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Meditation

Focused Attention Meditation

Focused Attention Meditation is a meditation practice studied in relation to mental and emotional outcomes, including attention, cognition, mood, anxiety, and stress resilience. Research includes randomized trials, but the findings do not establish that the practice reliably produces these outcomes.

Research on this meditation practice spans emotional wellbeing and cognitive function, with stress resilience another area of interest.

Part of Meditation

Overview

Focused Attention Meditation is a meditation practice studied in relation to mental and emotional outcomes, including attention, cognition, mood, anxiety, and stress resilience. Research includes randomized trials, but the findings do not establish that the practice reliably produces these outcomes. Some proposed uses, such as support for present-moment awareness, are less firmly grounded than outcomes examined in clinical research. Overall, it is a well-studied meditation approach, but its potential benefits remain uncertain, and the evidence does not establish it as a treatment for any condition.

Some research: 44 studies. Last checked Oct 9, 2026.

13
human evidence
3
eligible
10
unclassified
3
animal / null result

Best-evidenced uses

5 variations documented

EvidenceModerate
44
Studies

Evidence checked Oct 9, 2026 · newest study 2026

Study designs:Systematic review1RCT22Quasi Experimental6Cohort study7Case report1Cross Sectional3Pilot study3Qualitative1
Study grades:
C
41
D
3

239 community reports across 2 platforms

Coverage

Effects
21
Helps with
8
Side effects
6
Interactions
8
How to read the evidence

Evidence tier — overall strength of the evidence for the whole compound

  • StrongWell established — backed by strong, consistent human research.
  • ModerateSome genuine support, but mostly from small or lower-quality studies. Promising, not proven.
  • PreliminaryEarly-stage evidence — a promising hypothesis, not an established effect yet.
  • LimitedVery limited evidence — treat this as a hypothesis, not proof.
  • InsufficientNot enough good evidence to draw conclusions yet.

Certainty — how sure we can be that the effect is real

  • Very highVery sure — strong, consistent evidence
  • HighFairly sure — consistent evidence from good studies
  • MediumModerately sure — new studies could change this
  • LowNot sure — little or mixed evidence
  • Very lowVery unsure — almost no usable evidence

Source — where the data comes from

  • Meta-analysisPooled analysis of many trials — the strongest evidence
  • RCTRandomized controlled trial — a strong human study design
  • ClinicalA human clinical study
  • Reference knowledgeFrom general health-science or pharmacology references, not a study of this exact claim
  • Animal researchStudied in animals, not humans
  • Community reportsAggregated user reports — anecdotal signal, not evidence
  • TheoreticalMechanism-based reasoning, not yet tested

Study grade — quality of each underlying study (A best, D weakest)

  • AHigh-quality — strong, consistent human trials
  • BGood — solid evidence with some limitations
  • CModerate — limited, small, or mixed-quality studies
  • DWeak — preliminary, indirect, or animal-only

Confidence — how strongly the sources back a finding

A 0–100 score from study quality and agreement

Most supplement evidence is graded C–D. Read it as preliminary signal, not proof.

These are research findings, not promises. A practice does not replace medical treatment.

What does research say?

None of these claims has good evidence yet. Best evidence first.

21 claims:13 not enough evidence3 not tested in people2 personal stories only3 no benefit found

  • Concentration ImprovementMeditation in general: Medium · 8 trialsNot enough evidence

    Too few or too small studies to know if it works.

    7 of 9 studies found a benefit; 2 found none. Strongest study: a randomized controlled trial.

    Open the Concentration Improvement pageCompare with Meditation in general →
  • Cognitive Function ImprovementMeditation in general: Medium · 18 trialsNot enough evidence

    Too few or too small studies to know if it works.

    12 of 15 studies found a benefit; 3 found none. Strongest study: a randomized controlled trial.

    A 2013 trial found reduced response bias in a difficult task among two meditation groups, while a 2024 trial found that the focused attention group maintained Go/NoGo task performance as the control group’s performance declined. These findings concern specific task measures; a 2020 trial found no effect on motor-related processes.

    Open the Cognitive Function Improvement pageCompare with Meditation in general →
  • Mood ImprovementMeditation in general: Medium · 53 trialsNot enough evidence

    Too few or too small studies to know if it works.

    7 of 9 studies found a benefit; 2 found none. Strongest study: a randomized controlled trial.

    A 2018 trial found that positive and negative affect were unchanged after meditation, while both the audio-book and control groups had lower positive affect and higher negative affect. In a 2024 trial, negative affect was lower after the VR condition; that study included people with Traumatic Brain Injury.

    Open the Mood Improvement pageCompare with Meditation in general →
  • Anxiety ReductionMeditation in general: Medium · 71 trialsNot enough evidence

    Too few or too small studies to know if it works.

    7 of 8 studies found a benefit; 1 found none. Strongest study: a randomized controlled trial.

    In a 2024 trial, state anxiety was lower after the intervention than before it. A 2013 trial also found reductions in state and trait anxiety among meditators, but not among the comparison groups.

    Open the Anxiety Reduction pageCompare with Meditation in general →
  • Alertness IncreaseMeditation in general: Not rated, mixed results (1 trial)Not enough evidence

    Too few or too small studies to know if it works.

    3 of 4 studies found a benefit; 1 found none. Strongest study: a randomized controlled trial.

    In a 2021 trial, the training group was expected to increase in attentiveness by 0.011 units/day. A 2020 trial also found training-related changes in reaction times for hits, but the reported result does not specify their direction.

    Open the Alertness Increase pageCompare with Meditation in general →
  • Stress Resilience ImprovementMeditation in general: Medium · 35 trialsNot enough evidence

    Too few or too small studies to know if it works.

    2 of 3 studies found a benefit; 1 found none. Strongest study: a study that followed people over time.

    Open the Stress Resilience Improvement pageCompare with Meditation in general →
  • Improve Heart Rate Variability (HRV)Meditation in general: Medium · 6 trialsNot enough evidence

    Too few or too small studies to know if it works.

    2 of 4 studies found a benefit; 2 found none. Strongest study: a randomized controlled trial.

    During recovery in a 2018 trial, heart rate variability returned to baseline in the meditation, audio-book, and control groups; skin conductance returned to baseline only in the meditation group.

    Open the Improve Heart Rate Variability (HRV) pageCompare with Meditation in general →
  • Working Memory ImprovementMeditation in general: 1 trialNot enough evidence

    Too few or too small studies to know if it works.

    All 2 studies with a clear result found a benefit. Strongest study: a randomized controlled trial.

    A 2024 trial found improved Digit span performance after meditation compared with the control group. A 2021 trial found better performance under medium working-memory demand, but not under high or low demand.

    Open the Working Memory Improvement pageCompare with Meditation in general →

Only reported by users, not studied: Interoception Improvement, Self-Compassion Improvement, Mental Productivity Increase, Social Function Improvement, Self-Awareness Increase, and Brain Fog Reduction.

What to expect

A single session may be associated with short-term changes in attention, mood, anxiety, and heart-rate variability. In trials finding cognitive changes, programmes ran for 4 weeks at the earliest and typically 6 weeks; mood and anxiety findings were measured after 6 weeks. Concentration findings were measured after 6 to 13 weeks, while alertness findings came from programmes lasting 8 to 11 weeks. These are study timelines, not guaranteed times to notice an effect.

Also studied in people with 8 health conditions

How strong the evidence is in each group. This is research, not a treatment recommendation.

  • Anxiety Disorder (General)Not enough evidence

    Too few or too small studies to know if it works.

    The one study found a benefit.

    In a randomized trial, one 10-min focused attention meditation session reduced state anxiety compared with random thinking in 26 competitive speed skaters; the participants were healthy, not a group identified as having an anxiety disorder.

    Open the Anxiety Disorder (General) page
  • Elderly (65+)Not enough evidence

    Too few or too small studies to know if it works.

    The one study found a benefit.

    A 2024 randomized trial in 43 healthy, community-dwelling older adults found improvements in sustained attention and working memory.

    Open the Elderly (65+) page
  • Traumatic Brain InjuryNot enough evidence

    Too few or too small studies to know if it works.

    The one study found a benefit.

    A 2020 pilot randomized trial in 20 adults with chronic mood and/or cognitive complaints after mild-moderate traumatic brain injury found no significant primary between-group result, although exploratory pooled pre-post improvements were reported.

    Open the Traumatic Brain Injury page
  • Chronic PainMeditation in general: Medium · 4 trialsNot tested in people

    Only tested in animals, cells or theory. Results like these often do not carry over to people.

    The one study found a benefit.

    Focused attention meditation is described as helping reduce pain-related distress and improve coping through attentional control and acceptance.

    Open the Chronic Pain pageCompare with Meditation in general →
  • Hypertension (High Blood Pressure)Meditation in general: Medium · 3 trialsNot tested in people

    Only tested in animals, cells or theory. Results like these often do not carry over to people.

    The one study found a benefit.

    Focused attention practices are described as contributing to blood pressure reduction when meditation is used as a non-pharmacological approach to hypertension.

    Open the Hypertension (High Blood Pressure) pageCompare with Meditation in general →
  • InsomniaMeditation in general: 2 trialsNot tested in people

    Only tested in animals, cells or theory. Results like these often do not carry over to people.

    The one study found a benefit.

    Focused attention meditation is described as reducing cognitive arousal and improving sleep onset and maintenance.

    Open the Insomnia pageCompare with Meditation in general →
  • Major Depressive DisorderMeditation in general: 2 trialsNot tested in people

    Only tested in animals, cells or theory. Results like these often do not carry over to people.

    The one study found a benefit.

    Focused attention meditation is included in mindfulness-based cognitive therapy, which is described as a relapse-prevention strategy for recurrent depression.

    Open the Major Depressive Disorder pageCompare with Meditation in general →
  • Respiratory FailureNot tested in people

    Only tested in animals, cells or theory. Results like these often do not carry over to people.

    The one study found a benefit.

    A qualitative 2016 study involving 3 patients with weaning difficulty tested a program for feasibility; it reported no outcome efficacy data.

    Open the Respiratory Failure page

Studied only as meditation in general, not tested in focused attention meditation yet

These results come from studies of meditation as a whole. No study of focused attention meditation has looked at them yet.

Depression (Medium · 30 trials) · Social Function Improvement (Medium · 9 trials) · Self-Compassion Improvement (Medium · 7 trials) · Breast Cancer (High · 7 trials) · Cancer (General) (Medium · 6 trials) · Trauma Symptom Reduction (Medium · 5 trials) · and 10 more

All outcomes on the Meditation page →

Before you try it

What studies and reports say about side effects and who it may not suit.

Side effects

With weak evidence: Vision Problems, Pain, Dizziness, Nausea, Seizure Threshold Reduction, and Depersonalization.

May not suit you if you have
Psychosis and Bipolar Mania
Reported by users
Anxiety Increase (13 posts), Insomnia (11 posts), Headache (10 posts), Brain Fog, and 11 more
Also listed for meditation in general (written by our reviewers)
Traumatic Brain InjuryPrecautions from the Meditation page. They are for meditation as a whole and may not all fit focused attention meditation.

General wellness information, not medical advice. Ask a doctor before you start, especially if you take medicines or have a health condition.

How people do it

A gentle start, then what the studies used.

Start with
7.5 minutes, every other day (External Object Gazing (Trataka))A gentle start based on the easiest variation, not on a study.
Build up to
15 minutes, 6 times a week, low intensity (what the studies used)
What the studies ran
95 minutes a week for 8 weeks

The expert view shows every study, dose protocol and source.

Effects

21 listed

Start here

The best we have, but the evidence is still weak

  1. Concentration ImprovementCertaintyLowSourceClinicallong-term8 cited studies · 2 other sources

    In a 2024 trial, concentration scores were higher after the VR condition than after the imagery condition (MD 2.27 points). A 2013 trial also found fewer omissions on a concentrated-attention test among meditators.

    What the sources found

    8 positive · 2 neutral · 0 negativeconfidence 53/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Rating adjusted

    Lowered from Medium to Low after checking study quality: journal, risk of bias, trial size and design.

    Who was studied

    • Healthy people

    Where the evidence comes from

    • Article8
    • Expert opinion1
    • Community reports1

    Protocol behind this outcome

    2 protocolsEstimated

    What the studies reporting this result did.

    Per week
    1286 min
    Intensity
    Low
    Format
    Group
    Supervision
    Instructor-led

    A repeated course

    What worked in trials4 trials and meta-analyses

    Randomized trials and meta-analyses that found this benefit: the smallest and the typical amount. Not a target and not a limit.

    SmallestTypical
    Session18 min90 min
    How often1×/week4×/week
    Derived from (4)

    23935694326402863378392239654934

    Timing

    A trial found it after a single session

    Trials that found it ran as little as 6 weeks, typically 13

    Show studies (10)
    RCTCpositiven=7450% confidence2013

    The improvement of emotion and attention regulation after a 6-week training of focused meditation: a randomized controlled trial.

    Only meditators reduced omissions in a concentrated attention test (FM: t(25)=2.17, P=.03)

    Low-quality journalOpen-labelCompleters only26% dropped out
    RCTCneutraln=7260% confidence2024

    Prior brief meditation reduces distractor inhibition during cognitive interference.

    For the reaction time, the rm-ANOVA showed significant main effects in timing, F (1, 69) = 8.31, p = 0.005, η_p^2 = 0.11... The main effect of the intervention and all interactions was not significant, Fs < 2.57, ps > 0.08

    Weak journalSham-controlledCompleters only
    RCTCpositiven=7045% confidence2024

    Virtual reality vs. imagery: comparing approaches in guided meditation.

    The results reveal a significant difference, with the VR condition demonstrating higher concentrations than the imagery condition (VR M = 15.91, SD 2.90; imagery M = 13.64, SD 3.83; t = 2.80, p = 0.007).

    MD 2.27Weak journalOpen-label
    RCTCpositiven=6065% confidence2021

    Meditation training modulates brain electric microstates and felt states of awareness.

    Attentional stability increased from 2.915 (95% CI [2.597, 3.234]) by 0.013 units each day (p < .001, 95% CI [0.009, 0.017])

    MD 0.01 [0.01, 0.02]Top journalOpen-labelInactive control
    RCTCpositive55% confidence2020

    Deconstructing the effects of concentration meditation practice on interference control: The roles of controlled attention and inflammatory activity.

    Participants who completed training evidenced better controlled attention than waitlist controls during the first retreat intervention (flanker task, computational modeling of controlled attention).

    Top journalMain outcomeOpen-labelInactive control
    Quasi ExperimentalCpositiven=24160% confidence2023

    Doing what matters in times of stress: No-nonsense meditation and occupational well-being in COVID-19.

    Intervention effect: -0.48 (p<0.01), R^2=0.07

    MD -0.48Weak journalMain outcomeOpen-labelInactive control62% dropped outBorderline p-value
    +4 more in Sources
    Open Concentration Improvement
    →

    Meditation in general: Medium · 8 trials →

  2. Cognitive Function ImprovementCertaintyLowSourceClinical14 cited studies · 2 other sources

    A 2013 trial found reduced response bias in a difficult task among two meditation groups, while a 2024 trial found that the focused attention group maintained Go/NoGo task performance as the control group’s performance declined. These findings concern specific task measures; a 2020 trial found no effect on motor-related processes.

    What the sources found

    13 positive · 3 neutral · 0 negativeconfidence 52/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Rating adjusted

    Lowered from Medium to Low after checking study quality: journal, risk of bias, trial size and design.

    Who was studied

    • Healthy people and patients
    • Traumatic Brain Injury

    Where the evidence comes from

    • Article14
    • Expert opinion1
    • Community reports1

    Protocol behind this outcome

    5 protocolsEstimated

    What the studies reporting this result did.

    Per week
    100 min
    Intensity
    Low
    Format
    Group
    Supervision
    Instructor-led

    A repeated course

    What worked in trials7 trials and meta-analyses

    Randomized trials and meta-analyses that found this benefit: the smallest and the typical amount. Not a target and not a limit.

    SmallestTypical
    Session10 min20 min
    How often1×/week6×/week

    Trials that found no benefit ran2 trials and meta-analyses

    SmallestTypical
    Session15 min23 min
    Derived from (7)

    2393569426462570311608123206453732783645+2 more in Sources

    Timing

    A trial found it after a single session

    Trials that found it ran as little as 4 weeks, typically 6

    Show studies (16)
    RCTCpositiven=7460% confidence2013

    The improvement of emotion and attention regulation after a 6-week training of focused meditation: a randomized controlled trial.

    In the difficult condition response bias was significantly reduced in the FM and PR groups (FM: t(23)=5.6, P<.001)

    Low-quality journalOpen-labelCompleters only26% dropped out
    RCTCneutraln=7260% confidence2024

    Prior brief meditation reduces distractor inhibition during cognitive interference.

    For the reaction time, the rm-ANOVA showed significant main effects in timing, F (1, 69) = 8.31, p = 0.005, η_p^2 = 0.11... The main effect of the intervention and all interactions was not significant, Fs < 2.57, ps > 0.08

    Weak journalSham-controlledCompleters only
    RCTCpositiven=5975% confidence2019

    Closed-loop digital meditation improves sustained attention in young adults.

    RTVar differed significantly between the two groups following training, with less variability in RT across the task period in the MediTrain group (F_1,37 = 6.4, p = 0.016, Cohen’s d = −0.66)

    MD -7.98 [-12.7, -3.1]Top journalMain outcomeDouble-blindCompleters only25% dropped outBorderline p-value
    RCTCpositiven=5935% confidence2016

    Impact of short-term meditation and expectation on executive brain functions.

    It also indicates that suggestions can modulate the small effect of meditation on verbal fluency.

    Sham-controlledSham comparison
    RCTCpositiven=5655% confidence2024

    Preventive effect of one-session brief focused attention meditation on state fatigue: Resting state functional magnetic resonance imaging study.

    The control group exhibited a decrement in Go/NoGo task performance over time, whereas the FAM group did not.

    Top journalMain outcomeInactive control
    RCTCpositiven=4960% confidence2020

    Focused attention meditation training modifies neural activity and attention: longitudinal EEG data in non-meditators.

    there was a significant group × training interaction (F(1,35)=4.44, P<0.05). This result suggests that the change in P3 amplitude across pre- and post-training was different between the groups

    Top journalMain outcomeOpen-labelCompleters only24% dropped out
    +10 more in Sources
    Open Cognitive Function Improvement
    →

    Meditation in general: Medium · 18 trials →

  3. Mood ImprovementCertaintyLowSourceClinicallong-term9 cited studies · 1 other source

    A 2018 trial found that positive and negative affect were unchanged after meditation, while both the audio-book and control groups had lower positive affect and higher negative affect. In a 2024 trial, negative affect was lower after the VR condition; that study included people with Traumatic Brain Injury.

    What the sources found

    8 positive · 2 neutral · 0 negativeconfidence 50/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Rating adjusted

    Lowered from Medium to Low after checking study quality: journal, risk of bias, trial size and design.

    Who was studied

    • Healthy people and patients
    • Traumatic Brain Injury

    Where the evidence comes from

    • Article9
    • Community reports1

    Protocol behind this outcome

    2 protocolsEstimated

    What the studies reporting this result did.

    Per week
    1286 min
    Intensity
    Low
    Format
    Group
    Supervision
    Instructor-led

    A repeated course

    What worked in trials4 trials and meta-analyses

    Randomized trials and meta-analyses that found this benefit: the smallest and the typical amount. Not a target and not a limit.

    SmallestTypical
    Session12 min54 min
    How often1×/week7×/week
    Derived from (4)

    23935694327836453378392239654934

    Timing

    A trial found it after a single session

    Trials that found it typically ran 6 weeks

    Show studies (10)
    RCTCpositiven=9945% confidence2018

    Recovery from stress: an experimental examination of focused attention meditation in novices.

    Positive and negative affect were no different than baseline following meditation, whereas, both audio book and control groups had lower positive affect and higher negative affect following the intervention.

    Top journalOpen-label
    RCTCpositiven=7460% confidence2013

    The improvement of emotion and attention regulation after a 6-week training of focused meditation: a randomized controlled trial.

    Meditators presented a significantly greater reduction of emotion interference in comparison to the relaxation group (t(46)=2.69, P=0.01)

    Low-quality journalMain outcomeOpen-labelCompleters only26% dropped out
    RCTCpositiven=7050% confidence2024

    Virtual reality vs. imagery: comparing approaches in guided meditation.

    Negative affect was measured using the negative affect subscale of the PANAS; high scores indicate higher negative affect. VR paired t = 7.457, p<0.001; negative affect d = 1.29 at posttest.

    SMD -1.29Large effectWeak journalMain outcomeOpen-labelLikely overstated
    RCTCpositiven=6070% confidence2021

    Meditation training modulates brain electric microstates and felt states of awareness.

    The training group was expected to linearly increase by 0.009 units of serenity each day (p < .001, 95% CI [0.005, 0.012])

    MD 0.01 [0.01, 0.01]Top journalMain outcomeOpen-labelInactive control
    RCTCpositiven=2030% confidence2020

    Comparing focused attention meditation to meditation with mobile neurofeedback for persistent symptoms after mild-moderate traumatic brain injury: a pilot study.

    In an exploratory analysis combining FA and mNF data, meditation was associated with significant improvements on the NSI (p = .04)

    Open-label
    Cohort studyCpositiven=37935% confidence2017

    Brief Online Focused Attention Meditation Training: Immediate Impact.

    Completing modules was associated with small but significant improvements in relaxation, resilience, stress, positive and negative affect, and flourishing (P <.01 for all)

    Low-quality journalMain outcomeOpen-labelNo control group
    +4 more in Sources
    Open Mood Improvement
    →

    Meditation in general: Medium · 53 trials →

  4. Anxiety ReductionCertaintyLowSourceClinical7 cited studies · 2 other sources

    In a 2024 trial, state anxiety was lower after the intervention than before it. A 2013 trial also found reductions in state and trait anxiety among meditators, but not among the comparison groups.

    What the sources found

    8 positive · 1 neutral · 0 negativeconfidence 51/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Rating adjusted

    Lowered from Medium to Low after checking study quality: journal, risk of bias, trial size and design.

    Why this rating

    • A reviewer set it to Medium · curator approved
    • A reviewer set it to Low · Low fits today's evidence: small trials where anxiety is mostly a secondary outcome and the drops are mostly within-group; only one small between-group RCT (n=26, fragile), and the active-control RCT in older adults found no difference between groups.

    Who was studied

    • Healthy people and patients
    • Ibs
    • Traumatic Brain Injury

    Where the evidence comes from

    • Article7
    • Expert opinion1
    • Community reports1

    Protocol behind this outcome

    7 protocolsEstimated

    What the studies reporting this result did.

    Intensity
    Low
    Format
    Individual
    Supervision
    Instructor-led

    Courses and single sessions · 5 repeated-course and 2 single-session protocols

    What worked in trials4 trials and meta-analyses

    Randomized trials and meta-analyses that found this benefit: the smallest and the typical amount. Not a target and not a limit.

    SmallestTypical
    Session10 min21 min
    How often1×/week4×/week
    Per week84 min87 min
    Derived from (4)

    23935694327836453941155441600272

    Timing

    A trial found it after a single session

    Trials that found it typically ran 6 weeks

    Show studies (9)
    RCTCpositiven=7455% confidence2013

    The improvement of emotion and attention regulation after a 6-week training of focused meditation: a randomized controlled trial.

    Only meditators presented a significant reduction in state and trait anxiety

    Low-quality journalOpen-labelCompleters only26% dropped out
    RCTCpositiven=7270% confidence2024

    Prior brief meditation reduces distractor inhibition during cognitive interference.

    The state anxiety level after intervention was lower than before, F (1, 69) = 30.18, p < 0.001, η_p^2 = 0.30

    Weak journalSham-controlledCompleters only
    RCTCneutraln=4350% confidence2024

    Four weeks of meditation training improves sustained attention in community-dwelling older adults: a proof-of-concept randomized controlled trial.

    For the DASS, both groups significantly reduced their anxiety and stress post-intervention, as shown by significant main effects of time for both the anxiety and stress subscales, F(1,36) = 4.828, p = 0.035, η_p^2 = 0.118 and F(1,36) = 6.172, p = 0.018, η_p^2 = 0.146, respectively.

    Weak journalBlinded assessor
    RCTCpositiven=2660% confidence2026

    Focused Attention Meditation as a Pre-Exercise Strategy for Reducing Anxiety in Speed Skaters.

    Focused attention meditation significantly reduced state anxiety compared with random thinking (ΔSTAI: −5.0 [6.0] vs. −1.0 [4.3]; p < 0.05, effect size = 0.527)

    MD -3 [-5.5, -1]Weak journalMain outcomeOpen-labelCompleters onlyBorderline p-value
    RCTCpositiven=2030% confidence2020

    Comparing focused attention meditation to meditation with mobile neurofeedback for persistent symptoms after mild-moderate traumatic brain injury: a pilot study.

    meditation was associated with significant improvements on the ... BAI (p = .012)

    Open-label
    Cohort studyCpositiven=8250% confidence2021

    Efficacy of Short Course of Preksha Dhyana for Functional Abdominal Pain Disorder in a Busy Pediatric Clinic.

    In the PD group, anxiety scores improved significantly from baseline (0.5 vs. 1, P < 0.001).

    Weak journalOpen-labelInactive controlCompleters only23% dropped out
    +3 more in Sources
    Open Anxiety Reduction
    →

    Meditation in general: Medium · 71 trials →

  5. Alertness IncreaseCertaintyLowSourceClinical4 cited studies · 1 other source

    In a 2021 trial, the training group was expected to increase in attentiveness by 0.011 units/day [0.008, 0.014]. A 2020 trial also found training-related changes in reaction times for hits, but the reported result does not specify their direction.

    What the sources found

    4 positive · 1 neutral · 0 negativeconfidence 50/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Rating adjusted

    Lowered from Medium to Low after checking study quality: journal, risk of bias, trial size and design.

    Who was studied

    • Healthy people

    Where the evidence comes from

    • Article4
    • Community reports1

    Protocol behind this outcome

    2 protocolsEstimated

    What the studies reporting this result did.

    Format
    Group
    Supervision
    Instructor-led

    A repeated course

    What worked in trials2 trials and meta-analyses

    Randomized trials and meta-analyses that found this benefit: the smallest and the typical amount. Not a target and not a limit.

    SmallestTypical
    Session10 min185 min
    How often7×/week
    Per week70 min1295 min
    Derived from (2)

    3206453733783922

    Timing

    Trials that found it ran as little as 8 weeks, typically 11

    Show studies (5)
    RCTCneutraln=9645% confidence2021

    Individual Differences in the Change of Attentional Functions With Brief One-Time Focused Attention and Open Monitoring Meditations.

    For alerting, there were no significant main effects of time, F_(1,91)=3.39, p=0.069, η_p^2=0.037, or meditation group, F_(2,91)=0.01, p=0.987, η_p^2<0.001, and no interaction, F_(2,91)=0.17, p=0.843, η_p^2=0.004.

    Weak journalMain outcomeOpen-labelCompleters only
    RCTCpositiven=6070% confidence2021

    Meditation training modulates brain electric microstates and felt states of awareness.

    the training group was expected to linearly increase by 0.011 units of attentiveness each day (p < .001, 95% CI [0.008, 0.014])

    MD 0.01 [0.01, 0.01]Top journalMain outcomeOpen-labelInactive control
    RCTCpositiven=4960% confidence2020

    Focused attention meditation training modifies neural activity and attention: longitudinal EEG data in non-meditators.

    In the RTs for hits, there were significant main effects of training (F(1,35)=14.32, P<0.01) and time (F(1,35)=6.05, P<0.05) and a significant group × time interaction (F(1,35)=7.72, P<0.01)

    Top journalMain outcomeOpen-labelCompleters only24% dropped out
    Cohort studyCpositiven=15545% confidence2011

    The influence of concentrative meditation training on the development of attention networks during early adolescence.

    The ANCOVAs for Alerting revealed no main effect of age, but did reveal a main effect of group for both RT [F(1,143)=4.22, p<0.05; see Figure 2A] and accuracy [F(1,143)=6.21, p=0.01]. The Alerting subsystem difference scores were smaller for RTs and more positive for accuracy in the CMT vs. control

    Weak journalMain outcomeOpen-labelNo control group
    Community reportsmoderate effectpositive30% confidence

    This effect was mentioned in 3 of 237 Reddit reports discussing it.

    3 mentions
    Open Alertness Increase
    →

    Meditation in general: Not rated, mixed results (1 trial) →

  6. Stress Resilience ImprovementCertaintyLowSourceClinicallong-term3 cited studies · 1 other source

    A 2017 cohort study linked completing modules with improvements in resilience, relaxation, stress, affect, and flourishing. A 2023 quasi-experimental study reported an intervention effect of MD -0.19 points.

    What the sources found

    3 positive · 1 neutral · 0 negativeconfidence 49/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Rating adjusted

    Lowered from Medium to Low after checking study quality: journal, risk of bias, trial size and design.

    Who was studied

    • Healthy people and patients

    Where the evidence comes from

    • Article3
    • Community reports1

    Protocol behind this outcome

    5 protocolsEstimated

    What the studies reporting this result did.

    20 min · 3×/week

    Course
    6 weeks
    Per week
    60 min
    Intensity
    Low
    Format
    Group
    Supervision
    Instructor-led

    Courses and single sessions · 3 repeated-course and 2 single-session protocols

    Timing

    After stopping, the benefit faded (1 study) · See “When you stop”

    Follow-up: 3-month follow-up

    Derived from (1)

    35040014

    Show studies (4)
    RCTCneutraln=4350% confidence2024

    Four weeks of meditation training improves sustained attention in community-dwelling older adults: a proof-of-concept randomized controlled trial.

    For the DASS, both groups significantly reduced their anxiety and stress post-intervention, as shown by significant main effects of time for both the anxiety and stress subscales, F(1,36) = 4.828, p = 0.035, η_p^2 = 0.118 and F(1,36) = 6.172, p = 0.018, η_p^2 = 0.146, respectively.

    Weak journalBlinded assessor
    Cohort studyCpositiven=37935% confidence2017

    Brief Online Focused Attention Meditation Training: Immediate Impact.

    Completing modules was associated with small but significant improvements in relaxation, resilience, stress, positive and negative affect, and flourishing (P <.01 for all)

    Low-quality journalMain outcomeOpen-labelNo control group
    Quasi ExperimentalCpositiven=24160% confidence2023

    Doing what matters in times of stress: No-nonsense meditation and occupational well-being in COVID-19.

    Intervention effect: -0.19 (p<0.05), R^2=0.08

    MD -0.19Weak journalMain outcomeOpen-labelInactive control62% dropped outBorderline p-value
    Community reportsmoderate effectpositive50% confidence

    This effect was mentioned in 8 of 237 Reddit reports discussing it.

    8 mentions
    Open Stress Resilience Improvement
    →

    Meditation in general: Medium · 35 trials →

  7. Improve Heart Rate Variability (HRV)CertaintyLowSourceClinical3 cited studies · 1 other source

    During recovery in a 2018 trial, heart rate variability returned to baseline in the meditation, audio-book, and control groups; skin conductance returned to baseline only in the meditation group.

    What the sources found

    2 positive · 2 neutral · 0 negativeconfidence 43/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Who was studied

    • People with a condition
    • Hiv Aids

    Where the evidence comes from

    • Article3
    • Expert opinion1

    Timing

    A trial found it after a single session

    Show studies (4)
    RCTCpositiven=9950% confidence2018

    Recovery from stress: an experimental examination of focused attention meditation in novices.

    During recovery, meditators' heart rate variability and skin conductance levels returned to baseline, whereas only heart rate variability returned to baseline for the audio book and control groups.

    Top journalMain outcomeOpen-label
    Quasi ExperimentalCneutraln=2650% confidence2022

    Meditation and Aerobic Exercise Enhance Mental Health Outcomes and Pattern Separation Learning Without Changing Heart Rate Variability in Women with HIV.

    None of the HRV measures changed significantly after training (p's > 0.05)

    Open-labelNo control groupCompleters only33% dropped out
    Pilot studyCneutral20% confidence2008

    Changes in heart rate variability during concentration meditation.

    Results indicate that meditation may have different effects on health depending on frequency of the resonant peak that each meditator can achieve.

    Main outcomeNo control group
    Expert opinionpositive50% confidence

    Meditation with slow, steady breathing may raise heart rate variability (HRV, a marker of parasympathetic activity) during practice; evidence that focused attention meditation raises resting HRV over weeks of training is inconsistent.

    Expert knowledge synthesis
    Open Improve Heart Rate Variability (HRV)
    →

    Meditation in general: Medium · 6 trials →

Low probability(13)
  1. Working Memory ImprovementCertaintyLowSourceClinical2 cited studies · 1 other source

    A 2024 trial found improved Digit span performance after meditation compared with the control group. A 2021 trial found better performance under medium working-memory demand, but not under high or low demand.

    What the sources found

    3 positive · 0 neutral · 0 negativeconfidence 45/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Rating adjusted

    Lowered from Medium to Low after checking study quality: journal, risk of bias, trial size and design.

    Who was studied

    • Healthy people

    Where the evidence comes from

    • Article2
    • Community reports1

    Timing

    A trial found it after a single session

    Show studies (3)
    RCTCpositiven=4360% confidence2024

    Four weeks of meditation training improves sustained attention in community-dwelling older adults: a proof-of-concept randomized controlled trial.

    For working memory, the meditation group significantly improved their Digit span performance post-intervention compared to the control group, as evidenced by a significant time x group interaction, F(1,36) = 5.437, p = 0.025, η_p^2 = 0.131.

    Weak journalBlinded assessor
    RCTCpositive45% confidence2021

    Meditation-induced cognitive-control states regulate working memory task performance.

    The results showed that FAM promotes WM performance in the medium (2-back), but not in the high (3-back) or low (1-back) demand condition

    Studies disagreeMain outcomeOpen-labelInactive control
    Community reportsmoderate effectpositive30% confidence

    This effect was mentioned in 3 of 237 Reddit reports discussing it.

    3 mentions
    Open Working Memory Improvement
    →

    Meditation in general: 1 trial →

  2. Analgesic EffectCertaintyLowSourceClinicallong-term1 cited study

    In a cohort study involving people with IBS, pain scores improved in the PD group compared with TAU. Pain improved in 93% (28/30) and resolved in 47% (14/30) of the PD group.

    What the sources found

    1 positive · 0 neutral · 0 negativeconfidence 55/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Who was studied

    • People with a condition
    • Ibs

    Where the evidence comes from

    • Article1

    Protocol behind this outcome

    2 protocolsEstimated

    What the studies reporting this result did.

    34 min · 7×/week

    Course
    16 weeks
    Per week
    236 min
    Intensity
    Low
    Format
    Group
    Supervision
    Instructor-led

    A repeated course

    Show studies (1)
    Cohort studyCpositiven=8255% confidence2021

    Efficacy of Short Course of Preksha Dhyana for Functional Abdominal Pain Disorder in a Busy Pediatric Clinic.

    Changes in pain scores from baseline showed improvement in the PD group, 0.67 ± 0.13 vs. TAU 1.39 ± 0.11 (p = 0.0003). Pain improved in 93% (28/30) and resolved in 47% (14/30).

    Weak journalMain outcomeOpen-labelInactive controlCompleters only23% dropped out
    Open Analgesic Effect
    →

    Meditation in general: Medium · 10 trials →

  3. Memory ImprovementCertaintyLowSourceClinical1 cited study · 1 other source

    In a 2021 trial of healthy participants, the focused attention group gained 3.73 words more than the control group on the measured memory score (MD 3.73 words [0.96, 7.8]).

    What the sources found

    2 positive · 0 neutral · 0 negativeconfidence 45/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Who was studied

    • Healthy people

    Where the evidence comes from

    • Article1
    • Community reports1

    Protocol behind this outcome

    2 protocolsMeasured

    What the studies reporting this result did.

    38 min · 1×/week

    Course
    6 weeks
    Intensity
    Moderate
    Format
    Group
    Supervision
    Instructor-led

    Courses and single sessions · 1 repeated-course and 1 single-session protocols

    Timing

    A trial found it after a single session

    Show studies (2)
    RCTCpositiven=3060% confidence2021

    Effect of one-session focused attention meditation on the working memory capacity of meditation novices: A functional near-infrared spectroscopy study.

    The ΔTW score for the FAM group was 3.2 ± 1.3, whereas the ΔTW score for the control group was −0.53 ± 1.0. Additionally, the results of the ANCOVA revealed a significant difference between the groups (F [1, 27] = 6.89, η_p^2 = .20, 95% family‐wise CI [0.96, 7.8], p = .014)

    MD 3.73 [0.96, 7.8]Main outcomeOpen-labelCompleters only32% dropped outBorderline p-value
    Community reportsmoderate effectpositive30% confidence

    This effect was mentioned in 3 of 237 Reddit reports discussing it.

    3 mentions
    Open Memory Improvement
    →

    Meditation in general: Not rated, mixed results (3 trials) →

  4. Antidepressant EffectCertaintyLowSourceClinical1 cited study · 1 other source

    A 2020 trial involving people with Traumatic Brain Injury found an improvement on the BDI following meditation.

    What the sources found

    2 positive · 0 neutral · 0 negativeconfidence 40/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Who was studied

    • People with a condition
    • Traumatic Brain Injury

    Where the evidence comes from

    • Article1
    • Expert opinion1

    Protocol behind this outcome

    1 protocolMeasured

    What the studies reporting this result did.

    60 min · 1×/week

    Course
    6 weeks
    Per week
    60 min
    Intensity
    Moderate
    Format
    Group
    Supervision
    Instructor-led

    A repeated course

    Show studies (2)
    RCTCpositiven=2030% confidence2020

    Comparing focused attention meditation to meditation with mobile neurofeedback for persistent symptoms after mild-moderate traumatic brain injury: a pilot study.

    meditation was associated with significant improvements on the ... BDI (p = .037)

    Open-label
    Expert opinionpositive50% confidence

    Mindfulness and focused attention meditation have demonstrated moderate antidepressant effects.

    Expert knowledge synthesis
    Open Antidepressant Effect
    →

    Meditation in general: Medium · 66 trials →

  5. Reaction Speed IncreaseCertaintyLowSourceClinical2 cited studies

    In a 2020 trial, the FAM21 group had faster reaction times in most learning blocks than the FAM1 and control groups.

    What the sources found

    1 positive · 1 neutral · 0 negativeconfidence 35/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Who was studied

    • Healthy people

    Where the evidence comes from

    • Article2

    Timing

    A trial found it after a single session

    Show studies (2)
    RCTCpositiven=2940% confidence2020

    Focused-attention meditation increases cognitive control during motor sequence performance: Evidence from the N2 cortical evoked potential.

    FAM21 exhibited faster reaction time performances in majority of the learning blocks compared to FAM1 and Control.

    Main outcomeNo control group
    Pilot studyDneutraln=1130% confidence2023

    Effect of Meditation on Brain Activity during an Attention Task: A Comparison Study of ASL and BOLD Task fMRI.

    There is no significant difference in response time before and after meditation training (baseline: 381.24 ± 15.36 ms; follow-up: 373.23 ± 27.09 ms, p = 0.36)

    Weak journalOpen-labelNo control groupCompleters only
    Open Reaction Speed Increase
    →

    Meditation in general: 1 trial →

  6. Verbal Fluency ImprovementCertaintyLowSourceClinical1 cited study

    A randomized trial in healthy participants found a small effect of meditation on verbal fluency, and suggestions could modulate that effect.

    What the sources found

    1 positive · 0 neutral · 0 negativeconfidence 35/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Who was studied

    • Healthy people

    Where the evidence comes from

    • Article1

    Protocol behind this outcome

    1 protocolEstimated

    What the studies reporting this result did.

    20 min · 7×/week

    Per week
    140 min

    A repeated course

    Show studies (1)
    RCTCpositiven=5935% confidence2016

    Impact of short-term meditation and expectation on executive brain functions.

    It also indicates that suggestions can modulate the small effect of meditation on verbal fluency.

    Sham-controlledSham comparison
    Open Verbal Fluency Improvement
    →
  7. Emotional Regulation ImprovementCertaintyLowSourceAnecdotallong-termnot used for recommendations2 other sources

    Focused attention meditation is proposed to improve emotional control by enhancing prefrontal regulation of amygdala activity and reducing reactivity. People mentioned this effect in 29 of 237 reports.

    What the sources found

    2 positive · 0 neutral · 0 negativeconfidence 50/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Where the evidence comes from

    • Expert opinion1
    • Community reports1

    Why it isn't used for recommendations

    No supporting study on file

    Show studies (2)
    Expert opinionpositive50% confidence

    Enhances prefrontal regulation of amygdala activity, leading to improved emotional control and reduced reactivity.

    Expert knowledge synthesis
    Community reportsmoderate effectpositive50% confidence

    This effect was mentioned in 29 of 237 Reddit reports discussing it.

    29 mentions
    Open Emotional Regulation Improvement
    →

    Meditation in general: Medium · 18 trials →

  8. Sleep Quality ImprovementCertaintyLowSourceAnecdotalnot used for recommendations2 other sources

    Focused attention meditation is proposed to support sleep quality by reducing pre-sleep arousal and promoting relaxation. Some people report this effect: it appeared in 6 of 237 Reddit reports discussing it.

    What the sources found

    2 positive · 0 neutral · 0 negativeconfidence 48/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Where the evidence comes from

    • Expert opinion1
    • Community reports1

    Why it isn't used for recommendations

    No supporting study on file

    Show studies (2)
    Expert opinionpositive50% confidence

    Focused attention meditation may improve sleep quality, by reducing pre-sleep arousal and promoting relaxation.

    Expert knowledge synthesis
    Community reportsmoderate effectpositive45% confidence

    This effect was mentioned in 6 of 237 Reddit reports discussing it.

    6 mentions
    Open Sleep Quality Improvement
    →

    Meditation in general: Medium · 19 trials →

  9. Sleep Onset ImprovementCertaintyLowSourceTheoreticalnot used for recommendations1 other source

    Focused attention meditation is described as reducing sleep onset latency and improving sleep efficiency in older adults with moderate sleep disturbance.

    What the sources found

    1 positive · 0 neutral · 0 negativeconfidence 50/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Where the evidence comes from

    • Expert opinion1

    Why it isn't used for recommendations

    No supporting study on file

    Show studies (1)
    Expert opinionpositive50% confidence

    Reduces sleep onset latency and improves sleep efficiency in older adults with moderate sleep disturbance.

    Expert knowledge synthesis
    Open Sleep Onset Improvement
    →

    Meditation in general: 1 trial →

  10. Rumination ReductionCertaintyLowSourceTheoreticallong-termnot used for recommendations1 other source

    The proposed benefit is reduced repetitive negative thinking, described as a core process in depression and anxiety disorders; this effect has not been demonstrated in human studies.

    What the sources found

    1 positive · 0 neutral · 0 negativeconfidence 50/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Where the evidence comes from

    • Expert opinion1

    Why it isn't used for recommendations

    No supporting study on file

    Show studies (1)
    Expert opinionpositive50% confidence

    Consistently reduces repetitive negative thinking, a core process in depression and anxiety disorders.

    Expert knowledge synthesis
    Open Rumination Reduction
    →
  11. Blood Pressure SupportCertaintyLowSourceTheoreticalnot used for recommendations1 other source

    The proposed explanation is that meditation may lower blood pressure through reduced sympathetic tone and stress reduction; focused attention meditation is described as having modest effects.

    What the sources found

    1 positive · 0 neutral · 0 negativeconfidence 50/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Where the evidence comes from

    • Expert opinion1

    Why it isn't used for recommendations

    No supporting study on file

    Show studies (1)
    Expert opinionpositive50% confidence

    Meditation practices can lower blood pressure through reduced sympathetic tone and stress reduction, with focused attention meditation showing modest effects.

    Expert knowledge synthesis
    Open Blood Pressure Support
    →

    Meditation in general: Medium · 5 trials →

  12. Present Moment AwarenessCertaintyLowSourceTheoreticalnot used for recommendations3 cited studies · 1 other source

    Present-moment awareness is a proposed benefit, rather than an effect demonstrated in human studies.

    What the sources found

    1 positive · 3 neutral · 0 negativeconfidence 44/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Who was studied

    • Healthy people

    Where the evidence comes from

    • Article3
    • Community reports1

    Trials that found no benefit ran2 trials and meta-analyses

    SmallestTypical
    Session10 min20 min

    Why it isn't used for recommendations

    Studied, with no positive result

    Show studies (4)
    RCTCneutraln=9645% confidence2021

    Individual Differences in the Change of Attentional Functions With Brief One-Time Focused Attention and Open Monitoring Meditations.

    For alerting in the FAM group, only nonreactivity was finally adopted as a significant independent variable (Figure 3A; alerting difference (ms)=−2.15×nonreactivity +46.82, R^2=0.15, r=−0.38, p=0.030).

    Weak journalOpen-labelCompleters only
    RCTCneutraln=4940% confidence2020

    Focused attention meditation training modifies neural activity and attention: longitudinal EEG data in non-meditators.

    Paired t-test with Bonferroni correction as post hoc analysis did not reveal any significant change between pre- and post-training in each group (meditation group MAAS, pre-training=37.35 ± 10.13, post-training=40.47 ± 10.53, t(16)=−1.89, P=0.07; control group MAAS, pre-training=43.00 ± 8.58, post-t

    Top journalOpen-labelCompleters only24% dropped out
    Cross SectionalCneutraln=5240% confidence2018

    Meditation Effects on the Control of Involuntary Contingent Reorienting Revealed With Electroencephalographic and Behavioral Evidence.

    The mindfulness trait, reflected by MAAS scores, showed no significant difference between the two groups.

    Weak journalOpen-label
    Community reportsmoderate effectpositive50% confidence

    This effect was mentioned in 28 of 237 Reddit reports discussing it.

    28 mentions
    Open Present Moment Awareness
    →

    Meditation in general: Medium · 22 trials →

  13. Fatigue ReductionCertaintyLowSourceTheoreticalnot used for recommendations1 cited study · 1 other source

    Fatigue reduction remains a theoretical possibility rather than a demonstrated human effect.

    What the sources found

    1 positive · 1 neutral · 0 negativeconfidence 40/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Who was studied

    • Healthy people

    Where the evidence comes from

    • Article1
    • Community reports1

    Why it isn't used for recommendations

    Studied, with no positive result

    Show studies (2)
    RCTCneutraln=2655% confidence2026

    Focused Attention Meditation as a Pre-Exercise Strategy for Reducing Anxiety in Speed Skaters.

    No significant differences were observed among conditions in mean power output or fatigue index during HIIT.

    Weak journalMain outcomeOpen-labelCompleters only
    Community reportsmoderate effectpositive25% confidence

    This effect was mentioned in 2 of 237 Reddit reports discussing it.

    2 mentions
    Open Fatigue Reduction
    →

    Meditation in general: Medium · 5 trials →

Very low probability(1)
  1. Physical Endurance IncreaseCertaintyVery lowSourceClinicalnot used for recommendations1 cited study

    Physical endurance remains a possible effect rather than one demonstrated in human studies.

    What the sources found

    0 positive · 1 neutral · 0 negativeconfidence 55/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Who was studied

    • Healthy people

    Where the evidence comes from

    • Article1

    Why it isn't used for recommendations

    Studied, with no positive result

    Show studies (1)
    RCTCneutraln=2655% confidence2026

    Focused Attention Meditation as a Pre-Exercise Strategy for Reducing Anxiety in Speed Skaters.

    No significant differences were observed among conditions in mean power output or fatigue index during HIIT.

    Weak journalMain outcomeOpen-labelCompleters only
    Open Physical Endurance Increase
    →

    Meditation in general: Not rated, mixed results (2 trials) →

6 more mentioned only by users

What to expect

A single session may be associated with short-term changes in attention, mood, anxiety, and heart-rate variability. In trials finding cognitive changes, programmes ran for 4 weeks at the earliest and typically 6 weeks; mood and anxiety findings were measured after 6 weeks. Concentration findings were measured after 6 to 13 weeks, while alertness findings came from programmes lasting 8 to 11 weeks. These are study timelines, not guaranteed times to notice an effect.

Conditions it's used for

Complaints and diagnoses people take it for8 listed

The best we have, but the evidence is still weak

  1. Anxiety Disorder (General)CertaintyLowSourceClinical1 cited study

    In a randomized trial, one 10-min focused attention meditation session reduced state anxiety compared with random thinking in 26 competitive speed skaters; the participants were healthy, not a group identified as having an anxiety disorder.

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Who was studied

    • Healthy people

    Protocol behind this outcome

    1 protocolMeasured

    What the studies reporting this result did.

    10 min

    Format
    Individual
    Supervision
    Instructor-led

    Single sessions · 0 repeated-course and 1 single-session protocols

    Show studies (1)
    RCTCn=2660% confidence2026

    Focused Attention Meditation as a Pre-Exercise Strategy for Reducing Anxiety in Speed Skaters.

    Significant reduction in state anxiety (STAI) after a single 10-min focused attention meditation session compared to random thinking in competitive speed skaters.

    Weak journalOpen-labelCompleters only
    Open Anxiety Disorder (General)
    →
  2. Elderly (65+)CertaintyLowSourceClinical1 cited study

    A 2024 randomized trial in 43 healthy, community-dwelling older adults found improvements in sustained attention and working memory.

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Who was studied

    • Healthy people
    • Elderly (65+)

    Protocol behind this outcome

    1 protocolMeasured

    What the studies reporting this result did.

    20 min · 3×/week

    Course
    4 weeks
    Per week
    60 min
    Intensity
    Low
    Format
    Small group
    Supervision
    Instructor-led

    A repeated course

    Show studies (1)
    RCTCn=4360% confidence2024

    Four weeks of meditation training improves sustained attention in community-dwelling older adults: a proof-of-concept randomized controlled trial.

    RCT showing improved sustained attention and working memory in healthy community-dwelling older adults.

    Weak journalBlinded assessor
    Open Elderly (65+)
    →
  3. Traumatic Brain InjuryCertaintyLowSourceClinical1 cited study

    A 2020 pilot randomized trial in 20 adults with chronic mood and/or cognitive complaints after mild-moderate traumatic brain injury found no significant primary between-group result, although exploratory pooled pre-post improvements were reported.

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Who was studied

    • People with a condition
    • Traumatic Brain Injury

    Protocol behind this outcome

    1 protocolEstimated

    What the studies reporting this result did.

    12 min · 7×/week

    Course
    6 weeks
    Per week
    84 min
    Format
    Self-guided

    A repeated course

    Show studies (1)
    RCTCn=2030% confidence2020

    Comparing focused attention meditation to meditation with mobile neurofeedback for persistent symptoms after mild-moderate traumatic brain injury: a pilot study.

    Pilot RCT in adults with chronic mood and/or cognitive complaints after mild-moderate TBI; primary between-group result non-significant, exploratory pooled pre-post improvements reported.

    Open-label
    Open Traumatic Brain Injury
    →
  4. Chronic PainCertaintyLowSourceTheoreticalnot used for recommendations1 other source

    Focused attention meditation is described as helping reduce pain-related distress and improve coping through attentional control and acceptance.

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Where the evidence comes from

    • Expert opinion

    Why it isn't used for recommendations

    No supporting study on file

    Show studies (1)
    Expert opinion50% confidence

    Effective in reducing pain-related distress and improving pain coping through enhanced attentional control and acceptance.

    Open Chronic Pain
    →

    Meditation in general: Medium · 4 trials →

  5. Hypertension (High Blood Pressure)CertaintyLowSourceTheoreticalnot used for recommendations1 other source

    Focused attention practices are described as contributing to blood pressure reduction when meditation is used as a non-pharmacological approach to hypertension.

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Where the evidence comes from

    • Expert opinion

    Why it isn't used for recommendations

    No supporting study on file

    Show studies (1)
    Expert opinion50% confidence

    Meditation is used as a non-pharmacological intervention for hypertension, with focused attention practices contributing to blood pressure reduction.

    Open Hypertension (High Blood Pressure)
    →

    Meditation in general: Medium · 3 trials →

  6. InsomniaCertaintyLowSourceTheoreticalnot used for recommendations1 other source

    Focused attention meditation is described as reducing cognitive arousal and improving sleep onset and maintenance.

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Where the evidence comes from

    • Expert opinion

    Why it isn't used for recommendations

    No supporting study on file

    Show studies (1)
    Expert opinion50% confidence

    Focused attention meditation is indicated for insomnia, as it reduces cognitive arousal and improves sleep onset and maintenance.

    Open Insomnia
    →

    Meditation in general: 2 trials →

  7. Major Depressive DisorderCertaintyLowSourceTheoreticalnot used for recommendations1 other source

    Focused attention meditation is included in mindfulness-based cognitive therapy, which is described as a relapse-prevention strategy for recurrent depression.

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Where the evidence comes from

    • Expert opinion

    Why it isn't used for recommendations

    No supporting study on file

    Show studies (1)
    Expert opinion50% confidence

    Mindfulness-based cognitive therapy, which includes focused attention, is a relapse prevention strategy for recurrent depression.

    Open Major Depressive Disorder
    →

    Meditation in general: 2 trials →

Low probability(1)
  1. Respiratory FailureCertaintyLowSourceTheoreticalnot used for recommendations1 cited study

    A qualitative 2016 study involving 3 patients with weaning difficulty tested a program for feasibility; it reported no outcome efficacy data.

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Who was studied

    • People with a condition
    • Respiratory Failure

    Why it isn't used for recommendations

    A hospital-managed condition, never self-care

    Show studies (1)
    QualitativeDn=315% confidence2016

    The Care-Integrated Concentration Meditation Program for Patients With Weaning Difficulty: A Pilot Study.

    Program was developed for and tested in patients with weaning difficulty; feasibility only, no outcome efficacy data in abstract.

    Top journalNo control group
    Open Respiratory Failure
    →

Studied only as meditation in general, not tested in focused attention meditation yet

These results come from studies of meditation as a whole. No study of focused attention meditation has looked at them yet.

Depression (Medium · 30 trials) · Social Function Improvement (Medium · 9 trials) · Self-Compassion Improvement (Medium · 7 trials) · Breast Cancer (High · 7 trials) · Cancer (General) (Medium · 6 trials) · Trauma Symptom Reduction (Medium · 5 trials) · and 10 more

All outcomes on the Meditation page →

Side effects

6 listed

Highest probability

  1. Vision ProblemsCertaintyLowSourceClinical1 cited study

    A cross-sectional study involving 342 people with a clinical condition recorded problems with visual focusing.

    What the sources found

    0 not observed · 0 unclear · 1 reportedconfidence 45/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Who was studied

    • People with a condition

    Where the evidence comes from

    • Article1

    Protocol behind this outcome

    1 protocolEstimated

    What the studies reporting this result did.

    Format
    Individual

    A repeated course

    Show studies (1)
    Cross SectionalCnegativen=34245% confidence2017

    Unwanted effects: Is there a negative side of meditation? A multicentre survey.

    Visual focalization problems

    Weak journalNo control group
    Open Vision Problems
    →
  2. PainCertaintyLowSourceClinical1 cited study · 1 other source

    A cross-sectional study involving 342 people with a clinical condition recorded stomach, headache, muscular, and nausea-related pain.

    What the sources found

    0 not observed · 0 unclear · 2 reportedconfidence 38/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Who was studied

    • People with a condition

    Where the evidence comes from

    • Article1
    • Community reports1

    Protocol behind this outcome

    1 protocolEstimated

    What the studies reporting this result did.

    Format
    Individual

    A repeated course

    Show studies (2)
    Cross SectionalCnegativen=34245% confidence2017

    Unwanted effects: Is there a negative side of meditation? A multicentre survey.

    Pain (stomach, headache, muscular, nausea)

    Weak journalNo control group
    Community reportsnegative30% confidence

    This effect was mentioned in 3 of 237 Reddit reports discussing it.

    Open Pain
    →
  3. DizzinessCertaintyLowSourceClinical1 cited study · 1 other source

    A cross-sectional study involving 342 people with a clinical condition recorded loss of consciousness or dizziness.

    What the sources found

    0 not observed · 0 unclear · 2 reportedconfidence 35/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Who was studied

    • People with a condition

    Where the evidence comes from

    • Article1
    • Community reports1

    Protocol behind this outcome

    1 protocolEstimated

    What the studies reporting this result did.

    Format
    Individual

    A repeated course

    Show studies (2)
    Cross SectionalCnegativen=34245% confidence2017

    Unwanted effects: Is there a negative side of meditation? A multicentre survey.

    Loss of consciousness or dizziness

    Weak journalNo control group
    Community reportsnegative25% confidence

    This effect was mentioned in 2 of 237 Reddit reports discussing it.

    Open Dizziness
    →
  4. Seizure Threshold ReductionCertaintyLowSourceClinical1 cited study

    In a quasi-experimental study of 27 people with epilepsy, focused attention and open monitoring meditation increased IED density compared with the non-meditative STL control, but not compared with the CMM control. The finding measured IED density, not seizure threshold itself.

    What the sources found

    0 not observed · 0 unclear · 1 reportedconfidence 35/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Who was studied

    • People with a condition
    • Epilepsy

    Where the evidence comes from

    • Article1
    Show studies (1)
    Quasi ExperimentalCnegativen=2735% confidence2026

    Mindfulness meditation increases interictal epileptiform discharges in meditation-naïve surgical epilepsy patients.

    Both focused attention (p = .027) and open monitoring (p = .041) meditation increased IED density relative to the non‐meditative STL control condition, whereas no differences were observed relative to the CMM control condition.

    MD 6.84 [0.79, 12.9]Top journalMain outcomeOpen-labelSham comparisonCompleters onlyBorderline p-value
    Open Seizure Threshold Reduction
    →
  5. NauseaCertaintyLowSourceReference knowledge1 other source

    Close attention to the breath can lead to over-breathing, and the practice may stir up anxiety; either can cause brief nausea, which meditator surveys list among short-lived unwanted effects.

    What the sources found

    0 not observed · 0 unclear · 1 reportedconfidence 50/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Where the evidence comes from

    • Reference knowledge1
    Show studies (1)
    Reference knowledgenegative50% confidence

    Close focus on the breath can lead to over-breathing, and the practice can stir up anxiety; both can cause brief nausea, which meditator surveys list among short-lived unwanted effects.

    Background knowledge (no study cited)
    Open Nausea
    →
  6. DepersonalizationCertaintyLowSourceReference knowledge1 other source

    A pharmacology reference notes that intensive meditation may bring transient feelings of detachment from oneself or one's surroundings, particularly for people with a history of trauma or dissociation.

    What the sources found

    0 not observed · 0 unclear · 1 reportedconfidence 45/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Where the evidence comes from

    • Reference knowledge1
    Show studies (1)
    Reference knowledgenegative45% confidence

    Some individuals may experience transient feelings of detachment from self or surroundings (depersonalization) during intensive meditation, particularly in those with a history of trauma or dissociation.

    Open Depersonalization
    →

15 more mentioned only by users

Don't do it if

When to skip it or get medical advice first2 listed

Highest probability

  1. PsychosisCertaintyLowSourceReference knowledgeTheoretical

    Intensive Meditation can trigger or exacerbate psychotic symptoms in people with a history of psychosis, attributed to increased introspection and sensory distortions.

    Where the evidence comes from

    • Reference knowledge

    Confidence

    confidence 75/100

    Rationale

    Intensive meditation can trigger or exacerbate psychotic symptoms in individuals with a history of psychosis due to increased introspection and sensory distortions.

    Open Psychosis
    →
  2. Bipolar ManiaCertaintyLowSourceReference knowledgeTheoretical

    During manic episodes, increased internal arousal and distractibility can make Focused Attention Meditation difficult and may worsen agitation.

    Where the evidence comes from

    • Reference knowledge

    Confidence

    confidence 70/100

    Rationale

    During manic episodes, increased internal arousal and distractibility make focused attention difficult and may worsen agitation.

    Open Bipolar Mania
    →

Who the trials left out

Some trials of this practice did not take people with these conditions, so the studies say less about them. This is not a warning and does not show harm. Ask a clinician first.1 listed
Left out by one trial each (1)

Also listed for meditation in general (written by our reviewers)

Precautions from the Meditation page. They are for meditation as a whole and may not all fit focused attention meditation.

Traumatic Brain Injury

See them on the Meditation page →

When you stop

Rebound and withdrawal after discontinuing1 listed

Highest probability

  1. Stress Resilience ImprovementCertaintyLowSourceClinicalloss of benefit1 cited study

    One quasi-experimental study in 26 participants found that the reduction in perceived stress after training was not sustained at 3-month or 6-month follow-up.

    What the sources found

    0 not observed · 0 unclear · 1 reportedconfidence 50/100

    How big is the effect

    No study gave a number we could compare, so the size is not known.

    Who was studied

    • People with a condition

    Where the evidence comes from

    • Article1

    Protocol behind this outcome

    1 protocolMeasured

    What the studies reporting this result did.

    60 min · 1×/week

    Course
    6 weeks
    Per week
    60 min
    Intensity
    Moderate
    Format
    Group
    Supervision
    Instructor-led

    A repeated course

    Show studies (1)
    Quasi ExperimentalCnegativen=2650% confidence2022

    Meditation and Aerobic Exercise Enhance Mental Health Outcomes and Pattern Separation Learning Without Changing Heart Rate Variability in Women with HIV.

    The reduction in perceived stress after training was not sustained at 3-month or 6-month follow-up

    Open Stress Resilience Improvement
    →

1 more mentioned only by users

Interactions

Okay to combine with

Highest probability of useful synergy

  1. PracticesMindfulness MeditationCertaintyMediumSourceReference knowledgeComplementary

    Mindfulness Meditation offers a broader context for applying Focused Attention Meditation skills and may help make them more stable.

    Where the evidence comes from

    • Reference knowledge

    Confidence

    confidence 70/100

    Open Mindfulness Meditation
    →
  2. PracticesProgressive Muscle RelaxationCertaintyMediumSourceReference knowledgeAdditive

    Combining Progressive Muscle Relaxation with Focused Attention Meditation may increase parasympathetic activation and reduce bodily tension that can interfere with focus.

    Where the evidence comes from

    • Reference knowledge

    Confidence

    confidence 65/100

    Open Progressive Muscle Relaxation
    →
  3. SupplementsL-TheanineCertaintyMediumSourceReference knowledgePotentiating

    L-Theanine may support Focused Attention Meditation by promoting alpha brain wave activity and reducing physiological stress markers.

    Where the evidence comes from

    • Reference knowledge

    Confidence

    confidence 60/100

    Open L-Theanine
    →
  4. PracticesYogaCertaintyMediumSourceReference knowledgeComplementary

    Yoga postures and breath control may prepare the body and mind for seated Focused Attention Meditation by reducing physical restlessness and promoting relaxation.

    Where the evidence comes from

    • Reference knowledge

    Confidence

    confidence 60/100

    Open Yoga
    →
  5. PracticesDiaphragmatic BreathingCertaintyMediumSourceReference knowledgeComplementary

    Diaphragmatic Breathing before or during Focused Attention Meditation may deepen relaxation and increase parasympathetic activation, supporting sustained attention.

    Where the evidence comes from

    • Reference knowledge

    Confidence

    confidence 55/100

    Open Diaphragmatic Breathing
    →
  6. SupplementsAshwagandhaCertaintyMediumSourceReference knowledgePotentiating

    Ashwagandha may lower baseline arousal through its anxiolytic and stress-reducing effects, potentially making it easier to maintain focus during Focused Attention Meditation.

    Where the evidence comes from

    • Reference knowledge

    Confidence

    confidence 50/100

    Open Ashwagandha
    →

Weakens or is weakened by

Highest probability

  1. SupplementsCaffeineCertaintyMediumSourceReference knowledgeCompetitive

    Pharmacology references describe caffeine’s stimulant effects as increasing physiological arousal and potentially promoting mind-wandering, which can counter the calming and attentional focus cultivated by focused attention meditation.

    Where the evidence comes from

    • Reference knowledge

    Confidence

    confidence 60/100

    Open Caffeine
    →
  2. SupplementsEthanol (Alcohol)CertaintyMediumSourceReference knowledgeDepleting

    Pharmacology references describe alcohol as impairing prefrontal cortex function and disrupting sleep architecture, both of which can undermine the cognitive control needed for focused attention meditation.

    Where the evidence comes from

    • Reference knowledge

    Confidence

    confidence 58/100

    Open Ethanol (Alcohol)
    →

How it works

The mechanisms this practice works through25 listed · 0 established
  • Alpha peakNeural oscillationsproposed

    Concentrative meditation increases alpha peak power, interpreted as an active inhibitory attentional mechanism suppressing irrelevant inputs.

    PMID 38756494

  • Anterior cingulate cortex (ACC)Attentional and conflict-monitoring processingproposed

    Brief FAM was associated with altered N2 and P3 stimulus- and response-related conflict monitoring, with the authors suggesting increased attentional focus and reduced cognitive resources.

    PMID 32319868

  • Default Mode Network coherence, Frontoparietal Control and Salience Network connectivity, visual and attention network couplinglarge-scale intrinsic brain network organizationproposed

    A single brief focused attention meditation session reduced DMN coherence, increased FPCN and salience network connectivity, and decoupled visual and attention networks relative to relaxation instruction.

    PMID 37880570

  • Default mode network (DMN) and dorsal attention network (DAN)Brain functional connectivityproposed

    Increased resting-state functional connectivity within the DAN, between DMN and DAN, and between DMN and visual cortex after 2-month FAM practice.

    PMID 34059702

  • Default mode network (DMN), dorsal attention network (DAN), salience network (SN), frontoparietal network (FPN)Attention network modulationproposed

    FAM training modulates functional activity in DMN, DAN, and FPN during an attentional task, with increased activation in SN and FPN regions and practice-time-dependent changes in DMN and DAN.

    PMID 38137100

  • Dentate gyrusHippocampal neurogenesisproposed

    MAP Training may enhance discrimination learning through increased neurogenesis in the hippocampus, though this is speculative and not directly measured in humans.

    PMID 35040014

  • Distractor inhibitionAttention regulationproposed

    FAM and OMM reduce inhibition processes for distractors during cognitive interference tasks, as evidenced by the mere exposure effect.

    PMID 39411554

  • Dorsolateral prefrontal cortex (DLPFC)Top-down attention controlproposed

    FAM activates the bilateral DLPFC through top-down attention control, which is associated with improved working memory capacity.

    PMID 34343414

  • EEG microstatesbrain network dynamicsproposed

    Meditation training reduced the strength and duration of EEG microstates and increased their occurrence, suggesting less stable neural ensembles and increased lability of resting-state dynamics.

    PMID 33783922

  • Emotional interferenceEmotion regulationproposed

    Meditators showed reduced emotional interference and lower negative valence/arousal ratings, suggesting improved emotion regulation.

    PMID 23935694

  • Frontal N2 event-related potentialCognitive controlproposed

    FAM21 was associated with more pronounced frontal and central N2 amplitudes and a steeper amplitude decline with improving general learning, interpreted by the authors as dynamic modulation of cognitive control.

    PMID 32032740

  • Fronto-parietal network (FPN) and default mode network (DMN)Brain network reconfigurationproposed

    Meditation practice led to changes in the community size and flexibility of the FPN and DMN, suggesting reconfiguration of whole-brain functional network architecture.

    PMID 33116216

  • Intracellular pHBrain energy metabolismproposed

    Decreased intracellular pH during FAM, possibly related to increased lactate concentration during brain activation.

    PMID 34262442

  • P3 amplitude at PzNeural activityproposed

    FAM training increased P3 amplitude at Pz during target stimuli in an oddball task, indicating enhanced top-down attentional processing.

    PMID 32064537

  • PCr/ATP ratioBrain energy metabolismproposed

    Decreased PCr/ATP ratio in various brain regions during FAM, indicating higher energy demand and increased spending of PCr buffer supplies.

    PMID 34262442

  • Target facilitationTop-down attentionproposed

    FAM may enhance target facilitation rather than distractor inhibition, with the effect modulated by state relaxation and anxiety.

    PMID 39411554

  • Theta band phase synchrony (F4-Pz, F4-Oz)Neural connectivityproposed

    Theta band phase synchrony during FAM correlated with P3 amplitude, suggesting a link between frontal-parietal/occipital connectivity and attentional performance.

    PMID 32064537

  • Theta-band phase consistency over anterior brain areasNeuronal oscillatory entrainmentproposed

    Meditation training was associated with increased phase consistency of theta oscillations, which the authors propose reflects enhanced entrainment to sensory input rhythms.

    PMID 19846729

  • attentional suppression (Pd component)attentional controlproposed

    Meditators showed larger Pd amplitudes for target-colored distractors, indicating more efficient attentional suppression compared to non-meditators.

    PMID 29867385

  • circulating cytokinesinflammatory signalingproposed

    Inflammatory (cytokine) activity was inversely associated with controlled attention during both meditation interventions; this is a correlational association, not a demonstrated causal effect of meditation on cytokines.

    PMID 32640286

  • dorsomedial prefrontal cortex and superior parietal lobule connectivityattention regulation networkproposed

    After one 10-minute FAM session, resting-state connectivity between left dorsomedial prefrontal cortex and right superior parietal lobule increased relative to control, interpreted by the authors as modification of attention regulation by cognitive effort.

    PMID 38936650

  • parasympathetic activity (HRV high-frequency power)autonomic nervous systemproposed

    High-frequency HRV power increased and the LF/HF ratio decreased during paced breathing, which the authors interpret as increased parasympathetic activity.

    PMID 23131369

  • prefrontal cortical networkscognitive-emotional regulationproposed

    Focused attention meditation engages sustained attention and reduces ruminative thought, potentially through top-down attentional control and emotional regulation.

    PMID 41600272

  • reactive controlattentional controlproposed

    CMT may improve reactive control, as evidenced by better accuracy on incongruent trials preceded by congruent trials.

    PMID 21808627

  • skin conductance and autonomic recovery after stresssympathetic nervous systemproposed

    The authors suggest that meditation uniquely affects the sympathetic nervous system during recovery from a stressor.

    PMID 29850971

Variations

5 documented

Typical protocol

41 protocolsEstimated

Across every study of this practice, whatever the variation.

15 min · 6×/week

Course
8 weeks
Per week
95 min
Rounds
1
% of max heart rate
60% of max
Intensity
Low
Format
Individual
Supervision
Instructor-led

Courses and single sessions · 20 repeated-course and 19 single-session protocols

93% of the corpus contributed

Breath Counting (Su-soku)

Beginner9/1010–20 min · Daily

10–20 min · Daily

Editorial
How often
Daily
Intensity
Low
Time of day
Morning
Where
Indoors
Research depth
Minimal

Counting each exhale from one to ten gives attention a clear checkpoint: if you lose count or become distracted, simply return to one. The count is meant as a gentle anchor, not a way to control your breathing.

No equipment needed.

How it's done6 steps · 3 cues · 3 common mistakes

A general description of the practice, not instruction or medical advice.

Steps

  1. Sit comfortably with your spine upright, either on a chair or cushion, and close your eyes.
  2. Take a few natural breaths to settle in, without trying to control the pace.
  3. Inhale naturally, then as you exhale, silently count 'one' in your mind.
  4. On the next exhale, count 'two'. Continue counting each exhale up to 'ten'.
  5. After reaching ten, gently start the count over at 'one'.
  6. If you lose count or notice your mind has wandered, simply acknowledge it and return to 'one' without judgment.

Cues

  • · Count on the exhale only, not the inhale.
  • · Keep the counting silent and mental.
  • · Treat the number as a gentle touchpoint, not a rigid command.

Common mistakes

  • Counting on both the inhale and exhale.
  • Getting frustrated or judging yourself when you lose count.
  • Trying to force the breath into a specific rhythm.
Studied protocols2 on file

Breath Sensation at the Nostrils

Intermediate8/1030–45 min · Daily

30–45 min · Daily

Editorial
How often
Daily
Intensity
Low
Time of day
Morning
Where
Indoors
Research depth
Moderate

This approach focuses on specific sensations just inside the nostrils, such as coolness on the inhale or warmth on the exhale, rather than on the idea of breathing. It may suit people who have moved past the initial restlessness of beginner practice.

No equipment needed.

As studied

6 protocolsEstimated

The protocol the studies of this variation actually used.

30–60 min

Course
6 weeks
% of max heart rate
60% of max
Supervision
Instructor-led

Courses and single sessions · 4 repeated-course and 2 single-session protocols

Derived from2986738534113586347770953504001435564687+1 more in Sources

How it's done6 steps · 3 cues · 3 common mistakes

A general description of the practice, not instruction or medical advice.

Steps

  1. Assume a stable, comfortable seated posture with your back straight.
  2. Close your eyes and bring your full attention to the area just inside your nostrils.
  3. Observe the subtle sensations of the breath entering: coolness, tingling, or pressure.
  4. Notice the sensations as the breath leaves: warmth, softness, or a change in pressure.
  5. Maintain a light, receptive attention on these sensations, like watching a river flow.
  6. When you realize the mind has wandered, mentally note 'thinking' and gently return attention to the breath at the nostrils.

Cues

  • · Focus on the sensation itself, not the idea of 'breathing'.
  • · Keep the attention narrow and precise, like a laser pointer.
  • · Don't try to control the breath; just observe it.

Common mistakes

  • Forcing the attention too intensely, creating tension in the face.
  • Getting distracted by the movement of the chest or abdomen.
  • Becoming dull or sleepy when the sensations become subtle.
Studied protocols5 on file

Internal Mantra Repetition

Beginner8/1010–20 min · Twice a day

10–20 min · Twice a day

Editorial
How often
Twice a day
Intensity
Low
Time of day
Morning
Where
Indoors
Research depth
Minimal

A silently repeated word or short phrase provides a verbal anchor for people who find that more engaging than a sensory focus. If attention drifts, the instruction is to return gently to the mantra rather than force thoughts away.

No equipment needed.

How it's done6 steps · 3 cues · 3 common mistakes

A general description of the practice, not instruction or medical advice.

Steps

  1. Sit comfortably in a quiet place and close your eyes.
  2. Choose a simple, neutral word or phrase like 'peace', 'calm', or a traditional mantra.
  3. Begin to silently repeat the mantra in your mind, synchronizing it with your breath if you like.
  4. Let the mantra repeat at its own natural pace, without forcing it.
  5. When you notice your attention has drifted to thoughts or sounds, gently return to the silent repetition.
  6. Continue for the duration of your session, allowing the mantra to become fainter or clearer as it will.

Cues

  • · Listen to the mantra in your mind as if it's a quiet, distant sound.
  • · Don't fight thoughts; just favor the mantra.
  • · Keep the repetition effortless and gentle.

Common mistakes

  • Repeating the mantra mechanically while the mind is elsewhere.
  • Getting annoyed when the mantra is 'drowned out' by thoughts.
  • Changing the mantra frequently, which prevents the mind from settling.

External Object Gazing (Trataka)

Beginner7/108–10 min · Daily

8–10 min · Daily

Editorial
How often
Daily
Intensity
Moderate
Time of day
Any time
Where
Indoors
Research depth
Moderate

A visible anchor, such as a candle flame, a dot on the wall, or a flower, gives attention a specific point to return to when the mind wanders. The practice uses a relaxed gaze and observation of the object’s details rather than intense staring.

Equipment: Candle, Small object (e.g., a stone or flower)

As studied

7 protocolsEstimated

The protocol the studies of this variation actually used.

7.5–10 min

Course
9 weeks
Longest single session studied
11 min
Format
Group
Supervision
Instructor-led

Courses and single sessions · 5 repeated-course and 2 single-session protocols

Derived from2180862732064537340597023791046538137100+2 more in Sources

How it's done6 steps · 3 cues · 3 common mistakes

A general description of the practice, not instruction or medical advice.

Steps

  1. Place a candle or a simple object at eye level, about an arm's length away.
  2. Sit comfortably and take a few deep breaths to center yourself.
  3. Rest your gaze softly on the object, keeping your eyes relaxed without excessive blinking.
  4. Keep your full attention on the visual details of the object: its shape, color, texture, or the flame's movement.
  5. When your mind wanders, notice the distraction and bring your gaze and attention back to the object.
  6. After the session, gently close your eyes and observe any after-image for a moment.

Cues

  • · Soften your gaze; avoid staring aggressively.
  • · Let the object fill your awareness completely.
  • · If using a candle, ensure the room is draft-free and safe.

Common mistakes

  • Staring too intensely, causing eye strain or watering.
  • Letting the eyes go out of focus and becoming drowsy.
  • Analyzing the object instead of simply observing it.
Studied protocols7 on file

Showing 6 of 7 — the rest are in Sources

Intensive Retreat Practice

Advanced6/10supervision recommended180–360 min · Daily

180–360 min · Daily

Editorial
How often
Daily
Intensity
Very high
Time of day
Split through the day
Where
Indoors or outdoors
Research depth
Minimal

This format combines long periods of seated and walking meditation under a strict daily schedule, with minimal breaks and daily teacher interviews. It is intended for experienced practitioners, and the directions emphasize balancing effort with relaxation to avoid mental tension or physical exhaustion.

No equipment needed.

not for children,not in pregnancy,caution for older adults

How it's done6 steps · 3 cues · 3 common mistakes

A general description of the practice, not instruction or medical advice.

Steps

  1. Follow a strict daily schedule that alternates between 30-60 minute blocks of seated meditation and walking meditation.
  2. In seated sessions, maintain unwavering focus on your primary object, such as the breath at the nostrils.
  3. During walking meditation, break the step down into its component sensations: lifting, moving, placing.
  4. Practice continuously from early morning until evening, with minimal breaks for meals and rest.
  5. Observe noble silence throughout the retreat, refraining from eye contact, reading, or writing.
  6. Report your experiences to a teacher during daily interview sessions for personalized guidance.

Cues

  • · Treat every moment as a practice opportunity.
  • · Work with pain and restlessness as objects of meditation themselves.
  • · Maintain a balance of effort and relaxation to avoid burnout.

Common mistakes

  • Striving too hard and creating mental tension or physical exhaustion.
  • Comparing your experience to others or to your expectations.
  • Neglecting walking meditation and treating it as a 'break'.
Studied protocols3 on file

How to start

Community experience

Based on 239 public posts from Reddit and Bluesky.

Signal found65 signals2 platforms
Reddit 237Bluesky 2

What people report it did

30 outcomes mentioned across 239 public reports. A report often mentions several, so these counts do not add up to the total.

Reported side effects15

Reported after stopping1

What people report doing

Counted from public posts and videos, not from a survey. Each figure counts the posts that mentioned it — most reports say nothing about schedule.

Session lengthas written

“1 hour”“20 minutes”

References

48 screened · 44 analysed · 46 listed below

Studies and sources cited on this page. Evidence quality varies — check the grade on each.

  1. Does focused attention meditation improve probability weighting bias? The role of emotional trade-off difficulty and compensatory decision making.BMC Psychol2026RCTCn=138
  2. Mindfulness meditation increases interictal epileptiform discharges in meditation-naïve surgical epilepsy patients.Epilepsia2026Quasi ExperimentalCn=27
  3. Focused Attention Meditation as a Pre-Exercise Strategy for Reducing Anxiety in Speed Skaters.Sensors (Basel)2026Crossover RCTCn=26
  4. Neurophysiological mechanisms of focused attention meditation: A scoping systematic review.Imaging Neurosci (Camb)2025Systematic reviewCn=1453
  5. Direct mapping of intervention to thought features: A Bayesian proof-of-concept study.Behav Res Ther2025Quasi ExperimentalCn=40
  6. Preventive effect of one-session brief focused attention meditation on state fatigue: Resting state functional magnetic resonance imaging study.Neuroimage2024RCTCn=56
  7. Report from a Tibetan Monastery: EEG neural correlates of concentrative and analytical meditation.Front Psychol2024Observational CohortCn=23
  8. Four weeks of meditation training improves sustained attention in community-dwelling older adults: a proof-of-concept randomized controlled trial.Front Aging2024RCTCn=43
  9. Prior brief meditation reduces distractor inhibition during cognitive interference.Front Psychol2024RCTCn=72
  10. Virtual reality vs. imagery: comparing approaches in guided meditation.Front Psychol2024RCTCn=70
Show all 46 references
  1. Inside the mindful moment: The effects of brief mindfulness practice on large-scale network organization and intimate partner aggression.2023RCTCn=100
  2. Meditation attenuates default-mode activity: A pilot study using ultra-high field 7 Tesla MRI.2023Pilot studyCn=10
  3. Doing what matters in times of stress: No-nonsense meditation and occupational well-being in COVID-19.2023Quasi ExperimentalCn=241
  4. Focused-Attention Meditation Improves Flow, Communication Skills, and Safety Attitudes of Surgeons.2022RCTCn=140
  5. Meditation and Aerobic Exercise Enhance Mental Health Outcomes and Pattern Separation Learning Without Changing Heart Rate Variability in Women with HIV.2022Quasi ExperimentalCn=26
  6. A Retrospective Analysis of Three Focused Attention Meditation Techniques: Mantra, Breath, and External-Point Meditation.2022Observational CohortCn=34
  7. Meditation-induced cognitive-control states regulate working memory task performance.2021RCTC
  8. Brain Energy Metabolism in Two States of Mind Measured by Phosphorous Magnetic Resonance Spectroscopy.2021Observational CohortCn=27
  9. Effect of one-session focused attention meditation on the working memory capacity of meditation novices: A functional near-infrared spectroscopy study.2021RCTCn=30
  10. Longitudinal effects of meditation on brain resting-state functional connectivity.2021Observational CohortCn=10
  11. Efficacy of Short Course of Preksha Dhyana for Functional Abdominal Pain Disorder in a Busy Pediatric Clinic.2021Observational CohortCn=82
  12. Individual Differences in the Change of Attentional Functions With Brief One-Time Focused Attention and Open Monitoring Meditations.2021RCTCn=96
  13. Meditation training modulates brain electric microstates and felt states of awareness.2021RCTCn=60
  14. Deconstructing the effects of concentration meditation practice on interference control: The roles of controlled attention and inflammatory activity.2020RCTC
  15. Comparing focused attention meditation to meditation with mobile neurofeedback for persistent symptoms after mild-moderate traumatic brain injury: a pilot study.2020RCTCn=20
  16. Focused-attention meditation increases cognitive control during motor sequence performance: Evidence from the N2 cortical evoked potential.2020RCTCn=29
  17. Focused attention meditation training modifies neural activity and attention: longitudinal EEG data in non-meditators.2020RCTCn=49
  18. Short-term Smartphone App-Based Focused Attention Meditation Diminishes Cognitive Flexibility.2020Crossover RCTC
  19. Closed-loop digital meditation improves sustained attention in young adults.2019RCTCn=59
  20. Meditation Effects on the Control of Involuntary Contingent Reorienting Revealed With Electroencephalographic and Behavioral Evidence.2018Observational Cross SectionalCn=52
  21. Recovery from stress: an experimental examination of focused attention meditation in novices.2018RCTCn=99
  22. Brief Online Focused Attention Meditation Training: Immediate Impact.2017Observational CohortCn=379
  23. Unwanted effects: Is there a negative side of meditation? A multicentre survey.2017Observational Cross SectionalCn=342
  24. The influence of focused-attention meditation states on the cognitive control of sequence learning.2017RCTC
  25. The Relationship Between Focused Attention Meditation Practice Habits, Psychological Symptoms, and Quality of Life.2016Observational Cross SectionalCn=30
  26. Impact of short-term meditation and expectation on executive brain functions.2016RCTCn=59
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  35. Expert knowledge synthesis
  36. Background knowledge (no study cited)

Diatelos provides general wellness information based on published research. It is not medical advice. Talk to a clinician before starting any new supplement or practice, especially if you have a health condition, are pregnant, or take medication.