Weyandt LL, Systematic review of the efficacy of meditation techniques as treatments for medical illness, Journal of Alternative and Complementary Medicine, Alternative treatments for adults with attentiondeficit hyperactivity disorder (ADHD), Annals of the New York Academy of Sciences, Stress reduction through mindfulness meditation: effects on psychological symptomatology, sense of control and spiritual experiences, Mindfulness training as a clinical intervention: a conceptual and empirical review, Clinical Psychology: Science and Practice, Mindbody medicine: an introduction and review of the literature, History of the StanfordBinet Intelligence Scales: Content and Psychometrics, StanfordBinet Intelligence Scales, Fifth Edition Assessment Service Bulletin No. The essential criteria for a diagnosis of ADHD are a persistent pattern of inattention and/or hyperactivityimpulsivity that is more frequently displayed and more severe than is typically observed in individuals at a comparable level of development, and is not better explained by the presence of another mental disorder. Psychological testing to measure the symptoms profile of ADHD. Diagnosis and management of attention deficit hyperactivity disorder in primary care for school age children and adolescents (guideline) (available at: http://www.icsi.org/adhd/adhd_2300.html) (accessed February 2007). Channel that need into a useful activity. Only one study (Kratter 1983) mentioned the meditation room, which was a quiet room with low lighting and comfortable chairs. TK: protocol development, searching, data extraction, quality assessment and analysis. Meditation can be divided into two general types: concentrative meditation and mindfulness meditation (Barrows 2002). Actograph pedometer which uses devices to monitor a child's movements and displays these as an actograph which provides an objective indicator of general motor activity. 'Yes' indicates low risk of bias; 'No' indicates high risk of bias; 'Unclear' indicates insufficient detail is reported or the risk of bias is unknown. Mantra meditation was compared to relaxation training and to waiting list controls with drugs. An official website of the United States government. Ollerton M, Methodological quality graph: review authors' judgments about each methodological quality item presented as percentages across all included studies. Different followup periods: at the end of trial, any specified period after trial, repeated followup measures. There were five outcomes for this comparison but their data were skewed (see Table 9). Psychometric and neuropsychological measures were used to assess . price $ 9. Goldstein N, standard error, tvalue, P value) we will perform the proper mathematical transformation to obtain standard deviations. Mindfulness meditation emphasizes an open awareness to any contents of the mind that are emerging. The intervention program ranged from four weeks (Kratter 1983; MorettiAltuna 1987), to eight weeks (Haffner 2006) to 20 weeks (Jensen 2004). Best Seller in Parenting Hyperactive Children. 2.21M subscribers Subscribe 10K views 5 years ago Mantra for Hyperactive Children || Mantrabalam || Archana || Bhakthi TV Watch Bhakthi TV by Rachana Television. Children with ADHD have pronounced impairments and can experience enduring adverse effects in their academic performance, vocational success and socialemotional development. The method of allocation concealment was not reported in any trial but because Haffner 2006 used the drawing of lots we have assumed that allocation concealment automatically occurred because the sequence cannot be known in advance. Hero Images / Getty Images Hyperactivity and constant fidgeting cause challenges at home and at school, but it's important for parents and children alike to remember that these behaviors are not something a child can control. See also the 'Risk of bias' graph (Figure 1) and 'Risk of bias' summary (Figure 2). Teach Them to Be Useful. The reliability and validity of the Oppositional Defiant Behavior Inventory. Multimodal Treatment Study of ADHD Cooperative Group. excessive running and climbing, not remaining seated) are less common, and hyperactivity symptoms may be confined to fidgeting or an inner feeling of jitteriness or restlessness. The issue of side effects should therefore be addressed in any future meditation trials. Fulton K, ADHD is one of the most common mental disorders in children and adolescents, and it can continue into adulthood. Comparison 2 Meditation therapy versus standard treatment without drug, Outcome 2 Distraction test. The operational definition of meditation techniques used should be specified and relate to ADHD core symptoms. We searched the following complementary and alternative medicine specific databases to January 2010: We also searched the following sources to January 2010: The search strategies for these databases are shown in the appendices two to seven (see Appendices). The inclusion of dissertations may mean more balanced results as they are less likely to overestimate treatment effects, as can occur in published trials (McLeod 2004). To our knowledge no systematic review has been carried out specifically considering the effectiveness of meditation for ADHD, although several clinical trials have been conducted. If adjusted estimates of mean differences are presented from multiple regression analyses and analyses of covariance, the process of data extraction and analysis using the generic inverse variance method will be performed. We present the skewed data in Additional table. The medicated participants were distributed evenly between treatment groups using a modified randomization method. Haffner J, Brasic J, The study compared ten students with ADHD before and after they learned and practiced Transcendental Meditation for ten minutes twice daily for three months. On occasions they were damaged, stopped recording data, or failed to be activated at set times. Recently, five broad categories of meditation practices were identified by a group of experts using modified Delphi methodology (Ospina 2007). Laopaiboon M. Measuring quality of life in children with attentiondeficit/hyperactivity disorder and their families: development and evaluation of a new tool, Archives of Pediatrics & Adolescent Medicine. National Institute of Mental Health (NIMH). Complementary and Alternative Therapies databases of Bandolier. Faculty of Medicine, Department of Psychiatry, KhonKaen University, KhonKaenThailand, 40002, Faculty of Public Health, Khon Kaen University, Department of Biostatistics and Demography, 123 Miltraparp Road, Khon KaenThailand, 40002. In a Cochrane Review the quality of evidence reflects the extent to which we are confident that an estimate of the effect is correct. Due to limited access our literature searching could not cover some sources, such as literature in Chinese. the effect of the quality criteria (determine the effect of studies with high risk of bias on the overall effect); and. The trainers should be skilled or be experts in the meditation methods used. As such a limited number of trials was found, we suspect the possibility of publication bias. 1. In cases where only change score is reported, we will contact authors of studies for endpoint figures. We will use a sensitivity analysis to test the robustness of effects of assumptions by examining the influence of the following on the results of the statistical analyses: ("meditation"[mh] OR meditation[tw] OR "mindfulnessbased"[tw] OR vipassana[tw] OR Zen[tw] OR yoga[tw] OR yogic[tw] OR pranayama[tw] OR Sudarshan[tw] OR Qigong[tw] OR Qigong [tw] OR "Chi kung "[tw] OR Kundalini[tw] OR ChunDoSunBup[tw] OR Reiki[tw] OR Tai Chi[tw]) AND ( "Attention Deficit Disorder with Hyperactivity" [mh] OR "attention deficit/hyperactivity"[tw] OR attention def* [tw] OR ADHD [tw] OR ADD [tw] OR ADDH [tw] OR ADHS [tw] OR hyperactiv*[tw] OR hyperkin*[tw] OR "brain dysfunction"[tw]) AND (randomised controlled trial [pt] OR controlled clinical trial [pt] OR randomised controlled trials[mh] OR random allocation [mh] OR doubleblind method [mh] OR singleblind method [mh] OR clinical trial [pt] OR clinical trials [mh] OR "clinical trial" [tw] OR singl* [tw] OR doubl* [tw] OR trebl* [tw] OR tripl* [tw] OR mask* [tw] OR blind* [tw] OR placebos [mh] OR placebo* [tw] OR random* [tw] OR research design [mh:noexp] OR comparative study [mh] OR evaluation studies [mh] OR followup studies [mh] OR prospective studies [mh] OR control* [tw] OR prospectiv* [tw] OR volunteer* [tw]) NOT (animals [mh] NOT human [mh]). 'Meditation helps kids with ADHD' (Helen 2004)) and meditation has gained acceptability in many primary and junior school in England (Eliaz 2008). Where clustering has been incorporated into the analysis of primary studies, we will also present these data as if from a nonclustered randomized study. The DSMIVTR provides subtypes for specifying the predominant symptom presentation: predominantly inattentive type, predominantly hyperactive/impulsive type and combined type. As the effects of globalization and the holistic view of health expand, meditation may become more accepted and widely used in the clinical setting. The dropout rate might be related to adverse effects or to some discomfort with meditation. For crossover studies, to exclude the potential additive effect in the second or further stages of these trials, we will only use data from the first stage in analysis. Fouts H, Most of the means differences had wide confidence intervals reflecting the small sample size, differences in baseline characteristics of study samples and different treatment effects in individuals. A children's global assessment scale (CGAS). In one trial (Jensen 2004) the process of randomization was terminated when five participants from the control group were allowed to move to the treatment group after 20 weeks. Even positive changes, like having a new baby or moving to a better neighborhood, can create a lot of stress for a child. We may use a randomeffects metaanalysis to incorporate heterogeneity among trials only after exploring the causes of heterogeneity or when heterogeneity cannot readily be explained. Peterson LG, This design cannot therefore be described as crossover. Meditation for ADHD has been reviewed as a psychological treatment along with other psychosocial interventions. desk jobs) (APA 2000). Only one out of four studies provided data appropriate for analysis. What is the strength of evidence for the effect of meditation? Gould MS, 2.7 Biofeedback. Harada Y, The involvement of parents in practice should be considered and controlled. If the studies provide another statistic other than means and standard deviations (e.g. Able S, Cleaning, to be precise. In the study by Jensen 2004, the authors did not provide the data from truly randomized participants. Four studies were included in this review. However, only Haffner 2006 provided data for this comparison. Continuous practice should result in relaxation, clarity of mind and calmness. We did not conduct subgroup analysis because there was only one included trial for each comparison. The consistency of results across studies could not be determined because there was only one study to provide data for each comparison. Meditation therapy research protocols need to be rigorous in design and delivery, and use standardized meditation therapy programs which can be replicated by other researchers. Jensen 2004 used Conners Parent Rating Scales: Long (CPRS: R (L)) that demonstrated scores (over 70 tscore) to confirm the diagnosis of ADHD in all participants. Attentiondeficit/hyperactivity disorder (ADHD) is one of the most common developmental problems experienced in childhood and can persist into adulthood. In studies with repeated measures, we will carry out the analysis by separating the outcomes into shortterm (up to three months), intermediateterm (three to 12 months) and longterm (more than 12 months). We will pool dichotomous outcomes using the risk ratio (RR) as the summary statistic. Only Haffner 2006 used a welltrained yoga teacher while participants in Jensen 2004, Kratter 1983 and MorettiAltuna 1987 were taught by the investigators themselves. Mindbased meditation emphasizes the cognitive process which focuses on the use of selective deployment of attention: the participants learned to focus and refocus their attention (Kratter 1983). The Nordic Cochrane Centre. OpenSIGLE System for Information on Grey Literature in Europe; Health Services/Technology Assessment Text (HSTAT) database; Informit Databases: Humanities and Social Sciences Collection, Australia; English Databases of the Japan Science and Technology Agency (JST); and. Quote: "boys who were randomly allocated to the control group in the first allocation". This issue has also appeared in the news (e.g. In studies with clusterrandomization (e.g. Disorder severity and chronicity: mild, moderate, severe. The present study aimed to find out the effectiveness of Vedic chanting in cognitive impairments of a G-year-old ADHD child. The site is secure. We checked the titles from the preliminary search results and there were 17 potentially relevant studies at this stage. Comparison conditions could be one or a combination of the following: Incidence/severity of the core symptoms (inattention, impulsivity, hyperactivity) measured by a validated symptoms rating scale ; Standardized measures, including these intelligence scales. Meditation. This review included one trial for each comparison. Other ingredients of treatment: group activities, prayer, recreational activities, etc. Hassasiri et al (Hassasiri 2002) developed a meditation program for children with ADHD in Thailand based on neohumanist concepts which comprised meditation and imagery. Different types of outcome (dichotomous, continuous, survival data). What is the size of the effect of meditation? The adverse effects of meditation in children with ADHD are unknown. Two authors independently extracted data using a predesigned data collection form, which was saved electronically. Prespecified outcomes were therefore not known and it is difficult to determine whether outcomes were omitted from reporting. Disagreements were discussed with a third author (WC) and resolved through consensus. One of the main conditions associated with hyperactivity is attention deficit hyperactivity disorder. We checked the reference lists of all relevant studies for further references. The internal restlessness scale: performance of college students with and without ADHD, The ICD10 Classification of mental and behavioural disorders. There were six outcomes which are considered to be the primary outcomes in this review. We then assessed the risk of bias for an outcome across studies using the GRADE system. There was no statistically significant difference between the meditation therapy group and the drug therapy group in the teacher rating ADHD overall scale (MD 2.72, 95% CI 8.49 to 3.05, 15 patients, see Figure 3). Conners' Abbreviated Parent Questionnaire (continuous outcome) assessed by the parents at baseline, at the end of 4 weeks, at 8 weeks and at 12 weeks, Associate Professor Thawatchai Krisanaprakornkit. Hyperactivity is often accompanied by a mess, and getting rid of it is an important organizational skill. Recap. In the other two studies (Haffner 2006; Kratter 1983) no diagnostic reconfirmation procedures were used. Art is a particularly good outlet for expressing difficult emotions such as anger, frustration, sadness, and anxiety. Reliability and validity of the SKAMP rating scale in a laboratory school setting. The review authors' judgments involved answering these questions for each entry, i.e. Meditation therapy versus drug therapy for attention deficit /hyperactivity disorder, 1 Unclear randomization method, unclear allocation concealment, no blinding, unclear attrition rate, other biases presented 2 Wide confidence interval, small sample size 3 Only one study( since 1987) presented for this outcome 4 Study MorettiAltuna, 1987, meditation therapy versus standard treatment without drug for attention deficit /hyperactivity disorder, 1 Unclear randomization, unclear allocation concealment, no blinding, unclear attrition rate, other biases presented 2 Wide confidence interval, small sample size 3 Only one study(since 1987) present for this outcome 4 Study MorettiAltuna, 1987. It is noted that Asana yoga (yoga of posture) and Tai Chi are also considered to be dynamic aspects of concentrative meditation. The revised Conners' Parent Rating Scale (CPRSR): factor structure, reliability, and criterion validity, Revision and restandardization of the Conners Teacher Rating Scale (CTRSR): factor structure, reliability, and criterion validity, Notes on the psychology of meditation Part 1: definition, Attention deficit/hyperactivity disorder and ethnicity, DiagnostikSystem fr psychische Strungen im Kindesund Jugendalter nach ICD10 und DSMIV (DISYPSKJ). The endpoint score with standard deviation will be considered first in analysis if both endpoint score and change score are available. Different meditation techniques have different recommended practices for children, e.g. Design limitations caused high risk of bias across the studies. Other adults may retain only some of the symptoms, in which case the diagnosis should be ADHD in partial remission. There must be clear evidence of interference with developmentally appropriate social, academic or occupational functioning. These estimates can be further affected by influences on the diagnosis, such as the cultural environment and the differing attitudes of parents, clinicians and society towards acceptable children's behavior (Dwivedi 2005). Parents of hyperactive children often face great difficulty in managing their children's behavior. The results are presented in tables, figures and narrative form. Due to these problems, data were deemed unreliable and were discarded." Mantra to Overcome Hyperactiveness in Children || Mantrabalam || Archana || Bhakthi TVWatch Bhakthi TV by Rachana Television.
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