The Efficacy of Adapted MBCT on Core Symptoms and Executive Functioning in Adults With ADHD: A Preliminary Randomized Controlled Trial

Sevket Hepark; Lotte Janssen; Alicia de Vries; Poppy L. A. Schoenberg; Rogier Donders; Cornelis C. Kan; Anne E. M. Speckens

doi:10.1177/1087054715613587

The Efficacy of Adapted MBCT on Core Symptoms and Executive Functioning in Adults With ADHD: A Preliminary Randomized Controlled Trial

Sevket Hepark, Lotte Janssen^*, Alicia de Vries, Poppy L. A. Schoenberg, Rogier Donders, Cornelis C. Kan, Anne E. M. Speckens

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

57 Citations (Scopus)

722 Downloads (Pure)

Abstract

Objective: The aim of this study was to examine the effectiveness of mindfulness as a treatment for adults diagnosed with ADHD. A 12-week-adapted mindfulness-based cognitive therapy (MBCT) program is compared with a waiting list (WL) group. Method: Adults with ADHD were randomly allocated to MBCT (n = 55) or waitlist (n = 48). Outcome measures included investigator-rated ADHD symptoms (primary), self-reported ADHD symptoms, executive functioning, depressive and anxiety symptoms, patient functioning, and mindfulness skills. Results: MBCT resulted in a significant reduction of ADHD symptoms, both investigator-rated and self-reported, based on per-protocol and intention-to-treat analyses. Significant improvements in executive functioning and mindfulness skills were found. Additional analyses suggested that the efficacy of MBCT in reducing ADHD symptoms and improving executive functioning is partially mediated by an increase in the mindfulness skill "Act With Awareness." No improvements were observed for depressive and anxiety symptoms, and patient functioning. Conclusion: This study provides preliminary support for the effectiveness of MBCT for adults with ADHD.

Original language	English
Pages (from-to)	351-362
Number of pages	12
Journal	Journal of Attention Disorders
Volume	23
Issue number	4
DOIs	https://doi.org/10.1177/1087054715613587
Publication status	Published - Feb-2019

Keywords

ADHD
adults
mindfulness-based cognitive therapy
executive functioning
patient functioning
ATTENTION-DEFICIT/HYPERACTIVITY DISORDER
DEFICIT HYPERACTIVITY DISORDER
WORKING-MEMORY CAPACITY
OUTCOME QUESTIONNAIRE
COGNITIVE THERAPY
MINDFULNESS
PERFORMANCE
PREVALENCE
RELIABILITY
INVENTORY

Access to Document

10.1177/1087054715613587

The Efficacy of Adapted MBCT on Core Symptoms and Executive Functioning in Adults With ADHDFinal publisher's version, 451 KBLicence: Taverne

Handle.net

Persistent link

Cite this

@article{1d1c1930bfaa47038bb9359c17d84176,

title = "The Efficacy of Adapted MBCT on Core Symptoms and Executive Functioning in Adults With ADHD: A Preliminary Randomized Controlled Trial",

abstract = "Objective: The aim of this study was to examine the effectiveness of mindfulness as a treatment for adults diagnosed with ADHD. A 12-week-adapted mindfulness-based cognitive therapy (MBCT) program is compared with a waiting list (WL) group. Method: Adults with ADHD were randomly allocated to MBCT (n = 55) or waitlist (n = 48). Outcome measures included investigator-rated ADHD symptoms (primary), self-reported ADHD symptoms, executive functioning, depressive and anxiety symptoms, patient functioning, and mindfulness skills. Results: MBCT resulted in a significant reduction of ADHD symptoms, both investigator-rated and self-reported, based on per-protocol and intention-to-treat analyses. Significant improvements in executive functioning and mindfulness skills were found. Additional analyses suggested that the efficacy of MBCT in reducing ADHD symptoms and improving executive functioning is partially mediated by an increase in the mindfulness skill {"}Act With Awareness.{"} No improvements were observed for depressive and anxiety symptoms, and patient functioning. Conclusion: This study provides preliminary support for the effectiveness of MBCT for adults with ADHD.",

keywords = "ADHD, adults, mindfulness-based cognitive therapy, executive functioning, patient functioning, ATTENTION-DEFICIT/HYPERACTIVITY DISORDER, DEFICIT HYPERACTIVITY DISORDER, WORKING-MEMORY CAPACITY, OUTCOME QUESTIONNAIRE, COGNITIVE THERAPY, MINDFULNESS, PERFORMANCE, PREVALENCE, RELIABILITY, INVENTORY",

author = "Sevket Hepark and Lotte Janssen and {de Vries}, Alicia and Schoenberg, {Poppy L. A.} and Rogier Donders and Kan, {Cornelis C.} and Speckens, {Anne E. M.}",

year = "2019",

month = feb,

doi = "10.1177/1087054715613587",

language = "English",

volume = "23",

pages = "351--362",

journal = "Journal of Attention Disorders",

issn = "1087-0547",

publisher = "SAGE Publications Inc.",

number = "4",

}

TY - JOUR

T1 - The Efficacy of Adapted MBCT on Core Symptoms and Executive Functioning in Adults With ADHD

T2 - A Preliminary Randomized Controlled Trial

AU - Hepark, Sevket

AU - Janssen, Lotte

AU - de Vries, Alicia

AU - Schoenberg, Poppy L. A.

AU - Donders, Rogier

AU - Kan, Cornelis C.

AU - Speckens, Anne E. M.

PY - 2019/2

Y1 - 2019/2

N2 - Objective: The aim of this study was to examine the effectiveness of mindfulness as a treatment for adults diagnosed with ADHD. A 12-week-adapted mindfulness-based cognitive therapy (MBCT) program is compared with a waiting list (WL) group. Method: Adults with ADHD were randomly allocated to MBCT (n = 55) or waitlist (n = 48). Outcome measures included investigator-rated ADHD symptoms (primary), self-reported ADHD symptoms, executive functioning, depressive and anxiety symptoms, patient functioning, and mindfulness skills. Results: MBCT resulted in a significant reduction of ADHD symptoms, both investigator-rated and self-reported, based on per-protocol and intention-to-treat analyses. Significant improvements in executive functioning and mindfulness skills were found. Additional analyses suggested that the efficacy of MBCT in reducing ADHD symptoms and improving executive functioning is partially mediated by an increase in the mindfulness skill "Act With Awareness." No improvements were observed for depressive and anxiety symptoms, and patient functioning. Conclusion: This study provides preliminary support for the effectiveness of MBCT for adults with ADHD.

AB - Objective: The aim of this study was to examine the effectiveness of mindfulness as a treatment for adults diagnosed with ADHD. A 12-week-adapted mindfulness-based cognitive therapy (MBCT) program is compared with a waiting list (WL) group. Method: Adults with ADHD were randomly allocated to MBCT (n = 55) or waitlist (n = 48). Outcome measures included investigator-rated ADHD symptoms (primary), self-reported ADHD symptoms, executive functioning, depressive and anxiety symptoms, patient functioning, and mindfulness skills. Results: MBCT resulted in a significant reduction of ADHD symptoms, both investigator-rated and self-reported, based on per-protocol and intention-to-treat analyses. Significant improvements in executive functioning and mindfulness skills were found. Additional analyses suggested that the efficacy of MBCT in reducing ADHD symptoms and improving executive functioning is partially mediated by an increase in the mindfulness skill "Act With Awareness." No improvements were observed for depressive and anxiety symptoms, and patient functioning. Conclusion: This study provides preliminary support for the effectiveness of MBCT for adults with ADHD.

KW - ADHD

KW - adults

KW - mindfulness-based cognitive therapy

KW - executive functioning

KW - patient functioning

KW - ATTENTION-DEFICIT/HYPERACTIVITY DISORDER

KW - DEFICIT HYPERACTIVITY DISORDER

KW - WORKING-MEMORY CAPACITY

KW - OUTCOME QUESTIONNAIRE

KW - COGNITIVE THERAPY

KW - MINDFULNESS

KW - PERFORMANCE

KW - PREVALENCE

KW - RELIABILITY

KW - INVENTORY

U2 - 10.1177/1087054715613587

DO - 10.1177/1087054715613587

M3 - Article

SN - 1087-0547

VL - 23

SP - 351

EP - 362

JO - Journal of Attention Disorders

JF - Journal of Attention Disorders

IS - 4

ER -

The Efficacy of Adapted MBCT on Core Symptoms and Executive Functioning in Adults With ADHD: A Preliminary Randomized Controlled Trial

Abstract

Keywords

Access to Document

Handle.net

Fingerprint

Cite this