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Attentional Control May Be Modifiable with Mindfulness-Based Cognitive Therapy to Prevent Suicide

Megan S Chesin, John G Keilp, Anna Kline, Barbara Stanley, C. Myers, Miriam Latorre, Lauren M St Hill, Rachael B Miller, Arlene King, Dianna R. Boschulte, Kailyn M. Rodriguez, Michael Callahan, Megan M Sedita, Alejandro Interian

Behaviour Research and Therapy October 1, 2021 DOI: 10.1016/j.brat.2021.103988 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Randomized controlled trial Peer reviewed
Sample size 135
Population High suicide risk Veterans
Intervention Mindfulness-Based Cognitive Therapy to Prevent Suicide (MBCT-S)
Duration 6-month follow-up
Topics Meditation
Key findings MBCT-S was associated with a more favorable trajectory of attentional control over time, as indicated by performance on two emotion Stroop tasks, in high suicide risk Veterans.

Abstract

Objective: To test whether Mindfulness-Based Cognitive Therapy to Prevent Suicide (MBCT-S) is associated with improvement in attentional control, an objective marker of suicide attempt.

Method: In the context of a randomized clinical trial targeting suicide risk in Veterans, computerized Stroop and emotion Stroop (E-Stroop) tasks were administered 3 times over 6-months follow-up to 135 high suicide risk Veterans. Seventy were randomized to receive MBCT-S in addition to enhanced treatment as usual (eTAU), and 65 were randomized to eTAU only. E-Stroop word types included positively- and negatively-valenced emotion, suicide, and combat-related words. Interference scores and mixed effects linear regression analyses were used.

Results: Veterans receiving MBCT-S showed a more favorable trajectory of attentional control over time, as indicated by performance on two E-Stroop tasks. Combat-stress interference scores improved over time among Veterans in MBCT-S. Interference processing time for negative affective words deteriorated over time among Veterans receiving eTAU only.

Conclusions: MBCT-S may effectively target attentional control, and in particular reduce processing time during affective interference, in high suicide risk Veterans. Future studies to replicate these findings are warranted.

Comparable studies

Other randomized controlled trials on meditation, most cited first.

Study Year Design Participants
Alterations in Brain and Immune Function Produced by Mindfulness Meditation Healthy employees in a work environment 2003 Randomized controlled trial n = 41
Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Recovered recurrently depressed patients 2000 Randomized controlled trial n = 145
Open hearts build lives: Positive emotions, induced through loving-kindness meditation, build consequential personal resources. Working adults 2008 Randomized controlled trial n = 139
Short-term meditation training improves attention and self-regulation Undergraduate Chinese students 2007 Randomized controlled trial n = 40
Mindfulness-Based Cognitive Therapy for Depression: Replication and Exploration of Differential Relapse Prevention Effects. Recovered recurrently depressed patients 2004 Randomized controlled trial n = 73

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