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David R. Vago

Brigham and Women's Hospital, Harvard University

31 papers in the library · 8,181 citations · publishing 2011-2026

Papers

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A network for self-transcendence derived from patients with brain lesions

bioRxiv (Cold Spring Harbor Laboratory) March 27, 2026 Morgan Rose Healey, Yaser Sanchez-Gama, Mengyuan Ding et al.

Abstract Self-transcendence, the reorientation of experience away from the self toward others, nature, or broader meaning, is a fundamental dimension of human psychology, yet its causal neural architecture remains poorly understood. Here we applied lesion network mapping to 88 neurosurgical patients with pre- and post-operative assessments of trait self-transcendence to identify the distributed...

Neurofluid circulation changes during a focused attention style of mindfulness meditation.

Proceedings of the National Academy of Sciences of the United States of America December 9, 2025 Bryce A. Keating, David R. Vago, Kilian Hett et al.

Neurofluids, including cerebrospinal fluid (CSF) and interstitial fluid, circulate through regulated central nervous system pathways to clear cerebral waste and support brain health, with elevated CSF flow hyperdynamicity and regurgitation through the cerebral aqueduct associating with aging and neurodegeneration. Sleep exerts state-dependent effects on neurofluid circulation, yet similar...

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 is a family of ancient and contemporary contemplative mind-body practices that can modulate psychological processes, awareness, and mental states. Over the last 40 years, clinical science has manualized meditation practices and designed various meditation interventions that have shown therapeutic efficacy for disorders including depression, pain, addiction, and anxiety. Over the past...

Pattern Theory of Selflessness: How Meditation May Transform the Self-Pattern

Mindfulness August 1, 2024 Aviva Berkovich-Ohana, Kirk Warren Brown, Shaun Gallagher et al. 22 citations

Abstract For many centuries, scholars and philosophers from wisdom traditions in different cultures have reported and discussed non-self states of consciousness. These states can be both short-term (state, transitory) and long-term (trait, lasting) conditions. However, in psychology, the importance of a healthy self is usually emphasized, and some theorists have dismissed the idea of “selfless”...

The Self-Pattern and Buddhist Psychology

Mindfulness April 11, 2023 Shaun Gallagher, Antonino Raffone, Aviva Berkovich-Ohana et al. 49 citations

Abstract In this paper, we address core insights from Buddhist psychology about mind-body phenomena and the self, and we relate such insights to the notion of the self-pattern developed in the pattern theory of self. We emphasize the dynamic, temporal and enactive characteristics of the self-pattern, consistent with the core Buddhist notion of non-self. Although there is no one-to-one mapping...

The (In)flexible self: Psychopathology, mindfulness, and neuroscience.

International journal of clinical and health psychology : IJCHP 2023 Fabio Giommi, Prisca R. Bauer, Aviva Berkovich-Ohana et al. 70 citations

Clinical and neuroscientific evidence indicates that transdiagnostic processes contribute to the generation and maintenance of psychopathological symptoms and disorders. Rigidity (inflexibility) appears a core feature of most transdiagnostic pathological processes. Decreasing rigidity may prove important to restore and maintain mental health. One of the primary domains in which rigidity and...

Meta-analytic evidence that mindfulness training alters resting state default mode network connectivity

Scientific Reports July 18, 2022 Hadley Rahrig, David R. Vago, Matthew A. Passarelli et al. 83 citations

Abstract This meta-analysis sought to expand upon neurobiological models of mindfulness through investigation of inherent brain network connectivity outcomes, indexed via resting state functional connectivity (rsFC). We conducted a systematic review and meta-analysis of rsFC as an outcome of mindfulness training (MT) relative to control, with the hypothesis that MT would increase cross-network...

Disrupting The Resting State: Meta-Analytic Evidence That Mindfulness Training Alters Default Mode Network Connectivity

Research Square January 6, 2022 Hadley Rahrig, David R. Vago, Matthew A. Passarelli et al. 2 citations

Abstract This meta-analysis sought to expand upon neurobiological models of mindfulness through investigation of inherent brain network connectivity outcomes, indexed via resting state functional connectivity (rsFC). We conducted a systematic review and meta-analysis of rsFC as an outcome of mindfulness training (MT) relative to structurally-equivalent programs, with the hypothesis that that MT...

From Self-Esteem to Selflessness: An Evidence (Gap) Map of Self-Related Processes as Mechanisms of Mindfulness-Based Interventions

Frontiers in Psychology November 22, 2021 Willoughby B. Britton, Gaelle Desbordes, Rebecca L. Acabchuk et al. 77 citations

Self-related processes (SRPs) have been theorized as key mechanisms of mindfulness-based interventions (MBIs), but the evidence supporting these theories is currently unclear. This evidence map introduces a comprehensive framework for different types of SRPs, and how they are theorized to function as mechanisms of MBIs (target identification). The evidence map then assesses SRP target...

Changing Minds: A Pilot Feasibility Study of Mindfulness Training for At-Risk Adolescents

National Youth Advocacy and Resilience Journal September 1, 2021 Hanna Culang, Elizabeth L. Davis, Laura Egan et al. 4 citations

Youth at risk for negative health outcomes due to reduced access to social, mental health, and educational support systems are in particular need of resources promoting social-emotional resilience and positive educational outcomes. A growing body of research documents the positive benefits of mindfulness-based interventions (MBIs), but few studies have examined the impact of MBIs for at-risk...

The Effect of Mindfulness-based Programs on Cognitive Function in Adults: A Systematic Review and Meta-analysis

Neuropsychology Review August 4, 2021 Tim Whitfield, Thorsten Barnhofer, Rebecca L. Acabchuk et al. 193 citations

Mindfulness-based programs (MBPs) are increasingly utilized to improve mental health. Interest in the putative effects of MBPs on cognitive function is also growing. This is the first meta-analysis of objective cognitive outcomes across multiple domains from randomized MBP studies of adults. Seven databases were systematically searched to January 2020. Fifty-six unique studies (n = 2,931) were...

The effect of mindfulness‐based programs on cognitive performance across the lifespan: A systematic review and meta‐analysis

Alzheimer s & Dementia December 1, 2020 Tim Whitfield, Thorsten Barnhofer, Rebecca L. Acabchuk et al. 6 citations

Abstract Background The primary focus of mindfulness‐based program (MBP) research to date has been on mental health. More recently, attention has turned to putative effects on cognition. An evidence synthesis is required to answer the key question of ‘Do MBPs confer cognitive benefit, and if so, for whom?’ A particularly crucial distinction is whether benefits differ according to individuals’...

Mindfulness and Behavior Change

Harvard Review of Psychiatry November 1, 2020 Zev Schuman-Olivier, Marcelo Trombka, David Lovas et al.

Abstract Initiating and maintaining behavior change is key to the prevention and treatment of most preventable chronic medical and psychiatric illnesses. The cultivation of mindfulness, involving acceptance and nonjudgment of present-moment experience, often results in transformative health behavior change. Neural systems involved in motivation and learning have an important role to play. A...

Moving beyond mindfulness: Defining equanimity as an outcome measure in meditation and contemplative research

October 3, 2019 Gaelle Desbordes, Tim Gard, Elizabeth A Hoge et al. 6 citations

In light of a growing interest in contemplative practices such as meditation, the emerging field of contemplative science has been challenged to describe and objectively measure how these practices affect health and well-being. While “mindfulness” itself has been proposed as a measurable outcome of contemplative practices, this concept encompasses multiple components, some of which, as we...

Mapping meditative states and stages with electrophysiology: concepts, classifications, and methods.

Current Opinion in Psychology August 1, 2019 Poppy la Schoenberg, David R. Vago 59 citations

Exploration of human consciousness remains a final frontier within basic neuroscience; that is, how the finite biological structure and function of the brain give rise to the seemingly infinite expanse that encompasses the terrain of the mind. Contemporary mindfulness and other contemplative practices across historical and post-modern traditions involve systematic forms of mental training that...

Measuring cognitive outcomes in mindfulness-based intervention research: a reflection on confounding factors and methodological limitations.

Current Opinion in Psychology August 1, 2019 David R. Vago, Resh S Gupta, Sara W. Lazar

One potential pathway by which mindfulness-based meditation improves health outcomes is through changes in cognitive functioning. Here, we summarize and comment upon three systematic reviews conducted over the last seven years that have had the goal of identifying the impact of mindfulness on cognitive outcomes. In our analysis, we identified a number of methodological limitations and potential...

Future directions in meditation research: Recommendations for expanding the field of contemplative science

PLoS One November 7, 2018 Cassandra Vieten, Helané Wahbeh, B Rael Cahn et al. 124 citations

The science of meditation has grown tremendously in the last two decades. Most studies have focused on evaluating the clinical effectiveness of mindfulness-based interventions, neural and other physiological correlates of meditation, and individual cognitive and emotional aspects of meditation. Far less research has been conducted on more challenging domains to measure, such as group and...

How Does Mindfulness Affect Cognition? A Reflection on Confounding Issues Surrounding Mindfulness-based Intervention Research Targeting Cognitive Outcomes

November 2, 2018 David R. Vago, Resh S Gupta, Sara W. Lazar 3 citations

One potential pathway by which mindfulness-based meditation improves health outcomes is through changes in cognitive functioning. A systematic review of randomized controlled trials of mindfulness-based interventions (MBIs) was conducted with a focus on assessing the state of the evidence for effects on cognitive processes and associated assays. Here, we comment on confounding issues...

Mapping Meditative States and Stages with Electrophysiology: Concepts, Classifications, and Methods

October 18, 2018 Poppy L A Schoenberg, David R. Vago 5 citations

Exploration of human consciousness remains a final frontier within basic neuroscience; that is, how the finite biological structure and function of the brain gives rise to the seemingly infinite expanse that encompasses the terrain of the mind. Contemporary mindfulness and other contemplative practices across historical and post-modern traditions involve systematic forms of mental training that...

Reiterated Concerns and Further Challenges for Mindfulness and Meditation Research: A Reply to Davidson and Dahl.

Perspectives on psychological science : a journal of the Association for Psychological Science 2018 Nicholas T. van Dam, Marieke K. van Vugt, David R. Vago et al.

In response to our article, Davidson and Dahl offer commentary and advice regarding additional topics crucial to a comprehensive prescriptive agenda for future research on mindfulness and meditation. Their commentary raises further challenges and provides an important complement to our article. More consideration of these issues is especially welcome because limited space precluded us from...

Mind the Hype: A Critical Evaluation and Prescriptive Agenda for Research on Mindfulness and Meditation

Perspectives on Psychological Science October 10, 2017 Nicholas T. van Dam, Marieke K. van Vugt, David R. Vago et al. 1,500 citations

During the past two decades, mindfulness meditation has gone from being a fringe topic of scientific investigation to being an occasional replacement for psychotherapy, tool of corporate well-being, widely implemented educational practice, and "key to building more resilient soldiers." Yet the mindfulness movement and empirical evidence supporting it have not gone without criticism....

The Varieties of Self-Transcendent Experience

Review of General Psychology May 1, 2017 David Bryce Yaden, Jonathan Haidt, Ralph W. Hood et al. 682 citations

Various forms of self-loss have been described as aspects of mental illness (e.g., depersonalization disorder), but might self-loss also be related to mental health? In this integrative review and proposed organizational framework, we focus on self-transcendent experiences (STEs)—transient mental states marked by decreased self-salience and increased feelings of connectedness. We first identify...

Mindfulness meditation–based pain relief: a mechanistic account

Annals of the New York Academy of Sciences June 1, 2016 Fadel Zeidan, David R. Vago 304 citations

Pain is a multidimensional experience that involves interacting sensory, cognitive, and affective factors, rendering the treatment of chronic pain challenging and financially burdensome. Further, the widespread use of opioids to treat chronic pain has led to an opioid epidemic characterized by exponential growth in opioid misuse and addiction. The staggering statistics related to opioid use...

The brain on silent: mind wandering, mindful awareness, and states of mental tranquility

Annals of the New York Academy of Sciences June 1, 2016 David R. Vago, Fadel Zeidan 165 citations

Mind wandering and mindfulness are often described as divergent mental states with opposing effects on cognitive performance and mental health. Spontaneous mind wandering is typically associated with self-reflective states that contribute to negative processing of the past, worrying/fantasizing about the future, and disruption of primary task performance. On the other hand, mindful awareness is...

Experiential self-referential and selfless processing in mindfulness and mental health: Conceptual model and implicit measurement methodology.

Psychological Assessment April 14, 2016 Yuval Hadash, Reut Plonsker, David R. Vago et al. 69 citations

We propose that Experiential Self-Referential Processing (ESRP)-the cognitive association of present moment subjective experience (e.g., sensations, emotions, thoughts) with the self-underlies various forms of maladaptation. We theorize that mindfulness contributes to mental health by engendering Experiential Selfless Processing (ESLP)-processing present moment subjective experience without...