Mind-wandering in children with and without ADHD.

Abstract

OBJECTIVES\nMind-wandering (MW) is a commonly experienced phenomenon, characterized by focus of attention drifting away from the present situation to intrinsically originated thoughts. Studies in adults show that MW is related to ADHD symptoms, but this association is understudied in children. We set out to investigate the associations of MW in children with and without ADHD and to simultaneously validate the self-report Mind Excessively Wandering Scale (MEWS) in children.\n\n\nDESIGN\nWe used a cross-sectional, correlational, design to examine the research questions.\n\n\nMETHODS\nThe sample consisted of 82 children (61 boys) aged 8-13\xa0years (m\xa0=\xa010.46), of which 35 had a diagnosis of ADHD. Children rated MW; parents and teachers rated ADHD symptoms, emotion regulation and academic achievement. Working memory was assessed with Digit Span.\n\n\nRESULTS\nMW was positively related to ADHD symptoms, and the MEWS could differentiate between cases and controls with a sensitivity of 0.71 and specificity of 0.81. Psychometric properties of the MEWS were satisfactory. In addition, MW contributed independently to working memory (R2 Δ\xa0=\xa0.05, p\xa0=\xa0.01) and emotion regulation (R2 Δ\xa0=\xa0.04, p\xa0=\xa0.04) beyond ADHD symptoms.\n\n\nCONCLUSIONS\nMW is elevated in children with ADHD and contributes to functional domains. The MEWS is a valid tool for assessing MW in children, and the results are mostly comparable to that of adults (Mowlem et al., 2016, Journal of Attention Disorders, 23, 624), suggesting a similar relationship of MW to ADHD across the lifespan.\n\n\nPRACTITIONER POINTS\nSpontaneous mind-wandering is elevated in children with ADHD compared to children without a diagnosis. Elevated spontaneous mind-wandering predicts lower working memory, emotion regulation and academic achievement beyond ADHD symptoms, IQ and socio-economic status. Clinicians should consider evaluating excessive spontaneous mind-wandering and targeting it as an important outcome when treating children with ADHD. The MEWS is a valid tool for assessing excessive mind-wandering in children.