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Common and Dissociable Neural Activity After Mindfulness-Based Stress Reduction and Relaxation Response Programs.

Psychosomatic medicine
June 1, 2018
Gunes Sevinc et al. (10 authors)
Journal ArticleRandomized Controlled TrialResearch Support, N.I.H., ExtramuralHuman StudyClinical
Study Details

Study Goal

The researchers aimed to compare the neural and psychological effects of two meditation-based stress reduction programs (Relaxation Response and Mindfulness-Based Stress Reduction) to identify common and distinct patterns.

Results Summary

Both programs reduced stress, with MBSR showing greater effect size. RR was linked to stronger connectivity in intentional inhibition regions, while MBSR uniquely improved self-compassion and rumination and showed connectivity in sensory awareness regions.

Population

Adults (56% female) randomized to RR (n=18) or MBSR (n=16).

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (7)
InterventionDirectionEndpointPopulationDosageImpactClaim #
Relaxation Response (RR) program
decrease
stress
Participants
from 14.1 ± 6.6 to 11.3 ± 5.5 [Cohen's d = 0.50]
associated with reduced
#1
Mindfulness-Based Stress Reduction (MBSR) program
decrease
stress
Participants
from 17.7 ± 5.7 to 11.9 ± 5.0 [Cohen's d = 1.02]
associated with reduced
#2
Both programs (RR and MBSR)
neutral
functional coupling between ventromedial prefrontal regions and supplementary motor areas
-
p < .001
revealed
#3
RR bodyscan
increase
right inferior frontal gyrus with supplementary motor areas
-
p < .001, family-wise error [FWE] rate corrected
associated with stronger functional connectivity
#4
MBSR program
increase
self-compassion
-
-
uniquely associated with improvements
#5
MBSR program
decrease
rumination
-
-
uniquely associated with improvements
#6
MBSR bodyscan
neutral
right anterior insula with pregenual anterior cingulate during bodyscan meditation compared with rest
-
p = .03, FWE corrected
revealed significant functional connectivity
#7
Abstract

OBJECTIVE: We investigated common and dissociable neural and psychological correlates of two widely used meditation-based stress reduction programs. METHODS: Participants were randomized to the Relaxation Response (RR; n = 18; 56% female) or the Mindfulness-Based Stress Reduction (MBSR; n = 16; 56% female) programs. Both programs use a "bodyscan" meditation; however, the RR program explicitly emphasizes physical relaxation during this practice, whereas the MBSR program emphasizes mindful awareness with no explicit relaxation instructions. After the programs, neural activity during the respective meditation was investigated using functional magnetic resonance imaging. RESULTS: Both programs were associated with reduced stress (for RR, from 14.1 ± 6.6 to 11.3 ± 5.5 [Cohen's d = 0.50; for MBSR, from 17.7 ± 5.7 to 11.9 ± 5.0 [Cohen's d = 1.02]). Conjunction analyses revealed functional coupling between ventromedial prefrontal regions and supplementary motor areas (p < .001). The disjunction analysis indicated that the RR bodyscan was associated with stronger functional connectivity of the right inferior frontal gyrus-an important hub of intentional inhibition and control-with supplementary motor areas (p < .001, family-wise error [FWE] rate corrected). The MBSR program was uniquely associated with improvements in self-compassion and rumination, and the within-group analysis of MBSR bodyscan revealed significant functional connectivity of the right anterior insula-an important hub of sensory awareness and salience-with pregenual anterior cingulate during bodyscan meditation compared with rest (p = .03, FWE corrected). CONCLUSIONS: The bodyscan exercises in each program were associated with both overlapping and differential functional coupling patterns, which were consistent with each program's theoretical foundation. These results may have implications for the differential effects of these programs for the treatment of diverse conditions.

Medical Subject Headings (MeSH)
AdultCerebral CortexConnectomeFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedMindfulnessOutcome Assessment, Health CareRelaxation TherapyStress, Psychological
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality80/10
Citation Metrics
Total Citations36
Citations/Year5.1
Relative Citation Ratio2.32
NIH Percentile78.8%
Research Impact Scores
APT Score0.75
Weight Score2.22
Normalized Score0.70
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