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The Feasibility, Effectiveness, and Process of Change of Mindfulness-Based Cognitive Therapy for Adults With ADHD: A Mixed-Method Pilot Study.
Journal of Attention Disorders ( IF 3 ) Pub Date : 2017-08-30 , DOI: 10.1177/1087054717727350
Lotte Janssen 1 , Alicia M de Vries 2 , Sevket Hepark 1 , Anne E M Speckens 1
Affiliation  

OBJECTIVE Mindfulness-Based Cognitive Therapy (MBCT) is a promising psychosocial intervention for adult ADHD. The feasibility and effectiveness of an adapted MBCT program is explored, together with the possible process of change. METHOD Mixed-method study with 31 ADHD patients participating in an adapted MBCT program. Self-report questionnaires on ADHD symptoms, executive functioning, mindfulness skills, self-compassion, patient functioning, and health status were administered before and after MBCT. Semi-structured interviews were conducted with 24 patients. RESULTS A modest drop-out of n = 5 (16%) was found. MBCT resulted in a significant reduction of ADHD symptoms and improvements of executive functioning, self-compassion, and mental health. Qualitative analysis provided insight in facilitators and barriers participants experienced, and their process of change. CONCLUSION The adapted MBCT program seemed to be feasible for adults with ADHD and preliminary evidence for the effectiveness is shown. An adequately powered Randomized Controlled Trial (RCT) is needed to further examine the effectiveness of MBCT for ADHD.

中文翻译:

成人多动症基于正念的认知疗法的可行性、有效性和变化过程:混合方法试点研究。

目的基于正念的认知疗法 (MBCT) 是一种有前途的成人 ADHD 心理社会干预措施。探讨了经过调整的 MBCT 计划的可行性和有效性,以及可能的变革过程。方法 对 31 名 ADHD 患者进行的混合方法研究,他们参与了一个适应的 MBCT 计划。在 MBCT 之前和之后进行了关于 ADHD 症状、执行功能、正念技能、自我同情、患者功能和健康状况的自我报告问卷。对 24 名患者进行了半结构化访谈。结果 发现 n = 5 (16%) 的适度辍学。MBCT 显着减少了 ADHD 症状,并改善了执行功能、自我同情和心理健康。定性分析提供了参与者所经历的促进因素和障碍的洞察力,以及他们的变化过程。结论 调整后的 MBCT 计划似乎对患有 ADHD 的成年人是可行的,并且显示了有效性的初步证据。需要一个足够强大的随机对照试验 (RCT) 来进一步检查 MBCT 对 ADHD 的有效性。
更新日期:2020-03-26
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