Dong Mingchao, Li Yingwu, Zhang Yan
Department of Psychology, Renmin University of China, Beijing, China.
Department of Psychology, Renmin University of China, Beijing, China; The Laboratory of Department of Psychology, Renmin University of China, Beijing, China.
Acta Psychol (Amst). 2023 May;235:103888. doi: 10.1016/j.actpsy.2023.103888. Epub 2023 Mar 17.
Youth depression is often associated with impairments in cognitive function, especially in executive function. This study examines the effect of an 8-session-long mindfulness training that can improve executive function in youth with depression. Sixty youths (age range 15-27 years) with depression were selected as participants and were randomized into a mindfulness training group (MTG) and a waitlist-control group (WCG). The MTG received an 8-week mindfulness training while the WCG received no intervention. Both groups performed the Stroop, N-back, and More-odd shifting tasks at baseline and after eight weeks to examine inhibitory control, working memory, and cognitive flexibility of executive function, respectively. The results showed that mindfulness training significantly reduced the Stroop effect size for MTG (p < 0.001), but the effect on the switching cost was not statistically significant (p = 0.975). There was an age effect of mindfulness training on working memory. For young adults, mindfulness training improved accuracy on the N-back task (p < 0.01) and shortened reaction time, although this effect slightly exceeded the significance level (p = 0.075). However, mindfulness training failed to improve the working memory of adolescents with depression. In conclusion, mindfulness training improved inhibitory control in youth with depression. It also improved working memory in young adults with depression, but future studies with large samples are needed to validate the improvement in working memory.
青少年抑郁症常与认知功能受损有关,尤其是执行功能。本研究考察了为期8节的正念训练对改善抑郁症青少年执行功能的效果。选取60名患有抑郁症的青少年(年龄范围15 - 27岁)作为参与者,并随机分为正念训练组(MTG)和等待名单对照组(WCG)。MTG接受为期8周的正念训练,而WCG不接受任何干预。两组在基线期和8周后分别进行了斯特鲁普任务、n-back任务和更多奇数转换任务,以分别考察执行功能的抑制控制、工作记忆和认知灵活性。结果显示,正念训练显著降低了MTG的斯特鲁普效应量(p < 0.001),但对转换成本的影响无统计学意义(p = 0.975)。正念训练对工作记忆存在年龄效应。对于年轻成年人,正念训练提高了n-back任务的准确率(p < 0.01)并缩短了反应时间,尽管这一效应略超过显著性水平(p = 0.075)。然而,正念训练未能改善患有抑郁症的青少年的工作记忆。总之,正念训练改善了抑郁症青少年的抑制控制。它也改善了患有抑郁症的年轻成年人的工作记忆,但需要未来更大样本的研究来验证工作记忆的改善情况。