Mechanisms of Change in Mindfulness-Based Cognitive Therapy in Adults With ADHD
| Autor: | Anne E. M. Speckens, Dirk E. M. Geurts, Melanie P J Schellekens, Lotte Janssen |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
Mediation (statistics) Mindfulness medicine.medical_treatment Stress-related disorders Donders Center for Medical Neuroscience [Radboudumc 13] Context (language use) law.invention 03 medical and health sciences Stress-related disorders Radboud Institute for Health Sciences [Radboudumc 13] 0302 clinical medicine Randomized controlled trial law mental disorders Developmental and Educational Psychology medicine Humans 0501 psychology and cognitive sciences Mindfulness-based cognitive therapy Cognitive Behavioral Therapy 05 social sciences Metabolic Disorders Radboud Institute for Health Sciences [Radboudumc 6] Mental health Clinical Psychology Attention Deficit Disorder with Hyperactivity Cognitive therapy Psychology 030217 neurology & neurosurgery Self-compassion 050104 developmental & child psychology Clinical psychology |
| Zdroj: | Journal of Attention Disorders, 25, 9, pp. 1331-42 Journal of Attention Disorders, 25, 1331-42 |
| ISSN: | 1087-0547 |
| Popis: | Objective: Mindfulness-based cognitive therapy (MBCT) has been demonstrated to be effective in adults with ADHD. The aim of the current study was to examine its possible working mechanisms. Method: In the context of an randomized controlled trial (RCT), MBCT + TAU (treatment as usual) ( n = 43) versus TAU ( n = 51), we used mediation analyses to examine whether reduction of clinician-rated ADHD symptoms and improvement of positive mental health at 6-month follow-up had been mediated by change in mindfulness skills, self-compassion, and executive functioning over the course of MBCT. Results: Increase of self-compassion mediated improvement of positive mental health at 6-month follow-up. Improvement of mindfulness skills or self-compassion did not mediate the reduction in ADHD symptoms. Additional analyses suggest that self-reported inhibition did. Conclusion: The effect of MBCT on ADHD symptoms and positive mental health thus occurred via different mechanisms of change, that is, by improvements in inhibition and self-compassion, respectively. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|