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PNAS-2011-Brewer-20254-9

PNAS-2011-Brewer-20254-9

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Meditation experience is associated with differences indefault mode network activity and connectivity
Judson A. Brewer
a,1
, Patrick D. Worhunsky
a
, Jeremy R. Gray
b
, Yi-Yuan Tang
c
, Jochen Weber
d
, and Hedy Kober
a
a
Department of Psychiatry, Yale University School of Medicine, New Haven, CT 06511;
b
Department of Psychology, Yale University, New Haven, CT 06510;
c
Department of Psychology, University of Oregon, Eugene, OR 97403; and
d
Department of Psychology, Columbia University, New York, NY 10027Edited by Marcus E. Raichle, Washington University in St. Louis, St. Louis, MO, and approved October 4, 2011 (received for review July 22, 2011)
Many philosophical and contemplative traditions teach that
livinginthemoment
increaseshappiness.However,thedefaultmodeofhumans appears to be that of mind-wandering, which correlateswith unhappiness, and with activation in a network of brain areasassociated with self-referential processing. We investigated brainactivity in experienced meditators and matched meditation-naivecontrols as they performed several different meditations (Concen-tration,Loving-Kindness,ChoicelessAwareness).Wefoundthatthemainnodesofthedefault-modenetwork(medialprefrontalandpos-terior cingulate cortices) were relatively deactivated in experiencedmeditators across all meditation types. Furthermore, functional con-nectivity analysisrevealedstrongercouplinginexperiencedmedita-tors between the posterior cingulate, dorsal anterior cingulate, anddorsolateralprefrontalcortices(regionspreviouslyimplicatedinself-monitoringandcognitivecontrol),bothatbaselineandduringmed-itation. Our
ndings demonstrate differences in the default-modenetwork that are consistent with decreased mind-wandering. Assuch,theseprovideauniqueunderstandingofpossibleneuralmech-anisms of meditation.
mindfulness
|
task-positive network
|
attention
M
ind-wandering is not only a common activity present inroughly 50% of our awake life, but is also associated withlower levels of happiness (1). Moreover, mind-wandering isknown to correlate with neural activity in a network of brainareas that support self-referential processing, known as the de-fault-mode network (DMN) (2
7). This network has been asso-ciated with processes ranging from attentional lapses to anxiety to clinical disorders, such as attention-de
cit hyperactivity dis-order (ADHD) and Alzheimer
s Disease (6, 8, 9). Given theinterrelationship between the DMN, mind-wandering, and un-happiness, a question arises: Is it possible to change this defaultmode into one that is more present-centered, and possibly happier?One potential way to reduce DMN activity is through thepractice of mindfulness meditation. Mindfulness, a core elementof diverse forms of meditation, is thought to include two com-plementary components: (
i
) maintaining attention on the imme-diate experience, and (
ii
) maintaining an attitude of acceptancetoward this experience (10). Speci
c types of mindfulness medi-tation have been taught in a standardized fashion for decades as amainstay of mindfulness training in community and clinical set-tings [e.g., through traditional teacher- or retreat-led mindfulnessmeditation practice, mindfulness-based stress reduction (MBSR),mindfulness-based cognitive therapy, and mindfulness-based re-lapse prevention] (11
15). In the present investigation, we usedthree standard and commonly used meditation practices: Con-centration, Loving-Kindness, and Choiceless Awareness. Throughfocused attention on a single object of awareness (typically thebreath), Concentration meditation is intended to help individualsretrain their minds from habitually engaging in self-related pre-occupations (such as thinking about the past or future, or reactingto stressful stimuli) to more present moment awareness (11).Loving-Kindness meditation is hypothesized to foster acceptance,both of oneself and others, as well as to increase concentration.This type of meditation is practiced through directed well-wish-ing, typically by repetition of phrases such as
may (I/someoneelse) be happy 
(11). Choiceless Awareness is hypothesized tobroaden the scope of mindfulness to all aspects of experience, whether during formal meditation practice or everyday life, viadirectly attending to whatever arises in one
s conscious
eld of awareness at any moment (11, 16). During such training, medi-tators learn to clearly identify when self-related thoughts, emo-tions, and body sensations are occurring, and to differentiateidenti
cation of these from identifying with them (e.g., awarenessthat anger is present vs.
I am angry 
). That is, meditators practicenoticing when they are identifying with an object, and when thisoccurs, to
let go
and bring their attention back to the presentmoment. Across these practices, one common aim is to reversethe habit of mind-wandering, which has been de
ned as
thinkingabout something other than what [one is] currently doing
(1). Inother words, the meditator
s task is to remain aware from momentto moment, and self-identi
cation is included in the off-task cat-egory of mind-wandering. Importantly, this information-process-ing task, common to all three of these meditation techniques, isa training of attention away from self-reference and mind-wan-dering, and potentially away from default-mode processing.Clinically, mindfulness training has shown bene
t for thetreatment of pain (13), substance-use disorders (15, 17), anxiety disorders (18), and depression (14), and also helps to increasepsychological well-being in nonclinical populations (19). Theseoutcomes have been associated with changes in basic psycho-logical processes, such as improved attentional focus (20, 21),improved cognitive
exibility (22), reduced affective reactivity (23, 24), and modi
cation or shifts away from a distorted orexaggerated view of oneself (18, 25). However, direct links be-tween the meditative practices that are part of mindfulnesstraining and changes in neurobiology remain elusive. Investi-gation of the brain activation patterns during speci
c meditationpractices may help to identify potential neural mechanisms of mindfulness training.Previous studies have examined individuals using meditationtechniques from different traditions (e.g., Tibetan Buddhism,Zen Buddhism, Vipassana, MBSR, and so forth), and employeda wide variety of experimental methods, ranging from perfor-mance of different types of meditation, to introduction of emo-tionally charged sounds during meditation, to assessment of functional connectivity (16, 26
30). However, given the meth-odological differences and, in some cases, dif 
culty in
ndingappropriately matched controls, no consensus has emerged as to what the neural correlates of meditation are or how they may underlie the behavioral changes that have been observed aftermindfulness training.We hypothesized that the DMN would be an important locusof change following meditation training, based on recentlreported links between mind-wandering and increased activation
Author contributions: J.A.B., P.D.W., J.R.G., and H.K. designed research; J.A.B. performedresearch; P.D.W. and H.K. contributed new reagents/analytic tools; J.A.B., P.D.W., J.R.G.,Y.-Y.T., J.W., and H.K. analyzed data; and J.A.B., P.D.W., J.R.G., Y.-Y.T., J.W., and H.K.wrote the paper.The authors declare no con
ict of interest.This article is a PNAS Direct Submission.
1
To whom correspondence should be addressed. E-mail:judson.brewer@yale.edu.This article contains supporting information online atwww.pnas.org/lookup/suppl/doi:10.1073/pnas.1112029108/-/DCSupplemental.
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in regions of the DMN (2, 8), and the observation that the task of mindfulness meditation is to maintain attention on an object of awareness and to redirect one
s attention to this object when ithas strayed (requiring both attention and cognitive control).Speci
cally, we predicted that brain activation during mindful-ness meditation in experienced meditators compared with theirmatched controls would involve: (
i
) relatively reduced re-cruitment of the DMN, and (
ii
) relatively increased connectivity between DMN and brain structures that are implicated inmonitoring for con
ict, as well as cognitive control, such as thedorsal anterior cingulate (dACC) and dorsolateral prefrontalcortices (dlPFC), respectively (31, 32). To test these predictions, we used functional MRI to assess brain activation during botha resting state and a meditation period in experienced mindful-ness meditation practitioners and controls. To determine com-mon neural activation patterns across meditations, we scannedparticipants during periods of Concentration, Loving-Kindness,and Choiceless Awareness meditation.
Results
Self-Report.
As expected, experienced meditators reported lessmind-wandering during meditation relative to controls [
 F 
(1,22)
=7.93,
= 0.010]. This
nding was apparent for Concentration(controls = 4.9
±
2.9, meditators = 3.2
±
1.3), Loving-Kindness(controls = 5.0
±
2.8, meditators = 3.2
±
1.3), and Choiceless Awareness meditation (controls = 6.0
±
3.1, meditators = 3.4
±
1.5). Across groups, there was also an effect of time [
 F 
(1,22)
=5.01,
 P 
= 0.036], such that reported mind-wandering was greaterduring the second run of each meditation condition (Time 1 =4.08
±
1.9, Time 2 = 4.48
±
2.16). Both meditators and controlsreported being able to follow the instructions to a high degree forthe Concentration (controls = 7.5
±
2.3, meditators = 8.1
±
1.2),Loving-Kindness (controls = 7.5
±
2.6, meditators = 7.8
±
1.5),and Choiceless Awareness meditation conditions (controls =8.5
±
2.0, meditators = 7.9
±
1.3).
General Linear Modeling Results.
To test the hypothesis that medi-tators would show differential changes in brain activation duringmeditation relative to controls, we
rst performed a between-groups whole-brain contrast analysis collapsing across the threemeditation conditions. We found relatively less activation inmeditators compared with controls in the posterior cingulatecortex/precuneus (PCC), a primary node of the DMN (7), as wellas the superior, middle, and medial temporal gyri and uncus (Fig.1,Fig.S1,andTableS1).We found asimilar pattern inthe medial prefrontal cortex (mPFC), another primary node of the DMN,although it did not survive whole-brain correction for signi
cance(cluster size
 k
= 33, threshold
 k
= 43) (Fig. 1 andTable S1).We next examined between-group differences in each medita-tion condition. During the Concentration meditation condition,there was relatively less activation in meditators in the PCC andleftangulargyrus(Fig.1
 D
,andTableS1)comparedwithcontrols.DuringLoving-Kindnessmeditation,therewasrelatively less activation in meditators compared with controls in the PCC,inferiorparietallobule,andinferiortemporalgyrusextendingintothe hippocampal formations, amygdala, and uncus (Fig. 1
 D
C
, andTable S1). During Choiceless Awareness, there wasrelatively less activation observed in meditators compared withcontrols in the superior and medial temporal gyrus (Fig. S1
andTable S1).
Functional Connectivity Results.
To test the hypothesis that medi-tators coactivate different brain regions compared with controls when nodes of the DMN become activated, we next performedfunctional connectivity analyses during both baseline and medi-tation periods, using a priori-de
ned DMN seed regions fromthe mPFC and PCC [Montreal Neurological Institute (MNI)coordinates
6, 52,
2 and
8,
56, 26, respectively] (7).Using the PCC as the seed region, across all meditation con-ditions we found signi
cant differences in connectivity patterns with several regions, notably the dACC, (Fig. 2
E
and
, andTable S2). This pattern of differential between-groupconnectivity was also found during the resting-state baselineperiod, suggesting a stable pattern of connectivity regardless of task (resting-state baseline vs. meditation) (Fig. 3,Fig. S1
, andTable S2). We found a similar connectivity pattern between thePCC and dlPFC at baseline (Fig. 2
 I 
 –
 L
) that was not signi
cantly different between groups during meditation because of a rela-tively lower strength of anticorrelations in controls (Fig. 2
 –
 P 
).Using the mPFC as the seed region, we found increasedconnectivity with the fusiform gyrus, inferior temporal and par-ahippocampal gyri, and left posterior insula (among other re-gions) in meditators relative to controls during meditation (Fig.3,Fig. S1
, andTable S3). A subset of those regions showed thesame relatively increased connectivity in meditators during thebaseline period as well (Fig. S1
G
andTable S3).
Discussion
 As predicted, across all mindfulness meditation conditions, thetwo primary nodes of the DMN (the PCC and mPFC) were lessactive in meditators than controls. We also observed meditation-speci
c regional differences in activation patterns, such as de-activation in the amygdala during Loving-Kindness. Finally,using DMN seed regions, we observed distinct functional con-nectivity patterns in meditators that differed from controls, and which were consistent across resting-state baseline and medita-tion conditions. These results suggest that the neural mecha-nisms underlying mindfulness training are associated with dif-ferential activation and connectivity of the DMN. As meditatorsalso reported signi
cantly less mind-wandering, which has beenpreviously associated with activity in the DMN, these resultssupport the hypothesis that alterations in the DMN are relatedto reduction in mind-wandering. Finally, the consistency of connectivity across both meditation and baseline periods sug-gests that meditation practice may transform the resting-stateexperience into one that resembles a meditative state, and assuch, is a more present-centered default mode.
Fig. 1.
Experienced meditators demonstrate decreased DMN activationduring meditation. Brain activation in meditators
>
controls is shown, col-lapsed across all meditations (relative to baseline). (
 A
and
B
) Activations inthe left mPFC and PCC. (
and
D
) Average percent signal change (
±
SD)during individual meditation conditions in the mPFC and PCC, respectively:Choiceless Awareness (green bars), Loving-Kindness (red), and Concentration(blue) meditations. Note that decreased activation in PCC in meditators iscommon across different meditation types.
n
= 12 per group.
Brewer et al. PNAS
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December 13, 2011
|
vol. 108
|
no. 50
|
20255
      P      S      Y      C      H      O      L      O      G      I      C      A      L      A      N      D      C      O      G      N      I      T      I      V      E      S      C      I      E      N      C      E      S
 
We deliberately restricted our meditation sample to very ex-perienced meditators from a single practice tradition (mindful-ness/insight meditation). This approach was intended to reduceheterogeneity in meditation practices. Additional strengths of thestudy include the use of three standardized meditation techniquesthat are taught within this tradition, and the utilization of controlsubjects that were case-matched for a number of demographicparameters. This kind of matching increases the likelihood of  yielding results that are both valid and generalizable to individ-uals in the Western hemisphere. Furthermore, because experi-enced meditators train to be mindfully aware all of the time, andthus may be activating similar brain regions during both resting-state and meditation, general linear modeling (GLM) analysesmaybelimitedbecauseoftheirdependenceuponarelativechangefrom baseline. Therefore, we employed functional connectivity as a complementary analytic technique within a single dataset. Thisconvergent analysis directly addresses the limitations of baselineconditions in previous studies.This study has several limitations. Most importantly, thesample size is moderately small, which typically limits the ability to detect small differences between conditions but increases thechances of false or in
ated positive
ndings. Notwithstanding, we found whole-brain corrected, between-group differences, al-though these warrant replication before de
nitive conclusionsmay be drawn. Additionally, the use of meditation periods that were several minutes in length provides ecological validity to themeditation tasks as it approximates meditators
usual practicemore than shorter blocks and allows them to
sink into
deeperstates of meditation, and at the same time optimizes functionalconnectivity analysis. However, this process de-optimizes GLManalysis. Finally, postrun recall of behavioral performance islimited by reporting bias. In addition, meditators may have dif-ferential awareness of the degree to which their minds wandered.Further studies are required to better correlate temporal pat-terns of neural activation with
rst-person reports.From a theoretical perspective, the view of meditation asconsisting of training away from mind-wandering and self-iden-ti
cation gave rise to several predictions that were con
rmed by our data. First, given the primacy of the DMN in self-referentialprocessing (33) and mind-wandering (2, 8), our primary pre-
Fig. 2.
Experienced meditators demonstrate coactivation of PCC, dACC, and dlPFC at baseline and during meditation. Functional connectivity with the PCCseed region collapsed across all meditation conditions, is shown in (
 A
and
) controls at baseline; (
B
and
) meditators at baseline; (
and
) meditators
>
controls at baseline; (
and
) controls during meditation; (
and
) meditators during meditation; (
G
and
O
) meditators
>
controls during meditation.Connectivity
-scores (
±
SD) are shown (
D
) for dACC cluster from
; (
) for dACC cluster from
G
; (
L
) for left dlPFC cluster from
; and (
) for right dlPFC clusterfrom
. Baseline (white bars), Choiceless Awareness (green bars), Loving-Kindness (red bars), and Concentration (blue bars) meditation conditions are shownseparately for meditators (
Left 
) and controls (
Right 
).
n
= 12/group. FWE-corrected,
<
0.05.
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