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A Pilot Trial of Mindfulness Meditation Training for Attention-Deficit/Hyperactivity Disorder in Adulthood: Impact on Core Symptoms, Executive Functioning, and Emotion Dysregulation

John T. Mitchell, Elizabeth M McIntyre, J. English, M. Dennis, J. Beckham, Scott H. Kollins

Journal of Attention Disorders December 4, 2013 DOI: 10.1177/1087054713513328 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Randomized controlled trial (feasibility/pilot) Pilot study Peer reviewed
Sample size 20
Population Adults with ADHD
Intervention Mindfulness meditation
Duration 8-week intervention
Topics Meditation
Key findings In adults with ADHD, an 8-week group mindfulness program was feasible and acceptable and produced large improvements over waitlist in self-reported and clinician-rated ADHD and executive functioning symptoms and self-reported emotion dysregulation, but not on executive functioning tasks. The authors describe the results as preliminary and requiring larger trials.

Abstract

Objective: Mindfulness meditation training is garnering increasing empirical interest as an intervention for ADHD in adulthood, although no studies of mindfulness as a standalone treatment have included a sample composed entirely of adults with ADHD or a comparison group. The aim of this study was to assess the feasibility, acceptability, and preliminary efficacy of mindfulness meditation for ADHD, executive functioning (EF), and emotion dysregulation symptoms in an adult ADHD sample.

Method: Adults with ADHD were stratified by ADHD medication status and otherwise randomized into an 8-week group-based mindfulness treatment (n = 11) or waitlist group (n = 9).

Results: Treatment feasibility and acceptability were positive. In addition, self-reported ADHD and EF symptoms (assessed in the laboratory and ecological momentary assessment), clinician ratings of ADHD and EF symptoms, and self-reported emotion dysregulation improved for the treatment group relative to the waitlist group over time with large effect sizes. Improvement was not observed for EF tasks.

Conclusion: Findings support preliminary treatment efficacy, though require larger trials.

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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