{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T20:25:49Z","timestamp":1791059149159,"version":"4.1.0"},"reference-count":85,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2024,10,14]],"date-time":"2024-10-14T00:00:00Z","timestamp":1728864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Atten Disord"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:p>Objective: Very few studies have investigated intervention approaches that may be efficacious for youth with ADHD and co-occurring cognitive disengagement syndrome (CDS) symptoms. This study examined the feasibility, acceptability, and preliminary efficacy of a mindfulness-based intervention for adolescents with ADHD and co-occurring CDS symptoms. Methods: Fourteen adolescents ages 13 to 17\u2009years (35.71% female; 64.29% White, 7.14% Black, 28.57% Multiracial) with ADHD and elevated CDS symptoms completed the 8-week group-based Mindful Awareness Practices (MAPs) program developed for individuals with ADHD. We collected measures of CDS, ADHD, mind-wandering, mindfulness, and other difficulties and functioning at baseline, 1-month post-intervention, and 3-month post-intervention to examine preliminary efficacy. We measured participant session attendance, session engagement, at-home practice adherence, and satisfaction of adolescents and caregivers at 1-month post-intervention to examine feasibility and acceptability. We also collected qualitative feedback from adolescents and caregivers at 1-month post-intervention. Results: The intervention was overall feasible to administer, and caregivers and adolescents reported satisfaction with the intervention despite some difficulties with attendance and engagement. We observed improvements to both caregiver- and adolescent-reported CDS symptoms and ADHD-inattentive symptoms from pre-intervention to post-intervention time points, though findings across 1- and 3-month follow-up differed based on informant. We also observed improvements to some indices of adolescent-reported mind-wandering, mindfulness, brooding rumination, and academic functioning. For caregiver report, the only other noted improvement was for executive functioning. No improvements were reported by teachers. Conclusions: Findings support the initial feasibility, acceptability, and preliminary efficacy of MAPs for adolescents with ADHD and co-occurring CDS symptoms on a range of outcomes. Larger trials with a randomized design are warranted to further examine mindfulness-based interventions for adolescents with ADHD and co-occurring CDS symptoms.<\/jats:p>","DOI":"10.1177\/10870547241290182","type":"journal-article","created":{"date-parts":[[2024,10,15]],"date-time":"2024-10-15T02:57:09Z","timestamp":1728961029000},"page":"83-100","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":15,"title":["Mindful Awareness Practices (MAPs) in Adolescents With ADHD and Cognitive Disengagement Syndrome (CDS): A Pilot Open Trial"],"prefix":"10.1177","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8013-7925","authenticated-orcid":false,"given":"Kelsey K.","family":"Wiggs","sequence":"first","affiliation":[{"name":"Cincinnati Children\u2019s Hospital Medical Center, OH, USA"},{"name":"Indiana University School of Medicine, Indianapolis, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keely","family":"Thornton","sequence":"additional","affiliation":[{"name":"Cincinnati Children\u2019s Hospital Medical Center, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas C.","family":"Dunn","sequence":"additional","affiliation":[{"name":"Cincinnati Children\u2019s Hospital Medical Center, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9586-3823","authenticated-orcid":false,"given":"John T.","family":"Mitchell","sequence":"additional","affiliation":[{"name":"Duke University Medical Center, Durham, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4617-8552","authenticated-orcid":false,"given":"Joseph W.","family":"Fredrick","sequence":"additional","affiliation":[{"name":"Cincinnati Children\u2019s Hospital Medical Center, OH, USA"},{"name":"University of Cincinnati College of Medicine, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zoe R.","family":"Smith","sequence":"additional","affiliation":[{"name":"Loyola University Chicago, IL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9046-5183","authenticated-orcid":false,"given":"Stephen P.","family":"Becker","sequence":"additional","affiliation":[{"name":"Cincinnati Children\u2019s Hospital Medical Center, OH, USA"},{"name":"University of Cincinnati College of Medicine, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,10,14]]},"reference":[{"key":"bibr1-10870547241290182","doi-asserted-by":"publisher","DOI":"10.1177\/1073191105283504"},{"key":"bibr2-10870547241290182","doi-asserted-by":"publisher","DOI":"10.1177\/1073191107313003"},{"key":"bibr3-10870547241290182","volume-title":"Barkley deficits in executive functioning scale\u2013children and adolescents (BDEFS-CA)","author":"Barkley R. 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