AUTHOR=Shomaker Lauren B. , Pivarunas Bernadette , Annameier Shelly K. , Gulley Lauren , Quaglia Jordan , Brown Kirk Warren , Broderick Patricia , Bell Christopher 

TITLE=One-Year Follow-Up of a Randomized Controlled Trial Piloting a Mindfulness-Based Group Intervention for Adolescent Insulin Resistance

JOURNAL=Frontiers in Psychology

VOLUME=10

YEAR=2019

URL=https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2019.01040

DOI=10.3389/fpsyg.2019.01040

ISSN=1664-1078

ABSTRACT=<sec><title>Introduction</title><p>To explore if a brief mindfulness-based intervention (MBI) leads to sustained, improved clinical outcomes in adolescents at-risk for type 2 diabetes (T2D).</p></sec><sec><title>Methods</title><p>Participants were 12–17y girls with overweight/obesity, elevated depression symptoms, and T2D family history participating in a randomized, controlled pilot trial of a six-session MBI vs. cognitive-behavioral therapy (CBT) group. At baseline and 1-year, mindfulness, depression, insulin resistance (IR), and body composition were assessed with validated instruments.</p></sec><sec><title>Results</title><p>One-year retention was 71% (<italic>n</italic> = 12) in MBI; 81% (<italic>n</italic> = 13) in CBT. At 1-year, depression decreased (Cohen’s <italic>d</italic> = 0.68) and IR decreased (<italic>d</italic> = 0.73) in adolescents randomized to MBI compared to those in CBT. There were no significant between-condition differences in mindfulness, adiposity, or BMI.</p></sec><sec><title>Discussion</title><p>One-year outcomes from this randomized, controlled pilot trial suggest that brief MBI may reduce depression and IR in at-risk adolescents. Replication and exploration of mechanisms within the context of a larger clinical trial are necessary.</p></sec><sec><title>Clinical Trial Registration</title><p><ext-link ext-link-type="uri" xlink:href="http://www.ClinicalTrials.gov" xmlns:xlink="http://www.w3.org/1999/xlink">www.ClinicalTrials.gov</ext-link>, identifier NCT02218138.</p></sec>