Efeitos de intervenções de mindfulness nas funções executivas de adultos: uma revisão sistemática

Iana Silva Lemos; Geovan Menezes de Sousa Júnior; Geissy Lainny de Lima Araújo; Júnnia Maria  Moreira; Ivani Brys

doi:10.22235/cp.v19i1.3748

Authors

Iana Silva Lemos Federal University of São Francisco Valley https://orcid.org/0000-0002-7022-4937
Geovan Menezes de Sousa Júnior Federal University of Rio Grande do Norte https://orcid.org/0000-0002-8674-5067
Geissy Lainny de Lima Araújo Federal University of Rio Grande do Norte https://orcid.org/0000-0002-3024-4853
Júnnia Maria Moreira Federal University of São Francisco Valley https://orcid.org/0000-0003-1167-111X
Ivani Brys Universidade Federal do Vale do São Francisco; Universidade Federal de Santa Maria https://orcid.org/0000-0001-7859-1160

DOI:

https://doi.org/10.22235/cp.v19i1.3748

Keywords:

mindfulness, executive functions, psychological flexibility, working memory, inhibitory control

Abstract

Executive functions are cognitive processes that allow individuals to deal with unexpected obstacles, see the same situation from different perspectives, focus on a task, and resist impulses. Mindfulness interventions may improve executive functions by directly training these functions while reducing factors that impair them. To better understand these effects, a systematic review of randomized controlled trials on the effects of mindfulness interventions on executive functions in adults aged 18 to 60 years, published in the last 5 years was conducted. A total of 1304 articles were found, and after removing duplicates and reviewing titles and abstracts, 32 articles remained. After a thorough reading of these articles and bias risk analysis, 6 articles were included in the study. All the studies included in the review found positive effects on different executive functions, such as attention, cognitive control, and psychological flexibility, resulting from participation in these types of interventions, with four of these studies showing greater effects compared to the control group. Mindfulness-based interventions demonstrate potential for improving inhibitory control, working memory, and cognitive flexibility in both clinical and non-clinical populations.

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References

Alizadehgoradel, J., Imani, S., Nejati, V., & Fathabadi, J. (2019). Mindfulness-based substance abuse treatment (MBSAT) improves executive functions in adolescents with substance use disorders. Neurology, Psychiatry and Brain Research, 34, 13-21. https://doi.org/10.1016/J.NPBR.2019.08.002

Alizadehgoradel, J., Imani, S., Nejati, V., Vanderhasselt, M. A., Molaei, B., Salehinejad, M. A., Ahmadi, S., & Taherifard, M. (2021). Improved executive functions and reduced craving in youths with methamphetamine addiction: Evidence from combined transcranial direct current stimulation with mindfulness treatment. Clinical Psychopharmacology and Neuroscience, 19(4), 653. https://doi.org/10.9758/CPN.2021.19.4.653

Cásedas, L., Pirruccio, V., Vadillo, M. A., & Lupiáñez, J. (2020). Does mindfulness meditation training enhance executive control? A systematic review and meta-analysis of randomized controlled trials in adults. Mindfulness, 11(2), 411-424. https://doi.org/10.1007/S12671-019-01279-4/TABLES/2

Creswell, J. D. (2017). Mindfulness Interventions. Annual Review of Psychology, 68, 491-516. https://doi.org/10.1146/ANNUREV-PSYCH-042716-051139

Diamond, A. (2013). Executive functions. Annual Review of Psychology, 64, 135-168. https://doi.org/10.1146/ANNUREV-PSYCH-113011-143750

Diamond, A., & Ling, D. S. (2016). Conclusions about interventions, programs, and approaches for improving executive functions that appear justified and those that, despite much hype, do not. Developmental Cognitive Neuroscience, 18, 34-48. https://doi.org/10.1016/J.DCN.2015.11.005

Didehban, R., Zemestani, M., Asmundson, G. J., & Bakhshaie, J. (2024). Changes in metacognitions and executive functions during mindfulness and acceptance-based intervention among individuals with anxiety disorders: A randomized waitlist-controlled trial. Journal of Contextual Behavioral Science, 33, 100818. https://doi.org/10.1016/j.jcbs.2024.100818

Ferguson, H. J., Brunsdon, V. E. A., & Bradford, E. E. F. (2021). The developmental trajectories of executive function from adolescence to old age. Scientific Reports, 11(1), 1-17. https://doi.org/10.1038/s41598-020-80866-1

Gallant, S. N. (2016). Mindfulness meditation practice and executive functioning: Breaking down the benefit. Consciousness and Cognition, 40, 116-130. https://doi.org/10.1016/J.CONCOG.2016.01.005

Garland, E. L. (2014). Disrupting the downward spiral of chronic pain and opioid addiction Qwith mindfulness-oriented recovery enhancement: a review of clinical outcomes and neurocognitive targets. Journal of Pain & Palliative Care Pharmacotherapy, 28(2), 122-129. https://doi.org/10.3109/15360288.2014.911791

Garland, E. L., & Howard, M. O. (2013). Mindfulness-oriented recovery enhancement reduces pain attentional bias in chronic pain patients. Psychotherapy and Psychosomatics, 82(5), 311-318. https://doi.org/10.1159/000348868

Garland, E. L., Bryan, M. A., Priddy, S. E., Riquino, M. R., Froeliger, B., & Howard, M. O. (2019). Effects of mindfulness-oriented recovery enhancement versus social support on negative affective interference during inhibitory control among opioid-treated chronic pain patients: A pilot mechanistic study. Annals of Behavioral Medicine, 53(10), 865-876. https://doi.org/10.1093/ABM/KAY096

Gill, L. N., Renault, R., Campbell, E., Rainville, P., & Khoury, B. (2020). Mindfulness induction and cognition: A systematic review and meta-analysis. Consciousness and Cognition, 84. https://doi.org/10.1016/J.CONCOG.2020.102991

Himelstein, S., & Saul, S. (2015). Mindfulness-based substance abuse treatment for adolescents: a 12-session curriculum. Routledge. https://doi.org/10.4324/9781317607052

Hoxhaj, E., Sadohara, C., Borel, P., D’Amelio, R., Sobanski, E., Müller, H., Feige, B., Matthies, S., & Philipsen, A. (2018). Mindfulness vs psychoeducation in adult ADHD: a randomized controlled trial. European Archives of Psychiatry and Clinical Neuroscience, 268(4), 321-335. https://doi.org/10.1007/S00406-018-0868-4

Im, S., Stavas, J., Lee, J., Mir, Z., Hazlett-Stevens, H., & Caplovitz, G. (2021). Does mindfulness-based intervention improve cognitive function?: A meta-analysis of controlled studies. Clinical Psychology Review, 84, 1019 https://doi.org/10.1016/J.CPR.2021.101972

Liberali, R. (2017). Mindfulness-based cognitive therapy in major depressive disorder - systematic review and metanalysis. Fisioterapia Em Movimento, 30(suppl 1), 335-349. https://doi.org/10.1590/1980-5918.030.S01.AR03

Mak, C., Whittingham, K., Cunnington, R., & Boyd, R. N. (2018). Efficacy of mindfulness-based interventions for attention and executive function in children and adolescents- a Systematic Review. Mindfulness, 9(1), 59-78. https://doi.org/10.1007/S12671-017-0770-6/TABLES/6

Millett, G., D’Amico, D., Amestoy, M. E., Gryspeerdt, C., & Fiocco, A. J. (2021). Do group-based mindfulness meditation programs enhance executive functioning? A systematic review and meta-analysis of the evidence. Consciousness and Cognition, 95, 103195. https://doi.org/10.1016/J.CONCOG.2021.103195

Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., … Moher, D. (2021). The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ, 372. https://doi.org/10.1136/BMJ.N71

Quan, P., Wang, W., Chu, C., & Zhou, L. (2018). Seven days of mindfulness-based cognitive therapy improves attention and coping style. Social Behavior and Personality, 46(3), 421-430. https://doi.org/10.2224/SBP.6623

Teper, R., Segal, Z. V., & Inzlicht, M. (2013). Inside the mindful mind. Current Directions in Psychological Science, 22(6), 449-454. https://doi.org/10.1177/0963721413495869

Tóth, R., Turner, M. J., Mannion, J., & Tóth, L. (2023). The effectiveness of rational emotive behavior therapy (REBT) and mindfulness-based intervention (MBI) on psychological, physiological and executive functions as a proxy for sports performance. BMC Psychology, 11(1), 442. https://doi.org/10.1186/s40359-023-01486-8

van der Velden, A. M., Kuyken, W., Wattar, U., Crane, C., Pallesen, K. J., Dahlgaard, J., Fjorback, L. O., & Piet, J. (2015). A systematic review of mechanisms of change in mindfulness-based cognitive therapy in the treatment of recurrent major depressive disorder. Clinical Psychology Review, 37, 26-39. https://doi.org/10.1016/J.CPR.2015.02.001

Vibe, M. de, Bjørndal, A., Fattah, S., Dyrdal, G. M., Halland, E., & Tanner-Smith, E. E. (2017). Mindfulness-based stress reduction (MBSR) for improving health, quality of life and social functioning in adults: a systematic review and meta-analysis. Campbell Systematic Reviews, 13(1), 1-264. https://doi.org/10.4073/CSR.2017.11

Vieth, E., & von Stockhausen, L. (2023). Effects of short mindful breathing meditations on executive functioning in two randomized controlled double-blinded experiments. Acta Psychologica, 239, 104006. https://doi.org/10.1016/j.actpsy.202|3.104006

Zhou, H., Liu, H., & Deng, Y. (2020). Effects of short-term mindfulness-based training on executive function: Divergent but promising. Clinical Psychology & Psychotherapy, 27(5), 672-685. https://doi.org/10.1002/CPP.2453

Zhu, T., Xue, J., Montuclard, A., Jiang, Y., Weng, W., & Chen, S. (2019). Can mindfulness-based training improve positive emotion and cognitive ability in Chinese non-clinical population? A pilot study. Frontiers in Psychology, 10(JULY). https://doi.org/10.3389/FPSYG.2019.01549

Zou, Y., Li, P., Hofmann, S. G., & Liu, X. (2020). The mediating role of non-reactivity to mindfulness training and cognitive flexibility: A randomized controlled trial. Frontiers in Psychology, 11, 527897. https://doi.org/10.3389/FPSYG.2020.01053/BIBTEX