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Well-beingNCT03920241

Cognition and Emotion in Meditation: A Comparison Between Mindfulness and Compassion Standardized Programs

An observational study of Well-being and Emotion Regulation, run by Universidad Complutense de Madrid at 1 site in Spain.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The study is aimed at comparing the differential effects of two widely used standardized meditation programs: Mindfulness-Based Stress Reduction (MBSR) and Compassion Cultivation Training (CCT) in general population samples. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Well-being, Emotion Regulation, Cognitive Control
What is being tested?
Mindfulness-Based Stress Reduction and Compassion Cultivation Training
How many people
650 participants
Where
1 siteSpain
Study dates
1 May 2017to 15 Dec 2020
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Study population: Healthy volunteers, from the community, attending courses of mindfulness or compasion at a University center.

Who may be able to join

  • 18 years of age or more
  • Fluency in oral and written Spanish

Who cannot join

  • Having any current of serious psychological disorder or substance abuse / dependence.
  • Being currently enrolled in another standardized meditation program

Trial locations and contacts

1 site in 1 country.

Spain1 site
  • School of Psychology

    Madrid, 28223

Other trials in Spain

About this study

Official title: Changes in Cognitive and Emotional Patterns Associated to Meditation and Compassion Training: Attentional Changes and Network Dynamics

The study is aimed at comparing the differential effects of two widely used standardized meditation programs: Mindfulness-Based Stress Reduction (MBSR) and Compassion Cultivation Training (CCT) in general population samples.

To address this goal, the effects will be measured by self-report questionnaires belonging to different domains (mindfulness, compassion, well-being, psychological distress, and psychological functioning) as well as information processing measures (i.e., Attentional Blink), and psychophysiological measures (EEG and EKG).

Changes will be assessed immediately after finishing the 8-week programs and through several inter-session assessments. Data analysis will include the mean change scores differences, as well as novel network analysis procedures to assess topological reorganization of constructs derived from the programs.

Read the detailed description

The study has a twofold goal. Firstly, it will address whether the practice of different standardized meditation programs (MBSR and CCT) modify the distribution of limited attentional resources towards emotional information, measured by the performance in a variant of the Emotional Attentional Blink. Secondly, novel procedures of Network analysis will be used to examine whether the practice of different standardized meditation programs (mindfulness and compassion) impact on the network dynamics between mindfulness, compassion, well-being, psychological distress, and emotional and cognitive control constructs and how these constructs are eventually reorganized after the interventions.

There are two main corresponding hypotheses. First, meditation practice in general (both mindfulness and compassion) will change the attentional processing of emotional information, reflected by a significant reduction of the attentional blink deficit after the programs as compared to the performance of participants in matched Control group. Differences between both intervention groups will be analyzed. The second hypothesis states that, after meditation programs, the networks of these constructs will become topologically reorganized; more specifically, mindfulness, emotion regulation, and well-being constructs are expected to increase their centrality in the resulting network.

Procedure

The study will follow a pre-post design where participants will be blind to the aims of the study. Participants will be invited to participate at the moment they register in the official website offering the MBSR and CCT programs. After being recruited, those who accept to participate will fill out a brief online screening questionnaire on demographics and inclusion criteria and will sign an informed consent. Then participants will complete an online set of questionnaires (via Qualtrics software) of selected psychological domains associated to the main outcomes and variables studied in meditation literature (i.e., mindfulness, compassion, well-being, psychological distress, and emotional and cognitive control constructs). The online assessment will be completed the week before starting the program (baseline assessment) and during the week after the end of the MBSR (post-assessment). When necessary, reminders will be scheduled for those participants who have not completed the questionnaires. Each pre and post online evaluation will last approximately 45 minutes.

Participants are invited to attend a one-hour experimental session (i.e. Attentional Blink task) within the week before starting the meditation program. After completing a second informed consent, participants will fill out a set of questionnaires with mood (EEE), mindfulness (SM) and compassion (S_SC) state measure. Participants then will begin the Emotional Attentional Blink task divided into three blocks with a 1-minute break between the blocks. At the end of the task, participants will complete the "state measures" again and the session will end. After this lab session, participants will attend one of the two 8-week standardized meditation programs (MBSR or CCT). Finally, the same procedure will be followed for the post-experimental session within the week after the end of the programs. Each pre-post experimental session will last approximately one hour. After completing the post-treatment assessments, participants will be debriefed and will receive an individualized report of their questionnaires scores and the purposes of the study.

Programs description

The Mindfulness-Based Stress Reduction (MBSR) is an 8-week standardized program consisted of 2.5-hours of face-to-face weekly sessions, and 45 minutes of daily home formal and informal practices. Training will be conducted in groups of 20-30 participants. During the program, different mindfulness practices are performed, including focused attention on the breath, open monitoring of awareness in body-scanning, prosocial meditation (i.e. loving kindness and compassion) and gentle yoga.

The Compassion Cultivation Training (CCT) is also an 8-week standardized program consisting of 2.5-hours of face-to-face weekly sessions and 30 minutes of daily home formal and informal practices. Training will be conducted in groups of 20-30 participants. The CCT consists of six sequential steps: 1) Settling the mind and learn how to focus it; 2) Loving-kindness and compassion for a loved one practice; 3) Loving-kindness and compassion for oneself practice; 4) compassion toward others, embracing shared common humanity and developing appreciation of others; 5) compassion toward others including all beings; and 6) active compassion practices (Tonglen) which involve explicit evocation of the altruistic wish to do something about others' suffering. Finally, participants learn an integrative compassion practice combining the six essential elements into an integrative compassion meditation practice.

Being tested
Mindfulness-Based Stress Reduction, Compassion Cultivation Training, Control Group
Keywords
Mindfulness, Compassion, Well-being, Network analysis, MBSR, CCT, Attentional blink, Cognition
Medical subject headings
Emotional Regulation

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Mindfulness-Based Stress ReductionBehavioural

    Also called MBSR

    The MBSR is an 8-week standardized program (Kabat-Zinn, 1990) consisted of 2.5-hour of face-to-face weekly sessions, and 45 minutes of daily home formal and informal practices. Training will be conducted in groups of 20-30 participants. During the program, different mindfulness practices are performed, including focused attention on the breath, open monitoring of awareness in body-scanning, prosocial meditation (i.e. loving kindness and compassion) and gentle yoga.

    Training is delivered by certificated instructors by the University of Massachusetts Centre for Mindfulness (https://www.umassmed.edu/cfm/).

  • Compassion Cultivation TrainingBehavioural

    Also called CCT

    The CCT is an 8-week standardized program (Jinpa, 2010; Jazaieri et al. 2013, 2014) consisting of 2.5-hour of face-to-face weekly sessions and 30 minutes of daily home formal and informal practices. Training will be conducted in groups of 20-30 participants. The CCT consists of six sequential steps: 1) Settling the mind and learn how to focus it; 2) Loving kindness and compassion for a loved one practice; 3) Loving kindness and compassion for oneself practice; 4) compassion toward others, embracing shared common humanity and developing appreciation of others; 5) compassion toward others including all beings; and 6) active compassion practices (Tonglen) which involve explicit evocation of the altruistic wish to do something about others' suffering.

    CCT program is delivered by certificated instructors by the University of Stanford Centre for Compassion and Altruism Research and Education (http://ccare.stanford.edu/).

  • Control GroupOther

    A group of participants, matched by age, gender, and meditation experience is selected to compare their performance on experimental lab tasks in relation to the MBSR and CCT participants.

Study groups in NCT03920241
Study groupRoleWhat they receive
MBSR groupAttendants to Mindfulness-Based Stres Reduction programs offered to the community by Complutense University
Receives: Behavioral: Mindfulness-Based Stress Reduction
CCT groupAttendants to Compassion Cultivation Training programs offered to the community by Complutense University
Receives: Behavioral: Compassion Cultivation Training
Control groupControl group matched by age, gender, and meditation experience.
Receives: Other: Control Group

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change from Baseline in attention performance (Lab measures)

    Attentional blink (accuracy emotion identification)

    Measured: Pre- and post-intervention assessments (baseline and 8 weeks later)

  2. Change from Baseline in brain activity (Lab measures)

    EEG (frontal lobe activity)

    Measured: Pre- and post-intervention assessments (baseline and 8 weeks later)

  3. Change from Baseline in heart activity (Lab measures)

    EKG (Heart rate variability)

    Measured: Pre- and post-intervention assessments (baseline and 8 weeks later)

Secondary outcomes (18)
  1. Mindfulness - General mindfulness

    Five-Facet Mindfulness Questionnaire (FFMQ)

    Measured: Pre and post-intervention assessments as well as intersession assessments (8 weekly assessments)

  2. Mindfulness - Non-attachment

    Non-Attachment Scale (NAS)

    Measured: Pre and post-intervention assessments as well as intersession assessments (weekly assessments during the 8 weeks of duration of the program))

  3. Mindfulness - Decentering

    Experiences Questionnaire (EQ)

    Measured: Pre and post-intervention assessments as well as intersession assessments (weekly assessments during the 8 weeks of duration of the program)

  4. Mindfulness - Interoceptive awareness

    Multidimensional assessment of interoceptive awareness (MAIA)

    Measured: Pre and post-intervention assessments as well as intersession assessments (weekly assessments during the 8 weeks of duration of the program)

  5. Mindfulness - State mindfulness

    State Mindfulness Scale (SMS)

    Measured: Pre and post-intervention assessments as well as intersession assessments (weekly assessments during the 8 weeks of duration of the program)

  6. Compassion - Self-compassion

    Self-Compassion Scale (SCS)

    Measured: Pre and post-intervention assessments as well as intersession assessments (weekly assessments during the 8 weeks of duration of the program)

  7. Compassion - Compassion to others

    Compassion Scale (CS)

    Measured: Pre and post-intervention assessments as well as intersession assessments (weekly assessments during the 8 weeks of duration of the program)

  8. Compassion - Empathy

    Interpersonal Reactivity Index (IRI)

    Measured: Pre and post-intervention assessments as well as intersession assessments (weekly assessments during the 8 weeks of duration of the program)

  9. Compassion - State-compassion

    Self-Compassion Scale-State (SCS_S)

    Measured: Pre and post-intervention assessments as well as intersession assessments (weekly assessments during the 8 weeks of duration of the program)

  10. Psychological well-being - General well-being

    Pemberton Happiness Index (PHI)

    Measured: Pre and post-intervention assessments (baseline and 8 weeks later)

  11. Psychological well-being - Satisfaction with life

    Satisfaction With Life Scale (SWLS)

    Measured: Pre and post-intervention assessments (baseline and 8 weeks later)

  12. Psychological well-being - Optimism

    Life Orientation Test-Revised (LOT-R)

    Measured: Pre and post-intervention assessments (baseline and 8 weeks later)

  13. Psychological distress - feelings of depression, anxiety and stress

    Depression Anxiety Stress Scales (DASS-21)

    Measured: Pre and post-intervention assessments (baseline and 8 weeks later)

  14. Emotional and cognitive control - Rumination

    Ruminative Response Style (RRS)

    Measured: Pre and post-intervention assessments (baseline and 8 weeks later)

  15. Emotional and cognitive control - thought suppression

    White Bear Suppression Inventory (WBSI)

    Measured: Pre and post-intervention assessments (baseline and 8 weeks later)

  16. Emotional and cognitive control - Attentional control

    Attentional Control Scale (ACS)

    Measured: Pre and post-intervention assessments (baseline and 8 weeks later)

  17. Emotional and cognitive control - Emotion regulation

    Emotion Regulation Questionnaire (ERQ)

    Measured: Pre and post-intervention assessments (baseline and 8 weeks later)

  18. Emotional and cognitive control - Emotional States

    Emotional State Scale (ESS)

    Measured: Pre and post-intervention assessments (baseline and 8 weeks later)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted18 Apr 2019
  2. Study start1 May 2017
  3. Primary completion1 Dec 2019
  4. Study completion15 Dec 2020

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Ecologic or community
Time perspective
Prospective
Enrolment
650 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03920241
Sponsor's protocol ID
PSI-559959-R
Status last verified
May 2022
First submitted
12 Mar 2019
Last updated
23 May 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Khoury B, Sharma M, Rush SE, Fournier C. Mindfulness-based stress reduction for healthy individuals: A meta-analysis. J Psychosom Res. 2015 Jun;78(6):519-28. doi: 10.1016/j.jpsychores.2015.03.009. Epub 2015 Mar 20.

    PubMed 25818837
  • Tang YY, Leve LD. A translational neuroscience perspective on mindfulness meditation as a prevention strategy. Transl Behav Med. 2016 Mar;6(1):63-72. doi: 10.1007/s13142-015-0360-x.

    PubMed 27012254
  • van der Velden AM, Roepstorff A. Neural mechanisms of mindfulness meditation: bridging clinical and neuroscience investigations. Nat Rev Neurosci. 2015 Jul;16(7):439. doi: 10.1038/nrn3916-c1. Epub 2015 Jun 17. No abstract available.

    PubMed 26081785
  • Kuyken W, Warren FC, Taylor RS, Whalley B, Crane C, Bondolfi G, Hayes R, Huijbers M, Ma H, Schweizer S, Segal Z, Speckens A, Teasdale JD, Van Heeringen K, Williams M, Byford S, Byng R, Dalgleish T. Efficacy of Mindfulness-Based Cognitive Therapy in Prevention of Depressive Relapse: An Individual Patient Data Meta-analysis From Randomized Trials. JAMA Psychiatry. 2016 Jun 1;73(6):565-74. doi: 10.1001/jamapsychiatry.2016.0076.

    PubMed 27119968
  • Malinowski P. Neural mechanisms of attentional control in mindfulness meditation. Front Neurosci. 2013 Feb 4;7:8. doi: 10.3389/fnins.2013.00008. eCollection 2013.

    PubMed 23382709

Questions about this trial

What is this clinical trial studying?

An observational study of Well-being and Emotion Regulation, run by Universidad Complutense de Madrid at 1 site in Spain.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 23 May 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Spain. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change from Baseline in attention performance (Lab measures) (time frame: Pre- and post-intervention assessments (baseline and 8 weeks later)). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03920241, which also lists 5 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 May 2022.

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