The impact of mindfulness-based interventions on brain activity: A systematic review of functional magnetic resonance imaging studies

Young, Katherine S.; Velden, Anne Maj van der; Craske, Michelle G.; Pallesen, Karen Johanne; Fjorback, Lone Overby; Roepstorff, Andreas; Parsons, Christine E.

doi:10.1016/j.neubiorev.2017.08.003

Cited by 118 publications

(82 citation statements)

References 43 publications

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“…Mindfulness training for nurses also enhances positive cognitive retraining (Luberto et al, ), an outcome that has been corroborated by studies of brain images, which have shown that mindfulness training produces increases in brain activity, associated with positive moods and the regulation of emotions (Guillaumie, Boiral, & Champagne, ; Huang et al, ; Young et al, ). Some researchers have even observed improvements in reactions to posttraumatic situations (Meyer et al, ; O'Mahony, Gerhart, Grosse, Abrams, & Levy, ) and even positive effects on stress biomarkers such as reduction in cortisol salivary cortisol levels (Veiga et al, ).…”

Section: Discussionmentioning

confidence: 84%

The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta‐analysis

Suleiman‐Martos

Gómez‐Urquiza

Aguayo‐Estremera

et al. 2020

Journal of Advanced Nursing

120

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Aim To analyse the effect of mindfulness training on levels of burnout among nurses. Background Burnout syndrome is a common occupational hazard for nursing staff. Mindfulness training has been proposed as a valid intervention for burnout. Design Systematic review and meta‐analysis. Data sources The CINAHL, LILACS, Medline, ProQuest, PsycINFO, Scielo and Scopus databases were consulted, using the search equation ‘Nurs * AND burnout AND mindfulness’. There was no restriction on the year of publication. Review methods Papers were selected for analysis in accordance with the PRISMA guidelines. The meta‐analysis was carried out using Review Manager 5.3 software. Results The sample was of 17 articles including 632 nurses. Mindfulness training reduces levels of burnout, producing lower scores for emotional exhaustion and depersonalization and higher for personal accomplishment. The differences in the means were 1.32 (95% CI: −9.41–6.78), 1.91 (95% CI: −4.50–0.68) and 2.12 (95% CI: −9.91–14.14), respectively, between the intervention and control groups. Conclusion Mindfulness training reduces the emotional burden and hence levels of burnout, among nurses. However, further randomized clinical trials are required.

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Section: Discussionmentioning

confidence: 84%

The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta‐analysis

Suleiman‐Martos

Gómez‐Urquiza

Aguayo‐Estremera

et al. 2020

Journal of Advanced Nursing

120

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“…Several randomized clinical trials evaluating mindfulness-based interventions have demonstrated cortical changes typically in insular, prefrontal, and cingulate regions. 61,62 In a secondary analysis of the previous pilot study of MBCT for headache, treatment responders were more likely to have increased adaptive pain-related cognitions (acceptance) and decreased maladaptive pain-related cognitions (catastrophizing). 63 Future studies should evaluate whether these change mechanisms mediate MBCT-related changes in outcomes.…”

Section: Discussionmentioning

confidence: 99%

Does Mindfulness‐Based Cognitive Therapy for Migraine Reduce Migraine‐Related Disability in People with Episodic and Chronic Migraine? A Phase 2b Pilot Randomized Clinical Trial

et al. 2019

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Objective The current Phase 2b study aimed to evaluate the efficacy of mindfulness‐based cognitive therapy for migraine (MBCT‐M) to reduce migraine‐related disability in people with migraine. Background Mindfulness‐based interventions represent a promising avenue to investigate effects in people with migraine. MBCT teaches mindfulness meditation and cognitive‐behavioral skills and directly applies these skills to address disease‐related cognitions. Methods Participants with migraine (6‐30 headache days/month) were recruited from neurology office referrals and local and online advertisements in the broader New York City area. During the 30‐day baseline period, all participants completed a daily headache diary. Participants who met inclusion and exclusion criteria were randomized in a parallel design, stratified by chronic migraine status, to receive either 8 weekly individual MBCT‐M sessions or 8 weeks of waitlist/treatment as usual (WL/TAU). All participants completed surveys including primary outcome evaluations at Months 0, 1, 2, and 4. All participants completed a headache diary during the 30‐day posttreatment evaluation period. Primary outcomes were the change from Month 0 to Month 4 in the headache disability inventory (HDI) and the Migraine Disability Assessment (MIDAS) (total score ≥ 21 indicating severe disability); secondary outcomes (headache days/30 days, average headache attack pain intensity, and attack‐level migraine‐related disability [Migraine Disability Index (MIDI)]) were derived from the daily headache diary. Results Sixty participants were randomized to receive MBCT‐M (n = 31) or WL/TAU (n = 29). Participants (M age = 40.1, SD = 11.7) were predominantly White (n = 49/60; 81.7%) and Non‐Hispanic (N = 50/60; 83.3%) women (n = 55/60; 91.7%) with a graduate degree (n = 35/60; 55.0%) who were working full‐time (n = 38/60; 63.3%). At baseline, the average HDI score (51.4, SD = 19.0) indicated a moderate level of disability and the majority of participants (50/60, 83.3%) fell in the “Severe Disability” range in the MIDAS. Participants recorded an average of 16.0 (SD = 5.9) headache days/30 days, with an average headache attack pain intensity of 1.7 on a 4‐point scale (SD = 0.3), indicating moderate intensity. Average levels of daily disability reported on the MIDI were 3.1/10 (SD = 1.8). For the HDI, mean scores decreased more from Month 0 to Month 4 in the MBCT‐M group (−14.3) than the waitlist/treatment as an usual group (−0.2; P < .001). For the MIDAS, the group*month interaction was not significant when accounting for the divided alpha, P = .027; across all participants in both groups, the estimated proportion of participants falling in the “Severe Disability” category fell significantly from 88.3% at Month 0 to 66.7% at Month 4, P < .001. For diary‐reported headache days/30 days an average headache attack pain intensity, neither the group*month interaction (Ps = .773 and .888, respectively) nor the time effect (Ps = .059 and .428, respectively) was significant. Mean MIDI scores decreased in the ...

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“…Indeed, the mid insula became a provincial hub during acceptance, suggesting a central role in salience network information processing. Interestingly, prior studies have reported changes in insula activation patterns and structural integrity following meditation training (Farb, et al, 2010;Farb, et al, 2013;Fox et al, 2016;Fox, et al, 2014;Young, et al, 2017) suggesting that the interoceptive functions of this region may be a key neural substrate underlying present moment awareness of sensory signals.…”

Section: Reorganization Of Interoceptive Circuitsmentioning

confidence: 99%

“…Furthermore, insula activation correlates with interoceptive accuracy when participants monitor their heartbeat (Critchley, Wiens, Rotshtein, Ohman, & Dolan, 2004). Notably, meditation training is associated with greater interoceptive accuracy (Fox et al, 2012) and is associated with changes in insula structure and function (Farb, Segal, & Anderson, 2013;Fox et al, 2014;Young et al, 2017). The mid and posterior insula have a close relationship with sensorimotor cortices, which may also play a role in representing the concrete aspects of sensory experience during emotional processing (Khalsa, Rudrauf, Feinstein, & Tranel, 2009;Satpute et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

Brain Network Organization During Mindful Acceptance of Emotions

Dixon

Girn

Christoff

2020

Preprint

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Individuals use various strategies to cope with challenging emotions such as anxiety. Mindful acceptance involves broadening attentional scope and fully experiencing present moment sensory feelings (whether pleasant or unpleasant) without judgment or elaboration. In contrast, narrativeevaluation involves focusing on a narrow band of sensory experience and generating an elaborate narrative about the meaning and desirability of one's emotional feelings. The current study examined brain network organization during these strategies using graph theoretic analyses. We used a naturalistic task paradigm in which participants reflected on an anxiety-provoking issue from their personal lives and adopted each strategy in different blocks. Compared to narrative-evaluation, mindful acceptance was associated with: (i) increased global network connectivity; (ii) greater integration of interoceptive regions (mid and posterior insula) into large-scale networks; (iii) reorganization of motivational circuits including a shift in the striatum's network assignment from the default network to the salience network; and (iv) a shift from default network to frontoparietal control network (FPCN) regions as central hubs that coordinate information flow. Functional connectivity patterns within the left FPCN were associated with acceptance reports. Thus, broadening attentional scope during mindful acceptance is supported by a more globally interconnected neural landscape, as well as greater information flow through FPCN regions that underlie metacognitive awareness and cognitive control."Flow with whatever may happen, and let your mind be free." -Zhuangzi, Nan-Hua-Ch'en-Ching

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The impact of mindfulness-based interventions on brain activity: A systematic review of functional magnetic resonance imaging studies

Cited by 118 publications

References 43 publications

The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta‐analysis

The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta‐analysis

Does Mindfulness‐Based Cognitive Therapy for Migraine Reduce Migraine‐Related Disability in People with Episodic and Chronic Migraine? A Phase 2b Pilot Randomized Clinical Trial

Brain Network Organization During Mindful Acceptance of Emotions

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