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Mind-wandering refers to the occurrence of thoughts whose content is both decoupled from stimuli present in the current environment and unrelated to the task being carried out at the moment of their occurrence. The core of this phenomenon is therefore stimulus-independent and task-unrelated thoughts (SITUTs). In the present study, we designed a novel experience sampling method which permitted to isolate SITUTs from other kinds of distractions (i.e., irrelevant interoceptive/exteroceptive sensory perceptions and interfering thoughts related to the appraisal of the current task). In Experiment 1, we examined the impact of SITUTs on the performance of the Sustained Attention to Response Task (SART; a Go/No-Go task). Analyses demonstrated that SITUTs impair SART performance to the same extent as irrelevant sensory perceptions. In Experiment 2, we further examined SITUTs in order to assess the possible functions of mind-wandering. We observed that the content of most of reported SITUTs refers to the anticipation and planning of future events. Furthermore, this “prospective bias” was increased when participants' attention had been oriented toward their personal goals before performing the SART. These data support the view that an important function of mind-wandering relates to the anticipation and planning of the future.
Few studies have examined changes of diurnal cortisol profiles prospectively, in relation to non-pharmacological interventions such as mindfulness-based cognitive therapy (MBCT). Fifty-six patients remitted from recurrent depression (≥3 episodes) were included in an 8-week randomized controlled trial comparing MBCT plus treatment as usual (TAU) with TAU for depression relapse prophylaxis. Saliva samples (0, 15, 30, 45, 60 min post-awakening, 3 PM, 8 PM) were collected on six occasions (pre- and post-intervention, 3-, 6-, 9-, 12-month follow-up). Cortisol awakening response (CAR), average day exposure (AUCday) and diurnal slope were analyzed with mixed effects models (248 profiles, 1-6 per patient). MBCT (n = 28) and TAU groups (n = 28) did not significantly differ with respect to baseline variables. Intra-individual variability exceeded inter-individual variability for the CAR (62.2% vs. 32.5%), AUC(day) (30.9% vs. 23.6%) and diurnal slope (51.0% vs. 34.2%). No time, group and time by group effect was observed for the CAR and diurnal slope. A significant time effect (p = 0.003) was detected for AUCday, which was explained by seasonal variations (p = 0.012). Later wake-up was associated with lower CAR (-11.7% per 1-hour later awakening, p < 0.001) and lower AUCday (-4.5%, p = 0.014). Longer depression history was associated with dampened CAR (-15.2% per 10-year longer illness, p = 0.003) and lower AUCday (-8.8%, p = 0.011). Unchanged cortisol secretion patterns following participation in MBCT should be interpreted with regard to large unexplained variability, similar relapse rates in both groups and study limitations. Further research is needed to address the scar hypothesis of diminished HPA activity with a longer, chronic course of depression.