Mindfulness Training for Parents and Their Children With ADHD Increases the Children’s Compliance
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Children with ADHD are often non-compliant with parental instructions. Various methods have been used to reduce problem behaviors in these children, with medication and manipulation of behavioral contingencies being the most prevalent. An objection often raised by parents is that these management strategies require them to impose external control on the children which not only results in the children not learning self-control strategies, but also does not enhance positive interactions between them and their parents. Studies have shown that providing mindfulness training to parents, without a focus on reducing problem behaviors, can enhance positive interactions with their children and increase their satisfaction with parenting. We were interested to see what effects giving mindfulness training to two mothers, and subsequently to their children, would have on compliance by the children. Using a multiple baseline across mothers and children design, we found that giving a mother mindfulness training enhanced compliance by her child. When the children were subsequently given similar training, compliance increased even more markedly, and was maintained during follow-up. The mothers reported associated increases in satisfaction with the interactions with their children and happiness with parenting. We suspect that the mindfulness training produces personal transformations, both in parents and children, rather than teaching strategies for changing behavior.
KeywordsChildren with ADHD Parental non-compliance Mindfulness Interactional context
This paper is based on a presentation by the second author at the Third International Conference on Child and Adolescent Mental Health, Brisbane, Queensland, Australia, June 2004.
- Anastopoulos, A. D., & Farley, S. E. (2003). A cognitive-behavioral training program for parents of children with attention-deficit/hyperactivity disorder. In A. E. Kazdin & J. R. Weisz (Eds.), Evidence-based psychotherapies for children and adolescents (pp. 187–203). New York: Guilford Press.Google Scholar
- Barlow, D. H., Nock, M. K., & Hersen, M. (2009). Single case experimental designs: Strategies for studying behavior change (3rd ed.). New York: Allyn & Bacon.Google Scholar
- Chah, Ajahn. (2002). Food for the heart: The collected works of Ajahn Chah. Boston: Wisdom.Google Scholar
- Davies, D. (2004). Child development: A practitioner’s guide (2nd ed.). New York: Guilford Press.Google Scholar
- Faraone, S. V. (2003). Understanding the effect size of ADHD medications: Implications for clinical care. Medscape Psychiatry and Mental Health, 8(2). Downloaded from http://www.medscape.com/viewarticle/461543 on December 4, 2008.
- Fontana, D., & Slack, I. (1997). Teaching meditation to children: A practical guide to the use and benefits of meditation techniques. Dorset: Element Books Ltd.Google Scholar
- Froehlich, T. E., Lanphear, B. P., Epstein, J. N., Barbaresi, W. J., Katusic, S. K., & Kahn, R. S. (2007). Prevalence, recognition, and treatment of attention-deficit/hyperactivity disorder in a national sample of US children. Archives of Pediatrics & Adolescent Medicine, 161, 857–864. doi: 10.1001/archpedi.161.9.857.CrossRefGoogle Scholar
- Grosswald, S. J., Stixrud, W. R., Travis, F., & Bateh, M. A. (2008). Use of the transcendental meditation technique to reduce symptoms of attention deficit hyperactivity disorder (ADHD) by reducing stress and anxiety: An exploratory study. Current Issues in Education, 10(2). Available at http://cie.ed.asu.edu/volume10/number2/.
- Hanh, T. N. (2002). A pebble in your pocket. Berkley, CA: Parallax Press.Google Scholar
- Kendall, P. C., Panichelli-Mindel, S. M., & Gerow, M. A. (1995). Cognitive-behavioral therapies for children and adolescents: An integrative overview. In H. P. J. G. van Bilsen, P. C. Kendall, & J. H. Slavenburg (Eds.), Behavioral approaches for children and adolescents: Challenges for the next century (pp. 1–18). New York: Plenum Press.Google Scholar
- Kornfield, J. (2008). The wise heart: A guide to the universal teachings of Buddhist psychology. New York: Bantam.Google Scholar
- Loeber, R., & Hay, D. F. (1994). Developmental approaches to aggression and conduct problems. In M. Rutter & D. F. Hay (Eds.), Development through life: A handbook for clinicians (pp. 488–516). Oxford: Blackwell Scientific Publications.Google Scholar
- McLeod, K. (2001). Wake up to your life: Discovering the Buddhist path of attention. San Francisco, CA: Harper Collins.Google Scholar
- Newcorn, J. H., Kratochvil, C. J., Allen, A. J., Casat, C. D., Ruff, D. D., Moore, R. J., et al. (2008). Atomoxetine and osmotically released methylphenidate for the treatment of attention deficit hyperactivity disorder: Acute comparison and differential response. The American Journal of Psychiatry, 165, 721–730. doi: 10.1176/appi.ajp.2007.05091676.CrossRefPubMedGoogle Scholar
- Pliszka, S. R., Carlson, C. L., & Swanson, J. M. (1999). ADHD with comorbid disorders: Clinical assessment and management. New York: Guilford Press.Google Scholar
- Sameroff, A. J. (1995). General system theories and developmental psychopathology. In D. Cicchetti & D. J. Cohen (Eds.), Developmental psychopathology. Vol. 1: Theory and methods (pp. 659–695). New York: Wiley.Google Scholar
- Segal, Z., Williams, M., & Teasdale, J. (2002). Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse. New York: Guilford Press.Google Scholar
- Singh, N. N., Lancioni, G. E., Winton, A. S. W., Curtis, W. J., Wahler, R. G., Sabaawi, M., et al. (2006a). Mindful staff increase learning and reduce aggression in adults with developmental disabilities. Research in Developmental Disabilities, 27, 545–558. doi: 10.1016/j.ridd.2005.07.002.CrossRefPubMedGoogle Scholar
- Singh, N. N., Lancioni, G. E., Winton, A. S. W., Fisher, B. C., Wahler, R. G., McAleavey, K., et al. (2006b). Mindful parenting decreases aggression, noncompliance, and self-injury in children with autism. Journal of Emotional and Behavioral Disorders, 14, 169–177. doi: 10.1177/10634266060140030401.CrossRefGoogle Scholar
- Singh, N. N., Lancioni, G. E., Winton, A. S. W., Singh, J., Curtis, J. W., Wahler, R. G., et al. (2007). Mindful parenting decreases aggression and increases social behavior in children with developmental disabilities. Behavior Modification, 31, 749–771. doi: 10.1177/0145445507300924.CrossRefPubMedGoogle Scholar
- Singh, N. N., Lancioni, G. E., Winton, A. S. W., Singh, J., Singh, A. N., Adkins, A. D., & Wahler, R. G. (2009). Training in mindful caregiving transfers to parent–child interactions. Journal of Child and Family Studies, in press.Google Scholar
- Van den Hoofdakker, B. J., van der Veen-Mulders, L., Sytema, S., Emmelkamp, P. M. G., Minderaa, R. B., & Nauta, M. H. (2007). Effectiveness of behavioral parent training for children with ADHD in routine clinical practice: A randomized controlled study. Journal of the American Academy of Child and Adolescent Psychiatry, 46, 1263–1271. doi: 10.1097/chi.0b013e3181354bc2.CrossRefPubMedGoogle Scholar
- Wells, K. C., Epstein, J. N., Hinshaw, S. P., Conners, C. K., Klaris, J., Abikoff, H. B., et al. (2000a). Parenting and family stress treatment outcomes in attention-deficit/hyperactivity disorder (ADHD): An empirical analysis in the MTA study. Journal of Abnormal Child Psychology, 28, 543–553. doi: 10.1023/A:1005131131159.CrossRefPubMedGoogle Scholar
- Wells, K. C., Pelham, W. E., Jr, Kotkin, R. A., Hoza, B., Abikoff, H. B., Abramowitz, A., et al. (2000b). Psychosocial treatment strategies in the MTA study: Rationale, methods, and critical issues in design and implementation. Journal of Abnormal Child Psychology, 28, 483–505. doi: 10.1023/A:1005174913412.CrossRefPubMedGoogle Scholar