Comorbid psychiatric presentations, defined as those who present with more than one mental and/or behavioral health diagnosis at the same time, during adolescence are on the rise. Mindfulness-based interventions can alleviate psychological symptoms and improve emotion regulation in youth. Mindfulness is a multifaceted phenomenon, with five underlying facets (Observing, Describing, Acting with Awareness, Non-Judgment and Non-Reactivity of Inner Experience). Little evidence has documented which facets produce pronounced psychiatric symptom reduction for adolescents. This pilot study examined the efficacy of an online mindfulness-based intervention delivered to adolescents undergoing mental health treatment during COVID-19 to reduce psychiatric outcomes. Fifty-six adolescents (m = 14.5 years, 66.1% female) categorized as moderate-risk (treatment histories of outpatient therapy only) or high-risk (treatment histories with intensive service participation) participated in the 8-session mindfulness-based intervention. Significant reductions in psychiatric symptoms and increases in adaptive coping strategies were observed at post-test, particularly for those at moderate-risk. Multivariate stepwise regression found significant associations between mindfulness facet use and anxiety, depression, and somatic symptoms (R² ranging from 42.5 to 52.8%). Results indicate preliminary efficacy for an online mindfulness-based intervention for adolescents, particularly those at moderate-risk, due to the introduction of new coping skills, given their history of less intense treatment. Further investigation is warranted to understand which mindfulness facet intervention components produce the most prominent outcomes.

在青春期，同时出现超过一种心理和/或行为健康诊断的共病精神病学表现正在上升。基于正念的干预可以减轻青少年的心理症状并改善情绪调节。正念是一种多方面的现象，有五个基本方面（观察、描述、有意识地行动、内在体验的非判断和非反应性）。几乎没有证据表明哪些方面可以显着减轻青少年的精神症状。这项试点研究检查了在 COVID-19 期间向接受心理健康治疗的青少年提供的基于正念的在线干预以减少精神结果的效果。56 名青少年（m = 14.5 岁，66. 1% 的女性）被归类为中度风险（仅限门诊治疗的治疗史）或高风险（具有密集服务参与的治疗史），参与了 8 节正念干预。在测试后观察到精神症状显着减少和适应性应对策略增加，特别是对于中度风险的人。多元逐步回归发现正念方面的使用与焦虑、抑郁和躯体症状之间存在显着关联（R ²范围从 42.5 到 52.8%)。结果表明，由于引入了新的应对技巧，鉴于他们的治疗强度较低的历史，基于正念的在线干预对青少年（尤其是中度风险的青少年）的初步疗效。需要进一步调查以了解哪些正念方面干预成分产生最显着的结果。