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04-09-2019 | ORIGINAL PAPER

Mindfulness Training and Attentional Control in Older Adults: a Randomized Controlled Trial

Auteurs: Patrick Whitmoyer, Stephanie Fountain-Zaragoza, Rebecca Andridge, Keith Bredemeier, Allison Londeree, Liat Kaye, Ruchika Shaurya Prakash

Gepubliceerd in: Mindfulness | Uitgave 1/2020

Abstract

Objectives

Mindfulness-based interventions have been found to improve facets of attentional control. However, comparison with active control groups has been scarce, and few studies have examined mindfulness as a means to ameliorate age-related cognitive deficits. This rigorously designed randomized controlled trial investigated the effects of mindfulness-based attention training (MBAT) on attentional control in older adults relative to an active control group.

Methods

Seventy-four community-dwelling older adults were randomized to 4 weeks of MBAT or an active lifestyle education control group. Pre- and post-intervention, participants completed two computerized measures of attentional control with intermittent assessments of self-reported mind-wandering, with metrics of attentional control and mind-wandering being the primary outcome variables for the study. Additionally, participants completed trait and state measures of mindfulness, the positive and negative affect scale, and homework logs to assess intervention-related engagement.

Results

Although we found some evidence for greater reductions in mind-wandering in the MBAT than the active control group, the MBAT group did not exhibit greater improvements in attentional performance. Exploratory analyses revealed working memory as a significant moderator of the observed effects, such that those in the MBAT group with higher working memory showed greater improvement in attentional control.

Conclusions

We found partial evidence that brief mindfulness training improves mind-wandering, but not attentional control in older adults. Our study provides preliminary support for working memory as an important moderator of short-duration mindfulness training; however, given the exploratory nature of these effects, replication is warranted.

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A Consensus on the Brain Training Industry from the Scientific Community. (2014). Institute for Human Development and Stanford Center on Longevity, Accessed 1 Oct 2017. http://longevity.stanford.edu/a-consensus-on-the-brain-training-industry-from-the-scientific-community-2/.

Ainsworth, B., Eddershaw, R., Meron, D., Baldwin, D. S., & Garner, M. (2013). The effect of focused attention and open monitoring meditation on attention network function in healthy volunteers. Psychiatry Research, 210(3), 1226–1231. https://doi.org/10.1016/j.psychres.2013.09.002.CrossRefPubMed

Aldana, S. (2005). The culprit and the cure: why lifestyle is the culprit behind America’s poor health. Mapleton: Maple Mountain Press.

Baddeley, A. (2003). Working memory: looking back and looking forward. Nature Reviews Neuroscience, 4, 829–839. https://doi.org/10.1038/nrn1201.CrossRefPubMed

Baddeley, A., & Hitch, G. (1974). Working memory. Psychology of Learning and Motivation, 8, 47–89. https://doi.org/10.1016/S0079-7421(08)60452-1.CrossRef

Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13(1), 27–45. https://doi.org/10.1177/1073191105283504.CrossRef

Baumeister, R. F., Twenge, J. M., & Nuss, C. K. (2002). Effects of social exclusion on cognitive processes: anticipated aloneness reduces intelligent thought. Journal of Personality and Social Psychology, 83(4), 817–827. https://doi.org/10.1037/0022-3514.83.4.817.CrossRefPubMed

Bishop, S. R. (2002). What do we really know about mindfulness-based stress reduction? Psychosomatic Medicine, 64, 71–83.CrossRef

Braver, T. S. (2012). The variable nature of cognitive control: a dual mechanisms framework. Trends in Cognitive Sciences, 16(2), 106–113. https://doi.org/10.1016/j.tics.2011.12.010.CrossRefPubMedPubMedCentral

Braver, T. S., Gray, J. R., & Burgess, G. C. (2008). Explaining the many varieties of working memory variation: dual mechanisms of cognitive control. In A. Conway, C. Jarrold, M. Kane, A. Miyake, & J. Towse (Eds.), Variation in working memory (pp. 76–106). Oxford: Oxford University Press.CrossRef

Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84(4), 822–848. https://doi.org/10.1037/0022-3514.84.4.822.CrossRefPubMed

Chao, L. L., & Knight, R. T. (1997). Prefrontal deficits in attention and inhibitory control with aging. Cerebral Cortex, 7(1), 63–69. https://doi.org/10.1093/cercor/7.1.63.CrossRefPubMed

Cheyne, J. A., Solman, G. J. F., Carriere, J. S. A., & Smilek, D. (2009). Anatomy of an error: a bidirectional state model of task engagement/disengagement and attention-related errors. Cognition, 111(1), 98–113. https://doi.org/10.1016/j.cognition.2008.12.009.CrossRef

Chiesa, A., Calati, R., & Serretti, A. (2011). Does mindfulness training improve cognitive abilities? A systematic review of neuropsychological findings. Clinical Psychology Review, 31, 449–464. https://doi.org/10.1016/j.cpr.2010.11.003.CrossRefPubMed

Dziura, J. D., Post, L. A., Zhao, Q., Fu, Z., & Peduzzi, P. (2013). Strategies for dealing with missing data in clinical trials: From design to analysis. The Yale Journal of Biology and Medicine, 86(3), 343–358.PubMedPubMedCentral

Epel, E. S., Puterman, E., Lin, J., Blackburn, E., Lazaro, A., & Mendes, W. B. (2012). Wandering minds and aging cells. Clinical Psychological Science, 2167702612460234. https://doi.org/10.1177/2167702612460234.CrossRef

Evers, A., Klusmann, V., Schwarzer, R., & Heuser, I. (2011). Improving cognition by adherence to physical or mental exercise: a moderated mediation analysis. Aging & Mental Health, 15(4), 446–455. https://doi.org/10.1080/13607863.2010.543657.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

Fountain-Zaragoza, S., Londerée, A., Whitmoyer, P., & Prakash, R. S. (2016). Dispositional mindfulness and the wandering mind: implications for attentional control in older adults. Consciousness and Cognition, 44, 193–204. https://doi.org/10.1016/j.concog.2016.08.003.CrossRefPubMed

Fountain-Zaragoza, S., Puccetti, N. A., Whitmoyer, P., & Prakash, R. S. (2018). Aging and attentional control: examining the roles of mind-wandering propensity and dispositional mindfulness. Journal of the International Neuropsychological Society, 24(8), 876–888. https://doi.org/10.1017/S1355617718000553.CrossRefPubMed

Greenberg, J., Reiner, K., & Meiran, N. (2012). “Mind the trap”: mindfulness practice reduces cognitive rigidity. PLoS One, 7(5), e36206. https://doi.org/10.1371/journal.pone.0036206.CrossRefPubMedPubMedCentral

Hasher, L., & Zacks, R. T. (1988). Working memory, comprehension, and aging: a review and a new view. The Psychology of Learning and Motivation, 22, 193–225. https://doi.org/10.1016/S0079-7421(08)60041-9Get.CrossRef

Heeren, A., Van Broeck, N., & Philippot, P. (2009). The effects of mindfulness on executive processes and autobiographical memory specificity. Behaviour Research and Therapy, 47(5), 403–409. https://doi.org/10.1016/j.brat.2009.01.017.CrossRefPubMed

Hodgins, H. S., & Adair, K. C. (2010). Attentional processes and meditation. Consciousness and Cognition, 19(4), 872–878. https://doi.org/10.1016/j.concog.2010.04.002.CrossRefPubMed

Jensen, C. G., Vangkilde, S., Frokjaer, V., & Hasselbalch, S. G. (2012). Mindfulness training affects attention—or is it attentional effort? Journal of Experimental Psychology: General, 141(1), 106–123. https://doi.org/10.1037/a0024931.CrossRef

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(1), 54–64. https://doi.org/10.1037/a0018438.CrossRefPubMed

Jha, A. P., Morrison, A. B., Dainer-Best, J., Parker, S., Rostrup, N., & Stanley, E. A. (2015). Minds “at attention”: mindfulness training curbs attentional lapses in military cohorts. PLoS One, 10(2). https://doi.org/10.1371/journal.pone.0116889.CrossRef

Kabat-Zinn, J. (1982). An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: theoretical consideration and preliminary results. General Hospital Psychiatry, 4, 33–47. https://doi.org/10.1016/0163-8343(82)90026-3.CrossRef

Kabat-Zinn, J. (2009). Full catastrophe living: using the wisdom of your body and mind to face stress, pain, and illness. New York: Random House Publishing Group.

Kane, M. J., Brown, L. H., McVay, J. C., Silvia, P. J., Myin-Germeys, I., & Kwapil, T. R. (2007). For whom the mind wanders, and when: an experience-sampling study of working memory and executive control in daily life. Psychological Science, 18(7), 614–621. https://doi.org/10.1111/j.1467-9280.2007.01948.x.CrossRefPubMed

Kazazi, L., Foroughan, M., Nejati, V., & Shati, M. (2018). Association between age associated cognitive decline and health related quality of life among Iranian older individuals. Electronic Physician, 10(4), 6663–6671. https://doi.org/10.19082/6663.CrossRefPubMedPubMedCentral

Lenze, E. J., Hickman, S., Hershey, T., Wendleton, L., Ly, K., Dixon, D., et al. (2014). Mindfulness-based stress reduction for older adults with worry symptoms and co-occurring cognitive dysfunction. International Journal of Geriatric Psychiatry, 29(10), 991–1000. https://doi.org/10.1002/gps.4086.CrossRefPubMedPubMedCentral

Lockenhoff, C. E., & Cartensen, L. L. (2007). Aging, emotion, and health-related decision strategies: motivational manipulation can reduce age differences. Psychology and Aging, 22(1), 134–146. https://doi.org/10.1037/0882-7974.22.1.134.CrossRefPubMed

Lustig, C., Shah, P., Seidler, R., & Reuter-Lorenz, P. A. (2009). Aging, training, and the brain: a review and future directions. Neuropsychology Review, 19(4), 504–522. https://doi.org/10.1007/s11065-009-9119-9.CrossRefPubMedPubMedCentral

Lutz, A., Slagter, H. A., Dunne, J. D., & Davidson, R. J. (2008). Attention regulation and monitoring in meditation. Trends in Cognitive Sciences, 12(4), 163–169. https://doi.org/10.1016/j.tics.2008.01.005.CrossRefPubMedPubMedCentral

MacCoon, D. G., MacLean, K. A., Davidson, R. J., Saron, C. D., & Lutz, A. (2014). No sustained attention differences in a longitudinal randomized trial comparing mindfulness based stress reduction versus active control. PLoS One, 9(6), e97551. https://doi.org/10.1371/journal.pone.0097551.CrossRefPubMedPubMedCentral

Malinowski, P., Moore, A. W., Mead, B. R., & Gruber, T. (2017). Mindful aging: the effects of regular brief mindfulness practice on electrophysiological markers of cognitive and affective processing in older adults. Mindfulness, 8(1), 78–94. https://doi.org/10.1007/s12671-015-0482-8.CrossRefPubMed

Mallya, S., & Fiocco, A. J. (2015). Effects of mindfulness training on cognition and well-being in healthy older adults. Mindfulness, 7(2), 453–465. https://doi.org/10.1007/s12671-015-0468-6.CrossRef

McVay, J. C., & Kane, M. J. (2009). Conducting the train of thought: working memory capacity, goal neglect, and mind wandering in an executive-control task. Journal of Experimental Psychology: Learning, Memory, and Cognition, 35(1), 196–204. https://doi.org/10.1037/a0014104.CrossRefPubMed

McVay, J. C., Meier, M. E., Touron, D. R., & Kane, M. J. (2013). Aging ebbs the flow of thought: adult age differences in mind wandering, executive control, and self-evaluation. Acta Psychologica, 142(1), 136–147. https://doi.org/10.1016/j.actpsy.2012.11.006.CrossRefPubMed

Menezes, C. B., de Paula Couto, M. C., Buratto, L. G., Erthal, F., Pereira, M. G., & Bizarro, L. (2013). The improvement of emotion and attention regulation after a 6-week training of focused meditation: a randomized controlled trial. Evidence-based Complementary and Alternative Medicine, 984678. https://doi.org/10.1155/2013/984678.CrossRef

Morrison, A. B., Goolsarran, M., Rogers, S. L., & Jha, A. P. (2014). Taming a wandering attention: short-form mindfulness training in student cohorts. Frontiers in Human Neuroscience, 7. https://doi.org/10.3389/fnhum.2013.00897.

Moynihan, J. A., Chapman, B. P., Klorman, R., Krasner, M. S., Duberstein, P. R., Brown, K. W., & Talbot, N. L. (2013). Mindfulness-based stress reduction for older adults: effects on executive function, frontal alpha asymmetry and immune function. Neuropsychobiology, 68(1), 34–43. https://doi.org/10.1159/000350949.CrossRefPubMed

Mrazek, M. D., Franklin, M. S., Phillips, D. T., Baird, B., & Schooler, J. W. (2013). Mindfulness training improves working memory capacity and GRE performance while reducing mind wandering. Psychological Science, 24(5), 776–781. https://doi.org/10.1177/0956797612459659.CrossRefPubMed

Naumann, J., Richter, T., Christmann, U., & Groeben, N. (2008). Working memory capacity and reading skill moderate the effectiveness of strategy training in learning from hypertext. Learning and Individual Differences, 18(2), 197–213. https://doi.org/10.1016/j.lindif.2007.08.007.CrossRef

O’Connell, R. G., Dockree, P. M., Bellgrove, M. A., Turin, A., Ward, S., Foxe, J. J., & Robertson, I. H. (2008). Two types of action error: electrophysiological evidence for separable inhibitory and sustained attention neural mechanisms producing error on go/no-go tasks. Journal of Cognitive Neuroscience, 21(1), 93–104. https://doi.org/10.1162/jocn.2009.21008.CrossRef

Oken, B. S., Wahbeh, H., Goodrich, E., Klee, D., Memmott, T., Miller, M., & Fu, R. (2017). Meditation in stressed older adults: improvements in self-rated mental health not paralleled by improvements in cognitive function or physiological measures. Mindfulness, 8(3), 627–638. https://doi.org/10.1007/s12671-016-0640-7.CrossRefPubMed

Ortman, J. M., Velkoff, V. A., & Hogan, H. (2014). An aging nation: the older population in the United States. U.S. Census Bureau. Retrieved from https://www.census.gov/content/dam/Census/library/publications/2014/demo/p25-1140.pdf. Accessed 13 Aug 2019.

Paxton, J. L., Barch, D. M., Racine, C. A., & Braver, T. S. (2008). Cognitive control, goal maintenance, and prefrontal function in healthy aging. Cerebral Cortex, 18(5), 1010–1028. https://doi.org/10.1093/cercor/bhm135.CrossRefPubMed

Petersen, S. E., & Posner, M. I. (2012). The attention system of the human brain: 20 years after. Annual Review of Neuroscience, 35, 73–89. https://doi.org/10.1146/annurev-neuro-062111-150525.CrossRefPubMedPubMedCentral

Prakash, R. S., Voss, M. W., Erickson, K. I., & Kramer, A. F. (2015). Physical activity and cognitive vitality. Annual Review of Psychology, 66(1), 769–797. https://doi.org/10.1146/annurev-psych-010814-015249.CrossRefPubMed

Rahe, J., Becker, J., Fink, G. R., Kessler, J., Kukolja, J., Rahn, A., et al. (2015). Cognitive training with and without additional physical activity in healthy older adults: cognitive effects, neurobiological mechanisms, and prediction of training success. Frontiers in Aging Neuroscience, 7, 187. https://doi.org/10.3389/fnagi.2015.00187.CrossRefPubMedPubMedCentral

Randall, J. G., Oswald, F. L., & Beier, M. E. (2014). Mind-wandering, cognition, and performance: a theory-driven meta-analysis of attention regulation. Psychological Bulletin, 140(6), 1411–1431. https://doi.org/10.1037/a0037428.CrossRefPubMed

Seeman, T. E., Lusignolo, T. M., Albert, M., & Berkman, L. (2001). Social relationships, social support, and patterns of cognitive aging in healthy, high-functioning older adults: MacArthur studies of successful aging. Health Psychology, 20(4), 243–255. https://doi.org/10.1037/0278-6133.20.4.243.CrossRefPubMed

Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness based cognitive therapy for depression. New York: Guilford Press.

Semple, R. J. (2010). Does mindfulness meditation enhance attention? A randomized controlled trial. Mindfulness, 1(2), 121–130. https://doi.org/10.1007/s12671-010-0017-2.CrossRef

Smallwood, J., & Schooler, J. W. (2006). The restless mind. Psychological Bulletin, 132(6), 946–958. https://doi.org/10.1037/0033-2909.132.6.946.CrossRefPubMed

Smallwood, J., McSpadden, M., Luus, B., & Schooler, J. (2008). Segmenting the stream of consciousness: the psychological correlates of temporal structures in the time series data of a continuous performance task. Brain and Cognition, 66(1), 50–56. https://doi.org/10.1016/j.bandc.2007.05.004.CrossRefPubMed

Stawarczyk, D., Majerus, S., Catale, C., & D’Argembeau, A. (2014). Relationships between mind-wandering and attentional control abilities in young adults and adolescents. Acta Psychologica, 148, 25–36. https://doi.org/10.1016/j.actpsy.2014.01.007.CrossRefPubMed

Stine-Morrow, E. A. L., Payne, B. R., Roberts, B. W., Kramer, A. F., Morrow, D. G., Payne, L., et al. (2014). Training versus engagement as paths to cognitive enrichment with aging. Psychology and Aging, 29(4), 891–906. https://doi.org/10.1037/a0038244.CrossRefPubMedPubMedCentral

van Leeuwen, S., Singer, W., & Melloni, L. (2012). Meditation increases the depth of information processing and improves the allocation of attention in space. Frontiers in Human Neuroscience, 6. https://doi.org/10.3389/fnhum.2012.00133.

Vaughan, L., & Giovanello, K. (2010). Executive function in daily life: age-related influences of executive processes on instrumental activities of daily living. Psychology and Aging, 25(2), 343–355. https://doi.org/10.1037/a0017729.CrossRefPubMed

Verhaeghen, P. (2011). Aging and executive control: reports of a demise greatly exaggerated. Current Directions in Psychological Science, 20(3), 174–180. https://doi.org/10.1177/0963721411408772.CrossRefPubMedPubMedCentral

Verhaeghen, P., & Salthouse, T. A. (1997). Meta-analyses of age-cognition relations in adulthood: estimates of linear and nonlinear age effects and structural models. Psychological Bulletin, 122(3), 231–249.CrossRef

Visted, E., Vollestad, J., Nielsen, M. B., & Nielsen, G. H. (2015). The impact of group-based mindfulness training on self-reported mindfulness: a systematic review and meta-analysis. Mindfulness, 6(3), 501–522. https://doi.org/10.1007/s12671-014-0283-5.CrossRef

Warner, L. M., Wolff, J. K., Ziegelmann, J. P., & Wurm, S. (2014). A randomized controlled trial to promote volunteering in older adults. Psychology and Aging, 29(4), 757–763. https://doi.org/10.1037/a0036486.CrossRefPubMed

Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: the PANAS scales. Journal of Personality and Social Psychology, 54(6), 1063–1070.CrossRef

Wechsler, D. (2008). Wechsler adult intelligence scale—fourth edition (WAIS–IV). London: Pearson.

White, I. R., Royston, P., & Wood, A. M. (2011). Multiple imputation using chained equations: issues and guidance for practice. Statistics in Medicine, 30(4), 377–399. https://doi.org/10.1002/sim.4067.CrossRefPubMed

Yesavage, J. A., Brink, T. L., Rose, T. L., Lum, O., Huang, V., Adey, M., & Leirer, V. O. (1982). Development and validation of a geriatric depression screening scale: a preliminary report. Journal of Psychiatric Research, 17(1), 37–49.CrossRef

Zavagnin, M., Borella, E., & De Beni, R. (2014). When the mind wanders: age-related differences between young and older adults. Acta Psychologica, 145, 54–64. https://doi.org/10.1016/j.actpsy.2013.10.016.CrossRefPubMed

Titel: Mindfulness Training and Attentional Control in Older Adults: a Randomized Controlled Trial
Auteurs: Patrick Whitmoyer
Stephanie Fountain-Zaragoza
Rebecca Andridge
Keith Bredemeier
Allison Londeree
Liat Kaye
Ruchika Shaurya Prakash
Publicatiedatum: 04-09-2019
Uitgeverij: Springer US
Gepubliceerd in: Mindfulness / Uitgave 1/2020
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI: https://doi.org/10.1007/s12671-019-01218-3

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Abstract

Objectives

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Conclusions

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