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

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Title:	The Efficacy of Adapted MBCT on Core Symptoms and Executive Functioning in Adults With ADHD: A Preliminary Randomized Controlled Trial
Author(s):	Hepark, S.; Janssen, L.; Vries, A. De; Schoenberg, P.L.; Donders, R. ; Kan, C.C. ; Speckens, A.E.M.
Publication year:	2019
Source:	Journal of Attention Disorders, vol. 23, iss. 4, (2019), pp. 351-362
ISSN:	1087-0547
DOI:	https://doi.org/10.1177/1087054715613587
Publication type:	Article / Letter to editor
Please use this identifier to cite or link to this item : http://hdl.handle.net/2066/203266
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Subject:	Radboudumc 0: Other Research DCMN: Donders Center for Medical Neuroscience Radboudumc 0: Other Research RIHS: Radboud Institute for Health Sciences Radboudumc 13: Stress-related disorders DCMN: Donders Center for Medical Neuroscience
Organization:	Psychiatry Health Evidence
Journal title:	Journal of Attention Disorders
Volume:	vol. 23
Issue:	iss. 4
Page start:	p. 351
Page end:	p. 362
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.