April 18, 2024
ADHD is associated with impaired executive functions. These functions, associated with the prefrontal cortex, control thoughts and goal-oriented behaviors, including inhibition, cognitive flexibility, and working memory.
To what extent can meditation-based mind-body interventions (MBIs) such as yoga, Tai Chi, Qigong, and Mindfulness improve symptoms and executive functioning in persons with ADHD?
To explore this question a Chinese study team performed a systematic search of the peer-reviewed medical literature for randomized controlled trials (RCTs) in either Chinese or English that could be subjected to meta-analysis.
Nineteen RCTS, all but one in English, met criteria for inclusion. Nine involved children and adolescents, and ten involved adults. Fifteen of the studies looked at mindfulness, two at yoga, and two at Tai Chi.
Eight studies were rated as high quality, and the other eleven moderate quality. However, “none of the studies succeeded in blinding participants and therapists due to the challenges of performing double-blind procedures in non-pharmacological studies.”
A meta-analysis of fourteen RCTs totaling 832 participants found small but significant improvements for inattention symptoms. Longer trainings (over 16 hours total) increased the effect size to small-to-medium. Trainings were more successful with adults (small-to-medium effect size) than with children and adolescents (improvements not significant).
Another meta-analysis, of fifteen RCTs combining 868 participants, likewise reported small but significant improvements for hyperactivity/impulsivity symptoms. In this case the trainings were more successful with children and adolescents than with adults, where outcomes lost significance. Longer trainings (over 16 hours total) did not improve outcomes, and in fact made gains insignificant.
A third meta-analysis, of ten RCTs with a combined 558 participants, found small-to-medium effect size improvements in executive functioning. Trainings were effective for all ages. Longer trainings (over 16 hours total) increased the effect size to medium. Direct measurement of behavioral tasks, as opposed to relying on questionnaires, likewise increased the effect size to medium.
For all three meta-analyses, there was virtually no between-study variation (heterogeneity), meaning these outcomes were consistent across studies. There were also no signs of publication bias.
Overall, MBIs improved ADHD symptoms with small effect size, but executive functioning – arguably the more important of the two criteria for ultimate well-being – with medium effect size when measured directly after over 16 hours of training.
The authors concluded, “This meta-analysis confirmed that MBIs, such as mindfulness, Tai Chi, and yoga, had small to medium intervention effects on ADHD symptoms and EF [executive function] compared with the control condition. Although the results of the subgroup analysis suggest that age, interventions, and total time may be important moderators affecting MBIs intervention on the symptoms (inattention, hyperactivity/ impulsivity) of ADHD, while interventions and total time may be moderators affecting EF, more research needs to be conducted to support these findings.”
REFERENCES
Zeping Zhang, Xiaolong Chang, Weijing Zhang, Suyong Yang, and Guangsheng Zhao, “The Effect of Meditation-Based Mind-Body Interventions on Symptoms and Executive Function in People With ADHD: A Meta-Analysis of Randomized Controlled Trials,” Journal of Attention Disorders (2023), 1-15, https://doi.org/10.1177/10870547231154897.
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A recent study from Istanbul sheds light on how psychiatric admissions and diagnoses changed during the first few months of the pandemic compared to previous periods, offering critical insights for parents, clinicians, and policymakers.
This study, conducted by a team of researchers led by Ozalp Ekinci, examined psychiatric admissions among children and adolescents during 2019 and 2020.
By looking at diagnosis rates for various psychiatric conditions, the researchers aimed to pinpoint shifts in the mental health landscape as a direct response to the pandemic.
The analysis revealed several notable trends in psychiatric diagnoses among children and adolescents:
This study’s findings highlight some key takeaways that can guide mental health support efforts for children and adolescents:
As we continue to see the effects of the COVID-19 pandemic on mental health, studies like this one serve as important reminders of the unique mental health needs of young people. Supporting children and adolescents through proactive and targeted mental health services—especially during times of crisis—will be crucial to fostering resilience and well-being in future generations.
Adult ADHD has long been a subject of debate in the field of mental health, with previous estimates of its prevalence varying widely. To achieve a more precise understanding, an international team of researchers conducted a new umbrella review and meta-analysis, offering an updated estimate of adult ADHD rates worldwide.
This large-scale analysis combined five systematic reviews and meta-analyses, incorporating data from 57 unique primary studies. Altogether, the research synthesized findings from a pooled total of over 21 million participants. This comprehensive approach provided a more accurate estimate of the global prevalence of ADHD in adults.
The study concluded that the worldwide prevalence of adult ADHD is 3.1%, with a 95% confidence interval ranging from 2.6% to 3.6%. This estimate falls within the range of earlier reports but provides a more targeted understanding of the rate at which ADHD affects adults globally.
The researchers described this prevalence rate as “relatively high.” They noted that it is only slightly lower than the estimated prevalence of major mental health conditions like schizophrenia (4%) and major depressive disorder (5%)—disorders that have historically received significant attention and resources worldwide.
Moreover, the prevalence of adult ADHD is higher than that of several other well-known mental health conditions, including bipolar disorder (1%), as well as anxiety disorders such as PTSD (Post-Traumatic Stress Disorder), OCD (Obsessive-Compulsive Disorder), GAD (Generalized Anxiety Disorder), and panic disorders.
This updated estimate emphasizes that ADHD is a significant global mental health concern in adults, comparable to or exceeding the prevalence of other disorders that are often more widely recognized. These findings underscore the need for greater awareness, research, and treatment options for adult ADHD, which is still frequently misunderstood or overlooked in the broader discourse of mental health.
By providing a clearer picture of how prevalent ADHD is in adult populations around the world, this study contributes valuable data that could shape future research, policy, and clinical approaches.
Attention-Deficit/Hyperactivity Disorder (ADHD) remains a prevalent condition among children and adolescents in the United States. A recent analysis based on the National Health Interview Survey (NHIS), conducted by the National Center for Health Statistics at the CDC, provides an updated look at ADHD prevalence from 2018 to 2021. Here’s a closer look at what the data reveals.
The NHIS is an annual survey primarily conducted through face-to-face interviews in respondents’ homes. Telephone interviews are used as a substitute in cases where travel is impractical. For each family interviewed, one child aged 3-17 is randomly selected for the survey through a computer program. Over the four years studied (2018-2021), a total of 26,422 households with children or adolescents participated.
The analysis found that 9.5% of children and adolescents in the United States had been diagnosed with ADHD, based on reports from family members. However, the prevalence varied significantly with age:
The increase in ADHD diagnosis with age underscores the importance of monitoring children’s developmental needs as they progress through school and adolescence.
The survey revealed a notable difference in ADHD prevalence between genders, with 12.4% of males diagnosed compared to 6.6% of females—nearly a two-to-one gap. This aligns with previous research indicating that ADHD is more frequently diagnosed in boys than girls, though awareness of how ADHD presents differently across genders is growing.
Family income played a significant role in ADHD prevalence, particularly among lower-income groups:
This pattern suggests that socioeconomic factors might influence the diagnosis and management of ADHD, with lower-income families possibly experiencing greater barriers to early diagnosis or consistent treatment.
Geographic location also impacted ADHD rates. Prevalence was highest in the South (11.3%), followed by the Midwest (10%), the Northeast (9.1%), and significantly lower in the West (6.9%). These variations could reflect regional differences in healthcare access, diagnostic practices, or cultural attitudes towards ADHD.
Despite these variations in demographics, the overall prevalence of ADHD remained relatively stable across the study period from 2018 to 2021, showing no significant changes by year.
The findings from this updated analysis provide a clearer picture of ADHD’s prevalence across different demographic groups in the United States. They highlight the need for tailored approaches to diagnosis and care, taking into account factors like age, gender, income, and geographic location. With ADHD being a common condition affecting nearly 1 in 10 children, ongoing research and support for families are crucial to ensure that those with ADHD receive the care and resources they need.
This study reinforces the importance of awareness and early intervention, especially for families in underserved regions or those facing economic challenges. As clinicians and educators continue to support children with ADHD, understanding these demographic trends can help in creating more equitable access to diagnosis and treatment.
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