Looking inside the black box of mindfulness meditation: Investigating attention and awareness during meditation using the mindful awareness task (MAT).

Training attention and awareness in mindfulness meditation is theorized to be essential for the cultivation of mindfulness and its salutary outcomes. Yet, the empirical foundation for this central premise in mindfulness science is surprisingly small due to a limited methodological capacity to measure attention and awareness during mindfulness meditation. Accordingly, we set out to measure and study these processes in a laboratory study (N = 143, 76.92% female) using a novel behavioral measurement paradigm-the mindful awareness task (MAT). We empirically characterized attention and awareness during mindfulness meditation and found novel behavioral evidence indicating that, as long-theorized, these processes were related to previous mindfulness meditation practice, attitudinal qualities of mindfulness, attention regulation, and mental health. Furthermore, we found that the accuracy of self-reported mindfulness was, paradoxically, dependent on behavioral capacities for mindful awareness; and that sustained visual attention and executive functions, measured via cognitive-experimental tasks, were not meaningfully related to attention and awareness during mindfulness meditation. In contrast, the MAT demonstrated sound psychometric performance as a measure of mindful awareness, and may overcome significant limitations of extant mindfulness measurement methods. Collectively, findings challenge conceptual and methodological assumptions in mindfulness science, provide a novel paradigmatic direction for research on mindfulness, and present long-awaited evidence that attention and awareness during mindfulness meditation may indeed be fundamental to its practice, cultivation, and salutary functions. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Simulating thoughts to measure and study internal attention in mental health.

Our mind's eye and the role of internal attention in mental life and suffering has intrigued scholars for centuries. Yet, experimental study of internal attention has been elusive due to our limited capacity to control the timing and content of internal stimuli. We thus developed the Simulated Thoughts Paradigm (STP) to experimentally deliver own-voice thought stimuli that simulate the content and experience of thinking and thereby experimental study of internal attentional processes. In independent experiments (N = 122) integrating STP into established cognitive-experimental tasks, we found and replicated evidence that emotional reactivity to negative thoughts predicts difficulty disengaging internal attention from, as well as biased selective internal attention of, those thoughts; these internal attention processes predict cognitive vulnerability (e.g., negative repetitive thinking) which thereby predict anxiety and depression. Proposed methods and findings may have implications for the study of information processing and attention in mental health broadly and models of internal attentional (dys)control in cognitive vulnerability and mental health more specifically.

A Pilot Study of Cognitive Impairment in Longstanding Electroconvulsive Therapy-treated Schizophrenia Patients Versus Controls.

BACKGROUND: Electroconvulsive therapy (ECT), though reliable and effective, is controversial due to its media portrayal as a treatment with severe side effects. Electroconvulsive therapy is mainly given to patients suffering from affective disorders and treatment-resistant schizophrenia. Although past research assessed the amount and duration of memory loss due to ECT, little is known about its influence on cognition for patients suffering from schizophrenia, whose cognitive decline is an inherent part of their illness. We aimed to test whether maintenance ECT causes cognitive decline among elderly schizophrenia patients. METHODS: Twenty elderly (age >65 years) patients suffering from schizophrenia and schizoaffective disorder who received maintenance ECT were matched with 20 controls suffering from the same illnesses that have never been treated with ECT. The match was based on age, sex, and illness duration. The participants were evaluated using the Montreal Cognitive Assessment for cognitive decline and a Positive and Negative Syndrome Scale (PANSS) for illness severity. RESULTS: A lower score in the abstraction subscale was found in the maintenance ECT population (P = 0.002), without significant differences in the total Montreal Cognitive Assessment and the delayed-recall subscale scores. In the treatment group, a correlation was found between an impairment in naming and positive symptoms in the PANSS score (r = -0.45) and between abstraction impairment and negative symptoms (r = -0.56) and total PANSS score (r = -0.497). CONCLUSIONS: Maintenance ECT does not worsen existing global cognitive deficits or delayed recall in elderly schizophrenia patients. The abstraction impairment was possibly due to the higher disease burden of the patients referred to ECT.