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Exploring the Efficacy of a Mindfulness Program for Boys With Attention-Deficit Hyperactivity Disorder and Oppositional Defiant Disorder

Pietro Muratori, Ciro Conversano, Valentina Levantini, G. Masi, Annarita Milone, Silvia Villani, Susan M. Bögels, Angelo Gemignani

Journal of Attention Disorders April 26, 2020 DOI: 10.1177/1087054720915256 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Randomized controlled trial Peer reviewed
Sample size 50
Population Male children aged 8 to 12 with a diagnosis of ADHD and oppositional defiant disorder, and their parents
Intervention Mindfulness intervention
Measures Avoidance and Fusion Questionnaire
Topics Meditation
Key findings A mindfulness intervention for children with ADHD and ODD and their parents reduced hyperactive behaviors in the school context (effect size 0.59), improved visual sustained attention (effect size 0.77), and improved Avoidance and Fusion Questionnaire scores (effect size 0.43) relative to a wait-list control. No significant effect on aggressive behaviors was found, leading the authors to describe the intervention's effects as partial.

Abstract

Objective: This study was the first attempt to explore the efficacy of a mindfulness protocol for children with attention-deficit hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD), and their parents.

Method: Fifty male children with ADHD and ODD diagnosis, aged 8 to 12, were randomly assigned to the mindfulness intervention (n = 25) or the wait-list (n = 25) group. Outcome measures included children, parents’, and teachers’ reports and objective measures of attention.

Results: Children from the intervention group had a greater reduction in hyperactive behaviors in the school context (effect size [ES] = 0.59) and a greater improvement in visual sustained attention (ES = 0.77) and in Avoidance and Fusion Questionnaire scores (ES = 0.43) than those in the wait-list control group. No significant effect of the intervention on aggressive behaviors was revealed.

Conclusion: A mindfulness intervention for children and their parents showed partial beneficial effects in children with ADHD + ODD.

Comparable studies

Other randomized controlled trials on meditation, most cited first.

Study Year Design Participants
Alterations in Brain and Immune Function Produced by Mindfulness Meditation Healthy employees in a work environment 2003 Randomized controlled trial n = 41
Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Recovered recurrently depressed patients 2000 Randomized controlled trial n = 145
Open hearts build lives: Positive emotions, induced through loving-kindness meditation, build consequential personal resources. Working adults 2008 Randomized controlled trial n = 139
Short-term meditation training improves attention and self-regulation Undergraduate Chinese students 2007 Randomized controlled trial n = 40
Mindfulness-Based Cognitive Therapy for Depression: Replication and Exploration of Differential Relapse Prevention Effects. Recovered recurrently depressed patients 2004 Randomized controlled trial n = 73

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