Cargando…
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...
Autores principales: | , , , , , , , |
---|---|
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 |
_version_ | 1785152794287669248 |
---|---|
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. |
format | Online Article Text |
id | pubmed-10691714 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
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 |
work_keys_str_mv | AT schlossermarco an18monthmeditationtrainingselectivelyimprovespsychologicalwellbeinginolderadultsasecondaryanalysisofarandomisedcontrolledtrial AT klimeckiolgam an18monthmeditationtrainingselectivelyimprovespsychologicalwellbeinginolderadultsasecondaryanalysisofarandomisedcontrolledtrial AT collettefabienne an18monthmeditationtrainingselectivelyimprovespsychologicalwellbeinginolderadultsasecondaryanalysisofarandomisedcontrolledtrial AT gonneaudjulie an18monthmeditationtrainingselectivelyimprovespsychologicalwellbeinginolderadultsasecondaryanalysisofarandomisedcontrolledtrial AT kliegelmatthias an18monthmeditationtrainingselectivelyimprovespsychologicalwellbeinginolderadultsasecondaryanalysisofarandomisedcontrolledtrial AT marchantnataliel an18monthmeditationtrainingselectivelyimprovespsychologicalwellbeinginolderadultsasecondaryanalysisofarandomisedcontrolledtrial AT chetelatgael an18monthmeditationtrainingselectivelyimprovespsychologicalwellbeinginolderadultsasecondaryanalysisofarandomisedcontrolledtrial AT lutzantoine an18monthmeditationtrainingselectivelyimprovespsychologicalwellbeinginolderadultsasecondaryanalysisofarandomisedcontrolledtrial AT an18monthmeditationtrainingselectivelyimprovespsychologicalwellbeinginolderadultsasecondaryanalysisofarandomisedcontrolledtrial AT schlossermarco 18monthmeditationtrainingselectivelyimprovespsychologicalwellbeinginolderadultsasecondaryanalysisofarandomisedcontrolledtrial AT klimeckiolgam 18monthmeditationtrainingselectivelyimprovespsychologicalwellbeinginolderadultsasecondaryanalysisofarandomisedcontrolledtrial AT collettefabienne 18monthmeditationtrainingselectivelyimprovespsychologicalwellbeinginolderadultsasecondaryanalysisofarandomisedcontrolledtrial AT gonneaudjulie 18monthmeditationtrainingselectivelyimprovespsychologicalwellbeinginolderadultsasecondaryanalysisofarandomisedcontrolledtrial AT kliegelmatthias 18monthmeditationtrainingselectivelyimprovespsychologicalwellbeinginolderadultsasecondaryanalysisofarandomisedcontrolledtrial AT marchantnataliel 18monthmeditationtrainingselectivelyimprovespsychologicalwellbeinginolderadultsasecondaryanalysisofarandomisedcontrolledtrial AT chetelatgael 18monthmeditationtrainingselectivelyimprovespsychologicalwellbeinginolderadultsasecondaryanalysisofarandomisedcontrolledtrial AT lutzantoine 18monthmeditationtrainingselectivelyimprovespsychologicalwellbeinginolderadultsasecondaryanalysisofarandomisedcontrolledtrial AT 18monthmeditationtrainingselectivelyimprovespsychologicalwellbeinginolderadultsasecondaryanalysisofarandomisedcontrolledtrial |