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Alexandra Comeau

Center for Mindfulness and Compassion, Cambridge Health Alliance, Cambridge, MA, USA.

3 papers in the library · 12 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.

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.