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The Effects of Mindfulness on Older Adults with Mild Cognitive Impairment.

Wee Ping Wong, Jan Coles, Richard Chambers, David Bin-Chia Wu, Craig Hassed

Journal of Alzheimer's disease reports December 2, 2017 DOI: 10.3233/adr-170031 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Longitudinal mixed-methods observational study Qualitative Peer reviewed
Sample size 14
Population Older adults with mild cognitive impairment (MCI)
Interventions Mindfulness meditation eight-week group-based mindfulness training program
Duration 8-week intervention, 59-week (one-year) follow-up
Topics Anxiety Depression Meditation
Keywords Alzheimer’s disease Cognition Dementia Mild cognitive impairment
Key findings MCI participants showed significant improvements in cognitive function and trait mindfulness after an eight-week mindfulness program. Over 59 weeks to one-year follow-up, more meditation time correlated with greater improvements in cognitive function and everyday activities functioning, with large effect sizes. The authors suggest long-term mindfulness practice may be associated with cognitive and functional improvements and could be a potential non-pharmacological intervention for MCI.

Abstract

The current lack of an effective cure for dementia would exacerbate its prevalence and incidence globally. Growing evidence has linked mindfulness to cognitive and psychological improvements that could be relevant for mild cognitive impairment (MCI). To investigate whether mindfulness practice can improve health outcomes of MCI. The study is the first longitudinal mixed-methods observational study with a one-year follow-up period, that customized an eight-week group-based mindfulness training program for older adults with MCI (n = 14). Measures included cognitive function, psychological health, trait mindfulness, adherence to mindfulness practice, and everyday activities functioning as assessed at pre-intervention, post-intervention, and one-year follow-up. Repeated measures ANOVAs, Pearson's correlation analyses, and Mann-Whitney U tests were performed. The MCI participants showed significant improvements in cognitive function (p < 0.05) and trait mindfulness (p < 0.05) after completing the intervention. Between program intervention and one-year follow-up (59 weeks), positive correlations were found between their cognitive function (p < 0.05) and everyday activities functioning (p < 0.05) with the duration of mindfulness meditation; and between trait mindfulness and the level of informal mindfulness practice (p < 0.05). Those who meditated more during these 59 weeks, showed greater improvements in cognitive function (p < 0.05) and everyday activities functioning (p < 0.05), with large effect sizes at the one-year follow-up. Qualitative findings will be reported separately. Long-term mindfulness practice may be associated with cognitive and functional improvements for older adults with MCI. Mindfulness training could be a potential efficacious non-pharmacological therapeutic intervention for MCI.

Comparable studies

Other qualitative studies on meditation, most cited first.

Study Year Design Participants
The varieties of contemplative experience: A mixed-methods study of meditation-related challenges in Western Buddhists Western Buddhist meditation practitioners and experts in Theravāda, Zen, and Tibetan... 2017 Qualitative study with mixed-methods
The Effects of Mindfulness-based Stress Reduction on Nurse Stress and Burnout Nurses in a hospital system 2004 Implementation study with mixed methods
An exploratory mixed methods study of the acceptability and effectiveness of mindfulness -based cognitive therapy for patients with active depression and anxiety in primary care Primary care patients with recurrent depression or recurrent depression and anxiety 2006 Exploratory mixed methods study n = 13
A qualitative study of mindfulness‐based cognitive therapy for depression Participants in mindfulness-based cognitive therapy in a mental-health context 2001 Qualitative study n = 7
Effortless awareness: using real time neurofeedback to investigate correlates of posterior cingulate cortex activity in meditators' self-report Meditators 2013 Qualitative study using grounded theory methodology

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