The Effectiveness of Mentalization-Based Therapy on Problem-Solving Skills and Self-Regulation in Children with Attention-Deficit/Hyperactivity Disorder
Keywords:
Problem-solving skills, self-control, mentalizing, attention deficit/hyperactivity disorderAbstract
Objective: The present study aimed to investigate the effectiveness of mentalization-based therapy on problem-solving skills and self-regulation in children with Attention-Deficit/Hyperactivity Disorder (ADHD) in Tehran.
Methods and Materials: This research employed a quasi-experimental design with a pretest-posttest and control group structure. The statistical population consisted of all boys and girls aged 7 to 13 years with ADHD who visited the Bahar Clinic in Tehran in 2024, with a mean age of 12.04 years. Using purposive and convenience sampling, 30 children with ADHD were selected as the sample group and randomly assigned to experimental (n = 15) and control (n = 15) groups. The experimental group received 12 one-hour sessions of mentalization training, while the control group remained on a waiting list. Data collection was conducted using the Weinberger and Schwartz Self-Restraint Questionnaire (1990). To assess problem-solving abilities in children, three subtests from the Wechsler Practical Intelligence Scale—Mazes, Block Design, and Arithmetic—were employed. Data analysis was performed using SPSS version 27 in both descriptive and inferential sections, with analysis of covariance (ANCOVA) applied.
Findings: The results indicated that the mean scores for problem-solving skills in the experimental group significantly increased compared to the control group. Furthermore, mentalization-based training led to improved self-regulation in children with ADHD in the experimental group.
Conclusion: These findings may assist professionals and parents in developing more effective strategies to support the psychological needs of children with Attention-Deficit/Hyperactivity Disorder.
Downloads
References
Akhavan, S., Abedi, A., & Jabal Ameli, S. (2022). The effectiveness of play therapy with the Filial Therapy approach on social behavior and self-regulation in elementary school children with slow cognitive tempo. Quarterly Journal of Developmental Psychology: Iranian Psychologists, 11(72), 313-325. https://journals.iau.ir/article_698362.html?lang=en
Alizadeh, Z., Sadeghi, J., Janbabaei, A., & Sahebi, S. A. (2023). The effectiveness of Friends training program on executive activity and self-control of children with attention deficit/hyperactivity disorder. Journal of Psychological Dynamics in Mood Disorders (PDMD), 2(2), 21-29. https://doi.org/10.61838/kman.pdmd.2.2.3
Attallah, O. (2024). ADHD-AID: Aiding tool for detecting children's attention deficit hyperactivity disorder via EEG-based multi-resolution analysis and feature selection. Biomimetics, 9(3), 188. https://doi.org/10.3390/biomimetics9030188
Bateman, A., & Fonagy, P. (2019). Mentalization-based treatment for borderline and antisocial personality disorder. Academic Press. https://doi.org/10.1016/B978-0-12-813373-6.00009-X
Chae, Y., Goodman, M., Goodman, G. S., Troxel, N., McWilliams, K., Thompson, R. A., Shaver, P. R., & Widaman, K. F. (2018). How children remember the Strange Situation: The role of attachment. Journal of Experimental Child Psychology, 166, 360-379. https://doi.org/10.1016/j.jecp.2017.09.001
Chou, W. J., Liu, T. L., Hsiao, R. C., & Yen, C. F. (2024). Online Sexual Risk Behaviors in Adolescents: Roles of Family Relationships, Impulsivity, and Attention-Deficit/Hyperactivity Disorder. Children, 11(10), 1199. https://doi.org/10.3390/children11101199
Conant, L. L., & Miller, L. E. (2024). Intellectual developmental disorder, autism spectrum disorder, attention-deficit/hyperactivity disorder, and specific learning disorders across the lifespan. https://psycnet.apa.org/record/2024-40079-022
Eisenberg, S., & Palmer, N. (2024). The Association between Community Violence Exposure and Attention Deficit/Hyperactivity Disorder (ADHD) in Children and Adolescents in the US: A Systematic Review.
Ensink, K., Bégin, M., Normandin, L., Godbout, N., & Fonagy, P. (2017). Mentalization and dissociation in the context of trauma: Implications for child psychopathology. Journal of Trauma & Dissociation, 18(1), 11-30. https://doi.org/10.1080/15299732.2016.1172536
Farhana, S., Khanal, K., Das, I., & Mukherjee, P. (2024). The benefits of art therapy on attention deficit hyperactivity disorder and autism spectrum disorder. IJPS, 6(1), 01-03. https://doi.org/10.33545/26649241.2024.v6.i1a.15
Foldager, M., Simonsen, E., Lassen, J., Petersen, L. S., Oranje, B., Aggernæs, B., & Vestergaard, M. (2024). Narrative coherence and mentalizing complexity are associated in fictive storytelling and autobiographical memories in typically developing children and adolescents. Cognitive Development, 71, 101484. https://doi.org/10.1016/j.cogdev.2024.101484
Ghaffari Charati, M., Mohammadi Pour, M., & Azizi, A. (2023). The effectiveness of mentalization-based therapy on emotional dysregulation and aggression in depressed adolescent girls. Quarterly Journal of Modern Psychological Research, 71(18), 169-178. https://psychologyj.tabrizu.ac.ir/article_16935.html
Ghanbari, F., Naziri, G., & Omidvar, B. (2022). The effectiveness of mentalization-based therapy on empathy in children with attention-deficit/hyperactivity disorder (ADHD). Razi Journal of Medical Sciences (Iran University of Medical Sciences), 4(29), 125-134. https://rjms.iums.ac.ir/browse.php?a_code=A-10-6664-1&slc_lang=fa&sid=1
Hosseinpour, M., Reisi, Z., Gorji, Y., & Ddehghani, A. (2021). Efficacy of Training Executive Functions on the Self-Control of the Children with Attention Deficit Hyperactivity Disorder. Empowering Exceptional Children, 12(3), 123-134. https://www.ceciranj.ir/article_139622.html?lang=en
Jorgensen, M. S., Storebø, O. J., Bo, S., Poulsen, S., Gondan, M., Beck, E., Chanen, A. M., Bateman, A., Pedersen, J., & Simonsen, E. (2021). Mentalization-based treatment in groups for adolescents with Borderline Personality Disorder: 3-and 12-month follow-up of a randomized controlled trial. European Child & Adolescent Psychiatry, 30(5), 699-710. https://doi.org/10.1007/s00787-020-01551-2
Karimi, F., Farahbakhsh, K., Salimi Bajestani, H., & Motamedi, A. (2020). The effectiveness of a mentalization-based model on family relationship quality and self-harm behavior in adolescent girls. Journal of Sabzevar University of Medical Sciences, 2(27), 257-265. The effectiveness of a mentalization-based model on family relationship quality and self-harm behavior in adolescent girls
Karimi, L., & Ghafouri, A. (2022). Strategies to improve hyperactivity/inattention problems in children (case study: Preschool students). Quarterly Journal of New Ideas in Psychology, 14(7), 1-10. https://jnip.ir/article-1-751-en.html
Khajevand, S., Bahreinian, A., Nasri, M., & Shahhabi Zadeh, F. (2024). Comparing the effectiveness of mentalization-based therapy and parent-child interaction therapy on executive functions and anxiety symptoms in anxious children. Journal of Cognitive Psychology, 4(11), 1-16. https://jcp.khu.ac.ir/article-1-3797-en.html
Kim, J., Hong, S., Song, M., & Kim, K. (2024). Visual Attention and Pulmonary VR Training System for Children with Attention Deficit Hyperactivity Disorder. IEEE Access. https://doi.org/10.1109/ACCESS.2024.3387065
Liang, X., Xu, R. H., Zhao, M., Qu, L., & Shum, D. H. (2024). Impact of a physical exercise intervention on psychological resilience and mental ill-being in medical-naïve children with attention-deficit/hyperactivity disorder: a pilot randomised controlled trial. Psychology, Health & Medicine, 29(10), 1764-1775. https://doi.org/10.1080/13548506.2024.2407449
Mir Hashemi, A., Meihami, A., & Jaberi, F. S. (2023). The effectiveness of mindfulness-based training on bullying control and irritability in adolescents under welfare support in Tehran. 9th National Conference on Modern Studies and Research in Educational Sciences, Psychology, and Counseling of Iran, https://en.civilica.com/doc/1843039/
Montgomery, C. L., & Antshel, K. M. (2024). Self-control depletion, frustration tolerance, irritability, and engagement in risky behaviors in college students with and without attention-deficit/hyperactivity disorder risk. Emerging Adulthood, 12(1), 3-17. https://doi.org/10.1177/21676968231207445
Nazari, A. (2023). Investigating hyperactivity with attention deficit and learning disorders: A case study of an 8th-grade student. Journal of Research in Persian Language and Literature Education, 2(4), 41-59. https://journals.cfu.ac.ir/article_3383.html?lang=en
Oehlman Forbes, D., Lee, M., & Lakeman, R. (2021). The role of mentalization in child psychotherapy, interpersonal trauma, and recovery: A scoping review. Psychotherapy, 58(1), 50. https://doi.org/10.1037/pst0000341
Polnay, A., McIntosh, L. G., Burnett, A., Williams, A., Cahill, C., Wilkinson, P., Mohammad, F., & Patrick, J. (2021). Examining the factor structure, reliability, and validity of the main outcome measure used in mentalization‐based therapy skills training. Health Science Reports, 4(1), e245. https://doi.org/10.1002/hsr2.245
Rutherford, H. J., Byrne, S. P., Crowley, M. J., Bornstein, J., Bridgett, D. J., & Mayes, L. C. (2018). Executive functioning predicts reflective functioning in mothers. Journal of Child and Family Studies, 27, 944-952. https://doi.org/10.1007/s10826-017-0928-9
Sadeghi, E. (2024). The Effectiveness of Dialectical Behavior Therapy on Academic Emotion Components and Self-Control of Students with Attention Deficit/Hyperactivity Disorder. Research in School and Virtual Learning, 11(3), 85-85. https://etl.journals.pnu.ac.ir/?_action=article&kw=54140&_kw=Academic+emotion&lang=en
Sakhaei, M. (2023). The effect of child-centered play therapy on self-regulation and academic gratification delay in children with attention-deficit/hyperactivity disorder (ADHD) Kharazmi University].
Salleg-Cabarcas, M. J., Robledo-Castro, C., & Monsalve-Vertel, C. P. (2024). Effect of Hit-Sport-Game Exercise Training on Self-Control and Regulation in Children With Attention Deficit Hyperactivity Disorder (ADHD). Global Pediatric Health, 11, 2333794X241287095. https://doi.org/10.1177/2333794X241287095
Schwarzer, N. H., Nolte, T., Fonagy, P., Feigenbaum, J., King-Casas, B., Rüfenacht, E., Gingelmaier, S., Leibowitz, J., Pilling, S., Read Montague, P., & Network, M. D. R. (2024). Linking mentalizing capacity, shame, and depressive symptoms in the context of childhood maltreatment. Children and Youth Services Review, 163, 107787. https://doi.org/10.1016/j.childyouth.2024.107787
Sibbick, E., Boat, R., Sarkar, M., Johnston, J. P., Groom, M., Williams, R. A., Dring, K. J., Sun, F. H., & Cooper, S. B. (2024). Associations of physical activity and cardiorespiratory fitness with cognitive function, self-control, and resilience in young people with attention deficit hyperactivity disorder. Advanced Exercise and Health Science, 1(1), 51-58. https://doi.org/10.1016/j.aehs.2024.01.003
Smith, A., Liebrenz, M., Brechbühl, A., & Buadze, A. (2024). Multimodal treatment of attention-deficit/hyperactivity disorder and comorbid symptoms in an ultra football fan: A case report from Switzerland. SAGE Open Medical Case Reports, 12, 2050313X241280766. https://doi.org/10.1177/2050313X241280766
Syed, A., Morandini, H. A., Barbaro, P., Watson, P., & Rao, P. (2024). A narrative review of the effects of psychoeducation on children and adolescents with attention deficit hyperactivity disorder. Psychology in the Schools, 61(9), 3465-3496. https://doi.org/10.1002/pits.23228
Wong, K. P., Zhang, B., Lai, C. Y. Y., Xie, Y. J., Li, Y., Li, C., & Qin, J. (2024). Empowering Social Growth Through Virtual Reality-Based Intervention for Children With Attention-Deficit/Hyperactivity Disorder: 3-Arm Randomized Controlled Trial. JMIR serious games, 12, e58963. https://doi.org/10.2196/58963
Yang, H., Yang, Y., Wang, A., Yang, J., Yang, X., Zhou, J., Yu, T., Liu, H., & Luo, R. (2024). Brain functional networks and executive functions in children with attention-deficit/hyperactivity disorder. https://doi.org/10.21203/rs.3.rs-4278865/v1
Downloads
Published
Submitted
Revised
Accepted
Issue
Section
License
Copyright (c) 2025 ثریا صالحی ناغانی

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.