Meditation goes digital in new clinical trial

Individualized program improves attention and memory in healthy young adults

June 3, 2019

Science Daily/University of California - San Francisco

Scientists at UC San Francisco have developed a personalized digital meditation training program that significantly improved attention and memory in healthy young adults -- a group already at the peak of brain health -- in just six weeks.

 

The intervention, called MediTrain, utilizes a closed-loop algorithm that tailors the length of the meditation sessions to the abilities of the participants, so they are not discouraged by their initial attempts to focus attention on their breath, a time-honored meditation technique.

 

Scientists tested the program in a randomized, double-blind, placebo-controlled trial at UCSF with 59 participants between 18 and 35 years old. The results were published Monday, June 3, 2019, in Nature Human Behaviour.

 

The magnitude of the effects on attention and memory, which were unexpected for healthy young adults, were similar to what has been seen in previous studies of middle-aged adults after months of in-person training or intensive meditation retreats.

 

The app-based program, however, required just 20 to 30 minutes of cumulative practice each day, composed of many very short meditation periods. In the beginning, participants were prompted to pay attention to their breath for just 10 to 15 seconds at a time. As they improved over the six weeks, the application challenged them to increase the amount of time they could maintain focus, which averaged several minutes after six weeks.

 

"This is not like any meditation practice that exists, as far as we are aware," said senior author Adam Gazzaley, MD, PhD, professor of neurology, physiology and psychiatry and executive director of Neuroscape at UCSF. "We took an ancient experiential treatment of focused meditation, reformulated it and delivered it through a digital technology, and improved attention span in millennials, an age group that is intimately familiar with the digital world, but also faces multiple challenges to sustained attention."

 

MediTrain made some concessions to tradition. Before they began, participants listened to recorded meditation instructions from Jack Kornfield, PhD, a meditation teacher who co-founded Spirit Rock Meditation Center north of San Francisco, and an author on the study. Then, they used the techniques on their own, without spoken instruction and with their eyes closed.

 

But MediTrain had other digital features that aren't present in the traditional practice of breath meditation and that may have been the reason why it achieved such strong results over such a short period and with such a healthy population.

 

For one thing, it underscored the need to pay attention by requiring participants to regularly check in on how they were doing.

 

At the end of each brief meditation segment, participants were asked to indicate whether they had been able to pay continuous attention for the allotted time, pressing a button on the left side of an iPad screen if the answer was no, and a button on the right if the answer was yes. For those who said yes, the application adapted to a slightly longer meditation period; for those who said no, the period was shortened.

 

The researchers believe the participatory nature of the design was important.

 

"Not only do you learn how to maintain focus on your breath, but you are also required to introspect on how well you're able to do that," Gazzaley said, "We believe that's part of the active ingredient of this treatment."

 

MediTrain also gave everyone regular feedback, with progress reports during the training sessions, at the end of each day of training and at the end of each week.

 

The results were impressive. On their first day, participants could stay focused on their breath for an average of only 20 seconds. After 30 days of training, that rose to an average of six minutes.

 

This improvement, in turn, conferred better performance on other, much more complicated tasks that scientists use to assess sustained attention and working memory. Not only did the MediTrain participants perform more consistently on attention tests than the placebo group, the scientists also found a correlation between how long participants were able to focus on their breath and how consistently they performed on these tests. The MediTrain group also performed better than the placebo group on a test of working memory, measured after the intervention.

 

"We thought it was a long shot to see these types of improvements in a group this young and healthy," said David Ziegler, PhD, director of multimodal biosensing in the technology division at UCSF's Neuroscape, and the first author of the paper. "But it speaks to the power of the method."

 

Using electroencephalography (EEG) to record brain activity in a subset of the participants in each group, the researchers identified parts of the brain, particularly in the front, that altered their activity as participants learned to stabilize their attention with meditation training.

 

According to Ziegler, "These frontal brain areas, which are important for controlling attention, showed greater moment-to-moment consistency in their activity after the meditation training." They are also known to strengthen their activity when other areas of the brain called the "default mode network," that are associated with distracted thinking and self-preoccupation, get weaker. Deactivation in the default mode network is also associated with better performance on tasks that require focused attention.

 

The researchers said that MediTrain, which has been patented by the University of California, holds promise for a younger generation that is accustomed to digital devices but faces multiple challenges to sustained attention from heavy use of media and technology.

 

The breath meditation -- a seemingly simple, yet quite demanding task -- worked as well in cultivating sustained attention as other more intellectually and physically challenging training programs that have been developed at Neuroscape, a translational neuroscience center at UCSF engaged in technology creation and scientific research to better assess and optimize brain function for all people.

 

Its very simplicity may fill a particular need created by the frenetic pace of today's world.

 

"Many of us struggle with challenges to our attention, which seem to be exacerbated by modern technology," Gazzaley said. "What we've done here is flip this story around by creating and studying a digital delivery system that makes cognitive benefits of traditional focused attention meditation more personalized, accessible and deliverable."

https://www.sciencedaily.com/releases/2019/06/190603124705.htm

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Mindfulness meditation training changes brain structure in eight weeks

January 21, 2011

Science Daily/Massachusetts General Hospital

Participating in an 8-week mindfulness meditation program appears to make measurable changes in brain regions associated with memory, sense of self, empathy and stress. A new study is the first to document meditation-produced changes over time in the brain's gray matter.

 

"Although the practice of meditation is associated with a sense of peacefulness and physical relaxation, practitioners have long claimed that meditation also provides cognitive and psychological benefits that persist throughout the day," says Sara Lazar, PhD, of the MGH Psychiatric Neuroimaging Research Program, the study's senior author. "This study demonstrates that changes in brain structure may underlie some of these reported improvements and that people are not just feeling better because they are spending time relaxing."

 

Previous studies from Lazar's group and others found structural differences between the brains of experienced mediation practitioners and individuals with no history of meditation, observing thickening of the cerebral cortex in areas associated with attention and emotional integration. But those investigations could not document that those differences were actually produced by meditation.

 

"It is fascinating to see the brain's plasticity and that, by practicing meditation, we can play an active role in changing the brain and can increase our well-being and quality of life." says Britta Hölzel, PhD, first author of the paper and a research fellow at MGH and Giessen University in Germany. "Other studies in different patient populations have shown that meditation can make significant improvements in a variety of symptoms, and we are now investigating the underlying mechanisms in the brain that facilitate this change."

 

Amishi Jha, PhD, a University of Miami neuroscientist who investigates mindfulness-training's effects on individuals in high-stress situations, says, "These results shed light on the mechanisms of action of mindfulness-based training. They demonstrate that the first-person experience of stress can not only be reduced with an 8-week mindfulness training program but that this experiential change corresponds with structural changes in the amygdala, a finding that opens doors to many possibilities for further research on MBSR's potential to protect against stress-related disorders, such as post-traumatic stress disorder." Jha was not one of the study investigators.

http://www.sciencedaily.com/releases/2011/01/110121144007.htm

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Meditation helps increase attention span

July 16, 2010

Science Daily/Association for Psychological Science

It's nearly impossible to pay attention to one thing for a long time. A new study looks at whether Buddhist meditation can improve a person's ability to be attentive and finds that meditation training helps people do better at focusing for a long time on a task that requires them to distinguish small differences between things they see.

 

The research was inspired by work on Buddhist monks, who spend years training in meditation. "You wonder if the mental skills, the calmness, the peace that they express, if those things are a result of their very intensive training or if they were just very special people to begin with," says Katherine MacLean, who worked on the study as a graduate student at the University of California, Davis. Her co-advisor, Clifford Saron, did some research with monks decades ago and wanted to study meditation by putting volunteers through intensive training and seeing how it changes their mental abilities.

About 140 people applied to participate; they heard about it via word of mouth and advertisements in Buddhist-themed magazines. Sixty were selected for the study. A group of thirty people went on a meditation retreat while the second group waited their turn; that meant the second group served as a control for the first group. All of the participants had been on at least three five-to-ten day meditation retreats before, so they weren't new to the practice. They studied meditation for three months at a retreat in Colorado with B. Alan Wallace, one of the study's co-authors and a meditation teacher and Buddhist scholar.

The people took part in several experiments; results from one are published in Psychological Science, a journal of the Association for Psychological Science. At three points during the retreat, each participant took a test on a computer to measure how well they could make fine visual distinctions and sustain visual attention. They watched a screen intently as lines flashed on it; most were of the same length, but every now and then a shorter one would appear, and the volunteer had to click the mouse in response.

Participants got better at discriminating the short lines as the training went on. This improvement in perception made it easier to sustain attention, so they also improved their task performance over a long period of time. This improvement persisted five months after the retreat, particularly for people who continued to meditate every day.

The task lasted 30 minutes and was very demanding. "Because this task is so boring and yet is also very neutral, it's kind of a perfect index of meditation training," says MacLean. "People may think meditation is something that makes you feel good and going on a meditation retreat is like going on vacation, and you get to be at peace with yourself. That's what people think until they try it. Then you realize how challenging it is to just sit and observe something without being distracted."

This experiment is one of many that were done by Saron, MacLean and a team of nearly 30 researchers with the same group of participants. It's the most comprehensive study of intensive meditation to date, using methods drawn from fields as diverse as molecular biology, neuroscience, and anthropology. Future analyses of these same volunteers will look at other mental abilities, such as how well people can regulate their emotions and their general well-being.

 

http://www.sciencedaily.com/releases/2010/07/100714121737.htm

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