MINDFULNESS AS A MODERATOR OF SELF-ESTEEM, FUNCTIONAL IMPAIRMENT, AND PSYCOLOGICAL FLEXIBILITY IN AN ADULT ADHD POPULATION
Abstract
Many adults diagnosed with ADHD have often learned to cope with and adapt to
the primary symptoms (i.e. impulsivity, inattention) of ADHD. However, adults with
ADHD often cite the secondary symptoms (i.e. decreased self-esteem) that may
accompany ADHD as significantly impairing their lives. Much of the research to date on
treatment of ADHD has focused on ameliorating the primary symptoms of adult ADHD
and less attention has been focused on the secondary symptoms of ADHD. Incorporating
a mindfulness intervention into the treatment of ADHD could have wide-ranging benefits
as mindfulness is a self-regulatory practice that can improve attention (primary symptom)
and emotional regulation (secondary symptom). The goal of the present study was to
evaluate the relationships among mindfulness and self-esteem, psychological flexibility,
and functional impairment in an adult ADHD sample of 133 adults self-identified as
having a diagnosis of ADHD. They completed the following measures: demographics
questionnaire, Accepting without judgment subscale of the Kentucky Inventory of
Mindfulness Skills (KIMS), Rosenberg Self-Esteem Scale (RSE), Work and Social
Adjustment Scale (WSAS), Acceptance and Action Questionnaire (AAQ-2), and the
Wender Utah Rating Scale (WURS). Moderated regression analyses were used to predict
an outcome (i.e., psychological flexibility, functional impairment, or self-esteem) from
two predictors (i.e., ADHD symptom severity, accepting without judgment) and the
interaction between the two predictors. It was found that participants who were more
mindful had greater self-esteem and reported less functional impairment.