A Pilot Trial of Mindfulness Meditation Training for ADHD in Adulthood: Impact on Core Symptoms, Executive Functioning, and Emotion Dysregulation
A Pilot Trial of Mindfulness Meditation Training for ADHD in Adulthood: Impact on Core Symptoms, Executive Functioning, and Emotion Dysregulation
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DOI：
10.1177/1087054713513328
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发表时间：
2017-11-01
影响因子：
3
通讯作者：
Kollins, Scott H.
中科院分区：
文献类型：
--
作者：
Mitchell, John T.;McIntyre, Elizabeth M.;Kollins, Scott H.
目的：正念冥想训练作为一种干预成年多动症的方法正获得越来越多的实证兴趣，尽管没有研究将正念作为一种独立的治疗方法，包括完全由成年多动症患者组成的样本或对照组。本研究的目的是评估正念冥想对ADHD、执行功能（EF）和情绪失调症状的可行性、可接受性和初步疗效。方法：根据ADHD药物状况对ADHD成人进行分层，否则随机分为8周的正念治疗组（n = 11）或候补组（n = 9）。结果：治疗的可行性和可接受性均为阳性。此外，自我报告的ADHD和EF症状（在实验室和生态瞬时评估中评估），临床医生对ADHD和EF症状的评分，以及自我报告的情绪失调，随着时间的推移，治疗组相对于等候组有所改善，具有较大的效应量。EF任务未见改善。结论：研究结果支持初步治疗效果，但需要更大规模的试验。
Objective: Mindfulness meditation training is garnering increasing empirical interest as an intervention for ADHD in adulthood, although no studies of mindfulness as a standalone treatment have included a sample composed entirely of adults with ADHD or a comparison group. The aim of this study was to assess the feasibility, acceptability, and preliminary efficacy of mindfulness meditation for ADHD, executive functioning (EF), and emotion dysregulation symptoms in an adult ADHD sample. Method: Adults with ADHD were stratified by ADHD medication status and otherwise randomized into an 8-week group-based mindfulness treatment (n = 11) or waitlist group (n = 9). Results: Treatment feasibility and acceptability were positive. In addition, self-reported ADHD and EF symptoms (assessed in the laboratory and ecological momentary assessment), clinician ratings of ADHD and EF symptoms, and self-reported emotion dysregulation improved for the treatment group relative to the waitlist group over time with large effect sizes. Improvement was not observed for EF tasks. Conclusion: Findings support preliminary treatment efficacy, though require larger trials.