Annual Review of Clinical Psychology
December 11, 2018
Joseph Wielgosz, Simon B. Goldberg, Tammi R. A. Kral et al.
441 citations
Mindfulness meditation is increasingly used in mental health interventions and has influenced basic research on psychopathology. This review examines mindfulness meditation through clinical neuroscience, linking its core capacities to cognitive and affective constructs from the National Institute of Mental Health's Research Domain Criteria. Effective applications are noted for depression, anxiety, chronic pain, and substance abuse, with emerging work on attention disorders, traumatic stress, dysregulated eating, and serious mental illness. Priorities for future research include identifying mechanisms, refining methods, and improving implementation. Mindfulness meditation shows promise for interventions, especially for psychiatric comorbidity, and its successes and challenges offer lessons for integrating contemplative traditions with clinical science.
Science Advances
May 20, 2022
Tammi R. A. Kral, Kaley Davis, Cole Korponay et al.
67 citations
A large, rigorously controlled study failed to find evidence that an 8-week mindfulness-based stress reduction (MBSR) course changes brain structure. Combining data from two randomized controlled trials with 218 meditation-naïve participants, the study compared MBSR to an active control and a waitlist group. Using structural MRI scans before and after the intervention, researchers assessed gray matter volume, gray matter density, and cortical thickness. No neuroplastic changes were observed in the MBSR group compared to either control group, either across the whole brain or in regions previously reported to change. This contradicts widely referenced earlier claims that MBSR alters brain structure.
Scientific Reports
August 19, 2019
Cole Korponay, Daniela Dentico, Tammi R. A. Kral et al.
49 citations
An eight-week mindfulness intervention did not reduce impulsivity on the go/no-go task or Barratt Impulsiveness Scale (BIS-11), nor produce changes in neural correlates such as frontostriatal gray matter, functional connectivity, or dopamine levels compared to active or wait-list control groups. Long-term meditators (LTMs) did not differ from meditation-naïve participants (MNPs) on the go/no-go task, but LTMs self-reported lower attentional impulsivity and higher motor and non-planning impulsivity on the BIS-11. LTMs had less striatal gray matter, greater cortico-striatal-thalamic functional connectivity, and lower spontaneous eye-blink rate than MNPs. Total lifetime practice hours did not significantly relate to impulsivity or neurobiological metrics, suggesting pre-existing differences may account for group differences.
American Journal of Psychiatry
July 28, 2022
Joseph Wielgosz, Tammi R. A. Kral, D. Perlman et al.
21 citations
Mindfulness-based stress reduction (MBSR) reduced neural pain responses in healthy adults compared to an active control program. In a randomized trial with 115 participants, MBSR produced a moderate decrease in the neurologic pain signature (NPS) relative to a health enhancement program (Cohen's d=-0.43) and from before to after the intervention (d=-0.47). Subjective pain unpleasantness also decreased modestly in both MBSR and the active control compared to a waiting list. Long-term meditators reported lower pain than nonmeditators but showed no difference in neural pain signatures. Among long-term meditators, cumulative practice during intensive retreats, but not daily practice, was linked to reduced stimulus-independent pain processing (r=-0.65).
medRxiv
June 16, 2021
Tammi R. A. Kral, Kaley Davis, Cole Korponay et al.
2 citations
preprint
A large, rigorously controlled study combining data from two three-arm randomized controlled trials found no evidence that an eight-week Mindfulness-Based Stress Reduction (MBSR) course produces changes in brain structure. Meditation-naive participants (218 total) were randomly assigned to a waitlist, an 8-week MBSR program, or a validated active control group. Structural MRI scans taken before and after the intervention showed no significant differences in gray matter volume, gray matter density, or cortical thickness between MBSR and either control group, at either the whole-brain level or in brain regions previously linked to MBSR. These results fail to replicate earlier, widely cited claims of MBSR-induced neuroplasticity.
bioRxiv (Cold Spring Harbor Laboratory)
July 14, 2024
Isaac N. Treves, Aaron Kucyi, Madelynn Park et al.
1 citation
preprint
Trait mindfulness—the tendency to attend to present-moment experience non-judgmentally—is linked to better mental health, but its neural basis remains unclear. In the largest resting-state fMRI study of trait mindfulness to date, involving 367 adults across three samples, researchers used connectome predictive modeling to test whether brain connectivity patterns could predict mindfulness scores. No connections predicted overall trait mindfulness, but models for two subscales—Acting with Awareness and Non-judging—were identified. Positive networks for these subscales involved fronto-parietal and default-mode networks, respectively. Negative networks, which overlapped across subscales, included somatomotor, visual, and default-mode connections. Only negative networks generalized to predict subscale scores in some out-of-sample datasets, and predictions correlated negatively with a mind-wandering model. The incomplete generalization and model overlap highlight the challenge of identifying robust brain markers for mindfulness facets.