Article Dans Une Revue Neuropsychology Review Année : 2022

The Effect of Mindfulness-based Programs on Cognitive Function in Adults: A Systematic Review and Meta-analysis

Tim Whitfield
Thorsten Barnhofer
Eider Arenaza-Urquijo
Lauren Sager
Sara Lazar

Résumé

Mindfulness-based programs (MBPs) are increasingly utilized to improve mental health. Interest in the putative effects of MBPs on cognitive function is also growing. This is the first meta-analysis of objective cognitive outcomes across multiple domains from randomized MBP studies of adults. Seven databases were systematically searched to January 2020. Fifty-six unique studies ( n = 2,931) were included, of which 45 ( n = 2,238) were synthesized using robust variance estimation meta-analysis. Meta-regression and subgroup analyses evaluated moderators. Pooling data across cognitive domains, the summary effect size for all studies favored MBPs over comparators and was small in magnitude ( g = 0.15; [0.05, 0.24]). Across subgroup analyses of individual cognitive domains/subdomains, MBPs outperformed comparators for executive function ( g = 0.15; [0.02, 0.27]) and working memory outcomes ( g = 0.23; [0.11, 0.36]) only. Subgroup analyses identified significant effects for studies of non-clinical samples, as well as for adults aged over 60. Across all studies, MBPs outperformed inactive, but not active comparators. Limitations include the primarily unclear within-study risk of bias (only a minority of studies were considered low risk), and that statistical constraints rendered some p -values unreliable. Together, results partially corroborate the hypothesized link between mindfulness practices and cognitive performance. This review was registered with PROSPERO [CRD42018100904].

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inserm-04040721 , version 1 (22-03-2023)

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Tim Whitfield, Thorsten Barnhofer, Rebecca Acabchuk, Avi Cohen, Michael Lee, et al.. The Effect of Mindfulness-based Programs on Cognitive Function in Adults: A Systematic Review and Meta-analysis. Neuropsychology Review, 2022, 32 (3), pp.677-702. ⟨10.1007/s11065-021-09519-y⟩. ⟨inserm-04040721⟩
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