اثربخشی مداخلة مبتنی بر ذهن‌آگاهی بر نشانه‌های نارسایی توجه/ فزون‌کنشی زیر آستانة تشخیص و مشکلات برونی‌سازی نوجوانان

نوع مقاله: علمی پژوهشی

نویسندگان

1 دانشجوی دکتری روان‌شناسی بالینی دانشگاه شاهد

2 استادیار دانشگاه شاهد

3 دانشیار دانشگاه شاهد

چکیده

این پژوهش اثربخشی مداخلة مبتنی بر ذهن‌آگاهی را بر کاهش نشانه‌های نارسایی توجه/ فزون‌کنشی زیر آستانة تشخیص و مشکلات برونی‌سازی‌ نوجوانان بررسی کرد. فهرست رفتاری کودک و فرم خودگزارش‌دهی نوجوانان نظام سنجش مبتنی بر تجربة آشنباخ در نمونة 253 نفری از نوجوانان و مادران آن‌ها اجرا شد. 24 نفر از نوجوانانی که بنابر نتایج فهرست رفتاری کودکان، نمره‌های مرزی در زیرمقیاس مشکلات توجه و نمره‌های بالا در مشکلات برونی‌سازی‌ داشتند و نشانه‌های آن‌ها در فرم خودگزارش‌دهی نوجوانان نیز تأیید شده بود، به‌تصادف در دو گروه آزمایش (12 نفر) و کنترل (12 نفر) قرار گرفتند. گروه آزمایش 8 جلسة مداخلة مبتنی بر ذهن‌آگاهی در مدت 8 هفته دریافت کرد. گروه کنترل در این بازه زمانی هیچ مداخله‌ای دریافت نکرد. داده‌های کمّی با استفاده از آزمون تحلیل واریانس چندمتغیری تحلیل شد و یافته‌ها نشان داد که پس از مداخله نشانه‌های نارسایی توجه/ فزون‌کنشی و مشکلات برونی‌سازی‌ در نوجوانان گروه آزمایش در مقایسه با نوجوانان گروه کنترل کاهش معنادار داشته است. یافته‌های این پژوهش کاربرد بالینی در پیشگیری و درمانگری نشانه‌های نارسایی توجه/ فزون‌کنشی و مشکلات برونی‌سازی نوجوانان در فضاهای بالینی و مدارس دارد.

کلیدواژه‌ها

موضوعات


کیانی، ب. و هادیان‌فر، ح. (1395). تأثیر درمان مبتنی بر آموزش مراقبة ذهن‌آگاهی بر بی‌نظمی هیجانی در نوجوانان ADHD غیربالینی. مجلة روان‌شناسی مدرسه، 5 (1)، 118-138.

مینایی، ا. (1384). کتابچه راهنمای فرم‌های سن مدرسه نظام سنجش مبتنی بر تجربة آشنباخ. تهران: پژوهشگاه مطالعات آموزش و پرورش.

نریمانی، م.، بگیان‌کوله‌مرز، م.، احدی، ب. و ابوالقاسمی، ع. (1393). اثربخشی آموزش رفتاردرمانی دیالکتیکی گروهی بر کاهش نشانه‌های اختلال نقص توجه/ بیش‌فعالی و بهبود کیفیت زندگی دانش‌آموزان. مجلة روان‌شناسی بالینی، 1(21)، 39-51.

 

Abdolahzade, Z., Mashhadi, A., & Tabibi, Z. (2017). Effectiveness of mindfulness-based therapy on the rate of symptoms and mindfulness in adolescents with attention-deficit hyperactivity disorder. Journal of Fundamentals of Mental Health, 19(1), 30-37.

Achenbach, T. M., & Rescorla, L. A. (2001). Manual for the ASEBA school–age forms and profiles. Burlington: University of Vermont.

American Academy of Pediatrics. (2011). ADHD: clin­ical practice guideline for the diagnosis, evalua­tion, and treatment of ADHD in children and ado­lescents. Pediatrics, 128(5), 1-16.

American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th Ed.). Washington, DC: Author.

Balazs, J., & Kereszteny, A. (2014). Subthreshold attention deficit hyperactivity in children and adolescents: systematic review. European Child & Adolescent Psychiatry, 23, 393-408.

Barkley, R. A. (2003). Attention-Deficit/ Hyperactivity Disorder. In E. J. Mash, R. A. Barkley (Eds.), Child Psychopathology (pp. 75-143). New York: Guilford Press.

Barkley, R. A. (2010). Deficient emotional self-regula­tion is a core component of ADHD. Journal of ADHD and Related Disorders, 1, 5-37.

Bear, R. (2003). Mindfulness training as a clinical intervention: a conceptual and empirical review. Clinical Psychology: Science and Practice, 10, 125-143.

Bogels, S. M., Hoogstad, B., Van Dun, L., Schutter, S. D., & Restifo, K. (2008). Mindfulness training for ado­lescents with externalizing disorders and their par­ents. Behavioural and Cognitive Psychotherapy, 36, 193-209.

Boonstra, A. M., Oosterlaan, J., Sergeant, J. A., & Bui­telaar, J. K. (2005). Executive functioning in adult ADHD: A meta-analytic review. Psychological Medicine, 35(8), 1097-1108.

Broderick, P. C., & Jennings, P. A. (2012). Mindfulness for adolescents: A promising approach to support­ing emotion regulation and preventing risky behavior. New Directions for Youth Development, 136, 111-126.

Broderick, P. C., & Metz, S. (2009). Learning to BREATHE: A pilot trial of a mindfulness curric­ulum for adolescents. Advances in School Mental Health Promotion, 2(1), 35-46.

Bussing, R., Porter, P., Zima, B. T., Mason, D., Garvan, C., & Reid R. (2012). Academic outcome trajec­tories of students with ADHD: does exceptional education status matter? Journal of Emotional and Behavioral Disorders. 20, 131-143.

Chambers, R., Gullone, E., & Allen, N. B. (2009). Mindful emotion regulation: An integrative review. Clinical Psychology Review, 29, 560-572.

Chiesa, A., Calati, R., & Serretti, A. (2011). Does mind­fulness training improve cognitive abilities? A systematic review of neuropsychological findings. Clinical Psychology Review, 31(3), 449-464.

Cho, S. C., Kim, H. W., Kim, B. N., Shin, M. S., Yoo, H. J., Kim, J. W., Bhang, S. Y., & Cho, I. H. (2011). Are teacher ratings and parent ratings dif­ferently associated with children’s intelligence and cognitive performance? Psychiatry Investiga­tion, 8, 15-21.

Christoff, K., Gordon, A. M., Smallwood, J., Smith, R., & Schooler, J. W. (2009). Experience sampling during fMRI. Proceedings of the National Acad­emy of Science of the United States of America, 106, 8719-8742.

Coholic, D. (2011). Exploring the feasibility and bene­fits of arts-based mindfulness based practices with young people in need: Aiming to improve aspects of self-awareness and resilience. Child Youth Care Forum, 40, 303-317.

Emavardhana, T. (1997). Changes in self-concept, ego defense mechanism and religiosity following seven-day Vipassana meditation retreats. Journal for the Scientific Study of Religion, 36, 194-206.

Fergusson, D. M., Boden J. M., & Horwood, L. J. (2010). Classification of behavior disorders in adolescence: scaling methods, predictive validity, and gender differences. Journal of Abnormal Psy­chology, 119, 699-712.

Fernandes, S. S., Machado, M., & Machado, F. (2015). Parental acceptance, parental stress, and quality of life: A study with parents of ADHD children. Italian Journal of Special Education for Inclusion, 3(1), 71-83.

Ford, T., Goodman, R., & Meltzer, H. (2003). The British child and adolescent mental health survey 1999: the prevalence of DSM-IV disorders. Jour­nal of the American Academy of Child and Ado­lescent Psychiatry, 42, 1203-1211.

Gratz, K. L., & Tull, M. T. (2010). Emotion regula­tion as a mechanism of change in acceptance- and mindfulness-based treatments. InRuth A. Baer (Ed.), Assessing mindfulness and ac­ceptance processes in clients: Illuminating the theory and practice of change. (pp. 107–133). Oakland, CA: Context Press/ New Harbinger Publications.

Haydicky, J., Shecter, C., Wiener, J., & Ducharme, J. M. (2015). Evaluation of MBCT for adolescents with ADHD and their parents: Impact on individ­ual and family functioning. Journal of Child & Family Studies, 24, 76-94.

Hoza, B., Murray-close, d., Arnold, L. E., Hinshaw, S. P., Hechtman, L., & The MTA Cooperative Group (2010). Time-dependent changes in positively biased self-perceptions of children with ADHD. A developmental psychopathology perspective. De­velopment and Psychopathology, 22, 375-390.

Jha, A. P., Krompinger, J., & Baime, M. J. (2007). Mindfulness training modifies subsystems of attention. Cognitive, Affective, and Behavioral Neuroscience, 7(2), 109-19.

Keil, V., & Price, J. M. (2006). Externalizing behavior disorders in child welfare setting. Children and Youth Services Review, 28(7), 761–779.

Keng, S. L., Smoski, M. J., & Robins, C. J. (2011). Effects of mindfulness on psychological health: A review of empirical studies. Clinical Psychology Review, 31(6), 1041-1056.

Krishnakumar, S., & Robinson, M. D. (2015). Main­taining an even keel: an affect-mediated model of mindfulness and hostile work behavior. Emotion, 15, 579-589.

Langberg, J. M., Epstein, J. N., Simon, J. O., Loren, R. E. A., Arnold, L. E., Hechtman, L., Hinshaw, S. P., Hoza, B., Jensen, P. S. & Pelham, W. E. (2010). Parent agreement on ratings of children’s attention-deficit/ hyperactivity disorder and broadband exter­nalizing behaviors. Journal of Emotional and Behavioral Disorders, 18, 41-50.

Malmberg, K., Edbom, T., Wargelius, H. L., & Larsson, J. O. (2011). Psychiatric problems associated with subthreshold ADHD and disruptive behaviour diagnoses in teenagers. Acta Paediatrica, 100, 1468-1475.

Moyer, C. A., Donnelly, M. P., Anderson, J. C., Valek, K. C., Huckaby, S. J., Wiederholt, D. A., & Rice, B. L. (2011). Frontal electroencephalographic asymmetry associated with positive emotion is produced by very brief meditation training. Psy­chology Science, 22(10), 1277-1279.

Pelham W. E., & Fabiano, G. A. (2008). Evidence-based psychosocial treatments for attention defi­cit/ hyperactivity disorder. Journal of Clinical Child & Adolescent Psychology, 37, 184-212.

Peters, J. R., Smart, L. M., Eisenlohr-Moul, T. A., Geiger, P. J., Smith, G. T., & Baer, R. A. (2015). Anger rumination as a mediator of the relationship between mindfulness and aggression: the utility of a multidimensional mindfulness model. Journal of Clinical Psychology, 71, 871-884.

Rielly, N. E., Craig, W. M., & Parker, K. C. (2006). Peer and parenting characteristics of boys and girls with subclinical attention problems. Journal of Attention Disorders, 9, 598–606.

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2015). Synop­sis of Psychiatry (11th Ed., Vol. 2). New York: Wolters Kluwer.

Semple, R. J., Lee, J., Rosa, D., & Miller, L. F. (2010). A randomized trial of mindfulness–based cogni­tive therapy for children: Promoting mindful at­tention to enhance social-emotional resiliency in children. Journal of Child and Family Studies, 19, 218-229.

Shankman, S. A., Lewinsohn, P. M., Klein, D. N., Small, J. W., Seeley, J. R., & Altman, S. E. (2009). Subthreshold conditions as precursors for full syn­drome disorders: a 15-year longitudinal study of multiple diagnostic classes. Journal of Child Psy­chology & Psychiatry, 50, 1485-1494.

Sharma, M. K., Sharma, M. P., & Marimuthu, P. (2016). Mindfulness-based program for manage­ment of aggression among youth. Indian Journal of Psychological Medicine, 38(3), 213-216.

Shultz, B. K., & Evans, S. W. (2015). A practical guide to implementing school–based interventions for adolescents with ADHD. Switzerland: Springer.

Sibley, M. H., Kuriyan, A. B., Evans, S. W., Waxmon­sky, J. G., & Smith, B. H. (2014). Pharmacologi­cal and psychosocial treatments for adolescents with ADHD: An updated systematic review of the literature. Clinical Psychology Review, 34, 218-232.

Sonuga-Barke, E. J. S., Brandeis, D., Cortese, S., Daley, D., Ferrin, M., Holtmann, M., & Sergeant, J. (2013). Nonpharmacological interventions for ADHD: Systematic review and meta-analyses of randomized controlled trials of dietary and psy­chological treatments. American Journal of Psy­chiatry, 170, 275-289.

Steeger, C. M., Gondoli, D. M., Gibson, B. S., & Morrissey, R. A. (2015). Combined cognitive and parent training interventions for adolescents with ADHD and their mothers: A randomized con­trolled trial. Child Neuropsychology, 22, 394-419.

Tang, Y. Y., Ma, Y., Wang, J., Fan, Y., Feng, S., Lu, Q., & Posner, M. I. (2007). Short-term meditation training improves attention and self-regulation. proceedings of the National academy of sciences of the United States of America, 104(43), 17152-17156.

Teper, R., & Inzlicht, M. (2013). Meditation, mindful­ness and executive control. Social cognitive and Affective Neuroscience, 8(1), 85-92.

Van de Weijer-Bergsma, E., Formsma, A. R., Bruin, E. I. D., & Bogels, S. M. (2012). The effectiveness of mindfulness training on behavioral Problems and attentional functioning in adolescents with ADHD. Journal of Child & Family Studies, 21, 775-787.

 Van den Hoofdakker, B. J., Nauta, M. H., Van den Veen-Mulders, L. J., Sytema, S., Emmelkamp, P. M. G., Minderaa, R. B., et al. (2010). Behavioral parent training as an adjunct to routine care in chil­dren with attention deficit/ hyperactivity disorder: moderators of treatment response. Journal of Pediatric Psychology, 35, 317-326.

Van der Oord, S., Bogels, S. M., & Peijnenburg, D. (2012). The effectiveness of mindfulness training for children with ADHD and mindful parenting for their parents. Journal of Child & Family Stud­ies, 21,139-147.

Young, S., & Amarasinghe, M. (2010). Practitioner re­view: Non–pharmacological treatments for ADHD: A lifespan approach. Journal of Child Psychology and Psychiatry, 51(2), 116–133.

Zare, H., Khaleghi Delavar, F., Zare, M., & Shayeghian, Z. (2016). Effect of mindfulness in reducing aggression and impulsivity in adoles­cents. Journal of Research and Health, 6(1), 113-121.

Zeidan, F., Johnson, S. K., Diamond, B. J., David, Z., & Goolkasian, P. (2010). Mindfulness meditation improves cognition: Evidence of brief mental training. Consciousness and Cognition, 19(2), 597-605.

Zylowska, L. (2012). The mindfulness prescription for adult ADHD. Boston: TRUMPETER.

Zylowska, L., Ackerman, D. L., Yang, M. H., Futrell, J, L., Horton, N. L., Hale, T. S., Pataki, C., & Smalley, S. L. (2008). Mindfulness meditation training in adults and adolescents with ADHD: A feasibility study. Journal of Attention Disorders; 11(6), 737-746