Abstract
Objectives
Empathy and compassion are important components of prosocial behaviour which can lead to greater peer acceptance and positive relationships in children and adolescents. As mindfulness-based interventions (MBIs) have been shown to be effective in increasing empathy and compassion among adults, we aimed to systematically review the current literature to see if mindfulness-based interventions increased empathy and compassion in children and adolescents.
Methods
We systematically searched six databases, yielding 540 potentially relevant papers. Eight additional papers were identified through hand searching. After removing duplicates and screening titles and abstracts, the first two authors independently applied the inclusion/exclusion criteria to 34 full-text papers, leaving 16 eligible for inclusion. Studies that contained children and adolescents between 5 and 18 years old, measured empathy or compassion in some form and contained a mindfulness-based intervention were included. The first two authors independently checked the studies for methodological quality and data were extracted and synthesised narratively.
Results
We found convincing support in favour of MBIs increasing empathy in children and adolescents. Further, there was some evidence to suggest that MBIs increase self-compassion amongst this population and that this was correlated with an increase in mindfulness. Due to poor methodological quality in many of the included studies, these results should be interpreted with caution.
Conclusions
MBIs may be effective in increasing empathy and compassion in children and adolescents. Future research should concentrate on examining the mechanisms of change and the long-term effects of these interventions among a variety of different age groups and neurodiversity.
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References
References marked with an asterisk indicate studies included in the systematic literature review.
Baron-Cohen, S., Leslie, A. M., & Frith, U. (1985). Does the autistic child have a “theory of mind”. Cognition, 21(1), 37–46. https://doi.org/10.1016/0010-0277(85)90022-8.
*Beauchemin, J., Hutchins, T. L., & Patterson, F. (2008). Mindfulness meditation may lessen anxiety, promote social skills, and improve academic performance among adolescents with learning disabilities. Complementary Health Practice Review, 13(1), 34–45. https://doi.org/10.1177/1533210107311624.
Biegel, G. M. (2010). The stress reduction workbook for teens: mindfulness skills to help you deal with stress. Oakland, CA: New Harbinger.
*Bluth, K., Campo, R. A., Pruteanu-Malinici, S., Reams, A., Mullarkey, M., & Broderick, P. C. (2016a). A school-based mindfulness pilot study for ethnically diverse at-risk adolescents. Mindfulness, 7(1), 90–104. https://doi.org/10.1007/s12671-014-0376-1.
*Bluth, K., & Eisenlohr-Moul, T. A. (2017). Response to a mindful self-compassion intervention in teens: A within-person association of mindfulness, self-compassion, and emotional well-being outcomes. Journal of Adolescence, 57, 108–118. https://doi.org/10.1016/j.adolescence.2017.04.001.
*Bluth, K., Gaylord, S. A., Campo, R. A., Mullarkey, M. C., & Hobbs, L. (2016b). Making friends with yourself: a mixed methods pilot study of a mindful self-compassion program for adolescents. Mindfulness, 7(2), 479–492. https://doi.org/10.1007/s12671-015-0476-6.
*Bluth, K., Roberson, P. N. E., & Gaylord, S. A. (2015). A pilot study of a mindfulness intervention for adolescents and the potential role of self-compassion in reducing stress. Explore, 11(4), 292–295. https://doi.org/10.1016/j.explore.2015.04.005.
Boellinghaus, I., Jones, F. W., & Hutton, J. (2014). The role of mindfulness and loving-kindness meditation in cultivating self-compassion and other-focused concern in health care professionals. Mindfulness, 5(2), 129–138. https://doi.org/10.1007/s12671-012-0158-6.
Boivin M. (2005). The origin of peer relationship difficulties in early childhood and their impact on children’s psychosocial adjustment and development. In Tremblay, R. E., Boivin, M., Peters, R. De V., (eds.) Boivin M, (topic ed.), Encyclopedia on early childhood development [online]. http://www.child-encyclopedia.com/peer-relations/according-experts/origin-peer-relationship-difficulties-early-childhood-and-their. Published March 2005. Accessed November 17, 2018.
Bornstein, M. H., Hahn, C. S., & Haynes, O. M. (2010). Social competence, externalizing, and internalizing behavioral adjustcranement from early childhood through early adolescence: developmental cascades. Development and Psychopathology, 22(4), 717–735. https://doi.org/10.1017/S0954579410000416.
Broderick, P. C. (2013). Learning to breathe: a mindfulness curriculum for adolescents to cultivate emotion regulation, attention, and performance. Oakland, CA: New Harbinger Publications.
Brown, K. W., West, A. M., Loverich, T. M., & Biegel, G. M. (2011). Validation of an Adapted Mindful Attention Awareness Scale in adolescent normative and psychiatric populations. Psychological Assessment, 23(4), 1023–1033. https://doi.org/10.1037/a0021338.
Cha, E.-S., Kim, K. H., & Erlen, J. A. (2007). Translation of scales in cross-cultural research: issues and techniques. Journal of Advanced Nursing, 58(4), 386–395. https://doi.org/10.1111/j.1365-2648.2007.04242.x.
Chambers, C. T., & Johnston, C. (2002). Developmental differences in children’s use of rating scales. Journal of pediatric psychology, 27(1), 27–36. https://doi.org/10.1093/jpepsy/27.1.27.
Cheung, A. C., & Slavin, R. E. (2016). How methodological features affect effect sizes in education. Educational Researcher, 45(5), 283–292. https://doi.org/10.3102/0013189X16656615.
Chierchia, G., & Singer, T. (2017). The neuroscience of compassion and empathy and their link to prosocial motivation and behavior. In J.-C. Dreher & L. Tremblay (Eds.), Decision neuroscience : an integrative perspective (pp. 247–257). Amsterdam: Elsevier. https://doi.org/10.1016/B978-0-12-805308-9.00020-8.
Claes, L., Luyckx, K., Baetens, I., Van de Ven, M., & Witteman, C. (2015). Bullying and victimization, depressive mood, and non-suicidal self-injury in adolescents: The moderating role of parental support. Journal of Child and Family Studies, 24(11), 3363–3371. https://doi.org/10.1007/s10826-015-0138-2.
Crane, R. (2009). Mindfulness-based cognitive therapy. Hove, East Sussex: Routledge.
Crane, R. S., Kuyken, W., Williams, J. M. G., Hastings, R. P., Cooper, L., & Fennell, M. J. (2012). Competence in teaching mindfulness-based courses: concepts, development and assessment. Mindfulness, 3(1), 76–84. https://doi.org/10.1007/s12671-011-0073-2.
Davis, M. H. (1983). Measuring individual differences in empathy: Evidence for a multidimensional approach. Journal of personality and social psychology, 44(1), 113 https://doi.org/10.1037/0022-3514.44.1.113.
*de Carvalho, J. S., Pinto, A. M., & Marôco, J. (2017). Results of a mindfulness-based social-emotional learning program on portuguese elementary students and teachers: a quasi-experimental study. Mindfulness, 8(2), 337–350. https://doi.org/10.1007/s12671-016-0603-z.
Deeks, J. J., Dinnes, J., D'Amico, R., Sowden, A. J., Sakarovitch, C., Song, F., Petticrew, M., Altman, D. G. (2003) Evaluating non-randomised intervention studies. Health technology assessment, 7 (27), 1–173.
Denham, S. A., McKinley, M., Couchoud, E. A., & Holt, R. (1990). Emotional and behavioral predictors of preschool peer ratings. Child development, 61(4), 1145–1152. https://doi.org/10.1111/j.1467-8624.1990.tb02848.x.
Donald, J. N., Sahdra, B. K., Van Zanden, B., Duineveld, J. J., Atkins, P. W., Marshall, S. L., & Ciarrochi, J. (2019). Does your mindfulness benefit others? A systematic review and meta‐analysis of the link between mindfulness and prosocial behaviour. British Journal of Psychology, 110(1), 101–125. https://doi.org/10.1111/bjop.12338.
Durlak, J. A., Weissberg, R. P., Dymnicki, A. B., Taylor, R. D., & Schellinger, K. B. (2011). The impact of enhancing students’ social and emotional learning: A meta‐analysis of school‐based universal interventions. Child Development, 82(1), 405–432. https://doi.org/10.1111/j.1467-8624.2010.01564.x.
Dvash, J., & Shamay-Tsoory, S. G. (2014). Theory of mind and empathy as multidimensional constructs: Neurological foundations. Topics in Language Disorders, 34(4), 282–295. https://doi.org/10.1097/TLD.0000000000000040.
*Edwards, M., Adams, E. M., Waldo, M., Hadfield, O. D., & Biegel, G. M. (2014). Effects of a mindfulness group on Latino adolescent students: Examining levels of perceived stress, mindfulness, self-compassion, and psychological symptoms. The Journal for Specialists in Group Work, 39(2), 145–163. https://doi.org/10.1080/01933922.2014.891683.
Effective Public Health Practice Project. (1998). Quality assessment tool for quantitative studies. Hamilton, ON: Effective Public Health Practice Project. https://merst.ca/ephpp/
Eisenberg-Berg, N. (1979). Development of children’s prosocial moral judgment. Developmental Psychology, 15(2), 128 https://doi.org/10.1037/0012-1649.15.2.128.
Eisenberg, N., Guthrie, I. K., Murphy, B. C., Shepard, S. A., Cumberland, A., & Carlo, G. (1999). Consistency and development of prosocial dispositions: A longitudinal study. Child Development, 70(6), 1360–1372. https://doi.org/10.1111/1467-8624.00100.
Eisenberg, N., & Miller, P. A. (1987). The relation of empathy to prosocial and related behaviors. Psychological Bulletin, 101(1), 91 https://doi.org/10.1037/0033-2909.101.1.91.
Flook, L., Goldberg, S. B., **er, L., & Davidson, R. J. (2015). Promoting prosocial behavior and self-regulatory skills in preschool children through a mindfulness-based kindness curriculum. Developmental Psychology, 51(1), 44 https://doi.org/10.1037/a0038256.
Gifford-Smith, M. (2000). Teacher social competence scale grade 4/year 5 update fast track project technical report. http://www.fasttrackproject.org
Goodman, R. (1997). The strengths and difficulties questionnaire: a research note. Journal of Child Psychology and Psychiatry, 38(5), 581–586. https://doi.org/10.1111/j.1469-7610.1997.tb01545.x.
Graber, J. A., & Brooks-Gunn, J. (1996). Transitions and turning points: navigating the passage from childhood through adolescence. Developmental Psychology, 32(4), 768 https://doi.org/10.1037/0012-1649.32.4.768.
Greco, L. A., Baer, R. A., & Smith, G. T. (2011). Assessing mindfulness in children and adolescents: development and validation of the child and adolescent mindfulness measure (CAMM). Psychological Assessment, 23(3), 606 https://doi.org/10.1037/a0022819.
Gresham, F. M., & Elliot, S. N. (1990). Social Skills Rating System manual. Circle Pines, MN: American Guidance Service.
Hall-Lande, J. A., Eisenberg, M. E., Christenson, S. L., & Neumark-Sztainer, D. (2007). Social isolation, psychological health, and protective factors in adolescence. Adolescence, 42(166), 265–287.
*Harpin, S. B., Rossi, A., Kim, A. K., & Swanson, L. M. (2016). Behavioral impacts of a mindfulness pilot intervention for elementary school students. Education, 137(2), 149–156.
Hay, D. F., Payne, A., & Chadwick, A. (2004). Peer relations in childhood. Journal of Child Psychology and Psychiatry, 45(1), 84–108. https://doi.org/10.1046/j.0021-9630.2003.00308.x.
Imuta, K., Henry, J. D., Slaughter, V., Selcuk, B., & Ruffman, T. (2016). Theory of mind and prosocial behavior in childhood: a meta-analytic review. Developmental Psychology, 52(8), 1192 https://doi.org/10.1037/dev0000140.
*Johnson, C., Burke, C., Brinkman, S., & Wade, T. (2016). Effectiveness of a school-based mindfulness program for transdiagnostic prevention in young adolescents. Behaviour Research and Therapy, 81, 1–11. https://doi.org/10.1016/j.brat.2016.03.002.
*Joyce, A., Etty-Leal, J., Zazryn, T., & Hamilton, A. (2010). Exploring a mindfulness meditation program on the mental health of upper primary children: a pilot study. Advances in School Mental Health Promotion, 3(2), 17–25. https://doi.org/10.1080/1754730X.2010.9715677.
Kabat-Zinn, J. (1994). Wherever you go, there you are: Mindfulness meditation in everyday life. New York: Hyperion.
Kabat-Zinn, J., Massion, A. O., Kristeller, J., Peterson, L. G., Fletcher, K. E., Pbert, L., & Santorelli, S. F. (1992). Effectiveness of a meditation-based stress reduction program in the treatment of anxiety disorders. The American Journal of Psychiatry, 149(7), 936–943. https://doi.org/10.1176/ajp.149.7.936.
Kam, C., & Greenberg, M. T. (1998). Technical Measurement Report on the teacher social competence rating scale. Unpublished technical report, Prevention Research Center for the Promotion of Human Development, The Pennsylvania State University, PA.
Kreplin, U., Farias, M., & Brazil, I. A. (2018). The limited prosocial effects of meditation: A systematic review and meta-analysis. Scientific reports, 8(1), 2403 https://doi.org/10.1038/s41598-018-20299-z.
Kristeller, J. L., & Johnson, T. (2005). Science looks at spirituality. Zygon, 40(2), 391–407.
Kuyken, W., Weare, K., Ukoumunne, O. C., Vicary, R., Motton, N., Burnett, R., & Huppert, F. (2013). Effectiveness of the Mindfulness in Schools Programme: non-randomised controlled feasibility study. The British Journal of Psychiatry, 203(2), 126–131. https://doi.org/10.1192/bjp.bp.113.126649.
La Greca, A. M., & Harrison, H. M. (2005). Adolescent peer relations, friendships, and romantic relationships: Do they predict social anxiety and depression? Journal of Clinical Child and Adolescent Psychology, 34(1), 49–61. https://doi.org/10.1207/s15374424jccp3401_5.
Lawlor, M. S., Schonert-Reichl, K. A., Gadermann, A. M., & Zumbo, B. D. (2014). A validation study of the mindful attention awareness scale adapted for children. Mindfulness, 5(6), 730–741. https://doi.org/10.1007/s12671-013-0228-4.
Lutz, A., Brefczynski-Lewis, J., Johnstone, T., & Davidson, R. J. (2008). Regulation of the neural circuitry of emotion by compassion meditation: effects of meditative expertise. PloS One, 3(3), e1897.
Marsden, E., & Torgerson, C. J. (2012). Single group, pre-and post-test research designs: Some methodological concerns. Oxford Review of Education, 38(5), 583–616. https://doi.org/10.1080/03054985.2012.731208.
Miller-Johnson, S., Coie, J. D., Maumary-Gremaud, A., Lochman, J., & Terry, R. (1999). Relationship between childhood peer rejection and aggression and adolescent delinquency severity and type among African American youth. Journal of Emotional and Behavioral Disorders, 7(3), 137–146.
*Napoli, M., Krech, P. R., & Holley, L. C. (2005). Mindfulness training for elementary school students: The attention academy. Journal of Applied School Psychology, 21(1), 99–125. https://doi.org/10.1300/J370v21n01.
Neff, K. D. (2003). The development and validation of a scale to measure self-compassion. Self and Identity, 2(3), 223–250. https://doi.org/10.1080/15298860309027.
Neff, K. D., & Germer, C. K. (2013). A pilot study and randomized controlled trial of the mindful self‐compassion program. Journal of Clinical Psychology, 69(1), 28–44. https://doi.org/10.1002/jclp.21923.
Neff, K. D., & Pommier, E. (2013). The relationship between self-compassion and other-focused concern among college undergraduates, community adults, and practicing meditators. Self and Identity, 12(2), 160–176. https://doi.org/10.1080/15298868.2011.649546.
Platt, B., Kadosh, K. C., & Lau, J. Y. (2013). The role of peer rejection in adolescent depression. Depression and Anxiety, 30(9), 809–821. https://doi.org/10.1002/da.22120.
Raes, F., Pommier, E., Neff, K. D., & Van Gucht, D. (2011). Construction and factorial validation of a short form of the self‐compassion scale. Clinical Psychology & Psychotherapy, 18(3), 250–255. https://doi.org/10.1002/cpp.702.
Rosenman, R., Tennekoon, V., & Hill, L. G. (2011). Measuring bias in self-reported data. International Journal of Behavioural & Healthcare Research, 2(4), 320 https://doi.org/10.1504/IJBHR.2011.043414.
Rubin, K. H., Schulz Begle, A., & McDonald, K. L. (2012). Peer Relations and Social Competence in Childhood. In V. Anderson & M. H. Beauchamp (Eds.), Developmental Social Neuroscience and Childhood Brain Insult: Theory and Practice (pp. 23–44). New York: The Guilford Press.
Salum, G. A., Patrick, D. L., Isolan, L. R., Manfro, G. G., & Fleck, M. P. (2012). Youth Quality of Life Instrument-Research version (YQOL-R): psychometric properties in a community sample. Jornal de Pediatria, 88(5), 443–448. https://doi.org/10.2223/JPED.2193.
*Schonert-Reichl, K. A., & Lawlor, M. S. (2010). The effects of a mindfulness-based education program on pre-and early adolescents’ well-being and social and emotional competence. Mindfulness, 1(3), 137–151. https://doi.org/10.1007/s12671-010-0011-8.
*Schonert-Reichl, K. A., Oberle, E., Lawlor, M. S., Abbott, D., Thomson, K., Oberlander, T. F., & Diamond, A. (2015). Enhancing cognitive and social-emotional development through a simple-to-administer mindfulness-based school program for elementary school children: a randomized controlled trial. Developmental Psychology, 51(1), 52–66.
Schonert-Reichl, K. A., Smith, V., Zaidman-Zait, A., & Hertzman, C. (2012). Promoting children’s prosocial behaviors in school: Impact of the “Roots of Empathy” program on the social and emotional competence of school-aged children. School Mental Health, 4(1), 1–21. https://doi.org/10.1007/s12310-011-9064-7.
Shapiro, S. L., Schwartz, G. E., & Bonner, G. (1998). Effects of mindfulness-based stress reduction on medical and premedical students. Journal of Behavioral Medicine, 21(6), 581–599. https://doi.org/10.1023/A:1018700829825.
Sibinga, E. M., Kerrigan, D., Stewart, M., Johnson, K., Magyari, T., & Ellen, J. M. (2011). Mindfulness-based stress reduction for urban youth. The Journal of Alternative and Complementary Medicine, 17(3), 213–218. https://doi.org/10.1089/acm.2009.0605.
Siegel, D. J. (2007). The mindful brain: Reflection and attunement in the cultivation of well-being. New York: WW Norton & Company.
Singh, N. N., Lancioni, G. E., Winton, A. S., Karazsia, B. T., & Singh, J. (2013). Mindfulness training for teachers changes the behavior of their preschool students. Research in Human Development, 10(3), 211–233. https://doi.org/10.1080/15427609.2013.818484.
Slavin, R. E. (2008). What works? Issues in synthesizing educational program evaluations. Educational researcher, 5–14. https://doi.org/10.3102/0013189X08314117
Sutton, E., Schonert-Reichl, K. A., Wu, A. D., & Lawlor, M. S. (2018). Evaluating the reliability and validity of the self-compassion scale short form adapted for children ages 8–12. Child Indicators Research, 11(4), 1217–1236. https://doi.org/10.1007/s12187-017-9470-y.
Tan, L. B., Lo, B. C., & Macrae, C. N. (2014). Brief mindfulness meditation improves mental state attribution and empathizing. PLoS One, 9(10), e110510 https://doi.org/10.1371/journal.pone.0110510.
Teasdale, J. D., Segal, Z. V., Williams, J. M. G., Ridgeway, V. A., Soulsby, J. M., & Lau, M. A. (2000). Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Journal of Consulting and Clinical Psychology, 68(4), 615 https://doi.org/10.1037//0022-006X.68.4.615.
Telzer, E. H., Fuligni, A. J., Lieberman, M. D., Miernicki, M. E., & Galván, A. (2015). The quality of adolescents’ peer relationships modulates neural sensitivity to risk taking. Social Cognitive and Affective Neuroscience, 10(3), 389–398. https://doi.org/10.1093/scan/nsu064.
*Terjestam, Y., Bengtsson, H., & Jansson, A. (2016). Cultivating awareness at school. Effects on effortful control, peer relations and well-being at school in grades 5, 7, and 8. School Psychology International, 37(5), 456–469. https://doi.org/10.1177/0143034316658321.
The Hawn Foundation. (2018). MindUP. Retrieved 20 July 2018, from https://mindup.org/
Ullmann, R. K., Sleator, E. K., & Sprague, R. L. (1984). A new rating scale for diagnosis and monitoring of ADD children. Psychopharmacology Bulletin, 20(1), 160–164.
Van Geel, M., Vedder, P., & Tanilon, J. (2014). Relationship between peer victimization, cyberbullying, and suicide in children and adolescents: a meta-analysis. JAMA Pediatrics, 168(5), 435–442. https://doi.org/10.1001/jamapediatrics.2013.4143.
*Viafora, D. P., Mathiesen, S. G., & Unsworth, S. J. (2015). Teaching mindfulness to middle school students and homeless youth in school classrooms. Journal of Child and Family Studies, 24(5), 1179–1191. https://doi.org/10.1007/s10826-014-9926-3.
*Waldemar, J. O. C., Rigatti, R., Menezes, C. B., Guimarães, G., Falceto, O., & Heldt, E. (2016). Impact of a combined mindfulness and social–emotional learning program on fifth graders in a Brazilian public school setting. Psychology and Neuroscience, 9(1), 79–90. https://doi.org/10.1037/pne0000044.
Weng, H. Y., Fox, A. S., Shackman, A. J., Stodola, D. E., Caldwell, J. Z., Olson, M. C., & Davidson, R. J. (2013). Compassion training alters altruism and neural responses to suffering. Psychological Science, 24(7), 1171–1180. https://doi.org/10.1177/0956797612469537.
Woolley, M. E., Bowen, G. L., & Bowen, N. K. (2004). Cognitive pretesting and the developmental validity of child self-report instruments: theory and applications. Research on Social Work Practice, 14(3), 191–200. https://doi.org/10.1177/1049731503257882.
Zins, J. E., Payton, J. W., Weissberg, R. P., & O’Brien, M. U. (2007). Social and emotional learning for successful school performance. In G. Matthews, M. Zeidner & R. D. Roberts (Eds.), Series in affective science. The science of emotional intelligence: Knowns and unknowns (pp. 376–395). New York, NY: Oxford University Press.
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R.C. designed the study, conducted the literature search and study selection, performed the data extraction and quality assessment, synthesised the data narratively and wrote the paper. A.G. contributed to literature search, study selection and quality assessment. E.S. contributed to the design of the study, the drafting and editing of the final manuscript.
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Cheang, R., Gillions, A. & Sparkes, E. Do Mindfulness-Based Interventions Increase Empathy and Compassion in Children and Adolescents: A Systematic Review. J Child Fam Stud 28, 1765–1779 (2019). https://doi.org/10.1007/s10826-019-01413-9
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DOI: https://doi.org/10.1007/s10826-019-01413-9