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正念训练能否提高认知能力?神经心理学研究发现的系统综述。

Does mindfulness training improve cognitive abilities? A systematic review of neuropsychological findings.

机构信息

Institute of Psychiatry, University of Bologna, Viale Carlo Pepoli 5, Bologna, Italy.

出版信息

Clin Psychol Rev. 2011 Apr;31(3):449-64. doi: 10.1016/j.cpr.2010.11.003. Epub 2010 Dec 1.

Abstract

Mindfulness meditation practices (MMPs) are a subgroup of meditation practices which are receiving growing attention. The present paper reviews current evidence about the effects of MMPs on objective measures of cognitive functions. Five databases were searched. Twenty three studies providing measures of attention, memory, executive functions and further miscellaneous measures of cognition were included. Fifteen were controlled or randomized controlled studies and 8 were case-control studies. Overall, reviewed studies suggested that early phases of mindfulness training, which are more concerned with the development of focused attention, could be associated with significant improvements in selective and executive attention whereas the following phases, which are characterized by an open monitoring of internal and external stimuli, could be mainly associated with improved unfocused sustained attention abilities. Additionally, MMPs could enhance working memory capacity and some executive functions. However, many of the included studies show methodological limitations and negative results have been reported as well, plausibly reflecting differences in study design, study duration and patients' populations. Accordingly, even though findings here reviewed provided preliminary evidence suggesting that MMPs could enhance cognitive functions, available evidence should be considered with caution and further high quality studies investigating more standardized mindfulness meditation programs are needed.

摘要

正念冥想练习(MMPs)是冥想练习的一个分支,越来越受到关注。本文综述了 MMPs 对认知功能客观测量的影响的现有证据。共检索了五个数据库。纳入了 23 项提供注意力、记忆、执行功能和其他认知测量的研究。其中 15 项为对照或随机对照研究,8 项为病例对照研究。总的来说,回顾性研究表明,正念训练的早期阶段更注重专注注意力的发展,可能与选择性和执行注意力的显著改善有关,而以下阶段以对内外部刺激的开放监测为特征,可能主要与改善非专注持续注意力能力有关。此外,MMPs 可以提高工作记忆容量和一些执行功能。然而,许多纳入的研究显示出方法学上的局限性,也有负面结果的报道,这可能反映了研究设计、研究持续时间和患者人群的差异。因此,尽管这里综述的结果提供了初步证据,表明 MMPs 可以增强认知功能,但应谨慎考虑现有证据,需要进一步开展更多标准化的正念冥想项目的高质量研究。

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