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An 18-month meditation training selectively improves psychological well-being in older adults: A secondary analysis of a randomised controlled trial

OBJECTIVES: As the world population is ageing, it is vital to understand how older adults can maintain and deepen their psychological well-being as they are confronted with the unique challenges of ageing in a complex world. Theoretical work has highlighted the promising role of intentional mental t...

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Autores principales: Schlosser, Marco, Klimecki, Olga M., Collette, Fabienne, Gonneaud, Julie, Kliegel, Matthias, Marchant, Natalie L., Chételat, Gaël, Lutz, Antoine
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10691714/
https://www.ncbi.nlm.nih.gov/pubmed/38039341
http://dx.doi.org/10.1371/journal.pone.0294753
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author Schlosser, Marco
Klimecki, Olga M.
Collette, Fabienne
Gonneaud, Julie
Kliegel, Matthias
Marchant, Natalie L.
Chételat, Gaël
Lutz, Antoine
author_facet Schlosser, Marco
Klimecki, Olga M.
Collette, Fabienne
Gonneaud, Julie
Kliegel, Matthias
Marchant, Natalie L.
Chételat, Gaël
Lutz, Antoine
author_sort Schlosser, Marco
collection PubMed
description OBJECTIVES: As the world population is ageing, it is vital to understand how older adults can maintain and deepen their psychological well-being as they are confronted with the unique challenges of ageing in a complex world. Theoretical work has highlighted the promising role of intentional mental training such as meditation practice for enhancing human flourishing. However, meditation-based randomised controlled trials in older adults are lacking. We aimed to investigate the effects of meditation training on psychological well-being in older adults. METHODS: This study presents a secondary analysis of the Age-Well trial (ClinicalTrials.gov: NCT02977819), which randomised 137 healthy older adults (age range: 65 to 84 years) to an 18-month meditation training, an active comparator (English language training), or a passive control. Well-being was measured at baseline, mid-intervention, and 18-month post-randomisation using the Psychological Well-being Scale (PWBS), the World Health Organisation’s Quality of Life (QoL) Assessment psychological subscale, and composite scores reflecting the meditation-based well-being dimensions of awareness, connection, insight, and a global score comprising the average of these meditation-based dimensions. RESULTS: The 18-month meditation training was superior to English training on changes in the global score (0.54 [95% CI: 0.26, 0.82], p = 0.0002) and the subscales of awareness, connection, insight, and superior to no-intervention only on changes in the global score (0.54 [95% CI: 0.26, 0.82], p = 0.0002) and awareness. Between-group differences in psychological QoL in favour of meditation did not remain significant after adjusting for multiple comparisons. There were no between-group differences in PWBS total score. Within the meditation group, psychological QoL, awareness, insight, and the global score increased significantly from baseline to 18-month post-randomisation. CONCLUSION: The longest randomised meditation training conducted to date enhanced a global composite score reflecting the meditation-based well-being dimensions of awareness, connection, and insight in older adults. Future research is needed to delineate the cognitive, affective, and behavioural factors that predict responsiveness to meditation and thus help refine the development of tailored meditation training.
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spelling pubmed-106917142023-12-02 An 18-month meditation training selectively improves psychological well-being in older adults: A secondary analysis of a randomised controlled trial Schlosser, Marco Klimecki, Olga M. Collette, Fabienne Gonneaud, Julie Kliegel, Matthias Marchant, Natalie L. Chételat, Gaël Lutz, Antoine PLoS One Research Article OBJECTIVES: As the world population is ageing, it is vital to understand how older adults can maintain and deepen their psychological well-being as they are confronted with the unique challenges of ageing in a complex world. Theoretical work has highlighted the promising role of intentional mental training such as meditation practice for enhancing human flourishing. However, meditation-based randomised controlled trials in older adults are lacking. We aimed to investigate the effects of meditation training on psychological well-being in older adults. METHODS: This study presents a secondary analysis of the Age-Well trial (ClinicalTrials.gov: NCT02977819), which randomised 137 healthy older adults (age range: 65 to 84 years) to an 18-month meditation training, an active comparator (English language training), or a passive control. Well-being was measured at baseline, mid-intervention, and 18-month post-randomisation using the Psychological Well-being Scale (PWBS), the World Health Organisation’s Quality of Life (QoL) Assessment psychological subscale, and composite scores reflecting the meditation-based well-being dimensions of awareness, connection, insight, and a global score comprising the average of these meditation-based dimensions. RESULTS: The 18-month meditation training was superior to English training on changes in the global score (0.54 [95% CI: 0.26, 0.82], p = 0.0002) and the subscales of awareness, connection, insight, and superior to no-intervention only on changes in the global score (0.54 [95% CI: 0.26, 0.82], p = 0.0002) and awareness. Between-group differences in psychological QoL in favour of meditation did not remain significant after adjusting for multiple comparisons. There were no between-group differences in PWBS total score. Within the meditation group, psychological QoL, awareness, insight, and the global score increased significantly from baseline to 18-month post-randomisation. CONCLUSION: The longest randomised meditation training conducted to date enhanced a global composite score reflecting the meditation-based well-being dimensions of awareness, connection, and insight in older adults. Future research is needed to delineate the cognitive, affective, and behavioural factors that predict responsiveness to meditation and thus help refine the development of tailored meditation training. Public Library of Science 2023-12-01 /pmc/articles/PMC10691714/ /pubmed/38039341 http://dx.doi.org/10.1371/journal.pone.0294753 Text en © 2023 Schlosser et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Schlosser, Marco
Klimecki, Olga M.
Collette, Fabienne
Gonneaud, Julie
Kliegel, Matthias
Marchant, Natalie L.
Chételat, Gaël
Lutz, Antoine
An 18-month meditation training selectively improves psychological well-being in older adults: A secondary analysis of a randomised controlled trial
title An 18-month meditation training selectively improves psychological well-being in older adults: A secondary analysis of a randomised controlled trial
title_full An 18-month meditation training selectively improves psychological well-being in older adults: A secondary analysis of a randomised controlled trial
title_fullStr An 18-month meditation training selectively improves psychological well-being in older adults: A secondary analysis of a randomised controlled trial
title_full_unstemmed An 18-month meditation training selectively improves psychological well-being in older adults: A secondary analysis of a randomised controlled trial
title_short An 18-month meditation training selectively improves psychological well-being in older adults: A secondary analysis of a randomised controlled trial
title_sort 18-month meditation training selectively improves psychological well-being in older adults: a secondary analysis of a randomised controlled trial
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10691714/
https://www.ncbi.nlm.nih.gov/pubmed/38039341
http://dx.doi.org/10.1371/journal.pone.0294753
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