Yair Tamir

Background: Attention Deficit Hyperactivity Disorder (ADHD) is a pressing concern in pediatric public health, with its prevalence rising among children and teenagers. This study explored the relationship between group-based physical activity and the well-being, resilience, and distress levels of Israeli youth, with a specific focus on those with ADHD symptoms. Methods: This cross-sectional study surveyed 699 Israeli teenagers, assessing their participation in three types of physical activities: unorganized, structured, and the “Five Fingers” program. Data were collected through an online platform and analyzed using ANOVA, t-tests, and multivariable regression models to identify predictors of resilience. Results: Structured, group-based sport activities are associated with higher resilience (p < 0.01) and lower distress (p < 0.01) in adolescents. Adolescents with ADHD symptoms exhibited lower resilience (p < 0.001) and well-being (p < 0.001), and higher distress (p < 0.001). However, those with ADHD symptoms who participated in group-based activities fared better in terms of distress (p < 0.01) and well-being (p = 0.018) than those who did not. Participation in any sport activity, older age, male gender, and a higher socio-economic status predicted greater resilience in youth, generally. Conclusions: This study presents the potential of structured physical activities that involve psychosocial and group integration training to improve the mental health of adolescents, especially in the context of ADHD symptoms.

Background Attention Deficit Hyperactivity Disorder (ADHD) is a pressing concern in contemporary pediatric public health, with its prevalence rising among children and teenagers. This study explored the relationship between group-based physical activity and the well-being, resilience, and distress levels of Israeli youth, with a specific focus on those with ADHD. Methods This was a survey-based, cross-sectional study that included 699 Jewish Israeli teenagers aged 16 to 19. In addition to quantitative questionnaires that examined sociodemographic factors, resilience, distress, and well-being levels, the youth were asked about participation in group-based physical activities and the significance they ascribe to various facets of the activities. Results Our findings indicated that structured and group-based physical activities, especially the Five Fingers program which emphasizes psychosocial development and leadership skills, are associated with higher resilience (p<.01) and lower distress levels (p<.01) in adolescents. Generally, Israeli adolescents with ADHD exhibited lower levels of resilience (p<.001) and well-being (p<.001), and higher levels of distress (p<.001) compared to their counterparts. However, adolescents with ADHD who participated in group-based activities fared better in terms of distress (p<.01) and well-being (p=.018) than adolescents with ADHD who did not participate in organized sports. Further, participation in any form of sport activity, older age, male gender, and a higher socio-economic status predicted greater resilience in youth generally. Conclusions The study presents the potential of structured, engaging physical activities that involve psychosocial training and group integration activities to improve the mental health of adolescents, especially in the context of ADHD.