{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T20:58:39Z","timestamp":1793307519313,"version":"4.5.0"},"reference-count":35,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,12,5]],"date-time":"2023-12-05T00:00:00Z","timestamp":1701734400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clin Psychology and Psychoth"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Persistent mind\u2010wandering processes are associated with negative emotions; however, mindful states exhibit an anticorrelation with mind\u2010wandering patterns. The aim of this study is to investigate the mediating role of excessive mind wandering (EMW), rumination, and trait mindfulness between attention\u2010deficit hyperactivity disorder (ADHD) symptoms and the severity of anxiety\/depression in adults with ADHD.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Medication\u2010free 159 adults diagnosed with ADHD completed a test battery that included a sociodemographic form as well as the Adult ADHD Severity Rating Scale, Hospital Anxiety Depression Scale, Mind Excessively Wandering Scale, Ruminative Response Scale, and Freiburg Mindfulness Inventory after the diagnostic examination according to the Structured Clinical Interview for DSM\u20105\u2013Clinician Version (SCID\u20105).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>ADHD symptoms exhibited an indirect, but not a direct, association with the severity of anxiety and depression, mediated by increased excessive mind wandering and rumination, as well as decreased trait mindfulness.<\/jats:p><\/jats:sec><jats:sec><jats:title>Limitations<\/jats:title><jats:p>This study was carried out within a clinical population using a cross\u2010sectional design. While diagnostic assessments were conducted using SCID\u20105, psychiatric symptoms were evaluated through self\u2010report measures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Coping with EMW and rumination and promoting mindfulness ability may be promising targets in treating comorbid conditions in adults with ADHD. These findings have highlighted the effects of mentation processes on depression and anxiety, which are common comorbidities with ADHD in adults; however, longitudinal studies are needed.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cpp.2940","type":"journal-article","created":{"date-parts":[[2023,12,6]],"date-time":"2023-12-06T05:05:56Z","timestamp":1701839156000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Excessive mind wandering, rumination, and mindfulness mediate the relationship between ADHD symptoms and anxiety and depression in adults with ADHD"],"prefix":"10.1002","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6940-0940","authenticated-orcid":false,"given":"Ali","family":"Kande\u011fer","sequence":"first","affiliation":[{"name":"Department of Psychiatry, Faculty of Medicine Sel\u00e7uk University  Konya T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2442-7274","authenticated-orcid":false,"given":"\u015eerife","family":"Odaba\u015f \u00dcnal","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Faculty of Medicine Sel\u00e7uk University  Konya T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1802-302X","authenticated-orcid":false,"given":"Muhammed Tu\u011frul","family":"Erg\u00fcn","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Faculty of Medicine Sel\u00e7uk University  Konya T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8924-5108","authenticated-orcid":false,"given":"Emine","family":"Yavuz Ata\u015flar","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Etlik City Hospital  Ankara T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,12,5]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.29399\/npa.27804"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890423349"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425787"},{"key":"e_1_2_10_5_1","first-page":"187","article-title":"Validity and reliability of Turkish version of Hospital Anxiety and Depression Scale","volume":"8","author":"Aydemir O.","year":"1997","journal-title":"T\u00fcrk Psikiyatri Dergisi"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaac.2015.12.006"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.neubiorev.2021.12.028"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2010.11.003"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-psych-042716-051139"},{"key":"e_1_2_10_10_1","first-page":"77","article-title":"Validity and reliability of the Turkish version of the Adult ADHD Self\u2010Report Scale (ASRS\u2010v1. 1)","volume":"10","author":"Dogan S.","year":"2009","journal-title":"Alpha Psychiatry"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sbspro.2010.07.433"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.5350\/DAJPN2016290202"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2020.112798"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2020.01.016"},{"key":"e_1_2_10_15_1","volume-title":"Introduction to mediation, moderation, and conditional process analysis: A regression\u2010based approach","author":"Hayes A. F.","year":"2017"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0018555"},{"key":"e_1_2_10_17_1","volume-title":"IBM SPSS statistics for windows (version 22.0)","author":"IBM","year":"2013"},{"key":"e_1_2_10_18_1","volume-title":"Wherever you go, there you are: Mindfulness meditation in everyday life","author":"Kabat\u2010Zinn J.","year":"1994"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1080\/24750573.2019.1663582"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1017\/s0033291704002892"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1126\/science.1192439"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.4097\/kja.19087"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eurpsy.2018.11.001"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2010.12.006"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1177\/1087054716651927"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2021.05.068"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-030-39051-8_6"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.3758\/brm.40.3.879"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.obhdp.2019.11.008"},{"key":"e_1_2_10_30_1","first-page":"1","volume-title":"Psychology of learning and motivation","author":"Schooler J. W.","year":"2014"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2018.04.002"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1023910315561"},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.paid.2005.11.025"},{"key":"e_1_2_10_34_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10608-018-9910-0"},{"key":"e_1_2_10_35_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.1983.tb09716.x"},{"key":"e_1_2_10_36_1","doi-asserted-by":"publisher","DOI":"10.1177\/1087054707308502"}],"container-title":["Clinical Psychology &amp; Psychotherapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cpp.2940","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,12]],"date-time":"2024-11-12T09:46:26Z","timestamp":1731404786000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/cpp.2940"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12,5]]},"references-count":35,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,1]]}},"alternative-id":["10.1002\/cpp.2940"],"URL":"https:\/\/doi.org\/10.1002\/cpp.2940","archive":["Portico"],"relation":{},"ISSN":["1063-3995","1099-0879"],"issn-type":[{"value":"1063-3995","type":"print"},{"value":"1099-0879","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,12,5]]},"assertion":[{"value":"2023-09-01","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-11-15","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-12-05","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e2940"}}