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The Immediate and Long-Term Effects of an Intensive Meditation Retreat

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A Correction to this article was published on 26 July 2018

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Abstract

Proliferation of mindfulness retreat centers has paralleled the growing interest in mindfulness practice, but the research into the effects of retreats on psychological outcomes has received relatively little empirical attention. This study (1) investigated the effects of Vipassana retreats on psychosocial outcomes, (2) evaluated the durability of outcomes at follow-up, and (3) examined baseline predictors of outcome. One hundred ninety-five participants underwent a 1-week meditation retreat at a leading meditation retreat center. Participants completed measures of mindfulness, anxiety, depression, dysfunctional attitudes, emotion regulation, set shifting, and attention before and after a pre-retreat control period, immediately following the retreat, and 4 weeks following the end of the retreat. Structural equation models indicated that there were significant improvements in mindfulness, anxiety, depression, and dysfunctional attitudes and that these gains were maintained at follow-up. Older age was associated with better functioning pre-retreat but comparatively less improvement overall. These results highlight the strong effects of meditation retreats on a variety of psychosocial outcomes and also identified baseline predictors of outcome.

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  • 26 July 2018

    On p. 1067, we stated that we used a short form of the State Trait Anxiety Inventory (STAI; Spielberger, 1983). In fact, we used the complete 20-item version of the Trait subscale of the STAI.

References

  • Anderson, N. D., Lau, M. A., Segal, Z. V., & Bishop, S. R. (2007). Mindfulness-based stress reduction and attentional control. Clinical Psychology and Psychotherapy, 14, 449–463. doi:10.1002/cpp.544.

    Article  Google Scholar 

  • Armey, M. F., Fresco, D. M., Moore, M. T., Mennin, D. S., Turk, C. L., Heimberg, R. G., et al. (2009). Brooding and pondering: isolating the active ingredients of depressive rumination with exploratory factor analysis and structural equation modeling. Assessment, 16, 315–327. doi:10.1177/1073191109340388.

    Article  PubMed  PubMed Central  Google Scholar 

  • Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13, 27–45. doi:10.1177/1073191105283504.

    Article  PubMed  Google Scholar 

  • Baer, R. A., Smith, G. T., Lykins, E., Button, D., Krietemeyer, J., Sauer, S., et al. (2008). Construct validity of the five facet mindfulness questionnaire in meditating and nonmeditating samples. Assessment, 15, 329–342. doi:10.1177/1073191107313003.

    Article  PubMed  Google Scholar 

  • Beck, A. T., & Haigh, E. P. (2014). Advances in cognitive theory and therapy: the generic cognitive model. Annual Review of Clinical Psychology, 10, 1–24. doi:10.1146/annurev-clinpsy-032813-153734.

    Article  PubMed  Google Scholar 

  • Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Beck depression Inventory-II. San Antonio, TX: Harcourt Brace.

    Google Scholar 

  • Beevers, C. G., Strong, D. R., Meyer, B., Pilkonis, P. A., & Miller, I. W. (2007). Efficiently assessing negative cognition in depression: an item response theory analysis of the dysfunctional attitude scale. Psychological Assessment, 19, 199–209. doi:10.1037/1040-3590.19.2.199.

    Article  PubMed  Google Scholar 

  • Benjamini, Y., & Hochberg, Y. (1995). Controlling the false discovery rate: a practical and powerful approach to multiple testing. Journal of the Royal Statistical Society. Series B (Methodological), 57, 289–300.

    Google Scholar 

  • Bieling, P. J., Antony, M. M., & Swinson, R. P. (1998). The state-trait anxiety inventory, trait version: structure and content re-examined. Behaviour Research and Therapy, 36, 777–788. doi:10.1016/S0005-7967(98)00023-0.

    Article  PubMed  Google Scholar 

  • Cahn, B. R., & Polich, J. (2009). Meditation (Vipassana) and the P3a event-related brain potential. International Journal of Psychophysiology, 72(1), 51–60. doi:10.1016/j.ijpsycho.2008.03.013.

    Article  PubMed  Google Scholar 

  • Chambers, R., Ye Lo, B., & Allen, N. B. (2008). The impact of intensive mindfulness training on attentional control, cognitive style, and affect. Cognitive Therapy and Research, 32, 303–322. doi:10.1007/s10608-007-9119-0.

    Article  Google Scholar 

  • Craske, M. G., Niles, A. N., Burklund, L. J., Wolitzky-Taylor, K. B., Vilardaga, J. P., Arch, J. J., et al. (2014). Randomized controlled trial of cognitive behavioral therapy and acceptance and commitment therapy for social phobia: outcomes and moderators. Journal of Consulting and Clinical Psychology, 82, 1034–1048. doi:10.1037/a0037212.

    Article  PubMed  PubMed Central  Google Scholar 

  • Davies, C. D., Niles, A. N., Pittig, A., Arch, J. J., & Craske, M. G. (2015). Physiological and behavioral indices of emotion dysregulation as predictors of outcome from cognitive behavioral therapy and acceptance and commitment therapy for anxiety. Journal of Behavior Therapy and Experimental Psychiatry, 4635–4643. doi:10.1016/j.jbtep.2014.08.002.

  • Dennis, J. P., & Vander Wal, J. S. (2010). The cognitive flexibility inventory: instrument development and estimates of reliability and validity. Cognitive Therapy and Research, 34, 241–253. doi:10.1007/s10608-009-9276-4.

    Article  Google Scholar 

  • Derryberry, D., & Reed, M. A. (2002). Anxiety-related attentional biases and their regulation by attentional control. Journal of Abnormal Psychology, 111, 225–236. doi:10.1037/0021-843X.111.2.225.

    Article  PubMed  Google Scholar 

  • Elliott, J. C., Wallace, B. A., & Giesbrecht, B. (2014). A week-long meditation retreat decouples behavioral measures of the alerting and executive attention networks. Frontiers in Human Neuroscience, 8. doi:10.3389/fnhum.2014.00069.

  • Enders, C. K., & Bandalos, D. L. (2001). The relative performance of full information maximum likelihood estimation for missing data in structural equation models. Structural Equation Modeling, 8, 430–457. doi:10.1207/S15328007SEM0803_5.

    Article  Google Scholar 

  • Emavardhana, T., & Tori, C. D. (1997). Changes in self-concept, ego defense mechanisms, and religiosity following seven-day Vipassana meditation retreats. Journal for the Scientific Study of Religion, 36, 194–206. doi:10.2307/1387552.

    Article  Google Scholar 

  • Falkenström, F. (2010). Studying mindfulness in experienced meditators: a quasi-experimental approach. Personality and Individual Differences, 48, 305–310. doi:10.1016/j.paid.2009.10.022.

    Article  Google Scholar 

  • Farb, N. S., Segal, Z. V., Mayberg, H., Bean, J., McKeon, D., Fatima, Z., & Anderson, A. K. (2007). Attending to the present: mindfulness meditation reveals distinct neural modes of self-reference. Social Cognitive and Affective Neuroscience, 2, 313–322. doi:10.1093/scan/nsm030.

    Article  PubMed  PubMed Central  Google Scholar 

  • Goldberg, S. B., Del Re, A. C., Hoyt, W. T., & Davis, J. M. (2014). The secret ingredient in mindfulness interventions? A case for practice quality over quantity. Journal of Counseling Psychology, 61, 491–497. doi:10.1037/cou0000032.

    Article  PubMed  Google Scholar 

  • Goldberg, S. B., Wielgosz, J., Dahl, C., Schuyler, B., MacCoon, D. S., Rosenkranz, M., et al. (2015). Does the Five Facet Mindfulness Questionnaire measure what we think it does? Construct validity evidence from an active controlled randomized clinical trial. Psychological Assessment, 28, 1009–1014. doi:10.1037/pas0000233.

    Article  PubMed  PubMed Central  Google Scholar 

  • Graham, J. W. (2009). Missing data analysis: making it work in the real world. Annual Review of Psychology, 60, 549–576. doi:10.1146/annurev.psych.58.110405.085530.

    Article  PubMed  Google Scholar 

  • Gross, J. J., & John, O. P. (2003). Individual differences in two emotion regulation processes: implications for affect, relationships, and well-being. Journal of Personality and Social Psychology, 85, 348–362. doi:10.1037/0022-3514.85.2.348.

    Article  PubMed  Google Scholar 

  • Hofmann, S. G., Sawyer, A. T., Witt, A. A., & Oh, D. (2010). The effect of mindfulness-based therapy on anxiety and depression: a meta-analytic review. Journal of Consulting and Clinical Psychology, 78, 169–183. doi:10.1037/a0018555.

    Article  PubMed  PubMed Central  Google Scholar 

  • Huppert, F. A., & Johnson, D. M. (2010). A controlled trial of mindfulness training in schools: the importance of practice for an impact on well-being. The Journal of Positive Psychology, 5, 264–274. doi:10.1080/17439761003794148.

    Article  Google Scholar 

  • Isaacowitz, D. M., & Noh, S. R. (2011). Does looking at the positive mean feeling good? Age and individual differences matter. Social and Personality Psychology Compass, 5, 505–517. doi:10.1111/j.1751-9004.2011.00374.x.

    Article  PubMed  PubMed Central  Google Scholar 

  • Jacobs, T. L., Epel, E. S., Lin, J., Blackburn, E. H., Wolkowitz, O. M., Bridwell, D. A., et al. (2011). Intensive meditation training, immune cell telomerase activity, and psychological mediators. Psychoneuroendocrinology, 36, 664–681. doi:10.1016/j.psyneuen.2010.09.010.

    Article  PubMed  Google Scholar 

  • Jacobs, T. L., Shaver, P. R., Epel, E. S., Zanesco, A. P., Aichele, S. R., Bridwell, D. A., et al. (2013). Self-reported mindfulness and cortisol during a Shamatha meditation retreat. Health Psychology, 32, 1104–1109. doi:10.1037/a0031362.

    Article  PubMed  Google Scholar 

  • Jensen, C. G., Vangkilde, S., Frokjaer, V., & Hasselbalch, S. G. (2012). Mindfulness training affects attention—or is it attentional effort? Journal of Experimental Psychology: General, 141, 106–123. doi:10.1037/a0024931.

    Article  Google Scholar 

  • Judah, M. R., Grant, D. M., Mills, A. C., & Lechner, W. V. (2013). The neural correlates of impaired attentional control in social anxiety: an ERP study of inhibition and shifting. Emotion, 13, 1096–1106. doi:10.1037/a0033531.

    Article  PubMed  Google Scholar 

  • Khoury, B., Lecomte, T., Fortin, G., Masse, M., Therien, P., Bouchard, V., et al. (2013). Mindfulness-based therapy: a comprehensive meta-analysis. Clinical Psychology Review, 33, 763–771. doi:10.1016/j.cpr.2013.05.005.

    Article  PubMed  Google Scholar 

  • Kozasa, E. H., Lacerda, S. S., Menezes, C., Wallace, B. A., Radvany, J., Mello, L. M., & Sato, J. R. (2015). Effects of a 9-day Shamatha Buddhist meditation retreat on attention, mindfulness and self-compassion in participants with a broad range of meditation experience. Mindfulness, 6, 1235–1241. doi:10.1007/s12671-015-0385-8.

    Article  Google Scholar 

  • Kramer, J. H., Mungas, D., Possin, K. L., Rankin, K. P., Boxer, A. L., Rosen, H. J., et al. (2014). NIH EXAMINER: conceptualization and development of an executive function battery. Journal of the International Neuropsychological Society, 20, 11–19. doi:10.1017/S1355617713001094.

    Article  PubMed  Google Scholar 

  • Krygier, J. R., Heathers, J. J., Shahrestani, S., Abbott, M., Gross, J. J., & Kemp, A. H. (2013). Mindfulness meditation, well-being, and heart rate variability: a preliminary investigation into the impact of intensive Vipassana meditation. International Journal of Psychophysiology, 89, 305–313. doi:10.1016/j.ijpsycho.2013.06.017.

    Article  PubMed  Google Scholar 

  • Lutz, A., Slagter, H. A., Rawlings, N. B., Francis, A. D., Greischar, L. L., & Davidson, R. J. (2009). Mental training enhances attentional stability: neural and behavioral evidence. The Journal of Neuroscience, 29, 13418–13427. doi:10.1523/JNEUROSCI.1614-09.2009.

    Article  PubMed  PubMed Central  Google Scholar 

  • MacLean, K. A., Ferrer, E., Aichele, S. R., Bridwell, D. A., Zanesco, A. P., Jacobs, T. L., et al. (2010). Intensive meditation training improves perceptual discrimination and sustained attention. Psychological Science, 21, 829–839. doi:10.1177/0956797610371339.

    Article  PubMed  PubMed Central  Google Scholar 

  • Moore, M. T., Fresco, D. M., Segal, Z. V., & Brown, T. A. (2014). An exploratory analysis of the factor structure of the Dysfunctional Attitude Scale-Form A (DAS). Assessment, 21, 570–579. doi:10.1177/1073191114524272.

    Article  PubMed  Google Scholar 

  • Muthén, L. K., & Muthén, L. (1998). Mplus [computer software]. Los Angeles, CA: Muthén & Muthén.

    Google Scholar 

  • Niles, A. N., Mesri, B., Burklund, L. J., Lieberman, M. D., & Craske, M. G. (2013). Attentional bias and emotional reactivity as predictors and moderators of behavioral treatment for social phobia. Behaviour Research and Therapy, 51, 669–679. doi:10.1016/j.brat.2013.06.005.

    Article  PubMed  Google Scholar 

  • Ólafsson, R. P., Smári, J., Guðmundsdóttir, F., Ólafsdóttir, G., Harðardóttir, H. L., & Einarsson, S. M. (2011). Self reported attentional control with the Attentional Control Scale: factor structure and relationship with symptoms of anxiety and depression. Journal of Anxiety Disorders, 25, 777–782. doi:10.1016/j.janxdis.2011.03.013.

    Article  PubMed  Google Scholar 

  • Ostafin, B. D., Chawla, N., Bowen, S., Dillworth, T. M., Witkiewitz, K., & Marlatt, G. A. (2006). Intensive mindfulness training and the reduction of psychological distress: a preliminary study. Cognitive and Behavioral Practice, 13, 191–197. doi:10.1016/j.cbpra.2005.12.001.

    Article  Google Scholar 

  • Perelman, A. M., Miller, S. L., Clements, C. B., Rodriguez, A., Allen, K., & Cavanaugh, R. (2012). Meditation in a Deep South prison: a longitudinal study of the effects of Vipassana. Journal of Offender Rehabilitation, 51, 176–198. doi:10.1080/10509674.2011.632814.

    Article  Google Scholar 

  • Rosenberg, E. L., Zanesco, A. P., King, B. G., Aichele, S. R., Jacobs, T. L., Bridwell, D. A., et al. (2015). Intensive meditation training influences emotional responses to suffering. Emotion, 15, 775–790. doi:10.1037/emo0000080.

    Article  PubMed  Google Scholar 

  • Saggar, M., King, B. G., Zanesco, A. P., MacLean, K. A., Aichele, S. R., Jacobs, T. L., & … Saron, C. D. (2012). Intensive training induces longitudinal changes in meditation state-related EEG oscillatory activity. Frontiers in Human Neuroscience, 6. doi:10.3389/fnhum.2012.00256.

  • Saggar, M., Zanesco, A. P., King, B. G., Bridwell, D. A., MacLean, K. A., Aichele, S. R., et al. (2015). Mean-field thalamocortical modeling of longitudinal EEG acquired during intensive meditation training. NeuroImage, 114, 88–104. doi:10.1016/j.neuroimage.2015.03.073.

    Article  PubMed  Google Scholar 

  • Sahdra, B. K., MacLean, K. A., Ferrer, E., Shaver, P. R., Rosenberg, E. L., Jacobs, T. L., et al. (2011). Enhanced response inhibition during intensive meditation training predicts improvements in self-reported adaptive socioemotional functioning. Emotion, 11, 299–312. doi:10.1037/a0022764.

    Article  PubMed  Google Scholar 

  • Spielberger, C. D. (1983). Manual for the state-trait anxiety inventory. Palo Alto, CA: Consulting Psychologists Press.

    Google Scholar 

  • Storch, E. A., Roberti, J. W., & Roth, D. A. (2004). Factor structure, concurrent validity, and internal consistency of the Beck Depression Inventory-second edition in a sample of college students. Depression and Anxiety, 19, 187–189. doi:10.1002/da.20002.

    Article  PubMed  Google Scholar 

  • Szekeres, R. A., & Wertheim, E. H. (2015). Evaluation of Vipassana meditation course effects on subjective stress, well‐being, self‐kindness and mindfulness in a community sample: Post‐course and 6‐month outcomes. Stress and Health: Journal of the International Society for the Investigation of Stress, 31, 373–381. doi:10.1002/smi.2562.

  • Taylor, C. T., Laposa, J. M., & Alden, L. E. (2004). Is avoidant personality disorder more than just social avoidance? Journal of Personality Disorders, 18, 571–594. doi:10.1521/pedi.18.6.571.54792.

    Article  PubMed  Google Scholar 

  • Treynor, W., Gonzalez, R., & Nolen-Hoeksema, S. (2003). Rumination reconsidered: a psychometric analysis. Cognitive Therapy and Research, 27, 247–259. doi:10.1023/A:1023910315561.

    Article  Google Scholar 

  • Weissman, A. (1979). Dysfunctional Attitude Scale: a validation study. Unpublished doctoral dissertation, University of Pennsylvania, Philadelphia.

  • Zanesco, A. P., King, B. G., MacLean, K. A., & Saron, C. D. (2013). Executive control and felt concentrative engagement following intensive meditation training. Frontiers in Human Neuroscience, 7. doi:10.3389/fnhum.2013.00566.

  • Zanesco, A. P., King, B. G., MacLean, K. A., Jacobs, T. L., Aichele, S. R., Wallace, B. A., et al. (2016). Meditation training influences mind wandering and mindless reading. Psychology of Consciousness: Theory, Research, and Practice, 3, 12–33. doi:10.1037/cns0000082.

    Google Scholar 

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Acknowledgements

Portions of this paper were presented at the annual meeting of the Anxiety and Depression Association of America, April 2016. Jonathan P. Stange was supported by National Research Service Award F31MH099761 and grant 5T32MH067631-12 from NIMH.

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Authors and Affiliations

  1. Department of Psychology, Temple University, 1701 North 13th Street, Philadelphia, PA, 19122-6085, USA

    Jonah N. Cohen, Dane Jensen, Jonathan P. Stange & Richard G. Heimberg

  2. Department of Psychiatry, Center on Depression and Resilience, University of Illinois at Chicago, 1601 W. Taylor St., Chicago, 60612, IL, USA

    Jonathan P. Stange

  3. PRA Health Sciences, Raleigh, NC, USA

    Mark Neuburger

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  1. Jonah N. Cohen
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  2. Dane Jensen
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Correspondence to Richard G. Heimberg.

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All procedures involving human participants were performed in accordance with the ethical standards of the appropriate institutional research committee and with the 1964 Helsinki declaration and its later amendments. Informed consent was obtained from all individual participants included in the study.

Conflict of Interest

The first three authors have all participated in retreats at Insight Meditation Society. None of these individuals were participants in this study. The authors have no other conflicts of interest to report.

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Cohen, J.N., Jensen, D., Stange, J.P. et al. The Immediate and Long-Term Effects of an Intensive Meditation Retreat. Mindfulness 8, 1064–1077 (2017). https://doi.org/10.1007/s12671-017-0682-5

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