No Sustained Attention Differences in a Longitudinal Randomized Trial Comparing Mindfulness Based Stress Reduction versus Active Control
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{"title"=>"No sustained attention differences in a longitudinal randomized trial comparing mindfulness based stress reduction versus active control", "type"=>"journal", "authors"=>[{"first_name"=>"Donal G.", "last_name"=>"MacCoon", "scopus_author_id"=>"8375488300"}, {"first_name"=>"Katherine A.", "last_name"=>"MacLean", "scopus_author_id"=>"34768727900"}, {"first_name"=>"Richard J.", "last_name"=>"Davidson", "scopus_author_id"=>"25952113600"}, {"first_name"=>"Clifford D.", "last_name"=>"Saron", "scopus_author_id"=>"6602863684"}, {"first_name"=>"Antoine", "last_name"=>"Lutz", "scopus_author_id"=>"7004978181"}], "year"=>2014, "source"=>"PLoS ONE", "identifiers"=>{"issn"=>"19326203", "scopus"=>"2-s2.0-84903545315", "pui"=>"373418756", "doi"=>"10.1371/journal.pone.0097551", "isbn"=>"1932-6203", "sgr"=>"84903545315", "pmid"=>"24955584"}, "id"=>"f922870b-bdf0-3f79-9edc-6dc2adc576d6", "abstract"=>"BACKGROUND: Mindfulness Based Stress Reduction (MBSR) is a secular form of meditation training. The vast majority of the extant literature investigating the health effects of mindfulness interventions relies on wait-list control comparisons. Previous studies have found that meditation training over several months is associated with improvements in cognitive control and attention.\\n\\nMETHODOLOGY/PRINCIPAL FINDINGS: We used a visual continuous performance task (CPT) to test the effects of eight weeks of mindfulness training on sustained attention by comparing MBSR to the Health Enhancement Program (HEP), a structurally equivalent, active control condition in a randomized, longitudinal design (ClinicalTrials.gov, NCT01301105) focusing on a non-clinical population typical of MBSR participants. Researchers were blind to group assignment. 63 community participants were randomized to either MBSR (n = 31) or HEP (n = 32). CPT analyses were conducted on 29 MBSR participants and 25 HEP participants. We predicted that MBSR would improve visual discrimination ability and sustained attention over time on the CPT compared to HEP, with more home practice associated with greater improvements. Our hypotheses were not confirmed but we did find some evidence for improved visual discrimination similar to effects in partial replication of other research. Our study had sufficient power to demonstrate that intervention groups do not differ in their improvement over time in sustained attention performance. One of our primary predictions concerning the effects of intervention on attentional fatigue was significant but not interpretable.\\n\\nCONCLUSIONS: Attentional sensitivity is not affected by mindfulness practice as taught in MBSR, but it is unclear whether mindfulness might positively affect another aspect of attention, vigilance. These results also highlight the relevant procedural modifications required by future research to correctly investigate the role of sustained attention in similar samples.\\n\\nTRIAL REGISTRATION: ClinicalTrials.gov, NCT01301105.", "link"=>"http://www.mendeley.com/research/sustained-attention-differences-longitudinal-randomized-trial-comparing-mindfulness-based-stress-red-2", "reader_count"=>150, "reader_count_by_academic_status"=>{"Unspecified"=>5, "Professor > Associate Professor"=>5, "Researcher"=>26, "Student > Doctoral Student"=>17, "Student > Ph. D. Student"=>22, "Student > Postgraduate"=>5, "Student > Master"=>32, "Other"=>12, "Student > Bachelor"=>15, "Lecturer"=>2, "Lecturer > Senior Lecturer"=>1, "Professor"=>8}, "reader_count_by_user_role"=>{"Unspecified"=>5, "Professor > Associate Professor"=>5, "Researcher"=>26, "Student > Doctoral Student"=>17, "Student > Ph. D. Student"=>22, "Student > Postgraduate"=>5, "Student > Master"=>32, "Other"=>12, "Student > Bachelor"=>15, "Lecturer"=>2, "Lecturer > Senior Lecturer"=>1, "Professor"=>8}, "reader_count_by_subject_area"=>{"Unspecified"=>11, "Agricultural and Biological Sciences"=>16, "Philosophy"=>2, "Arts and Humanities"=>2, "Business, Management and Accounting"=>1, "Engineering"=>3, "Nursing and Health Professions"=>1, "Biochemistry, Genetics and Molecular Biology"=>2, "Mathematics"=>1, "Medicine and Dentistry"=>14, "Neuroscience"=>7, "Design"=>1, "Sports and Recreations"=>1, "Physics and Astronomy"=>2, "Psychology"=>74, "Social Sciences"=>12}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>14}, "Social Sciences"=>{"Social Sciences"=>12}, "Sports and Recreations"=>{"Sports and Recreations"=>1}, "Physics and Astronomy"=>{"Physics and Astronomy"=>2}, "Psychology"=>{"Psychology"=>74}, "Mathematics"=>{"Mathematics"=>1}, "Unspecified"=>{"Unspecified"=>11}, "Arts and Humanities"=>{"Arts and Humanities"=>2}, "Design"=>{"Design"=>1}, "Engineering"=>{"Engineering"=>3}, "Neuroscience"=>{"Neuroscience"=>7}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>16}, "Business, Management and Accounting"=>{"Business, Management and Accounting"=>1}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>1}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>2}, "Philosophy"=>{"Philosophy"=>2}}, "reader_count_by_country"=>{"Canada"=>1, "United States"=>3, "Brazil"=>1, "Spain"=>2}, "group_count"=>10}

Scopus | Further Information

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  • {"files"=>["https://ndownloader.figshare.com/files/1561423"], "description"=>"<div><p>Background</p><p>Mindfulness Based Stress Reduction (MBSR) is a secular form of meditation training. The vast majority of the extant literature investigating the health effects of mindfulness interventions relies on wait-list control comparisons. Previous studies have found that meditation training over several months is associated with improvements in cognitive control and attention.</p><p>Methodology/Principal Findings</p><p>We used a visual continuous performance task (CPT) to test the effects of eight weeks of mindfulness training on sustained attention by comparing MBSR to the Health Enhancement Program (HEP), a structurally equivalent, active control condition in a randomized, longitudinal design (ClinicalTrials.gov, NCT01301105) focusing on a non-clinical population typical of MBSR participants. Researchers were blind to group assignment. 63 community participants were randomized to either MBSR (n = 31) or HEP (n = 32). CPT analyses were conducted on 29 MBSR participants and 25 HEP participants. We predicted that MBSR would improve visual discrimination ability and sustained attention over time on the CPT compared to HEP, with more home practice associated with greater improvements. Our hypotheses were not confirmed but we did find some evidence for improved visual discrimination similar to effects in partial replication of other research. Our study had sufficient power to demonstrate that intervention groups do not differ in their improvement over time in sustained attention performance. One of our primary predictions concerning the effects of intervention on attentional fatigue was significant but not interpretable.</p><p>Conclusions</p><p>Attentional sensitivity is not affected by mindfulness practice as taught in MBSR, but it is unclear whether mindfulness might positively affect another aspect of attention, vigilance. These results also highlight the relevant procedural modifications required by future research to correctly investigate the role of sustained attention in similar samples.</p><p>Trial Registration</p><p>ClinicalTrials.gov, <a href=\"http://clinicaltrials.gov/show/NCT01301105\" target=\"_blank\">NCT01301105</a></p></div>", "links"=>[], "tags"=>["neuroscience", "Sensory systems", "Visual system", "cognitive science", "Cognitive psychology", "attention", "Vigilance (psychology)", "cognition", "Cognitive neuroscience", "psychology", "behavior", "Clinical psychology", "Psychological stress", "Clinical medicine", "clinical trials", "Mental health and psychiatry", "Mental health therapies", "psychotherapy", "research design", "Clinical research design", "Longitudinal studies", "Prospective studies", "sustained", "differences", "longitudinal", "randomized", "comparing", "mindfulness"], "article_id"=>1080559, "categories"=>["Biological Sciences"], "users"=>["Donal G. MacCoon", "Katherine A. MacLean", "Richard J. Davidson", "Clifford D. Saron", "Antoine Lutz"], "doi"=>["https://dx.doi.org/10.1371/journal.pone.0097551.s001"], "stats"=>{"downloads"=>0, "page_views"=>8, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_No_Sustained_Attention_Differences_in_a_Longitudinal_Randomized_Trial_Comparing_Mindfulness_Based_Stress_Reduction_versus_Active_Control_/1080559", "title"=>"No Sustained Attention Differences in a Longitudinal Randomized Trial Comparing Mindfulness Based Stress Reduction versus Active Control", "pos_in_sequence"=>0, "defined_type"=>4, "published_date"=>"2014-06-23 14:50:12"}
  • {"files"=>["https://ndownloader.figshare.com/files/1561422"], "description"=>"<p>Means by Intervention and Time for Discrimination (Target Height), Sensitivity (Average A′), and Vigilance (A′ slope over blocks).</p>", "links"=>[], "tags"=>["neuroscience", "Sensory systems", "Visual system", "cognitive science", "Cognitive psychology", "attention", "Vigilance (psychology)", "cognition", "Cognitive neuroscience", "psychology", "behavior", "Clinical psychology", "Psychological stress", "Clinical medicine", "clinical trials", "Mental health and psychiatry", "Mental health therapies", "psychotherapy", "research design", "Clinical research design", "Longitudinal studies", "Prospective studies", "vigilance"], "article_id"=>1080558, "categories"=>["Biological Sciences"], "users"=>["Donal G. MacCoon", "Katherine A. MacLean", "Richard J. Davidson", "Clifford D. Saron", "Antoine Lutz"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0097551.t004", "stats"=>{"downloads"=>0, "page_views"=>6, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Means_by_Intervention_and_Time_for_Discrimination_Target_Height_Sensitivity_Average_A_8242_and_Vigilance_A_8242_slope_over_blocks_/1080558", "title"=>"Means by Intervention and Time for Discrimination (Target Height), Sensitivity (Average A′), and Vigilance (A′ slope over blocks).", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-06-23 14:50:12"}
  • {"files"=>["https://ndownloader.figshare.com/files/1546809"], "description"=>"<p>A′ is a nonparametric version of D′, an index of perceptual sensitivity <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0097551#pone.0097551-Stanislaw1\" target=\"_blank\">[18]</a> in which a score of 1 represents perfect discrimination between targets and distractors, .5 represents an inability to distinguish target from distractors, and a score below .5 indicates response confusion.</p>", "links"=>[], "tags"=>["neuroscience", "Sensory systems", "Visual system", "cognitive science", "Cognitive psychology", "attention", "Vigilance (psychology)", "cognition", "Cognitive neuroscience", "psychology", "behavior", "Clinical psychology", "Psychological stress", "Clinical medicine", "clinical trials", "Mental health and psychiatry", "Mental health therapies", "psychotherapy", "research design", "Clinical research design", "Longitudinal studies", "Prospective studies", "HLM", "mbsr", "hep"], "article_id"=>1067373, "categories"=>["Biological Sciences"], "users"=>["Donal G. MacCoon", "Katherine A. MacLean", "Richard J. Davidson", "Clifford D. Saron", "Antoine Lutz"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0097551.g002", "stats"=>{"downloads"=>0, "page_views"=>3, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Graph_based_on_an_HLM_model_of_A_8242_data_for_each_block_by_time_point_for_both_MBSR_and_HEP_participants_/1067373", "title"=>"Graph based on an HLM model of A′ data for each block by time point for both MBSR and HEP participants.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2014-06-23 02:54:00"}
  • {"files"=>["https://ndownloader.figshare.com/files/1561413"], "description"=>"<p>Inclusion/Exclusion Criteria.</p>", "links"=>[], "tags"=>["neuroscience", "Sensory systems", "Visual system", "cognitive science", "Cognitive psychology", "attention", "Vigilance (psychology)", "cognition", "Cognitive neuroscience", "psychology", "behavior", "Clinical psychology", "Psychological stress", "Clinical medicine", "clinical trials", "Mental health and psychiatry", "Mental health therapies", "psychotherapy", "research design", "Clinical research design", "Longitudinal studies", "Prospective studies"], "article_id"=>1080554, "categories"=>["Biological Sciences"], "users"=>["Donal G. MacCoon", "Katherine A. MacLean", "Richard J. Davidson", "Clifford D. Saron", "Antoine Lutz"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0097551.t001", "stats"=>{"downloads"=>2, "page_views"=>3, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Inclusion_Exclusion_Criteria_/1080554", "title"=>"Inclusion/Exclusion Criteria.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-06-23 14:50:12"}
  • {"files"=>["https://ndownloader.figshare.com/files/1546819"], "description"=>"<p>AA = African American.</p>", "links"=>[], "tags"=>["neuroscience", "Sensory systems", "Visual system", "cognitive science", "Cognitive psychology", "attention", "Vigilance (psychology)", "cognition", "Cognitive neuroscience", "psychology", "behavior", "Clinical psychology", "Psychological stress", "Clinical medicine", "clinical trials", "Mental health and psychiatry", "Mental health therapies", "psychotherapy", "research design", "Clinical research design", "Longitudinal studies", "Prospective studies"], "article_id"=>1067383, "categories"=>["Biological Sciences"], "users"=>["Donal G. MacCoon", "Katherine A. MacLean", "Richard J. Davidson", "Clifford D. Saron", "Antoine Lutz"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0097551.t002", "stats"=>{"downloads"=>6, "page_views"=>2, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Demographics_by_intervention_/1067383", "title"=>"Demographics by intervention.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-06-23 02:54:00"}
  • {"files"=>["https://ndownloader.figshare.com/files/1546820"], "description"=>"<p>Means by Intervention and Time for Discrimination (Target Height), Sensitivity (Average A′), and Vigilance (A′ slope over blocks).</p>", "links"=>[], "tags"=>["neuroscience", "Sensory systems", "Visual system", "cognitive science", "Cognitive psychology", "attention", "Vigilance (psychology)", "cognition", "Cognitive neuroscience", "psychology", "behavior", "Clinical psychology", "Psychological stress", "Clinical medicine", "clinical trials", "Mental health and psychiatry", "Mental health therapies", "psychotherapy", "research design", "Clinical research design", "Longitudinal studies", "Prospective studies", "vigilance"], "article_id"=>1067384, "categories"=>["Biological Sciences"], "users"=>["Donal G. MacCoon", "Katherine A. MacLean", "Richard J. Davidson", "Clifford D. Saron", "Antoine Lutz"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0097551.t004", "stats"=>{"downloads"=>5, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Means_by_Intervention_and_Time_for_Discrimination_Target_Height_Sensitivity_Average_A_8242_and_Vigilance_A_8242_slope_over_blocks_/1067384", "title"=>"Means by Intervention and Time for Discrimination (Target Height), Sensitivity (Average A′), and Vigilance (A′ slope over blocks).", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-06-23 02:54:00"}
  • {"files"=>["https://ndownloader.figshare.com/files/1546801"], "description"=>"<p>CONSORT diagram detailing retention rates by study phase and reasons for dropouts.</p>", "links"=>[], "tags"=>["neuroscience", "Sensory systems", "Visual system", "cognitive science", "Cognitive psychology", "attention", "Vigilance (psychology)", "cognition", "Cognitive neuroscience", "psychology", "behavior", "Clinical psychology", "Psychological stress", "Clinical medicine", "clinical trials", "Mental health and psychiatry", "Mental health therapies", "psychotherapy", "research design", "Clinical research design", "Longitudinal studies", "Prospective studies", "diagram", "detailing", "retention", "rates", "reasons"], "article_id"=>1067364, "categories"=>["Biological Sciences"], "users"=>["Donal G. MacCoon", "Katherine A. MacLean", "Richard J. Davidson", "Clifford D. Saron", "Antoine Lutz"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0097551.g001", "stats"=>{"downloads"=>0, "page_views"=>10, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_CONSORT_diagram_detailing_retention_rates_by_study_phase_and_reasons_for_dropouts_/1067364", "title"=>"CONSORT diagram detailing retention rates by study phase and reasons for dropouts.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2014-06-23 02:54:00"}
  • {"files"=>["https://ndownloader.figshare.com/files/1546814"], "description"=>"<p>Inclusion/Exclusion Criteria.</p>", "links"=>[], "tags"=>["neuroscience", "Sensory systems", "Visual system", "cognitive science", "Cognitive psychology", "attention", "Vigilance (psychology)", "cognition", "Cognitive neuroscience", "psychology", "behavior", "Clinical psychology", "Psychological stress", "Clinical medicine", "clinical trials", "Mental health and psychiatry", "Mental health therapies", "psychotherapy", "research design", "Clinical research design", "Longitudinal studies", "Prospective studies"], "article_id"=>1067378, "categories"=>["Biological Sciences"], "users"=>["Donal G. MacCoon", "Katherine A. MacLean", "Richard J. Davidson", "Clifford D. Saron", "Antoine Lutz"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0097551.t001", "stats"=>{"downloads"=>0, "page_views"=>1, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Inclusion_Exclusion_Criteria_/1067378", "title"=>"Inclusion/Exclusion Criteria.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-06-23 02:54:00"}
  • {"files"=>["https://ndownloader.figshare.com/files/1546827"], "description"=>"<div><p>Background</p><p>Mindfulness Based Stress Reduction (MBSR) is a secular form of meditation training. The vast majority of the extant literature investigating the health effects of mindfulness interventions relies on wait-list control comparisons. Previous studies have found that meditation training over several months is associated with improvements in cognitive control and attention.</p><p>Methodology/Principal Findings</p><p>We used a visual continuous performance task (CPT) to test the effects of eight weeks of mindfulness training on sustained attention by comparing MBSR to the Health Enhancement Program (HEP), a structurally equivalent, active control condition in a randomized, longitudinal design (ClinicalTrials.gov, NCT01301105) focusing on a non-clinical population typical of MBSR participants. Researchers were blind to group assignment. 63 community participants were randomized to either MBSR (n = 31) or HEP (n = 32). CPT analyses were conducted on 29 MBSR participants and 25 HEP participants. We predicted that MBSR would improve visual discrimination ability and sustained attention over time on the CPT compared to HEP, with more home practice associated with greater improvements. Our hypotheses were not confirmed but we did find some evidence for improved visual discrimination similar to effects in partial replication of other research. Our study had sufficient power to demonstrate that intervention groups do not differ in their improvement over time in sustained attention performance. One of our primary predictions concerning the effects of intervention on attentional fatigue was significant but not interpretable.</p><p>Conclusions</p><p>Attentional sensitivity is not affected by mindfulness practice as taught in MBSR, but it is unclear whether mindfulness might positively affect another aspect of attention, vigilance. These results also highlight the relevant procedural modifications required by future research to correctly investigate the role of sustained attention in similar samples.</p><p>Trial Registration</p><p>ClinicalTrials.gov, <a href=\"http://clinicaltrials.gov/show/NCT01301105\" target=\"_blank\">NCT01301105</a></p></div>", "links"=>[], "tags"=>["neuroscience", "Sensory systems", "Visual system", "cognitive science", "Cognitive psychology", "attention", "Vigilance (psychology)", "cognition", "Cognitive neuroscience", "psychology", "behavior", "Clinical psychology", "Psychological stress", "Clinical medicine", "clinical trials", "Mental health and psychiatry", "Mental health therapies", "psychotherapy", "research design", "Clinical research design", "Longitudinal studies", "Prospective studies", "sustained", "differences", "longitudinal", "randomized", "comparing", "mindfulness"], "article_id"=>1067391, "categories"=>["Biological Sciences"], "users"=>["Donal G. MacCoon", "Katherine A. MacLean", "Richard J. Davidson", "Clifford D. Saron", "Antoine Lutz"], "doi"=>["https://dx.doi.org/10.1371/journal.pone.0097551.s001"], "stats"=>{"downloads"=>4, "page_views"=>8, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_No_Sustained_Attention_Differences_in_a_Longitudinal_Randomized_Trial_Comparing_Mindfulness_Based_Stress_Reduction_versus_Active_Control_/1067391", "title"=>"No Sustained Attention Differences in a Longitudinal Randomized Trial Comparing Mindfulness Based Stress Reduction versus Active Control", "pos_in_sequence"=>0, "defined_type"=>4, "published_date"=>"2014-06-23 02:54:00"}

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Relative Metric

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