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Gepubliceerd in: Mindfulness 2/2016

11-12-2015 | ORIGINAL PAPER

Effects of Mindfulness Training on Cognition and Well-Being in Healthy Older Adults

Auteurs: Sasha Mallya, Alexandra J. Fiocco

Gepubliceerd in: Mindfulness | Uitgave 2/2016

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Abstract

Adults over the age of 65 years are now the fastest growing segment of the Canadian population. Although individual differences exist, aging is commonly associated with impairments in executive function and episodic memory. Previous studies have shown that mindfulness-based stress reduction (MBSR) can improve cognitive function in healthy younger adults, but no studies have yet examined this effect in older adults. The present study investigated the effectiveness of MBSR on improving executive function and episodic memory in older adult as well as its effectiveness in improving perceived stress and well-being. Ninety-seven healthy older adults were randomly assigned to either MBSR (n = 57) or an active control group (n = 40). It was hypothesized that compared with the control group, the MBSR group would display significant improvements in measures of executive function, episodic memory, mindfulness, mood, self-esteem, and quality of life. No clinically meaningful changes were found on any variable. In light of these results, the value of MBSR for this population is discussed.
Literatuur
go back to reference Anderson, N. D., Lau, M. A., Segal, Z. V., & Bishop, S. R. (2007). Mindfulness-based stress reduction and attentional control. Clinical Psychology & Psychotherapy, 14, 449–463. doi: 10.​1002/​cpp.​544. CrossRef Anderson, N. D., Lau, M. A., Segal, Z. V., & Bishop, S. R. (2007). Mindfulness-based stress reduction and attentional control. Clinical Psychology & Psychotherapy, 14, 449–463. doi: 10.​1002/​cpp.​544. CrossRef
go back to reference Astin, J. A. (1997). Stress reduction through mindfulness meditation: effects on psychological symptomatology, sense of control, and spiritual experiences. Journal of Psychotherapy and Psychosomatics, 66, 97–106. doi: 10.​1159/​000289116. CrossRefPubMed Astin, J. A. (1997). Stress reduction through mindfulness meditation: effects on psychological symptomatology, sense of control, and spiritual experiences. Journal of Psychotherapy and Psychosomatics, 66, 97–106. doi: 10.​1159/​000289116. CrossRefPubMed
go back to reference Azulay, J., Smart, C. M., Mott, T., & Cicerone, K. D. (2012). A pilot study examining the effect of mindfulness-based stress reduction on symptoms of chronic mild traumatic brain injury/postconcussive syndrome. The Journal of Head Trauma Rehabilitation, 1, 1–9. doi: 10.​1097/​HTR.​0b013e318250ebda​. Azulay, J., Smart, C. M., Mott, T., & Cicerone, K. D. (2012). A pilot study examining the effect of mindfulness-based stress reduction on symptoms of chronic mild traumatic brain injury/postconcussive syndrome. The Journal of Head Trauma Rehabilitation, 1, 1–9. doi: 10.​1097/​HTR.​0b013e318250ebda​.
go back to reference Baer, R. A. (2003). Mindfulness training as a clinical intervention: a conceptual and empirical review. Clinical Psychology: Science & Practice, 10, 125–143. doi: 10.​1093/​clipsy.​bpg015. Baer, R. A. (2003). Mindfulness training as a clinical intervention: a conceptual and empirical review. Clinical Psychology: Science & Practice, 10, 125–143. doi: 10.​1093/​clipsy.​bpg015.
go back to reference Bernstein, D. A., Borkovec, T. D., & Hazlett-Stevens, H. (2000). New directions in progressive relaxation training: a guidebook for helping professionals. Westport: Praeger. Bernstein, D. A., Borkovec, T. D., & Hazlett-Stevens, H. (2000). New directions in progressive relaxation training: a guidebook for helping professionals. Westport: Praeger.
go back to reference Bishop, S. R., Lau, M., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J., & Devins, G. (2004). Mindfulness: a proposed operational definition. Clinical Psychology: Science and Practice, 11, 230–241. doi: 10.​1093/​clipsy.​bph077. Bishop, S. R., Lau, M., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J., & Devins, G. (2004). Mindfulness: a proposed operational definition. Clinical Psychology: Science and Practice, 11, 230–241. doi: 10.​1093/​clipsy.​bph077.
go back to reference Breytspraak, L. M., & George, L. K. (1979). Measurement of self-concept and self-esteem in older people: state of the art. Experimental Aging Research, 5, 137–148. CrossRefPubMed Breytspraak, L. M., & George, L. K. (1979). Measurement of self-concept and self-esteem in older people: state of the art. Experimental Aging Research, 5, 137–148. CrossRefPubMed
go back to reference Cahn-Weiner, D. A., Malloy, P. F., Boyle, P. A., Marran, M., & Salloway, S. (2000). Prediction of functional status from neuropsychological tests in community-dwelling elderly individuals. Clinical Neuropsychologist, 14, 187–195. doi: 10.​1076/​1385-4046. CrossRefPubMed Cahn-Weiner, D. A., Malloy, P. F., Boyle, P. A., Marran, M., & Salloway, S. (2000). Prediction of functional status from neuropsychological tests in community-dwelling elderly individuals. Clinical Neuropsychologist, 14, 187–195. doi: 10.​1076/​1385-4046. CrossRefPubMed
go back to reference Carlson, M. C., Fried, L. P., Xue, Q. L., Bandeen-Roche, K., Zeger, S. L., & Brandt, J. (1999). Association between executive attention and physical functional performance in community-dwelling older women. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 54, S262–S270. doi: 10.​1093/​geronb/​54B.​5.​S262. CrossRefPubMed Carlson, M. C., Fried, L. P., Xue, Q. L., Bandeen-Roche, K., Zeger, S. L., & Brandt, J. (1999). Association between executive attention and physical functional performance in community-dwelling older women. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 54, S262–S270. doi: 10.​1093/​geronb/​54B.​5.​S262. CrossRefPubMed
go back to reference Chambers, R., Lo, B. C. Y., & Allen, N. B. (2008). The impact of intensive mindfulness training on attentional control, cognitive style and affect. Cognitive Therapy & Research, 32, 303–322. doi: 10.​1007/​s10608-007-9119-0. CrossRef Chambers, R., Lo, B. C. Y., & Allen, N. B. (2008). The impact of intensive mindfulness training on attentional control, cognitive style and affect. Cognitive Therapy & Research, 32, 303–322. doi: 10.​1007/​s10608-007-9119-0. CrossRef
go back to reference Chiesa, A., & Serretti, A. (2009). Mindfulness-based stress reduction for stress management in healthy people: a review and meta-analysis. The Journal of Alternative and Complementary Medicine, 15, 593–600. CrossRefPubMed Chiesa, A., & Serretti, A. (2009). Mindfulness-based stress reduction for stress management in healthy people: a review and meta-analysis. The Journal of Alternative and Complementary Medicine, 15, 593–600. CrossRefPubMed
go back to reference Cohen, S., Kamarch, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24(4), 385–396. CrossRefPubMed Cohen, S., Kamarch, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24(4), 385–396. CrossRefPubMed
go back to reference Crawley, M. J. (2005). Statistics—an introduction using R. West Sussex: John Wiley & Sons Ltd. CrossRef Crawley, M. J. (2005). Statistics—an introduction using R. West Sussex: John Wiley & Sons Ltd. CrossRef
go back to reference Deary, I. J., Corley, J., Gow, A. J., Harris, S. E., Houlihan, L. M., Marioni, R. E., Penke, L., Rafnsson, S. B., & Starr, J. M. ( 2009). Age-associated cognitive decline. British Medical Bulletin, 92(1), 135–152. Deary, I. J., Corley, J., Gow, A. J., Harris, S. E., Houlihan, L. M., Marioni, R. E., Penke, L., Rafnsson, S. B., & Starr, J. M. ( 2009). Age-associated cognitive decline. British Medical Bulletin, 92(1), 135–152.
go back to reference Eslinger, P. J., Damasio, A. R., & Benton, A. L. (1984). The Iowa screening battery for mental decline. Iowa City, IA: University of Iowa. Eslinger, P. J., Damasio, A. R., & Benton, A. L. (1984). The Iowa screening battery for mental decline. Iowa City, IA: University of Iowa.
go back to reference Fisher, L. D., Dixon, D. O., Herson, J., Frankowski, R. K., Hearron, M. S., & Peace, K. E. (1990). Intention to treat in clinical trials. In K. E. Peace (Ed.), Statistical issues in drug research and development (pp. 331–350). New York: Marcel Dekker. Fisher, L. D., Dixon, D. O., Herson, J., Frankowski, R. K., Hearron, M. S., & Peace, K. E. (1990). Intention to treat in clinical trials. In K. E. Peace (Ed.), Statistical issues in drug research and development (pp. 331–350). New York: Marcel Dekker.
go back to reference Flanagan, J. C. (1978). A research approach to improving our quality of life. American Psychologist, 33(2), 138–147. CrossRef Flanagan, J. C. (1978). A research approach to improving our quality of life. American Psychologist, 33(2), 138–147. CrossRef
go back to reference Grigsby, J., Kaye, K., Baxter, J., Shetterly, S. M., & Jamman, R. F. (1998). Executive cognitive abilities and functional status among community-dwelling older persons in the San Luis Valley health and aging study. Journal of the American Geriatrics Society, 46(5), 590–596. CrossRefPubMed Grigsby, J., Kaye, K., Baxter, J., Shetterly, S. M., & Jamman, R. F. (1998). Executive cognitive abilities and functional status among community-dwelling older persons in the San Luis Valley health and aging study. Journal of the American Geriatrics Society, 46(5), 590–596. CrossRefPubMed
go back to reference Hamarat, D. T., Zabrucky, K. M., Steele, D., Matheny, K. B., & Aysan, F. (2001). Perceived stress and coping resource availability as predictors of life satisfaction in young, middle-aged, and older adults. Experimental Aging Research, 27, 181–196. doi: 10.​1080/​0361073017500740​51. CrossRefPubMed Hamarat, D. T., Zabrucky, K. M., Steele, D., Matheny, K. B., & Aysan, F. (2001). Perceived stress and coping resource availability as predictors of life satisfaction in young, middle-aged, and older adults. Experimental Aging Research, 27, 181–196. doi: 10.​1080/​0361073017500740​51. CrossRefPubMed
go back to reference Hoaglin, D. C., Iglewicz, B., & Tukey, J. W. (1986). Performance of some resistant rules for outlier labeling. Journal of the American Statistical Association, 81(396), 991–999. CrossRef Hoaglin, D. C., Iglewicz, B., & Tukey, J. W. (1986). Performance of some resistant rules for outlier labeling. Journal of the American Statistical Association, 81(396), 991–999. CrossRef
go back to reference Jain, S., Shapiro, S. L., Swanick, S., Roesch, S. C., Mills, P. J., Bell, I., & Schwartz, G. E. (2007). A randomized controlled trial of mindfulness meditation versus relaxation training: Effects on distress, positive states of mind, rumination, and distraction. Annals of Behavioral Medicine, 33(1), 11–21. Jain, S., Shapiro, S. L., Swanick, S., Roesch, S. C., Mills, P. J., Bell, I., & Schwartz, G. E. (2007). A randomized controlled trial of mindfulness meditation versus relaxation training: Effects on distress, positive states of mind, rumination, and distraction. Annals of Behavioral Medicine, 33(1), 11–21.
go back to reference Jha, A. P., Stanley, E. A., Kiyonaga, A., Wong, L., & Gelfand, L. (2010). Examining the protective effects of mindfulness training on working memory capacity and affective experience. Emotion, 10, 54–64. doi: 10.​1037/​a0018438. CrossRefPubMed Jha, A. P., Stanley, E. A., Kiyonaga, A., Wong, L., & Gelfand, L. (2010). Examining the protective effects of mindfulness training on working memory capacity and affective experience. Emotion, 10, 54–64. doi: 10.​1037/​a0018438. CrossRefPubMed
go back to reference Kabat-Zinn, J. (1982). An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: theoretical considerations and preliminary results. General Hospital Psychiatry, 4, 33–47. CrossRefPubMed Kabat-Zinn, J. (1982). An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: theoretical considerations and preliminary results. General Hospital Psychiatry, 4, 33–47. CrossRefPubMed
go back to reference Kabat-Zinn, J. (1990). Full catastrophe living: using the wisdom of your body and mind to face stress, pain, and illness. New York, NY: Delta Trade Paperbacks. Kabat-Zinn, J. (1990). Full catastrophe living: using the wisdom of your body and mind to face stress, pain, and illness. New York, NY: Delta Trade Paperbacks.
go back to reference Kabat-Zinn, J., Massion, A. O., Kristeller, J., Peterson, L. G., Fletcher, K. E., Pbert, L., & Santorelli, S. F. (1992). Effectiveness of a meditation-based stress reduction program in the treatment of anxiety disorders. American Journal of Psychiatry, 149(7), 936–943. CrossRefPubMed Kabat-Zinn, J., Massion, A. O., Kristeller, J., Peterson, L. G., Fletcher, K. E., Pbert, L., & Santorelli, S. F. (1992). Effectiveness of a meditation-based stress reduction program in the treatment of anxiety disorders. American Journal of Psychiatry, 149(7), 936–943. CrossRefPubMed
go back to reference Kemper, S., & McDowd, J. M. (2008). Dimensions of cognitive aging: executive function and verbal fluency. In S. M. Hofer & D. F. Alwin (Eds.), Handbook of cognitive aging: interdisciplinary perspectives (pp. 181–192). Los Angeles, CA: Sage. Kemper, S., & McDowd, J. M. (2008). Dimensions of cognitive aging: executive function and verbal fluency. In S. M. Hofer & D. F. Alwin (Eds.), Handbook of cognitive aging: interdisciplinary perspectives (pp. 181–192). Los Angeles, CA: Sage.
go back to reference Lenze, E. J., Hickman, S., Hersheym, T., Wendleton, L., Ly, K., Dixon, D., Dore, P., & Wetherell, J. L. (2014). Mindfulness-based stress reduction for older adults with worry symptoms nad co-occuring cognitive dysfunction. Geriatric Psychiatry, 29(10), 991–1000. Lenze, E. J., Hickman, S., Hersheym, T., Wendleton, L., Ly, K., Dixon, D., Dore, P., & Wetherell, J. L. (2014). Mindfulness-based stress reduction for older adults with worry symptoms nad co-occuring cognitive dysfunction. Geriatric Psychiatry, 29(10), 991–1000.
go back to reference Lezak, M. D., Howieson, D. B., & Loring, D. W. (2004). Neuropsychological assessment (4th ed.). New York: Oxford University Press. Lezak, M. D., Howieson, D. B., & Loring, D. W. (2004). Neuropsychological assessment (4th ed.). New York: Oxford University Press.
go back to reference Lykins, E. L. B., Baer, R. A., & Gottlob, L. R. (2012). Performance-based tests of attention and memory in long-term mindfulness meditators and demographically matched nonmeditators. Cognitive Therapy and Research, 36, 103–114. doi: 10.​1007/​s10608-010-9318-y. CrossRef Lykins, E. L. B., Baer, R. A., & Gottlob, L. R. (2012). Performance-based tests of attention and memory in long-term mindfulness meditators and demographically matched nonmeditators. Cognitive Therapy and Research, 36, 103–114. doi: 10.​1007/​s10608-010-9318-y. CrossRef
go back to reference Martindale, C. (1978). The therapist-as-fixed-effect fallacy in psychotherapy research. Journal of Consulting and Clinical Psychology, 46, 1526–1530. CrossRefPubMed Martindale, C. (1978). The therapist-as-fixed-effect fallacy in psychotherapy research. Journal of Consulting and Clinical Psychology, 46, 1526–1530. CrossRefPubMed
go back to reference Palta, P., Page, G., Piferi, R. L., Gill, J. M., Hayat, M. J., Connolly, A. B., & Szanton, S. L. (2012). Evaluation of a mindfulness-based intervention program to decrease blood pressure in low-income African-American older adults. Journal of Urban Health, 89, 208–316. doi: 10.​1007/​s11524-01109654-6. CrossRef Palta, P., Page, G., Piferi, R. L., Gill, J. M., Hayat, M. J., Connolly, A. B., & Szanton, S. L. (2012). Evaluation of a mindfulness-based intervention program to decrease blood pressure in low-income African-American older adults. Journal of Urban Health, 89, 208–316. doi: 10.​1007/​s11524-01109654-6. CrossRef
go back to reference Pinto‐Gouveia, J., Duarte, C., Matos, M., & Fráguas, S. (2014). The protective role of self‐compassion in relation to psychopathology symptoms and quality of life in chronic and in cancer patients. Clinical Psychology & Psychotherapy, 21, 311–323. doi: 10.​1002/​cpp.​1838. CrossRef Pinto‐Gouveia, J., Duarte, C., Matos, M., & Fráguas, S. (2014). The protective role of self‐compassion in relation to psychopathology symptoms and quality of life in chronic and in cancer patients. Clinical Psychology & Psychotherapy, 21, 311–323. doi: 10.​1002/​cpp.​1838. CrossRef
go back to reference Reitan, R., & Wolfson, D. (1993). The Halstead–Reitan neuropsychological test battery: theory and clinical interpretation. Tucson, AZ: Neuropsychology Press. Reitan, R., & Wolfson, D. (1993). The Halstead–Reitan neuropsychological test battery: theory and clinical interpretation. Tucson, AZ: Neuropsychology Press.
go back to reference Royall, D. R., Palmer, R., Chiodo, L. K., & Polk, M. J. (2004). Declining executive control in normal aging predicts change in functional status: the freedom house study. Journal of American Geriatric Society, 52(3), 346–352. Royall, D. R., Palmer, R., Chiodo, L. K., & Polk, M. J. (2004). Declining executive control in normal aging predicts change in functional status: the freedom house study. Journal of American Geriatric Society, 52(3), 346–352.
go back to reference Rosenberg, M. (1965). Society and the adolescent self-image. Princeton, N.J: Princeton University Press. Rosenberg, M. (1965). Society and the adolescent self-image. Princeton, N.J: Princeton University Press.
go back to reference Segal, Z. J., Williams, M. G., & Teasdale, J. D. (2002). Mindfulness based cognitive therapy for depression: a new approach to preventing relapses. New York: Guildford Press. Segal, Z. J., Williams, M. G., & Teasdale, J. D. (2002). Mindfulness based cognitive therapy for depression: a new approach to preventing relapses. New York: Guildford Press.
go back to reference Shapiro, S. L., Schwartz, G. E., & Bonner, G. (1998). Effects of mindfulness-based stress reduction on medical and premedical students. Journal of Behavioral Medicine, 21(6), 581–599. Shapiro, S. L., Schwartz, G. E., & Bonner, G. (1998). Effects of mindfulness-based stress reduction on medical and premedical students. Journal of Behavioral Medicine, 21(6), 581–599.
go back to reference Shapiro, S. L., Brown, K. W., & Biegel, G. M. (2007). Teaching self-care to caregivers: effects of mindfulness-based stress reduction on the mental health of therapists in training. Training and Education in Professional Psychology, 1, 105–115. doi: 10.​1037/​1931-3918.​1.​2.​105. CrossRef Shapiro, S. L., Brown, K. W., & Biegel, G. M. (2007). Teaching self-care to caregivers: effects of mindfulness-based stress reduction on the mental health of therapists in training. Training and Education in Professional Psychology, 1, 105–115. doi: 10.​1037/​1931-3918.​1.​2.​105. CrossRef
go back to reference Speca, M., Carlson, L. E., Goodey, E., & Angen, M. (2000). A randomized, waitlist controlled clinical trial: the effect of a mindfulness meditation-based stress reduction program on mood and symptoms of stress in cancer outpatients. Psychosomatic Medicine, 62(5), 613–622. CrossRefPubMed Speca, M., Carlson, L. E., Goodey, E., & Angen, M. (2000). A randomized, waitlist controlled clinical trial: the effect of a mindfulness meditation-based stress reduction program on mood and symptoms of stress in cancer outpatients. Psychosomatic Medicine, 62(5), 613–622. CrossRefPubMed
go back to reference Steinberg, B. A., Bieliauskas, L. A., Smith, G. E., & Ivnik, R. J. (2005). Mayo’s older Americans normative studies: age- and IQ-adjusted norms for the Trail-Making Test, the Stroop test, and MAE controlled oral word association test. The Clinical Neuropsychologst, 19, 329–377. doi: 10.​1080/​1385404059094521​0. CrossRef Steinberg, B. A., Bieliauskas, L. A., Smith, G. E., & Ivnik, R. J. (2005). Mayo’s older Americans normative studies: age- and IQ-adjusted norms for the Trail-Making Test, the Stroop test, and MAE controlled oral word association test. The Clinical Neuropsychologst, 19, 329–377. doi: 10.​1080/​1385404059094521​0. CrossRef
go back to reference Tombaugh, T. N., & McIntyre, N. J. (1992). The mini-mental state examination: a comprehensive review. Journal of the American Geriatrics Society, 40(9), 922–935. CrossRefPubMed Tombaugh, T. N., & McIntyre, N. J. (1992). The mini-mental state examination: a comprehensive review. Journal of the American Geriatrics Society, 40(9), 922–935. CrossRefPubMed
go back to reference Wang, L., Van Belle, G., Kukull, W. B., & Larson, E. B. (2002). Predictors of functional change: a longitudinal study of nondemented people aged 65 and older. Journal of the American Geriatrics Society, 50(9), 1525–1534. Wang, L., Van Belle, G., Kukull, W. B., & Larson, E. B. (2002). Predictors of functional change: a longitudinal study of nondemented people aged 65 and older. Journal of the American Geriatrics Society, 50(9), 1525–1534.
go back to reference Wenk-Sormaz, H. (2005). Meditation can reduce habitual responding. Advances in Mind-Body Medicine, 21(3–4), 33–49. PubMed Wenk-Sormaz, H. (2005). Meditation can reduce habitual responding. Advances in Mind-Body Medicine, 21(3–4), 33–49. PubMed
go back to reference Wiltsey-Stirman, S. W., Monson, C. M., & Resick, P. (2013). Cognitive processing therapy: therapist adherence and competence protocol. Unpublished manuscript. Wiltsey-Stirman, S. W., Monson, C. M., & Resick, P. (2013). Cognitive processing therapy: therapist adherence and competence protocol. Unpublished manuscript.
go back to reference Yesavage, J. A., Brink, T. L., Rose, T. L., Lum, O., Huang, V., Adey, M., & Leirer, V. O. (1983). Development and validation of a geriatric depression screening scale: a preliminary report. Journal of Psychiatric Research, 17, 37–49. doi: 10.​1016/​0022-3956(82)90033-4. CrossRef Yesavage, J. A., Brink, T. L., Rose, T. L., Lum, O., Huang, V., Adey, M., & Leirer, V. O. (1983). Development and validation of a geriatric depression screening scale: a preliminary report. Journal of Psychiatric Research, 17, 37–49. doi: 10.​1016/​0022-3956(82)90033-4. CrossRef
Metagegevens
Titel
Effects of Mindfulness Training on Cognition and Well-Being in Healthy Older Adults
Auteurs
Sasha Mallya
Alexandra J. Fiocco
Publicatiedatum
11-12-2015
Uitgeverij
Springer US
Gepubliceerd in
Mindfulness / Uitgave 2/2016
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI
https://doi.org/10.1007/s12671-015-0468-6