Effects of Yoga on Attention, Impulsivity, and Hyperactivity in Preschool-Aged Children with Attention-Deficit Hyperactivity Disorder Symptoms.

Author: Cohen SCL1,2, Harvey DJ3, Shields RH4,2, Shields GS5, Rashedi RN6, Tancredi DJ1, Angkustsiri K1,2, Hansen RL1,2, Schweitzer JB7,2
Affiliation: <sup>1</sup>Department of Pediatrics, University of California Davis, Sacramento, CA. <sup>2</sup>MIND Institute, University of California Davis, Sacramento, CA. <sup>3</sup>Department of Public Health Sciences, University of California Davis, Davis, CA. <sup>4</sup>Human Development Graduate Group, University of California Davis, Davis, CA. <sup>5</sup>Department of Psychology, University of California Davis, Davis, CA. <sup>6</sup>School of Education, University of California Davis, Davis, CA. <sup>7</sup>Department of Psychiatry, University of California Davis, Sacramento, CA.
Conference/Journal: J Dev Behav Pediatr.
Date published: 2018 Mar 13
Other: Special Notes: doi: 10.1097/DBP.0000000000000552. [Epub ahead of print] , Word Count: 220


OBJECTIVE: Behavioral therapies are first-line for preschoolers with attention-deficit hyperactivity disorder (ADHD). Studies support yoga for school-aged children with ADHD; this study evaluated yoga in preschoolers on parent- and teacher-rated attention/challenging behaviors, attentional control (Kinder Test of Attentional Performance [KiTAP]), and heart rate variability (HRV).

METHODS: This randomized waitlist-controlled trial tested a 6-week yoga intervention in preschoolers with ≥4 ADHD symptoms on the ADHD Rating Scale-IV Preschool Version. Group 1 (n = 12) practiced yoga first; Group 2 (n = 11) practiced yoga second. We collected data at 4 time points: baseline, T1 (6 weeks), T2 (12 weeks), and follow-up (3 months after T2).

RESULTS: At baseline, there were no significant differences between groups. At T1, Group 1 had faster reaction times on the KiTAP go/no-go task (p = 0.01, 95% confidence interval [CI], -371.1 to -59.1, d = -1.7), fewer distractibility errors of omission (p = 0.009, 95% CI, -14.2 to -2.3, d = -1.5), and more commission errors (p = 0.02, 95% CI, 1.4-14.8, d = 1.3) than Group 2. Children in Group 1 with more severe symptoms at baseline showed improvement at T1 versus control on parent-rated Strengths and Difficulties Questionnaire hyperactivity inattention (β = -2.1, p = 0.04, 95% CI, -4.0 to -0.1) and inattention on the ADHD Rating Scale (β = -4.4, p = 0.02, 95% CI, -7.9 to -0.9). HRV measures did not differ between groups.

CONCLUSION: Yoga was associated with modest improvements on an objective measure of attention (KiTAP) and selective improvements on parent ratings.

PMID: 29538185 DOI: 10.1097/DBP.0000000000000552