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 journalArticleAcademicpeer-review

    22 Citations (Scopus)

    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 languageEnglish
    Pages (from-to)351-362
    Number of pages12
    JournalJournal of Attention Disorders
    Volume23
    Issue number4
    DOIs
    Publication statusPublished - 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

    Cite this