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Vitaly Napadow

4 papers in the library · 322 citations · publishing 2012-2025

Papers

Default mode network connectivity encodes clinical pain: An arterial spin labeling study

Pain October 29, 2012 Marco L. Loggia, Jieun Kim, Randy L. Gollub et al. 319 citations

Patients with chronic low back pain show stronger resting connectivity between the default mode network and the right insula, pregenual anterior cingulate cortex, and left inferior parietal lobule compared to healthy controls. Baseline clinical pain correlates positively with default mode network–right insula connectivity. Physical maneuvers that exacerbate pain produce parallel changes in default mode network–right insula connectivity and disrupt default mode network–pregenual anterior cingulate cortex connectivity, which at baseline was anticorrelated with pain. Baseline default mode network connectivity also predicts maneuver-induced changes in both pain and default mode network–right insula connectivity. These findings support resting default mode network connectivity as a potential neuroimaging biomarker for chronic pain perception.

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.

Modulating mechanisms of adverse childhood experiences in a mindfulness-based intervention: preliminary insights from an opioid use disorder study.

Frontiers in psychology January 1, 2025 Diane Joss, Joseph Rosansky, Paula Gardiner et al. 1 citation

Among people with opioid use disorder receiving buprenorphine, those who also took part in a 24-week online mindfulness-based intervention showed a specific chain of symptom improvement linked to their history of adverse childhood experiences (ACE). Higher ACE severity was associated with greater reductions in self-critical rumination by week 8, which then predicted reduced pain catastrophizing by week 16, and less pain interference by week 24. This pathway was not seen in a matched recovery support control group. Both groups experienced significant reductions in depression, anxiety, and other symptoms, but only in the mindfulness group did ACE severity predict changes in self-critical rumination, suggesting this may be a key target for treatment.

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.