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Growing interest in mindfulness-based programs (MBPs) has resulted in increased demand for MBP teachers, raising questions around safeguarding teaching standards. Training literature emphasises the need for appropriate training and meditation experience, yet studies into impact of such variables on participant outcomes are scarce, requiring further investigation. This feasibility pilot study hypothesised that participant outcomes would relate to teachers’ mindfulness-based teacher training levels and mindfulness-based teaching and meditation experience. Teachers ( n  = 9) with different MBP training levels delivering mindfulness-based stress reduction (MBSR) courses to the general public were recruited together with their course participants ( n  = 31). A teacher survey collected data on their mindfulness-based teacher training, other professional training and relevant experience. Longitudinal evaluations using online questionnaires measured participant mindfulness and well-being before and after MBSR and participant course satisfaction. Course attendees’ gains after the MBSR courses were correlated with teacher training and experience. Gains in well-being and reductions in perceived stress were significantly larger for the participant cohort taught by teachers who had completed an additional year of mindfulness-based teacher training and assessment. No correlation was found between course participants’ outcomes and their teacher’s mindfulness-based teaching and meditation experience. Our results support the hypothesis that higher mindfulness-based teacher training levels are possibly linked to more positive participant outcomes, with implications for training in MBPs. These initial findings highlight the need for further research on mindfulness-based teacher training and course participant outcomes with larger participant samples.

Evidence for the effectiveness of mindfulness-based interventions for children and young people’s well-being is growing, particularly within educational settings. To date, very few studies have explored how children experience and apply mindfulness. This qualitative study investigated how children who received long-term mindfulness training applied mindfulness to their everyday lives. Year 6 Children (average age 11) were interviewed in three focus groups with their peers, in a semi-structured format, and the data was analysed using an inductive thematic analysis. The findings indicated that the children described mindfulness as assisting with their emotion regulation. Four themes were identified: (1) processes of emotion regulation (2) dysregulation prompt to apply mindfulness (3) challenges and strategies and (4) the conditions that support or hinder mindfulness use. These findings are discussed in the context of theories and evidence on emotion regulation, attachment, and mechanisms of mindfulness. Implications of these findings for future research of meditation-based approaches in schools, for example, self-compassion and kindness practices, are considered.

Mindfulness training is increasingly being introduced in schools, yet studies examining its impact on the developing brain have been scarce. A neurodevelopmental perspective on mindfulness has been advocated as a powerful tool to enhance our understanding of underlying neurocognitive changes that have implications for developmental well-being research and the implementation of mindfulness in education. To stimulate more research in the developmental cognitive neuroscience of mindfulness, this article outlines possible indexes of mindfulness-based change in adolescence, with a focus on event-related brain potential (ERP) markers. We provide methodological recommendations for future studies and offer examples of research paradigms. We also discuss how mindfulness practice could impact on the development of prefrontal brain structures and enhance attention control and emotion regulation skills in adolescents, impacting in turn on their self-regulation and coping skills. We highlight advantages of the ERP methodology in neurodevelopmental research of mindfulness. It is proposed that research using established experimental tasks targeting ERP components such as the contingent negative variability, N200, error-related negativity and error positivity, P300, and late positive potential could elucidate developmentally salient shifts in the neural plasticity of the adolescent brain induced by mindfulness practice.

Objectives A positive association between trait mindfulness and cognitive reappraisal has previously been found. Using event-related potentials (ERPs), we investigated the impact of an 8-week MBSR course on early and late stages of emotion regulation using mindfulness and reappraisal. Methods Participants were allocated into an 8-week MBSR training group ( n  = 14 for task reports and self-reports; n  = 10 for ERPs) or a wait-list control group ( n  = 15 for task reports and self-reports; n  = 11 for ERPs). Pre and post the 8-week training, participants completed an affective picture viewing task and were instructed to regulate their responses to negative and neutral images using mindfulness, cognitive reappraisal and expressive suppression. Results At post-test, only the training group showed significant improvements in self-reported trait mindfulness and trait cognitive reappraisal, together with improvements in the self-reported ability to employ mindfulness and cognitive reappraisal during the task. The training group showed decreased 200–280 ms positivity across all three strategies at post-test. The LPP did not change over time but overall showed more positive mean amplitudes to cognitive appraisal. Conclusions These findings suggest that MBSR may adaptively modulate early attention deployment to emotional stimuli, but modulations of later stages of emotion processing may require more extensive mindfulness training. In addition, conscious employment of mindfulness may require less cognitive effort than cognitive reappraisal.

The number of research studies on clinical aspects of mindfulness and neural correlates of meditation practices involving mindfulness is fast growing. But, what is understood as mindfulness and goals of the practice differ across traditions and studies. Clarity in conceptions and components of mindfulness is essential for interpretation of findings across studies and better understanding of the mechanisms involved. In this paper, I outline a working model for exploring mechanisms and effects of different types of mindfulness. The focus is on five dimensions of mindfulness: (1) intention and context of mindfulness practice, (2) bare attention, (3) attentional control, (4) wholesome emotions, and (5) ethical discernment. Meta-awareness and insight, as two additional factors associated with mindfulness, are also discussed. I explore the role these dimensions and factors play in the conception of mindfulness used in the mindfulness-based stress reduction program and in the traditional Buddhist context. Importantly, it is considered how the dimensions and factors of mindfulness may map onto distinct cognitive processes and neural substrates, and what the possible links between them are. This leads to a variety of research hypotheses and questions about mechanisms and effects of mindfulness. I suggest how refinement of the concept of mindfulness and sensitivity to differences across conceptions of mindfulness can lead to development of novel condition- and individual-specific treatment approaches based on meditation, and advance neuroscientific research on brain plasticity associated with well-being.

Prolonged exposure to ‘toxic stress’ caused by financial hardship and social exclusion can result in reduced well-being, increased risk of illness and impaired cognitive function and can negatively impact the physiological processes underlying ageing. Evidence suggests that mindfulness-based interventions (MBIs) may reduce stress and improve well-being in clinical and non-clinical populations, and recent studies indicate they may also help address well-being-related effects of poverty. This study aimed to evaluate the feasibility of delivering an adapted MBI training to adults living with the psychosocial stress caused by poverty and its effectiveness in improving participants’ well-being. In this mixed method, non-randomised waitlist-controlled feasibility pilot study, 40 adults ( n  = 20 in the training group) from regeneration areas in Scotland earning less than the Living Wage completed the adapted MBI. Delivery proved feasible, even though, as with previous studies on psychosocial interventions in socioeconomically deprived (SED) areas, the rate of participant attrition from recruitment ( n  = 107) to completion ( n  = 40) was high (58%). The results showed significant increases in well-being post training for the training group only ( p  < 0.001). No changes in mindfulness were found in either group. Further qualitative analyses suggested a possible shift in participants’ conceptualisation of well-being from being difficult to manageable or workable. These results indicate that MBI training can be feasibly delivered within SED communities and potentially improve the well-being of course participants. The practicalities of developing accessible MBIs for those living in areas of multiple deprivation are discussed.

Background Mindfulness-based programs hold promise for improving cardiovascular health (e.g. physical activity, diet, blood pressure). However, despite theoretical frameworks proposed, no studies have reported qualitative findings on how study participants themselves believe mindfulness-based programs improved their cardiovascular health. With an emphasis on in-depth, open-ended investigation, qualitative methods are well suited to explore the mechanisms underlying health outcomes. The objective of this qualitative study was to explore the mechanisms through which the mindfulness-based program, Mindfulness-Based Blood Pressure Reduction (MB-BP), may influence cardiovascular health. Methods This qualitative study was conducted as part of a Stage 1 single arm trial with one-year follow-up. The MB-BP curriculum was adapted from Mindfulness-Based Stress Reduction to direct participants' mindfulness skills towards modifiable determinants of blood pressure. Four focus group discussions were conducted (N = 19 participants), and seven additional participants were selected for in-depth interviews. Data analysis was conducted using the standard approach of thematic analysis. Following double-coding of audio-recorded transcripts, four members of the study team engaged in an iterative process of data analysis and interpretation. Results Participants identified self-awareness, attention control, and emotion regulation as key mechanisms that led to improvements in cardiovascular health. Within these broader themes, many participants detailed a process beginning with increased self-awareness to sustain attention and regulate emotions. Many also explained that the specific relationship between self-awareness and emotion regulation enabled them to respond more skillfully to stressors. In a secondary sub-theme, participants suggested that higher self-awareness helped them engage in positive health behaviors (e.g. healthier dietary choices). Conclusion Qualitative analyses suggest that MB-BP mindfulness practices allowed participants to engage more effectively in self-regulation skills and behaviors lowering cardiovascular disease risk, which supports recent theory. Results are consistent with quantitative mechanistic findings showing emotion regulation, perceived stress, interoceptive awareness, and attention control are influenced by MB-BP.

Objective Patients at risk of dementia, such as those with subjective cognitive decline (SCD) and mild cognitive impairment (MCI), present with specific clinical symptoms, as well as functional and structural changes within the brain. Dispositional mindfulness (DM) has been linked to better cognition and is associated with activation and grey matter volume changes in specific brain regions in healthy adults. This study aimed to investigate how DM changes along the trajectory of cognitive decline in patients at risk for AD and to identify the brain structures that may be responsible for these changes in DM. Method In total, 79 older adults (SCD = 48, MCI = 31) underwent cognitive testing and brain MRI volumetry, resting-state functional MRI derived connectivity, and diffusion-weighted imaging. DM was assessed with the Breath Counting Task (BCT). Results Participants with MCI showed worse mean counting accuracy in the BCT compared to those with SCD (adjusted p  < 0.001). Higher functional connectivity of the ventromedial prefrontal cortex predicted greater counting accuracy in MCI, but not in SCD. The difference between MCI and SCD in regression slope was also statistically significant for ventromedial prefrontal cortex functional connectivity (adjusted p  = 0.002). No other statistically significant associations were found between DM, MRI indices, and neuropsychological variables in either group. Conclusion MCI and SCD were associated with distinctly different levels of DM, possibly due to more severe cognitive decline in MCI. Functional changes in ventromedial prefrontal cortex in MCI could play a key role in the worsening of DM in this population. Preregistration This study is not preregistered.

Mindfulness-based programs hold promise for improving cardiovascular health (e.g. physical activity, diet, blood pressure). However, despite theoretical frameworks proposed, no studies have reported qualitative findings on how study participants themselves believe mindfulness-based programs improved their cardiovascular health. With an emphasis on in-depth, open-ended investigation, qualitative methods are well suited to explore the mechanisms underlying health outcomes. The objective of this qualitative study was to explore the mechanisms through which the mindfulness-based program, Mindfulness-Based Blood Pressure Reduction (MB-BP), may influence cardiovascular health. This qualitative study was conducted as part of a Stage 1 single arm trial with one-year follow-up. The MB-BP curriculum was adapted from Mindfulness-Based Stress Reduction to direct participants' mindfulness skills towards modifiable determinants of blood pressure. Four focus group discussions were conducted (N = 19 participants), and seven additional participants were selected for in-depth interviews. Data analysis was conducted using the standard approach of thematic analysis. Following double-coding of audio-recorded transcripts, four members of the study team engaged in an iterative process of data analysis and interpretation. Qualitative analyses suggest that MB-BP mindfulness practices allowed participants to engage more effectively in self-regulation skills and behaviors lowering cardiovascular disease risk, which supports recent theory. Results are consistent with quantitative mechanistic findings showing emotion regulation, perceived stress, interoceptive awareness, and attention control are influenced by MB-BP.