Effectiveness of Mindfulness-Based Therapy on Improvement Internalizing Difficulties Adolescents with Attention Deficit–Hyperactivity Disorder.

Document Type : پژوهشی

Authors

Ferdowsi university of Mashhad

Abstract

Purpose: A large number of people with attention deficit/hyperactivity disorder in adolescence, in addition to problems related toattention deficit/hyperactivityalso suffer from internalizing problems comorbid anxiety and depression. This research aim to investigate the effect of mindfulness based treatment on improvement of internalized problems of adolescent suffering from ADHD.
Method: The present research is a quasi-experimental research with pretest-posttest design and control group. The target sample of the research included 30 female high school students of first and second grades in Gonabad who were suffering from attention deficit hyperactivity disorder. The tools which were used in the research included clinical interview, SNAP-IV Parent Rating Scale and Achenbach’s Youth Self Report (YSR). Experimental group received eight 90-minute sessions of mindfulness based treatments and control group was assigned to a waiting list. The data was analyzed by means of descriptive statistics (mean and standard deviation) and univariate analysis of covariance.
Findings: According to the results of univariate analysis of covariance it was found that experimental group in comparison to control group reported fewer internalized problems in posttest.

Keywords


Abdolghaderi, M, Kafi, M, Saberi, A, Arianpoor, S. (2013). Effectiveness of mindfulness-based cognitive therapy and cognitive-behavioral therapy on pain, depression and anxiety in patients with chronic back pain. Journal of ShaeedSdoughiUniversity of Medical Sciences Yazd, 6, 795-807. (In Persian)
Abdollahian, A., shakeri, M., Vosugh, E.(2003). Prevalence of attention deficit hyperactivity disorder in children ages preschool. Medical Journal of Mashhad University of Medical Sciences, 85,275-280.(In Persian)
American Psychiatric Association.(2013). Diagnostic and Statistical Manual of Mental Disorders(fifth ed). Washington, DC: American Psychiatric Association.
Anderson, N. D., Lau, M. A., Segal, Z. V., & Bishop, S. R. (2007). Mindfulness-based stress reduction and attentional control. Clinical Psychology and Psychotherapy, 14, 449–463.
Bagwell, C. L., Molina, B. S., Kashdan, T. B., Pelham, W. E., &Hoza, B. (2006). Anxiety and mood disorders in adolescents with childhood attention-deficit/hyperactivity disorder. Journal of Emotional and Behavioral Disorders, 14(3), 178-187.
Barkley, R. A. (2005). Comparison of the DSM-IV combined typed of ADHD in a school-based sample of Latino Hispanic children. Journal of Child Psychology & Psychiatry, 46(2), 166-179.
Barkley, R. A., Fischer, M., Edelbrock, C. S., & Smallish, L. (1990). The adolescent outcome of hyperactive children diagnosed by research criteria: An 8-year prospective study. Journal of the American Academy of Child and Adolescent Psychiatry, 29, 546−557.
Bayrami, M., Abdi, R. (2009). The effects of mindfulness-based techniques to reduce test anxiety students. Journal of Educational Sciences. 6, 35-54. ( In Persian)
Biederman, J., Faraone, S. V.(2005). Attention-deficit hyperactivity disorder.Lacent, 366, 237-248.
Biederman, J., Faraone, S.,Milberger, S., Guite, J., Mick, E., Chen, L. & Perrin, J. (1996). A prospective 4-year follow-up study of attention-deficit hyperactivity and related disorders. Archives of general psychiatry, 53(5), 437.‏
Biederman, J., Mick, E., &Faraone, S. V. (2000). Age-dependent decline of symptoms of attention deficit hyperactivity disorder: impact of remission definition and symptom type. American journal of psychiatry, 157(5), 816-818.
Bird, H., Gould, M.S., Staghezza, B.M.( 1993). Patterns of diagnostic comorbidity in a community sample of children aged 9 through 16 years. Journal of the American Academy of Child and Adolescent Psychiatry, 32, 361–368.
Braaten, E. B., & Rosen, L. A. (2000). Self-regulation of affect inattention deficit-hyperactivity disorder (ADHD) and non-ADHDboys: Differences in empathic responding. Journal of Consulting and Clinical Psychology, 68(2), 313-321.
Brown, K. W., & Ryan, R. M. (2003). The benefits of being present Mindfulness and its rolein psychological well-being.Journal of Personality and Social Psychology, 84(4),822–848.
Cardaciotto, J. , L., Herbert D., Forman, E. M., Moitra, E., & Farrow, V. (2008). The assessment of present-moment awareness and acceptance: The PhiladelphiaMindfulness Scale. Assessment, 15, 204–223.
Fischer, M., Barkley, R. A., Smallish, L., & Fletcher, K. (2002). Young adult follow-up of hyperactive children: self-reported psychiatric disorders, comorbidity, and the role of childhood conduct problems and teen CD. Journal of Abnormal Child Psychology, 30(5), 463-475.
Friedman R, Dvyal G.(2002). Treatment of children with attention deficit – hyperactivity. Translated by Jalal Sdralsadat, Mohammad Reza Mohammadi, Leila Sdralsadat. Tehran: Antibacterial Art. (In Persian)
Gilliom, M., & Shaw, D. S. (2004). Co-development of externalizing and internalizing problems in early childhood.Development and Psychopathology, 16(2), 313–333.
Grossman, P., Kappos, L., Gensicke, H., D'Souza, M., Mohr, D. C., Penner, I. K., et al.(2010). MS quality of life, depression, and fatigue improve after mindfulness training: A randomized trial. Neurology, 75, 1141–1149.
HabibiAsgarabad, M., Basharat, M., Fadaee, Z., Najafi, M.(2009). Confirmatory factor structure, reliability and validity of self-report scale Akhnbakh adolescent behavior problems (YSR).Journal of Psychology, 1, 1-18.(In Persian).
Hayes, S. C. (2004). Acceptance and commitment therapy, relational frame theory, and the third wave behavioral and cognitive therapies. Behavior Therapy, 35, 639-665.
Hayes, S. C., & Greco, L. A. (2008). Acceptance and mindfulness for youth: It’s time. In L. A. Greco & S. C. Hayes (Eds.), Acceptance and mindfulness treatments for children and adolescents: A practitioner’s Guide. Oakland, CA: New Harbinger Publications, Inc.
Hofmann, S. G., Sawyer, A. T., Witt, A. A., & Oh, D. (2010). The effect of mindfulness-based therapy on anxiety and depression: A meta-analytic review. Journal of consulting and clinical psychology, 78(2), 169.
Hoseinzadehmaleki, Z.(2012). Efficacy of working memory training, parent education programs Barkley and combine the two intervention on improving executive functions and clinical symptoms in children with ADHD. Master's thesis.Faculty of Education and Psychology, Ferdowsi University of Mashhad.(In Persian )
Ingram S, Hechtman L, Morgenstern G. (1999). Outcome issues in ADHD: adolescent and adult long-term outcome. Mental Retardation and Developmental Disabilities Research Reviews , 5, 43–250.
Jenson, W. R., Olympia, D., Farley, M., & Clark, E. (2004). Positive psychology and externalizing students in a sea of negativity. Psychology in the Schools, 41(1), 67-79.
Kabat-Zinn, J. (1982). An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: Theoretical considerations and preliminary results. General Hospital Psychiatry, 4, 33–47
Kakabaraee, K., HabibiAsgarabad, M., Fadaee,Z. (2007). Normalized scale behavioral problems Akhnbakh. Research on mental health, 1, 50-66.(In Persian)
Kaviani, H. ,Hatami. N. ,Javaheri, F. (2008). reducing effect of mindfulness-based cognitive therapy on automatic thoughts and dysfunctional attitudes.Journal of Research in mental health, 2, 5-14.( In Persian)
Kaviani, H. ,Javaheri, F. , Bahiraee, H. (2005). Effect of mindfulness-based cognitive therapy (MBCT) in reducing the negative automatic thoughts, dysfunctional attitudes, depression and anxiety. Journal of Cognitive Science. 1, 49-59. (In Persian)
Kessler, R., Adler, L., Barkley, R., Biederman,J., Conners, CK.., Faraone, VS., et al.(2006). The prevalence and correlates of adult ADHD in the United States: Results from the National Comorbidity Survey Replication. American Journal 0f Psychiatry, 163(4),716–723.
Kovacs, M., & Devlin, B. (1998). Internalizing disorders in childhood. Journal of Child Psychology and Psychiatry, 39(1), 47-63.
Lau, N. S., & Hue, M. T. (2011). Preliminary outcomes of a mindfulness-based programe for Hong Kong adolescents in schools: well-being, stress and depressive symptoms. International Journal of Children's Spirituality, 16(4), 315-330.
Lewinsohn, P. M., Rohde, P., & Seeley, J. R. (2000). Adolescent psychopathology: III. The clinical consequences of comorbidity. Journal of the American Academy of Child & Adolescent Psychiatry, 34(4), 510-519.
Bakhtiari, M. (2005). The relationship between beliefs about the exocrine and endocrine control of psychopathology in children. PhD thesis, IranUniversityof Medical Sciences.(In Persian)
Mash, E. J., & Barkley, R. A. (Eds.).(2007). Assessment of childhood disorders.NewYork: Guilford Press.
Mashhadi, A., Soltanifar, A., Moharreri, F .,Noferesti, F.(2011). Prevalence of comorbid psychiatric disorders and their impact on the response to methylphenidate in children with ADHD. Journal of ShahidBeheshti University of Medical Sciences, 4, 162- 168.(In Persian)
Masumian, S., Golzari, M., Shaeri, M., Momenzadeh, S. (2012). Effectiveness of mindfulness-based stress reduction program on depression in patients with chronic back pain. Journal of Anesthesiology and Pain, 2, 82-87. ( In Persian)
McCarney, R. W., Schulz, J., & Grey, A. R. (2012). Effectiveness of mindfulness-based therapies in reducing symptoms of depression: A meta-analysis. European Journal of Psychotherapy &Counselling, 14(3), 279-299.
Minaee, A (2006). Adaptation and standardization of the Child Behavior Checklist Khnbakh, self-assessment questionnaire and Teacher Report Form.Journal of Exceptional Children,10,529-558.( In Persian)
Mohamad khani,P.,Khanipur,H. (2012). Mindfulness-based therapy. Tehran: universityof social welfare and rehabilitation sciences. (In Persian)
Oland, A. A., & Shaw, D. S. (2005). Pure versus co-occurring externalizing and internalizing symptoms in children: The potential role of socio-developmental milestones. Clinical Child and Family Psychology Review, 8(4), 247-270.
Rapport, L. J., Friedman, S. R., Tzelepis, A., & Van Voorhis, A.(2002). Experienced emotion and affect recognition in adult attention deficit hyperactivity disorder. Neuropsychology, 16(1), 102-111.
Rasmussen, P., &Gillberg, C. (2000). Natural outcome of ADHD with developmental coordination disorder at age 22 years: a controlled, longitudinal, community-based study. Journal of the American Academy of Child & Adolescent Psychiatry, 39(11), 1424-1431.
Sdralsadat J, Hoshiary Z, ZamaniR,Sdralsadat L.(2007). Determination of Psychometric Indices of SNAP-IV Rating Scale in Parent Execution. Journal of Rehabilitation, 3, 53-57( In Persian ).
Seidman, L. J. (2006). Neuropsychological functioning in people with ADHD across the lifespan.Clinical Psychology Review, 26(4), 466–485.
Skounti, M., Philalithis, A., &Galanakis, E. (2007). Variations in prevalence of attention deficit hyperactivity disorder worldwide. European Journal of Pediatrics, 166(2), 117–123.
Souza, I., Denardin, D., Mattos, P.E., Rohde, L. A.(2004). Comparisions between tworeferred samples. European Journal of Child &Adolescent Psychiatry,13,243-248.
Souza, I., Pinheiro, M. A., &Mattos, P. (2005). Anxiety disorders in an attention-deficit/hyperactivity disorder clinical sample. Arquivos de neuro-psiquiatria, 63(2), 407-409.
Tavakkolizadeh, J., Bolhari, J., Mehryar, A., Dezhkam, M.(1997). Epidemiology of attention deficit and disruptive behaviour disorders in elementary school children of Gonabad town, north east iran. Iranian Journal of Psychiatry and Clinical Psychology ,3,40-52.(In Persian)
Teasdale, J. D., Segal, Z. V., Williams, J. M., Ridgeway, V. A., Soulsby, J. M., & Lau, M.A. (2000). Prevention of relapse/ recurrence in major depression by mindfulness based cognitive therapy. Journal of Consulting and Clinical Psychology,68(4), 615–623.
Williams, J. M. G. (2008). Mindfulness, depression and modes of mind. Cognitive Therapy and Research, 32(6), 721-733.
Wolraich, L., Wibbelsman, J., Brown, E., Steven W. Evans, W., Gotlieb, M., John R. Knight, R.,Ross,E.C.,Shubiner,H., Esther, H. (2005). Attention-Deficit/Hyperactivity Disorder Among Adolescents: A Review of the Diagnosis, Treatment, and Clinical Implications. Pediatrics ,115(6),1734-1746.
Woo, S. M., &Keatinge, C. (2008). Diagnosis and treatment of mental disorders across the .Hoboken, NJ: John Wiley & Sons.
Zahn-Waxler, C., Klimes, D. B., & Slattery, M. (2000). Internalizingproblems of childhood and adolescence: Prospects, pitfalls, and progress in understanding the development of anxietyand depression. Development and Psychopathology, 12,443–466.
Zargar, Y., MohammadiBahramabadi, R. &BassakNagad, S.(2012). A study of family processes as predictors of behavior problemsamong second grade high school students in Yasuoj. Journal of School Psychology, 2, 77-103. ( In Persian)
Zylowska, L., Smalley, S.L.and Schwartz, J.M. (2009). Mindful Awareness and ADHD - in F.Didonna, Handbook of Mindfulness-based interventions in an inpatient setting (pp. 447-462).Springer New York.
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