The Efficacy of Adapted MBCT on Core Symptoms and Executive Functioning in Adults With ADHD: A Preliminary Randomized Controlled Trial
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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.
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- Authors
- Hepark, S., Janssen, L., de Vries, A., Schoenberg, P. L. A., Donders, R., Kan, C. C., & Speckens, A. E. M.
- Affiliations
- Radboud University Medical Center (NL)
- University Medical Center Groningen, The Netherlands
- Corresponding author
- Janssen, Lotte
- Venue
- Journal of Attention Disorders
- Publisher
- SAGE Publications
- Published
- 2015-11-20
- Volume
- 23
- Issue
- 4
- Pages
- 351-362
- ISSN
- 1087-0547 (ISSN-L)
- 1557-1246
- OpenAlex
- W2349165715
- Cited by
- 84
- References
- 46
- Citations by year
- 2026: 2 · 2025: 10 · 2024: 7 · 2023: 13 · 2022: 13 · 2021: 7 · 2020: 8 · 2019: 5 · 2018: 9 · 2017: 7 · 2016: 3
- FWCI
- 5.16
- Type
- journal article
- Language
- en
- Open access
- green
- research.rug.nl
- Locations
- Journal of Attention Disorders (publishedVersion)
- PubMed (publishedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (publishedVersion, other-oa)
- Radboud Repository (Radboud University) (submittedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion, other-oa)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Keywords
- mindfulness-based cognitive therapy, attention deficit hyperactivity disorder, adult ADHD, executive function, ADHD symptoms, mindfulness skills, depressive symptoms, anxiety symptoms, patient functioning, psychotherapy efficacy
- MeSH terms
- Adolescent, Adult, Aged, Analysis of Variance, Anxiety, Attention Deficit Disorder with Hyperactivity, Female, Humans, Male, Middle Aged, Waiting Lists, Cognitive Behavioral Therapy, Treatment Outcome, Young Adult, Executive Function, Self Report, Mindfulness
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