A non-elaborative mental stance and decoupling of executive and pain-related cortices predicts low pain sensitivity in Zen meditators.
Joshua A Grant, Jérôme Courtemanche, Pierre Rainville
Pain 2011 DOI: 10.1016/j.pain.2010.10.006 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Observational cohort Peer reviewed |
|---|---|
| Population | Practitioners of Zen meditation and controls |
| Intervention | Zen meditation |
| Topics | Buddhism |
| Key findings | Zen meditators show reduced activity in executive, evaluative, and emotion brain areas during pain and increased activity in primary pain-processing regions, with lower pain sensitivity predicted by decreased connectivity between executive and pain-related cortices. |
Abstract
Concepts originating from ancient Eastern texts are now being explored scientifically, leading to new insights into mind/brain function. Meditative practice, often viewed as an emotion regulation strategy, has been associated with pain reduction, low pain sensitivity, chronic pain improvement, and thickness of pain-related cortices. Zen meditation is unlike previously studied emotion regulation techniques; more akin to 'no appraisal' than 'reappraisal'. This implies the cognitive evaluation of pain may be involved in the pain-related effects observed in meditators. Using functional magnetic resonance imaging and a thermal pain paradigm we show that practitioners of Zen, compared to controls, reduce activity in executive, evaluative and emotion areas during pain (prefrontal cortex, amygdala, hippocampus). Meditators with the most experience showed the largest activation reductions. Simultaneously, meditators more robustly activated primary pain processing regions (anterior cingulate cortex, thalamus, insula). Importantly, the lower pain sensitivity in meditators was strongly predicted by reductions in functional connectivity between executive and pain-related cortices. Results suggest a functional decoupling of the cognitive-evaluative and sensory-discriminative dimensions of pain, possibly allowing practitioners to view painful stimuli more neutrally. The activation pattern is remarkably consistent with the mindset described in Zen and the notion of mindfulness. Our findings contrast and challenge current concepts of pain and emotion regulation and cognitive control; commonly thought to manifest through increased activation of frontal executive areas. We suggest it is possible to self-regulate in a more 'passive' manner, by reducing higher-order evaluative processes, as demonstrated here by the disengagement of anterior brain systems in meditators.
Comparable studies
Other observational and cohort studies on buddhism, most cited first.
| Study | Year | Design | Participants |
|---|---|---|---|
| AN ELECTROENCEPHALOGRAPHIC STUDY ON THE ZEN MEDITATION (ZAZEN) Zen priests and disciples of Zen sects of Buddhism | 1966 | Observational study | n = 48 |
| “Thinking about Not-Thinking”: Neural Correlates of Conceptual Processing during Zen Meditation Regular Zen practitioners and matched control subjects | 2008 | Observational cohort | |
| Individual Trait Anxiety Levels Characterizing the Properties of Zen Meditation Healthy adults who had not previously practiced any form of meditation | 2004 | Observational cohort | n = 22 |
| Zen meditation, Length of Telomeres, and the Role of Experiential Avoidance and Compassion 20 Zen meditation experts and 20 healthy matched non-meditators | 2016 | Observational cohort | n = 40 |
| EEG dynamics of experienced Zen meditation practitioners probed by complexity index and spectral measure Experienced Zen meditation practitioners and matched controls | 2009 | Observational cohort | n = 46 |
Citations in the library
Cited by 113
- How Does Mindfulness Meditation Work? Proposing Mechanisms of Action From a Conceptual and Neural Perspective Perspectives on Psychological Science October 14, 2011
- Self-awareness, self-regulation, and self-transcendence (S-ART): a framework for understanding the neurobiological mechanisms of mindfulness Frontiers in Human Neuroscience 2012
- Investigating the phenomenological matrix of mindfulness-related practices from a neurocognitive perspective. American Psychologist October 1, 2015
- Inside the Mindful Mind Current Directions in Psychological Science December 1, 2013
- The Mindful Brain and Emotion Regulation in Mood Disorders The Canadian Journal of Psychiatry February 1, 2012
and 108 more in the library
Cites 17
- A default mode of brain function Proceedings of the National Academy of Sciences January 16, 2001
- Meditation experience is associated with increased cortical thickness Neuroreport November 7, 2005
- Short-term meditation training improves attention and self-regulation Proceedings of the National Academy of Sciences October 11, 2007
- Attending to the present: mindfulness meditation reveals distinct neural modes of self-reference Social Cognitive and Affective Neuroscience August 13, 2007
- Neural correlates of attentional expertise in long-term meditation practitioners Proceedings of the National Academy of Sciences June 28, 2007
and 12 more in the library