Top

Tip

Swipe om te navigeren naar een ander artikel

Gepubliceerd in:

28-12-2016 | ORIGINAL PAPER

Mindfulness-Based Intervention for Chinese Children with ADHD and Their Parents: a Pilot Mixed-Method Study

Auteurs: Dexing Zhang, Stanley Kam Chung Chan, Herman Hay Ming Lo, Christina Ying Ha Chan, Jenny Ching Yin Chan, Ka Tsun Ting, Tiffany Ting Gao, Kelly Yee Ching Lai, Susan M. Bögels, Samuel Yeung Shan Wong

Gepubliceerd in: Mindfulness | Uitgave 4/2017

Abstract

This was a pilot pre–post-intervention study with added qualitative focused group discussions and interviews to examine the feasibility, acceptability, and effects of a mindfulness-based intervention (the 8-week MYmind course) for Chinese children with attention deficit hyperactivity disorder (ADHD) aged 8 to 12 years (n = 11) and one of their parents (n = 11). Outcomes included feasibility and acceptability of MYmind, objective measures of children’s attention and related problems, parent-reported child executive function and behavior problems, and parents’ parental stress, parenting styles, and mindful parenting. The attendance rate of MYmind (≥6 out of 8 sessions) was 91%: only one family withdrew from the course. Participants expressed overall positive views about MYmind. They also expressed their changes after the course, barriers and facilitators for course participation and completion, and suggestions on course improvement. The overall satisfaction scores were 7.3 (2.1) and 8.0 (1.2) out of 10 among the children and parents, respectively. With respect to the quantitative results, after multiple testing correction, positive results with large effect sizes only occurred on the objective attention tests: “time per target,” “attention score,” and “map mission” of the Test of Everyday Attention for Children (TEA-Ch) and “omissions” of the computerized Conners’ Continuous Performance Test 3rd Edition (CPT 3), whereas no statistically significant changes were seen in other measures, i.e., children’s other results in the TEA-Ch and CPT 3, parents’ perceived child problems on the Eyberg Child Behavior Inventory (ECBI) and the Behavior Rating Inventory of Executive Function (BRIEF), as well as parents’ scores of the Parenting Stress Index (PSI), Parenting Scale (PS), and Interpersonal Mindfulness in Parenting (IM-P). The MYmind course is a feasible and acceptable intervention among Chinese children with ADHD and their parents. The preliminary significant quantitative results should be interpreted with much caution due to potential effects from learning on neurocognitive outcomes. Larger studies with a control group are needed.

This pilot trial is registered in the World Health Organization (WHO) Registry Network—Chinese Clinical Trial Register (ChiCTR). The reference number is ChiCTR-OPC-15006686.

vorige artikel Effects of Mindfulness Training on Posttraumatic Growth: a Systematic Review and Meta-Analysis

volgende artikel Examining the Acute Effects of Hatha Yoga and Mindfulness Meditation on Executive Function and Mood

Aickin, M., & Gensler, H. (1996). Adjusting for multiple testing when reporting research results: the Bonferroni vs Holm methods. American Journal of Public Health, 86(5), 726–728. CrossRefPubMedPubMedCentral

Arnold, D. S., O’Leary, S. G., Wolff, L. S., & Acker, M. M. (1993). The parenting scale: a measure of dysfunctional parenting in discipline situations. Psychological Assessment, 5(2), 137. CrossRef

Arnold, L. E. (2001). Alternative treatments for adults with attention-deficit hyperactivity disorder (ADHD). Annals of the New York Academy of Sciences, 931, 310–341. CrossRefPubMed

Bögels, S. M., Lehtonen, A., & Restifo, K. (2010). Mindful parenting in mental health care. Mindfulness, 1(2), 107–120. CrossRefPubMedPubMedCentral

Briggs-Gowan, M. J., Carter, A. S., & Schwab-Stone, M. (1996). Discrepancies among mother, child, and teacher reports: examining the contributions of maternal depression and anxiety. Journal of Abnormal Child Psychology, 24(6), 749–765. CrossRefPubMed

Burch, N. (1970). Four stages of learning any new skill. Solana Beach, CA: Gordon Training International.

Cassone, A. R. (2015). Mindfulness training as an adjunct to evidence-based treatment for ADHD within families. Journal of Attention Disorders, 19(2), 147–157. CrossRefPubMed

Cairncross, M., & Miller, C. J. (2016). The effectiveness of mindfulness-based therapies for ADHD: a meta-analytic review. Journal of Attention Disorders, 1, 17.

Chan, A. S., Cheung, M. C., Han, Y. M., Sze, S. L., Leung, W. W., Man, H. S., & To, C. Y. (2009). Executive function deficits and neural discordance in children with autism spectrum disorders. Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology, 120(6), 1107–1115. CrossRef

Chan, R. C., Wang, L., Ye, J., Leung, W. W., & Mok, M. Y. (2008). A psychometric study of the test of everyday attention for children in the Chinese setting. Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists, 23(4), 455–466. CrossRef

Chang, L. R., Chiu, Y. N., Wu, Y. Y., & Gau, S. S. F. (2013). Father’s parenting and father-child relationship among children and adolescents with attention-deficit/hyperactivity disorder. Comprehensive Psychiatry, 54(2), 128–140. CrossRefPubMed

Chi, T. C., & Hinshaw, S. P. (2002). Mother-child relationships of children with ADHD: the role of maternal depressive symptoms and depression-related distortions. Journal of Abnormal Child Psychology, 30(4), 387–400. CrossRefPubMed

Chiesa, A., & Serretti, A. (2010). A systematic review of neurobiological and clinical features of mindfulness meditations. Psychological Medicine, 40(8), 1239–1252. CrossRefPubMed

Chronis, A. M., Lahey, B. B., Pelham Jr., W. E., Kipp, H. L., Baumann, B. L., & Lee, S. S. (2003). Psychopathology and substance abuse in parents of young children with attention-deficit/hyperactivity disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 42(12), 1424–1432. CrossRefPubMed

Conners, C. K. (2015). Conners Continuous Performance Test 3rd edition™ (Conners CPT 3™), Conners Continuous Auditory Test of Attention (Conners CATA™) manual. Canada: Multi-Health Systems Incorporated.

Connor, D. F., Edwards, G., Fletcher, K. E., Baird, J., Barkley, R. A., & Steingard, R. J. (2003). Correlates of comorbid psychopathology in children with ADHD. Journal of the American Academy of Child and Adolescent Psychiatry, 42(2), 193–200. CrossRefPubMed

Daley, D., van der Oord, S., Ferrin, M., Danckaerts, M., Doepfner, M., Cortese, S., Sonuga-Barke, E. J., & European ADHD Guidelines Group (2014). Behavioral interventions in attention-deficit/hyperactivity disorder: a meta-analysis of randomized controlled trials across multiple outcome domains. Journal of the American Academy of Child & Adolescent Psychiatry, 53(8), 835–847. CrossRef

de Bruin, E. I., Zijlstra, B. J. H., Geurtzen, N., van Zundert, R. M. P., van de Weijer-Bergsma, E., Hartman, E. E., Nieuwesteeg, A. M., Duncan, L. G., & Bögels, S. M. (2014). Mindful parenting assessed further: psychometric properties of the Dutch version of the interpersonal mindfulness in parenting scale (IM-P). Mindfulness, 5(2), 200–212. CrossRefPubMed

Duncan, L. G. (2007). Assessment of mindful parenting among parents of early adolescents: development and validation of the interpersonal mindfulness in parenting scale. The Pennsylvania State University: Unpublished Dissertation.

Edel, M. A., Holter, T., Wassink, K. & Juckel, G. (2014). A comparison of mindfulness-based group training and skills group training in adults with ADHD: an open study. Journal of Attention Disorders, 1–7. doi: 10.1177/1087054714551635.

Evans, S. (2010). Review: Mindfulness-based therapies effective for anxiety and depression. Evidence-Based Mental Health, 13(4), 116. CrossRefPubMed

Eyberg, S. M., & Ross, A. W. (1978). Assessment of child behavior problems: the validation of a new inventory. Journal of Clinical Child & Adolescent Psychology, 7(2), 113–116. CrossRef

Gau, S. S. F., & Chang, J. P. C. (2013). Maternal parenting styles and mother-child relationship among adolescents with and without persistent attention-deficit/hyperactivity disorder. Research in Developmental Disabilities, 34(5), 1581–1594. CrossRefPubMed

Gioia, G. A., Isquith, P. K., Guy, S. C., & Kenworthy, L. (2000a). Behavior rating inventory of executive function: BRIEF. Odessa, FL: Psychological Assessment Resources.

Gioia, G. A., Isquith, P. K., Guy, S. C., & Kenworthy, L. (2000b). Test review behavior rating inventory of executive function. Child Neuropsychology, 6(3), 235–238. CrossRef

Gioia, G. A., Isquith, P. K., Retzlaff, P. D., & Espy, K. A. (2002). Confirmatory factor analysis of the behavior rating inventory of executive function (BRIEF) in a clinical sample. Child Neuropsychology, 8(4), 249–257. CrossRefPubMed

Graziano, P. A., McNamara, J. P., Geffken, G. R., & Reid, A. (2011). Severity of children’s ADHD symptoms and parenting stress: a multiple mediation model of self-regulation. Journal of Abnormal Child Psychology, 39(7), 1073–1083. CrossRefPubMed

Greenfield, B., & Hechman, L. (2005). Treatment of attention deficit hyperactivity disorder in adults. Expert Review of Neurotherapeutics, 5(1), 107–121. CrossRefPubMed

Haydicky, J., Shecter, C., Wiener, J., & Ducharme, J. M. (2015). Evaluation of MBCT for adolescents with ADHD and their parents: impact on individual and family functioning. Journal of Child and Family Studies, 24(1), 76–94. CrossRef

Heaton, S. C., Reader, S. K., Preston, A. S., Fennell, E. B., Puyana, O. E., Gill, N., & Johnson, J. H. (2001). The Test of Everyday Attention for Children (TEA-Ch): patterns of performance in children with ADHD and clinical controls. Child Neuropsychology, 7(4), 251–264. CrossRefPubMed

Hofmann, S. G., Sawyer, A. T., Witt, A. A., & Oh, D. (2010). The effect of mindfulness-based therapy on anxiety and depression: a meta-analytic review. Journal of Consulting and Clinical Psychology, 78(2), 169–183. CrossRefPubMedPubMedCentral

Holm, S. (1979). A simple sequential rejective method procedure. Scandinavian Journal of Statistics, 6, 65–70.

Holzel, B. K., Lazar, S. W., Gard, T., Schuman-Olivier, Z., Vago, D. R., & Ott, U. (2011). How does mindfulness meditation work? Proposing mechanisms of action from a conceptual and neural perspective. Perspectives on Psychological Science, 6(6), 537–559. CrossRefPubMed

Hou, R. J., Wong, S. Y., Yip, B. H., Hung, A. T., Lo, H. H., Chan, P. H., Lo, C. S., Kwok, T. C., Tang, W. K., Mak, W. W., Mercer, S. W., & Ma, S. H. (2014). The effects of mindfulness-based stress reduction program on the mental health of family caregivers: a randomized controlled trial. Psychotherapy and Psychosomatics, 83(1), 45–53. CrossRefPubMed

Jensen, C. G., Vangkilde, S., Frokjaer, V., & Hasselbalch, S. G. (2012). Mindfulness training affects attention—or is it attentional effort? Journal of Experimental Psychology: General, 141(1), 106–123. CrossRef

Julian, T. W., McKenry, P. C., & McKelvey, M. W. (1994). Cultural variations in parenting: perceptions of Caucasian, African-American, Hispanic, and Asian-American parents. Family Relations, 43(1), 30–37. CrossRef

Kabat-Zinn, J. (1990). Full catastrophy living. New York: Delta Publishing.

Kelley, E. E. (2008). Parental depression and negative attribution bias in parent reports of child symptoms. ProQuest.

Lam, D. (1999). Parenting stress and anger: the Hong Kong experience. Child and Family Social Work, 4, 337–346. CrossRef

Lee, M. T., Wong, B. P., Chow, B. W. Y., & McBride-Chang, C. (2006). Predictors of suicide ideation and depression in Hong Kong adolescents: perceptions of academic and family climates. Suicide and Life-threatening Behavior, 36(1), 82–96. CrossRefPubMed

Leung, C., Chan, S., Pang, R., & Cheng, W. (2003). Validation of the Chinese version of the Eyberg Child Behavior Inventory for use in Hong Kong. Wanchai, Hong Kong: Education and Manpower Bureau.

Leung, P. W., Hung, S. F., Ho, T. P., Lee, C. C., Liu, W. S., Tang, C. P., & Kwong, S. L. (2008). Prevalence of DSM-IV disorders in Chinese adolescents and the effects of an impairment criterion: a pilot community study in Hong Kong. European Child & Adolescent Psychiatry, 17(7), 452–461. CrossRef

Lifford, K. J., Harold, G. T., & Thapar, A. (2008). Parent–child relationships and ADHD symptoms: a longitudinal analysis. Journal of Abnormal Child Psychology, 36(2), 285–296. CrossRefPubMed

Manly, T., Anderson, V., Nimmo-Smith, I., Turner, A., Watson, P., & Robertson, I. H. (2001). The differential assessment of children’s attention: the Test of Everyday Attention for Children (TEA-Ch), normative sample and ADHD performance. Journal of Child Psychology and Psychiatry, 42(08), 1065–1081. CrossRefPubMed

Manly, T., Robertson, I. H., Anderson, V., & Nimmo-Smith, I. (1999). The Test of Everyday Attention (TEA-CH). Bury St. Edmunds, England: Thames Valley Test Company.

Mehta, S., Mehta, V., Shah, D., Motiwala, A., Vardhan, J., Mehta, N., & Mehta, D. (2011). Multimodal behavior program for ADHD incorporating yoga and implemented by high school volunteers: a pilot study. International Scholarly Research Notices: Pediatrics, 2011, 780745. doi: 10.5402/2011/780745.

Mehta, S., Shah, D., Shah, K., Mehta, N., Mehta, V., Motiwala, S., & Mehta, D. (2012). Peer-mediated multimodal intervention program for the treatment of children with ADHD in India: one-year followup. International Scholarly Research Notices: Pediatrics, 2012, 419168. doi: 10.5402/2012/419168.

Mitchell, J. T., McIntyre, E. M., English, J. S., Dennis, M. F., Beckham, J. C., & Kollins, S. H. (2013). A pilot trial of mindfulness meditation training for ADHD in adulthood: impact on core symptoms, executive functioning, and emotion dysregulation. Journal of Attention Disorders, 2013. doi: 10.1177/1087054713513328.

Modesto-Lowe, V., Chaplin, M., Godsay, V., & Soovajian, V. (2014). Parenting teens with attention-deficit/hyperactivity disorder: challenges and opportunities. Clinical Pediatrics (Phila), 53(10), 943–948. CrossRef

Netson, K. L., Conklin, H. M., Ashford, J. M., Kahalley, L. S., Wu, S., & Xiong, X. (2011). Parent and teacher ratings of attention during a year-long methylphenidate trial in children treated for cancer. Journal of Pediatric Psychology, 36, 438–450. CrossRefPubMed

Polanczyk, G. V., Salum, G. A., Sugaya, L. S., Caye, A., & Rohde, L. A. (2015). Annual research review: a meta-analysis of the worldwide prevalence of mental disorders in children and adolescents. Journal of Child Psychology and Psychiatry, 56(3), 345–365. CrossRefPubMed

Qian, Y., Shuai, L., Cao, Q., Chan, R. C., & Wang, Y. (2010). Do executive function deficits differentiate between children with attention deficit hyperactivity disorder (ADHD) and ADHD comorbid with oppositional defiant disorder? A cross-cultural study using performance-based tests and the behavior rating inventory of executive function. The Clinical Neuropsychologist, 24(5), 793–810. CrossRefPubMed

Sanger, K. L., & Dorjee, D. (2015). Mindfulness training for adolescents: a neurodevelopmental perspective on investigating modifications in attention and emotion regulation using event-related brain potentials. Cognitive, Affective & Behavioral Neuroscience, 15(3), 696–711. CrossRef

Searight, H. R., Robertson, K., Smith, T., Perkins, S., & Searight, B. K. (2012). Complementary and alternative therapies for pediatric attention deficit hyperactivity disorder: a descriptive review. International Scholarly Research Notices: Psychiatry, 2012, 804127. doi: 10.5402/2012/804127.

Segal, Z. V., Williams, J. M., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression. A new approach to preventing relapse. New York: Guilford Press.

Sharma, M., & Rush, S. E. (2014). Mindfulness-based stress reduction as a stress management intervention for healthy individuals: a systematic review. Journal of evidence-based complementary & alternative medicine, 19(4), 271–286. CrossRef

Smalley, S. L., Loo, S. K., Hale, T. S., Shrestha, A., McGough, J., Flook, L., & Reise, S. (2009). Mindfulness and attention deficit hyperactivity disorder. Journal of Clinical Psychology, 65(10), 1087–1098. CrossRefPubMedPubMedCentral

Srivastava, A., & Thomson, S. B. (2009). Framework analysis: a qualitative methodology for applied policy research. Journal of Administration & Governance, 4(2), 72–79.

Tam, K. K., Chan, Y. C., & Wong, C. K. M. (1994). Validation of the parenting stress index among Chinese mothers in Hong Kong. Journal of Community Psychology, 22(3), 211–223. CrossRef

Thapar, A., Harrington, R., Ross, K., & McGuffin, P. (2000). Does the definition of ADHD affect heritability? Journal of the American Academy of Child and Adolescent Psychiatry, 39(12), 1528–1536. CrossRefPubMed

van de Weijer-Bergsma, E., Formsma, A. R., de Bruin, E. I., & Bögels, S. M. (2012). The effectiveness of mindfulness training on behavioral problems and attentional functioning in adolescents with ADHD. Journal of Child and Family Studies, 21(5), 775–787. CrossRefPubMed

van der Oord, S., Bögels, S. M., & Peijnenburg, D. (2012). The effectiveness of mindfulness training for children with ADHD and mindful parenting for their parents. Journal of Child and Family Studies, 21(1), 139–147. CrossRefPubMed

Ward, D. J., Furber, C., Tierney, S., & Swallow, V. (2013). Using framework analysis in nursing research: a worked example. Journal of Advanced Nursing, 69(11), 2423–2431. PubMed

Yeh, C. H., Chen, M. L., Li, W., & Chuang, H. L. (2001). The Chinese version of the parenting stress index: a psychometric study. Acta Paediatrica, 90(12), 1470–1477. CrossRefPubMed

Zylowska, L., Ackerman, D. L., Yang, M. H., Futrell, J. L., Horton, N. L., Hale, T. S., Pataki, C., & Smalley, S. L. (2008). Mindfulness meditation training in adults and adolescents with ADHD: a feasibility study. Journal of Attention Disorders, 11(6), 737–746. CrossRefPubMed

Titel: Mindfulness-Based Intervention for Chinese Children with ADHD and Their Parents: a Pilot Mixed-Method Study
Auteurs: Dexing Zhang
Stanley Kam Chung Chan
Herman Hay Ming Lo
Christina Ying Ha Chan
Jenny Ching Yin Chan
Ka Tsun Ting
Tiffany Ting Gao
Kelly Yee Ching Lai
Susan M. Bögels
Samuel Yeung Shan Wong
Publicatiedatum: 28-12-2016
Uitgeverij: Springer US
Gepubliceerd in: Mindfulness / Uitgave 4/2017
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI: https://doi.org/10.1007/s12671-016-0660-3

Bohn Stafleu van Loghum

Tip

Swipe om te navigeren naar een ander artikel

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Log in om toegang te krijgen

Andere artikelen Uitgave 4/2017

For Whom Does Mindfulness-Based Stress Reduction Work? Moderating Effects of Personality

A Brief Mindfulness Practice Increases Self-Reported Calmness in Young Children: a Pilot Study

Impact of a Tibetan Buddhist Meditation Course and Application of Related Modern Contemplative Practices on College Students’ Psychological Well-being: a Pilot Study

Am I Doing It Right?

Mechanisms of Action in Concurrent Parent-Child Mindfulness Training: a Qualitative Exploration

A Brief Mindfulness Intervention Attenuates Desire to Escape Following Experimental Induction of the Interpersonal Adversity Implicated in Suicide Risk