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01-06-2012 | Original Paper

Evaluation of a Mindfulness-based Intervention for Adolescents with Learning Disabilities and Co-occurring ADHD and Anxiety

Auteurs: Jillian Haydicky, Judith Wiener, Paul Badali, Karen Milligan, Joseph M. Ducharme

Gepubliceerd in: Mindfulness | Uitgave 2/2012

Abstract

The current study evaluated the impact of a 20-week mindfulness training program on executive function (EF), internalizing and externalizing behavior and social skills in a clinical sample of adolescent boys with learning disabilities (LD). Integra Mindfulness Martial Arts (MMA) is a manualized group treatment program incorporating elements of mindfulness meditation, cognitive behavioral therapy (CBT), behavior modification and mixed martial arts. Adolescents (ages 12–18; n = 60) with LD were assigned to the MMA or wait list control group (WL). Adolescents and their parents completed standardized questionnaires before and after training. Subgroup analyses were conducted to investigate the impact of the intervention on youth with co-occurring attention deficit/hyperactivity disorder (ADHD) or anxiety. Compared to the WL group, MMA participants with co-occurring ADHD (14 MMA, 14 WL) improved on parent-rated externalizing behavior, oppositional defiant problems and conduct problems. Boys with elevated hyperactive/impulsive symptoms (12 MMA, 17 WL) improved on parent-rated social problems and monitoring skills. Boys with elevated inattentive symptoms (15 MMA, 18 WL) improved on parent-rated social problems. Boys with elevated anxiety (12 MMA, 17 WL) reported decreased anxiety. MMA shows promise as an alternative treatment option for youth with LD and co-occurring difficulties.

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Achenbach, T. M. (2001). The Child Behavior Checklist and Youth Self-Report form. Burlington, VT: ASEBA, University of Vermont.

Allen, N. B., Blashki, G., Chambers, R., Ciechomski, L., Gullone, E., Hassed, C., Knight, W., McNab, C., Meadows, G. (2006). Mindfulness-based psychotherapies: A review of conceptual foundations, empirical evidence and practical considerations. Australian and New Zealand Journal of Psychiatry, 40(4), 285−294. doi:10.1080/j.1440-1614.2006.01794.x.

Badali, P. (2007). The Integra mindfulness martial arts program. [Unpublished manual].

Baer, R. A. (2003). Mindfulness training as a clinical intervention: A conceptual and empirical review. Clinical Psychology: Science and Practice, 10(2), 125–143. doi:10.1093/clipsy/bpg015.CrossRef

Baer, R. A. (2009). Self-focused attention and mechanisms of change in mindfulness-based treatment. Cognitive Behaviour Therapy, 38(S1), 15–20. doi:10.1080/16506070902980703.CrossRef

Bagwell, C. L., Molina, B. S. G., Pelham, W. E., & Hoza, B. (2001). Attention-deficit hyperactivity disorder and problems in peer relations: Predictions from childhood to adolescence. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 1285–1292. doi:10.1097/00004583-200111000-00008.PubMedCrossRef

Barkley, R. A. (2006). Attention-deficit/hyperactivity disorder: A handbook for diagnosis and treatment. New York: The Guilford Press.

Barnes, V. A., Davis, H. C., Murzynowski, J. B., & Treiber, F. A. (2004). Impact of meditation on resting and ambulatory blood pressure and heart rate in youth. Psychosomatic Medicine, 66(6), 909–914. doi:10.1097/01.psy.0000145902.91749.35.PubMedCrossRef

Beitchman, J. H., Adlaf, E. M., Douglas, L., Atkinson, L., Young, A., Johnson, C. J., et al. (2001). Comorbidity of psychiatric and substance use disorders in late adolescence: A cluster analytic approach. The American Journal of Drug and Alcohol Abuse, 27(3), 421–440. doi:10.1081/ADA-100104510.PubMedCrossRef

Biegel, G. M., Brown, K. W., Shapiro, S. L., & Schubert, C. M. (2009). Mindfulness-based stress reduction for the treatment of adolescent psychiatric outpatients: A randomized clinical trial. Journal of Consulting and Clinical Psychology, 77(5), 855–866. doi:10.1037/a0016241.PubMedCrossRef

Bishop, S. R., Lau, M., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J., et al. (2004). Mindfulness: A proposed operational definition. Clinical Psychology: Science and Practice, 11(3), 230–241. doi:10.1093/clipsy.bph077.CrossRef

Black, D. S., Milam, J., & Sussman, S. (2009). Sitting-meditation interventions among youth: A review of treatment efficacy. Pediatrics, 124(3), e532–e541. doi:10.1542/peds.2008-3434.PubMedCrossRef

Bogels, S., Hoogstad, B., van Dun, L., de Schutter, S., & Restifo, K. (2008). Mindfulness training for adolescents with externalizing disorders and their parents. Behavioral and Cognitive Psychotherapy, 36, 193–209. doi:10.1017/S1352465808004190.CrossRef

Brown, K. W., Ryan, R. M., & Creswell, J. D. (2007). Mindfulness: Theoretical foundations and evidence for its salutary effects. Psychological Inquiry, 18(4), 211–237. doi:10.1080/10478400701598298.CrossRef

Burke, C. A. (2010). Mindfulness-based approaches with children and adolescents: A preliminary review of current research in an emergent field. Journal of Child and Family Studies, 19(2), 133–144. doi:10.1007/s10826-009-9282-x.CrossRef

Capozzi, F., Casini, M. P., Romani, M., De Gennaro, L., Nicolais, G., & Solano, L. (2008). Psychiatric comorbidity in learning disorder: Analysis of family variables. Child Psychiatry and Human Development, 39(1), 101–110. doi:10.1007/s10578-007-0074-5.PubMedCrossRef

Chambers, R., Lo, B. C. Y., & Allen, N. B. (2008). The impact of intensive mindfulness training on attentional control, cognitive style, and affect. Cognitive Therapy and Research, 32, 303–322. doi:10.1007/s10608-007-9119-0.CrossRef

Chawla, N., & Ostafin, B. (2007). Experiential avoidance as a functional dimensional approach to psychopathology: An empirical review. Journal of Clinical Psychology, 63, 871–890. doi:10.1002/jclp.20400.PubMedCrossRef

Chiesa, A., Calati, R., & Serretti, A. (2011). Does mindfulness training improve cognitive abilities? A systematic review of neuropsychological findings. Clinical Psychology Review, 31, 449–464. doi:10.1016/j.cpr.2010.11.003.PubMedCrossRef

Cleary, T. (2005). The soul of the samurai—Modern translations of three classic works of zen and bushido. North Clarendon, VT: Tuttle Martial Arts.

Conners, C. K. (1997). Conners' rating scales-revised. Toronto: Multi-Health Systems.

Conners, C.K., Sitarenios, G., Parker, J.D.A., & Epstein, J.N. (1998). The revised Conners' parent rating scale: Factor structure, reliability, and criterion validity. Journal of Abnormal Child Psychology, 26, 257-268. Retrieved from http://www.springerlink.com/content/0091-0627

Denckla, M. B. (2007). Executive function: Binding together the definitions of attention-deficit/hyperactivity disorder and learning disabilities. In L. Meltzer (Ed.), Executive function in education: From theory to practice (pp. 5–18). New York: The Guilford Press.

Eisenberg, N., Fabes, R. A., Shepard, S. A., Murphy, B. C., Guthrie, I. K., Jones, S., et al. (1997). Contemporaneous and longitudinal prediction of children's social functioning from regulation and emotionality. Child Development, 68(4), 642–664. doi:10.2307/1132116.PubMedCrossRef

Elia, J., Ambrosini, P., & Berrettini, W. (2008). ADHD characteristics: I. Concurrent co-morbidity patterns in children & adolescents. Child and Adolescent Psychiatry and Mental Health, 2(1), 15–24. doi:10.1186/1753-2000-2-15.PubMedCrossRef

Faraone, S. V., Biederman, J., Morley, C. P., & Spencer, T. J. (2008). Effect of stimulants on height and weight: A review of the literature. Journal of the American Academy of Child and Adolescent Psychiatry, 47(9), 994–1009. doi:10.1097/CHI.ObO13e31817eOea7.PubMed

Fernandez-Duque, D., Baird, J. A., & Posner, M. I. (2000). Executive attention and metacognitive regulation. Consciousness and Cognition, 9, 288–307. doi:10.1006/ccog.2000.0447.PubMedCrossRef

Flook, L., Smalley, S. L., Kitil, M. J., Galla, B. M., Kaiser-Greenland, S., Locke, J., Ishijima, E., & Kasari, C. (2010). Effects of mindful awareness practices on executive functions in elementary school children. Journal of Applied School Psychology, 26(1), 70–95. doi:10.1080/15377900903379125.CrossRef

Garland, E. L., Gaylord, S. A., & Fredrickson, B. L. (2011). Positive reappraisal mediates the stress-reductive effects of mindfulness: An upward spiral process. Mindfulness, 2, 59–67. doi:10.1007/s12671-011-0043-8.CrossRef

Gersten, R., Fuchs, S., Compton, D., Coyne, M., Greenwood, C., Innocenti, M.S. (2005). Quality indicators for group experimental and quasi-experimental research in special education. Exceptional Children, 71(2), 149-164. Retrieved from http://cec.metapress.com/content/122146

Gioia, G., Isquith, P., Guy, S., & Kenworthy, L. (2000). Behavior rating inventory of executive function. Luz, Florida: Psychological Assessment Resources.

Graham, J., & Coghill, D. (2008). Adverse effects of pharmacotherapies for attention-deficit hyperactivity disorder: Epidemiology, prevention and management. CNS Drugs, 22(3), 213–237. doi:10.2165/00023210-200822030-00003.PubMedCrossRef

Gresham, F. M., & Horner, R. H. (2001). Interpreting outcomes of social skills training for students with high-incidence disabilities. Exceptional Children, 67(3), 331–44. Retrieved from http://cec.metapress.com/content/122146

Grossman, P., Niemann, L., Schmidt, S., & Walach, H. (2004). Mindfulness-based stress reduction and health benefits. A meta-analysis. Journal of Psychosomatic Research, 57(1), 35–43. doi:10.1016/S0022-3999(03)00573-7.PubMedCrossRef

Haydicky, J. (2010). Mindfulness training for adolescents with learning disabilities (Unpublished master's thesis). University of Toronto, Toronto, Ontario, Canada. Retrieved from https://tspace.library.utoronto.ca/bitstream/1807/24228/6/Haydicky_Jillian_A_201003_MA_thesis.pdf

Hayes, A. M., & Feldman, G. (2004). Clarifying the construct of mindfulness in the context of emotion regulation and the process of change in therapy. Clinical Psychology: Science and Practice, 11(3), 255–262. doi:10.1093/clipsy.bph080.CrossRef

Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006). Acceptance and commitment therapy: Model, processes and outcomes. Behaviour Research and Therapy, 44(1), 1–25. doi:10.1016/j.brat.2005.06.006.PubMedCrossRef

Heath, N. L., & Glen, T. (2005). Positive illusory bias and the self-protective hypothesis in children with learning disabilities. Journal of Clinical Child and Adolescent Psychology, 34(2), 272–281. doi:10.1207/s15374424jccp3402_6.PubMedCrossRef

Heeren, A., & Philippot, P. (2011). Changes in ruminative thinking mediate the clinical benefits of mindfulness: Preliminary findings. Mindfulness, 2, 8–13. doi:10.1007/s12671-010-0037-y.CrossRef

Hooker, K.E., & Fodor, I.E. (2008). Teaching mindfulness to children. Gestalt Review, 12(1), 75-91. Retrieved from http://www.gestaltreview.com/

Jarrett, M. A., & Ollendick, T. H. (2008). A conceptual review of the comorbidity of attention-deficit/hyperactivity disorder and anxiety: Implications for future research and practice. Clinical Psychology Review, 28(7), 1266–1280. doi:10.1016/j.cpr.2008.05.004.PubMedCrossRef

Jha, A. P., Krompinger, J., & Baime, M. J. (2007). Mindfulness training modifies subsystems of attention. Cognitive, Affective, & Behavioral Neuroscience, 7(2), 109–119. doi:10.3758/CABN.7.2.109.CrossRef

Josefsson, T., & Broberg, A. (2010). Meditators and non-meditators on sustained and executive attentional performance. Mental Health, Religion and Culture, 14(3), 291–309. doi:10.1080/13674670903578621.CrossRef

Kabat-Zinn, J., Massion, A. O., Kristeller, J., & Peterson, L. G. (1992). Effectiveness of a meditation-based stress reduction program in the treatment of anxiety disorders. American Journal of Psychiatry, 149(7), 936-943. Retrieved from http://ajp.psychiatryonline.org/

Kavale, K. A., & Forness, S. R. (1996). Social skill deficits and learning disabilities: A meta-analysis. Journal of Learning Disabilities, 29(3), 226–237. doi:10.1177/002221949602900301.PubMedCrossRef

Kavale, K., & Mostert, M. (2004). Social skills interventions for individuals with learning disabilities. Learning Disability Quarterly, 27(1), 31–43. doi:10.2307/1593630.CrossRef

Keng, S., Smoski, M. J., & Robins, C. J. (2011). Effects of mindfulness on psychological health: A review of empirical studies. Clinical Psychology Review, 31, 1041–1056. doi:10.1016/j.cpr.2011.04.006.PubMedCrossRef

Koerner, K., & Linehan, M. M. (2000). Research on dialectical behavior therapy for patients with borderline personality disorder. The Psychiatric Clinics of North America, 23(1), 151–167. doi:10.1016/S0193-953X(05)70149-0.PubMedCrossRef

Lazar, J. W., & Frank, Y. (1998). Frontal systems dysfunction in children with attention-deficit/hyperactivity disorder and learning disabilities. The Journal of Neuropsychiatry and Clinical Neurosciences, 10(2), 160-167. Retrieved from http://neuro.psychiatryonline.org/

Learning Disabilities Association of Canada (2005). Official definition of learning disabilities. Retrieved from http://www.ldac-taac.ca/Defined/defined_new-e.asp.

Ma, S. H., & Teasdale, J. D. (2004). Mindfulness-based cognitive therapy for depression: Replication and exploration of differential relapse prevention effects. Journal of Consulting and Clinical Psychology, 72(1), 31–40. doi:10.1037/0022-006X.72.1.31.PubMedCrossRef

Maynard, J., Tyler, J. L., & Arnold, M. (1999). Co-occurrence of attention-deficit disorder and learning disability: An overview of research. Journal of Instructional Psychology, 26(3), 183. Retrieved from http://vnweb.hwwilsonweb.com/hww/Journals/getIssues.jhtml?sid = HWW:EDI&id = 02313

Miners, R. (2008). Collected and connected: Mindfulness and the early adolescent (Doctoral Dissertation). Retrieved from Dissertation Abstracts International, 68, 6362.

Mishna, F., & Muskat, B. (2004). “I'm not the only one!” Group therapy with older children and adolescents who have learning disabilities. International Journal of Group Psychotherapy, 54(4), 455–476. doi:10.1521/ijgp.54.4.455.42762.PubMedCrossRef

Napoli, M., Krech, P. R., & Holly, L. C. (2005). Mindfulness training for elementary school students: The Attention Academy. Journal of Applied School Psychology, 21(1), 99–125. doi:10.1300/J008v21n01_05.CrossRef

Owens, J. S., Goldfine, M. E., Evangelista, N. M., Hoza, B., & Kaiser, N. M. (2007). A critical review of self-perceptions and the positive illusory bias in children with ADHD. Clinical Child and Family Psychology Review, 10, 335–351. doi:10.1007/s10567-007-0027-3.PubMedCrossRef

Pierce, C. A., Block, R. A., & Aguinas, H. (2004). Cautionary note on reporting eta-squared values from multifactor ANOVA designs. Educational and Psychological Measurement, 64(6), 916–924. doi:10.1177/0013164404264848.CrossRef

Raes, F., & Williams, J. M. G. (2010). The relationship between mindfulness and uncontrollability of ruminative thinking. Mindfulness, 1, 199–203. doi:10.1007/s12671-010-0021-6.CrossRef

Rausch, J. R., Maxwell, S. E., & Kelley (2003). Analytic methods for questions pertaining to a randomized pretest, posttest, follow-up design. Journal of Clinical Child and Adolescent Psychology, 32, 467–486. doi:10.1207/S15374424JCCP3203_15.

Schachter, H.M., Pham, B., King, J., Langford, S., & Moher, D. (2001). How efficacious and safe is short acting methylphenidate for the treatment of attention-deficit disorder in children and adolescents? A meta-analysis. Canadian Medical Association Journal, 165(11), 1475-1488. Retrieved from http://www.cmaj.ca/

Schwartz, D., McFadyen-Ketchum, S., Dodge, K. A., Pettit, G. S., & Bates, J. E. (1999). Early behavior problems as a predictor of later peer group victimization: Moderators and mediators in the pathways of social risk. Journal of Abnormal Child Psychology, 27(3), 191–201. Retrieved from http://web.ebscohost.com.

Seidman, L. J., Biederman, J., Monuteaux, M. C., Doyle, A. E., & Faraone, S. V. (2001). Learning disabilities and executive dysfunction in boys with attention-deficit/hyperactivity disorder. Neuropsychology, 15(4), 544–556. doi:10.1037/0894-4105.15.4.544.PubMedCrossRef

Semple, R. J. (2010). Does mindfulness meditation enhance attention? A randomized controlled trial. Mindfulness, 1, 121–130. doi:10.1007/s12671-010-0017-2.CrossRef

Semple, R. J., Reid, E. F. G., & Miller, L. (2005). Treating anxiety with mindfulness: An open trial of mindfulness training for anxious children. Journal of Cognitive Psychotherapy, 19(4), 379–392. doi:10.1891/088983905780907702.CrossRef

Semple, R. J., Lee, J., Rosa, D., & Miller, L. F. (2010). A randomized trial of mindfulness-based cognitive therapy for children: Promoting mindful attention to enhance social–emotional resiliency in children. Journal of Child and Family Studies, 19, 218–229. doi:10.1007/s10826-009-9301-y.CrossRef

Singh, N. N., Lancioni, G. E., Singh, J., Winton, A. S. W., Sabaawi, A., Wahler, R. G., & Singh, J. (2007). Adolescents with conduct disorder can be mindful of their aggressive behavior. Journal of Emotional and Behavioral Disorders, 15(1), 56–63. doi:10.1177/10634266070150010601.CrossRef

Singh, N. N., Singh, A. N., Lancioni, G. E., Singh, J., Winton, A. S. W., & Adkins, A. D. (2010). Mindfulness training for parents and their children with ADHD increases children's compliance. Journal of Child and Family Studies, 19, 157–166. doi:10.1007/s10826-009-9272-z.CrossRef

Strauss, E., Sherman, E. M. S., & Spreen, O. (2006). A compendium of neuropsychological tests: Administration, norms and commentary (3rd ed.). New York: Oxford University Press.

Teasdale, J. D., Segal, Z. V., Williams, J. M., 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), 615–623. doi:10.1037//0022-006X.68.4.615.PubMedCrossRef

Thompson, M., & Gauntlett-gilbert, J. (2008). Mindfulness with children and adolescents: Effective clinical application. Clinical Child Psychology and Psychiatry, 13(3), 395–407. doi:10.1177/1359104508090603.PubMedCrossRef

Treuting, J. J., & Hinshaw, S. P. (2001). Depression and self-esteem in boys with attention-deficit/hyperactivity disorder: Associations with comorbid aggression and explanatory attributional mechanisms. Journal of Abnormal Child Psychology, 29(1), 23-39. Retrieved from http://www.springerlink.com/content/0091-0627

Valentine, E. R., & Sweet, P. L. G. (1999). Meditation and attention: A comparison of the effects of concentrative and mindfulness meditation on sustained attention. Mental Health, Religion and Culture, 2(1), 59–70. doi:10.1080/13674679908406332.CrossRef

van der Oord, S., Bogels, S., & Peijnenburg, D. (2011). The effectiveness of mindfulness training for children with ADHD and mindful parenting for their parents. Journal of Child and Family Studies. Advance online publication.. doi:10.1007/s10826-011-9457-0.

Wechsler, D. (1999). Wechsler Abbreviated Scale of Intelligence. San Antonio, TX: Psychological Corporation.

Wiener, J., & Schneider, B. H. (2002). A multisource exploration of the friendship patterns of children with and without learning disabilities. Journal of Abnormal Child Psychology, 30(2), 127-141. Retrieved from http://www.springerlink.com/content/0091-0627

Wiener, J., Harris, P. J., & Duval, L. (1993). Placement, identification and subtype correlates of peer status and social behaviour of children with learning disabilities. Exceptionality Education Canada, 3, 129–155.

Willcutt, E. G., & Pennington, B. F. (2000). Psychiatric comorbidity in children and adolescents with reading disability. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 41(8), 1039–1048. doi:10.1111/1469-7610.00691.PubMedCrossRef

Willcutt, E. G., Pennington, B. F., Olson, R. K., Chhabildas, N., & Hulslander, J. (2005). Neuropsychological analyses of comorbidity between reading disability and attention deficit hyperactivity disorder: In search of the common deficit. Developmental Neuropsychology, 27(1), 35–78. doi:10.1207/s15326942dn2701_3.PubMedCrossRef

Willcutt, E. G., Pennington, B. F., Olson, R. K., & DeFries, J. C. (2007). Understanding comorbidity: A twin study of reading disability and attention-deficit/hyperactivity disorder. American Journal of Medical Genetics (Neuropsychiatric Genetics), 8, 709–714. doi:10.1002/ajmg.b.30310.

Williams, M., Teasdale, J., Segal, Z., & Kabat-Zinn, J. (2007). The mindful way through depression: Freeing yourself from chronic unhappiness. New York, NY: Guilford Press.

Woodcock, R. McGrew, K.S., & Mather, N. (2001). The Woodcock–Johnson Tests of Achievement—Third edition. Itasca, IL. Riverside.

Zylowska, L., Ackerman, D. L., Yang, M. H., Futrell, J. L., Horton, N. L., Hale, T. S., et al. (2008). Mindfulness meditation training in adults and adolescents with ADHD: A feasibility study. Journal of Attention Disorders, 11(6), 737–746. doi:10.1177/1087054707308502.PubMedCrossRef

Titel: Evaluation of a Mindfulness-based Intervention for Adolescents with Learning Disabilities and Co-occurring ADHD and Anxiety
Auteurs: Jillian Haydicky
Judith Wiener
Paul Badali
Karen Milligan
Joseph M. Ducharme
Publicatiedatum: 01-06-2012
Uitgeverij: Springer US
Gepubliceerd in: Mindfulness / Uitgave 2/2012
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI: https://doi.org/10.1007/s12671-012-0089-2

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