Greater trait mindfulness, measured by self-report scales, is consistently linked with reduced amygdala reactivity to emotional stimuli, increased cortical thickness in frontal and insular regions, and decreased connectivity within the default-mode network, converging with findings from intervention studies and mindfulness experts. However, associations with EEG metrics and between-network resting-state fMRI remain inconclusive. The authors recommend larger samples, multivariate approaches, and careful reliability testing, urging a move away from simplistic explanations of mindfulness and brain function.
Auditory hallucinations affect 60-80% of schizophrenia patients and often resist antipsychotic treatment. This randomized, sham-controlled trial tested whether real-time fMRI neurofeedback targeting the superior temporal gyrus, combined with mindfulness meditation, produces specific neural changes beyond placebo. Twenty-three adults with medication-resistant hallucinations practiced mindfulness meditation while receiving neurofeedback from either the superior temporal gyrus or motor cortex. Both groups reported reduced hallucinations after neurofeedback, with no group differences in symptom reduction. However, real neurofeedback produced greater reductions in secondary auditory cortex activation and connectivity between auditory cortex and cognitive control regions (dorsolateral prefrontal cortex and anterior cingulate), which persisted in a crossover condition. Mindfulness meditation independently reduced primary auditory cortex activation. Region-specific neurofeedback targeting modulates auditory-cognitive control networks, potentially restoring the balance between bottom-up sensory processing and top-down control.