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Mindfulness and meditation: treating cognitive impairment and reducing stress in dementia.

Jesse Russell-Williams, Wafa Jaroudi, Tania Perich, Siobhan Hoscheidt, Mohamad El Haj, Ahmed A. Moustafa

Reviews in the Neurosciences September 25, 2018 DOI: 10.1515/revneuro-2017-0066 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Systematic review Randomized Peer reviewed
Population People with Alzheimer's disease, dementia, mild cognitive impairment, and subjective cognitive decline
Interventions Mindfulness-based stress reduction Kirtan Kriya meditation mindfulness-based Alzheimer's stimulation
Topics Meditation
Keywords Alzheimer’s disease Dementia Neural studies Stress
Key findings The reviewed studies reported significant findings or trends toward significance for meditation interventions, including reduced cognitive decline, reduced perceived stress, increased quality of life, and increases in functional connectivity, percent brain volume change, and cerebral blood flow in cortical areas. The authors suggest meditation may reduce stress and enhance cognition, potentially ameliorating some dementia symptoms.

Abstract

This study investigates the relationship between mindfulness, meditation, cognition and stress in people with Alzheimer's disease (AD), dementia, mild cognitive impairment and subjective cognitive decline. Accordingly, we explore how the use of meditation as a behavioural intervention can reduce stress and enhance cognition, which in turn ameliorates some dementia symptoms. A narrative review of the literature was conducted with any studies using meditation as an intervention for dementia or dementia-related memory conditions meeting inclusion criteria. Studies where moving meditation was the main intervention were excluded due to the possible confounding of exercise. Ten papers were identified and reviewed. There was a broad use of measures across all studies, with cognitive assessment, quality of life and perceived stress being the most common. Three studies used functional magnetic resonance imaging to measure functional changes to brain regions during meditation. The interventions fell into the following three categories: mindfulness, most commonly mindfulness-based stress reduction (six studies); Kirtan Kriya meditation (three studies); and mindfulness-based Alzheimer's stimulation (one study). Three of these studies were randomised controlled trials. All studies reported significant findings or trends towards significance in a broad range of measures, including a reduction of cognitive decline, reduction in perceived stress, increase in quality of life, as well as increases in functional connectivity, percent volume brain change and cerebral blood flow in areas of the cortex. Limitations and directions for future studies on meditation-based treatment for AD and stress management are suggested.

Comparable studies

Other systematic reviews and meta-analyses on meditation, most cited first.

Study Year Design Participants
Meditation Programs for Psychological Stress and Well-being Diverse adult clinical populations 2014 Meta-analysis n = 3,515
Mindfulness-Based Stress Reduction for Stress Management in Healthy People: A Review and Meta-Analysis Healthy subjects 2009 Systematic review and meta-analysis
The psychological effects of meditation: A meta-analysis. Nonclinical groups of adult meditators 2012 Meta-analysis n = 163
Efficacy of Mindfulness-Based Cognitive Therapy in Prevention of Depressive Relapse Adults with recurrent depression in full or partial remission 2016 Meta-analysis of individual patient data from randomized controlled trials n = 1,258
Mindfulness‐Based Stress Reduction and Mindfulness‐Based Cognitive Therapy – a systematic review of randomized controlled trials 2011 Systematic review

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