Skip to main content

Advertisement

Log in

Self-Reported Mindful Attention and Awareness, Go/No-Go Response-Time Variability, and Attention-Deficit Hyperactivity Disorder

  • ORIGINAL PAPER
  • Published:
Mindfulness Aims and scope Submit manuscript

Abstract

The abilities to stabilize the focus of attention, notice attention lapses, and return attention to an intended object following lapses are precursors for mindfulness. Individuals diagnosed with attention-deficit hyperactivity disorder (ADHD) are deficient in the attentional and self-control skills that characterize mindfulness. The present study assessed the relationship between mindfulness and ADHD in young adults using the Mindful Attention and Awareness Scale (MAAS), a computerized Go/No-Go task (the Test of Variables of Attention (TOVA)), the World Health Organization Adult Self-Report Scale (ASRS), a tool used as an adult ADHD screen, the Beck Anxiety Inventory (BAI), and the Beck Depression Inventory-II (BDI-II). We recruited 151 adult volunteers (ages 18 to 40); 100 with confirmed ADHD diagnoses and 51 control participants. Overall, participants with prior diagnoses of ADHD scored lower on the MAAS than controls and ASRS scores were strongly negatively correlated MAAS scores. Attention performance index, response time, and response-time variability subscales of the TOVA were positively correlated with MAAS scores and negatively correlated with ASRS scores. Intrasubject response-time variability on the TOVA, a parameter associated with attention lapses, was also strongly negatively correlated with MAAS scores. Overall, participants’ self-reported mindfulness, as measured by the MAAS, was strongly related to self-reports on a clinical measure of attention disorders, anxiety, depression, and multiple indices of concentration and mind wandering on a standardized Go/No-Go task, the TOVA.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  • Beck, A. T., & Steer, R. A. (1993). Beck anxiety inventory manual. San Antonio: The Psychological Corporation.

    Google Scholar 

  • Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Beck depression inventory-II. San Antonio: The Psychological Corporation.

    Google Scholar 

  • Benjamini, Y., Krieger, A. M., & Yekutieli, D. (2006). Adaptive linear step-up procedures that control the false discovery rate. Biometrika, 93, 491–507.

    Article  Google Scholar 

  • Bernfort, L., Nordfeldt, S., & Persson, J. (2008). ADHD from a socio-economic perspective. Acta Paediatrica, 97, 239–245.

    Article  PubMed  Google Scholar 

  • Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84, 822–848.

    Article  PubMed  Google Scholar 

  • Bueno, V. F., Kozasa, E. H., da Silva, M. A., Alves, T. M., Louzã, M. R., & Pompéia, S. (2015). Mindfulness meditation improves mood, quality of life, and attention in adults with attention deficit hyperactivity disorder. BioMed Research International, Article ID 962857.

  • Buzy, W. M., Medoff, D. R., & Schweitzer, J. B. (2009). Intra-individual variability among children with ADHD on a working memory task: an ex-Gaussian approach. Child Neuropsychology, 15, 441–459.

    Article  PubMed  PubMed Central  Google Scholar 

  • Carlson, L. E., & Brown, K. W. (2005). Validation of the mindful attention awareness scale in a cancer population. Journal of Psychosomatic Research, 58, 29–33.

    Article  PubMed  Google Scholar 

  • Cassone, A. R. (2015). Mindfulness training as an adjunct to evidence-based treatment for ADHD within families. Journal of Attention Disorders, 19, 147–157.

    Article  PubMed  Google Scholar 

  • Chan, D., & Woollacott, M. (2007). Effects of level of meditation experience on attentional focus: is the efficiency of executive or orientation networks improved? Journal of Alternative and Complementary Medicine, 13, 651–657.

    Article  PubMed  Google Scholar 

  • Davidson, R. J. (2010). Empirical explorations of mindfulness: conceptual and methodological conundrums. Emotion, 10, 8–11.

    Article  PubMed  PubMed Central  Google Scholar 

  • Deng, Y.-Q., Li, S., & Tang, Y.-Y. (2014). The relationship between wandering mind, depression and mindfulness. Mindfulness, 5, 124–128.

    Article  Google Scholar 

  • Doshi, A. D., Hodgkins, P., Kahle, J., Sikirica, V., Cangelosi, M. J., Setyawan, J., et al. (2012). Economic impact of childhood and adult attention-deficit/hyperactivity disorder in the United States. Journal of the American Academy of Child & Adolescent Psychiatry, 51, 990–1002.

    Article  Google Scholar 

  • Edel, M.-A., Hölter, T., Wassink, K., & Juckel, G. (2014). A comparison of mindfulness-based group training and skills group training in adults with ADHD: an open study. Journal of Attention Disorders. doi:10.1177/1087054714551635.

    Google Scholar 

  • Feifel, D. (2007). ADHD in adults: the invisible rhinoceros. Psychiatry, 4, 60–62.

    PubMed  PubMed Central  Google Scholar 

  • Feige, B., Biscaldi, M., Saville, C. W. N., Kluckert, C., Bender, S., Ebner-Priemer, U., et al. (2013). On the temporal characteristics of performance variability in attention deficit hyperactivity disorder (ADHD). PloS One, 8, e69674.

    Article  PubMed  PubMed Central  Google Scholar 

  • Feldman, G., et al. (2007). Mindfulness and emotion regulation: the development and initial validation of the cognitive and affective mindfulness scale-revised (CAMS-R). Journal of Psychopathology and Behavioral Assessment, 29, 177–190.

    Article  Google Scholar 

  • Galla, B. M., Hale, T. S., Shrestha, A., Loo, S. K., & Smalley, S. L. (2012). The disciplined mind: associations between the Kentucky inventory of mindfulness skills and attention control. Mindfulness, 3, 95–103.

    Article  Google Scholar 

  • Gualtieri, C. T., & Johnson, L. G. (2005). ADHD: is objective diagnosis possible? Psychiatry, 2, 44–53.

    PubMed  PubMed Central  Google Scholar 

  • Haydicky, J., Wiener, J., Badali, P., Milligan, K., & Ducharme, J. M. (2012). Evaluation of a mindfulness-based intervention for adolescents with learning disabilities and Co-occurring ADHD and anxiety. Mindfulness, 3, 151–164.

    Article  Google Scholar 

  • Heathcote, A. (1996). RTSYS: a DOS application for the analysis of reaction time data. Behavior Research Methods, Instruments, & Computers, 28, 427–445.

    Article  Google Scholar 

  • Hechtman, L. (2011). Prospective follow-up studies of ADHD: helping establish a valid diagnosis in adults. Journal of the American Academy of Child and Adolescent Psychiatry, 50, 533–535.

    Article  PubMed  Google Scholar 

  • Hervey, A. S., Epstein, J. N., Curry, J. F., Tonev, S., Arnold, L. E., Conners, C. K., et al. (2006). Reaction time distribution analysis of neuropsychological performance in an ADHD sample. Child Neuropsychology, 12, 125–140.

    Article  PubMed  Google Scholar 

  • Jha, A. P., Krompinger, J., & Baime, M. J. (2007). Mindfulness training modifies subsystems of attention. Cognitive, Affective & Behavioral Neuroscience, 7, 109–119.

    Article  Google Scholar 

  • Kabat-Zinn, J. (1994). Wherever you go, there you are: mindfulness meditation in everyday life. New York: Hyperion Books.

    Google Scholar 

  • Kabat-Zinn, J. (2016). A.D.D. Nation. Mindfulness, 7, 777–780.

    Article  Google Scholar 

  • Kessler, R. C., Adler, L., Ames, M., Barkley, R. A., Birnbaum, H., Greenberg, P., et al. (2005b). The prevalence and effects of adult attention deficit/hyperactivity disorder on work performance in a nationally representative sample of workers. Journal of Occupational and Environmental Medicine, 47, 565–572.

    Article  PubMed  Google Scholar 

  • Kessler, R. C., Adler, L., Ames, M., Demler, O., Faraone, S., Hiripi, E., et al. (2005a). The World Health Organization adult ADHD self-report scale (ASRS): a short screening scale for use in the general population. Psychological Medicine, 35, 245–256.

    Article  PubMed  Google Scholar 

  • Knouse, L. E., Zvorsky, I., & Safren, S. A. (2013). Cognitive Therapy Research, 37, 1220.

    Article  PubMed  PubMed Central  Google Scholar 

  • Kollins, S. H., McClernon, F. J., & Epstein, J. N. (2009). Effects of smoking abstinence on reaction time variability in smokers with and without ADHD: an ex-Gaussian analysis. Drug and Alcohol Dependence, 100, 169–172.

    Article  PubMed  Google Scholar 

  • Leark, R. A., Greenberg, L. M., Kindschi, C. L., Dupuy, T. R., & Hughes, S. J. (2007). Test of variables of attention continuous performance test. Los Alamitos: The TOVA Company.

    Google Scholar 

  • Leth-Steensen, C., Elbaz, Z. K., & Douglas, V. I. (2000). Mean response times, variability, and skew in the responding of ADHD children: a response time distributional approach. Acta Psychologica, 104, 167–190.

    Article  PubMed  Google Scholar 

  • Lutz, A., Dunne, J. D., & Davidson, R. J. (2006). Meditation and the neuroscience of consciousness: an introduction. In M. Moscovitch, P. Zelazo & E. Thompson (eds.), The Cambridge handbook of consciousness (497–549). Cambridge University Press.

  • Lutz, A., Slagter, H. A., Rawlings, N. B., Francis, A. D., Greischar, L. L., & Davidson, R. J. (2009). Mental training enhances attentional stability: neural and behavioral evidence. The Journal of Neuroscience, 29, 13418–13427.

    Article  PubMed  PubMed Central  Google Scholar 

  • Marlatt, G. A., & Kristeller, J. L. (1999). Mindfulness and meditation. In W. R. Miller (Ed.), Integrating spirituality into treatment: resource for practitioners (pp. 67–84). Washington, DC: American Psychological Association.

    Chapter  Google Scholar 

  • Medvedev, O. N., Siegert, R. J., Feng, X. J., Billington, D. R., Jang, J. Y., & Krägeloh, C. U. (2015). Measuring trait mindfulness: how to improve the precision of the mindful attention awareness scale using a Rasch model. Mindfulness, 7, 384–395.

    Article  Google Scholar 

  • Mitchell, J. T., McIntyre, E. M., English, J. S., Dennis, M. F., Beckham, J. C., & Kollins, S. H. (2013). A pilot trial of mindfulness meditation training for ADHD in adulthood: impact on core symptoms, executive functioning, and emotion dysregulation. Journal of Attention Disorders. Published online 4 December 2013, 1087054713513328.

  • Moore, A., & Malinowski, P. (2009). Meditation, mindfulness and cognitive flexibility. Consciousness and Cognition, 18, 176–186.

    Article  PubMed  Google Scholar 

  • Mrazek, M. D., Mooneyham, B. W., & Schooler, J. W. (2014). Insights from quiet minds: the converging fields of mindfulness and mind-wandering. Meditation-Neuroscientific Approaches and Philosophical Implications, 2, 227–241.

    Article  Google Scholar 

  • Nelson, J. M., & Gregg, N. (2012). Depression and anxiety among transitioning adolescents and college students with ADHD, dyslexia, or comorbid ADHD/dyslexia. Journal of Attention Disorders, 16, 244–254.

    Article  PubMed  Google Scholar 

  • Nyanaponika, T. (1962). The heart of Buddhist meditation: a handbook of mental training based on the Buddha’s way of mindfulness. London: Rider & Company.

    Google Scholar 

  • Prevatt, F., Dehili, V., Taylor, N., & Marshall, D. (2015). Anxiety in college students with ADHD relationship to cognitive functioning. Journal of Attention Disorders, 19, 222–230.

    Article  PubMed  Google Scholar 

  • Rapgay, L., & Bystrisky, A. (2009). Classical mindfulness: an introduction to its theory and practice for clinical application. Annals of the New York Academy of Sciences, 1172, 148–162.

    Article  PubMed  Google Scholar 

  • Ratcliff, R. (1979). Group reaction time distributions and an analysis of distribution statistics. Psychological Bulletin, 86, 446–461.

    Article  PubMed  Google Scholar 

  • Schmertz, S. K.(2006). The Relation between Self-Report Mindfulness and Performance on Tasks of Attention. Thesis, Georgia State University.

  • Schmertz, S. K., Anderson, P. L., & Robins, D. L. (2009). The relation between self-report mindfulness and performance on tasks of sustained attention. Journal of Psychopathology and Behavioral Assessment, 31, 60–66.

    Article  Google Scholar 

  • Smalley, S. L., et al. (2009). Mindfulness and attention deficit hyperactivity disorder. Journal of Clinical Psychology, 65, 1087–1098.

    Article  PubMed  PubMed Central  Google Scholar 

  • Tang, Y., & Posner, M. (2009). Attention training and attention state training. Trends in Cognitive Sciences, 13, 222–227.

    Article  PubMed  Google Scholar 

  • Vaurio, R. G., Simmonds, D. J., & Mostofsky, S. H. (2009). Increased intra-individual reaction time variability in attention-deficit/hyperactivity disorder across response inhibition tasks with different cognitive demands. Neuropsychologia, 47, 2389–2396.

    Article  PubMed  PubMed Central  Google Scholar 

  • Way, B. M., Creswell, J. D., Eisenberger, N. I., & Lieberman, M. D. (2010). Dispositional mindfulness and depressive symptomatology: correlations with limbic and self-referential neural activity during rest. Emotion, 10, 12–24.

    Article  PubMed  PubMed Central  Google Scholar 

  • Willcutt, E. G. (2012). The prevalence of DSM-IV attention-deficit/hyperactivity disorder: a meta-analytic review. Neurotherapeutics, 9, 490–499.

    Article  PubMed  PubMed Central  Google Scholar 

  • Zylowska, L., Ackerman, D. L., Yang, M. H., Futrell, J. L., Horton, N. L., Hale, T. S., et al. (2008). Mindfulness meditation training in adults and adolescents with ADHD a feasibility study. Journal of Attention Disorders, 11, 737–746.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Julian R. Keith.

Ethics declarations

Funding

This study was funded by NCCIH (R15AT007226).

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. This article does not contain any studies with animals performed by any of the authors.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

Conflict of Interest

Julian Keith declares that he has no conflict of interest. Mallory Blackwell declares that she has no conflict of interest. Rano Mathew declares that he has no conflict of interest. Len Lecci declares that he has no conflict of interest.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Keith, J.R., Blackwood, M.E., Mathew, R.T. et al. Self-Reported Mindful Attention and Awareness, Go/No-Go Response-Time Variability, and Attention-Deficit Hyperactivity Disorder. Mindfulness 8, 765–774 (2017). https://doi.org/10.1007/s12671-016-0655-0

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12671-016-0655-0

Keywords

Navigation