Growing evidence indicates that family-based mind-body therapy programs (FMBTs) act as an important alternative for attention-deficit/hyperactivity disorder (ADHD) treatment in the youth with minimal side-effects. Moreover, FMBTs contribute to improving the family functioning of those affected by ADHD. To summarize and analyze the benefits and mechanisms, an extensive literature search of the EBSCOhost, PubMed, Web of Science, and Scopus databases was conducted to identify eligible studies. Fifteen studies published between 2010–2023 were reviewed. The included FMBTs were implemented with 850 children/adolescents and 996 parents/caregivers, of whom 201 parent couples attended the programs together with their children. All included FMBTs adopted mindfulness/meditation as the core practice to enhance the participants’ mental focus and attention, and were designed for long-term engagement, with six including parent–child joint session(s). Positive changes were observed in both children and adolescents, including improvements in ADHD symptoms, behavioral problems, executive function, and school performance. Additionally, parents experienced positive changes in ADHD traits/symptoms, mental health, and parenting behaviors. Furthermore, FMBTs were found to enhance family functioning by delivering mindful strategies to family, restoring psychological capacity and interpersonal skills in family members, and improving parent–child relationships. The reviewed FMBTs demonstrated high levels of feasibility and participant satisfaction. The factors and issues potentially influencing the effectiveness and feasibility of FMBTs are also discussed. The findings indicate that FMBT holds promise as an ADHD treatment option in home settings. Future efforts may focus on optimizing the design of FMBTs to better address the diverse needs of families in varying circumstances.

中文翻译：

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对针对患有注意力缺陷/多动障碍的儿童和青少年家庭的家庭身心治疗计划的益处和机制进行系统回顾

越来越多的证据表明，以家庭为基础的身心治疗计划 (FMBT) 是青少年注意力缺陷/多动障碍 (ADHD) 治疗的重要替代方案，且副作用极小。此外，FMBT 有助于改善多动症患者的家庭功能。为了总结和分析其益处和机制，我们对 EBSCOhost、PubMed、Web of Science 和 Scopus 数据库进行了广泛的文献检索，以确定符合条件的研究。对 2010 年至 2023 年期间发表的 15 项研究进行了审查。所包含的 FMBT 已在 850 名儿童/青少年和 996 名家长/照顾者中实施，其中 201 对家长夫妇与孩子一起参加了该项目。所有纳入的FMBT均以正念/冥想为核心练习，以增强参与者的精神集中力和注意力，并专为长期参与而设计，其中六场包括亲子联合课程。在儿童和青少年中都观察到了积极的变化，包括多动症症状、行为问题、执行功能和学校表现的改善。此外，父母在多动症特征/症状、心理健康和养育行为方面经历了积极的变化。此外，FMBT 还可以通过向家庭提供正念策略、恢复家庭成员的心理能力和人际交往能力以及改善亲子关系来增强家庭功能。经审查的 FMBT 表现出高水平的可行性和参与者满意度。还讨论了潜在影响 FMBT 有效性和可行性的因素和问题。研究结果表明，FMBT 有希望成为家庭环境中 ADHD 的治疗选择。未来的工作重点可能是优化FMBT的设计，以更好地满足不同情况下家庭的多样化需求。