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Neuroplasticity of pain processing mechanisms with long-term meditation: Insights from pain-related EEG oscillations

Juliana Yordanova

preprint DOI: 10.21203/rs.3.rs-5735623/v1 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Observational cohort
Population Highly experienced meditators and novice meditators
Topics Meditation Neuroplasticity
Key findings Experienced meditators exhibit proactive top-down inhibition of somatosensory areas, suppressing early pain processing even outside of meditation.

Abstract

Abstract The experience of pain is a combined product of bottom-up and top-down influences mediated by attentional and emotional factors. Meditation states and traits are characterized by enhanced attention/emotion regulation and expanded self-awareness that can be expected to modify pain processing. The main objective of the present study was to explore the effects of long-term meditation on neural mechanisms of pain processing. EEG pain-related oscillations (PROs) were analyzed in highly experienced practitioners and novices during a non-meditative resting state with respect to (a) local frequency-specific and temporal synchronizing characteristics to reflect mainly bottom-up mechanisms, (b) spatial synchronizing patterns to reflect the neural communication of noxious information, (c) pre-stimulus oscillations to reflect top-down mechanisms during pain expectancy, and (d) the P3b component of the pain-related potential to compare the emotional/cognitive reappraisal of pain events by expert and novice meditators. Main results demonstrated that in experienced (long-term) meditators as compared to non-experienced (short-term) meditators (1) the temporal and spatial synchronizations of multispectral (from theta-alpha to gamma) PROs were substantially suppressed at primary and secondary somatosensory regions contra-lateral to pain stimulation within 200 ms after noxious stimulus; (2) pre-stimulus alpha activity was significantly increased at the same regions, which predicted the suppressed synchronization of PROs in long-term meditators; (3) the decrease of the P3b component was non-significant. These novel observations provide evidence that even when subjected to pain outside of meditation, experienced meditators exhibit a pro-active top-down inhibition of somatosensory areas resulting in suppressed processing and communication of sensory information at early stages of painful input. The emotional/cognitive appraisal of pain is reduced but remains preserved revealing a capacity of experienced meditators to dissociate pro-active and reactive top-down processes during pain control.

Comparable studies

Other observational and cohort studies on neuroplasticity, most cited first.

Study Year Design Participants
Meditation experience is associated with increased cortical thickness Participants with extensive Insight meditation experience and matched controls 2005 Observational cohort n = 20
Neural correlates of attentional expertise in long-term meditation practitioners Age-matched participants including expert meditators and novices 2007 Observational cohort
Psilocybin for treatment-resistant depression: fMRI-measured brain mechanisms. Patients with treatment-resistant depression 2017 Observational cohort n = 19
Functional Reorganization of the Default Mode Network across Chronic Pain Conditions Patients with chronic back pain, complex regional pain syndrome, and knee osteoarthritis 2014 Observational cohort
State and Training Effects of Mindfulness Meditation on Brain Networks Reflect Neuronal Mechanisms of Its Antidepressant Effect Novice meditators 2016 Longitudinal study n = 13

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