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.
Mindfulness
March 1, 2010
Thorsten Barnhofer, Tobias Chittka, Helen Nightingale et al.
99 citations
Both mindfulness breathing meditation and loving-kindness meditation shift brain activity toward greater left prefrontal activation, which is linked to approach motivation and positive emotion, in people with a history of depression. A 15-minute session of either meditation produced this change, and the effect depended on each person's tendency to brood. Those who ruminate a lot responded better to breathing meditation, while those low in brooding responded better to loving-kindness meditation. A comparison with a rest group showed the changes were not just due to time passing. The findings suggest both types of meditation can benefit previously depressed individuals, but the best choice may depend on the person's brooding tendency.
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.
The lancet. Psychiatry
June 1, 2025
Thorsten Barnhofer, Barnaby D Dunn, Clara Strauss et al.
9 citations
About half of patients with depression who complete the UK National Health Service Talking Therapies stepped care pathway still have symptoms. A randomized trial tested whether adding mindfulness-based cognitive therapy (MBCT) via videoconference to treatment as usual improves outcomes for these patients. At 34 weeks, the MBCT group had significantly lower depression scores than the treatment-as-usual group (adjusted difference -2.49 points on the PHQ-9). The MBCT group also had slightly lower healthcare costs and higher quality-of-life scores, with a 99% chance of being cost-effective at the £20,000 per QALY threshold. No serious adverse events occurred. MBCT is an effective and scalable further-line treatment for depression that does not remit after psychological therapy.
Psychiatry research
November 1, 2024
Jonathan Hamilton, Thorsten Barnhofer
2 citations
Decentering skills, the core ability cultivated in mindfulness-based interventions, continue to increase over six months of practice and drive reductions in depressive symptoms. In a blended online and in-person program, 44 adults with persistent depression provided self-reports at three time points. Thirty-one participants completed the intervention, averaging 68.6% of assigned practices. Statistical modeling showed that changes in decentering preceded and predicted later symptom improvements, suggesting that longer practice periods help move patients closer to recovery or remission.
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.
Psychotherapy and Psychosomatics
June 12, 2026
Thorsten Barnhofer, Maria Niemi, Johannes Michalak et al.
1 citation
For adults with difficult-to-treat depression—those who have not responded to prior treatments, have treatment-resistant depression, or have a chronic course—mindfulness-based cognitive therapy (MBCT) is likely superior to usual care, reducing depressive symptoms by a standardized mean difference of -0.40 at post-treatment and -0.41 at medium-term follow-up. There was a 92% and 85% probability, respectively, that these benefits exceeded a minimal important difference. However, MBCT did not show clear superiority over other active psychosocial interventions, and no robust moderators of outcome were identified across baseline severity, chronicity, or comorbidity.
May 29, 2019
Michael Lifshitz, Matthew D. Sacchet, Julia M. Huntenburg et al.
1 citation
Major depressive disorder involves abnormal communication between large-scale brain networks. A randomized, active-controlled trial tested whether mindfulness-based therapy could alter resting-state functional connectivity in clinically depressed patients. A brief, clinically effective mindfulness intervention functionally decoupled top-down control regions from brain areas involved in sensory, affective, and attentional processing. These findings identify specific neural targets of mindfulness training, offering new insight into how this therapeutic approach works.