Mindfulness meditation training alters cortical representations of interoceptive attention

Graduates of an 8-week Mindfulness-Based Stress Reduction course, compared to a waitlisted control group, showed changes in brain activity during a task requiring attention to breathing sensations. Functional MRI revealed that mindfulness training predicted greater activity in the anterior insula, a brain region that integrates internal body sensations with external context. The training also predicted reduced activity in the dorsomedial prefrontal cortex and altered connectivity between that region and the posterior insula, the primary interoceptive cortex. Greater meditation practice was linked to more posterior insula activity and less reliance on visual brain regions during the task. These results suggest that mindfulness training produces plasticity in brain networks involved in sensing the body's internal state, similar to training-related changes seen in the external senses.

Study at a glance

Abstract

One component of mindfulness training (MT) is the development of interoceptive attention (IA) to visceral bodily sensations, facilitated through daily practices such as breath monitoring. Using functional magnetic resonance imaging (fMRI), we examined experience-dependent functional plasticity in accessing interoceptive representations by comparing graduates of a Mindfulness-Based Stress Reduction course to a waitlisted control group. IA to respiratory sensations was contrasted against two visual tasks, controlling for attentional requirements non-specific to IA such as maintaining sensation and suppressing distraction. In anatomically partitioned analyses of insula activity, MT predicted greater IA-related activity in anterior dysgranular insula regions, consistent with greater integration of interoceptive sensation with external context. MT also predicted decreased recruitment of the dorsomedial prefrontal cortex (DMPFC) during IA, and altered functional connectivity between the DMPFC and the posterior insula, putative primary interoceptive cortex. Furthermore, meditation practice compliance predicted greater posterior insula and reduced visual pathway recruitment during IA. These findings suggest that interoceptive training modulates task-specific cortical recruitment, analogous to training-related plasticity observed in the external senses. Further, DMPFC modulation of IA networks may be an important mechanism by which MT alters information processing in the brain, increasing the contribution of interoception to perceptual experience.