Background and Objective: Children with attention deficit hyperactivity disorder (ADHD) often exhibit elevated levels of aggression and deficits in empathy, negatively impacting their social and academic lives. The present study aimed to investigate the effects of mindfulness-based art therapy on aggression and empathy among children with ADHD.
Methods: A study was conducted with 44 ADHD-diagnosed children in Amol City, Northern Iran, during the 2023 academic year, using a pre-test, post-test, and control group design. Participants were randomly divided into an experimental group (n=22) and a control group (n=22). The experimental group received ten 60-minute mindfulness-based art therapy sessions. Data were collected using the Child Behavior Aggression Scale and The Children’s Empathy Quotient, with analysis performed using analysis of covariance.
Findings: Aggression scores significantly decreased in the experimental group (58.91±2.97 at pre-test; 39.82±2.70 at post-test) compared to minimal changes in the control group (60.17±3.12 at pre-test; 58.27±3.79 at post-test). Conversely, empathy scores significantly increased in the experimental group (18.41±4.95 on the pre-test; 27.50.50±5.45 on the post-test). These findings indicate that mindfulness-based art therapy produced significant reductions in aggression and enhancements in empathy among children with ADHD (P<0.001).
Conclusions: Mindfulness-based art therapy has proven effective in reducing aggression and enhancing empathy in children with ADHD. This method promotes emotional regulation, self-awareness, and social skills, making it particularly beneficial for those unresponsive to traditional therapies. By integrating mindfulness techniques, psychotherapists can assist children in managing emotions, curbing impulsive behavior, and improving social interactions, offering a promising therapeutic approach for this population.