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World J Clin Cases. Sep 16, 2022; 10(26): 9219-9227
Published online Sep 16, 2022. doi: 10.12998/wjcc.v10.i26.9219
Convergence mechanism of mindfulness intervention in treating attention deficit hyperactivity disorder: Clues from current evidence
Xin-Peng Xu, Wei Wang, Song Wan, Chun-Feng Xiao
Xin-Peng Xu, Song Wan, Chun-Feng Xiao, Universal Scientific Education and Research Network, Beijing 100088, China
Wei Wang, Beijing Anding Hospital, Capital Medical University, Beijing 100088, China
Author contributions: Xu XX and Xiao CF designed the research; Xu XX, Wang W, Wan S, and Xiao CF performed the research; Xu XX analyzed the data; Xu XX, Wang W, and Wan S wrote the paper.
Conflict-of-interest statement: All authors declare no competing financial interests for this article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Chun-Feng Xiao, MD, Doctor, Universal Scientific Education and Research Network, No. 5 Ankang Hutong, Beijing 100088, China. springwindxiao@163.com
Received: April 6, 2022
Peer-review started: April 6, 2022
First decision: June 11, 2022
Revised: June 26, 2022
Accepted: July 29, 2022
Article in press: July 29, 2022
Published online: September 16, 2022
Abstract

This paper reviews the underlying evidence for various aspects of the convergence mechanism of mindfulness intervention in attention deficit hyperactivity disorder (ADHD). There may be compatibility among various ADHD remission models and the therapeutic mechanism of mindfulness intervention in ADHD may be mainly via the convergence mechanism. However, neuroimaging-based analysis of the mechanisms of mindfulness intervention in treating ADHD is lacking. Differences in the efficacy of various subtypes of mindfulness intervention, and corresponding specific imaging changes need further investigation. Future research may focus on the neuroimaging features of specific mindfulness intervention subtypes.

Keywords: Attention deficit hyperactivity disorder, Mindfulness, Psychological intervention, Mechanism

Core Tip: The therapeutic mechanism of mindfulness intervention in attention deficit hyperactivity disorder (ADHD) may be mainly via the convergence mechanism. Few studies have deeply explored the neurobiological mechanisms of mindfulness intervention in ADHD treatment. Differences in the efficacy of subtypes of mindfulness intervention, and corresponding specific imaging changes need further investigation. Pre- and post-treatment changes in regions of the executive control loop and default-mode network may be a key direction.