A Randomized Controlled Trial of Mindfulness-Based Cognitive Therapy for College Students With ADHD

Gu, Yingqi; Xu, Guo; Zhu, Yi

doi:10.1177/1087054716686183

Cited by 72 publications

(94 citation statements)

References 74 publications

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“…Moreover, the same positive effects were observed in high-functioning adults with ASD (Spek et al 2013;Kiep et al 2015). Interestingly, recent studies have suggested that mindfulness-based cognitive therapy, which is a combination of mindfulness and cognitive therapy, decreases inattention and hyperactivity-impulsivity symptoms in ADHD adults (Gu et al 2018;Hepark et al in press). The results of this study suggest that such a reduction of symptoms might also result in decreased rumination.…”

Section: Discussionmentioning

confidence: 76%

How Autistic Traits, Inattention and Hyperactivity-Impulsivity Symptoms Influence Depression in Nonclinical Undergraduate Students? Mediating Role of Depressive Rumination

Horibe

Hasegawa

2018

Curr Psychol

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A few studies have indicated that adults with Autism Spectrum Disorder (ASD) and Attention-Deficit/Hyperactivity Disorder (ADHD) are more inclined to ruminate than adults in the general population. The present study examined whether subclinical ASD symptoms including difficulties in social interaction and attention to detail and ADHD symptoms that were composed of inattention and hyperactivity-impulsivity were related to depressive rumination in undergraduate students. This study also examined whether rumination is a mediating factor in the relationship of ASD and ADHD symptoms with depression. Nonclinical undergraduate students (N = 294) in Japan completed the Autism-Spectrum Quotient, Adult ADHD Self-Report Scale, interpersonal conflict subscale of the Interpersonal Stress Event Scale, Ruminative Responses Scale, and Beck Depression Inventory-Second Edition. Structural equation modeling indicated that hyperactivity-impulsivity was positively associated with rumination both directly and indirectly via interpersonal conflict, and that attention to detail and inattention were directly and positively related to rumination. The significant relationship between difficulties in social interaction and rumination disappeared after controlling for the influence of depression. These findings indicated that one pathway through which hyperactivityimpulsivity symptoms prolong rumination might be through the increase in interpersonal conflict. In addition, it is possible that cognitive inflexibility, academic difficulties, and adverse driving outcomes caused by attention to detail, inattention as well as hyperactivity-impulsivity may lead to rumination. Moreover, attention to detail, inattention, and hyperactivity-impulsivity indirectly increased depression via rumination, indicating that rumination is an important mediator in the relationship of subclinical ASD and ADHD symptoms with depression.

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Section: Discussionmentioning

confidence: 76%

How Autistic Traits, Inattention and Hyperactivity-Impulsivity Symptoms Influence Depression in Nonclinical Undergraduate Students? Mediating Role of Depressive Rumination

Horibe

Hasegawa

2018

Curr Psychol

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“…These results were in line with a recent randomised controlled trial (RCT) in college students with ADHD that found a reduction of ADHD symptoms after an adapted 6 weeks version of MBCT. However, both studies had methodological limitations, such as a small sample size (Gu et al 2018), the lack of a follow-up period, no outcome data for drop-outs and single-centre enrolment (Hepark et al 2015). Therefore, the current RCT took account of these limitations.…”

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confidence: 99%

Mindfulness-based cognitive therapy v. treatment as usual in adults with ADHD: a multicentre, single-blind, randomised controlled trial

et al. 2018

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“…A number of studies have evaluated the efficacy of such interventions in the long-term, and demonstrated that it is maintained from 3 to 12 months after the end of the treatment (Safren et al, 2010 ; Salakari et al, 2010 ; Emilsson et al, 2011 ; Pettersson et al, 2014 ; Fleming et al, 2015 ; Salomone et al, 2015 ; Young et al, 2015 ; Cherkasova et al, 2016 ; Gu et al, 2017 ; Nasri et al, 2017 ), although the magnitudes of the reported effects are heterogeneous. The largest clinical trial so far published in the field found that groups receiving psychosocial therapy had superior outcomes to active control groups at follow-up only in the CGI measure, but not in ADHD symptoms (Philipsen et al, 2015 ).…”

Section: Introductionmentioning

confidence: 99%

Long-Term Efficacy of Psychosocial Treatments for Adults With Attention-Deficit/Hyperactivity Disorder: A Meta-Analytic Review

et al. 2018

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Background: Recent evidence suggests that psychosocial treatments, particularly cognitive-behavioral therapy (CBT), are effective interventions for adult attention deficit hyperactivity disorder (ADHD). The objective of this review was to determine the long-term efficacy of psychosocial interventions in improving clinically relevant variables, including ADHD core symptoms, clinical global impression (CGI), and global functioning.Methods: In total, nine randomized controlled trials and three uncontrolled single-group pretest-posttest studies were included. The data from these studies were combined using the inverse variance method. Heterogeneity and risk of bias were assessed. Subgroup analyses and meta-regressions were performed, to determine the influence of different potential moderator variables (risk of bias, medication status, follow-up length, therapy type and setting, and control group type) on effect size (ES) estimates.Results: Up to 680 of a total of 1,073 participants assessed pre-treatment were retained at follow-up. Treatment groups showed greater improvement than control groups in self-reported total ADHD symptoms, inattention, and hyperactivity/impulsivity, in addition to CGI and global functioning. Blind assessors also reported a large ES in within-subject outcomes. Studies using dialectical behavioral therapy (DBT) in a group setting, with active control matching, and that were rated as having an unclear risk of bias, achieved significantly lower ES estimates for most outcomes. Treatment effectiveness, according to the CGI measure, and global functioning were significantly increased when the percentage of medicated participants was greater.Conclusions: Our results indicate that the post-treatment gains reported in previous reviews are sustained for at least 12 months. Nevertheless, these results must be interpreted with caution, because of a high level of heterogeneity among studies and the risk of bias observed in the majority of outcomes. Thus, these findings indicate that psychological interventions are a highly valuable and stable clinical tool for the treatment of core symptoms and global functioning in adults with ADHD.

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A Randomized Controlled Trial of Mindfulness-Based Cognitive Therapy for College Students With ADHD

Abstract: MBCT may be a useful intervention for college students with ADHD, improving participants' ADHD symptoms, mindfulness, and sustained attention.

Cited by 72 publications

References 74 publications

How Autistic Traits, Inattention and Hyperactivity-Impulsivity Symptoms Influence Depression in Nonclinical Undergraduate Students? Mediating Role of Depressive Rumination

How Autistic Traits, Inattention and Hyperactivity-Impulsivity Symptoms Influence Depression in Nonclinical Undergraduate Students? Mediating Role of Depressive Rumination

Mindfulness-based cognitive therapy v. treatment as usual in adults with ADHD: a multicentre, single-blind, randomised controlled trial

Long-Term Efficacy of Psychosocial Treatments for Adults With Attention-Deficit/Hyperactivity Disorder: A Meta-Analytic Review

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