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16-02-2022 | REVIEW

Mindfulness-Based Stress Reduction and Mindfulness-Based Cognitive Therapy for Depression: a Systematic Review of Cognitive Outcomes

Auteurs: Morganne A. Kraines, Summer K. Peterson, Geoffrey N. Tremont, Courtney Beard, Judson A. Brewer, Lisa A. Uebelacker

Gepubliceerd in: Mindfulness | Uitgave 5/2022

Abstract

Objectives

Summarize existing literature on cognitive outcomes of mindfulness-based stress reduction (MBSR) and mindfulness-based cognitive therapy (MBCT) for individuals with depression.

Methods

Following PRISMA (2021) guidance, we conducted a systematic review. We searched databases for studies published from 2000 to 2020 which examined cognitive outcomes of MBSR and MBCT in individuals with at least mild depressive symptoms. The search results in 10 studies (11 articles) meeting inclusion criteria.

Results

We identified five single-arm trials and five randomized controlled trials. Results indicated that three studies did not show any improvements on cognitive outcomes, and seven studies showed at least one improvement in cognitive outcomes.

Conclusions

Overall, the review highlighted several inconsistencies in the literature including inconsistent use of terminology, disparate samples, and inconsistent use of methodology. These inconsistencies may help to explain the mixed results of MBSR and MBCT on cognitive outcomes. Recommendations include a more streamlined approach to studying cognitive outcomes in depressed individuals in the context of MBSR and MBCT.

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*Anderson, N.D., Lau, M.A., Segal, Z.V., & Bishop, S.R. (2007). Mindfulness-based stress reduction and attention control. Clinical Psychology and Psychotherapy, 14, 449-463. https://doi.org/10.1002/cpp.544

Armstrong, T., & Olatunji, B. O. (2012). Eye tracking of attention in the affective disorders: A meta-analytic review and synthesis. Clinical Psychology Review, 32(8), 704–723.CrossRef

Austin, M. P., Mitchell, P., & Goodwin, G. M. (2001). Cognitive deficits in depression: Possible implications for functional neuropathology. British Journal of Psychiatry, 178(3), 200–206. https://doi.org/10.1192/bjp.178.3.200CrossRef

Beck, A.T., Steer, R.A., & Brown, G.K. (1996). BDI-II: Beck Depression Inventory manual. San Antonio, Texas.

Benton, A. L. (1989). Multilingual aphasia examination. AJA Associates.

*Berk, L., Hotterbeekz, R., van Os, J., & van Boxtel, M. (2018). Mindfulness-based stress reduction in middle-aged and older adults with memory complaints: A mixed-methods study. Aging & Mental Health, 22(9), 1107-1114. https://doi.org/10.1080/13607863.2017.1347142

*Blankespoor, R.J., Schellekens, M.P.J., Vos, S.H., Speckens, A.E.M., & de Jong, B.A. (2017). The effectiveness of mindfulness-based stress reduction on psychological distress and cognitive functioning in patients with multiple sclerosis: A pilot study. Mindfulness, 8(5), 1251-1258. https://doi.org/10.1007/s12571-017-0701

*Cash, T.V., Ekouevi, V.S., Kilbourn, C., & Lageman, S.K. (2016). Pilot study of a mindfulness-based group intervention for individuals with Parkinson’s disease and their caregivers. Mindfulness, 7, 361-371. https://doi.org/10.1007/s12671-015-0452-1

Chiesa, A., Calati, R., & Serretti, A. (2011). Does mindfulness training improve cognitive abilities? A systematic review of neuropsychological findings. Clinical Psychology Review, 31(3), 449–464. https://doi.org/10.1016/j.cpr.2010.22.003CrossRefPubMed

Delis, D. C., Kaplan, E., & Kramer, J. H. (2001). Delis Kaplan Executive Function System (D-KEFS). The Psychological Corporation.

Delis, D., Kaplan, E., Kramer, J., & Ober, B. (2000). California Verbal Learning Test-II. The Psychological Corporation.

De Lissnyder, E., Koster, E. H. W., Derakshan, N., & De Raedt, R. (2010). The association between depressive symptoms and executive control impairments in response to emotional and non-emotional information. Cognition and Emotion, 24(2), 264–280.CrossRef

De Raedt, R., & Koster, E. H. (2010). Understanding vulnerability for depression from a cognitive neuroscience perspective: A reappraisal of attentional factors and a new conceptual framework. Cognitive, Affective, & Behavioral Neuroscience, 10, 50–70. https://doi.org/10.3758/CABN.10.1.50CrossRef

Fitzgerald, P. B., Laird, A. R., Maller, J., & Daskalakis, Z. J. (2008). A meta-analytic study of changes in brain activation in depression. Human Brain Mapping, 29(6), 683–695. https://doi.org/10.1002/hbm.20613CrossRefPubMed

Fjorback, L. O., Arndt, M., Ornbol, E., Fink, P., & Walach, H. (2011). Mindfulness-based stress reduction and mindfulness-based cognitive therapy – A systematic review of randomized controlled trials. Acta Psychiatrica Scandinavica, 124(2), 102–119.CrossRef

Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975). “Mini-Mental State”: A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12(3), 189–198.CrossRef

Gotlib, I. H., & Joormann, J. (2010). Cognition and depression: Current status and future directions. Annual Review of Clinical Psychology, 6, 285–312. https://doi.org/10.1146/annurev.clinpsy.121208.131305CrossRefPubMedPubMedCentral

Greenberg, P. E., Fournier, A. A., Sisitsky, T., & Kessler, R. C. (2015). The economic burden of adults with major depressive disorder in the United States (2005 and 2010). Journal of Clinical Psychiatry, 76(2), 155–162.CrossRef

Harvey, A., Watkins, E., Mansell, W., & Shafran, R. (2004). Cognitive behavioural processes across psychological disorders: A transdiagnostic approach to research and treatment. Oxford University Press.

Henry, J. D., & Crawford, J. R. (2005). The short-form version of the Depression Anxiety Stress Scales (DASS-21): Construct validity and normative data in a large non-clinical sample. The British Journal of Clinical Psychology, 44, 227–239. https://doi.org/10.1348/014466505X29657CrossRefPubMed

Hollingworth, A., & Henderson, J. M. (1998). Does consistent scene context facilitate object perception? Journal of Experimental Psychology: General, 127(4), 398–415.CrossRef

*Huang, F.Y., Hsu, A.L., Hsu, L,M., Tsai, J.S., Huang, C.M., Chao, Y.P., Hwang, T.J., & Wu, C.W. (2019). Mindfulness improves emotion regulation and executive control on bereaved individuals: An fMRI study. Frontiers in Human Neuroscience, 12, 541. 10/3389/fnhum.2018.00541

Joormann, J., & Gotlib, I. H. (2008). Updating the contents of working memory in depression: Interference from irrelevant negative material. Journal of Abnormal Psychology, 117(1), 182–192.CrossRef

Joormann, J., Yoon, K. L., & Zetsche, U. (2007). Cognitive inhibition and depression. Applied and Preventive Psychology, 12(3), 128–139.CrossRef

Kabat-Zinn, J. (1994). Wherever you go, there you are: Mindfulness meditation in everyday life. Hyperion.

Kessels, R. P., Nys, G. M., Brands, A. M., van der Berg, E., & Van Dandvoort, M. J. (2006). The modified Location Learning Test: Norms for the assessment of spatial memory function in neuropsychological patients. Archives of Clinical Neuropsychology, 21(8), 841–846.CrossRef

Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R., & Walters, E. E. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62(6), 593–602.CrossRef

Koster, E. H. W., Hoorelbeke, K., Onraedt, T., Owens, M., & Derakshan, N. (2017). Cognitive control interventions for depression: A systematic review of findings from training studies. Clinical Psychology Review, 53, 79–92.CrossRef

Kroenke, K., Spitzer, R. L., & Williams, J. B. (2001). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine, 16(9), 606–613. https://doi.org/10.1046/j.1525-1497.2001.016009606.xCrossRefPubMedPubMedCentral

Lau, S., Kissane, D., & Meadows, G. (2016). Cognitive effects of MBSR/MBCT: A systematic review of neuropsychological outcomes. Consciousness and Cognition, 45, 109–123. https://doi.org/10.1016/j.concog.2016.08.017CrossRef

Lee, Y., Yang, M. J., Lai, T. J., Chiu, N. M., & Chau, T. T. (2000). Development of the Taiwanese depression questionnaire. Chang Gung Medical Journal, 23, 688–694.PubMed

Levens, S. M., & Gotlib, I. H. (2010). Updating positive and negative stimuli in working memory in depression. Journal of Experimental Psychology, General, 139(4), 654–664.CrossRef

Lezak, M. D., Howieson, D. B., & Loring, D. W. (2004). Neuropsychological assessment. Oxford University Press.

Ma, S. H., & Teasdale, J. D. (2004). Mindfulness-based cognitive therapy for depression: Replication and exploration of differential relapse prevention effects. Journal of Consulting and Clinical Psychology, 72(1), 31–40. https://doi.org/10.1037/0022-006.X.72.1.31CrossRefPubMed

*Mallya, S. & Fiocco, A.J. (2019).The effects of mindfulness training on cognitive and psychosocial well-being among family caregivers of persons with neurodegenerative disease. Mindfulness, 10(44). 2026-2037. https://doi.org/10.1007/s12671-019-01155-1

Manly, T., Davison, B., Heutink, J., Galloway, M., & Robertson, I. (2000). Not enough time or not enough attention?: Speed, error and self-maintained control in the Sustained Attention to Response Test (SART). Clinical Neuropsychological Assessment, 3, 167–177.

Mathews, A., & MacLeod, C. (2005). Cognitive vulnerability to emotional disorders. Annual Review of Clinical Psychology, 1, 167–195.CrossRef

Miyake, A., Friedman, N. P., Emerson, M. J., Witzki, A. H., Howerter, A., & Wager, T. D. (2000). The unity and diversity of executive functions and their contributions to complex “frontal lobe” tasks: A latent variable analysis. Cognitive Psychology, 41, 49–100.CrossRef

Motter, J. N., Pimontel, M. A., Rindskopf, D., Devanand, D. P., Doraiswamy, M. P., & Sneed, J. R. (2016). Computerized cognitive training and functional recovery in major depressive disorder: A meta-analysis. Journal of Affective Disorders, 189(1), 184–191.CrossRef

Page, M.J., McKenzie, J.E., Bossuyt, P.M., Boutron, I., Hoffmann, T.C., Mulrow, C.D., Shamseer, L., Tetzlaff, J.M., Akl, E.A., Brennan, S.E., Chou, R., Glanville, J., Grimshaw, J.M., Hrobjartsson, A., Lalu, M., Li, T., Loder, E.W., Mayo-Wilson, E., McDonald, S., … Moher, D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ 2021, 372: n71. https://doi.org/10.1136/bmj.n71

Peckham, A. D., McHugh, R. K., & Otto, M. W. (2010). A meta-analysis of the magnitude of biased attention in depression. Depression and Anxiety, 27(12), 1135–1142.CrossRef

Radloff, L. S. (1977). The CES-D scale: A self report depression scale for research in the general population. Applied Psychological Measurements, 1, 385–401.CrossRef

Reitan, R. M. (1958). Validity of the trail making test as an indicator of organic brain damage. Perceptual and Motor Skills, 8, 271–276.CrossRef

Reitan, R., & Wolfson, D. (1993). The Halstead-Reitan neuropsychological test battery: Theory and clinical applications. Neuropsychology Press.

Rock, P. L., Roiser, J. P., Riedel, W. J., & Blackwell, A. D. (2014). Cognitive impairment in depression: A systematic review and meta-analysis. Psychological Medicine, 44(10), 2029–2040. https://doi.org/10.1017/S0033291713002535CrossRefPubMed

Rogers, M. A., Kasai, K., Kogi, M., Fukuda, R., Iwanami, A., Nakagome, K., et al. (2004). Executive and prefrontal dysfunction in unipolar depression: A review of neuropsychological and imaging evidence. Neuroscience Research, 50, 1–11.CrossRef

Ruff, R. M., Light, R. H., Parker, S. B., & Levin, H. S. (1996). Benton Controlled Coral Word Association Test: Reliability and updated norms. Archives of Clinical Neuropsychology, 11, 329–338. https://doi.org/10.1093/arclin/11.4.329CrossRefPubMed

Rush, A. J., Gullion, C. M., Basco, M. R., Jarrett, R. B., & Trivedi, M. H. (1996). The Inventory of Depressive Symptomatology (IDS): Psychometric properties. Psychological Medicine, 26, 477–486.CrossRef

*Sachse, S., Keville, S., & Feigenbaum, J. (2011). A feasibility study of mindfulness-based cognitive therapy for individuals with borderline personality disorder. Psychology and Psychotherapy: Theory Research and Practice, 84, 184-200.

Schoenberg, P. L. A., & Speckens, A. E. M. (2014). Modulation of induced frontocentral theta (FM-0) event related (de-)synchronization dynamics following mindfulness-based cognitive therapy in major depressive disorder. Cognitive Neurodynamics, 8(5), 373–388. https://doi.org/10.1007/s11571-014-9294-0CrossRefPubMedPubMedCentral

*Schoenberg, P.L.A. & Speckens, A.E.M. (2015). Multi-dimensional modulations of α and ϒ cortical dynamics following mindfulness-based cognitive therapy in major depressive disorder. Cognitive Neurodynamics, 9(1), 13–29. 10/1007/s11571–014–9308-y

Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse. Guilford Press.

Smith, A. (1982). Symbol Digits Modalities Test. Los Angeles: Western Psychological Services.

Snyder, H. R. (2013). Major depressive disorder is associated with broad impairments on neuropsychological measures of executive function: A meta-analysis and review. Psychological Bulletin, 139(1), 81–132. https://doi.org/10.1037/a0028727CrossRefPubMed

Strauss, E., Sherman, E. M. S., & Spreen, O. (Eds.). (2006). A compendium of neuropsychological tests: Administration, norms, and commentary. Oxford University Press.

Strauss, C., Cavanagh, K., Oliver, A., & Pettman, D. (2014). Mindfulness-based interventions for people diagnosed with a current episode of anxiety or depressive disorder: A meta-analysis of randomized controlled trials. PLoS One, 9(4), e96110.CrossRef

Stroop, J. R. (1935). Studies of interference in serial verbal reactions. Journal of Experimental Psychology, 18(6), 643–662. https://doi.org/10.1037/h0054651CrossRef

Tombaugh, T. N. (2004). Trail Making Test A an dB: Normative data stratified by age and education. Archives of Clinical Neuropsychology, 19, 203–214. https://doi.org/10.1016/S0887-6177(03)00039-8CrossRefPubMed

Tombaugh, T. N. (2006). A comprehensive review of the Paced Auditory Serial Addition Test (PASAT). Archives of Clinical Neuropsychology, 21(1), 53–76.CrossRef

Teasdale, J. D. (1988). Cognitive vulnerability to persistent depression. Cognition and Emotion, 2(3), 247–274.CrossRef

Teasdale, J. D., Segal, Z. V., Williams, J. M., Ridgeway, V. A., Soulsby, J. M., & Lau, M. A. (2000). Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Journal of Consulting and Clinical Psychology, 68(4), 615–623. https://doi.org/10.1037//0022-006x.68.4.615CrossRefPubMed

Van der Does, J. W. (2002). The Dutch version of the Beck Depression Inventory (BDI-II-NL) (2nd ed.). Swets Test Publishers.

Van der Elst, W., Van Boxtel, M. P. J., Van Breukelen, G. J. P., & Jolles, J. (2005). Rey’s Verbal Learning Test: Normative data for 1855 healthy participants aged 24–81 years and the influence of age, sex, education, and mode of presentation. Journal of the International Neuropsychological Society, 11(3), 290–302.CrossRef

*Verhoeven, J.E., Vrijsen, J.N., van Oostrom, I., Speckens, A.E.M., & Rinck, M. (2014). Attention effects of mindfulness-based cognitive therapy in formerly depressed patients. Journal of Experimental Psychopathology, 5(4), 414-424. https://doi.org/10.5127/jep.037513

Vrijsen, J. N., van Oostrom, I., Isaac, L., Becker, E. S., & Speckens, A. (2014). Coherence between attentional 363 and memory biases in sad and formerly depressed individuals. Cognitive Therapy and Research, 38, 334–342.CrossRef

Wechsler, D. (1987). Wechsler Memory Scale-Revised. New York, NY: Harcourt Brace Jovanovich.

Wechsler, D. (2008). Wechsler Adult Intelligence Scale (WAIS-IV): Technical and interpretive manual (4th ed.). Pearson.

Weintraub, S., Dikmen, S. S., Heaton, R. K., Tulsky, D. S., Zelazo, P. D., Bauer, P. J., Carlozzi, N. E., Slotkin, J., Blitz, D., Wallner-Allen, K., Fox, N. A., Beaumont, J. L., Mungas, D., Nowinski, C. J., Richler, J., Deocampo, J. A., Anderson, J. E., Manly, J. J., Borosh, B., Havlik, R., … Gershon, R. C. (2013). Cognition assessment using the NIH Toolbox. Neurology, 80(11 Suppl 3), S54–S64. 10/1212/WNL.0b013e3182872ded

*Wetherell, J.L., Hershey, T., Hickman, S., Tate, S.R., Dixon, D., Bower, E.S., & Lenze, E.J. (2017). Mindfulness-based stress reduction for older adults with stress disorders and neurocognitive difficulties: A randomized controlled trial. Journal of Clinical Psychiatry, 78(7), e734-e743. https://doi.org/10.4088/JCP.16m10947

Whitmer, A. J., & Banich, M. T. (2007). Inhibition versus switching deficits in different forms of rumination. Psychological Science, 18(6), 546–553.CrossRef

Wisco, B. E. (2009). Depressive cognition: Self-reference and depth of processing. Clinical Psychology Review, 29(4), 382–392.CrossRef

Titel: Mindfulness-Based Stress Reduction and Mindfulness-Based Cognitive Therapy for Depression: a Systematic Review of Cognitive Outcomes
Auteurs: Morganne A. Kraines
Summer K. Peterson
Geoffrey N. Tremont
Courtney Beard
Judson A. Brewer
Lisa A. Uebelacker
Publicatiedatum: 16-02-2022
Uitgeverij: Springer US
Gepubliceerd in: Mindfulness / Uitgave 5/2022
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI: https://doi.org/10.1007/s12671-022-01841-7

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