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Sahib S. Khalsa

8 papers in the library · 329 citations · publishing 2008-2026

Papers

Interoceptive awareness in experienced meditators

Psychophysiology May 22, 2008 Sahib S. Khalsa, David Rudrauf, Antonio Damasio et al. 276 citations

Meditation traditions claim that paying attention to internal body sensations increases awareness of them, but scientific evidence is lacking. Experienced meditators (Tibetan Buddhist and Kundalini) were compared to nonmeditators matched for age and body mass index on a heartbeat detection task, a standard measure of interoceptive awareness. Contrary to predictions, meditators showed no superior performance across several sessions and respiratory conditions. However, meditators consistently rated their interoceptive performance as better and the task as easier. These results suggest that practicing attention to internal body sensations, a core feature of meditation, does not enhance the ability to sense the heartbeat at rest.

Taking the body off the mind: Decreased functional connectivity between somatomotor and default‐mode networks following Floatation‐REST

Human Brain Mapping April 9, 2021 Obada Al Zoubi, Masaya Misaki, Jerzy Bodurka et al. 39 citations

A single 90-minute session of Floatation-REST, which minimizes sensory input, reduces resting-state functional connectivity within and between posterior hubs of the default-mode network and somatomotor cortices extending into the posterior insula. A control condition of resting in a zero-gravity chair produced a similar pattern of reduced connectivity. The findings suggest that reducing nervous system stimulation is reflected by decreased connectivity in brain networks that construct and map the sense of self.

ENIGMA-Meditation: Worldwide Consortium for Neuroscientific Investigations of Meditation Practices.

Biological psychiatry. Cognitive neuroscience and neuroimaging April 1, 2025 Saampras Ganesan, Fernando A Barrios, Ishaan Batta et al. 6 citations

Meditation practices, which have shown therapeutic benefits for conditions like depression, pain, addiction, and anxiety, have been studied with neuroimaging over the past decade. However, existing neuroscientific models are based on small, heterogeneous datasets, limiting generalizability and replicability. The ENIGMA-Meditation consortium is the first worldwide collaborative effort to conduct systematic meta- and mega-analyses of globally distributed neuroimaging data using standardized methods. This framework aims to improve statistical power and address multidomain heterogeneity in meditation practice types, experience, and experimental design. The consortium will generate rigorous neuroscientific insights into the mechanisms underlying meditation's therapeutic effects on psychological and cognitive attributes.

A meta-analysis of the effects of mindfulness meditation training on self-reported interoception

Scientific Reports November 6, 2025 Isaac N Treves, Ya-Yun Chen, Caitlyn L Wilson et al. 5 citations

A meta-analysis of 29 randomized controlled trials with 2,191 participants found that mindfulness-based interventions produce a small-to-medium improvement in self-reported interoceptive awareness (g = 0.31). Mindfulness-based programs showed the largest effects (g = 0.41). Improvements in interoception were similar in size to improvements in self-reported mindfulness and were linked to reductions in psychological distress. No evidence of publication bias was detected, and no other factors such as practice dosage or clinical sample significantly moderated the results. These findings suggest mindfulness interventions can positively alter how people subjectively experience bodily sensations, which may contribute to better mental health.

ENIGMA-Meditation: Worldwide consortium for neuroscientific investigations of meditation practices

April 8, 2024 Saampras Ganesan, Aki Tsuchiyagaito, Greg J Siegle et al. 2 citations preprint

Meditation practices, which have been adapted into manualized interventions for conditions like depression, pain, addiction, and anxiety, show therapeutic promise, but their neuroscientific basis remains unclear. Current neuroimaging studies rely on small, heterogeneous datasets that vary in practice types, participant experience, clinical targets, and imaging methods, limiting generalizability and replicability. To address this, the ENIGMA-Meditation consortium was formed as a global collaboration to conduct systematic meta- and mega-analyses of distributed neuroimaging data using standardized methods. This framework aims to improve statistical power and rigorously characterize the neural mechanisms underlying meditation's effects on psychological and cognitive attributes, advancing the field of contemplative neuroscience.

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.

Aquahenosis: A non-pharmacological altered state of consciousness induced by Floatation-REST in individuals with anxiety and depression

June 10, 2026 Theo Tobel, Aidan Cone, Emily Choquette et al. preprint

Floatation-REST, a therapy involving floating in a tank with reduced sensory input, induces altered states of consciousness in people with anxiety and depression. In a randomized trial, 75 adults who floated reported increased awareness of their heartbeat and breathing, along with feelings of oceanic boundlessness, disembodiment, and unity—a pattern called 'aquahenosis.' These effects were strongest in those who chose longer, flexible sessions. The experiential profile overlapped with those reported for psychedelics like psilocybin and ketamine, particularly in boundary dissolution. The findings suggest Floatation-REST is a non-pharmacological method for inducing specific altered states, with oceanic boundlessness mediating improvements in positive affect.

Minding the Body: A Meta-analysis of the Effects of Mindfulness Meditation Training on Self-reported Interoception.

Research Square June 4, 2025 Isaac N Treves, Ya-Yun Chen, Caitlyn L Wilson et al.

Mindfulness-based interventions produce small-to-medium improvements in self-reported interoceptive awareness, according to a meta-analysis of 29 randomized controlled trials involving 2,191 participants (77.8% female, mean age 32.8 years). The overall effect size was g = 0.31, with mindfulness-based programs showing the largest effects (g = 0.41). Improvements in interoception were similar in size to improvements in self-reported mindfulness and were linked to reductions in psychological distress. No evidence of publication bias was found, and no other moderators—such as practice dosage or clinical sample—were significant. The findings suggest that mindfulness training leads to adaptive changes in how people subjectively experience bodily signals, which may contribute to better mental wellbeing.