Effectiveness of Mindfulness Training on Attention and Cognitive Emotion Regulation in Adults with Attention Deficit/Hyperactivity Disorder
Keywords:
Adults, Cognitive Emotion Regulation, Attention, Hyperactivity Disorder, Attention Deficit, MindfulnessAbstract
Introduction and Aim: Attention Deficit/Hyperactivity Disorder (ADHD) in adults is associated with significant impairments in attention and emotion regulation that adversely affect overall functioning. The objective of this study was to examine the effectiveness of mindfulness training on attention and cognitive emotion regulation in adults with ADHD.
Methodology: This study used a quasi-experimental design with a pre-test, post-test, control group, and three-month follow-up. The statistical population consisted of adults diagnosed with ADHD in Mashhad during 2024–2025. A total of 30 participants were selected through convenience sampling and randomly assigned to an experimental group (n=15) and a control group (n=15). The experimental group received eight 60-minute sessions of mindfulness training, while the control group received no intervention. Instruments included the Barkley Adult ADHD Rating Scale (BAARS-IV) and the Cognitive Emotion Regulation Questionnaire (CERQ-18). Data were analyzed using mixed-design repeated measures ANOVA.
Findings: Results indicated significant effects of time and time × group interaction on attention deficit, positive cognitive emotion regulation strategies, and negative cognitive emotion regulation strategies (P < 0.05). Specifically, mindfulness training significantly reduced attention deficits and maladaptive emotion regulation strategies while increasing adaptive strategies in the experimental group compared to the control group. These effects remained stable at the three-month follow-up, with moderate to large effect sizes.
Conclusion: Mindfulness training appears to be an effective complementary psychological intervention for improving attention and cognitive emotion regulation in adults with ADHD, and its integration into therapeutic and rehabilitation programs is recommended.
Downloads
References
Alorani, O. I., Al Shebli, M. Y., Rababah, L. M., Rababah, M. A. I., Al-Bdour, N. T., Atiyat, M. A. M., & Miqdadi, Z. M. (2026). Mindfulness-Based Intervention and Its Effect on Working Memory in Gifted Students With Special Learning Needs in Language Education. Theory and Practice in Language Studies, 16(1), 142-153. https://doi.org/10.17507/tpls.1601.16
Alotaibi, B. M., Alrashidi, S. A., & Bahrawi, A. A. (2026). The Effect of Mindfulness-Based Interventions on Enhancing Attention Control Efficiency Among Twice-Exceptional Students in Saudi Arabia. Obrazovanie i Nauka, 28(1), 108-139. https://doi.org/10.17853/1994-5639-2026-4497
Awaji, H. H. H., Alharbi, R. A., Mokli, M. B., Balawi, G. M., Alzahrani, Y. S., Khan, A. R., & Albalawi, R. (2026). Mapping the Mind: A Network Meta-Analysis of Mindfulness and Traditional and Digital Interventions for Cognitive and Behavioral Enhancement in Children With Attention-Deficit/Hyperactivity Disorder (ADHD). Cureus, 18(1).
Ay, R., Kilincel, S., Kilincel, O., & Hafif, A. (2026). Internet Addiction and Emotion Regulation Difficulties in Patients Diagnosed With Attention-Deficit/Hyperactivity Disorder. Psychiatry Investigation, 23(3), 321. https://doi.org/10.30773/pi.2025.0320
Bajestan, S. A., Rasouli, A., Sørensen, L., & Doosalivand, H. (2026). The Impact of ADHD Symptoms on Insomnia Severity in Adolescents: The Mediating Role of Emotion Dysregulation, Self-Compassion, and Experiential Avoidance. BMC psychiatry. https://doi.org/10.1186/s12888-026-07834-3
Deep, P. D., Ghosh, N., & Natoli, A. P. (2026). Artificial Intelligence for Supporting College Students with Attention-Deficit/Hyperactivity Disorder: Cognitive, Emotional, and Ethical Perspectives. International Journal on Social and Education Sciences, 8(1), 1-17. https://doi.org/10.46328/ijonses.5915
Ferrara, F., Scognamiglio, M., Zovi, A., Langella, R., & De Berardinis, F. (2026). Vitamin D in Attention-Deficit/Hyperactivity Disorder: Pathophysiology, Repair Mechanisms, and Therapeutic Potential. Regenerative Medicine Reports, 3(1), 34-38. https://doi.org/10.4103/REGENMED.REGENMED-D-25-00024
Garnefski, N., & Kraaij, V. (2019). The Behavioral Emotion Regulation Questionnaire: Development, Psychometric Properties, and Relationships with Emotional Problems and the Cognitive Emotion Regulation Questionnaire. Personality and individual differences, 137, 56-61. https://doi.org/10.1016/j.paid.2018.07.028
Hosseinzadeh Maleki, Z., Mashhadi, A., Soltani Far, A., Mohrari, F., & Ghanaei Chamanabad, A. (2013). Effects of Working Memory Training, Barkley's Parent Training Program, and Their Combination on Improving Working Memory in Children with ADHD. Advances in Cognitive Science, 15(4), 53.
Kang, M. (2024). Mindfulness for Adults with Attention-Deficit/Hyperactivity Disorder Symptoms in China Hong Kong Baptist University].
Kannen, K., Rasbach, J., Fantazi, A., Wiebe, A., Selaskowski, B., Asché, L., & Braun, N. (2024). Alpha Modulation via Transcranial Alternating Current Stimulation in Adults with Attention-Deficit Hyperactivity Disorder. Frontiers in psychology, 14, 1280397. https://doi.org/10.3389/fpsyg.2023.1280397
Kholghi, H., Habibi Asgarabad, M., Abolmaali Alhosseini, K., Dehghani, F., & Semple, R. J. (2025). The Effectiveness of Mindfulness-Based Cognitive Therapy for Children on Anxiety, Attentional Control, and Emotion Regulation in Children: A Study Protocol. Frontiers in Pediatrics, 13, 1459434. https://doi.org/10.3389/fped.2025.1459434
Liu, Y., Yan, Q., Zhao, S., Ng, S., Wang, X., & Ning, Z. (2026). Mindfulness-Based Interventions for Children and Adolescents with Attention-Deficit/Hyperactivity Disorder: A Bayesian Meta-Analysis of Randomized Controlled Trials. Frontiers in psychology, 17, 1711994. https://doi.org/10.3389/fpsyg.2026.1711994
Mahrous, N. N., Albaqami, A., Saleem, R. A., Khoja, B., Khan, M. I., & Hawsawi, Y. M. (2024). The Known and Unknown About Attention Deficit Hyperactivity Disorder (ADHD) Genetics: A Special Emphasis on Arab Population. Frontiers in Genetics, 15, 1405453. https://doi.org/10.3389/fgene.2024.1405453
Meynaghizadeh Zargar, R., Hepark, S., & Schoenberg, P. L. (2025). Mapping Neural Effects of Mindfulness-Based Cognitive Therapy in ADHD Using EEG Microstates and Machine Learning Models. Frontiers in Psychiatry, 16, 1670602. https://doi.org/10.3389/fpsyt.2025.1670602
Nasrinia, S., & Sohrabifard, M. M. (2019). The Effectiveness of Self Control Strategy Training on Self Compassion and Emotion Regulation in Adults with Attention Deficit/Hyperactivity Disorder. Yafteh Journal, 21(3), 8.
Rezapour, T., McLean, K. L., Psederska, E., Chokshi, S., Maleki, K. N., Ekhtiari, H., & Vassileva, J. (2025). Efficacy of a Neuroscience Informed Psychoeducation Intervention on Cognitive, Emotional, and Substance Use Outcomes in College Students: A Pilot Study. Frontiers in Psychiatry, 16, 1655909. https://doi.org/10.3389/fpsyt.2025.1655909
Sabaghi, A., Ebrahimi, B., Yousofvand, N., & Hoseini, R. (2025). Comparative Effects of Moderate-Intensity Continuous Training and High-Intensity Interval Training on ADHD Symptoms and Behavioral Inhibition in Children. European Journal of Pediatrics, 184(2), 183. https://doi.org/10.1007/s00431-025-06022-x
Shen, K. (2026). Non-Pharmaceutical Psychological Interventions for Adult ADHD: A Comparative Literature Review. Journal of Education, Humanities and Social Sciences, 63, 333-340. https://doi.org/10.54097/m7dmsa71
Sultan, M. A., Nawaz, F. A., Alattar, B., Khalaf, E., Shadan, S., El-Abiary, N., & Jogia, J. (2025). Assessing the Impact of Mindfulness Programs on Attention-Deficit/Hyperactivity Disorder in Children and Adolescents: A Systematic Review. BMC pediatrics, 25(1), 32. https://doi.org/10.1186/s12887-024-05310-z
Vinci, L. A., Passaro, A., & Stasolla, F. (2026). Augmented, Virtual, and Mixed Reality Assessment and Training for Executive Functions in Children with ADHD: A Scoping Review. Information, 17(2), 186. https://doi.org/10.3390/info17020186
Yang, G., Liu, Q., Wang, W., Liu, W., & Li, J. (2024). Effect of Aerobic Exercise on the Improvement of Executive Function in Children with Attention Deficit Hyperactivity Disorder: A Systematic Review and Meta-Analysis. Frontiers in psychology, 15, 1376354. https://doi.org/10.3389/fpsyg.2024.1376354
Yılmaz, Y., & Bahadır, E. (2026). Cognitive Disengagement Syndrome and Attention Deficit Hyperactivity Disorder: An Examination of Relationships with Alexithymia and Emotion Regulation Difficulties. Applied Neuropsychology: Adult, 33(2), 523-529. https://doi.org/10.1080/23279095.2024.2385444
Zhang, Z. J., Lo, H. H. M., Bögels, S. M., Cheung, R. Y., Lau, E. N. S., Lee, E. K. P., & Yeung, W. T. (2025). A Randomized Controlled Trial for Evaluating the Effects of an Online Mindfulness-Based Intervention for Parents of Children with Attention-Deficit/Hyperactivity Disorder: A Study Protocol. BMC psychology, 13(1), 610. https://doi.org/10.1186/s40359-025-02929-0
Downloads
Published
Submitted
Revised
Accepted
Issue
Section
License
Copyright (c) 2025 Sahar Salehinia; Sakineh Soltani Kohbanani (Author)

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.