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Jennifer L. Stewart

2 papers in the library · 30 citations · publishing 2022-2025

Papers

Self-regulation of the posterior cingulate cortex with real-time fMRI neurofeedback augmented mindfulness training in healthy adolescents: A nonrandomized feasibility study

Cognitive Affective & Behavioral Neuroscience March 15, 2022 Namik Kirlic, Zsofia P Cohen, Aki Tsuchiyagaito et al. 29 citations

A nonrandomized, single-arm study tested whether typically developing adolescents could learn to self-regulate the posterior cingulate cortex (PCC) using real-time functional MRI neurofeedback during mindfulness training. Thirty-four adolescents (mean age 15; 14 females) completed the task across neurofeedback and non-neurofeedback runs. Neurofeedback runs showed significantly decreased PCC activity during the Focus-on-Breath condition compared with Describe (z = -2.38 to -6.27). State awareness of physical sensations increased after neurofeedback and was maintained at 1-week follow-up (Cohen's d = 0.69). The findings demonstrate feasibility and tolerability of this approach in healthy adolescents and replicate the role of the PCC in mindfulness.

Enhancing interoceptive awareness in chronic pain and opioid misuse via mindfulness-oriented recovery enhancement.

Drug and Alcohol Dependence June 2, 2025 Anna Parisi, Lisa Taylor-Swanson, Jennifer L. Stewart et al. 1 citation

People with chronic pain who misuse opioids report lower awareness of internal bodily signals compared to those who take opioids as prescribed. In a study of 372 adults on long-term opioid therapy, lower scores on attention regulation and trusting one's body were linked to higher opioid misuse, even after accounting for pain severity. Among 250 participants at elevated risk, an 8-week mindfulness-based program (MORE) produced greater increases in interoceptive awareness than supportive group therapy, and these increases explained reductions in opioid misuse over nine months. The findings suggest that boosting interoceptive awareness may help reduce opioid misuse.