Dose-response Relationship of Reported Lifetime Meditation Practice with Mental Health and Wellbeing: a Cross-sectional Study.

Benefits of meditation accumulate over time in a non-linear fashion, with the strongest gains occurring in roughly the first 500 hours of practice before leveling off. In a cross-sectional survey of 1,668 meditators averaging 1,095 lifetime hours, greater historical practice was associated with better psychological outcomes, including higher positive affect and life satisfaction and lower psychological distress and negative affect. The type of practice mattered: Vipassana (as taught by S.N. Goenka) and cultivating practices like compassion and lovingkindness were more strongly linked to favorable outcomes. The results suggest that the dose-response relationship between meditation practice and wellbeing is not linear and depends on practice context.

Study at a glance

Abstract

Meta-analyses of meditation studies have revealed mixed modest evidence of benefits across a range of outcomes. However, because this evidence-base is predominantly from brief interventions, it is unclear whether it accurately reflects how contemporary meditators practice or the dose-response relationship between amount of practice and outcome. This study sought to characterize how contemporary meditators practice, examine any possible dose-response relationships between historical practice and measures of psychological wellbeing, and explore which characteristics of practice most strongly predict favorable psychological outcomes. One thousand six hundred and sixty-eight meditators (M = 1095 h practice, SD = 2365) responded to advertisements in meditation practice communities and social media. We explored associations between demographics, meditation practice characteristics, and outcomes including positive and negative affect, psychological distress, and life satisfaction in a cross-sectional study design. Historical meditation practice (accumulated lifetime hours) was significantly associated with favorable psychological outcomes (|r| ranging from .18 to .28). Model fit was optimized with a generalized additive model (average increase in R 2 = 2.22), indicating non-linear effects. The strength of association between practice time and outcomes was generally strongest for approximately the first 500 h, before plateauing. Several practice types including Vipassana (as taught by S.N. Goenka) and cultivating practices (e.g. compassion, lovingkindness) were more strongly predictive of favorable psychological outcomes. Benefits of meditation accrue over time in a non-linear manner, and show variation based on practice context. These results highlight the importance of understanding how the benefits of meditation accrue over longer time durations than typical standardized programs. The online version contains supplementary material available at 10.1007/s12671-022-01977-6.