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Associations Linking ADHD Traits and Psychopatological Symptoms: The Contribution of Interoceptive Awareness and Dispositional Mindfulness

Isa Zappullo, Roberta Cecere, Anna Scuotto, Anna Lauro, Vincenzo Paolo Senese, Luigi Trojano, Massimiliano Conson

Mindfulness July 1, 2026 DOI: 10.1007/s12671-026-02831-9 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Cross-sectional study Preregistered Peer reviewed
Sample size 213
Population Neurotypical young adults
Topics Meditation
Key findings Path analysis identified three associations linking ADHD traits to anxiety and depressive symptoms: one shared between inattentive and hyperactive/impulsive traits, and two specific to hyperactive/impulsive traits. The authors argue that a trait-based approach incorporating interoceptive awareness and dispositional mindfulness may help clarify how ADHD traits relate to psychopathology.

Abstract

Abstract Objectives In the present study, we adopted a trait-based approach to neurodivergence to test a model conceptualizing different patterns of associations through which ADHD traits relate to anxiety and depressive symptoms by considering interoceptive processing and dispositional mindfulness as potential contributing factors. Of note, we kept inattentive and hyperactive/impulsive ADHD traits separate, as these two core domains may differentially relate to psychopathological symptoms.

Method: In a cross-sectional study on neurotypical young adults ( n = 213), path analysis was used to test the direct and indirect relationships between ADHD traits and anxiety and depressive symptoms, examining the possible involvement of interoceptive awareness and dispositional mindfulness in these associations.

Results: Considering inattention and hyperactivity/impulsivity traits separately, the analysis identified three associations linking ADHD traits to anxiety and depressive symptoms. One association was shared between the two ADHD traits, whereas two other associations were specifically related to hyperactive/impulsive traits.

Conclusions: Our results underscore the potential of a trait-based approach that incorporates interoception and mindfulness to better understand the relationships between ADHD and psychopathology. Preregistration This study is not preregistered.

Comparable studies

Other cross-sectional and survey studies on meditation, most cited first.

Study Year Design Participants
Construct Validity of the Five Facet Mindfulness Questionnaire in Meditating and Nonmeditating Samples Experienced meditators and nonmeditating comparison groups 2008 Cross-sectional study
Neural Correlates of Dispositional Mindfulness During Affect Labeling Adult participants 2007 Observational cross-sectional n = 27
Assessing mindfulness in children and adolescents: Development and validation of the Child and Adolescent Mindfulness Measure (CAMM). School-aged children and adolescents 2011 Cross-sectional validation study n = 1,413
Mindfulness and self-compassion as predictors of psychological wellbeing in long-term meditators and matched nonmeditators Experienced meditators and demographically matched nonmeditators 2012 Cross-sectional study n = 152
Mechanisms of Action in the Inverse Relationship Between Mindfulness and Psychological Distress Undergraduates 2008 Cross-sectional, correlational

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