Document Type : Research Article (s)

Authors

1 Department of Physical Education, Farhangian University, Tehran, Iran

2 Department of Psychology, Faculty of Psychology and Educational Sciences, Isfahan Branch, (Khorasgan), Islamic Azad University, Isfahan, Iran

3 Department of Physical Education, Gorgan Branch, Islamic Azad University, Gorgan, Iran

4 Department of Physical Education, K. N Toosi University of Technology, Tehran, Iran

5 Department of Physical Education and Sports Sciences, Parand Branch, Islamic Azad University, Tehran, Iran

Abstract

Background: The influence of yoga training and its associated exercises on anxiety and cognitive functioning in children diagnosed with ADHD is a relatively neglected field of research. This study aimed to investigate how engagement in a yoga exercise program affects cognitive abilities, particularly attention and memory, alongside anxiety levels in children diagnosed with ADHD.
Methods: This study employed a quasi-experimental design, specifically a pretest-posttest approach that incorporated a control group. The study participants were primary school students diagnosed with ADHD in district 5 of Tehran, Iran, during the academic year of 2023-2024. Forty participants were selected through convenience sampling and subsequently assigned at random to either the experimental group, which engaged in yoga, or the control group. The experimental group underwent 16 yoga training sessions, each lasting 45 minutes, scheduled twice a week. Data were analyzed using paired and independent t-tests with SPSS version 27.
Results: The findings indicated a significant improvement in attention scores among the yoga participants during the postintervention phase (0.495±0.12, P<0.001). Additionally, there was a significant enhancement in both forward and backward working memory scores for these participants in the same phase (9.60±1.42, P<0.001; and 5.80±1.05, P<0.001, respectively). Lastly, the data revealed a significant reduction in anxiety scores for individuals in the yoga group following the intervention (6.95±1.43, P<0.001).
Conclusions: Engaging in practices such as yoga, as outlined in this study, may significantly contribute to alleviating cognitive impairments and anxiety-related issues in children with ADHD.

Highlights

Sara Bagheri: (Google Scholar)

 

How to Cite: Bagheri S, Rostamabadi M, Khajeh Aflatoon Mofrad S, Khodadad Kashi S, Shahedi V. Effects of Yoga Training on Cognitive Performance and Anxiety of Children with ADHD. Int. J. School. Health. 2025;12(3):187-196. doi: 10.30476/intjsh.2025.105097.1469.

Keywords

  1. Oberg C, Colianni S, King-Schultz L. Child Health Disparities in the 21st Century. Curr Probl Pediatr Adolesc Health Care. 2016;46(9):291-312. doi: 10.1016/j.cppeds.2016.07.001. PubMed PMID: 27712646. ##
  2. Baniasadi T, Ranjbari S, Abedini A, Dana A, Ghorbani S. Investigation the Association of Internet Addiction with Mental Health and Physical Activity in Teenage Girls: The Mediating Role of Parental Attitude. Women Health Bull. 2022;9(4):243-250. doi: 10.30476/whb.2022.96915.1197. ##
  3. Dana A, Ranjbari S, Chaharbaghi Z, Ghorbani S. Association between Physical Activity and Motor Proficiency among Primary School Children. Int J School Health. 2023;10(3):128-135. doi: 10.30476/intjsh.2023.98237.1295. ##
  4. Faraone SV, Bellgrove MA, Brikell I, Cortese S, Hartman CA, Hollis C, et al. Attention-deficit/hyperactivity disorder. Nat Rev Dis Primers. 2024;10(1):11. doi: 10.1038/s41572-024-00495-0. PubMed PMID: 38388701. ##
  5. Baniasadi T. The Relationship between Self-reported and Device-measured Physical Activity among Children with ADHD. Phys Act Child. 2024;1(1):1-5. doi: 10.61186/pach.195747. ##
  6. Dangmann CR, Skogli GKW, Holthe MEG, Steffenak AKM, Andersen PN. Life Gets Better: Important Resilience Factors When Growing Up With ADHD. J Atten Disord. 2024;28(8):1198-1209. doi: 10.1177/10870547241246645. PubMed PMID: 38616640; PubMed Central PMCID: PMC11107134. ##
  7. Rattay K, Robinson LR. Identifying Risk Factors for Attention-Deficit/Hyperactivity Disorder (ADHD): a Public Health Concern and Opportunity. Prev Sci. 2024;25(Suppl 2):195-202. doi: 10.1007/s11121-024-01667-w. PubMed PMID: 38598041; PubMed Central PMCID: PMC11315233. ##
  8. Khajeaflaton Mofrad S. Impact of a Novelty-based Intervention in Physical Education on Motivation and Physical Activity of Children with ADHD. Phys Act Child. 2024;1(1):6-13. doi: 10.61186/pach.198541. ##
  9. Ayano G, Demelash S, Gizachew Y, Tsegay L, Alati R. The global prevalence of attention deficit hyperactivity disorder in children and adolescents: An umbrella review of meta-analyses. J Affect Disord. 2023;339:860-866. doi: 10.1016/j.jad.2023.07.071. PubMed PMID: 37495084. ##
  10. Arrirak N, Sombuteyotha K, Bourneow C, Namwong T, Glangkarn S. Prevalence of ADHD and factors for parent's participation in the care of children with ADHD, Yasothon, Thailand. J Educ Health Promot. 2024;12:423. doi: 10.4103/jehp.jehp_475_23. PubMed PMID: 38464655; PubMed Central PMCID: PMC10920662. ##
  11. Al-Wardat M, Etoom M, Almhdawi KA, Hawamdeh Z, Khader Y. Prevalence of attention-deficit hyperactivity disorder in children, adolescents and adults in the Middle East and North Africa region: a systematic review and meta-analysis. BMJ Open. 2024;14(1):e078849. doi: 10.1136/bmjopen-2023-078849. PubMed PMID: 38238059; PubMed Central PMCID: PMC10806616. ##
  12. Tam LYC, Taechameekietichai Y, Allen JL. Individual child factors affecting the diagnosis of attention deficit hyperactivity disorder (ADHD) in children and adolescents: a systematic review. Eur Child Adolesc Psychiatry. 2024. doi: 10.1007/s00787-024-02590-9. PubMed PMID: 39375272. ##
  13. Pho B, Stevenson RA, Saljoughi S, Mohsenzadeh Y, Stojanoski B. Identifying developmental changes in functional brain connectivity associated with cognitive functioning in children and adolescents with ADHD. Dev Cogn Neurosci. 2024;69:101439. doi: 10.1016/j.dcn.2024.101439. PubMed PMID: 39182418; PubMed Central PMCID: PMC11385464. ##
  14. Zou X, Yu F, Huang Q, Huang Y. The effect of cognitive training on children with attention deficit and hyperactivity disorder: A meta-analysis. Appl Neuropsychol Child. 2024:1-10. doi: 10.1080/21622965.2024.2305874. PubMed PMID: 38261550. ##
  15. Soto EF, Black K, Kofler MJ. Is hyperactivity in children with attention deficit/hyperactivity disorder (ADHD) a functional response to demands on specific executive functions or cognitive demands in general? Neuropsychology. 2024;38(8):699-713. doi: 10.1037/neu0000975. PubMed PMID: 39480349. ##
  16. Zhao L, Agazzi H, Du Y, Meng H, Maku R, Li K, et al. A Digital Cognitive-Physical Intervention for Attention-Deficit/Hyperactivity Disorder: Randomized Controlled Trial. J Med Internet Res. 2024;26:e55569. doi: 10.2196/55569. PubMed PMID: 38728075; PubMed Central PMCID: PMC11127175. ##
  17. Yoder R, Michaud A, Feagans A, Hinton-Froese KE, Meyer A, Powers VA, et al. Family-Based Treatment for Anxiety, Depression, and ADHD for a Parent and Child. Int J Environ Res Public Health. 2024;21(4):504. doi: 10.3390/ijerph21040504. PubMed PMID: 38673415; PubMed Central PMCID: PMC11050397. ##
  18. Akman H, Serdengeçti N, Yavuz M, Kadak MT, Ercan O, Doğangün B. Attachment and comorbid anxiety in ADHD. Clin Child Psychol Psychiatry. 2024;29(1):368-380. doi: 10.1177/13591045231204052. PubMed PMID: 37747351. ##
  19. García-Galicia A, Tapia-Venancio M, García-Vargas MÁ, Aréchiga-Santamaría A, Montiel-Jarquín ÁJ, Bertado Ramírez NR, et al. [Correlation of anxiety in parents and children with attention deficit/hyperactivity disorder]. Rev Med Inst Mex Seguro Soc. 2024;62(3):1-6. doi: 10.5281/zenodo.10998777. PubMed PMID: 39528339. Spanish. ##
  20. Toole KP, Frank C. A Young adolescent with undiagnosed ADHD-inattentive presentation and co-morbid anxiety and depression: A case report. J Pediatr Nurs. 2024;78:e250-e259. doi: 10.1016/j.pedn.2024.07.013. PubMed PMID: 39127589. ##
  21. Ingeborgrud CB, Oerbeck B, Friis S, Pripp AH, Zeiner P, Aase H, et al. Do maternal anxiety and depressive symptoms predict anxiety in children with and without ADHD at 8 years? Eur Child Adolesc Psychiatry. 2024;33(9):3169-3178. doi: 10.1007/s00787-024-02374-1. PubMed PMID: 38376613; PubMed Central PMCID: PMC11424742. ##
  22. Bondopandhyay U, McGrath J, Coogan AN. Associations between sleep problems in children with ADHD and parental insomnia and ADHD symptoms. PLoS One. 2024;19(5):e0298377. doi: 10.1371/journal.pone.0298377. PubMed PMID: 38771841; PubMed Central PMCID: PMC11108211. ##
  23. Hughes AM, Torvik FA, van Bergen E, Hannigan LJ, Corfield EC, Andreassen OA, et al. Parental education and children's depression, anxiety, and ADHD traits, a within-family study in MoBa. NPJ Sci Learn. 2024;9(1):46. doi: 10.1038/s41539-024-00260-8. PubMed PMID: 39025869; PubMed Central PMCID: PMC11258307. ##
  24. Manjunath I, Channappa V, Karthikeyan A. A Systematic Review of Yoga as a Supportive Treatment for Children with Attention-Deficit/Hyperactivity Disorder. Cureus. 2024;16(7):e63576. doi: 10.7759/cureus.63576. PubMed PMID: 39087197; PubMed Central PMCID: PMC11290379. ##
  25. Patra BN, Khandelwal K, Sagar R, Sharma G. Effect of Yoga among Children and Adolescents Diagnosed with Psychiatric Disorders: A Scoping Review. Int J Yoga. 2024;17(1):3-9. doi: 10.4103/ijoy.ijoy_227_23. PubMed PMID: 38899134; PubMed Central PMCID: PMC11185436. ##
  26. Gonzalez NA, Sakhamuri N, Athiyaman S, Randhi B, Gutlapalli SD, Pu J, et al. A Systematic Review of Yoga and Meditation for Attention-Deficit/Hyperactivity Disorder in Children. Cureus. 2023;15(3):e36143. doi: 10.7759/cureus.36143. PubMed PMID: 37065343; PubMed Central PMCID: PMC10101238. ##
  27. Evans S, Ling M, Hill B, Rinehart N, Austin D, Sciberras E. Systematic review of meditation-based interventions for children with ADHD. Eur Child Adolesc Psychiatry. 2018;27(1):9-27. doi: 10.1007/s00787-017-1008-9. PubMed PMID: 28547119. ##
  28. Parajuli N, Pradhan B, Bapat S. Effect of yoga on cognitive functions and anxiety among female school children with low academic performance: A randomized control trial. Complement Ther Clin Pract. 2022;48:101614. doi: 10.1016/j.ctcp.2022.101614. PubMed PMID: 35688056. ##
  29. Ju X, Liu H, Xu J, Hu B, Jin Y, Lu C. Effect of Yoga Intervention on Problem Behavior and Motor Coordination in Children with Autism. Behav Sci (Basel). 2024;14(2):116. doi: 10.3390/bs14020116. PubMed PMID: 38392469; PubMed Central PMCID: PMC10886297. ##
  30. Rabner JC, Ney JS, Kendall PC. Cognitive Functioning in Youth with Anxiety Disorders: A Systematic Review. Clin Child Fam Psychol Rev. 2024;27(2):357-380. doi: 10.1007/s10567-024-00480-9. PubMed PMID: 38829508; PubMed Central PMCID: PMC11222226. ##
  31. Mirzaei P, Mostafanejhad P. The Effectiveness of Sahajaoga and Yoga Mind Strengthening Training in Reducing Children's ADHD Test Anxiety with Gastrointestinal Problems. Iran J Health Psychol. 2020;3(1):99-108. doi: 10.30473/ijohp.2020.52952.1076. ##
  32. Forte G, Troisi G, Favieri F, Casagrande M. Inhibition changes across the lifespan: experimental evidence from the Stroop task. BMC Psychol. 2024;12(1):336. doi: 10.1186/s40359-024-01844-0. PubMed PMID: 38849952; PubMed Central PMCID: PMC11162033. ##
  33. Kirkwood MW, Hargrave DD, Kirk JW. The value of the WISC-IV Digit Span subtest in detecting noncredible performance during pediatric neuropsychological examinations. Arch Clin Neuropsychol. 2011;26(5):377-84. doi: 10.1093/arclin/acr040. PubMed PMID: 21602179. ##
  34. Lowe PA. The Revised Children’s Manifest Anxiety Scale–Second Edition Short Form: Examination of the Psychometric Properties of a Brief Measure of General Anxiety in a Sample of Children and Adolescents. Journal of Psychoeducational Assessment. 2015;33(8):719–30. doi: 10.1177/0734282915580763. ##
  35. Voss S, Cerna J, Gothe NP. Yoga Impacts Cognitive Health: Neurophysiological Changes and Stress Regulation Mechanisms. Exerc Sport Sci Rev. 2023;51(2):73-81. doi: 10.1249/JES.0000000000000311. PubMed PMID: 36342265; PubMed Central PMCID: PMC10033324. ##
  36. Mandolesi L, Polverino A, Montuori S, Foti F, Ferraioli G, Sorrentino P, et al. Effects of Physical Exercise on Cognitive Functioning and Wellbeing: Biological and Psychological Benefits. Front Psychol. 2018;9:509. doi: 10.3389/fpsyg.2018.00509. PubMed PMID: 29755380; PubMed Central PMCID: PMC5934999. ##
  37. Giridharan S, Kumar NV, Bhana R. The Impact of Kundalini Yoga on Cognitive Function and Memory: A Systematic Review of Randomized Controlled Trials. Cureus. 2024;16(6):e63161. doi: 10.7759/cureus.63161. PubMed PMID: 39070487; PubMed Central PMCID: PMC11272664. ##