[article]
Titre : |
A randomised controlled trial (MindChamp) of a mindfulness-based intervention for children with ADHD and their parents |
Type de document : |
Texte imprimé et/ou numérique |
Auteurs : |
N. M. SIEBELINK, Auteur ; Susan M. BOGELS, Auteur ; A. E. M. SPECKENS, Auteur ; J. T. DAMMERS, Auteur ; T. WOLFERS, Auteur ; Jan K. BUITELAAR, Auteur ; C. U. GREVEN, Auteur |
Article en page(s) : |
p.165-177 |
Langues : |
Anglais (eng) |
Mots-clés : |
Adhd executive functions mindfulness parenting |
Index. décimale : |
PER Périodiques |
Résumé : |
BACKGROUND: Family mindfulness-based intervention (MBI) for child attention-deficit/hyperactivity disorder (ADHD) targets child self-control, parenting and parental mental health, but its effectiveness is still unclear. METHODS: MindChamp is a pre-registered randomised controlled trial comparing an 8-week family MBI (called 'MYmind') in addition to care-as-usual (CAU) (n?=?55) with CAU-only (n?=?48). Children aged 8-16?years with remaining ADHD symptoms after CAU were enrolled together with a parent. Primary outcome was post-treatment parent-rated child self-control deficits (BRIEF); post hoc, Reliable Change Indexes were explored. Secondary child outcomes included ADHD symptoms (parent/teacher-rated Conners' and SWAN; teacher-rated BRIEF), other psychological symptoms (parent/teacher-rated), well-being (parent-rated) and mindfulness (self-rated). Secondary parent outcomes included self-ratings of ADHD symptoms, other psychological symptoms, well-being, self-compassion and mindful parenting. Assessments were conducted at post-treatment, 2- and 6-month follow-up. RESULTS: Relative to CAU-only, MBI+CAU resulted in a small, statistically non-significant post-treatment improvement on the BRIEF (intention-to-treat: d?=?0.27, p?=?.18; per protocol: d?=?0.33, p?=?.11). Significantly more children showed reliable post-treatment improvement following MBI+CAU versus CAU-only (32% versus 11%, p?.05, Number-Needed-to-Treat?=?4.7). ADHD symptoms significantly reduced post-treatment according to parent (Conners' and SWAN) and teacher ratings (BRIEF) per protocol. Only parent-rated hyperactivity impulsivity (SWAN) remained significantly reduced at 6-month follow-up. Post-treatment group differences on other secondary child outcomes were consistently favour of MBI+CAU, but mostly non-significant; no significant differences were found at follow-ups. Regarding parent outcomes, significant post-treatment improvements were found for their own ADHD symptoms, well-being and mindful parenting. At follow-ups, some significant effects remained (ADHD symptoms, mindful parenting), some additional significant effects appeared (other psychological symptoms, self-compassion) and others disappeared/remained non-significant. CONCLUSIONS: Family MBI+CAU did not outperform CAU-only in reducing child self-control deficits on a group level but more children reliably improved. Effects on parents were larger and more durable. When CAU for ADHD is insufficient, family MBI could be a valuable addition. |
En ligne : |
http://dx.doi.org/10.1111/jcpp.13430 |
Permalink : |
https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=457 |
in Journal of Child Psychology and Psychiatry > 63-2 (February 2022) . - p.165-177
[article] A randomised controlled trial (MindChamp) of a mindfulness-based intervention for children with ADHD and their parents [Texte imprimé et/ou numérique] / N. M. SIEBELINK, Auteur ; Susan M. BOGELS, Auteur ; A. E. M. SPECKENS, Auteur ; J. T. DAMMERS, Auteur ; T. WOLFERS, Auteur ; Jan K. BUITELAAR, Auteur ; C. U. GREVEN, Auteur . - p.165-177. Langues : Anglais ( eng) in Journal of Child Psychology and Psychiatry > 63-2 (February 2022) . - p.165-177
Mots-clés : |
Adhd executive functions mindfulness parenting |
Index. décimale : |
PER Périodiques |
Résumé : |
BACKGROUND: Family mindfulness-based intervention (MBI) for child attention-deficit/hyperactivity disorder (ADHD) targets child self-control, parenting and parental mental health, but its effectiveness is still unclear. METHODS: MindChamp is a pre-registered randomised controlled trial comparing an 8-week family MBI (called 'MYmind') in addition to care-as-usual (CAU) (n?=?55) with CAU-only (n?=?48). Children aged 8-16?years with remaining ADHD symptoms after CAU were enrolled together with a parent. Primary outcome was post-treatment parent-rated child self-control deficits (BRIEF); post hoc, Reliable Change Indexes were explored. Secondary child outcomes included ADHD symptoms (parent/teacher-rated Conners' and SWAN; teacher-rated BRIEF), other psychological symptoms (parent/teacher-rated), well-being (parent-rated) and mindfulness (self-rated). Secondary parent outcomes included self-ratings of ADHD symptoms, other psychological symptoms, well-being, self-compassion and mindful parenting. Assessments were conducted at post-treatment, 2- and 6-month follow-up. RESULTS: Relative to CAU-only, MBI+CAU resulted in a small, statistically non-significant post-treatment improvement on the BRIEF (intention-to-treat: d?=?0.27, p?=?.18; per protocol: d?=?0.33, p?=?.11). Significantly more children showed reliable post-treatment improvement following MBI+CAU versus CAU-only (32% versus 11%, p?.05, Number-Needed-to-Treat?=?4.7). ADHD symptoms significantly reduced post-treatment according to parent (Conners' and SWAN) and teacher ratings (BRIEF) per protocol. Only parent-rated hyperactivity impulsivity (SWAN) remained significantly reduced at 6-month follow-up. Post-treatment group differences on other secondary child outcomes were consistently favour of MBI+CAU, but mostly non-significant; no significant differences were found at follow-ups. Regarding parent outcomes, significant post-treatment improvements were found for their own ADHD symptoms, well-being and mindful parenting. At follow-ups, some significant effects remained (ADHD symptoms, mindful parenting), some additional significant effects appeared (other psychological symptoms, self-compassion) and others disappeared/remained non-significant. CONCLUSIONS: Family MBI+CAU did not outperform CAU-only in reducing child self-control deficits on a group level but more children reliably improved. Effects on parents were larger and more durable. When CAU for ADHD is insufficient, family MBI could be a valuable addition. |
En ligne : |
http://dx.doi.org/10.1111/jcpp.13430 |
Permalink : |
https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=457 |
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