Week 4 Flashcards

1
Q

What are some of the psychological models for the mechanisms of changes after mindfulness?

A

Hölzel et al (2011): Plastic changes of mental and brain functions following mindfulness

  • Attention regulation
  • Body awareness
  • Emotion regulation
  • Self-perspective

Grabovac et al (2011): Draw on Buddhist psychology and proposed following changes after mindfulness

  • Acceptance
  • Attention regulation
  • Ethical practice
  • Attachment/aversion

Vago and Silbersweig (2012): Mindfulness promotes changes in

  • Self-awareness
  • Self-regulation
  • Self-transcendence
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1
Q

What are the three main components of attention and which brain networks do they involve?

A

Three main components of attention:

  • Alerting/sustained attention/vigilance: preparation for detecting an impending stimulus that is important to us
  • Orienting: prioritise and select specific and salient information from multiple sensory inputs
  • Conflict monitoring/Executive attention: monitor and resolve conflicts between what we orienting to and what we are distracted by

Brain regions involved in each component:

  • Alerting: Noradrenaline system that originates in the locus coeruleus
  • Orienting: Frontal and parietal areas
  • Conflict monitoring/Executive attention: Executive network (inc. the ACC, anterior insula and basal ganglia)
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2
Q

How was Orienting, alerting and executive attention measured in the Tang et al. (2007) study?

A

Via the the Attention Network Test (ANT)

  • During the ANT, participants were asked to respond to an arrow that is surrounded by flankers that point in the same or opposite direction of the arrow.
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3
Q

What were the findings of the Tang et al. (2007) study?

A

Main findings

  • Greater improvement in conflict monitoring on the ANT in the IBMT group than in the control group
  • This improvement in conflict monitoring was associated with improved intelligence in the IBMT group, although only marginally more so than the controls
  • The groups did not differ in orientation or alerting
  • The IBMT group demonstrated improved self-regulation of emotions, including enhanced positive moods and reduced negative moods
  • Additionally, the IBMT group also lower anxiety and depression, decreased released stress-related cortisol and increased immunoreactivity than the controls
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4
Q

Who replicated Tang’s findings and what did they find?

A
  • Ainsworth and colleagues in 2013
  • one Focus Attention Meditation group and one Open Monitoring Meditation group
  • both groups were tested both before and after the interventions on their trait mindfulness, trait anxiety and attention control. The modified Attention Network Test was also performed.

Findings:

–> both meditation groups, FA and OM, had improved executive function
–> no significant between group differences were discovered on alerting and orienting (same as Tang)
–> trait mindfulness and improved executive function was positively correlated.

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4
Q

Which brain region regulates executive attention, error detection and focused problem solving?

A

The Anterior cingulate cortex (the ACC).

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4
Q

What is the ACC’s major function during information processing?

A
  • to detect and resolve conflicts

If a conflict is detected between task goals and distracting external stimuli, the ACC may activate and exert a top-down regulation, subsequently contribute to attention maintenance and therefore resolve the
conflict.

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4
Q

What were the findings of Hasenkamp’s ‘Focused attention’ study on conflict detection and error monitoring?

A
  • study design: fMRI scans of 14 experienced Focus Attention meditators during breathing meditation
  • involves: Mind Wandering –> Awareness of MW –> Shifting attention –> sustained focus –> MW

Findings:

  • mind wandering suggests a form of conflict monitoring –> corresponding activation dorsal ACC.
  • during the shift phase, meditators redirected attention from mind wandering back to briefing –> focus = activation in the lateral PFC and lateral inferior parietal cortex (IPL (lobe)). Suggests that these brain regions are involved in executive processing.

–> ACC has a role in detecting mind wandering and forwarding this information to our executive control networks (lateral PFC & IPL ) to bring our mind back to the focus phase.

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4
Q

What’s the caveat to mindfulness not showing any impact on alerting and orienting networks?

A

LONGER meditations did show a result (study by MacLean proves this!)

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5
Q

How does the trial by MacLean prove that mindfulness has an effect on orienting?

A
  • one meditation group and one waitlist control
  • sustained-attention task: participants were assessed by pressing the mouse button when they
    saw a short line appear at the centre of a computer screen. Participants were instructed to not
    to react when a long line was present (= filtering information, distinguishing important from unimportant)
  • 5 months later follow-up assessment on visual discrimination

–> the meditation group’s visual discrimination was improved –> associated with an increased perceptual sensitivity and vigilance during sustained visual attention –> suggests an improved orienting following the mediation training.

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5
Q

Who tested Sustained attention and orienting again?

A

MacCoon

Findings:

–> no difference between meditation group and controls, however improvements in visual discrimination improvement

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6
Q

Summing up, what do the trials teach us on the effects of mindfulness on alerting, orienting and conflict monitoring?

A

Given the results, there is a possibility that improvements in conflict monitoring, and orienting
could be achieved at early mindfulness practice, however, improved alerting could only be achieved
with more practice and training.

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7
Q

What are the 3 processes included in Mindfulness-based emotion regulation?

A
  • Attention deployment: attending to mental processes such as emotion
  • Cognitive change: changing cognitive appraisals patterns of emotions
  • Response modulation: reducing maladaptive responses such as suppression
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7
Q

What are the neural networks involved in emotional processing?

A
  • DLPFC: dorsolateral prefrontal cortex Dorsal
  • AC: dorsal anterior cingulate
  • DMPFC: dorsomedial prefrontal cortex
  • vmPFC: ventromedial prefrontal cortex
  • OFC: orbitofrontal cortex Ventral
  • AC: ventral anterior cingulate
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8
Q

What are the two neural paths for emotional processing

A

Sense data are fed through thalamus, then:

  • Short path: goes from the thalamus directly to the amygdala and is involved in nonreactivity,
    triggering fight or flight response, if we detect something dangerous in the environment
  • Long path: takes the data to the higher order cortical areas (such as prefrontal cortex); data are
    properly evaluated, the decision about the stimuli are made and the response strategy generated; then works upon the limbic areas, such as the amygdala, to cool it down or amplify its activity, if the fight or flight response is deemed appropriate.
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9
Q

Which cortex is part of the theory of mind network?

A

Dorsomedial prefrontal cortex

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10
Q

How do the brain processes in emotional regulation play out according to fMRI studies?

A
  • emotional reactions evolve out of sensory perceptions fed into the limbic and cortical areas via the brainstem and the thalamus (bottom-up)
  • automatic evaluations as pleasant or unpleasant, dangerous, or benign, take place at the level of amygdala and anterior insula.
  • in the long path, travels along the evaluation circuit (ventromedial prefrontal cortex, orbitofrontal cortex, and the ventral anterior cingulate)
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11
Q

What’s the evaluation circuit?

A
  • ventromedial prefrontal cortex
  • orbitofrontal cortex
  • ventral anterior cingulate
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12
Q

In the emotional regulation, what is the top down vs bottom up regulation?

A

Top down: The dorsal prefrontal cortex and the dorsal anterior cingulate provide the top-down regulation of the bottom-up stream by modulating semantic representations, or meaning, of an emotional stimulus.

Bottom up: the stimulus itself

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13
Q

What are the findings by Chiesa and colleagues (2013) with regards to top down and bottom up processing and emotional regulation?

A

Top down (more prevalent in meditation beginners): MBSR and other mindfulness based interventions have top down effects, especially on healthy people

Bottom up: short MBIs in clinical populations and experienced practitioners seem to have a bottom up effect

–> Mindfulness can be categorised into 3 main stages:

1) early stage which is characterised by effortful mindfulness engagement

2) middle or intermediate stage that involves effort to reduce mind wandering

3) advanced stage which is characterised by effortless mindful

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14
Q

What exactly IS top down processing and which areas in the brain does it involve?

A

Top-down emotion regulation:
- targets cognitions and thought process
- engages PFC-related cognitive-based system, such as attention, active cognitive control and conscious
monitoring
- involvement of brain regions including dorsolateral prefrontal cortex and dorsal anterior cingulate

Effects of mindfulness on top down processing:
- reduction in self-referential processes due to mindful experiencing
- engagement of working memory areas such as lateral prefrontal cortex during the development of
mindfulness practice and bringing mind back after distraction.

  • more evident in meditation or mindfulness beginners.
  • involves active engagement of central-executive network but with decreased activation in the limbic area.
  • During emotion regulation, mindfulness beginners tend to utilise increased intention effort to increase their attention and awareness in order to achieve better control over their emotions.
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15
Q

What did Taylor et al, (2011) find in their study regarding emotional regulation and beginners vs experienced meditators?

A
  • Meditation beginners demonstrated a down-regulation of the left amygdala during emotional processing in a mindful state
  • Experienced meditators in a mindful state showed a deactivation of the DMN regions, including medial prefrontal and posterior cingulate cortices but no response in brain regions involved in emotional processing
16
Q

Is top down or bottom up processing affect-driven?

A

–> bottom-up processing

17
Q

What quality/ benefit takes longest to develop, according to clinical studies of MBCT on depression?

A

non-reactivity in mindfulness

(takes longer to develop than other aspects of mindfulness, such as non-judgemental attitude towards experience, reduction in evaluative or discursive thinking that springs out in reaction to strong emotions and feelings)

18
Q

What did the study by Lutz et al show with regards to pain perception between experienced vs meditation-naive controls?

A
  • groups of participants reported equal level of pain intensity, experienced meditators
    reported less unpleasantness
  • experts demonstrated lower activation in
    their dorsal anterior insula, anterior mid-cingulate and the amygdala at baseline, but high
    activation of the AI and the ACC during pain induction
19
Q

What did Tanaka and colleagues find in 2015 when measuring frontal beta activity whilst undergoing an Open Monitoring practice for 40 mins?

A
  • found lower frontal beta power in the long-term meditators during the Open Monitoring practice than the first-time meditators
20
Q

Is bottom-up or top-down more common for experienced meditators?

A
  • bottom up
21
Q

What are the different parts of the DMN and how do they contribute to self-referential processing?

A
  • The medial prefrontal cortex (MPFC): active during self-referential evaluation
  • The posterior cingulate cortex (PCC): engage in the process of integrating self-referential stimuli and personal experience
  • The anterior cingulate cortex (ACC): involve in the active monitoring of self-referential stimuli
  • The left and right inferior parietal lobules (IPLs): involve in the process of emotion processing and sensory information interpretation, and demonstrate decreased activation during attention demanding tasks
22
Q

Difference between Mindfulness and CBT?

A

–> CBT intervene at the cognition level (top-down approach)

–> Mindfulness switch self-centrism to open experiential awareness when maladaptive cognitions arise (bottom-up approach)

(both aim to tackle the bidirectional connection between maladaptive cognitions and dysregulated emotion)

23
Q

What did Shi and He (2020) find with regards to the effect of mindfulness on self- and
other-referential processing?

A

Self-referential processing is attenuated but other-referential processing is strengthened in meditators.

Also the longer the duration of the mindfulness practice, the less the self-other bias.

24
Q

What did Aizik-Reebs, et al., (2022) find with regards to their study on self-referentiality (self-criticism and self-compassion) on refugees (meditators vs controls)?

A
  • Pre- to post-intervention changes in self-criticism had an impact on the therapeutic benefit of MBTR to heal depression and PTSD
  • Changes in self-compassion between pre- and post-interve mediated the therapeutic effects on PTSD outcomes
25
Q

What are the main nobes of the DMN?

A

medial prefrontal and posterior cingulate cortex

26
Q

What did Brewer et al (2011) find with regards to self-referential processing for experienced meditators vs meditation-naive controls?

A

–> the results suggest reduced self-referential processing in the experienced meditators compared to the controls.

–> Decreased DMN activation (i.e., the medial prefrontal and posterior cingulate cortices) in experienced meditations vs controls

–> Strong coupling between the posterior cingulate, dorsal anterior cingulate and dorsolateral prefrontal cortices in experienced meditators

27
Q

MRI studies revealed grey matter changes in which part of the brain in regular meditators?

What is that area known for?

A

In the anterior ventral insula

moment awareness and self-awareness –> its elevated activation may suggest an enhanced awareness of present-moment experience

28
Q

What does the between-sex difference in CRP, IL-6 and IL-1β suggest?

A
29
Q

What did the study by Nguyen and colleagues in 2019 demonstrate with regards to the impact of Mindfulness Meditation and Loving Kindness Meditation (LKM) on telomerase length?

A

TL shortening was found across all three groups (LKM & MM & controls)

Both MM and control group demonstrated the
most significant shortening with LKM group demonstrated no significant TL shortening over time.

These results may suggest the buffering effect of LKM against TL attrition

30
Q

What could the lack of TL in the MM group be explained by in the Nguyen study?

A

by the less intensive nature of MM intervention in the
current study.

Or it could be just that it may take a longer for mindfulness meditation to demonstrate its effect on TL as mindfulness meditation and LKM differ in their mechanisms of changes, with mindfulness meditation aiming at shifting attention to present moment and LKM emphasising kindness increase.

31
Q

What are some of the limitations of presented studies?

A
  • Sample size
  • Heterogeneous samples
  • The verification of mechanisms proposed are largely based on fMRI studies and their interpretations are based on the functions of involved brain regions
  • Exploratory rather than explanatory research
  • Single or isolated brain area focus
  • Lack of consideration of confounders such as individual -level characteristics (e.g., personality traits, genetic differences, lifestyle, previous life experience, the characteristics of mindfulness instructor/trainer)
  • Biomarker-relevant factors
  • Lack of laboratory-based behavioral task methods to quantify cognitive processes, such as self-referential process
  • Imperfect method to collect samples to measure biomarkers
  • Poor control group
  • Unrelated treatment components to mindfulness in existing training
32
Q

What should future research include?

A
  • New tools are in need to advance our understanding in how brain and body may interact following mindfulness e.g., electroencephalography, real -time fMRI, Transcranial Magnetic Stimulation, neurofeedback
  • Define short- and long-term practice and standardise the definitions across studies
  • Repeated assessment points across a longitudinal period is necessary
  • Longitudinal RCTs with involvement of active control groups
  • Employing a great variety of stimuli to induce self-referential process, emotion regulation and attention etc.
  • Including a wide range of measures to explore mindfulness-induced self-report, behavioral and neural outcomes
  • Optimise generalisability of the findings and potentially consider the impact of sociocultural related factors
  • Future explore how mindfulness may impact different self-referential processing, different attention modes etc.
33
Q

One of the shortcomings of studies is that brain mechanisms are only assessed individually, although they function in complex networks. What is an example for this?

A

For example, ACC is implicated in executive function, and elevated attention including improved
executive function has been suggested as one mechanism of change following mindfulness.
Research might be conducted to find functional significance of the ACC following mindfulness to
support attention as a mechanism.

Same for the DMN and its implication in self-referential processing. Reduced activation of the DMN found in some studies may be used as evidence to
support self-awareness as a mechanism of change following mindfulness.

34
Q

Speaking future outlook: what technologies could potentially be used to explore causal relationships?

A

Transcranial Magnetic Stimulation or neurofeedback

35
Q

Which effect size das Mindfulness have on different mental disorders?

A
  • Mindfulness has a large effect on schizophrenia and ADHD
  • Mindfulness has a moderate effect on PTSD
  • Yoga had a small effect on schizophrenia.
36
Q

What do brain scans of the amygdala show for people with depression?

A
  • Increased left amygdala reactivity to negative affective stimuli
  • Blunted reactivity of the right amygdala in response to positive affective stimuli

–> this disrupts the encoding of positive experience, given the amygdala’s role

37
Q

Why would people with a strong depression benefit even more from Mindfulness interventions?

A

Because existing studies show that people with biomarkers suggesting an overactivity of
inflammatory responses tend to respond less well when given standard antidepressant
medications for depression (Liu et al, 2020).

38
Q

What did Walsh et al, (2016) find with regards to higher baseline levels of depressive symptoms and respective biomarkers?

A

Participants in the MBI group who demonstrated higher baseline depressive symptoms also demonstrated a much greater reductions in inflammation after the intervention.

39
Q

What did the study by Barnhofer et al find?

A
  • decreased activation in the right dorsolateral prefrontal cortex in the MBI group when they were labeling the angry faces
  • this decrease was associated with increased decentering, decreased brooding and symptoms.
40
Q

What did the study by Hölzel et al find about negative vs positive coupling of PFC and amygdala in anxiety patients?

A

The coupling of the amygdala and PFC regions
changed from negative coupling (which is typically seen in down-regulation emotion process) to
positive coupling in GAD patients in the MBSR group.

This suggests that GAD patients adopted
emotion regulation strategy involving self-detachment and the monitoring of arousal, instead of
maladaptive emotion regulation strategy such as emotional response suppression.

41
Q

In terms of the correlations between trait mindfulness and mindfulness skill as mediators, what were the major findings?

A

4 out of 5 FFMQ subscales were significantly and negatively correlated with affective symptoms

➢ Act with awareness (r=-0.47) and Nonjudgement (r=-0.48)
➢ Nonreactivity (r=-0.33) and Describe (r=-0.29)

42
Q

What are mediating factors for the success of MBIs?

A
  • Mindfulness skill/trait mindfulness
  • Self-compassion
  • Decentering
  • Psychological flexibility/Acceptance
  • Cognitive and emotional reactivity
  • Cognitive flexibility
43
Q

What are moderators for MBIs?

A
  • Sociodemographic factors
  • Illness severity
  • Mindfulness skill/trait mindfulness
  • Personality traits
  • Mindfulness practice
44
Q

How is age as a moderator relevant for the success of MBIs according to Nyklíček, et al, (2014)?

A

The intervention only showed effects for those younger than 60 years.

(effects on perceived stress, anxiety and depressive symptoms vs. self help-group)

45
Q

What other two sociodemographic factors were relevant?

A
  • better effects for higher educated people: participants with high levels of educational attainment benefitted less from CBT than MBCT
  • also people who had previously received treatment had poorer outcomes on depression following MBCR intervention, than those with no treatment at all.
46
Q

What moderators are relevant with regards to illness severity?

A
  • In participants with a history of >=3 depressive episode: significantly less hazard of depressive relapse/recurrence among MBCT group for both intention-to-treat and per-protocol sample
  • In participants with a history of 2 depressive episodes: no significant differences in hazard of depressive relapse/recurrence between two groups for ether the intent-to-treat and the perprotocol sample
  • A positive linear relationship between number of previous depressive episodes and hazard of relapse/recurrence of depression
  • In participants with 3 or more previous depressive episodes, an adequate dose of MBCT almost halved relapse/recurrence rates of depression, compared to the TAU’
47
Q

Other findings with regards to illness severity and MBCT?

A

significant reduction in the risk of depression relapse for MBCT group

effect of MBCT was larger for those with higher baseline depressive symptoms compared to other treatments