Skip to main content
Top
Gepubliceerd in: Mindfulness 12/2020

05-08-2020 | ORIGINAL PAPER

A Meta-analysis of Mindfulness-Based Interventions in Adults with Attention-Deficit Hyperactivity Disorder: Impact on ADHD Symptoms, Depression, and Executive Functioning

Auteurs: Hélène Poissant, Alexander Moreno, Stéphane Potvin, Adriana Mendrek

Gepubliceerd in: Mindfulness | Uitgave 12/2020

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Objectives

Mindfulness-based interventions (MBIs) are increasingly used in adults with attention-deficit hyperactivity disorder (ADHD). The aim of the current study was to conduct a meta-analysis of the available studies on the effects of MBIs on ADHD symptoms, depression, and executive functioning in adults diagnosed with ADHD.

Methods

Screening and selection of peer-reviewed literature using PRISMA-P guidelines on PsycINFO, PubMed, SCOPUS, and ERIC databases from inception to July 2019

Results

A total of 14 studies were included in the meta-analysis, for an aggregated sample of 834 adults with ADHD. Overall, the results showed that MBIs are effective to treat ADHD symptoms in adults, as well as to reduce depression and dysexecutive problems post-intervention.

Conclusions

MBIs are useful to improve ADHD symptoms, negative affect, and cognition in adult ADHD. The results contribute to better understanding and encourage the use of non-pharmacological treatments in ADHD.
Literatuur
go back to reference American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington: Author.CrossRef American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington: Author.CrossRef
go back to reference Amiri, S., Ghoreishizadeh, M. A., Sadeghi-Bazargani, H., Jonggoo, M., Golmirzaei, J., Abdi, S., Safikhanlo, S., & Asadollahi, A. (2014). Prevalence of adult attention deficit hyperactivity disorder (adult ADHD): Tabriz. Iranian Journal of Psychiatry, 9(2), 83–88. Amiri, S., Ghoreishizadeh, M. A., Sadeghi-Bazargani, H., Jonggoo, M., Golmirzaei, J., Abdi, S., Safikhanlo, S., & Asadollahi, A. (2014). Prevalence of adult attention deficit hyperactivity disorder (adult ADHD): Tabriz. Iranian Journal of Psychiatry, 9(2), 83–88.
go back to reference *Bachmann, K., Lam, A. P., Soros, P., Kanat, M., Hoxhaj, E., Matthies, S., Feige B, Müller, H., Özyurt, J., Thiel, C.M., & Philipsen, A. (2018). Effects of mindfulness and psychoeducation on working memory in adult ADHD: a randomised, controlled fMRI study. Behaviour Research and Therapy, 106, 47-56. doi:https://doi.org/10.1016/j.brat.2018.05.002 *Bachmann, K., Lam, A. P., Soros, P., Kanat, M., Hoxhaj, E., Matthies, S., Feige B, Müller, H., Özyurt, J., Thiel, C.M., & Philipsen, A. (2018). Effects of mindfulness and psychoeducation on working memory in adult ADHD: a randomised, controlled fMRI study. Behaviour Research and Therapy, 106, 47-56. doi:https://​doi.​org/​10.​1016/​j.​brat.​2018.​05.​002
go back to reference Barlow, D. H., Ellard, K. K., Fairholme, C., Farchione, T. J., Boisseau, C., Allen, L., & Ehrenreich-May, J. (2011). Unified protocol for the transdiagnostic treatment of emotional disorders. New York: Oxford University Press. Barlow, D. H., Ellard, K. K., Fairholme, C., Farchione, T. J., Boisseau, C., Allen, L., & Ehrenreich-May, J. (2011). Unified protocol for the transdiagnostic treatment of emotional disorders. New York: Oxford University Press.
go back to reference Begg, C. B., & Mazumdar, M. (1994). Opetagins characteristics of a rank correlation test for publication bias. Biometrics, 1088–1101. Begg, C. B., & Mazumdar, M. (1994). Opetagins characteristics of a rank correlation test for publication bias. Biometrics, 1088–1101.
go back to reference Biederman, J., Petty, C. R., Clarke, A., Lomedico, A., & Faraone, S. V. (2011). Predictors of persistent ADHD: an 11-year follow-up study. Journal of Psychiatric Research, 45(2), 150–155.CrossRef Biederman, J., Petty, C. R., Clarke, A., Lomedico, A., & Faraone, S. V. (2011). Predictors of persistent ADHD: an 11-year follow-up study. Journal of Psychiatric Research, 45(2), 150–155.CrossRef
go back to reference Borenstein, M. (2009). Introduction to meta-analysis. Chichester: John Wiley & Sons.CrossRef Borenstein, M. (2009). Introduction to meta-analysis. Chichester: John Wiley & Sons.CrossRef
go back to reference Borenstein, M., & Rothstein, H. (1999). Comprehensive meta-analysis: a computer program for research synthesis. New Jersey: Englewoods. Borenstein, M., & Rothstein, H. (1999). Comprehensive meta-analysis: a computer program for research synthesis. New Jersey: Englewoods.
go back to reference Bramer, W. M. (2018). Reference checking for systematic reviews using Endnote. Journal of the Medical Library Association, 106(4), 542–546. Bramer, W. M. (2018). Reference checking for systematic reviews using Endnote. Journal of the Medical Library Association, 106(4), 542–546.
go back to reference Bramham, J., Murphy, D., Xenitidis, K., Asherson, P., Hopkin, G., & Young, S. (2012). Adults with attention deficit hyperactivity disorder: an investigation of age-related differences in behavioural symptoms, neuropsychological function and co-morbidity. Psychological Medicine, 42(10), 2225–2234.CrossRef Bramham, J., Murphy, D., Xenitidis, K., Asherson, P., Hopkin, G., & Young, S. (2012). Adults with attention deficit hyperactivity disorder: an investigation of age-related differences in behavioural symptoms, neuropsychological function and co-morbidity. Psychological Medicine, 42(10), 2225–2234.CrossRef
go back to reference Bron, T. I., Bijlenga, D., Verduijn, J., Penninx, B. W., Beekman, A. T., & Kooij, J. S. (2016). Prevalence of ADHD symptoms across clinical stages of major depressive disorder. Journal of Affective Disorders, 197, 29–35.CrossRef Bron, T. I., Bijlenga, D., Verduijn, J., Penninx, B. W., Beekman, A. T., & Kooij, J. S. (2016). Prevalence of ADHD symptoms across clinical stages of major depressive disorder. Journal of Affective Disorders, 197, 29–35.CrossRef
go back to reference *Bueno, V. F., Kozasa, E. H., da Silva, M. A., Alves, T. M., Louza, M. R., & Pompeia, S. (2015). Mindfulness meditation improves mood, quality of life, and attention in adults with attention deficit hyperactivity disorder. BioMed Research International, Article 962857. doi:https://doi.org/10.1155/2015/962857 *Bueno, V. F., Kozasa, E. H., da Silva, M. A., Alves, T. M., Louza, M. R., & Pompeia, S. (2015). Mindfulness meditation improves mood, quality of life, and attention in adults with attention deficit hyperactivity disorder. BioMed Research International, Article 962857. doi:https://​doi.​org/​10.​1155/​2015/​962857
go back to reference Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale: L. Erlbaum Associates. Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale: L. Erlbaum Associates.
go back to reference Cooper, H., Hedges, L. V., & Valentine, J. C. (2009). The handbook of research synthesis and meta-analysis. New York: Russell Sage Foundation. Cooper, H., Hedges, L. V., & Valentine, J. C. (2009). The handbook of research synthesis and meta-analysis. New York: Russell Sage Foundation.
go back to reference Downey, K. K., Stelson, F. W., Pomerleau, O. F., & Giordani, B. (1997). Adult attention-deficit/hyperactivity disorder: psychological test profiles in a clinical population. Journal of Nervous and Mental Disorders, 185(1), 32–38.CrossRef Downey, K. K., Stelson, F. W., Pomerleau, O. F., & Giordani, B. (1997). Adult attention-deficit/hyperactivity disorder: psychological test profiles in a clinical population. Journal of Nervous and Mental Disorders, 185(1), 32–38.CrossRef
go back to reference Grogan, K., & Bramham, J. (2016). Current mood symptoms do not affect the accuracy of retrospective self-ratings of childhood ADHD symptoms. Journal of Attention Disorders, 20(12), 1039–1046.CrossRef Grogan, K., & Bramham, J. (2016). Current mood symptoms do not affect the accuracy of retrospective self-ratings of childhood ADHD symptoms. Journal of Attention Disorders, 20(12), 1039–1046.CrossRef
go back to reference Hedges, L. V., & Olkin, I. (1985). Statistical methods for meta-analysis. Orlando. Montréal: Academic Press. Hedges, L. V., & Olkin, I. (1985). Statistical methods for meta-analysis. Orlando. Montréal: Academic Press.
go back to reference *Hepark, S., Janssen, L., de Vries, A., Schoenberg, P. L. A., Donders, R., Kan, C. C., & Speckens, A. E. M. (2019). The efficacy of adapted MBCT on core symptoms and executive functioning in adults with ADHD: a preliminary randomized controlled trial. Journal of Attention Disorders, 23(4), 351-362. doi:https://doi.org/10.1177/1087054715613587CrossRefPubMed *Hepark, S., Janssen, L., de Vries, A., Schoenberg, P. L. A., Donders, R., Kan, C. C., & Speckens, A. E. M. (2019). The efficacy of adapted MBCT on core symptoms and executive functioning in adults with ADHD: a preliminary randomized controlled trial. Journal of Attention Disorders, 23(4), 351-362. doi:https://​doi.​org/​10.​1177/​1087054715613587​CrossRefPubMed
go back to reference *Hesslinger, B., Tebartz van Elst, L., Nyberg, E., Dykierek, P., Richter, H., Berner, M., & Ebert, D. (2002). Psychotherapy of attention deficit hyperactivity disorder in adults-a pilot study using a structured skills training program. European Archives of Psychiatry and Clinical Neuroscience, 252(4), 177-184. doi:https://doi.org/10.1007/s00406-002-0379-0CrossRefPubMed *Hesslinger, B., Tebartz van Elst, L., Nyberg, E., Dykierek, P., Richter, H., Berner, M., & Ebert, D. (2002). Psychotherapy of attention deficit hyperactivity disorder in adults-a pilot study using a structured skills training program. European Archives of Psychiatry and Clinical Neuroscience, 252(4), 177-184. doi:https://​doi.​org/​10.​1007/​s00406-002-0379-0CrossRefPubMed
go back to reference Higgins, J., Green, S., & Cochrane Collaboration (2011). Cochrane handbook for systematic reviews of interventions. Cochrane Collaboration. Higgins, J., Green, S., & Cochrane Collaboration (2011). Cochrane handbook for systematic reviews of interventions. Cochrane Collaboration.
go back to reference Hosenbocus, S., & Chahal, R. (2012). A review of executive function deficits and pharmacological management in children and adolescents. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 21(3), 223-229. Hosenbocus, S., & Chahal, R. (2012). A review of executive function deficits and pharmacological management in children and adolescents. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 21(3), 223-229.
go back to reference *Hoxhaj, E., Sadohara, C., Borel, P., D’Amelio, R., Sobanski, E., Muller, H., . . . Philipsen, A. (2018). Mindfulness vs psychoeducation in adult ADHD: a randomized controlled trial. European Archives of Psychiatry and Clinical Neuroscience, 268(4), 321-335. doi:https://doi.org/10.1007/s00406-018-0868-4 *Hoxhaj, E., Sadohara, C., Borel, P., D’Amelio, R., Sobanski, E., Muller, H., . . . Philipsen, A. (2018). Mindfulness vs psychoeducation in adult ADHD: a randomized controlled trial. European Archives of Psychiatry and Clinical Neuroscience, 268(4), 321-335. doi:https://​doi.​org/​10.​1007/​s00406-018-0868-4
go back to reference Jacob, C., Romanos, J., Dempfle, A., Heine, M., Windemuth-Kieselbach, C., Kruse, A., Reif, A., Walitza, S., Romanos, M., Strobel, A., Brocke, B., Schäfer, H., Schmidtke, A., Böning, J., & Lesch, K.-P. (2007). Co-morbidity of adult attention-deficit/hyperactivity disorder with focus on personality traits and related disorders in a tertiary referral center. European Archives of Psychiatry and Clinical Neuroscience, 257, 309–317.CrossRef Jacob, C., Romanos, J., Dempfle, A., Heine, M., Windemuth-Kieselbach, C., Kruse, A., Reif, A., Walitza, S., Romanos, M., Strobel, A., Brocke, B., Schäfer, H., Schmidtke, A., Böning, J., & Lesch, K.-P. (2007). Co-morbidity of adult attention-deficit/hyperactivity disorder with focus on personality traits and related disorders in a tertiary referral center. European Archives of Psychiatry and Clinical Neuroscience, 257, 309–317.CrossRef
go back to reference Jacob, C., Gross-Lesch, S., Jans, T., Geissler, J., Reif, A., Dempfle, A., & Lesch, K. P. (2014). Internalizing and externalizing behavior in adult ADHD. Attention Deficit and Hyperactivity Disorders, 6(2), 101–110.CrossRef Jacob, C., Gross-Lesch, S., Jans, T., Geissler, J., Reif, A., Dempfle, A., & Lesch, K. P. (2014). Internalizing and externalizing behavior in adult ADHD. Attention Deficit and Hyperactivity Disorders, 6(2), 101–110.CrossRef
go back to reference *Janssen, L., Kan, C. C., Carpentier, P. J., Sizoo, B., Hepark, S., Schellekens, M. P. J., . . . Speckens, A. E. M. (2018). Mindfulness-based cognitive therapy vs. treatment as usual in adults with ADHD: a multicentre, single-blind, randomised controlled trial - ERRATUM. Psychological Medicine, 48(11), 1920. doi:https://doi.org/10.1017/S0033291718000776 *Janssen, L., Kan, C. C., Carpentier, P. J., Sizoo, B., Hepark, S., Schellekens, M. P. J., . . . Speckens, A. E. M. (2018). Mindfulness-based cognitive therapy vs. treatment as usual in adults with ADHD: a multicentre, single-blind, randomised controlled trial - ERRATUM. Psychological Medicine, 48(11), 1920. doi:https://​doi.​org/​10.​1017/​S003329171800077​6
go back to reference Kamradt, J. M., Ullsperger, J. M., & Nikolas, M. A. (2014). Executive function assessment and adult attention-deficit/hyperactivity disorder: tasks versus ratings on the Barkley Deficits in Executive Functioning Scale. Psychological Assessment, 26(4), 1095–1105. Kamradt, J. M., Ullsperger, J. M., & Nikolas, M. A. (2014). Executive function assessment and adult attention-deficit/hyperactivity disorder: tasks versus ratings on the Barkley Deficits in Executive Functioning Scale. Psychological Assessment, 26(4), 1095–1105.
go back to reference Kessler, R., Adler, L., Barkley, R., Biederman, J., Conners, C., Demler, O., et al. (2006). The prevalence and correlates of adult ADHD in the United States: results from the National Comorbidity Survey Replication. The American Journal of Psychiatry, 163(4), 716–723.CrossRef Kessler, R., Adler, L., Barkley, R., Biederman, J., Conners, C., Demler, O., et al. (2006). The prevalence and correlates of adult ADHD in the United States: results from the National Comorbidity Survey Replication. The American Journal of Psychiatry, 163(4), 716–723.CrossRef
go back to reference Lipsey, M. W., & Wilson, D. B. (2000). Practical meta-analysis. London: SAGE publications. Lipsey, M. W., & Wilson, D. B. (2000). Practical meta-analysis. London: SAGE publications.
go back to reference López-Pinar, C., Martínez-Sanchís, S., Carbonell-Vayá, E., Sánchez-Meca, J., & Fenollar-Cortés, J. (2019). Efficacy of nonpharmacological treatments on comorbid internalizing symptoms of adults with attention-deficit/hyperactivity disorder: a meta-analytic review. Journal of Attention Disorders, 24(3), 456–478. https://doi.org/10.1177/1087054719855685.CrossRefPubMed López-Pinar, C., Martínez-Sanchís, S., Carbonell-Vayá, E., Sánchez-Meca, J., & Fenollar-Cortés, J. (2019). Efficacy of nonpharmacological treatments on comorbid internalizing symptoms of adults with attention-deficit/hyperactivity disorder: a meta-analytic review. Journal of Attention Disorders, 24(3), 456–478. https://​doi.​org/​10.​1177/​1087054719855685​.CrossRefPubMed
go back to reference Michielsen, M., Comijs, H. C., Semeijn, E. J., Beekman, A. T., Deeg, D. J., & Kooij, J. S. (2013). The comorbidity of anxiety and depressive symptoms in older adults with attention-deficit/hyperactivity disorder: a longitudinal study. Journal of Affective Disorders, 148(2-3), 220–227.CrossRef Michielsen, M., Comijs, H. C., Semeijn, E. J., Beekman, A. T., Deeg, D. J., & Kooij, J. S. (2013). The comorbidity of anxiety and depressive symptoms in older adults with attention-deficit/hyperactivity disorder: a longitudinal study. Journal of Affective Disorders, 148(2-3), 220–227.CrossRef
go back to reference *Mitchell, J. T., McIntyre, E. M., English, J. S., Dennis, M. F., Beckham, J. C., & Kollins, S. H. (2017). A pilot trial of mindfulness meditation yraining for ADHD in adulthood: impact on core symptoms, executive functioning, and emotion dysregulation. Journal of Attention Disorders, 21(13), 1105-1120. doi:https://doi.org/10.1177/1087054713513328CrossRefPubMed *Mitchell, J. T., McIntyre, E. M., English, J. S., Dennis, M. F., Beckham, J. C., & Kollins, S. H. (2017). A pilot trial of mindfulness meditation yraining for ADHD in adulthood: impact on core symptoms, executive functioning, and emotion dysregulation. Journal of Attention Disorders, 21(13), 1105-1120. doi:https://​doi.​org/​10.​1177/​1087054713513328​CrossRefPubMed
go back to reference O’Connor, D. A., Green, S. E., & Higgins, J. P. T. (2008). Defining the review question and developing criteria for including studies. In J. P. T. Higgins & S. Green (Eds.), Cochrane handbook for systematic reviews of interventions (pp. 83–94). UK: John Wiley & Sons. O’Connor, D. A., Green, S. E., & Higgins, J. P. T. (2008). Defining the review question and developing criteria for including studies. In J. P. T. Higgins & S. Green (Eds.), Cochrane handbook for systematic reviews of interventions (pp. 83–94). UK: John Wiley & Sons.
go back to reference Paulson, J. F., & Bazemore, S. D. (2010). Prenatal and postpartum depression in fathers and its association with maternal depression: a meta-analysis. Journal of the American Medical Association, 303, 1961–1969.CrossRef Paulson, J. F., & Bazemore, S. D. (2010). Prenatal and postpartum depression in fathers and its association with maternal depression: a meta-analysis. Journal of the American Medical Association, 303, 1961–1969.CrossRef
go back to reference Potvin, S., Stavro, K., Rizkallah, E., & Pelletier, J. (2014). Cocaine and cognition: a systematic quantitative review. Journal of Addictive Medicine., 8(5), 368–376.CrossRef Potvin, S., Stavro, K., Rizkallah, E., & Pelletier, J. (2014). Cocaine and cognition: a systematic quantitative review. Journal of Addictive Medicine., 8(5), 368–376.CrossRef
go back to reference Potvin, S., Pelletier, J., Grot, S., Hébert, C., Barr, A. M., & Lecomte, T. (2018 May). Cognitive deficits in individuals with methamphetamine use disorder: a meta-analysis. Addictive Behaviors, 80, 154–160.CrossRef Potvin, S., Pelletier, J., Grot, S., Hébert, C., Barr, A. M., & Lecomte, T. (2018 May). Cognitive deficits in individuals with methamphetamine use disorder: a meta-analysis. Addictive Behaviors, 80, 154–160.CrossRef
go back to reference Shamseer, L., Moher, D., Clarke, M., Ghersi, D., Liberati, A., Petticrew, M., et al. (2015). Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015: elaboration and explanation. British Medical Journal (Clinical Research Ed.), 349(1), G7647. Shamseer, L., Moher, D., Clarke, M., Ghersi, D., Liberati, A., Petticrew, M., et al. (2015). Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015: elaboration and explanation. British Medical Journal (Clinical Research Ed.), 349(1), G7647.
go back to reference Simon, V., Czobor, P., & Bitter, I. (2013). Is ADHD severity in adults associated with the lifetime prevalence of comorbid depressive episodes and anxiety disorders? European Psychiatry, 28(5), 308–314.CrossRef Simon, V., Czobor, P., & Bitter, I. (2013). Is ADHD severity in adults associated with the lifetime prevalence of comorbid depressive episodes and anxiety disorders? European Psychiatry, 28(5), 308–314.CrossRef
go back to reference Sobanski, E. (2006). Psychiatric comorbidity in adults with attention-deficit/hyperactivity disorder (ADHD). European Archives of Psychiatry and Clinical Neuroscience, 256(1), 126–131. Sobanski, E. (2006). Psychiatric comorbidity in adults with attention-deficit/hyperactivity disorder (ADHD). European Archives of Psychiatry and Clinical Neuroscience, 256(1), 126–131.
go back to reference Stavro, K., Pelletier, J., & Potvin, S. (2013). Widespread and sustained cognitive deficits in alcoholism: a meta-analysis. Addiction Biology, 18(2), 203–213.CrossRef Stavro, K., Pelletier, J., & Potvin, S. (2013). Widespread and sustained cognitive deficits in alcoholism: a meta-analysis. Addiction Biology, 18(2), 203–213.CrossRef
go back to reference *Zylowska, L., Ackerman, D. L., Yang, M. H., Futrell, J. L., Horton, N. L., Hale, T. S., . . . Smalley, S. L. (2008). Mindfulness meditation training in adults and adolescents with ADHD: a feasibility study. Journal of Attention Disorders, 11(6), 737-746. doi:https://doi.org/10.1177/1087054707308502 *Zylowska, L., Ackerman, D. L., Yang, M. H., Futrell, J. L., Horton, N. L., Hale, T. S., . . . Smalley, S. L. (2008). Mindfulness meditation training in adults and adolescents with ADHD: a feasibility study. Journal of Attention Disorders, 11(6), 737-746. doi:https://​doi.​org/​10.​1177/​1087054707308502​
Metagegevens
Titel
A Meta-analysis of Mindfulness-Based Interventions in Adults with Attention-Deficit Hyperactivity Disorder: Impact on ADHD Symptoms, Depression, and Executive Functioning
Auteurs
Hélène Poissant
Alexander Moreno
Stéphane Potvin
Adriana Mendrek
Publicatiedatum
05-08-2020
Uitgeverij
Springer US
Gepubliceerd in
Mindfulness / Uitgave 12/2020
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI
https://doi.org/10.1007/s12671-020-01458-8

Andere artikelen Uitgave 12/2020

Mindfulness 12/2020 Naar de uitgave