Skip to content

The impact of a focused behavioral intervention on brain cannabinoid signaling and interoceptive function: Implications for mood and anxiety

Otto Muzik, Timothy Mann, John J. Kopchick, Asadur Chowdury, Mario A. Yacou, Jamie Vadgama, Daniel Bonello, Vaibhav A. Diwadkar

Brain Behavior and Immunity Integrative November 30, 2023 DOI: 10.1016/j.bbii.2023.100035 (opens in new tab)

The journal has published a correction to this paper. Read the correction (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Longitudinal intervention study Peer reviewed
Sample size 4
Population Male controls
Intervention cold exposure
Duration 6-week intervention
Topics Anxiety
Keywords Insula Anterior cingulate cortex Orbitofrontal cortex Prefrontal cortex Cognition
Citations 3
Key findings A six-week Wim Hof method intervention increased global CB1 receptor binding by approximately 20% and enhanced engagement of interoceptive and executive brain regions during cold stress.

Abstract

The Wim Hof method (WHM) is a behavioral intervention technique that consists of deep breathing exercises, cold exposure and meditation. In light of the crucial role of the cannabinoid system in modulating neurotransmitter release through a negative feedback mechanism that aims at the maintenance of network homeostasis, our study investigated changes in cannabinoid type 1 (CB1) receptor binding following a longitudinal (6 weeks) WHM intervention in 4 male controls using the F18]FMPEP-d2 PET tracer, an inverse CB1 receptor agonist. Results revealed a global increase in CB1 receptor binding of ~20%, with largest increases found in brain regions associated with the interoceptive network such as the anterior cingulate, the orbitofrontal cortex OFC), the anterior insular cortex (AIC) and the brainstem. Furthermore, in the same participants a whole-body cold-stress paradigm was used to systematically evoke sympathetic and parasympathetic responses. Post-intervention, participants showed increased engagement of regions like the anterior insula and the orbitofrontal cortex that have been respectively classified as belonging to the brain’s interoceptive (AIC) and executive (OFC) sub-networks. Our results suggest that a relatively short 6-week WHM intervention positively impacts brain markers that have been associated with stress resistance, mood, anxiety and interoceptive function.

Comparable studies

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

Study Year Design Participants
Effectiveness of a meditation-based stress reduction program in the treatment of anxiety disorders Patients with generalized anxiety disorder or panic disorder with or without agoraphobia 1992 Observational cohort n = 22
Antidepressant effects of a single dose of ayahuasca in patients with recurrent depression: a preliminary report Patients with a depressive disorder 2015 Observational study
Patterning of Cognitive and Somatic Processes in the Self-Regulation of Anxiety: Effects of Meditation versus Exercise Regular practitioners of physical exercise or meditation 1978 Retrospective study n = 77
Dynamic coupling of whole-brain neuronal and neurotransmitter systems Healthy humans 2020 Observational study
Psychedelics not linked to mental health problems or suicidal behavior: A population study Randomly selected United States adults 2015 Observational cohort n = 135,095

Citations in the library

Explore topics