Common and Dissociable Neural Activity After Mindfulness-Based Stress Reduction and Relaxation Response Programs
Psychosomatic Medicine April 11, 2018 Gunes Sevinc, Britta K. Hölzel, Javeria A. Hashmi et al. 65 citations
Two meditation-based stress reduction programs—Relaxation Response (RR) and Mindfulness-Based Stress Reduction (MBSR)—both reduced stress, with MBSR showing a larger effect (Cohen's d = 1.02) than RR (Cohen's d = 0.50). Both programs activated shared neural pathways between ventromedial prefrontal regions and supplementary motor areas. However, the RR bodyscan meditation, which emphasizes physical relaxation, showed stronger connectivity between the right inferior frontal gyrus (involved in inhibition and control) and supplementary motor areas. The MBSR program, which emphasizes mindful awareness without explicit relaxation, uniquely improved self-compassion and rumination and showed connectivity between the right anterior insula (sensory awareness and salience) and pregenual anterior cingulate during meditation. These distinct neural patterns align with each program's theoretical focus.