Sultan Meshal A, Nawaz Faisal A, Alattar Batol, Khalaf Eman, Shadan Sidra, El-Abiary Naila, Tegginmani Shakeel, Qasba Rakhtan K, Jogia Jigar
College of Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai Health, Dubai, United Arab Emirates.
Al Amal Psychiatric Hospital, Emirates Health Services, Dubai, United Arab Emirates.
BMC Pediatr. 2025 Jan 14;25(1):32. doi: 10.1186/s12887-024-05310-z.
Attention Deficit Hyperactivity Disorder (ADHD) is a prevalent neurodevelopmental disorder which poses challenges for the individuals with the disorder and their families. While stimulant medications are effective, a comprehensive approach, including psychosocial and behavioral interventions, is recommended. There is a growing body of research exploring the potential benefits of mindfulness-based interventions for children with ADHD. Our study aims to assess the effectiveness of mindfulness interventions in reducing ADHD symptoms in children and adolescents through a systematic review of relevant studies.
Following PRISMA guidelines, our systematic review searched PubMed, Cochrane library, Psycinfo, and Scopus from January 2000 to August 2022. We included studies focusing on mindfulness for pediatric ADHD, comprising various study designs with a minimum 8-week duration. Descriptive statistics summarized results, while risk of bias was assessed using Cochrane RoB and ROBANS tools. The quality of RCTs was further evaluated using the Correlation of Quality Measures tool.
In the initial search, 450 records were identified, and after removing duplicates, 339 underwent screening. Forty-one studies underwent full text assessment for eligibility, with 11 studies meeting inclusion criteria, including seven RCTs, two Quasi RCTs, and three cohort studies. These studies, conducted in five countries, involved participants aged 7 to 18 years. Six studies showed improvement in hyperactivity/inattentive symptoms, and five studies showed improvement in impulsivity.
This systematic review demonstrates the potential benefits of mindfulness programs on ADHD symptoms in children and adolescents. This study emphasizes the need for high-quality research to explore mindfulness-based interventions for ADHD management in younger populations. PROSPERO registration number: IDCRD42024520800.
注意力缺陷多动障碍（ADHD）是一种常见的神经发育障碍，给患者及其家庭带来诸多挑战。虽然刺激性药物有效，但建议采用包括心理社会和行为干预在内的综合方法。越来越多的研究在探索基于正念的干预措施对患有ADHD的儿童的潜在益处。我们的研究旨在通过对相关研究的系统评价，评估正念干预对减少儿童和青少年ADHD症状的有效性。
遵循PRISMA指南，我们的系统评价检索了2000年1月至2022年8月期间的PubMed、Cochrane图书馆、Psycinfo和Scopus。我们纳入了关注儿科ADHD正念的研究，包括各种持续时间至少为8周的研究设计。描述性统计总结结果，同时使用Cochrane RoB和ROBANS工具评估偏倚风险。使用质量测量相关性工具进一步评估随机对照试验的质量。
在初步检索中，识别出450条记录，去除重复项后，339条记录接受筛选。41项研究进行了全文资格评估，11项研究符合纳入标准，包括7项随机对照试验、2项半随机对照试验和3项队列研究。这些研究在五个国家进行，涉及7至18岁的参与者。六项研究显示多动/注意力不集中症状有所改善，五项研究显示冲动性有所改善。
本系统评价证明了正念项目对儿童和青少年ADHD症状的潜在益处。本研究强调需要高质量的研究来探索基于正念的干预措施在年轻人群中管理ADHD的作用。PROSPERO注册号：IDCRD42024520800。
