Neuropsychology Review
August 4, 2021
Tim Whitfield, Thorsten Barnhofer, Rebecca L. Acabchuk et al.
193 citations
Mindfulness-based programs (MBPs) show a small but significant benefit for cognitive performance, particularly for executive function and working memory, according to a meta-analysis of 56 randomized controlled trials involving 2,931 adults. The overall effect favoring MBPs over comparators was small (g = 0.15). Benefits were strongest for non-clinical samples and adults over 60, and when MBPs were compared to inactive controls rather than active ones. No significant effects were found for other cognitive domains. Most studies had unclear risk of bias, and some statistical results were unreliable. The findings partially support the idea that mindfulness practice can enhance certain cognitive abilities.
Alzheimer s Research & Therapy
June 22, 2018
Gaël Chételat, Antoine Lutz, Eider M. Arenaza‐Urquijo et al.
106 citations
Long-term meditation practice may help preserve brain structure and function from age-related decline. A pilot study found that six older adult expert meditators had higher gray matter volume and/or glucose metabolism in the prefrontal, anterior and posterior cingulate cortex, insula, and temporo-parietal junction compared to 67 age-matched controls. These preliminary findings suggest meditation could counteract adverse psycho-affective factors like stress, depression, anxiety, and neuroticism that affect sleep, cognition, and mental health in aging populations and increase Alzheimer's disease risk. The European Commission-funded Silver Santé Study will investigate further through two randomized controlled trials with 316 older adults, testing 2-month and 18-month meditation, English learning, or health education programs.
Alzheimer s & Dementia Translational Research & Clinical Interventions
January 1, 2018
Géraldine Poisnel, Eider M. Arenaza‐Urquijo, Fabienne Collette et al.
103 citations
The Age-Well clinical trial examines whether an 18-month meditation-based intervention can improve mental health and well-being in older adults by targeting attentional and emotional aspects of aging. The trial randomly assigns 137 cognitively unimpaired older adults to the meditation program, a foreign language training program matched for structure and duration, or a passive control group. The study measures cognitive, behavioral, biological, neuroimaging, and sleep outcomes to assess the intervention's impact and underlying mechanisms. This is the first long-term nonpharmacological trial to address both emotional and cognitive dimensions of aging with such comprehensive assessments.
Scientific Reports
August 25, 2017
Gaël Chételat, Florence Mezenge, Clémence Tomadesso et al.
67 citations
Aging typically shrinks brain volume and lowers glucose metabolism, with stress and poor sleep accelerating these changes. In a pilot study comparing 6 elderly expert meditators with 67 elderly controls, the meditators showed greater gray matter volume and/or FDG metabolism in several brain regions: the ventromedial prefrontal and anterior cingulate cortex, insula, temporo-parietal junction, and posterior cingulate cortex/precuneus. These same regions were most affected by age in a larger control group of 186 people aged 20 to 87. The differences persisted after adjusting for lifestyle factors and education. The findings suggest that lifelong meditation might reduce age-related brain decline, but larger and longitudinal studies are needed.
JAMA Neurology
October 10, 2022
Gaël Chételat, Antoine Lutz, Olga Klimecki et al.
45 citations
An 18-month randomized trial of meditation training versus non-native language training or no intervention in cognitively unimpaired adults aged 65 and older found no significant changes in brain volume or perfusion of the anterior cingulate cortex or insula from meditation. Meditation did produce superior improvements in a composite score of attention regulation, socioemotional capacities, and self-knowledge compared with language training. The findings confirm the feasibility of both meditation and language training in older adults, with high adherence and low dropout, but the positive behavioral effects of meditation were not accompanied by measurable changes in the targeted brain structures.
Alzheimer s & Dementia Translational Research & Clinical Interventions
January 1, 2018
Antoine Lutz, Olga Klimecki, Fabienne Collette et al.
18 citations
Long-term meditation expertise may protect against age-related decline. The Age-Well study compares 30 cognitively healthy older adults (65+) with at least 10,000 hours of mindfulness and compassion meditation to nonmeditator controls, using brain imaging, sleep, and biological measures sensitive to aging and Alzheimer's disease. Results are expected to clarify how meditation expertise affects aging and the mechanisms behind meditation-based interventions, informing future prevention trials for older populations.
PloS one
January 1, 2023
Marco Schlosser, Harriet Demnitz-King, Thorsten Barnhofer et al.
13 citations
Older adults with subjective cognitive decline (SCD) recruited from memory clinics are at higher risk for dementia and often have reduced well-being due to memory concerns and fear of dementia. A randomized trial compared an 8-week caring mindfulness-based approach for seniors (CMBAS) with a health self-management program (HSMP) in 147 participants. The mindfulness program showed a small advantage over HSMP in improving a sense of connection immediately after the intervention. However, overall psychological well-being, quality of life, and other composite measures did not increase in either group. The findings suggest that these brief non-pharmacological interventions had only limited effects on well-being in SCD.
Biological psychiatry. Cognitive neuroscience and neuroimaging
April 1, 2025
Saampras Ganesan, Fernando A Barrios, Ishaan Batta et al.
6 citations
Meditation practices, which have shown therapeutic benefits for conditions like depression, pain, addiction, and anxiety, have been studied with neuroimaging over the past decade. However, existing neuroscientific models are based on small, heterogeneous datasets, limiting generalizability and replicability. The ENIGMA-Meditation consortium is the first worldwide collaborative effort to conduct systematic meta- and mega-analyses of globally distributed neuroimaging data using standardized methods. This framework aims to improve statistical power and address multidomain heterogeneity in meditation practice types, experience, and experimental design. The consortium will generate rigorous neuroscientific insights into the mechanisms underlying meditation's therapeutic effects on psychological and cognitive attributes.
PloS one
January 1, 2023
Marco Schlosser, Olga M Klimecki, Fabienne Collette et al.
6 citations
An 18-month meditation training program for healthy older adults aged 65 to 84 improved a composite measure of well-being encompassing awareness, connection, and insight, compared to an active control of English language training. The meditation group also showed significant increases in psychological quality of life, awareness, insight, and the global score from the start to the end of the study. However, meditation did not outperform the active control on the Psychological Well-being Scale total score, and improvements in psychological quality of life were no longer significant after adjusting for multiple comparisons. The trial, involving 137 participants, represents the longest randomized meditation training study to date.
bioRxiv Preprint Server
December 6, 2023
Sébastien Czajko, Jelle Zorn, Loïc Daumail et al.
5 citations
preprint
Short mindfulness-based interventions improve well-being, cognition, and clinical symptoms, but they are considered early steps on a longer transformative path that may produce lasting trait changes. Little is known about the brain correlates of these meditation traits.
Sci Rep
November 27, 2024
Sacha Haudry, Anne-Laure Turpin, Brigitte Landeau et al.
3 citations
Expert meditators show preserved brain structure and better psycho-affective health compared to meditation-naive older adults, suggesting that long-term meditation practice may protect against age-related decline. The study examined older expert meditators and older meditation-naive participants, finding that the expert group had greater brain preservation and more favorable psycho-affective profiles. These results indicate that meditation could be a protective factor for brain and mental health in aging.
Sci Rep
November 27, 2024
Sacha Haudry, Anne-Laure Turpin, Brigitte Landeau et al.
3 citations
Expert meditators show preserved brain structure and better psycho-affective health compared to meditation-naive older adults, suggesting that long-term meditation practice may protect against age-related decline. The study examined older expert meditators and older meditation-naive participants, finding that the expert group had greater brain preservation and more favorable psycho-affective profiles. These results indicate that meditation could be a protective factor for brain and mental health in aging.
Scientific Reports
November 2, 2024
Marco Schlosser, Julie Gonneaud, Stefano Poletti et al.
2 citations
Older adults who spent more time practicing meditation perceived greater benefits from an 18-month meditation program. The study involved 90 healthy adults aged 65-84 years who were randomly assigned to either meditation training or a non-native language training. Higher levels of formal practice were associated with higher combined ratings of self- and teacher-perceived responsiveness across measures of connection, emotions, and meta-awareness during sessions and in daily life. Global responsiveness scores were not correlated with actual changes in well-being. The findings suggest that engagement, rather than baseline characteristics like personality or expectancy, predicts perceived response to meditation training.
April 8, 2024
Saampras Ganesan, Aki Tsuchiyagaito, Greg J. Siegle et al.
2 citations
preprint
Meditation practices, which have been adapted into manualized interventions for conditions like depression, pain, addiction, and anxiety, show therapeutic promise, but their neuroscientific basis remains unclear. Current neuroimaging studies rely on small, heterogeneous datasets that vary in practice types, participant experience, clinical targets, and imaging methods, limiting generalizability and replicability. To address this, the ENIGMA-Meditation consortium was formed as a global collaboration to conduct systematic meta- and mega-analyses of distributed neuroimaging data using standardized methods. This framework aims to improve statistical power and rigorously characterize the neural mechanisms underlying meditation's effects on psychological and cognitive attributes, advancing the field of contemplative neuroscience.
April 13, 2021
Marco Schlosser, Thorsten Barnhofer, Florence Requier et al.
2 citations
A theory-based classification of meditation practices—attentional, constructive, and deconstructive—can guide the creation of composite scores from existing psychological questionnaires. In three samples (meditation-naïve older adults, meditation-naïve older adults with subjective cognitive decline, and long-term meditators with at least 10,000 hours of practice), these composite scores showed adequate psychometric properties, including low floor and ceiling effects, interpretability, and convergent validity with well-being, anxiety, and depression measures. Confirmatory factor analyses supported the predicted three-factor structure. The findings suggest that theoretical models of meditation mechanisms can yield empirically meaningful composite scores for research.
Scientific Reports
October 28, 2025
Sacha Haudry, Natacha Lambert, Christian Gaser et al.
Older adults with more than 20 years of meditation experience have a younger predicted brain age compared to cognitively unimpaired older adults without such expertise, as measured by a machine learning model trained on brain structure and metabolism data. The difference in brain age was linked to total meditation hours, mental imagery, and prosocialness. However, an 18-month meditation training program did not produce a significant effect on brain age, suggesting that long-term, sustained practice may be necessary to support healthy brain aging.
Journal of sleep research
July 29, 2025
Pierre Champetier, Anaïs Hamel, Claire André et al.
Long-term meditation practice in older adults is linked to more preserved brain activity during rest and sleep, and to EEG features that suggest higher cognitive states during NREM sleep. Expert meditators (mean age 70.7 years) slept longer, had less stage N1 sleep, and more stage N2 sleep than controls. During NREM sleep, they showed reduced delta power, increased alpha power, and greater theta permutation entropy. During REM sleep, they tended to have greater theta power. Self-reported sleep quality did not differ between groups. Greater meditation expertise was associated with less stage N1 sleep and tended to correlate with more stage N2 and REM theta power.
Scientific reports
May 15, 2025
Florence Requier, Hamed Mohammadi, Harriet Demnitz-King et al.
Expert meditators in older age reported less external distraction and performed better on memory tasks compared to non-meditators, while no differences were found in attention, executive function, or global cognitive scores. These cross-sectional findings from 135 non-meditators and 27 expert meditators suggest that prolonged meditation practice may help preserve memory and manage distractions, two cognitive capacities important for healthy aging.
Imaging Neuroscience
January 1, 2025
Sacha Haudry, Sophie Dautricourt, Julie Gonneaud et al.
An 18-month meditation training in healthy older adults altered resting-state brain dynamics. Participants who meditated showed more frequent transitions between different brain connectivity states and spent less time in a weakly connected state and more time in a strongly connected state, patterns associated with lower and higher dementia risk, respectively. However, only the increase in transitions was significantly different from a non-native language training group. The small effect sizes and lack of group differences for time spent in states limit the conclusions.
October 31, 2022
Marco Schlosser, Olga Klimecki, Fabienne Collette et al.
An 18-month meditation training program, combining mindfulness with compassion and loving-kindness practice, improved a global measure of psychological well-being in healthy older adults compared to both an active English training group and a no-intervention control. The global score reflected the meditation-based dimensions of awareness, connection, and insight. Meditation training was superior to English training on changes in each of these subscales individually. However, it did not outperform the comparators on the standard Psychological Well-being Scale total score, and improvements in psychological quality of life were not significant after adjusting for multiple comparisons. Participants who started with higher well-being showed smaller gains.