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Zev Schuman-Olivier

Center for Mindfulness and Compassion, Cambridge Health Alliance, Malden, MA, United States.

9 papers in the library · 25 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.

Limited Validity of Breath-Counting as a Measure of Mindfulness in Ruminative Adolescents.

Psychophysiology May 1, 2025 Isaac N Treves, Anna O Tierney, Simon B Goldberg et al. 5 citations

A breath-counting task designed to measure mindfulness in adults was tested in 78 adolescents with high rumination. The task showed fair reliability but did not correlate positively with self-reported mindfulness, either as a trait or in daily life. Unexpectedly, more mindful adolescents performed worse on breath counting, and the task showed negative correlations with observing emotions and body sensations and with nonreactivity. Breath-counting performance was also unrelated to clinical, personality, and executive functioning measures. The findings indicate that, in this population, breath counting may measure only a narrow form of sustained attention and may not capture broader mindfulness qualities or have predictive validity.

Neural correlates of reduction in self-judgment after mindful self-compassion training: A pilot study with resting state fMRI.

Journal of mood and anxiety disorders March 1, 2025 Diane Joss, Michael Datko, Charisma I Washington et al. 5 citations

Self-judgment, a symptom common to many psychological disorders, often follows childhood maltreatment and can make standard treatments less effective. In a pilot study of 24 adults with anxiety or depressive disorders (83% had multiple diagnoses), an eight-week mindful self-compassion program significantly reduced self-judgment and increased self-compassion. Participants who reported more childhood trauma improved more than those with less trauma. Brain scans showed that reduced self-judgment was linked to stronger connections between the posterior cingulate cortex and frontal regions involved in regulation and language, and weaker connections with the amygdala-hippocampal complex, suggesting the training lessens fear-related influences on self-referential thinking while boosting executive control.

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.

Dynamic functional connectivity signatures of focused attention on the breath in adolescents.

Cerebral cortex (New York, N.Y. : 1991) February 5, 2025 Isaac N Treves, Aaron K Kucyi, Anna O Tierney et al. 1 citation

During a breath-counting task, 72 adolescents showed increased static connectivity within attention-direction and orienting networks and anticorrelations between attention networks and the default mode network compared to rest. Dynamic connectivity analysis revealed four distinct brain states, including one anticorrelated with the default mode network that was proportionally more present during the task. Brain state markers distinguished breathing tasks from rest and momentary on-task from off-task attention, but no brain states reflected between-individual behavioral variability.

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.

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.

Minding the Body: A Meta-analysis of the Effects of Mindfulness Meditation Training on Self-reported Interoception.

Research square June 4, 2025 Isaac N Treves, Ya-Yun Chen, Caitlyn L Wilson et al.

Mindfulness-based interventions produce small-to-medium improvements in self-reported interoceptive awareness, according to a meta-analysis of 29 randomized controlled trials involving 2,191 participants (77.8% female, mean age 32.8 years). The overall effect size was g = 0.31, with mindfulness-based programs showing the largest effects (g = 0.41). Improvements in interoception were similar in size to improvements in self-reported mindfulness and were linked to reductions in psychological distress. No evidence of publication bias was found, and no other moderators—such as practice dosage or clinical sample—were significant. The findings suggest that mindfulness training leads to adaptive changes in how people subjectively experience bodily signals, which may contribute to better mental wellbeing.