Higher Mindfulness Predicts Lower ADHD.
By John M. de Castro, Ph.D.
“Unlike many tools for ADHD, mindfulness develops the individual’s inner skills. It improves your ability to control your attention by helping to strengthen your ability to self-observe, to train attention, and to develop different relationships to experiences that are stressful.” – Carl Sherman
Attention Deficit Hyperactivity Disorder (ADHD) is most commonly found in children, but for about half it persists into adulthood. It’s estimated that about 5% of the adult population has ADHD. Hence, this is a very large problem that can produce inattention, impulsivity, hyperactivity, and emotional issues, and reduce quality of life. The most common treatment is drugs, like methylphenidate, Ritalin, which helps reducing symptoms in about 30% of the people with ADHD. Unfortunately, the effectiveness of the drugs appears to be markedly reduced after the first year. In addition, the drugs often have troublesome side effects, including nervousness agitation, anxiety, irritability, sleep and appetite problems, head and stomach aches, nausea, dizziness, and heart palpitations. If that’s not enough they can be addictive and can readily be abused. So, drugs, at present, do not appear to be a good solution, only affecting some, only for a short time, and with unwanted side effects.
There are indications that mindfulness training may be a more effective treatment for ADHD. It makes sense that it should be, as the skills and abilities strengthened by mindfulness training are identical to those that are defective in ADHD, attention, impulse control, executive function, emotion control, and mood improvement. In addition, unlike drugs, it is a relatively safe intervention that has minimal troublesome side effects. Since mindfulness is so promising as a treatment, it is important to further investigate the role of mindfulness in ADHD and its treatment.
In today’s Research News article “Self-Reported Mindful Attention and Awareness, Go/No-Go Response-Time Variability, and Attention-Deficit Hyperactivity Disorder.” (See summary below). Keith and colleagues recruited a group of college students with previously diagnosed Attention Deficit Hyperactivity Disorder (ADHD) and a group without ADHD. The students performed a go-no-go task in which they pushed a button each time a small square was presented on a computer screen and did not press the button when a different stimulus appeared. The go-no-go task is a standard test for attentional ability. They also completed measures of mindfulness, ADHD, anxiety, and depression.
They found that there was a strong relationship between mindfulness and ADHD, anxiety, depression, and attentional ability with high mindfulness scores predicting low ADHD scores, anxiety, and depression and high attentional ability. The students who were diagnosed previously with ADHD compared to non-ADHD students had significantly higher ADHD scores and attentional ability, and lower mindfulness scores.
These results are correlational, so causation cannot be determined. These results, however, are in line with previous research findings that mindfulness in adults is associated with better attentional ability and lower depression, anxiety, and ADHD. This provides further evidence for the association of low mindfulness with Attention Deficit Hyperactivity Disorder (ADHD) and the potential for mindfulness training to be a safe and effective treatment for ADHD.
“mindfulness seems to be training the same areas of the brain that have reduced activity in A.D.H.D. That’s why mindfulness might be so important. It seems to get at the causes.” – James M. Swanson
CMCS – Center for Mindfulness and Contemplative Studies
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Study Summary
Keith, J.R., Blackwood, M.E., Mathew, R.T., Lecci, L.B. Self-Reported Mindful Attention and Awareness, Go/No-Go Response-Time Variability, and Attention-Deficit Hyperactivity Disorder. Mindfulness (2017) 8: 765. doi:10.1007/s12671-016-0655-0
Abstract
The abilities to stabilize the focus of attention, notice attention lapses, and return attention to an intended object following lapses are precursors for mindfulness. Individuals diagnosed with attention-deficit hyperactivity disorder (ADHD) are deficient in the attentional and self-control skills that characterize mindfulness. The present study assessed the relationship between mindfulness and ADHD in young adults using the Mindful Attention and Awareness Scale (MAAS), a computerized Go/No-Go task (the Test of Variables of Attention (TOVA)), the World Health Organization Adult Self-Report Scale (ASRS), a tool used as an adult ADHD screen, the Beck Anxiety Inventory (BAI), and the Beck Depression Inventory-II (BDI-II). We recruited 151 adult volunteers (ages 18 to 40); 100 with confirmed ADHD diagnoses and 51 control participants. Overall, participants with prior diagnoses of ADHD scored lower on the MAAS than controls and ASRS scores were strongly negatively correlated MAAS scores. Attention performance index, response time, and response-time variability subscales of the TOVA were positively correlated with MAAS scores and negatively correlated with ASRS scores. Intrasubject response-time variability on the TOVA, a parameter associated with attention lapses, was also strongly negatively correlated with MAAS scores. Overall, participants’ self-reported mindfulness, as measured by the MAAS, was strongly related to self-reports on a clinical measure of attention disorders, anxiety, depression, and multiple indices of concentration and mind wandering on a standardized Go/No-Go task, the TOVA.