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Gepubliceerd in: Mindfulness 8/2023

19-07-2023 | ORIGINAL PAPER

Effects of Mindful Parenting Program on the Executive Function and Resting State Brain Functional Connectivity for Parents of Children with Attention Deficit Hyperactivity Disorder: A Randomized Controlled Trial

Auteurs: Pei Liu, Ningning Liu, Gaoding Jia, Haimei Li, Yufeng Wang, Lu Liu, Haijing Niu, Qiujin Qian

Gepubliceerd in: Mindfulness | Uitgave 8/2023

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Abstract

Objectives

This study aimed to investigate the effects of the Mindful Parenting Program (MPP) on the executive function and brain function of parents of children with attention-deficit/hyperactivity disorder (ADHD).

Method

One hundred thirteen parents of children with ADHD were randomly assigned to the 8-week MPP or the Treatment as Usual waitlist control group (TAU). The stroop test, spatial working memory test, and Behavior Rating Inventory of Executive Function-Adult Version (BRIEF-A) were administered at baseline and postintervention. In addition, the time-by-group interaction of the participants was measured with functional near-infrared spectroscopy (fNIRS). The effects of the MPP on the executive function and functional connectivity (FC) of the brain were evaluated with repeated measures analysis of variance.

Results

For executive function, there was a significant time-by-group interaction effect on BRIEF-Initiation (F=4.42, p=0.038, Cohen’s d=0.19) and BRIEF-Shift scores (F=4.01, p=0.048, Cohen’s d=0.23). Only 16 participants in the MPP group and 15 in the TAU waitlist control were included for fNIRS analysis. Compared with those in the TAU waitlist control group, the MPP group had increased FC in the right default mode network (DMN-R), and left frontoparietal network (FPN-L), DMN-R-left ventral attention network (VAN-L), DMN-R-left visual network (VN-L), VAN-L-right ventral attention network (VAN-R), VAN-L, and left visual network (VN-L). In contrast to the MPP group, the TAU waitlist control group had decreased FC in the left sensorimotor network (SMN-L)-VN-L. The improvements in BRIEF-Shift scores were correlated with VN(L)-SMN(L). However, no results were significant after false discovery rate correction, a statistical method to control for multiple comparisons.

Conclusions

The MPP appears to have beneficial effects on the executive function and brain function of parents of children with ADHD. However, these findings need to be confirmed in further studies.

Preregistration

https://​www.​chictr.​org.​cn; ChiCTR1800019215 (registered in 2018/08/31)
Literatuur
go back to reference American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders: DSM-IV (4th ed.). American Psychiatric Association. American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders: DSM-IV (4th ed.). American Psychiatric Association.
go back to reference Barkley, R. A. (2012). Executive functions: What they are, how they work, and why they evolved. The Guilford Press. Barkley, R. A. (2012). Executive functions: What they are, how they work, and why they evolved. The Guilford Press.
go back to reference Bögels, S., & Restifo, K. (2014). Mindful parenting: A guide for mental health practitioners. Springer.CrossRef Bögels, S., & Restifo, K. (2014). Mindful parenting: A guide for mental health practitioners. Springer.CrossRef
go back to reference Bögels, S. M., Hellemans, J., van Deursen, S., Römer, M., & van der Meulen, R. (2014). Mindful parenting in mental health care: Effects on parental and child psychopathology, parental stress, parenting, coparenting, and marital functioning. Mindfulness, 5(5), 536–551. https://doi.org/10.1007/s12671-013-0209-7CrossRef Bögels, S. M., Hellemans, J., van Deursen, S., Römer, M., & van der Meulen, R. (2014). Mindful parenting in mental health care: Effects on parental and child psychopathology, parental stress, parenting, coparenting, and marital functioning. Mindfulness, 5(5), 536–551. https://​doi.​org/​10.​1007/​s12671-013-0209-7CrossRef
go back to reference Cao, J. W., Khan, B., Hervey, N., Tian, F. H., Delgado, M. R., Clegg, N. J., Smith, L., Roberts, H., Tulchin-Francis, K., Shierk, A., Shagman, L., MacFarlane, D., Liu, H. L., & Alexandrakis, G. (2015). Evaluation of cortical plasticity in children with cerebral palsy undergoing constraint-induced movement therapy based on functional near-infrared spectroscopy. Journal of Biomedical Optics, 20(4), 046009. https://doi.org/10.1117/1.JBO.20.4.046009CrossRefPubMedPubMedCentral Cao, J. W., Khan, B., Hervey, N., Tian, F. H., Delgado, M. R., Clegg, N. J., Smith, L., Roberts, H., Tulchin-Francis, K., Shierk, A., Shagman, L., MacFarlane, D., Liu, H. L., & Alexandrakis, G. (2015). Evaluation of cortical plasticity in children with cerebral palsy undergoing constraint-induced movement therapy based on functional near-infrared spectroscopy. Journal of Biomedical Optics, 20(4), 046009. https://​doi.​org/​10.​1117/​1.​JBO.​20.​4.​046009CrossRefPubMedPubMedCentral
go back to reference Cernasov, P., Walsh, E. C., Kinard, J. L., Kelley, L., Phillips, R., Pisoni, A., Eisenlohr-Moul, T. A., Arnold, M., Lowery, S. C., Ammirato, M., Truong, K., Nagy, G. A., Oliver, J. A., Haworth, K., Smoski, M., & Dichter, G. S. (2021). Multilevel growth curve analyses of behavioral activation for anhedonia (BATA) and mindfulness-based cognitive therapy effects on anhedonia and resting-state functional connectivity: Interim results of a randomized trial. Journal of Affective Disorders, 292, 161–171. https://doi.org/10.1016/j.jad.2021.05.054 Cernasov, P., Walsh, E. C., Kinard, J. L., Kelley, L., Phillips, R., Pisoni, A., Eisenlohr-Moul, T. A., Arnold, M., Lowery, S. C., Ammirato, M., Truong, K., Nagy, G. A., Oliver, J. A., Haworth, K., Smoski, M., & Dichter, G. S. (2021). Multilevel growth curve analyses of behavioral activation for anhedonia (BATA) and mindfulness-based cognitive therapy effects on anhedonia and resting-state functional connectivity: Interim results of a randomized trial. Journal of Affective Disorders, 292, 161–171. https://​doi.​org/​10.​1016/​j.​jad.​2021.​05.​054
go back to reference Coatsworth, J. D., Duncan, L. G., Berrena, E., Bamberger, K. T., Loeschinger, D., Greenberg, M. T., & Nix, R. L. (2014). The mindfulness-enhanced strengthening families program: Integrating brief mindfulness activities and parent training within an evidence-based prevention program. New Directions for Youth Development, 2014(142), 45–58. https://doi.org/10.1002/yd.20096CrossRefPubMedPubMedCentral Coatsworth, J. D., Duncan, L. G., Berrena, E., Bamberger, K. T., Loeschinger, D., Greenberg, M. T., & Nix, R. L. (2014). The mindfulness-enhanced strengthening families program: Integrating brief mindfulness activities and parent training within an evidence-based prevention program. New Directions for Youth Development, 2014(142), 45–58. https://​doi.​org/​10.​1002/​yd.​20096CrossRefPubMedPubMedCentral
go back to reference Fayyad, J., Sampson, N. A., Hwang, I., Adamowski, T., Aguilar-Gaxiola, S., Al-Hamzawi, A., Andrade, L. H. S. G., Borges, G., de Girolamo, G., Florescu, S., Gureje, O., Haro, J. M., Hu, C., Karam, E. G., Lee, S., Navarro-Mateu, F., O'Neill, S., Pennell, B.-E., Piazza, M., & W. H. O. World Mental Health Survey Collaborators. (2017). The descriptive epidemiology of DSM-IV Adult ADHD in the World Health Organization World Mental Health Surveys. ADHD Attention Deficit and Hyperactivity Disorders, 9(1), 47–65. https://doi.org/10.1007/s12402-016-0208-3CrossRefPubMed Fayyad, J., Sampson, N. A., Hwang, I., Adamowski, T., Aguilar-Gaxiola, S., Al-Hamzawi, A., Andrade, L. H. S. G., Borges, G., de Girolamo, G., Florescu, S., Gureje, O., Haro, J. M., Hu, C., Karam, E. G., Lee, S., Navarro-Mateu, F., O'Neill, S., Pennell, B.-E., Piazza, M., & W. H. O. World Mental Health Survey Collaborators. (2017). The descriptive epidemiology of DSM-IV Adult ADHD in the World Health Organization World Mental Health Surveys. ADHD Attention Deficit and Hyperactivity Disorders, 9(1), 47–65. https://​doi.​org/​10.​1007/​s12402-016-0208-3CrossRefPubMed
go back to reference First, M. B. (1997). User’s guide for the structured clinical interview for DSM-IV axis i disorders SCID-I: Clinician version. American Psychiatric Press. First, M. B. (1997). User’s guide for the structured clinical interview for DSM-IV axis i disorders SCID-I: Clinician version. American Psychiatric Press.
go back to reference Fox, K. C. R., Nijeboer, S., Dixon, M. L., Floman, J. L., Ellamil, M., Rumak, S. P., Sedlmeier, P., & Christoff, K. (2014). Is meditation associated with altered brain structure? A systematic review and meta-analysis of morphometric neuroimaging in meditation practitioners. Neuroscience & Biobehavioral Reviews, 43, 48–73. https://doi.org/10.1016/j.neubiorev.2014.03.016CrossRef Fox, K. C. R., Nijeboer, S., Dixon, M. L., Floman, J. L., Ellamil, M., Rumak, S. P., Sedlmeier, P., & Christoff, K. (2014). Is meditation associated with altered brain structure? A systematic review and meta-analysis of morphometric neuroimaging in meditation practitioners. Neuroscience & Biobehavioral Reviews, 43, 48–73. https://​doi.​org/​10.​1016/​j.​neubiorev.​2014.​03.​016CrossRef
go back to reference Huang, F. Y., Hsu, A. L., Chao, Y. P., Shang, C. M. H., Tsai, J. S., & Wu, C. W. (2021). Mindfulness-based cognitive therapy on bereavement grief: Alterations of resting-state network connectivity associate with changes of anxiety and mindfulness. Human Brain Mapping, 42(2), 510–520. https://doi.org/10.1002/hbm.25240CrossRefPubMed Huang, F. Y., Hsu, A. L., Chao, Y. P., Shang, C. M. H., Tsai, J. S., & Wu, C. W. (2021). Mindfulness-based cognitive therapy on bereavement grief: Alterations of resting-state network connectivity associate with changes of anxiety and mindfulness. Human Brain Mapping, 42(2), 510–520. https://​doi.​org/​10.​1002/​hbm.​25240CrossRefPubMed
go back to reference Kabat-Zinn, J. (1990). Full catastrophe living: How to cope with stress, pain and illness using mindfulness meditation (1st ed.). Delacorte. Kabat-Zinn, J. (1990). Full catastrophe living: How to cope with stress, pain and illness using mindfulness meditation (1st ed.). Delacorte.
go back to reference Kabat-Zinn, M., & Kabat-Zinn, J. (1997). Everyday blessings: The inner work of mindful parenting. Hachette Books. Kabat-Zinn, M., & Kabat-Zinn, J. (1997). Everyday blessings: The inner work of mindful parenting. Hachette Books.
go back to reference Li, F. H., Cui, Y. H., Li, Y., Guo, L. T., Ke, X. Y., Liu, J., Luo, X. R., Zheng, Y., & Leckman, J. F. (2022). Prevalence of mental disorders in school children and adolescents in China: Diagnostic data from detailed clinical assessments of 17,524 individuals. Journal of Child Psychology and Psychiatry, 63(1), 34–46. https://doi.org/10.1111/jcpp.13445CrossRefPubMed Li, F. H., Cui, Y. H., Li, Y., Guo, L. T., Ke, X. Y., Liu, J., Luo, X. R., Zheng, Y., & Leckman, J. F. (2022). Prevalence of mental disorders in school children and adolescents in China: Diagnostic data from detailed clinical assessments of 17,524 individuals. Journal of Child Psychology and Psychiatry, 63(1), 34–46. https://​doi.​org/​10.​1111/​jcpp.​13445CrossRefPubMed
go back to reference Meppelink, R., de Bruin, E. I., Wanders-Mulder, F. H., Vennik, C. J., & Bögels, S. M. (2016). Mindful parenting training in child psychiatric settings: Heightened parental mindfulness reduces parents’ and children’s psychopathology. Mindfulness, 7(3), 680–689. https://doi.org/10.1007/s12671-016-0504-1 Meppelink, R., de Bruin, E. I., Wanders-Mulder, F. H., Vennik, C. J., & Bögels, S. M. (2016). Mindful parenting training in child psychiatric settings: Heightened parental mindfulness reduces parents’ and children’s psychopathology. Mindfulness, 7(3), 680–689. https://​doi.​org/​10.​1007/​s12671-016-0504-1
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 training for ADHD in adulthood: Impact on core symptoms, executive functioning, and emotion dysregulation. Journal of Attention Disorders, 21(13), 1105–1120. 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 training for ADHD in adulthood: Impact on core symptoms, executive functioning, and emotion dysregulation. Journal of Attention Disorders, 21(13), 1105–1120. https://​doi.​org/​10.​1177/​1087054713513328​CrossRefPubMed
go back to reference Pan, F., Xu, Y., Zhou, W. H., Chen, J. K., Wei, N., Lu, S. J., Shang, D. S., Wang, J. H., & Huang, M. L. (2020). Disrupted intrinsic functional connectivity of the cognitive control network underlies disease severity and executive dysfunction in first-episode, treatment-naive adolescent depression. Journal of Affective Disorders, 264, 455–463. https://doi.org/10.1016/j.jad.2019.11.076CrossRefPubMed Pan, F., Xu, Y., Zhou, W. H., Chen, J. K., Wei, N., Lu, S. J., Shang, D. S., Wang, J. H., & Huang, M. L. (2020). Disrupted intrinsic functional connectivity of the cognitive control network underlies disease severity and executive dysfunction in first-episode, treatment-naive adolescent depression. Journal of Affective Disorders, 264, 455–463. https://​doi.​org/​10.​1016/​j.​jad.​2019.​11.​076CrossRefPubMed
go back to reference Shen, Y. Q., Zhou, H. X., Chen, X., Castellanos, F. X., & Yan, C. G. (2020). Meditation effect in changing functional integrations across large-scale brain networks: Preliminary evidence from a meta-analysis of seed-based functional connectivity. Journal of Pacific Rim Psychology, 14, e10. https://doi.org/10.1017/prp.2020.1CrossRef Shen, Y. Q., Zhou, H. X., Chen, X., Castellanos, F. X., & Yan, C. G. (2020). Meditation effect in changing functional integrations across large-scale brain networks: Preliminary evidence from a meta-analysis of seed-based functional connectivity. Journal of Pacific Rim Psychology, 14, e10. https://​doi.​org/​10.​1017/​prp.​2020.​1CrossRef
go back to reference Sibley, M. H., Swanson, J. M., Arnold, L. E., Hechtman, L. T., Owens, E. B., Stehli, A., Abikoff, H., Hinshaw, S. P., Molina, B. S. G., Mitchell, J. T., Jensen, P. S., Howard, A. L., Lakes, K. D., Pelham, W. E., & Group, M. T. A. C. (2017). Defining ADHD symptom persistence in adulthood: Optimizing sensitivity and specificity. Journal of Child Psychology and Psychiatry, 58(6), 655–662. https://doi.org/10.1111/jcpp.12620CrossRefPubMed Sibley, M. H., Swanson, J. M., Arnold, L. E., Hechtman, L. T., Owens, E. B., Stehli, A., Abikoff, H., Hinshaw, S. P., Molina, B. S. G., Mitchell, J. T., Jensen, P. S., Howard, A. L., Lakes, K. D., Pelham, W. E., & Group, M. T. A. C. (2017). Defining ADHD symptom persistence in adulthood: Optimizing sensitivity and specificity. Journal of Child Psychology and Psychiatry, 58(6), 655–662. https://​doi.​org/​10.​1111/​jcpp.​12620CrossRefPubMed
go back to reference Taylor, V. A., Daneault, V., Grant, J., Scavone, G., Breton, E., Roffe-Vidal, S., Courtemanche, J., Lavarenne, A. S., Marrelec, G., Benali, H., & Beauregard, M. (2013). Impact of meditation training on the default mode network during a restful state. Social Cognitive and Affective Neuroscience, 8(1), 4–14. https://doi.org/10.1093/scan/nsr087CrossRefPubMed Taylor, V. A., Daneault, V., Grant, J., Scavone, G., Breton, E., Roffe-Vidal, S., Courtemanche, J., Lavarenne, A. S., Marrelec, G., Benali, H., & Beauregard, M. (2013). Impact of meditation training on the default mode network during a restful state. Social Cognitive and Affective Neuroscience, 8(1), 4–14. https://​doi.​org/​10.​1093/​scan/​nsr087CrossRefPubMed
go back to reference Thissen, A. J. A. M., Rommelse, N. N. J., Hoekstra, P. J., Hartman, C., Heslenfeld, D., Luman, M., van Lieshout, M., Franke, B., Oosterlaan, J., & Buitelaar, J. K. (2014). Attention deficit hyperactivity disorder (ADHD) and executive functioning in affected and unaffected adolescents and their parents: Challenging the endophenotype construct. Psychological Medicine, 44(4), 881–892. https://doi.org/10.1017/s0033291713001153CrossRefPubMed Thissen, A. J. A. M., Rommelse, N. N. J., Hoekstra, P. J., Hartman, C., Heslenfeld, D., Luman, M., van Lieshout, M., Franke, B., Oosterlaan, J., & Buitelaar, J. K. (2014). Attention deficit hyperactivity disorder (ADHD) and executive functioning in affected and unaffected adolescents and their parents: Challenging the endophenotype construct. Psychological Medicine, 44(4), 881–892. https://​doi.​org/​10.​1017/​s003329171300115​3CrossRefPubMed
go back to reference Whitfield, T., Barnhofer, T., Acabchuk, R., Cohen, A., Lee, M., Schlosser, M., Arenaza-Urquijo, E. M., Böttcher, A., Britton, W., Coll-Padros, N., & Collette, F. (2022). The effect of mindfulness-based programs on cognitive function in adults: A systematic review and meta-analysis. Neuropsychology Review, 32(3), 677–702. https://doi.org/10.1007/s11065-021-09519-yCrossRefPubMed Whitfield, T., Barnhofer, T., Acabchuk, R., Cohen, A., Lee, M., Schlosser, M., Arenaza-Urquijo, E. M., Böttcher, A., Britton, W., Coll-Padros, N., & Collette, F. (2022). The effect of mindfulness-based programs on cognitive function in adults: A systematic review and meta-analysis. Neuropsychology Review, 32(3), 677–702. https://​doi.​org/​10.​1007/​s11065-021-09519-yCrossRefPubMed
go back to reference Yeo, B. T. T., Krienen, F. M., Sepulcre, J., Sabuncu, M. R., Lashkari, D., Hollinshead, M., Roffman, J. L., Smoller, J. W., Zöllei, L., Polimeni, J. R., Fischl, B., Liu, H., & Buckner, R. L. (2011). The organization of the human cerebral cortex estimated by intrinsic functional connectivity. Journal of Neurophysiology, 106(3), 1125–1165. https://doi.org/10.1152/jn.00338.2011CrossRefPubMed Yeo, B. T. T., Krienen, F. M., Sepulcre, J., Sabuncu, M. R., Lashkari, D., Hollinshead, M., Roffman, J. L., Smoller, J. W., Zöllei, L., Polimeni, J. R., Fischl, B., Liu, H., & Buckner, R. L. (2011). The organization of the human cerebral cortex estimated by intrinsic functional connectivity. Journal of Neurophysiology, 106(3), 1125–1165. https://​doi.​org/​10.​1152/​jn.​00338.​2011CrossRefPubMed
go back to reference Zhao, X. R., Chen, Z. F., Kang, C. Y., Liu, R. X., Bai, J. Y., Cao, Y. P., Cheng, Y. Q., Xu, X. F., & Zhang, Y. L. (2019). Mindfulness-based cognitive therapy is associated with distinct resting-state neural patterns in patients with generalized anxiety disorder. Asia-Pacific Psychiatry, 11(4), e12368. https://doi.org/10.1111/appy.12368CrossRefPubMed Zhao, X. R., Chen, Z. F., Kang, C. Y., Liu, R. X., Bai, J. Y., Cao, Y. P., Cheng, Y. Q., Xu, X. F., & Zhang, Y. L. (2019). Mindfulness-based cognitive therapy is associated with distinct resting-state neural patterns in patients with generalized anxiety disorder. Asia-Pacific Psychiatry, 11(4), e12368. https://​doi.​org/​10.​1111/​appy.​12368CrossRefPubMed
Metagegevens
Titel
Effects of Mindful Parenting Program on the Executive Function and Resting State Brain Functional Connectivity for Parents of Children with Attention Deficit Hyperactivity Disorder: A Randomized Controlled Trial
Auteurs
Pei Liu
Ningning Liu
Gaoding Jia
Haimei Li
Yufeng Wang
Lu Liu
Haijing Niu
Qiujin Qian
Publicatiedatum
19-07-2023
Uitgeverij
Springer US
Gepubliceerd in
Mindfulness / Uitgave 8/2023
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI
https://doi.org/10.1007/s12671-023-02178-5

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