Keith Julian R, Blackwood Mallory E, Mathew Rano T, Lecci Len B
Department of Psychology, University of North Carolina, Wilmington, 601 South College Road, Wilmington, NC 28403-5612, USA.
Mindfulness (N Y). 2017 Jun;8(3):765-774. doi: 10.1007/s12671-016-0655-0. Epub 2016 Dec 12.
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.
稳定注意力焦点、注意到注意力分散以及在注意力分散后将注意力重新回到目标对象上的能力是正念的前提。被诊断患有注意力缺陷多动障碍(ADHD)的个体缺乏正念所特有的注意力和自我控制技能。本研究使用正念注意力与觉察量表(MAAS)、一项电脑化的“是/否”任务(注意力变量测试(TOVA))、世界卫生组织成人自陈量表(ASRS,一种用作成人ADHD筛查的工具)、贝克焦虑量表(BAI)以及贝克抑郁量表第二版(BDI-II),评估了年轻成年人中正念与ADHD之间的关系。我们招募了151名成年志愿者(年龄在18至40岁之间);其中100人被确诊患有ADHD,51人为对照参与者。总体而言,先前被诊断患有ADHD的参与者在MAAS上的得分低于对照组,且ASRS得分与MAAS得分呈强烈负相关。TOVA的注意力表现指数、反应时间和反应时间变异性子量表与MAAS得分呈正相关,与ASRS得分呈负相关。TOVA上的受试者内反应时间变异性(一个与注意力分散相关的参数)也与MAAS得分呈强烈负相关。总体而言,通过MAAS测量的参与者自我报告的正念与注意力障碍、焦虑、抑郁的临床测量自我报告以及标准化“是/否”任务TOVA上的注意力集中和走神的多个指标密切相关。