Mindfulness meditation improves cognition: Evidence of brief mental training☆
Introduction
People who have undergone extensive meditation training have shown improvements on cognitive performance (Cahn & Polich, 2006) and mood (Davidson et al., 2003). Long-term meditation practice has been found to enhance attentional (Jha, Krompinger, & Baime, 2007) and visuospatial processes (Kozhevnikov, Louchakova, Josipovic, & Motes, 2009). For example, 3-months of intensive meditation training (10–12 h/day) improved the ability to sustain attention during a dichotic listening task as evidenced by faster reaction times in response to a deviant tone, and reduced attentional blink responses when compared to controls (Lutz et al., 2009, Slagter et al., 2009; respectively). Moore and Malinowski (2009) found that self-reported mindfulness was positively correlated with sustained attention in experienced Buddhist meditation practitioners, when compared to controls. Additionally, long-term meditation practice has been found to reduce attentional blink in older adults when compared to age-matched and younger adults (van Leeuwen, Muller, & Melloni, 2009). In a study employing neuroimaging (Short et al., 2007), extensive meditation training heightened activation in executive attention networks that was correlated with improvements in sustained attention and error monitoring. These findings provide growing evidence of mindfulness meditation’s (MM) promotion of higher-order cognitive processing; specifically facets of conflict monitoring and cognitive control processes.
Mindfulness Based Stress Reduction (MBSR) programs, which are usually 8 weeks in duration and combine mindfulness meditation and gentle yoga, have been found to improve mood and affective processes (Nyklícek & Kuijpers, 2008); and are associated with improvements in immune system functioning (Davidson et al., 2003), stress (Carlson, Speca, Faris, & Patel, 2007), and emotional regulation (Nielsen & Kaszniak, 2006). MBSR programs are based on teaching participants to react non-judgmentally to stressful events by focusing on automatic and dynamic stimuli (breath; body; eating; walking). As participants cultivate these skills, top-down control processes regulate affective appraisals that lead to a reduction in stress responses (Grossman, Niemann, Schmidt, & Walach, 2004). In an elegant study, a MBSR program promoted decreases in stress ratings which were correlated with reductions in amygdala gray matter density; providing objective evidence for the positive effects of MBSR on stress (Hölzel et al., 2009).
Although advantageous to well-being, MBSR programs require extensive time and financial commitment. Consequently, most individuals do not have the time or resources to participate in extensive meditation interventions and few will choose the monastic lifestyle that is often associated with Buddhist contemplatives. Studying adept meditators is invaluable to understanding the aptitude of human consciousness, however, it is important to investigate whether briefer formats of mental training can provide some of the benefits that result from longer interventions.
MM is a mental practice based on focusing on the sensations of the breath/body while maintaining a relaxed state of mind. During formal meditation practice, distractions will arise and the meditator is taught to acknowledge discursive thoughts, and non-judgmentally return his/her attention back to their breathing (Wallace, 2006). Mindfulness training cultivates moment-to-moment awareness of the self and environment (Wallace, 2006). To this extent, mindfulness training heightens meta-cognitive processing (Austin, 1998). Meta-cognition is the conscious awareness of cognitive control processes (Fernandez-Duque, Baird, & Posner, 2000). Improvements in meta-cognition are related to the ability to restrict bottom-up processing of exogenously/endogenously driven, task-irrelevant information (Posner & Rothbart, 1998). Extensive training in mindfulness has been found to improve alerting and conflict monitoring Cahn and Polich, 2006, Jha et al., 2007), therefore mindfulness meditation training can hypothetically enhance meta-awareness. This process improves attention sustainability by teaching subjects to “release” cognitive appraisals of irrelevant information. So far, however, the cognitive benefits associated with mindfulness have been limited to studies examining adept meditators (Cahn & Polich, 2006).
Although research examining the effects of extensive meditation interventions is growing, the effects of brief mental training on mood and cognition are relatively unknown. We examined whether 4 days (20 min/day) of MM training affects behavioral markers of cognition and mood. Tang et al. (2007) reported that 5 days of Integrative Body Mind Training improved mood and cognitive processes. However, Integrative Body Mind Training incorporates various techniques (e.g. mindfulness, guided-imagery, music therapy) leaving it hard to decipher if mindfulness was the mechanism underlying improvements. A recent study (Zeidan, Gordon, & Goolkasian, 2009) found that 3 days of MM training was effective at reducing pain ratings and sensitivity, as well as anxiety scores when compared to baseline and other cognitive manipulations, such as relaxation and a math distracter task. A similar training regimen improved mood and reduced heart rate when compared to a sham MM and control group (Zeidan, Johnson, Gordon, & Goolkasian, in press).
The present study builds on our previous work by examining if the effects of brief meditation training can be found on cognitive tasks with varying demands on working memory, sustained attention, visual coding, and verbal fluency. We used the Symbol Digit Modalities Test and the n-back task to measure working memory, processing speed, and executive attention; the forward and backward digit span to measure immediate attention span, and the Controlled Oral Word Association Test to measure verbal fluency. Based on prior research (Cahn & Polich, 2006), we expected that these tasks would be the most sensitive to the effects of meditation. We also expected that brief MM training, when compared to a group that listened to a book recording, would promote positive mood, as measured by the Center for Epidemiologic Studies Depression scale (CES-D), State Anxiety Inventory, and the Profile of Mood States.
Section snippets
Participants
Sixty-three University of North Carolina, Charlotte students volunteered for the experiment in fulfillment of General Psychology requirements. The participants were recruited from those who were interested in learning meditation and who had no prior meditation experience. The consent form explained that subjects would be randomly assigned to a meditation or a book listening group. Group assignment depended upon the week that the participant signed up for the study. Seven participants from each
Self-report measures
We administered the Freiburg Mindfulness Inventory, State Anxiety Inventory, CES-D, and Profile of Mood States on session 1 before the interventions and on session 4 after the interventions. The Profile of Mood States (McNair, Loor, & Droppleman, 1971) is a 65-item inventory that measures current mood state by rating adjective like statements (e.g. I feel calm) on a Likert scale (0–4). It consists of six subscales: tension, depression, confusion, fatigue, anger, and vigor: and a total negative
Procedure
Participants were assigned to intervention groups based on the particular week that they enrolled in the experiment. Mindfulness meditation and control group interventions were randomly assigned to weeks. The interventions met on the same days of the week at the same time of day.
Self-report measures
Table 2 reports the Freiburg Mindfulness Inventory and Profile of Mood States data for each group across sessions. The analysis on the Freiburg Mindfulness Inventory scores showed that brief MM training was effective at increasing mindfulness skills when compared to controls. There was a group by session interaction, F(1, 47) = 5.73, p = .02, η2 = .11, and an effect of session, F(1, 47) = 13.18, p = .001, η2 = .22; but no effect of group, F < 1.
The analysis on the total scores from the Profile of Mood States
Discussion
Our findings, with naïve participants learning mindfulness techniques by means of a brief training format, are consistent with those that have been reported for adept meditators. Four days (20 min/day) of MM training was effective in significantly increasing mindfulness scores in comparison to an active control group. Our brief MM training protocol promoted significant effects on several cognitive tasks that require sustained attention and executive processing efficiency (Symbol Digit Modalities
Acknowledgments
The authors would like to thank Susan Avett, Kari Young, Sasha Levons and Rachel Hinson for help with data collection and scoring.
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This research was part of the doctoral dissertation of the first author under the supervision of the second author.