Efectividad del mindfulness en niños y adolescentes con diagnóstico de TDAH: Una revisión sistemática
Effectiveness of mindfulness in children and adolescents with ADHD diagnosis: A systematic review
DOI:
https://doi.org/10.56712/latam.v4i1.446Palabras clave:
adolescencia, mindfulness, niñez, TDAHResumen
El Trastorno por Déficit de Atención e Hiperactividad (TDAH) es un trastorno del neurodesarrollo caracterizado por la falta de atención, hiperactividad e impulsividad, que puede ser abordado por intervenciones basadas en atención plena o Mindfulness (MBI), ya que han demostrado ser estrategias que pueden mejorar los niveles de estrés, la desregulación emocional, el funcionamiento ejecutivo, la conciencia y la atención. Por tanto, el objetivo del estudio fue determinar la efectividad del Mindfulness en el tratamiento de sintomatología asociada a TDAH en niños y adolescentes, mediante una revisión sistemática de 7 artículos científicos publicados en Scopus, Web of Science y PubMed. Los resultados refieren diferencias intergrupales en las evaluaciones pre y post tratamiento; las comparaciones previas y posteriores a las pruebas reflejaron una mejoría en el rendimiento de ciertas funciones ejecutivas y desregulación emocional, específicamente en los grupos experimentales. En 6 estudios existe evidencia de mejoras estadísticamente significativas a nivel de 0.05; en 1 estudio no se mencionan medidas pre y post tratamiento, sin embargo, se reportan cambios en los problemas comportamentales de los niños tras la intervención. Se concluye que el mindfulness es una técnica eficaz, con respaldo científico y con beneficios en combinación con otras técnicas y programas dirigidos a niños y adolescentes con diagnóstico de TDAH.
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Asociación Americana de Psiquiatría, 2013. Manual diagnóstico y estadístico de los trastornos mentales (DSM-5®). American Psychiatric Pub.
Banerjee, M., Cavanagh, K., & Strauss, C. (2018). Barriers to mindfulness: A path analytic model exploring the role of rumination and worry in predicting psychological and physical engagement in an online mindfulness-based intervention. Mindfulness, 9(3), 980–992. https://doi.org/10.1007/s12671-017-0837-4 DOI: https://doi.org/10.1007/s12671-017-0837-4
Cairncross, M., c Miller, C. J. (2020). The effectiveness of mindfulness-based therapies for adhd: A meta-analytic review. Journal of Attention Disorders, 24(5), 627-643. https://doi.org/10.1177/1087054715625301 DOI: https://doi.org/10.1177/1087054715625301
Chimiklis, A. L., Dahl, V., Spears, A. P., Goss, K., Fogarty, K., & Chacko, A. (2018). Yoga, mindfulness, and meditation interventions for youth with adhd: Systematic review and meta-analysis. Journal of Child and Family Studies, 27(10), 3155-3168. https://doi.org/10.1007/s10826-018-1148-7 DOI: https://doi.org/10.1007/s10826-018-1148-7
Dalrymple, R. A., McKenna Maxwell, L., Russell, S., & Duthie, J. (2020). NICE guideline review: Attention deficit hyperactivity disorder: diagnosis and management (NG87). Archives of Disease in Childhood - Education & Practice Edition, 105(5), 289-293. https://doi.org/10.1136/archdischild-2019-316928 DOI: https://doi.org/10.1136/archdischild-2019-316928
Didonna, F. (Ed.). (2009). Clinical Handbook of Mindfulness. Springer New York. https://doi.org/10.1007/978-0-387-09593-6 DOI: https://doi.org/10.1007/978-0-387-09593-6
Evans, S., Ling, M., Hill, B., Rinehart, N., Austin, D., & Sciberras, E. (2018). Systematic review of meditation-based interventions for children with ADHD. European Child & Adolescent Psychiatry, 27(1), 9-27. https://doi.org/10.1007/s00787-017-1008-9 DOI: https://doi.org/10.1007/s00787-017-1008-9
Fayyad, J., Sampson, N. A., Hwang, I., Adamowski, T., Aguilar-Gaxiola, S., Al-Hamzawi, A., Andrade, L. H. S. G., Borges, G., de Girolamo, G., Florescu, S., Gureje, O., Haro, J. M., Hu, C., Karam, E. G., Lee, S., Navarro-Mateu, F., O’Neill, S., Pennell, B.-E., Piazza, M., … Kessler, R. C. (2017). The descriptive epidemiology of DSM-IV Adult ADHD in the World Health Organization World Mental Health Surveys. ADHD Attention Deficit and Hyperactivity Disorders, 9(1), 47-65. https://doi.org/10.1007/s12402-016-0208-3 DOI: https://doi.org/10.1007/s12402-016-0208-3
Harstad, E. B., Weaver, A. L., Katusic, S. K., Colligan, R. C., Kumar, S., Chan, E., Voigt, R. G., & Barbaresi, W. J. (2014). ADHD, stimulant treatment, and growth: A longitudinal study. Pediatrics, 134(4), e935-e944. https://doi.org/10.1542/peds.2014-0428 DOI: https://doi.org/10.1542/peds.2014-0428
Huguet A, Miguel-Ruiz D, Haro JM, & Alda JA (2017). Efficacy of a Mindfulness Program for Children Newly Diagnosed with Attention-Deficit Hyperactivity Disorder. Impact on Core Symptoms and Executive Functions: A Pilot Study. International Journal of Psychology & Psychological Therapy, 17, 305-316.
Huguet, A., Izaguirre Eguren, J., Miguel-Ruiz, D., Vall Vallés, X., & Alda, J. A. (2019). Deficient Emotional Self-Regulation in Children with Attention Deficit Hyperactivity Disorder: Mindfulness as a Useful Treatment Modality. Journal of developmental and behavioral pediatrics : JDBP, 40(6), 425–431. https://doi.org/10.1097/DBP.000000000000068 DOI: https://doi.org/10.1097/DBP.0000000000000682
Katzman, M. A., Bilkey, T. S., Chokka, P. R., Fallu, A., & Klassen, L. J. (2017). Adult ADHD and comorbid disorders: Clinical implications of a dimensional approach. BMC Psychiatry, 17(1), 302. https://doi.org/10.1186/s12888-017-1463-3 DOI: https://doi.org/10.1186/s12888-017-1463-3
Kiani, B., Hadianfard, H. & Mitchell, J. (2017) The impact of mindfulness meditation training on executive functions and emotion dysregulation in an Iranian sample of female adolescents with elevated attention‐deficit/hyperactivity disorder symptoms, Australian Journal of Psychology, 69:4, 273-282, https://doi.org/10.1111/ajpy.12148 DOI: https://doi.org/10.1111/ajpy.12148
Kooij, J. J. S., Bijlenga, D., Salerno, L., Jaeschke, R., Bitter, I., Balázs, J., Thome, J., Dom, G., Kasper, S., Nunes Filipe, C., Stes, S., Mohr, P., Leppämäki, S., Casas, M., Bobes, J., Mccarthy, J. M., Richarte, V., Kjems Philipsen, A., Pehlivanidis, A., Asherson, P. (2019). Updated European Consensus Statement on diagnosis and treatment of adult ADHD. European Psychiatry, 56(1), 14-34. https://doi.org/10.1016/j.eurpsy.2018.11.001 DOI: https://doi.org/10.1016/j.eurpsy.2018.11.001
Langer, E. J., & Moldoveanu, M. (2000). The Construct of Mindfulness. Journal of Social Issues, 56(1), 1-9. https://doi.org/10.1111/0022-4537.00148 DOI: https://doi.org/10.1111/0022-4537.00148
Modesto-Lowe, V., Farahmand, P., Chaplin, M., & Sarro, L. (2015). Does mindfulness meditation improve attention in attention deficit hyperactivity disorder? World Journal of Psychiatry, 5(4), 397-403. https://doi.org/10.5498/wjp.v5.i4.397 DOI: https://doi.org/10.5498/wjp.v5.i4.397
Muratori, P., Conversano, C., Levantini, V., Masi, G., Milone, A., Villani, S., Bögels, S., & Gemignani, A. (2021). Exploring the Efficacy of a Mindfulness Program for Boys With Attention-Deficit Hyperactivity Disorder and Oppositional Defiant Disorder. Journal of Attention Disorders, 25(11), 1544–1553. https://doi.org/10.1177/1087054720915256 DOI: https://doi.org/10.1177/1087054720915256
Oliva, F., Malandrone, F., di Girolamo, G., Mirabella, S., Colombi, N., Carletto, S., & Ostacoli, L. (2021). The efficacy of mindfulness-based interventions in attention-deficit/hyperactivity disorder beyond core symptoms: A systematic review, meta-analysis, and meta-regression. Journal of affective disorders, 292, 475–486. https://doi.org/10.1016/j.jad.2021.05.068 DOI: https://doi.org/10.1016/j.jad.2021.05.068
Perestelo-Pérez, L. (2013). Standards on how to develop and report systematic reviews in Psychology and Health. International Journal of Clinical and Health Psychology, 13(1), 49-57. https://doi.org/10.1016/S1697-2600(13)70007-3 DOI: https://doi.org/10.1016/S1697-2600(13)70007-3
Poissant, H., Mendrek, A., Talbot, N., Khoury, B., & Nolan, J. (2019). Behavioral and cognitive impacts of mindfulness-based interventions on adults with attention-deficit hyperactivity disorder: A systematic review. Behavioural Neurology, 2019, 1-16. https://doi.org/10.1155/2019/5682050 DOI: https://doi.org/10.1155/2019/5682050
Polanczyk, G. V., Willcutt, E. G., Salum, G. A., Kieling, C., & Rohde, L. A. (2014). ADHD prevalence estimates across three decades: An updated systematic review and meta-regression analysis. International Journal of Epidemiology, 43(2), 434-442. https://doi.org/10.1093/ije/dyt261 DOI: https://doi.org/10.1093/ije/dyt261
Robe, A., Dobrean, A. (2022). The effectiveness of a single session of mindfulness-based cognitive training on cardiac vagal control and core symptoms in children and adolescents with attention-deficit/hyperactivity disorder (ADHD): a preliminary randomized controlled trial. Eur Child Adolesc Psychiatry. https://doi.org/10.1007/s00787-022-02005-7 DOI: https://doi.org/10.1007/s00787-022-02005-7
Siegel D, Germer C, Olendzki A. (2009). Mindfulness: What is it? Where did it come from? Didonna F. Clinical Handbook of Mindfulness. New York: Springer. 17-37. https://doi.org/10.1007/978-0-387-09593-6_2 DOI: https://doi.org/10.1007/978-0-387-09593-6_2
Santonastaso O, Zaccari V, Crescentini C, Fabbro F, Capurso V, Vicari S, Menghini D. Clinical Application of Mindfulness-Oriented Meditation: A Preliminary Study in Children with ADHD. (2020). International Journal of Environmental Research and Public Health. 17(18):6916. https://doi.org/10.3390/ijerph17186916 DOI: https://doi.org/10.3390/ijerph17186916
Tang, Y. Y., Yang, L., Leve, L. D., & Harold, G. T. (2012). Improving Executive Function and its Neurobiological Mechanisms through a Mindfulness-Based Intervention: Advances within the Field of Developmental Neuroscience. Child development perspectives, 6(4), 361–366. https://doi.org/10.1111/j.1750-8606.2012.00250.x DOI: https://doi.org/10.1111/j.1750-8606.2012.00250.x
Tercelli, I., & Ferreira, N. (2019). A systematic review of mindfulness based interventions for children and young people with ADHD and their parents. Global Psychiatry, 2(1), 79-95. https://doi.org/10.2478/gp-2019-0007 DOI: https://doi.org/10.2478/gp-2019-0007
Tripp, G., & Wickens, J. R. (2009). Neurobiology of ADHD. Neuropharmacology, 57(7-8), 579-589. https://doi.org/10.1016/j.neuropharm.2009.07.026 DOI: https://doi.org/10.1016/j.neuropharm.2009.07.026
Urrútia, G., & Bonfill, X. (2010). Declaración PRISMA: Una propuesta para mejorar la publicación de revisiones sistemáticas y metanálisis. Medicina Clínica, 135(11), 507-511. https://doi.org/10.1016/j.medcli.2010.01.015 DOI: https://doi.org/10.1016/j.medcli.2010.01.015
Van der Oord S, Bögels SM, & Peijnenburg D (2012). The Effectiveness of Mindfulness Training for Children with ADHD and Mindful Parenting for their Parents. Journal of Child and Family Studies, 21, 139-147. Doi: 10.1007/s10826-011-9457-0 DOI: https://doi.org/10.1007/s10826-011-9457-0
Vanzin, L., Mauri, V., Valli, A., Pozzi, M., Presti, G., Oppo, A., Ristallo, A., Molteni, M. & Nobile, M (2020). Clinical Effects of an ACT-Group Training in Children and Adolescents with Attention-Deficit/Hyperactivity Disorder. J Child Fam Stud 29, 1070–1080. https://doi.org/10.1007/s10826-019-01546-x DOI: https://doi.org/10.1007/s10826-019-01546-x
Wynchank, D., ten Have, M., Bijlenga, D., Penninx, B. W., Beekman, A. T., Lamers, F., de Graaf, R., & Kooij, J. J. S. (2018). The association between insomnia and sleep duration in adults with attention-deficit hyperactivity disorder: Results from a general population study. Journal of Clinical Sleep Medicine, 14(03), 349-357. https://doi.org/10.5664/jcsm.6976 DOI: https://doi.org/10.5664/jcsm.6976
Zaccari, V., Santonastaso, o., Mandolesi, L., De Crescenzo, F., Foti, F., Crescentini, C., Fabbro, F., Vicari, S., Curcio, G. & Menghini, D. (2022). Clinical application of mindfulness-oriented meditation in children with ADHD: a preliminary study on sleep and behavioral problems, Psychology & Health, 37:5, 563-579 https://doi.org/10.1080/08870446.2021.1892110 DOI: https://doi.org/10.1080/08870446.2021.1892110