Randomized trials usually focus on intended effects and focus less on possible adverse effects. 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. Only the meditation group improved in the selective deployment of attention, which was claimed as an essential aspect of meditation training. Chanting Gayatri mantra helps children focus, align their hyperactive energies to channelize in product activities, and live their own age with awareness to become decisive and enlightened at an . What is a hyperactive child? We will pool dichotomous outcomes using the risk ratio (RR) as the summary statistic. National Library of Medicine In Haffner 2006, the yoga instructors themselves carried out the assessment of the participants in both the yoga and control group; detection bias was therefore inevitable. 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). official website and that any information you provide is encrypted Five broad categories of meditation practice were identified by a group of experts using modified Delphi methodology: mantra meditation (comprising the Transcendental Meditation technique (TM), Relaxation Response (RR) and Clinically Standardized Meditation (CSM)), mindfulness meditation (comprising Vipassana, Zen Buddhist meditation, Mindfulnessbased Stress Reduction (MBSR) and Mindfulnessbased Cognitive Therapy (MBCT)), yoga, Tai Chi and Qi Gong (Ospina 2007)).
(Pdf) Vedic Chanting and Cognitive Impairments in Adhd 1 1 The effects of interventions are compared in a pairwise manner as follows. To determine selective outcome reporting we planned to compare the study with its protocol, which might be registered in trial registries, however no included studies were registered in any trial registries. Careers, Unable to load your collection due to an error. Psychiatric problems precipitated by transcendental meditation, Summing Up: The Science of Reviewing Research, Complementary medicine in palliative care and cancer symptom management. The three groups had an equal number of medicated participants. standard error, tvalue, P value) we will perform the proper mathematical transformation to obtain standard deviations. There were five outcomes which are considered to be the primary outcomes in this review. Each comparison had only one included trial and had continuous outcomes. The yoga program consisted of multiple components (respiratory, postural, relaxation concentration training). Metaanalysis should only be considered when a group of trials is sufficiently homogeneous in terms of participants, interventions and outcomes to provide a meaningful summary. Hyperactivity in children is characterised by reckless behaviour and too much activity that stems from receiving a lack of sufficient attention. The data analysis will seek to answer the following questions. Meditation therapy versus drug therapy (skewed data) (MorettiAltuna 1987). The operational definition of meditation techniques used should be specified and relate to ADHD core symptoms. 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. 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 disorder has early onset and is characterized by a combination of overactive, poorly modulated behavior with marked inattention. Attentiondeficit/hyperactivity disorder (ADHD) is one of the most common developmental disorders experienced in childhood and can persist into adulthood. Only Haffner 2006 used a welltrained yoga teacher while participants in Jensen 2004, Kratter 1983 and MorettiAltuna 1987 were taught by the investigators themselves. Follow up length (shortterm, intermediate, longterm). Stallings P, ADHD = attentiondeficit/hyperactivity disorder. Allocation concealment was therefore not carried out in this trial. ADHD (Attention Deficit Hyperactive Disorder) is a condition that is now very common in children. Of the 25 who responded, 16 began the trials and completed them. We therefore summarized quality for each comparison as follows. Apart from the different mantra used in their studies, other aspects of the intervention (duration, frequency, sitting position, passive attitude) were almost the same. Psychological testing to measure the symptoms profile of ADHD. Two studies used mantra meditation, which is mindbased. Professor Dr. Pisake Lumbiganon for initiating and supporting this review. Richters J. Anxiety and depressive disorders in attention deficit disorder with hyperactivity: new findings. Participants of any age diagnosed with attentiondeficit/hyperactivity disorder (ADHD) or hyperkinetic disorders (HKD) according to established diagnostic criteria. We judged the quality of the evidence by assessing limitations in design, inconsistency, indirectness, imprecision and publication bias. Of the 14 boys who completed the trials, 6 participated in the yoga group only, 5 who were originally in the control group moved from the control group to the yoga group, and 3 were in the control group only. We did not conduct subgroup analysis because there was only one included trial for each comparison.
10 Tips For Coping With A Hyperactive Child - Everyday Health AManual for Teaching Yoga to Children. Comment: cointervention more boys in the yoga group received medication (5 of 9) than the exercise group (3 of 11). MorettiAltuna 1987 did not give details of randomization methods and we therefore judged the adequacy of randomization and allocation concealment to be 'Unclear'. et al. Augmentation of psychostimulant treatment with psychosocial interventions provides no advantage over medication alone for the core symptoms of ADHD, but appears to have an advantage for associated problems such as anxiety disorders, social skills difficulties, consumer satisfaction and possibly academic achievement (MTA 1999). Subtypes of attention deficit/hyperactivity disorders, etc. One child might have good self-control at age 4 while it takes another until age 6. . Concentrative meditation involves focusing attention on an object and sustaining attention until the mind achieves stillness. No studies gave details of adverse effects, but this is an important outcome to be considered in every study, especially in trials in children. MorettiAltuna 1987 compared meditation training versus drug therapy versus standard therapy control. Meditation, either concentrative or mindfulness, is able to enhance the attentional ability of the practitioners. Notice the presence of this moment. Hyperactivity is a common component of ADHD, characterized by impulsive behaviors that are typically apparent by the age of seven. The term "fidgety" is familiar to most of us from our own childhood. Wigal SB, The study compared ten students with ADHD before and after they learned and practiced Transcendental Meditation for ten minutes twice daily for three months. Systematic biases directly affected the validity of the included studies. We checked the reference lists of all relevant studies for further references. We excluded studies where meditation therapy was not a wellorganized program (i.e. We searched the following electronic databases with the help of the Trials Search Coordinator of the Cochrane Developmental, Psychosocial and Learning Problems Group (CDPLPG). The aim is onepointed attention to a single perception without distraction in order to produce concentration or a oneminded state. We changed some sources of databases to be searched. Fan J. Dr. Shefali Tsabary, child psychologist and bestselling author of "The Parenting Map," says there are six types of gifted kids. March JS, Wasdell M, The first randomized controlled trial using meditation for ADHD was the study of Kratter 1983, which took place 25 years ago. As the effects of globalization and the holistic view of health expand, meditation may become more accepted and widely used in the clinical setting. Shaffer D, Nonpharmacological treatment of ADHD in childhood can be divided into three categories: parent or familyfocused strategies, childdirected interventions and schoolbased interventions (ICSI 2005). CAM on PubMed, the website of the Cochrane Complementary and Alternative Health field, the Complementary Medicine Resources for Health Professionals and Researchers, and the Complementary and Alternative Therapies databases of Bandolier. Swanson J, We did not conduct sensitivity analysis due to the limited number of included studies in the review. Data on adverse effects are often sparse but the absence of information does not mean that the intervention is safe (Higgins 2008). the contents by NLM or the National Institutes of Health. If you have a hyperactive child, managing them can be challenging and stressful at times. Kratter 1983 compared three intervention groups: meditation training versus relaxation training versus waiting list control. Kratter 1983 used the word "Ahnam", a Sanskrit word which means "nameless". Fletcher KE,
Attention-deficit/hyperactivity disorder (ADHD) in children - Mayo Clinic ADHD affects people of all ages, but it is most commonly diagnosed in children. Resch F. The effectiveness of bodyoriented methods of therapy in the treatment of attentiondeficit hyperactivity disorder (ADHD): results of a controlled pilot study, Zeitschrift fr Kinder und Jugendpsychiatrie und Psychotherapie, The effects of yoga on the attention and behavior of boys with attention deficit hyperactivity disorder (ADHD), The use of meditation in the treatment of attention deficit disorder with hyperactivity, The effects of meditation versus medication in the treatment of attention deficit disorder with hyperactivity, Effect of Yoga on Children with Attention Deficit/Hyperactivity Disorder, Mindfulness meditation as an intervention for adult attention deficit hyperactivity disorder, Sahaja yoga meditation as a family treatment programme for children with attention deficithyperactivity disorder. There was no statistically significant difference between the meditation therapy group and the standard therapy group in the teacher rating ADHD scale (MD 0.52, 95% CI 5.88 to 4.84, 17 patients, see Figure 4). 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. Genes and attention deficit hyperactivity disorder, Precipitation of acute psychotic episodes by intensive meditation in individuals with a history of schizophrenia, Wechsler Individual Achievement Test Manual. Parker JD, The objective of this review was to assess the efficacy of this treatment. Adolescent, Child, Female, Humans, Male, Yoga, Attention Deficit Disorder with Hyperactivity, Attention Deficit Disorder with Hyperactivity/drug therapy, Attention Deficit Disorder with Hyperactivity/therapy, Meditation, Meditation/methods, Relaxation Therapy, Relaxation Therapy/methods. Children who are hyperactive may run, jump, and climb more than their peers. In MorettiAltuna 1987 there was no mention of the number of enrolled participants at the beginning of the trial. After a period of practice the patient should develop a sustainable attentive observational capability, without reacting to their own thoughts and emotions. In Haffner 2006 more boys in the yoga group received medication (five of nine) than in the exercise group (three of 11). Due to clear differences in characteristics, rather than undertaking an overall pooled analysis, we will analyze the data in subgroups according to the following categories. One of the excluded studies involved development of an audio program for the treatment of adult ADHD and used a group of experts to give opinions about the program (Evans 2007). An official website of the United States government. Pbert L, All the outcomes should be validated and described, including adverse effects. Randomized controlled trials comparing meditation therapy alone or in combination with conventional treatment (consisting of drugs or any other psychological interventions) to i) conventional treatment or ii) no intervention/waiting list control. Only the blinding of of raters/assessors is possible in such trials. According to the Diagnostic and Statistical Manual of Mental Disorders, 4th edition, Text Revision (DSMIVTR) (APA 2000), prevalence estimates among school children in the US are between 3% and 7% (APA 2000), but other estimates range from 1.7% to 16.0% (Pritchard 2005). Previous studies explored the effect of Vedic chants on cognitive function in children, but no study has been conducted to evaluate the effect of chanting on ADHD. Iida J, Data for the side effects of meditation and quality of life were not reported in any trials. The consistency of results across studies could not be determined because there was only one study to provide data for each comparison. (b) Intensity and frequency of practice: duration of meditation per treatment session, frequency of practice, duration of practice. Methodological quality graph: review authors' judgments about each methodological quality item presented as percentages across all included studies. Jensen 2004 also stated that the study had a "randomized crossover design", but only the participants in the control group were allowed to move to the yoga group; the yoga group did not cross over to the control group. The program was tested in a beforeafter design and found a statistically significant difference in change scores (P < 0.05). The following searches were conducted without language restriction. All of the included studies for this review used per protocol analysis. Bring your attention to the center of your chest and forehead. Signs and Symptoms Diagnoses Treatment Coping Hyperactivity is a term that describes a person who moves, talks, fidgets, and interrupts more than is typical. Teach them that it's normal part of the school day. Repeat the mantra at least three times. It makes children unable to concentrate on their work and other tasks as well. We also excluded one duplicate report (Kratter 1982). We therefore did not conduct assessment of heterogeneity. Meditation. For most people with ADHD, hyperactivity . Yoga as an intervention for children with attention problems. Peck HL, Further studies have followed Kratter's trial but many of these have used a beforeafter design which has several methodological limitations. Positive mantras are useful at any age. Hassasiri A, Mindfulness. We contacted persons and organizations whose work relates to meditation (i.e. Massion AO, Conners' Parent (CPRSR:L) Teacher (CTRSR:L) Rating Scales Revised: Long (. It is a good idea to buy a lot of colorful containers, mark them (for preschoolers - with pictures), and teach a kid to put things in their places. Danforth JS, The risk of bias is presented in the 'Risk of bias' table with two additional figures: a 'Risk of bias graph' (Figure 1) and a 'Risk of bias summary' (Figure 2). In Jensen 2004 there were significant differences between the control and yoga groups' pretest subscale scores on almost all Conners' Rating Scales for both parents and teachers. 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. Using a crossover design in a trial of an intervention which needs practicing by the participants means it is difficult to discard the carryover effect during phase two of the trial. The assessment of risk of bias due to selective reporting of outcome was made for each study as a whole. The summary assessment of risk of bias used the authors' judgment for primary outcomes (symptoms of ADHD, quantitative laboratory assessment measures of ADHD symptoms, overall incidence/severity of the problem behaviors) both within and across studies. Jensen 2004 used an Actigraph motion logger (a portable electronic activity monitor designed to be worn on the wrist, waist or ankle) and reported that "there were many technical problems encountered mainly due to their use in a naturalistic setting.
ADHD Test (Attention Deficit Hyperactivity Syndrome) - MantraCare These techniques were adapted from the wellknown concentrative meditation developed by Benson 1975 and Carrington 1975, which has some roots in the Hindu religion. The issue of side effects should therefore be addressed in any future meditation trials. For example, "get ready for school" is a broad task. Due to the variety of theories and practices of meditation the inclusion of different techniques under the same umbrella of meditation is inappropriate. Moreover, studies indicate that children diagnosed as having ADHD and a comorbid anxiety or depressive disorder have higher levels of coexisting life stresses and parental symptoms than children who have the single diagnosis of ADHD (Jensen 1993). Mantra meditation (comprising the Transcendental Meditation technique (TM), Relaxation Response (RR) and Clinically Standardized Meditation (CSM)). Regular participation in sports and other physical exercises helps in improving the behaviour of hyperactive kids. Methodological quality summary: review authors' judgments about each methodological quality item for each included study. Fremdbeurteilungsbogen fr hyperkinetische Strungen (FBBHKS), used in, Conners' Parent (CPRSR:L) Teacher (CTRSR:L) Rating Scales Revised: Long (, Abbreviated ParentTeacher Questionnaire (PTQ) (Conners 1973), used in, WerryWeissPeters Activity Scale (WWPAS) (Werry 1968), used in, NowickiStrickland Locus of Control Scale (LCS), used in, Test of Variables of Attention (TOVA) (Greenburg 1991), used in, Matching Familiar Figure Test (MFFT) (Kagan 1996), used in, Fruit Distraction Test (FDT) (Santostefano 1978), used in, The Children's Embedded Figures Test (CEFT) (Karp 1963), used in. Although a hyperactive child may look unsteady, with endless energy and a propensity for hopping from one activity to the next, restoring order to their life is not difficult. Iwaszuk W, which will help them use up their energies and calm their minds. The adverse effects of meditation in children with ADHD are unknown. The reasons for missing data were clarified by the study authors and were described in the Notes sections of the 'Characteristics of included studies' table. 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 techniques of mindfulness meditation, with their emphasis on developing detached observation and awareness of the contents of consciousness, may represent a powerful cognitive behavioral coping strategy for transforming the ways in which we respond to life events (Astin 1997). Yoga versus control for ADHD (Jensen 2004). The attrition rate of the other three studies was unclear or not described. Comment: the intervention cannot be blinded. The classifications in this system are more suited to defining the broad range and variety of meditation than the previously used classification (concentrative meditation and mindfulness meditation). When many outcomes are used in one study this will increase the possibility of a significant difference which occurred by chance. She shares her best advice for raising them to be happy, successful . For crossover designs, we extracted all data but, because of the strong carryover effect of meditation, we used only data from the first phase of study in our analyses. This is a problem with brain chemistry that affects the brain's ability to pass. Banga A, Kristeller J, Fisher P, et al. Bihar School ofYoga, Epidemiology of ADHD in schoolage children, Child and Adolescent Psychiatric Clinics of North America. Hyperactive children do not intentionally exhibit disturbing behaviour. Qi Gong (a category of 'energy healing', including Reiki, therapeutic touch and the Korean practice of Chundosunbup). In Transcendental Meditation, it is recommended that children of five years old meditate twice a day for five minutes at a time and thereafter add one minute for each year of their age until reaching 20minute sessions when aged 20 and above. Channelizing energy: Find ways to vent out their energy and soothe their minds. Meditation therapy versus standard treatment without drug. The Cochrane Collaboration. Mindfulness meditation has emerged as a new approach to stress reduction and is an important innovation in the treatment of psychiatric disorders (Baer 2003). Karkhaneh M, However, there are several ways to manage the behavior of such kids. In Kratter 1983 the randomization method was modified to equalize the medicated children evenly between each group. The primary features of ADHD include inattention and hyperactive-impulsive behavior.ADHD symptoms start before age 12, and in some children, they're noticeable as early as 3 years of age.ADHD symptoms can be mild, moderate or severe, and they may continue into adulthood.. ADHD occurs more often in males than in females, and behaviors can be different in boys and girls. We contacted religious/spiritual organizations around the world (internet web sites were extensively searched) to find out whether they had conducted or knew of the application of meditation in ADHD. The revised Conners' Parent Rating Scale (CPRSR) (, AttentionDeficit Disorder Evaluation Scale (ADDES) (, The Auditory Continuous Performance Test (. This review included the two studies of Kratter 1983 and MorettiAltuna 1987, which were carried out in children with ADHD. Cochrane Developmental, Psychosocial and Learning Problems Group (CDPLPG), UK. The reliability of data extraction and data entry were examined throughout the process. Due to limited access our literature searching could not cover some sources, such as literature in Chinese. The review authors' judgments involved answering these questions for each entry, i.e. In the International Classification of Diseases (ICD10) (WHO 1992) the disorders are defined under the category of 'Hyperkinetic Disorders' and are characterized by early onset, a combination of overactive, poorly modulated behavior with marked inattention and lack of persistent task involvement, pervasiveness across situations and persistence over time (WHO 1992). Attentiondeficit/hyperactivity disorder (ADHD) is a disorder that affects a significant number of children and adults in a variety of ways. Yang MH, Multicomponent intervention: drugs, counseling, biofeedback, parent training, psychotherapy, family therapy, etc. What is the size of the effect of meditation? To assess the effectiveness of meditation therapies as a treatment for ADHD. Only one study (Kratter 1983) mentioned the meditation room, which was a quiet room with low lighting and comfortable chairs. Hyperactivity disorder results from the difficulty in controlling impulses. Harvey E, It is now necessary to confirm the effectiveness of these meditation techniques by using noncult, faithfree and specifically designed methods to treat patients. No clusterrandomized trials were identified. Dhammakhanto K, Operational definitions of meditation are mentioned in the background section. Therefore the intensity of practice differed widely among participants and studies. They are indeed fast learners than adults. Memos and stickers Haffner 2006, Kratter 1983 and MorettiAltuna 1987 reported all the outcomes specified in their Methods section. But a main cause is ADHD, a common condition that results from differences in how the brain develops. 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. Using our totka remedy for controlling child behaviour you can make your child as a good child.
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