一项针对成年多动症患者的正念冥想训练试点试验：对核心症状、执行功能和情绪失调的影响。
A Pilot Trial of Mindfulness Meditation Training for ADHD in Adulthood: Impact on Core Symptoms, Executive Functioning, and Emotion Dysregulation.
作者信息
Mitchell John T, McIntyre Elizabeth M, English Joseph S, Dennis Michelle F, Beckham Jean C, Kollins Scott H
机构信息
1 Duke University Medical Center, Durham, NC, USA.
2 NC Veterans Affairs Medical Center, Durham, NC, USA.
出版信息
J Atten Disord. 2017 Nov;21(13):1105-1120. doi: 10.1177/1087054713513328. Epub 2013 Dec 4.
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.
目的
正念冥想训练作为一种针对成年多动症的干预措施，正获得越来越多的实证研究关注，尽管尚无将正念作为独立治疗方法的研究纳入完全由成年多动症患者组成的样本或对照组。本研究的目的是评估正念冥想对成年多动症样本中的多动症、执行功能（EF）和情绪调节障碍症状的可行性、可接受性和初步疗效。
方法
成年多动症患者按多动症药物治疗状态分层，然后随机分为为期8周的基于小组的正念治疗组（n = 11）或等待名单组（n = 9）。
结果
治疗的可行性和可接受性良好。此外，随着时间的推移，与等待名单组相比，治疗组的自我报告的多动症和EF症状（在实验室和生态瞬时评估中评估）、临床医生对多动症和EF症状的评分以及自我报告的情绪调节障碍有显著改善，效应量较大。EF任务方面未观察到改善。
结论
研究结果支持初步治疗效果，但需要更大规模的试验。
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