Mindfulness Meditation Training in Adults and Adolescents With ADHD

Objective: ADHD is a childhood-onset psychiatric condition that often continues into adulthood. Stimulant medications are the mainstay of treatment; however, additional approaches are frequently desired. In recent years, mindfulness meditation has been proposed to improve attention, reduce stress, and improve mood. This study tests the feasibility of an 8-week mindfulness training program for adults and adolescents with ADHD. Method: Twenty-four adults and eight adolescents with ADHD enrolled in a feasibility study of an 8-week mindfulness training program. Results: The majority of participants completed the training and reported high satisfaction with the training. Pre—post improvements in self-reported ADHD symptoms and test performance on tasks measuring attention and cognitive inhibition were noted. Improvements in anxiety and depressive symptoms were also observed. Conclusion: Mindfulness training is a feasible intervention in a subset of ADHD adults and adolescents and may improve behavioral and neurocognitive impairments. A controlled clinical study is warranted. (J. of Att. Dis. 2008; 11(6) 737-746)

[1]  D. Wechsler Wechsler Intelligence Scale for Children , 2020, Definitions.

[2]  A. Beck,et al.  An inventory for measuring depression. , 1961, Archives of general psychiatry.

[3]  A. B. Hollingshead,et al.  Four factor index of social status , 1975 .

[4]  Christie Golden,et al.  Stroop Color and Word Test: Manual for Clinical and Experimental Uses. , 1978 .

[5]  Charles J. Golden,et al.  A Manual for the Clinical and Experimental Use of the Stroop Color and Word Test , 1978 .

[6]  C. Reynolds,et al.  What i think and feel: A revised measure of children's manifest anxiety , 1978, Journal of abnormal child psychology.

[7]  J. D. Hogan,et al.  The Use of Meditation in the Treatment of Attention Deficit Disorder with Hyperactivity. , 1982 .

[8]  M. Weissman,et al.  Best estimate of lifetime psychiatric diagnosis: a methodological study. , 1982, Archives of general psychiatry.

[9]  A. Beck,et al.  An inventory for measuring clinical anxiety: psychometric properties. , 1988, Journal of consulting and clinical psychology.

[10]  J. Kabat-Zinn,et al.  Full catastrophe living : using the wisdom of your body and mind to face stress, pain, and illness , 1990 .

[11]  Dc Washington Diagnostic and Statistical Manual of Mental Disorders, 4th Ed. , 1994 .

[12]  Z. Segal,et al.  How does cognitive therapy prevent depressive relapse and why should attentional control (mindfulness) training help? , 1995, Behaviour research and therapy.

[13]  M. Merzenich,et al.  Use-dependent alterations of movement representations in primary motor cortex of adult squirrel monkeys , 1996, The Journal of neuroscience : the official journal of the Society for Neuroscience.

[14]  R. Barkley Attention‐Deficit/Hyperactivity Disorder, Self‐Regulation, and Time: Toward a More Comprehensive Theory , 1997, Journal of developmental and behavioral pediatrics : JDBP.

[15]  D. Mrazek,et al.  Evolution and revolution in child psychiatry: ADHD as a disorder of adaptation. , 1997, Journal of the American Academy of Child and Adolescent Psychiatry.

[16]  N. Ryan,et al.  Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version (K-SADS-PL): initial reliability and validity data. , 1997, Journal of the American Academy of Child and Adolescent Psychiatry.

[17]  E. Valentine,et al.  Meditation and attention: A comparison of the effects of concentrative and mindfulness meditation on sustained attention , 1999 .

[18]  J. Halperin ADHD and the Nature of Self-Control , 1999 .

[19]  S. Warschausky,et al.  WISC-III index growth curve characteristics following traumatic brain injury. Wechsler Intelligence Scale for Children--Third Edition. , 1999, Journal of clinical and experimental neuropsychology.

[20]  E. Braaten,et al.  Self-regulation of affect in attention deficit-hyperactivity disorder (ADHD) and non-ADHD boys: differences in empathic responding. , 2000, Journal of consulting and clinical psychology.

[21]  J. McGough,et al.  Familial clustering of symptoms and disruptive behaviors in multiplex families with attention-deficit/hyperactivity disorder. , 2000, Journal of the American Academy of Child and Adolescent Psychiatry.

[22]  P. Pintrich,et al.  Handbook of self-regulation , 2000 .

[23]  A. Alavi,et al.  The measurement of regional cerebral blood flow during the complex cognitive task of meditation: a preliminary SPECT study , 2001, Psychiatry Research: Neuroimaging.

[24]  J. Teasdale,et al.  How Does Cognitive Therapy Prevent Relapse in Residual Depression ? Evidence From a Controlled Trial , 2001 .

[25]  L. E. Arnold,et al.  Alternative Treatments for Adults with Attention‐Deficit Hyperactivity Disorder (ADHD) , 2001, Annals of the New York Academy of Sciences.

[26]  Z. Segal,et al.  Mindfulness-Based Cognitive Therapy for Depression: A New Approach to Preventing Relapse , 2001 .

[27]  [Treatment of attention deficit disorder with hyperactivity]. , 2001, Revista de neurologia.

[28]  L. Tebartz van Elst,et al.  Psychotherapy of attention deficit hyperactivity disorder in adults , 2002, European Archives of Psychiatry and Clinical Neuroscience.

[29]  Lisa J Rapport,et al.  Experienced emotion and affect recognition in adult attention-deficit hyperactivity disorder. , 2002, Neuropsychology.

[30]  Bruce D. McCandliss,et al.  Testing the Efficiency and Independence of Attentional Networks , 2002, Journal of Cognitive Neuroscience.

[31]  T. Kjaer,et al.  Increased dopamine tone during meditation-induced change of consciousness. , 2002, Brain research. Cognitive brain research.

[32]  T. Barnhofer Mindfulness-based cognitive therapy for depression: A new approach for preventing relapse , 2002 .

[33]  Sharon Begley,et al.  The Mind and the Brain: Neuroplasticity and the Power of Mental Force , 2002 .

[34]  H. Pratt,et al.  Attention-deficit/hyperactivity disorder in children and adolescents: interventions for a complex costly clinical conundrum. , 2003, Pediatric clinics of North America.

[35]  R. Ryan,et al.  The benefits of being present: mindfulness and its role in psychological well-being. , 2003, Journal of personality and social psychology.

[36]  R. Davidson,et al.  Alterations in Brain and Immune Function Produced by Mindfulness Meditation , 2003, Psychosomatic medicine.

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

[38]  Jin Fan,et al.  Human attentional networks. , 2004, Psychiatrische Praxis.

[39]  T. Klingberg,et al.  Increased prefrontal and parietal activity after training of working memory , 2004, Nature Neuroscience.

[40]  Mohamed Sabaawi,et al.  Book Review: The Mind and the Brain: Neuroplasticity and the Power of Mental Force. By Jeffrey M. Schwartz and Sharon Begley. New York, NY: HarperCollins Publishers, Inc. , 2004 .

[41]  J. Biederman Impact of comorbidity in adults with attention-deficit/hyperactivity disorder. , 2004, The Journal of clinical psychiatry.

[42]  M. Linehan,et al.  Effectiveness of inpatient dialectical behavioral therapy for borderline personality disorder: a controlled trial. , 2004, Behaviour research and therapy.

[43]  A. Lutz,et al.  Long-term meditators self-induce high-amplitude gamma synchrony during mental practice. , 2004, Proceedings of the National Academy of Sciences of the United States of America.

[44]  Patricia C. Broderick Mindfulness and Coping with Dysphoric Mood: Contrasts with Rumination and Distraction , 2005, Cognitive Therapy and Research.

[45]  J. Pettigrew,et al.  Meditation alters perceptual rivalry in Tibetan Buddhist monks , 2005, Current Biology.

[46]  John R Knight,et al.  Attention-Deficit/Hyperactivity Disorder Among Adolescents: A Review of the Diagnosis, Treatment, and Clinical Implications , 2005, Pediatrics.

[47]  Roger B. Davis,et al.  Trends in use of complementary and alternative medicine by US adults: 1997-2002. , 2005, Alternative therapies in health and medicine.

[48]  H. Forssberg,et al.  Computerized training of working memory in children with ADHD--a randomized, controlled trial. , 2005, Journal of the American Academy of Child and Adolescent Psychiatry.

[49]  G. Bush,et al.  Functional Neuroimaging of Attention-Deficit/Hyperactivity Disorder: A Review and Suggested Future Directions , 2005, Biological Psychiatry.

[50]  Andrea B. Stone,et al.  Mindfulness-Based Cognitive Therapy for Depression: A New Approach to Preventing Relapse , 2005 .

[51]  S. Rauch,et al.  Meditation experience is associated with increased cortical thickness , 2005, Neuroreport.

[52]  J. Nigg,et al.  An integrative theory of attention-deficit/ hyperactivity disorder based on the cognitive and affective neurosciences , 2005, Development and Psychopathology.

[53]  S. Faraone,et al.  Attention-deficit hyperactivity disorder , 2005, The Lancet.

[54]  J. McGough,et al.  Psychiatric comorbidity in adult attention deficit hyperactivity disorder: findings from multiplex families. , 2005, The American journal of psychiatry.

[55]  M. Craske,et al.  Mechanisms of mindfulness: emotion regulation following a focused breathing induction. , 2006, Behaviour research and therapy.

[56]  J. Polich,et al.  Meditation states and traits: EEG, ERP, and neuroimaging studies. , 2006, Psychological bulletin.

[57]  R. Kessler,et al.  The prevalence and correlates of adult ADHD in the United States: results from the National Comorbidity Survey Replication. , 2006, The American journal of psychiatry.

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

[59]  Larry J Seidman,et al.  Neuropsychological functioning in people with ADHD across the lifespan. , 2006, Clinical psychology review.

[60]  Dan J Stein,et al.  Inattention and Hyperactivity-Impulsivity: Psychobiological and Evolutionary Underpinnings of ADHD , 2007, CNS Spectrums.

[61]  Giulio E. Lancioni,et al.  Adolescents With Conduct Disorder Can Be Mindful of Their Aggressive Behavior , 2007 .

[62]  S. Nieuwenhuis,et al.  Mental Training Affects Distribution of Limited Brain Resources , 2007, PLoS biology.

[63]  A. Jha,et al.  Mindfulness training modifies subsystems of attention , 2007, Cognitive, affective & behavioral neuroscience.

[64]  G. Salmon,et al.  Attention deficit hyperactivity disorder. , 2018, British journal of hospital medicine.