Mindfulness and meditation as an adjunctive treatment for adolescents involved in the juvenile justice system: Is repairing the brain and nervous system possible?

ABSTRACT Adolescents involved in the juvenile justice system are prone to more traumatic events than other adolescents, leaving them in danger of developmental difficulties. Trauma exposure is predictive of poor outcomes including mental and physical health issues as well as criminal activity. Current treatment approaches either have a nominal effect on recidivism rates or increase the likelihood of future criminal offenses. This article explores adolescent brain development, the unique difficulties that juvenile justice youth face, and mindfulness meditation as an adjunctive treatment to system-based treatment. Mindfulness meditation may be a way to redress damage to the brain and facilitate healthy brain development, thus impacting prosocial behavior. Practice implications include integrating mindfulness meditation as an important part of rehabilitative efforts with juvenile justice youth.

[1]  Britta K. Hölzel,et al.  Moving Beyond Mindfulness: Defining Equanimity as an Outcome Measure in Meditation and Contemplative Research , 2019, Mindfulness.

[2]  M. Wasserman The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma , 2017, Journal of sex & marital therapy.

[3]  Christine Burke,et al.  Development and Validation of a Multifactor Mindfulness Scale in Youth: The Comprehensive Inventory of Mindfulness Experiences–Adolescents (CHIME-A) , 2017, Psychological assessment.

[4]  Xavier Oriol,et al.  Effect of a Mindfulness Training Program on the Impulsivity and Aggression Levels of Adolescents with Behavioral Problems in the Classroom , 2016, Front. Psychol..

[5]  S. Martins,et al.  Childhood Trauma and Illicit Drug Use in Adolescence: A Population-Based National Comorbidity Survey Replication-Adolescent Supplement Study. , 2016, Journal of the American Academy of Child and Adolescent Psychiatry.

[6]  E. Shonkoff,et al.  Associations Among Dispositional Mindfulness, Self-Compassion, and Executive Function Proficiency in Early Adolescents , 2016, Mindfulness.

[7]  Elliot T. Berkman,et al.  Parenting an Early Adolescent: a Pilot Study Examining Neural and Relationship Quality Changes of a Mindfulness Intervention , 2016 .

[8]  Brian M. Galla Within-person changes in mindfulness and self-compassion predict enhanced emotional well-being in healthy, but stressed adolescents. , 2016, Journal of adolescence.

[9]  S. Hofmann,et al.  The Effects of Mindfulness Training on Emotional Health in Chinese Long-Term Male Prison Inmates , 2016, Mindfulness.

[10]  S. Tapert,et al.  Uniting adolescent neuroimaging and treatment research: Recommendations in pursuit of improved integration , 2016, Neuroscience & Biobehavioral Reviews.

[11]  M. Fernandez,et al.  Evidence-based mindfulness , 2016 .

[12]  J. Markowitz,et al.  Neural changes in extinction recall following prolonged exposure treatment for PTSD: A longitudinal fMRI study☆ , 2016, NeuroImage: Clinical.

[13]  Sara N. Gallant Mindfulness meditation practice and executive functioning: Breaking down the benefit , 2016, Consciousness and Cognition.

[14]  F. Filbey,et al.  The impact of therapists’ words on the adolescent brain: In the context of addiction treatment , 2016, Behavioural Brain Research SreeTestContent1.

[15]  J. Greeson,et al.  Dispositional Mindfulness Uncouples Physiological and Emotional Reactivity to a Laboratory Stressor and Emotional Reactivity to Executive Functioning Lapses in Daily Life , 2016, Mindfulness.

[16]  Corliss Bayles,et al.  Using Mindfulness with Treatment of Dual Diagnosis in Adolescents , 2015 .

[17]  Richard H. Morley Violent criminality and self-compassion , 2015 .

[18]  A. Martín-Blanco,et al.  Exploring the relation between childhood trauma, temperamental traits and mindfulness in borderline personality disorder , 2015, BMC Psychiatry.

[19]  Dusana Dorjee,et al.  The Impact of a Mindfulness-Based Stress Reduction Course (MBSR) on Well-Being and Academic Attainment of Sixth-form Students , 2015, Mindfulness.

[20]  Adam T. Brewer,et al.  Not so bad: avoidance and aversive discounting modulate threat appraisal in anterior cingulate and medial prefrontal cortex , 2015, Front. Behav. Neurosci..

[21]  R. Job,et al.  Mindful Emotion Regulation: Exploring the Neurocognitive Mechanisms behind Mindfulness , 2015, BioMed research international.

[22]  P. Shaver,et al.  Promoting Attachment-Related Mindfulness and Compassion: a Wait-List-Controlled Study of Women Who Were Mistreated During Childhood , 2015 .

[23]  D. Dorjee,et al.  Mindfulness training for adolescents: A neurodevelopmental perspective on investigating modifications in attention and emotion regulation using event-related brain potentials , 2015, Cognitive, Affective, & Behavioral Neuroscience.

[24]  A. Newberg,et al.  Mind-Body Practices and the Adolescent Brain: Clinical Neuroimaging Studies. , 2015, Adolescent psychiatry.

[25]  Lucy B. G. Tan A critical review of adolescent mindfulness-based programmes , 2015, Clinical child psychology and psychiatry.

[26]  Britta K. Hölzel,et al.  The neuroscience of mindfulness meditation , 2015, Nature Reviews Neuroscience.

[27]  Stacy R Johnson,et al.  Emotion-based preventive intervention: Effectively promoting emotion knowledge and adaptive behavior among at-risk preschoolers , 2015, Development and Psychopathology.

[28]  J. Williams,et al.  The effects of amount of home meditation practice in Mindfulness Based Cognitive Therapy on hazard of relapse to depression in the Staying Well after Depression Trial , 2014, Behaviour research and therapy.

[29]  N. Riggs,et al.  Associations Between Dispositional Mindfulness and Executive Function in Early Adolescence , 2014, Journal of Child and Family Studies.

[30]  B. Penninx,et al.  A longitudinal study of experiential avoidance in emotional disorders. , 2014, Behavior therapy.

[31]  A. Diamond Executive functions. , 2014, Handbook of clinical neurology.

[32]  Michelle Evans-Chase Addressing Trauma and Psychosocial Development in Juvenile Justice-Involved Youth: A Synthesis of the Developmental Neuroscience, Juvenile Justice and Trauma Literature , 2014 .

[33]  C. Macrae,et al.  Brief Mindfulness Meditation Improves Mental State Attribution and Empathizing , 2014, PloS one.

[34]  Connie Sung,et al.  Neuroscience of child and adolescent health development. , 2014, Journal of counseling psychology.

[35]  P. Glimcher,et al.  Neuroanatomy Predicts Individual Risk Attitudes , 2014, The Journal of Neuroscience.

[36]  B. Bahrami,et al.  Human brain structure predicts individual differences in preconscious evaluation of facial dominance and trustworthiness , 2014, Social cognitive and affective neuroscience.

[37]  Joshua Curtiss,et al.  Observing nonreactively: a conditional process model linking mindfulness facets, cognitive emotion regulation strategies, and depression and anxiety symptoms. , 2014, Journal of affective disorders.

[38]  M. Potenza,et al.  Childhood maltreatment, altered limbic neurobiology, and substance use relapse severity via trauma-specific reductions in limbic gray matter volume. , 2014, JAMA psychiatry.

[39]  Jennifer L. Frank,et al.  Learning to BREATHE: an intervention to foster mindfulness in adolescence. , 2014, New directions for youth development.

[40]  B. Dick,et al.  The effects of mindful attention and state mindfulness on acute experimental pain among adolescents. , 2014, Journal of pediatric psychology.

[41]  G. Biegel,et al.  Effects of a Mindfulness Group on Latino Adolescent Students: Examining Levels of Perceived Stress, Mindfulness, Self-Compassion, and Psychological Symptoms , 2014 .

[42]  R. Bentall,et al.  Developmental pathway to paranoia is mediated by negative self-concept and experiential avoidance , 2014 .

[43]  C. Crawford,et al.  Mind-body therapies for the self-management of chronic pain symptoms. , 2014, Pain medicine.

[44]  Sam Himelstein,et al.  Mindfulness Training as an Intervention for Substance User Incarcerated Adolescents: A Pilot Grounded Theory Study , 2014, Substance use & misuse.

[45]  S. Hofmann,et al.  The benefits of being mindful: trait mindfulness predicts less stress reactivity to suppression. , 2014, Journal of behavior therapy and experimental psychiatry.

[46]  Ben J. Riley Experiential Avoidance Mediates the Association Between Thought Suppression and Mindfulness with Problem Gambling , 2014, Journal of Gambling Studies.

[47]  Yongmin Chang,et al.  Reorganization and plastic changes of the human brain associated with skill learning and expertise , 2014, Front. Hum. Neurosci..

[48]  Bridget A. Franks From soldiers to children: developmental sciences transform the construct of posttraumatic stress disorder , 2014 .

[49]  Sarah-Jayne Blakemore,et al.  Is adolescence a sensitive period for sociocultural processing? , 2014, Annual review of psychology.

[50]  Z. Segal,et al.  Inside the Mindful Mind , 2013 .

[51]  L. Carlson,et al.  Can mindfulness‐based interventions help adolescents with cancer? , 2013, Psycho-oncology.

[52]  J. Ford,et al.  Systemic Self-Regulation: A Framework for Trauma-Informed Services in Residential Juvenile Justice Programs , 2013, Journal of Family Violence.

[53]  Pengfei Rong,et al.  A functional MRI study of deception among offenders with antisocial personality disorders , 2013, Neuroscience.

[54]  Robert C. Lee,et al.  Trauma histories among justice-involved youth: findings from the National Child Traumatic Stress Network , 2013, European journal of psychotraumatology.

[55]  Corey M. Teague Developmental Trauma Disorder: A Provisional Diagnosis , 2013 .

[56]  F. Huppert,et al.  The efficacy of mindfulness‐based stress reduction on mental health of breast cancer patients: a meta‐analysis , 2013, Psycho-oncology.

[57]  S. Tapert,et al.  Adolescent brain development, substance use, and psychotherapeutic change. , 2013, Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors.

[58]  D. Vella-Brodrick,et al.  "A conscious control over life and my emotions:" mindfulness practice and healthy young people. A qualitative study. , 2013, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[59]  M. Meaney,et al.  Epigenetic Mechanisms for the Early Environmental Regulation of Hippocampal Glucocorticoid Receptor Gene Expression in Rodents and Humans , 2013, Neuropsychopharmacology.

[60]  Ute R. Hülsheger,et al.  Benefits of mindfulness at work: the role of mindfulness in emotion regulation, emotional exhaustion, and job satisfaction. , 2013, The Journal of applied psychology.

[61]  M. Dutton,et al.  Mindfulness-Based Stress Reduction for Low-Income, Predominantly African American Women With PTSD and a History of Intimate Partner Violence. , 2013, Cognitive and behavioral practice.

[62]  A. Serretti,et al.  Mindfulness: top-down or bottom-up emotion regulation strategy? , 2013, Clinical psychology review.

[63]  U. Rao,et al.  Psychobiology of PTSD in the acute aftermath of trauma: Integrating research on coping, HPA function and sympathetic nervous system activity. , 2013, Asian journal of psychiatry.

[64]  Patricia A. Jennings,et al.  Mindfulness for adolescents: a promising approach to supporting emotion regulation and preventing risky behavior. , 2012, New directions for youth development.

[65]  Kelsey S. Dickson,et al.  Dispositional Mindfulness Moderates the Effects of Stress Among Adolescents: Rumination as a Mediator , 2012, Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53.

[66]  L. F. Gould,et al.  A SCHOOL‐BASED MINDFULNESS INTERVENTION FOR URBAN YOUTH: EXPLORING MODERATORS OF INTERVENTION EFFECTS , 2012 .

[67]  Katherine M. Iverson,et al.  An investigation of experiential avoidance, emotion dysregulation, and distress tolerance in young adult outpatients with borderline personality disorder symptoms. , 2012, Personality disorders.

[68]  P. Zelazo,et al.  The Potential Benefits of Mindfulness Training in Early Childhood: A Developmental Social Cognitive Neuroscience Perspective , 2012 .

[69]  C. Spates,et al.  Prolonged Exposure, Mindfulness, and Emotion Regulation for the Treatment of PTSD , 2012 .

[70]  P. Sedlmeier,et al.  The psychological effects of meditation: a meta-analysis. , 2012, Psychological bulletin.

[71]  N. Wolff,et al.  Childhood and Adult Trauma Experiences of Incarcerated Persons and Their Relationship to Adult Behavioral Health Problems and Treatment , 2012, International journal of environmental research and public health.

[72]  Wendy D'andrea,et al.  Understanding interpersonal trauma in children: why we need a developmentally appropriate trauma diagnosis. , 2012, The American journal of orthopsychiatry.

[73]  A. Baddeley,et al.  Executive functions and self-regulation , 2012, Trends in Cognitive Sciences.

[74]  C. Gidycz,et al.  The Benefits of Dispositional Mindfulness in Physical Health: A Longitudinal Study of Female College Students , 2012, Journal of American college health : J of ACH.

[75]  N. Farb,et al.  The Mindful Brain and Emotion Regulation in Mood Disorders , 2012, Canadian journal of psychiatry. Revue canadienne de psychiatrie.

[76]  J. Noll,et al.  Experiential avoidance and the relationship between child maltreatment and PTSD symptoms: preliminary evidence. , 2012, Child abuse & neglect.

[77]  R. Baer,et al.  Relationships between mindfulness, self-control, and psychological functioning , 2012 .

[78]  J. Gray,et al.  Meditation experience is associated with differences in default mode network activity and connectivity , 2011, Proceedings of the National Academy of Sciences.

[79]  C. R. Glass,et al.  Conceptualizing Mindfulness and Acceptance as Components of Psychological Resilience to Trauma , 2011, Trauma, violence & abuse.

[80]  P. Kerig,et al.  Posttraumatic Stress Symptoms are Associated with the Frequency and Severity of Delinquency Among Detained Boys , 2011, Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53.

[81]  Shian-Ling Keng,et al.  Effects of mindfulness on psychological health: a review of empirical studies. , 2011, Clinical psychology review.

[82]  G. Panayiotou,et al.  Coping and experiential avoidance: unique or overlapping constructs? , 2011, Journal of behavior therapy and experimental psychiatry.

[83]  Deanna Kerrigan,et al.  Perceptions, experiences, and shifts in perspective occurring among urban youth participating in a mindfulness-based stress reduction program. , 2011, Complementary therapies in clinical practice.

[84]  Brian L Thompson,et al.  Mindfulness and experiential avoidance as predictors of posttraumatic stress disorder avoidance symptom severity. , 2010, Journal of anxiety disorders.

[85]  Laurence Steinberg,et al.  A behavioral scientist looks at the science of adolescent brain development , 2010, Brain and Cognition.

[86]  Daniel J. Siegel,et al.  Mindsight: The New Science of Personal Transformation , 2009 .

[87]  John D E Gabrieli,et al.  Bottom-Up and Top-Down Processes in Emotion Generation , 2009, Psychological science.

[88]  Laurence Steinberg,et al.  Should the science of adolescent brain development inform public policy? , 2009, The American psychologist.

[89]  P. Malinowski,et al.  Meditation, mindfulness and cognitive flexibility , 2009, Consciousness and Cognition.

[90]  Bumseok Jeong,et al.  Preliminary Evidence for White Matter Tract Abnormalities in Young Adults Exposed to Parental Verbal Abuse , 2009, Biological Psychiatry.

[91]  M. Males,et al.  Does the Adolescent Brain Make Risk Taking Inevitable? , 2009 .

[92]  S. Hayes Climbing Our Hills: A Beginning Conversation on the Comparison of Acceptance and Commitment Therapy and Traditional Cognitive Behavioral Therapy , 2008 .

[93]  C. Nemeroff,et al.  The link between childhood trauma and depression: Insights from HPA axis studies in humans , 2008, Psychoneuroendocrinology.

[94]  Lisa Miller,et al.  Mindfulness-Based Cognitive Therapy for Children: Results of a Pilot Study , 2008, Journal of Cognitive Psychotherapy.

[95]  R. Ryan,et al.  Mindfulness: Theoretical Foundations and Evidence for its Salutary Effects , 2007 .

[96]  Heather L. Urry,et al.  Failure to Regulate: Counterproductive Recruitment of Top-Down Prefrontal-Subcortical Circuitry in Major Depression , 2007, The Journal of Neuroscience.

[97]  Michael J Meaney,et al.  Epigenetic mechanisms of perinatal programming of hypothalamic-pituitary-adrenal function and health. , 2007, Trends in molecular medicine.

[98]  M. Henry,et al.  Neuroimaging and genetics of borderline personality disorder: a review. , 2007, Journal of psychiatry & neuroscience : JPN.

[99]  R. Epstein The Myth of the Teen Brain , 2007 .

[100]  H. Westenberg,et al.  Assessment of HPA-axis function in posttraumatic stress disorder: pharmacological and non-pharmacological challenge tests, a review. , 2006, Journal of psychiatric research.

[101]  T. Kashdan,et al.  Experiential avoidance as a generalized psychological vulnerability: comparisons with coping and emotion regulation strategies. , 2006, Behaviour research and therapy.

[102]  B. A. van der Kolk Clinical Implications of Neuroscience Research in PTSD , 2006, Annals of the New York Academy of Sciences.

[103]  Z. Segal,et al.  Mindfulness: A Proposed Operational Definition , 2004 .

[104]  H. Snyder,et al.  Juvenile Offenders and Victims: 1999 National Report. , 2006 .

[105]  M. Trout,et al.  The Body Bears the Burden: Trauma, Dissociation and Disease , 2005 .

[106]  C. Gross,et al.  Longitudinal impact of mindfulness meditation on illness burden in solid-organ transplant recipients. , 2005, Progress in transplantation.

[107]  B. Kolk,et al.  Developmental Trauma Disorder: Toward a rational diagnosis for children with complex trauma histories. , 2005 .

[108]  H. MacMillan,et al.  Child maltreatment and HPA axis dysregulation: relationship to major depressive disorder and post traumatic stress disorder in females , 2005, Psychoneuroendocrinology.

[109]  D. Sloan,et al.  Emotion regulation in action: emotional reactivity in experiential avoidance. , 2004, Behaviour research and therapy.

[110]  Robert M. Sapolsky,et al.  Stress and Plasticity in the Limbic System , 2003, Neurochemical Research.

[111]  R. Baer Mindfulness Training as a Clinical Intervention: A Conceptual and Empirical Review , 2003 .

[112]  Gary H. Glover,et al.  A Developmental fMRI Study of the Stroop Color-Word Task , 2002, NeuroImage.

[113]  G. Schwartz,et al.  Effects of Mindfulness-Based Stress Reduction on Medical and Premedical Students , 1998, Journal of Behavioral Medicine.

[114]  M. Gunnar Quality of early care and buffering of neuroendocrine stress reactions: potential effects on the developing human brain. , 1998, Preventive medicine.

[115]  B. A. van der Kolk The Body Keeps the Score: Memory and the Evolving Psychobiology of Posttraumatic Stress , 1994, Harvard review of psychiatry.

[116]  Minseop Kim,et al.  Mindfulness meditation with incarcerated youth: A randomized controlled trial informed by neuropsychosocial theories of adolescence , 2018 .

[117]  G. Dimaggio,et al.  Mindfulness moderates the relationship between aggression and Antisocial Personality Disorder traits: Preliminary investigation with an offender sample. , 2016, Comprehensive psychiatry.

[118]  Alysia D. Roehrig,et al.  Mind the Gaps: Are Conclusions About Mindfulness Entirely Conclusive? , 2016 .

[119]  F. Cheng Is meditation conducive to mental well-being for adolescents? An integrative review for mental health nursing , 2016 .

[120]  A. Biglan,et al.  The role of experiential avoidance in the relationship between family conflict and depression among early adolescents , 2015 .

[121]  F. Zeidan The neurobiology of mindfulness meditation. , 2014 .

[122]  Michelle Evans-Chase Neuroscience of risk-taking in adolescence. , 2014 .

[123]  L. Stafford,et al.  Comparison of the acceptability and benefits of two mindfulness-based interventions in women with breast or gynecologic cancer: a pilot study , 2014, Supportive Care in Cancer.

[124]  Jingjing Zhao,et al.  Dispositional mindfulness and life satisfaction: The role of core self-evaluations , 2014 .

[125]  Sam Himelstein,et al.  Innovations in Practice: exploring an intensive meditation intervention for incarcerated youth , 2013 .

[126]  K. Neff,et al.  Self-compassion: What It Is, What It Does, and How It Relates to Mindfulness Self-compassion: What It Is, What It Does, and How It Relates to Mindfulness Self-compassion and Emotional Wellbeing Self-compassion versus Self-esteem Self-compassion and Motivation Self-compassion and Coping Self-compassi , 2013 .

[127]  L. Hohaus,et al.  2672 – Getting Better with age: Do Mindfulness & Psychological Well-Being Improve in Old Age? , 2013, European Psychiatry.

[128]  J. Collard,et al.  Using Mindfulness with Couples: Theory and Practice , 2012 .

[129]  Reprints and permission: sagepub.com/journalsPermissions.nav , 2010 .

[130]  L. McHugh,et al.  The effects of mindfulness versus thought suppression on implicit and explicit measures of experiential avoidance. , 2010 .

[131]  G. Marlatt,et al.  Mindfulness meditation research: issues of participant screening, safety procedures, and researcher training. , 2009, Advances in mind-body medicine.

[132]  B. Perry,et al.  The neurosequential model of therapeutics. , 2008 .

[133]  B. Casey,et al.  The adolescent brain. , 2008, Developmental review : DR.

[134]  Robert M. Sapolsky,et al.  Why zebras don't get ulcers : an updated guide to stress, stress-related diseases, and coping , 1994 .

[135]  M. Kozak,et al.  Emotional processing of fear: exposure to corrective information. , 1986, Psychological bulletin.