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.
Similar content being viewed by others
References
Beck, A. T., & Steer, R. A. (1993). Beck anxiety inventory manual. San Antonio: The Psychological Corporation.
Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Beck depression inventory-II. San Antonio: The Psychological Corporation.
Benjamini, Y., Krieger, A. M., & Yekutieli, D. (2006). Adaptive linear step-up procedures that control the false discovery rate. Biometrika, 93, 491–507.
Bernfort, L., Nordfeldt, S., & Persson, J. (2008). ADHD from a socio-economic perspective. Acta Paediatrica, 97, 239–245.
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.
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.
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.
Cassone, A. R. (2015). Mindfulness training as an adjunct to evidence-based treatment for ADHD within families. Journal of Attention Disorders, 19, 147–157.
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.
Davidson, R. J. (2010). Empirical explorations of mindfulness: conceptual and methodological conundrums. Emotion, 10, 8–11.
Deng, Y.-Q., Li, S., & Tang, Y.-Y. (2014). The relationship between wandering mind, depression and mindfulness. Mindfulness, 5, 124–128.
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.
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.
Feifel, D. (2007). ADHD in adults: the invisible rhinoceros. Psychiatry, 4, 60–62.
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.
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.
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.
Gualtieri, C. T., & Johnson, L. G. (2005). ADHD: is objective diagnosis possible? Psychiatry, 2, 44–53.
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.
Heathcote, A. (1996). RTSYS: a DOS application for the analysis of reaction time data. Behavior Research Methods, Instruments, & Computers, 28, 427–445.
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.
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.
Jha, A. P., Krompinger, J., & Baime, M. J. (2007). Mindfulness training modifies subsystems of attention. Cognitive, Affective & Behavioral Neuroscience, 7, 109–119.
Kabat-Zinn, J. (1994). Wherever you go, there you are: mindfulness meditation in everyday life. New York: Hyperion Books.
Kabat-Zinn, J. (2016). A.D.D. Nation. Mindfulness, 7, 777–780.
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.
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.
Knouse, L. E., Zvorsky, I., & Safren, S. A. (2013). Cognitive Therapy Research, 37, 1220.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Nyanaponika, T. (1962). The heart of Buddhist meditation: a handbook of mental training based on the Buddha’s way of mindfulness. London: Rider & Company.
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.
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.
Ratcliff, R. (1979). Group reaction time distributions and an analysis of distribution statistics. Psychological Bulletin, 86, 446–461.
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.
Smalley, S. L., et al. (2009). Mindfulness and attention deficit hyperactivity disorder. Journal of Clinical Psychology, 65, 1087–1098.
Tang, Y., & Posner, M. (2009). Attention training and attention state training. Trends in Cognitive Sciences, 13, 222–227.
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.
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.
Willcutt, E. G. (2012). The prevalence of DSM-IV attention-deficit/hyperactivity disorder: a meta-analytic review. Neurotherapeutics, 9, 490–499.
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.
Author information
Authors and Affiliations
Corresponding author
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
About this article
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
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12671-016-0655-0