Practice Is Protective: Mindfulness Training Promotes Cognitive Resilience in High-Stress Cohorts
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Attention is critical for successful performance in demanding real-world situations. Yet, protracted periods of high demand may compromise attention and increase off-task thinking. Herein, we investigate if mindfulness training (MT) may promote cognitive resilience by curbing attentional lapses in high-stress cohorts. Two military cohorts were recruited during their high-stress predeployment interval. Mindfulness-based Mind Fitness Training (MMFT)® was provided to one group (MT, N = 31) but not the other group (military control group, MC, N = 24). The MT group attended an 8-week MMFT® course and logged the amount of out-of-class time spent practicing formal MT exercises. The Sustained Attention to Response Task (SART) was used to index objective attentional performance and subjective ratings of mind wandering before (T1) and after (T2) the MT course. In the MT group, changes in SART measures correlated with the amount of time spent engaging in MT homework practice, with greater objective performance benefits (indexed by A′, a sensitivity measure), and reduced subjective reports of mind wandering over time in those who engaged in high practice vs. low practice. Performance measures in the low practice and MC groups significantly declined from T1 to T2. In contrast, the high practice group remained stable over time. These results suggest that engaging in sufficient MT practice may protect against attentional lapses over high-demand intervals. Based on these results, we argue that MT programs emphasizing greater engagement in mindfulness practice should be further investigated as a route by which to build cognitive resilience in high-stress cohorts.
KeywordsMind wandering Attention Mindfulness Stress Resilience Military
This project was funded by the John W. Kluge Foundation and the Department of Defense (Grant no. W81XWH-08-1-0715 to APJ). We thank Pauline Baniqued, Ling Wong, and Anastasia Kiyonaga for assistance with data analysis and John Schaldach for his support in MMFT curriculum development. We wish to thank M.T.K., J.S., J.D., and J.H. for their invaluable role in allowing this project to take place. We dedicate this paper to Dr. Rod Wellens.
Compliance with Ethical Standards
Conflict of Interest
Elizabeth Stanley is the creator of MMFT and founder of the nonprofit Mind Fitness Training Institute (MFTI), established to support the delivery of MMFT. She was not involved in the data collection or analysis. MMFT and MFTI are registered trademarks.
- Allen, M., Dietz, M., Blair, K. S., van Beek, M., Rees, G., Vestergaard-Poulsen, P., Roepstorff, A. (2012). Cognitive-affective neural plasticity following active-controlled mindfulness intervention. Journal of Neuroscience, 32(44), 15601–15610. doi: 10.1523/JNEUROSCI.2957-12.2012.
- Andrews-Hanna, J. R., Kaiser, R. H., Turner, A. E., Reineberg, A. E., Godinez, D., Dimidjian, S., & Banich, M. T. (2013). A penny for your thoughts: dimensions of self-generated thought content and relationships with individual differences in emotional wellbeing. Frontiers in Psychology, 4, 441. doi: 10.3389/fpsyg.2013.00441.CrossRefPubMedPubMedCentralGoogle Scholar
- Bodner, T, & Langer, E. (2001). Individual differences in mindfulness: The Langer Mindfulness Scale. Poster presented at the annual meeting of the American Psychological Society, Toronto, Ontario, Canada.Google Scholar
- Carmody, J., & Baer, R. A. (2008). Relationships between mindfulness practice and levels of mindfulness, medical and psychological symptoms and well-being in a mindfulness-based stress reduction program. Journal of Behavioral Medicine, 31(1), 23–33. doi: 10.1007/s10865-007-9130-7.CrossRefPubMedGoogle Scholar
- Chua, E. C., Yeo, S. C., Lee, I. T., Tan, L. C., Lau, P., Cai, S., Gooley, J. J. (2014). Sustained attention performance during sleep deprivation associates with instability in behavior and physiologic measures at baseline. Sleep, 37(1), 27–39. doi: 10.5665/sleep.3302.
- Haase, L., Thom, N. J., Shukla, A., Davenport, P. W., Simmons, A. N., Stanley, E. A., Paulus, M. P., & Johnson, D. C. (2014). Mindfulness-based training attenuates insula response to an aversive interoceptive challenge. Social Cognitive and Affective Neuroscience, 1–9. doi: 10.1093/scan/nsu042.
- Johnson, R. (2012). Moral formation and the strategic corporal (New wars and new soldiers: military ethics in the contemporary world, pp. 239–256). Farnham: Ashgate.Google Scholar
- Johnson, D. C., Thom, N. J., Stanley, E. A., Haase, L., Simmons, A. N., Pei-an, B. S., Thompson, W. K., Potterat, E. G., Minor, T. R., & Paulus, M. P. (2014). Modifying resilience mechanisms in at-risk individuals: a controlled study of mindfulness training in marines preparing for deployment. American Journal of Psychiatry, 171(8), 844–853. doi: 10.1176/appi.ajp.2014.13040502.CrossRefPubMedPubMedCentralGoogle Scholar
- Kabat-Zinn, J. (2013). Full catastrophe living (revised edition): using the wisdom of your body and mind to face stress, pain, and illness. New York: Bantam Books.Google Scholar
- Kane, M. J., Brown, L. H., McVay, J. C., Silvia, P. J., Myin-Germeys, I., & Kwapil, T. R. (2007). For whom the mind wanders, and when: an experience-sampling study of working memory and executive control in daily life. Psychological Science, 18(7), 614–621. doi: 10.1111/j.1467-9280.2007.01948.x.CrossRefPubMedGoogle Scholar
- Koso, M., Sarač-Hadžihalilović, A., & Hansen, S. (2012). Neuropsychological performance, psychiatric symptoms, and everyday cognitive failures in Bosnian ex-servicemen with posttraumatic stress disorder. Review of Psychology, 19(2), 131–139.Google Scholar
- Leonard, N. R., Jha, A. P., Casarjian, B., Goolsarran, M., Garcia, C., Cleland, C. M., Massey, Z. (2013). Mindfulness training improves attentional task performance in incarcerated youth: a group randomized controlled intervention trial. Frontiers in Psychology, 4, 792. doi: 10.3389/fpsyg.2013.00792.
- Levine, P. A. (1997). Waking the tiger: healing trauma: the innate capacity to transform overwhelming experiences. Berkeley: North Atlantic Books.Google Scholar
- Lieberman, H. R., Tharion, W. J., Shukitt-Hale, B., Speckman, K. L., & Tulley, R. (2002). Effects of caffeine, sleep loss, and stress on cognitive performance and mood during U.S. Navy SEAL training. Sea-Air-Land. Psychopharmacology, 164(3), 250–261. doi: 10.1007/s00213-002-1217-9.CrossRefPubMedGoogle Scholar
- Lieberman, H. R., Bathalon, G. P., Falco, C. M., Kramer, F. M., Morgan, C. A., & Niro, P. (2005). Severe decrements in cognition function and mood induced by sleep loss, heat, dehydration, and undernutrition during simulated combat. Biological Psychiatry, 57(4), 422–429. doi: 10.1016/j.biopsych.2004.11.014.CrossRefPubMedGoogle Scholar
- MacLean, K. A., Ferrer, E., Aichele, S. R., Bridwell, D. A., Zanesco, A. P., Jacobs, T. L., Saron, C. D. (2010). Intensive meditation training improves perceptual discrimination and sustained attention. Psychological Science, 21(6), 829–839. doi: 10.1177/0956797610371339.
- Maguen, S., Turcotte, D. M., Peterson, A. L., Dremsa, T. L., Garb, H. N., McNally, R. J., & Litz, B. T. (2008). Description of risk and resilience factors among military medical personnel before deployment to Iraq. Military Medicine, 173(1), 1–9. doi: 10.7205/milmed.173.1.1.CrossRefPubMedGoogle Scholar
- Marx, N. P., Doron-Lamarca, S., Proctor, S. P., & Vasterling, J. J. (2009). The influence of pre-deployment neurocognitive functioning on post-deployment PTSD symptom outcomes among Iraq-deployed army soldiers. Journal of the International Neuropsychological Society, 15(6), 840–852. doi: 10.1017/s1355617709990488.CrossRefPubMedGoogle Scholar
- McVay, J. C., Kane, M. J., & Kwapil, T. R. (2009). Tracking the train of thought from the laboratory into everyday life: an experience-sampling study of mind wandering across controlled and ecological contexts. Psychonomic Bulletin & Review, 16(5), 857–863. doi: 10.3758/PBR.16.5.857.CrossRefGoogle Scholar
- Meyer, D. E. & Kieras, D. E. (1999). Precis to a practical unified theory of cognition and action: some lessons from EPIC computational models of human multiple-task performance. Attention and performance XVII: Cognitive regulation of performance: Interaction of theory and application, 17–88.Google Scholar
- Morgan, C. A., 3rd, Hazlett, G., Doran, A., Garrett, S., Hoyt, G., Thomas, P., Southwick, S. M. (2004). Accuracy of eyewitness memory for persons encountered during exposure to highly intense stress. International Journal of Law and Psychiatry, 27(3), 265–279. doi: 10.1016/j.ijlp.2004.03.004.
- Ogden, P., Minton, K., & Pain, C. (2006). Trauma and the body: a sensorimotor approach to psychotherapy. New York: WW Norton & Company.Google Scholar
- Rosenzweig, S., Greeson, J. M., Reibel, D. K., Green, J. S., Jasser, S. A., & Beasley, D. (2010). Mindfulness-based stress reduction for chronic pain conditions: variation in treatment outcomes and role of home meditation practice. Journal of Psychosomatic Research, 68(1), 29–36. doi: 10.1016/j.jpsychores.2009.03.010.CrossRefPubMedGoogle Scholar
- Smallwood, J., Davies, J. B., Heim, D., Finnigan, F., Sudberry, M., O'Connor, R., & Obonsawin, M. (2004). Subjective experience and the attentional lapse: task engagement and disengagement during sustained attention. Consciousness and Cognition, 13(4), 657–690. doi: 10.1016/j.concog.2004.06.003.CrossRefPubMedGoogle Scholar
- Stanley, E. A. (2014). Mindfulness-based Mind Fitness Training (MMFT): an approach for enhancing performance and building resilience in high-stress contexts. In C. T. N. A. Le & E. J. Langer (Eds.), The Wiley-Blackwell handbook of mindfulness (pp. 964–985). London: Wiley-Blackwell.CrossRefGoogle Scholar
- Stanley, E. A., & Jha, A. P. (2009). Mind fitness: improving operational effectiveness and building warrior resilience. Joint Force Quarterly, 55, 144–151.Google Scholar
- Tanielian, T. L., & Jaycox, L. (2008). Invisible wounds of war: psychological and cognitive injuries, their consequences, and services to assist recovery (Vol. 720): Rand Corporation.Google Scholar
- Wilson, K, Head, J., & Helton, W. S. (2013). Friendly fire in a simulated firearms task. Paper presented at the Proceedings of the Human Factors and Ergonomics Society Annual Meeting.Google Scholar