Mindfulness-Based Intervention Effects on EEG and Executive Functions: A Systematic Review.

Abstract

Background. Mindfulness-based interventions (MBIs) have emerged as an alternative intervention for symptoms of psychological and psychiatric conditions, such as depression, anxiety, and emotional discomfort. Over the last ten years, MBIs have established a growing body of evidence that shows cognitive and neurophysiological benefits. Depression and anxiety are conditions with a high prevalence in the world population. In developing countries, it is reported that, given the conditions of being at a social disadvantage, anxiety and depression are higher, resulting in compromised psychological well-being and mental health. Objectives. This systematic review aims to quantitatively and qualitatively assess changes in the neuropsychological, particularly executive functioning and social cognition domains, and electroencephalographical (EEG) effects of MBIs. Methods. A systematic review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) in three databases, Web of Science, Scopus, and EBSCO MedLine complete; 14,464 articles were found, 141 articles evaluated the effects of MBI on executive functioning, and 16 included both as in qualitative and quantitative variables. Results. The qualitative results show that the research on the effects of MBI on behavior and cognitive skills, including executive function, social cognition, and EEG analysis, is very scarce but consistent in suggesting strong correlations on cognitive and electrophysiological alpha-beta proportions asymmetry on frontal areas. Undoubtedly, executive functions, as a behavioral regulatory and self-monitoring system, are the most popular study of interest in the literature, including emotional regulation, awareness, planning, social skills, and focused attention. Although there are fewer studies assessing the effects of MBIs on social cognition skills. The funnel plot showed a symmetrical distribution but ranked out of significant correlation. Most estimates of treatment effects are positive (58%); however, the average outcome observed did not significantly differ from zero. Conclusions. This study concludes that the research integrating the analysis of the electrophysiological and executive function effects of MBI shows important methodological variations and clinical conditions, which explains the significant results reported individually. Even when most of the literature reports positive effects of MBIs on several behavioral and neurophysiological domains, there are still confounding factors that must be taken into consideration by researchers and clinicians before attributing possible inaccurate or generalizable benefits.