aInternet-based  mindfulness  interventions  offer  a  promising  alternative  to  traditional  in-person  interventions,  which  are  resource-intensive  and  less  accessible  to  many  populations.  Although  such  interventions  are  increasingly  popular,  more  research  is  needed  to  evaluate  the  feasibility  and  effectiveness  of  brief,  scalable  formats.  This  dissertation  examined  the  feasibility,  acceptability,  and  initial  effectiveness  of  a  paraprofessional-led,  internet-based  mindfulness  program,  called  Kind  Minds,  for  adolescents  with  anxiety  and  depression,  with  or  without  caregiver  involvement.  Study  1  was  a  randomized  controlled  trial  evaluating  the  feasibility  and  preliminary  clinical  outcomes  of  the  Kind  Minds  (KM)  program.  Youth  (N  =  27)  were  randomized  to  a  child-only  condition  or  a  family  condition  that  included  caregiver  participation  concurrently  but  separately  from  youth.  Across  both  groups,  youth  reported  high  satisfaction  and  low  attrition,  though  challenges  were  noted  in  recruiting  Latinx  families.  Youth  in  both  conditions  demonstrated  significant  reductions  in  self-reported  anxiety  and  depression  symptoms  over  time.  Diagnostic  interviews  post-intervention  indicated  that  many  youth  no  longer  met  criteria  for  anxiety  or  depression,  with  higher  remission  rates  observed  in  the  family  condition.  Exploratory  analyses  also  found  improvements  in  parenting  behaviors  and  parents'  emotion  regulation,  regardless  of  group  assignment.  To  further  contextualize  these  findings,  Study  2,  a  qualitative  study,  was  conducted  to  examine  caregivers'  perspectives  of  the  KM  program.  Qualitative  interviews  were  conducted  with  seven  caregivers  randomized  to  the  family  condition.  Using  rapid  qualitative  analyses,  emerging  themes  included  caregivers'  discussion  of  personal  gains  in  emotion  regulation,  as  well  as  perceived  improvements  in  their  children's  coping  skills  for  anxiety  and  depression  concerns.  Caregivers  additionally  emphasized  the  value  of  one-on-one  coaching  and  flexible  delivery  in  increasing  engagement  with  the  intervention.  Taken  together,  findings  provide  preliminary  evidence  that  a  brief,  paraprofessional-led,  internet-based  mindfulness  programs  is  a  feasible  and  promising  approach  for  supporting  adolescents  with  internalizing  disorders  and  suggest  that  family  involvement  in  youth's  mental  health  interventions  may  enhance  clinical  outcomes.  Qualitative  results  underscore  the  importance  of  therapeutic  alliance  and  flexible  implementation  in  optimizing  engagement  and  outcomes  in  digital  mental  health  interventions. .
■590    ▼aSchool  code:  0031.
■650  4▼aMental  health
■650  4▼aIndividual  &  family  studies
■650  4▼aClinical  psychology
■653    ▼aAnxiety
■653    ▼aDepression
■653    ▼aLatinx  families
■653    ▼aCaregivers
■653    ▼aKind  Minds
■690    ▼a0347
■690    ▼a0622
■690    ▼a0628
■71020▼aUniversity  of  California,  Los  Angeles▼bPsychology  0780.
■7730  ▼tDissertations  Abstracts  International▼g87-01A.
■790    ▼a0031
■791    ▼aPh.D.
■792    ▼a2025
■793    ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17358938▼nKERIS▼z이  자료의  원문은  한국교육학술정보원에서  제공합니다.

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