The Effectiveness of a Mindfulness-Based Cognitive Therapy Training Program on Executive Functions and Sustained Attention in Children with Learning Disorders

Document Type : Original Article

Authors

1 Department of Psychology, Faculty of Psychology and Educational Sciences, University of Tehran, Tehran, Iran.

2 Department of Educational Sciences, Faculty of Educational Sciences, University of Shahed, Tehran, Iran.

3 Department of Educational Psychology, Faculty of Psychology and Educational Sciences, University of Tehran, Tehran. Iran.

Abstract

Executive function deficits are among the most common cognitive difficulties experienced by children with learning disorders and are associated with poor academic achievement, impaired emotional regulation, and difficulties in everyday functioning. Mindfulness-Based Cognitive Therapy (MBCT) has been proposed as a promising intervention for improving cognitive and emotional functioning in this population. Therefore, the present study investigated the effectiveness of an MBCT training program on executive functions and sustained attention in children with learning disorders. A quasi-experimental pretest–posttest design with a control group was employed. Thirty children aged 9–12 years diagnosed with learning disorders were selected from the Learning Disorders Clinic of the Faculty of Psychology and Educational Sciences, University of Tehran, and randomly assigned to an experimental group (n = 15) or a control group (n = 15). The experimental group participated in twelve weekly 90-minute MBCT sessions, whereas the control group received no intervention. Data were collected using the Executive Skills Questionnaire–Revised (ESQ-R) and the Integrated Visual and Auditory Continuous Performance Test (IVA) and analyzed using multivariate analysis of covariance (MANCOVA). The findings indicated that MBCT significantly improved planning, emotional regulation, and time management compared with the control group. However, no significant effects were found for organization, behavioral regulation, or sustained attention. These findings suggest that MBCT is an effective intervention for enhancing specific components of executive functioning in children with learning disorders. Incorporating mindfulness-based interventions into educational and clinical settings may strengthen self-regulatory and cognitive abilities, thereby improving academic performance and psychological functioning in this population.

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Main Subjects


  1. Abdolmohamadi, K. and Alimohamadi, A. (2025). The Impact of Mindfulness-Based Cognitive Therapy (MBCT) on the Executive Functions of Students with Sluggish Cognitive Tempo. Journal of Applied Psychological Research16(2), 1-14. doi: 10.22059/japr.2024.355475.644542. https://doi.org/10.22059/japr.2024.355475.644542

    Amani, M. (2017). Effect of strengthening executive functions on the academic achievement in the children with nonverbal learning disabilities: Journal of Disability Studies, 1 (7): 1-10. https://jdisabilstud.org/browse.php?a_id=740&sid=1&slc_lang=en

    Bernardi, M. Leonard, HC. Hill, EL. Botting, N. Henry, LA. (2018). Executive functions in children with developmental coordination disorder: a 2-year follow-up study. Dev Med Child Neurol, 60(3): 306-13. https://doi.org/10.1111/dmcn.13640

    Boojari, S., Haghgoo, H., Rostami, R., & Ghanbari, S. (2015). The relationship between cognitive functions and academic performance in children with attention deficit, hyperactivity disorder. Journal of Paramedical Sciences & Rehabilitation4(4), 27-35. https://doi.org/10.22038/jpsr.2015.5397

    Bowen, S., Chawla, N., Grow, J., & Marlatt, G. A. (2021). Mindfulness-based relapse prevention for addictive behaviors: A clinician's guide. Guilford Publications. Link

    Bünger, A. Urfer-Maurer, N. Grob, A. (2021). Multimethod assessment of attention, executive functions, and motor skills in children with and without ADHD: Children’s performance and parents’ perceptions. Journal of attention disorders. 25(4):596-606. https://doi.org/10.1177/1087054718824985

    Dawson, P., & Guare, R. (2018). Executive skills in children and adolescents: A practical guide to assessment and intervention (3rd Ed.). New York: Guilford Press.https://psycnet.apa.org/record/201821800-000

    Dayan, E. Antonino, L. Nava, G. Martin, A. Hendler, T. Flash, T. (2007). Neural representations of kinematic laws of motion: evidence for action-perception coupling. Proceedings of the National Academy of Sciences of the United States of America, 104 (51): 205-282.https://doi.org/10.1073/pnas.0710033104

    Dehghani, Y. , majdian, N. , Afshin, S. A. and farazja, M. (2021). The Effectiveness of Mindfulness Training on Planning and Cognitive Flexibility of Students with Learning Disability. Educational Psychology17(60), 111-135. https://doi.org/10.22054/jep.2022.58244.3252

    Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006). Acceptance and commitment therapy: Model, processes and outcomes. Behaviour research and therapy, 44(1), 1-25.https://doi.org/10.1016/j.brat.2005.06.006

    Hematian, Z., Saeidmanesh, M., & Azizi, M. (2020). The Effectiveness of Mindfulness and the Attention Bias Programme on Attention, Inhibition and Emotional Regulation in Children with Generalised Anxiety Disorder. Journal of Cognitive Psychology8(2), 33-45.  https://dor.isc.ac/dor/20.1001.1.23455780.1399.8.2.1.8

    Huguet, A., Ruiz, D. M., Haro, J. M., & Alda, J. A. (2017). A Pilot Study of the Efficacy of a Mindfulness Program for Children Newly Diagnosed with Attention-Deficit Hyperactivity Disorder: Impact on Core Symptoms and Executive Functions. International Journal of Psychology & Psychological Therapy, 17(3).https://www.ijpsy.com/volumen17/num3/474.html

    Jalilvand, M. (2020). Effect of Table Tennis Training Program on Sustained Attention and Cognitive Flexibility of Children with Developmental Coordination Disorder. The Neuroscience Journal of Shefaye Khatam9(1), 99-109. https://shefayekhatam.ir/browse.php?a_code=A-10-697 2&sid=1&slc_lang=en

    Kiani, J., Moradi, A., Kadivar, P., Hassanabadi, H. R., Keramati, H., & Effatpanah, M. (2021). Designing. Developing and Validating a Psycho-Educational program of Mindfulness-Based Cognitive empowerment to Executive Functions in Children with Attention Deficit Hyperactivity Disorder9(1), 1-20. https://dor.isc.ac/dor/20.1001.1.23455780.1400.9.1.7.9

    Lida Malekzadeh, Fatemeh Nikkhoo, Reza Ali Tarkhan, Masoumeh Najafi Pazoki, (2024). Effectiveness of Mindfulness-Based Cognitive Therapy on Resilience and Quality of Life in Mothers with Children with  Learning Disabilities, Journal of Applied Psycology Research, 14(4), 223-238. https://doi.org/10.22059/japr.2023.341919.644242

    Moreno-García, I., Delgado-Pardo, G., & Roldán-Blasco, C. (2015). Attention and response control in ADHD: Evaluation through Integrated Visual and Auditory Continuous Performance Test. The Spanish Journal of Psychology, 18, E1. https://doi.org/10.1017/sjp.2015.2

    Nasir, H., Tan, C. S., & Pheh, K. S. (2021). The executive skills questionnaire-revised: Adaptation and psychometric properties in the working context of Malaysia. International Journal of Environmental Research and Public Health, 18(17), 8978. https://doi.org/10.3390/ijerph18178978

    Reyhaneh Sattari Shiraz, & Hanieh Sattari Shiraz. (2024). The effect of executive function training on learning disorders in students with mathematics learning disabilities. Curriculum Planning and Modern Teaching Methods, 4(4), 40–49. Link

    Reza Mohammadzadeghan, Abolfazl Farid, Gholamreza Chalabianlu Hasratanlo, Javad Mesrabadi, (2023). Comparison of the Effectiveness of Mindfulness-Based Social-Emotional Learning Program with/and without Transcranial Direct Current Stimulation on Emotional Self-Regulation and Problem-Solving Performance in Students with Attention-Deficit/Hyperactivity Disorder, The Neuroscience Journal of Shefaye Khatam, 11(2), 52-64. https://shefayekhatam.ir/browse.php?a_id=2343&sid=1&slc_lang=en

    1. Boojari, H. Haghgoo, R. Rostami, S. Ghanbari, (2016). The Relationship between Cognitive Functions and Academic Performance in Children with Attention Deficit, Hyperactivity Disorder, Journal of Paramedical Science and Rehabilitation, 4(4), 27-35. https://sid.ir/paper/245372/fa

    Schoenberg, P. L. A., & Speckens, A. E. M. (2014). Modulation of induced frontocentral theta (Fm-θ) event-related (de-)synchronisation dynamics following mindfulness-based cognitive therapy in Major Depressive Disorder. Cognitive Neurodynamics, 8(5), 373–388. https://doi.org/10.1007/s11571-01492940

    Segal, Z., Williams, M., & Teasdale, J. (2012). Mindfulness-based cognitive therapy for depression. Guilford Publications. Link

    Semple, RJ, & Lee, J.(2011). Mindfulness-Based Cognitive Therapy for Anxious Children: A Manual for Treating Childhood Anxiety. Child & Family Behavior Therapy, 34(2):167-172. DOI:10.1080/07317107.2012.684658

    Sipe, W. E., & Eisendrath, S. J. (2012). Mindfulness-based cognitive therapy: theory and practice. The Canadian Journal of Psychiatry, 57(2), 63-69. https://doi.org/10.1177/070674371205700202

    Strait, J. E., Dawson, P., Walther, C. A., Strait, G. G., Barton, A. K., & Brunson McClain, M. (2020). Refinement and psychometric evaluation of the executive skills questionnaire-revised. Contemporary School Psychology, 24, 378-388. https://doi.org/0.1007/s40688-018-00224-x

  • Receive Date: 23 August 2025
  • Revise Date: 12 September 2025
  • Accept Date: 06 December 2025
  • Publish Date: 01 March 2026