Radboud University Medical Center, Nijmegen, The Netherlands.
University Medical Center, Groningen, The Netherlands.
J Atten Disord. 2020 Apr;24(6):928-942. doi: 10.1177/1087054717727350. Epub 2017 Aug 30.
Mindfulness-Based Cognitive Therapy (MBCT) is a promising psychosocial intervention for adult ADHD. The feasibility and effectiveness of an adapted MBCT program is explored, together with the possible process of change. Mixed-method study with 31 ADHD patients participating in an adapted MBCT program. Self-report questionnaires on ADHD symptoms, executive functioning, mindfulness skills, self-compassion, patient functioning, and health status were administered before and after MBCT. Semi-structured interviews were conducted with 24 patients. A modest drop-out of = 5 (16%) was found. MBCT resulted in a significant reduction of ADHD symptoms and improvements of executive functioning, self-compassion, and mental health. Qualitative analysis provided insight in facilitators and barriers participants experienced, and their process of change. The adapted MBCT program seemed to be feasible for adults with ADHD and preliminary evidence for the effectiveness is shown. An adequately powered Randomized Controlled Trial (RCT) is needed to further examine the effectiveness of MBCT for ADHD.
正念认知疗法（MBCT）是一种有前途的成人 ADHD 的心理社会干预方法。本研究旨在探索一种适应性 MBCT 方案的可行性和有效性，以及可能的变化过程。 这是一项混合方法研究，共有 31 名 ADHD 患者参与了适应性 MBCT 项目。在 MBCT 前后，使用 ADHD 症状、执行功能、正念技能、自我同情、患者功能和健康状况的自我报告问卷进行评估。对 24 名患者进行了半结构化访谈。发现适度的退出率为 5（16%）。MBCT 导致 ADHD 症状显著减轻，执行功能、自我同情和心理健康状况得到改善。定性分析提供了参与者所经历的促进因素和障碍的见解，以及他们的变化过程。 适应性 MBCT 方案似乎适用于成人 ADHD，初步证据表明其有效性。需要进行充分的随机对照试验（RCT）来进一步研究 MBCT 对 ADHD 的疗效。
