Cognitive effects of MBSR/MBCT: A systematic review of neuropsychological outcomes

Conscious Cogn. 2016 Oct:45:109-123. doi: 10.1016/j.concog.2016.08.017. Epub 2016 Aug 28.

Abstract

Mindfulness is theorised to improve attention regulation and other cognitive processes. This systematic review examines whether 8-week standardised and manualised mindfulness training programs such as Mindfulness Based Cognitive Therapy (MBCT) and Mindfulness Based Stress Reduction (MBSR) enhances attention, memory and executive function abilities measured by objective neuropsychological tests. Seven databases were searched resulting in 18 studies meeting inclusion criteria for review. Overall studies did not support attention or executive function improvements. We found preliminary evidence for improvements in working memory and autobiographical memory as well as cognitive flexibility and meta-awareness. Short-term mindfulness meditation training did not enhance theorised attentional pathways. Results call into question the theoretical underpinnings of mindfulness, further highlighting the need for a comprehensive theoretical framework.

Keywords: Attention; Awareness; Cognitive ability; Cognitive function; Executive function; Memory; Meta-awareness; Mindfulness based cognitive therapy (MBCT); Mindfulness based stress reduction (MBSR).

Publication types

  • Systematic Review

MeSH terms

  • Attention
  • Cognition Disorders / complications
  • Cognition Disorders / psychology
  • Cognition Disorders / therapy*
  • Cognitive Behavioral Therapy / methods
  • Databases, Factual
  • Executive Function
  • Humans
  • Memory, Short-Term
  • Metacognition
  • Mindfulness / methods*
  • Neuropsychological Tests
  • Stress, Psychological / complications
  • Stress, Psychological / psychology
  • Stress, Psychological / therapy*
  • Treatment Outcome