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The effectiveness of an 8-week mindfulness training for adolescents aged 11–15 years with ADHD and parallel Mindful Parenting training for their parents was evaluated, using questionnaires as well as computerized attention tests. Adolescents (N = 10), their parents (N = 19) and tutors (N = 7) completed measurements before, immediately after, 8 weeks after and 16 weeks after training. Adolescents reported on their attention and behavioral problems and mindful awareness, and were administered two computerized sustained attention tasks. Parents as well as tutors reported on adolescents’ attention and behavioral problems and executive functioning. Parents further reported on their own parenting, parenting stress and mindful awareness. Both the mindfulness training for the adolescents and their parents was delivered in group format. First, after mindfulness training, adolescents’ attention and behavior problems reduced, while their executive functioning improved, as indicated by self-report measures as well as by father and teacher report. Second, improvements in adolescent’ actual performance on attention tests were found after mindfulness training. Moreover, fathers, but not mothers, reported reduced parenting stress. Mothers reported reduced overreactive parenting, whereas fathers reported an increase. No effect on mindful awareness of adolescents or parents was found. Effects of mindfulness training became stronger at 8-week follow-up, but waned at 16-week follow-up. Our study adds to the emerging body of evidence indicating that mindfulness training for adolescents with ADHD (and their parents) is an effective approach, but maintenance strategies need to be developed in order for this approach to be effective in the longer term.
Abadin, R. R. (1983). Parenting stress index: Manual, administration booklet, and research update. Charlottesville, VA: Pediatric Psychology Press.
Achenbach, T. M. (1991). Integrative guide for the 1991 CBCL/4–18, YSR, and TRF profiles. Burlington, VT: University of Vermont, Department of Psychiatry.
Achenbach, T. M., & Rescorla, L. A. (2001). Manual for the ASEBA school-age forms & profiles. Burlington, VT: University of Vermont, Research Center for Children, Youth, & Families.
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders, (4th ed., text revision). Washington, DC: American Psychiatric Association.
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, 137–144. CrossRef
Baker, D. B. (1994). Parenting stress and ADHD: A comparison of mothers and fathers. Journal of Emotional and Behavioral Disorders, 2, 46–50. CrossRef
Barkley, R. A. (1998). Attention-deficit hyperactivity disorder: A handbook for diagnosis and treatment. New York: Guilford Press.
Barkley, R. A. (2004). Adolescents with attention-deficit/hyperactivity disorder: An overview of empirically. Journal of Psychiatric Practice, 20, 39–56. CrossRef
Bear, R. A. (2003). Mindfulness training as a clinical intervention: A conceptual and empirical view. Clinical Psychology: Science and Practice, 10, 125–143. CrossRef
Black, D. S., Milam, J., & Sussman, S. (2009). Sitting-meditation interventions among youth: A review of treatment efficacy. Pediatrics, 124, 532–541. CrossRef
Bögels, S. M., 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. CrossRef
Brown, K. W., West, A. M., Loverich, T. M., & Biegel, G. M. (2011). Assessing adolescent mindfulness: Validation of an adapted mindful attention awareness scale in adolescent normative and psychiatric populations. Psychological Assessment. doi: 10.1037/a0021338.
Burke, C. A. (2009). 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. CrossRef
Chambles, D. L., & Ollendick, T. H. (2001). Empirically supported psychosocial interventions: Controversies and evidence. Annual Reviews of Psychology, 52, 685–716. CrossRef
Cohen, J. (Ed.). (1988). Statistical power analysis for the behavioral sciences (2nd ed.). New York: Academic Press.
Cubillo, A., Halari, R., Smith, A., Taylor, E., & Rubia, K. (2011). A review of fronto-striatal and fronto-cortical brain abnormalities in children and adults with attention deficit hyperacitivty disorder (ADHD) and new evidence for dysfunction in adults with ADHD during motivation and attention. Cortex. doi: 10.1016/j.cortex.2011.04.007.
De Brock, A. J. I. L., Gerris, J. R. M., & Vermulst, A. A. (1992). NOSI, Nijmeegse Ouderlijke Stress Index [Parening Stress Index: manual]. Lisse: Swetz en Zeitlinger.
de Nijs, P. F. A., Ferdinand, R. F., de Bruin, E. I., Dekker, M. C. J., van Duijn, C. M., & Verhulst, F. C. (2004). Attention-deficit/hyperactivity disorder (ADHD): Parents’ judgment about school, teachers’ judgment about home. European Journal of Child and Adolescent Psychiatry, 13, 315–320. CrossRef
De Sonneville, L. M. J. (2005). Amsterdamse Neuropsychologische Taken: Wetenschappelijke en klinische toepassingen [Amsterdam Neuropsychological Tasks: Scientific and clinical applications]. Tijdschrift voor de Neuropsychologie, 0, 27–41.
Deater-Deckard, K., & Scarr, S. (1996). Parenting stress among dual-earner mothers and fathers: Are there gender differences? Journal of Family Psychology, 10, 45–59. CrossRef
Duhig, A. M., Renk, K., Epstein, M. K., & Phares, V. (2000). Interparental agreement on internalizing, externalizing and total behavior problems: A meta-analysis. Clinical Psychology Science and Practice, 7, 435–453. CrossRef
Dumas, J. E. (2005). Mindfulness-based parent training: Strategies to lessen the grip of automaticity in families with disruptive children. Journal of Clinical Child & Adolescent Psychology, 34, 779–791. CrossRef
Goia, G. A., Isquith, P. K., Guy, S. C., & Kenworthy, L. (2000). Behavior rating inventory of executive function (BRIEF): Professional manual. Lutz: Psychological Assessment Resources.
Gradisar, M., Lack, L., Richards, H., Harris, J., Gallasch, J., Boundy, M., et al. (2007). The Flinders Fatigue Scale: Preliminary psychometric properties and clinical sensitivity of a new scale for measuring daytime fatigue associated with insomnia. Journal of Clinical Sleep Medicine, 3, 722–728. PubMed
Grosswald, S. J., Stixrud, A. W. R., Stixrud, W., Travis, A. F., & Bateh, M. A. (2008). Use of transcendenal meditation technique to redcue symptoms of attention hyperactivty disorder (ADHD) by reducing stress and anxiety: An exploratory study. Current Issues in Education, 10, 1–16.
Gunther, T., Jolles, J., Herpertz-Dahlmann, B., & Konrad, K. (2009). Age-dependent differences in attentional processes in ADHD and disruptive behavior disorder. Developmental Neuropscyhology, 34, 422–434. CrossRef
Harrison, L. J., Manocha, R., & Rubia, K. (2004). Sahaja yoga meditation as a familiy treatment programme for children with Attention Deficit-Hyperactivity Disorder. Clinical Child Psychology and Psychiatry, 9, 1045–1359. CrossRef
Harvey, E., Danforth, J. S., Ulaszek, W. R., & Eberhardt, T. L. (2001). Validity of the parenting scale for parents of children with attention-deficit/hyperactvity disorder. Behavior Research and Therapy, 39, 731–743. CrossRef
Heeren, A., & Philippot, P. (2011). Changes in ruminative thinking mediate the clinical benefit of mindfulness: Preliminary findings. Mindfulness, 2, 8–13. CrossRef
Huppert, F. A., & Johnson, D. M. (2010). A controlled trial of mindfulness training in schools: The importance of practice for an impact on well-being. Journal of Positive Psychology, 5, 264–274. CrossRef
James, A., Lai, F. H., & Dahl, C. (2004). Attention deficit hyperactivity disorder and suicide: A review of possible associations. Acta Psychiatrica Scandinavia, 110, 408–415. CrossRef
Jonkman, L. M., Kemner, C., Verbaten, M. N., Koelega, H. S., Camfferman, G., Van der Gaag, R., et al. (1997). Effects of methylphanidate of event-related potentials and performance of attention-deficit hyperactivity disorder children in auditory and visual selective attention tasks. Biological Psychiatry, 41, 690–702. PubMedCrossRef
Kabat-Zinn, J. (2003). Mindfulness-Based interventions in context: Past, present and future. Clinical Psychology: Science and Practice, 10, 144–156. CrossRef
Kabat-Zinn, M., & Kabat-Zinn, J. (1997). Everyday blessings: The inner work of mindful parenting. New York: Hyperion.
Lamb, M. E. (2010). The role of the father in child development. New York: Wiley.
Langberg, J. M., Epstein, J. N., Simon, J. O., Loren, R. E. A., Arnold, L. E., Hechtman, L., et al. (2010). Parent agreement on ratings of children’s Attention-Deficit/Hyperacitivity Disorder and broadband externalizing behaviors. Journal of Emotional and Behavioral Disorders, 18, 41–50. PubMedCrossRef
Lyubomirsky, S., & Lepper, H. S. (1999). A measure of subjective happiness: Preliminary reliability and construct validation. Social Indicators Research, 46, 137–155. CrossRef
MacKillop, J., & Anderson, E. J. (2007). Further psychometric validation of the mindful attention awareness scale (MAAS). Journal of Psychopathology and Behavioral Assessment, 29, 289–293. CrossRef
Martel, M. M., Nikolas, M., Jernigan, K., Friderici, K., Waldman, I., & Nigg, J. T. (2010). The dopamine receptor D4 gene (DRD4) moderates family environmental effects on ADHD. Journal of Abnormal Child Psychology, 39, 1–10. CrossRef
Morris, G. B. (1993). A rational-emotive treatment program with conduct disorder and attention-deficit hyperactivity disorder adolescents. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 11, 123–133. CrossRef
Murray, C., & Johnston, C. (2006). Parenting in mothers with and without attention-deficit/hyperactivity disorder. Journal of Abnormal Child Psychology, 115, 52–61. CrossRef
Pelham, W. E., & Fabiano, G. A. (2008). Evidence-based psychosocial treatments for Attention-Deficit/Hyperactivity Disorder. Journal of Clinical Child & Adolescent Psychology, 37, 184–214. CrossRef
Rubia, K. (2010). “Cool” inferior fronotstrital dysfunction in attention-deficit/hyperactivity disorder versus “hot” ventromedial orbitofrontal-limbic dysfunction in conduct disorder: A review. Biological Psychiatry, 69(12), 69–87. CrossRef
Schachter, H. M., Pham, B., King, J., Langford, S., & Moher, D. (2001). How efficacious and safe is short-acting methylphenidate for the treatement of attention-deficit hyperactivity disorder in children and adolescents? A meta-analysis. Canadian Medical Association Journal, 165, 1475–1488. PubMed
Schmertz, S. K., Anderson, P. L., & Robins, D. L. (2008). Relation between self-report mindfulness and performance on tasks of attention. Journal of Psychopathology and Behavioral Assessment, 31, 60–66. CrossRef
Schroevers, M., Nyklíček, I., & Topman, R. (2008). Validatie van de Nederlandse versie van de Mindful Attention Awareness Scale (MAAS) [Validation of the Dutch version of the Mindful Attention Awareness Scale (MAAS)]. Gedragstherapie, 41, 225–240.
Semple, R. J. (2010). Does mindfulness meditation enhance attention? A randomized controlled trial. Mindfulness, 1, 121–130. 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 the children’s compliance. Journal of Child and Family Studies, 19, 157–166. CrossRef
Smidts, D. P., & Huizinga, M. (2009). BRIEF executieve functies Gedragsvragenlijst: Handleiding. Amsterdam: Hogrefe Uitgevers.
Teasdale, J. D., Segal, Z. V., & Williams, J. M. G. (1995). How does cognitive therapy prevent depressive relapse and why should attentional control (mindfulness) training help? Behavior Research and Therapy, 33, 25–39. CrossRef
Van den Hoofdakker, B. J., Nauta, M. H., Van den Veen-Mulders, L. J., Sytema, S., Emmelkamp, P. M. G., Minderaa, R. B., et al. (2010). Behavioral parent training as an adjunct to routine care in children with Attention-Deficit/Hyperactivity Disorder: Moderators of treatment response. Journal of Pediatric Psychology, 35, 317–326. PubMedCrossRef
van der Oord, S., Bögels, S. M., & Peijnenburg, D. (2011). The effectiveness of mindfulness training for children with ADHD and mindful parenting for their parents. Journal of Child and Family Studies. doi: 10.1007/s10826-011-9457-0.
Verhulst, F. C., van der Ende, J., & Koot, H. M. (1996). Manual for the CBCL/4–18 [in Dutch]. Rotterdam: Sophia Childrens’ Hospital, Erasmus MC.
Verhulst, F. C., van der Ende, J., & Koot, H. M. (1997a). Manual for the teachers’s report form [in Dutch]. Rotterdam: Sophia Childrens’ Hospital, Erasmus MC.
Verhulst, F. C., van der Ende, J., & Koot, H. M. (1997b). Manual for the youth self-report [in Dutch]. Rotterdam: Sophia Childrens’ Hospital, Erasmus MC.
Wender, P. H. (2000). ADHD: Attention-deficit hyperactivity disorder in children and adults. Oxford: University Press.
Zylowksa, 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, 737–746.
- The Effectiveness of Mindfulness Training on Behavioral Problems and Attentional Functioning in Adolescents with ADHD
Eva van de Weijer-Bergsma
Anne R. Formsma
Esther I. de Bruin
Susan M. Bögels
- Springer US