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

Isaac N Treves, Ya-Yun Chen, Caitlyn L Wilson, Charles Verdonk, Joanne Qina Au, James E. Pustejovsky, Simon B. Goldberg, Wolf Mehling, Zev Schuman-Olivier, Sahib S. Khalsa

Research Square June 4, 2025 preprint DOI: 10.21203/rs.3.rs-6792067/v1 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Meta-analysis Randomized Preregistered
Sample size 2,191
Population Adults (77.8% female, mean age 32.8 years) from randomized controlled trials
Interventions Mindfulness-based programs body-based approaches
Topics Meditation
Keywords Body awareness Mental health Interoception
Key findings Mindfulness-based interventions had a small-to-medium positive effect on self-reported interoception (g = 0.31), with mindfulness-based programs showing the largest effects (g = 0.41), and improvements were related to reductions in psychological distress.

Abstract

Mindfulness meditation training may cultivate interoceptive awareness and provide therapeutic benefit when implemented within mental and physical health interventions. This pre-registered meta-analysis evaluated the impact of mindfulness interventions on self-reported interoception measures and associated relationships with psychological outcomes. Twenty-nine randomized controlled trials with 2,191 participants (77.8% female, mean age 32.8 years) were meta-analyzed using correlated and hierarchical effects models. Interventions included mindfulness-based programs ( k = 15), body-based approaches (incorporating elements like massage, k = 8), and other variations ( k = 6). Five SIMs were tested; the Multidimensional Assessment of Interoceptive Awareness was the most common (22 studies). Results showed a small-to-medium positive effect on interoception measures across all studies ( g = 0.31, p < 0.001, 95% CI [0.21, 0.42]) with low-to-moderate heterogeneity ( τ = 0.16). Mindfulness-based programs demonstrated the largest effects ( g = 0.41). No evidence of publication bias was found. No other moderators, such as practice dosage or clinical sample, were significant. Improvements in self-reported interoception were similar in size to improvements in self-reported mindfulness and were related to improvements in psychological distress. These meta-analytic findings provide evidence that mindfulness-based interventions lead to adaptive changes in the subjective experience of interoception, perhaps contributing to improved mental wellbeing.

Comparable studies

Other systematic reviews and meta-analyses on meditation, most cited first.

Study Year Design Participants
Meditation Programs for Psychological Stress and Well-being Diverse adult clinical populations 2014 Meta-analysis n = 3,515
Mindfulness-Based Stress Reduction for Stress Management in Healthy People: A Review and Meta-Analysis Healthy subjects 2009 Systematic review and meta-analysis
The psychological effects of meditation: A meta-analysis. Nonclinical groups of adult meditators 2012 Meta-analysis n = 163
Efficacy of Mindfulness-Based Cognitive Therapy in Prevention of Depressive Relapse Adults with recurrent depression in full or partial remission 2016 Meta-analysis of individual patient data from randomized controlled trials n = 1,258
Mindfulness‐Based Stress Reduction and Mindfulness‐Based Cognitive Therapy – a systematic review of randomized controlled trials 2011 Systematic review

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