Mindfulness in Individuals with Autism Spectrum Disorder: a Systematic Review and Narrative Analysis
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Individuals with autism spectrum disorder (ASD) are more susceptible to stress, anxiety and depression than typically developing individuals. Previous research suggests that mindfulness is effective in reducing a myriad of psychological health problems in a wide variety of populations. This review systematically investigated the efficacy of mindfulness interventions in reducing stress, anxiety, depression, rumination and aggression and increasing positive affect and psychological well-being in individuals with ASD. Six studies met inclusion criteria; each mindfulness program curriculum and process of delivery were analysed. A quality assessment rated three studies as weak, one as adequate and two as strong in research design strength. Results indicate that mindfulness training leads to a reduction in anxiety and thought problems in children in addition to increased social responsiveness, broad psychological well-being and reduced aggression in adolescents. Mindfulness training reduced anxiety, depression and rumination whilst increasing positive affect in adults with high-functioning ASD. The studies included a range of participants, methodologies and measures corroborating the robustness of mindfulness interventions resulting in positive psychological changes in individuals with ASD. Future research should address the methodological limitations of the studies in this review in order to develop superior mindfulness interventions that are to be considered evidence-based practice aimed at enhancing the quality of life of individuals with ASD.
KeywordsAutism Behavioural problems Mindfulness Stress
Compliance with Ethical Standards
Conflict of Interest
The authors declare that they have no conflict of interest.
References marked with an asterisk indicate studies included in the Systematic Review
- American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC.Google Scholar
- Biegel, G. M., Brown, K. W., Shapiro, S. L., & Schubert, C. M. (2009). Mindfulness-based stress reduction for the treatment of adolescent psychiatric outpatients: a randomized clinical trial. Journal of Consulting and Clinical Psychology, 77, 855–866. doi: 10.1037/a0016241.CrossRefPubMedGoogle Scholar
- *de Bruin, E. I., Blom, R., Smit, F. M., van Steensel, F. J., & Bögels, S. M. (2014). MYmind: mindfulness training for youngsters with autism spectrum disorders and their parents. Autism, 1–9. Advance Online Publication. doi: 10.1177/1362361314553279.
- *Hwang, Y. S., Kearney, P., Klieve, H., Lang, W., & Roberts, J. (2015). Cultivating mind: mindfulness interventions for children with autism spectrum disorder and problem behaviors, and their mothers. Journal of Child and Family Studies, 24, 2093–3106. doi: 10.1007/s10826-015-0114-x.
- Kabat-Zinn, J. (1990). Full catastrophe living: using the wisdom of your mind and body to face stress, pain, and illness. New York: Delacorte.Google Scholar
- Kabat-Zinn, J. (1994). Wherever you go, there you are: mindfulness meditation in everyday life. New York: Hyperion.Google Scholar
- *Kiep, M., Spek, A. A., & Hoeben, L. (2015). Mindfulness-based therapy in adults with an autism spectrum disorder: do treatment effects last?. Mindfulness, 6, 637–644.Google Scholar
- Marks, I. M. (1987). Fears, phobias and rituals. New York: Oxford University Press.Google Scholar
- Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression: a new approach to relapse prevention. New York: Guilford.Google Scholar
- Singh, N. N., Wahler, R. G., Adkins, A. D., Myers, R. E., & Mindfulness Research Group. (2003). Soles of the feet: a mindfulness-based self-control intervention for aggression by an individual with mild mental retardation and mental illness. Research in Developmental Disabilities, 24, 58–169. doi: 10.1016/s0891-4222(03)00026-x.CrossRefGoogle Scholar
- Singh, N. N., Lancioni, G. E., Joy, S. D. S., Winton, A. S., Sabaawi, M., Wahler, R. G., & Singh, J. (2007). Adolescents with conduct disorder can be mindful of their aggressive behavior. Journal of Emotional and Behavioral Disorders, 15, 56–63. doi: 10.1177/10634266070150010601.CrossRefGoogle Scholar
- Singh, N. N., Singh, J., Adkins, A. D., Singh, A. N., & Winton, A. S. W. (2008b). A trainer’s manual for meditation on the Soles of the Feet: a mindful method for anger management. Midlothian: ONE Publications.Google Scholar
- *Singh, N. N., Lancioni, G. E., Manikam, R., Winton, A. S., Singh, A. N., Singh, J., & Singh, A. D. (2011). A mindfulness-based strategy for self-management of aggressive behavior in adolescents with autism. Research in Autism Spectrum Disorders, 5, 1153–1158. doi: 10.1016/j.rasd.2010.12.012.
- *Singh, N. N., Lancioni, G. E., Singh, A. D., Winton, A. S., Singh, A. N., & Singh, J. (2011). Adolescents with Asperger syndrome can use a mindfulness-based strategy to control their aggressive behavior. Research in Autism Spectrum Disorders, 5, 1103–1109. doi: 10.1016/j.rasd.2010.12.006.
- *Spek, A. A., van Ham, N. C., & Nyklíček, I. (2013). Mindfulness-based therapy in adults with an autism spectrum disorder: a randomized controlled trial. Research in Developmental Disabilities, 34, 246–253. doi: 10.1016/j.ridd.2012.08.009.