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Attention and meditative development: A review and synthesis of long-term meditators and outlook for the study of advanced meditation.

Sebastian Ehmann, Idil Sezer, Arielle S Keller, Isaac N Treves, Matthew D Sacchet

NeuroImage November 19, 2025 DOI: 10.1016/j.neuroimage.2025.121602 via PubMed

Summary

AI-generated from the abstract

Attention regulation is a core mechanism of mindfulness meditation. Long-term meditation enhances trait-level improvements in executive attention, sustained attention, orienting, and reduces the attentional blink. Preliminary evidence also shows improvements in response inhibition, alertness, and less mind-wandering. Alertness benefits most from long-term and intensive practice. Attention-based techniques outperform non-attention-based ones, while observe-and-release techniques aid orienting and detection of closely spaced stimuli. These findings suggest that meditation enhances attention according to training specificity, but meditative development is non-linear and multidimensional, requiring balanced cultivation of multiple faculties. Methodological limitations, such as heterogeneous designs and insufficient state-trait differentiation, complicate interpretations.

Study at a glance

Characteristics Systematic review Peer reviewed
Population Long-term meditators
Interventions mindfulness meditation observe-and-release techniques
Topics Meditation
Keywords Advanced meditation Attention regulation Awareness Long-term meditators
Citations 2
Key finding Long-term meditation enhances attention regulation in accordance with training specificity principles, with alertness benefiting most from long-term and intensive acute practice.

Abstract

Attention regulation is a core mechanism of mindfulness meditation and has been proposed to underlie many of its health-related benefits. Here, we review and synthesize behavioral findings on attentional outcomes in long-term meditators, integrating neurocognitive evidence within a meditative development framework. Key findings indicate trait-level improvements across attentional functions-executive attention, sustained attention, hierarchical and general orienting-and attentional phenomena, such as the attentional blink. Preliminary evidence also identifies trait enhancements in response inhibition, alertness, and reduced mind-wandering. Interaction effects were found for response inhibition, sustained attention, reduced mind-wandering, and alertness, with alertness benefiting most strongly from long-term and intensive acute practice. As expected, attention-based outperformed non-attention-based techniques, while observe-and-release techniques facilitated attentional orienting and detection of closely spaced or unexpected stimuli during sustained attention tasks. These findings suggest that long-term meditation may enhance attention regulation in accordance with training specificity principles; the cognitive functions most directly targeted are the most likely to improve. Nevertheless, broader findings indicate that meditative development may depend on the balanced cultivation of multiple faculties over time, highlighting the non-linear and multidimensional nature of long-term meditative change. Consistent with traditional goals of cultivating mental faculties, the present findings may reflect attentional adaptations that support the development of advanced meditative states. Despite considerable consistency in empirical results, methodological limitations-including heterogeneous study designs and insufficient differentiation between states and traits-complicate interpretations. Future research should prioritize operationalizing and measuring contemplative constructs within integrative frameworks and using rigorous factorial designs to clarify state-trait interactions and meditation predictors.

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