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Trait Mindfulness Is Associated With Lower Pain Reactivity and Connectivity of the Default Mode Network.

Richard Harrison, Fadel Zeidan, George Kitsaras, Dila Ozcelik, Tim V Salomons

Journal of Pain June 1, 2019 DOI: 10.1016/j.jpain.2018.10.011 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Observational cross-sectional study Peer reviewed
Sample size 40
Population Healthy volunteers naive to mindfulness meditation
Topics Default mode network Meditation
Keywords Neuroimaging Pain catastrophizing Train mindfulness
Key findings Higher trait mindfulness is associated with higher pain thresholds and lower pain catastrophizing, along with reduced default mode network connectivity and increased connectivity with somatosensory cortices.

Abstract

Mindfulness-based training reduces pain in clinical and experimental settings. Evidence suggests that these beneficial effects are facilitated via an increased focus on the present moment and a reduced emotional enhancement of pain. Most of the existing literature has focused on mindfulness as a learned skill and on the neural mechanisms that underlie the acquisition of this skill. It is unknown whether similar mechanisms are associated with trait mindfulness in the absence of training and whether these mechanisms confer the ability to cope with pain. To determine this, we measured trait mindfulness and pain responsivity in 40 healthy volunteers naive to mindfulness meditation. As a feature of interest, we targeted the default mode network (DMN), a network of interacting brain regions associated with processes such as introspective thought, mind wandering, and rumination. As extant studies have implicated the DMN in the beneficial effects of mindfulness, we examined resting-state connectivity of the precuneus, a core DMN node. Higher trait mindfulness was associated with higher pain thresholds (r = .43, P < .01) and lower pain catastrophizing (r = -.51, P < .01). Consistent with the neural mechanisms of trained mindfulness, higher trait mindfulness was associated with lower connectivity between the nodes of the DMN. It was also associated with higher connectivity between the DMN and somatosensory cortices. These findings are consistent with the processes taught in formal meditation training, namely increased focus on sensory experience and a decrease in emotional appraisal processes, indicating that behavioral and neurological mechanisms described in the interventional mindfulness literature also underlie trait mindfulness prior to any formal training. PERSPECTIVE: Mindfulness research mostly focuses on mindfulness as a trained skill rather than a trait. Consistent with trained-mindfulness studies, we demonstrate that mindfulness is associated with variations in neural connectivity linked to sensory and evaluative processes. These findings indicate that trait mindfulness serves as a marker for individual differences in pain coping.

Comparable studies

Other cross-sectional and survey studies on default mode network, most cited first.

Study Year Design Participants
Impact of meditation training on the default mode network during a restful state 13 experienced meditators (over 1000 h of training) and 11 beginner meditators (no... 2012 Cross-sectional study n = 24
BOLD signal and functional connectivity associated with loving kindness meditation Experienced meditators and novices 2014 Cross-sectional functional magnetic resonance imaging study
Greater Anteroposterior Default Mode Network Functional Connectivity in Long-Term Elderly Yoga Practitioners Elderly women (Hatha Yoga practitioners and yoga-naïve controls) 2019 Cross-sectional investigation n = 40
Vascular risk factor burden correlates with cerebrovascular reactivity but not resting state coactivation in the default mode network Older adults with suspected white matter hyperintensities 2015 Cross-sectional study n = 29
Associations between regular cannabis use and brain resting-state functional connectivity in adolescents and adults Adolescents and adults 2023 Cross-sectional study n = 70

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