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Richa Gawande

Center for Mindfulness and Compassion, Cambridge Health Alliance.

5 papers in the library · 14 citations · publishing 2024-2025

Papers

Change starts with the body: Interoceptive appreciation mediates the effect of mindfulness training on behavior change - an effect moderated by depression severity.

Psychiatry research December 1, 2024 Zev Schuman-Olivier, Richa Gawande, Timothy B Creedon et al. 10 citations

Mindfulness training helps people change health behaviors partly by improving how they listen to and trust internal bodily signals, a process called interoceptive appreciation. In a randomized trial with 274 primary care patients who had depression, anxiety, or stress disorders related to chronic illness, those who received Mindfulness Training for Primary Care showed greater initiation of a chosen health behavior action plan compared to a low-dose mindfulness group. The effect was mediated by interoceptive appreciation: among patients without depression, listening to bodily signals played a key role; among those with moderate-to-severe depression, trusting bodily signals was more important. Regaining body trust may be a crucial step for behavior change in depression.

Neural regulation of pain anticipation is associated with mindful behavior change in patients with anxiety or depression: A pilot study.

Psychiatry research. Neuroimaging March 1, 2025 Michael Datko, Jacqueline Lutz, Richa Gawande et al. 1 citation

Mindfulness training for primary care patients with anxiety or depression increased activity in the dorsal medial prefrontal cortex when anticipating pain, and this brain change was strongly linked to initiating health behavior changes. Greater increases in this brain response correlated with higher levels of action plan initiation, suggesting that mindfulness strengthens emotion regulation and goal-directed behavior in the face of discomfort.

Love as decolonial praxis: Co-creation of a community-based critical contemplative dialogue intervention.

The American psychologist January 1, 2025 Dominique A Malebranche, Rahil Rojiani, River Chevannes et al. 1 citation

Psychology's colonial roots of disconnection and domination obstruct collective well-being through individualism, disembodiment, and secularization. The antidote is love as a decolonial praxis of reconnection to each other, to bodies, and to Spirit. This praxis is illustrated through the creation of a community intervention called critical contemplative dialogues (CCD), tailored for Black, Indigenous, and peoples of color and piloted with seven contemplatives. The intervention is grounded in critical, contemplative, and dialogic frameworks and manifests love through themes of witnessing, dialogue, embodied practice, emergence, and ceremony. Eight emergent guiding values center radical healing and liberation, pointing toward broader applications in psychology.

Mandela Yoga: a community case study for a post-incarceration reentry service for men of color in recovery.

Frontiers in public health January 1, 2025 Richa Gawande, Felipe Kalatauma Rosario, Carlos Santiago et al. 1 citation

A community-based peer-led mindfulness intervention called Mandela Yoga, co-developed by Black and Brown yoga teachers, therapists, and community leaders with lived experience of recovery, incarceration, chronic illness, and racism, was implemented as part of a Federally Qualified Health Center reentry program for men of color recently released from incarceration. A qualitative analysis of a 12-week implementation documented attendance and conducted interviews with the peer facilitator and one participant. Four key themes emerged: breath and mind-body connection leading to presence; consistency; peer connection; and agency and positive action. Mandela Yoga shows promise as a mind-body-community intervention for communities of color in recovery and post-incarceration.

Protocol for a Pilot Study on the Neurocardiac Mechanism of an Interoceptive Compassion-Based Heart-Smile Training for Depression.

Global advances in integrative medicine and health January 1, 2024 Eunmi Kim, Diane Joss, Frannie Marin et al. 1 citation

This registered clinical trial protocol describes a planned study of Heart-Smile Training (HST), a compassion-based meditation program that cultivates awareness of heart-area bodily signals (interoception), for people with depression. The study aims to test the feasibility of the intervention and research procedures and to investigate neurocardiac mechanisms, specifically changes in the Heartbeat Evoked Potential measured by EEG. Fifty participants will be randomly assigned to a 4-week HST group or a waitlist control. Outcomes include depression severity, EEG gamma activity, heart rate variability, and psychological measures of self-compassion, mindfulness, and social connectedness. Results are not yet available.