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Bauer CCC, Atad DA, Farb N, Brewer JA. From Confound to Clinical Tool: Mindfulness and the Observer Effect in Research and Therapy. BIOLOGICAL PSYCHIATRY. COGNITIVE NEUROSCIENCE AND NEUROIMAGING 2025; 10:402-410. [PMID: 39894252 DOI: 10.1016/j.bpsc.2025.01.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/26/2024] [Revised: 01/19/2025] [Accepted: 01/24/2025] [Indexed: 02/04/2025]
Abstract
The observer effect (OE), the idea that observing a phenomenon changes it, has important implications across scientific disciplines involving measurement and observation. While often viewed as a confounding variable to control for, this paper argues that the OE should be seriously accounted for, explored, and systematically leveraged in research and clinical settings. Specifically, mindfulness practices that cultivate present-moment, nonjudgmental awareness are proposed as a platform to account for, explore, and intentionally harness the OE. In research contexts, mindfulness training may allow participants to provide more precise self-reports by minimizing reactive biases that perturb the observed phenomena. Empirical evidence suggests that mindfulness enhances interoceptive awareness and reduces automatic judgment, potentially increasing measurement sensitivity, specificity, and validity. Clinically, psychotherapies often aim to make unconscious patterns explicitly observable to the client, capitalizing on the transformative potential of observation. Mindfulness directly cultivates this capacity for meta-awareness, allowing individuals to decenter from rigid cognitive-emotional patterns fueling psychopathology. Rather than avoiding unpleasant experiences such as cravings or anxiety, mindfulness guides individuals to simply observe these phenomena, reducing identification and reactivity. Mindfulness practices may leverage components of the OE, facilitating lasting psychological change. To further study the OE, developing an OE index to code observer influence is proposed. Overall, this paper highlights the ubiquity of the OE and advocates developing methods to intentionally account for and apply observer influences across research and therapeutic contexts.
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Affiliation(s)
- Clemens C C Bauer
- Department of Psychology, Northeastern University, Boston, Massachusetts; Department of Brain and Cognitive Sciences, Massachusetts Institute of Technology, Cambridge, Massachusetts; Center for Precision Psychiatry, Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts.
| | - Daniel A Atad
- Department of Counseling and Human Development, Faculty of Education, University of Haifa, Haifa, Israel; Integrated Brain and Behavior Research Center, University of Haifa, Haifa, Israel; Edmond Safra Brain Research Center, Faculty of Education, University of Haifa, Haifa, Israel
| | - Norman Farb
- Department of Psychology, University of Toronto, Mississauga, Ontario, Canada
| | - Judson A Brewer
- School of Public Health and School of Medicine, Brown University, Providence, Rhode Island; Department of Psychiatry and Human Behavior, Warren Alpert Medical School, Brown University, Providence, RI, USA
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Lord B, Allen JJB, Young S, Sanguinetti JL. Enhancing Equanimity With Noninvasive Brain Stimulation: A Novel Framework for Mindfulness Interventions. BIOLOGICAL PSYCHIATRY. COGNITIVE NEUROSCIENCE AND NEUROIMAGING 2025; 10:384-392. [PMID: 39708953 DOI: 10.1016/j.bpsc.2024.12.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/16/2024] [Revised: 12/05/2024] [Accepted: 12/07/2024] [Indexed: 12/23/2024]
Abstract
Mindfulness has gained widespread recognition for its benefits for mental health, cognitive performance, and well-being. However, the multifaceted nature of mindfulness, which encompasses elements such as attentional focus, emotional regulation, and present-moment awareness, complicates its definition and measurement. A key component that may underlie its broad benefits is equanimity-the ability to maintain an open and nonreactive attitude toward all sensory experiences. Empirical research suggests that mindfulness works through a combination of top-down attentional control and bottom-up sensory and emotional processes and that equanimity's role in regulating those bottom-up processes drives the psychological and physiological benefits, making it a promising target for both theoretical and practical exploration. Given these findings, the development of interventions that specifically augment equanimity could improve the impact of mindfulness practices. Research into noninvasive brain stimulation (NIBS) suggests that it is a potential tool for altering neural circuits involved in mindfulness. However, most NIBS studies reported to date have focused on improving cognitive control systems and have left equanimity relatively unexplored. Preliminary findings from focused ultrasound interventions targeting the posterior cingulate cortex suggest that NIBS can directly facilitate equanimity by inhibiting self-referential processing in the default mode network to promote a more present-centered state of awareness. Future research should prioritize the integration of NIBS with well-defined mindfulness training protocols, focusing on equanimity as a core target. This approach could provide a novel framework for advancing both contemplative neuroscience and clinical applications, offering new insights into the mechanisms of mindfulness and refining NIBS methodologies to support individualized, precision wellness interventions.
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Affiliation(s)
- Brian Lord
- Center for Consciousness Studies, Science Enhanced Mindful Awareness Lab, University of Arizona, Tuscon, Arizona; Department of Psychology, University of Arizona, Tuscon, Arizona.
| | - John J B Allen
- Center for Consciousness Studies, Science Enhanced Mindful Awareness Lab, University of Arizona, Tuscon, Arizona; Department of Psychology, University of Arizona, Tuscon, Arizona
| | - Shinzen Young
- Center for Consciousness Studies, Science Enhanced Mindful Awareness Lab, University of Arizona, Tuscon, Arizona; Sanmai Technologies, PBC, Sunnyvale, California
| | - Joseph L Sanguinetti
- Center for Consciousness Studies, Science Enhanced Mindful Awareness Lab, University of Arizona, Tuscon, Arizona; Sanmai Technologies, PBC, Sunnyvale, California
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Liyanagedera ND, Bareham CA, Kempton H, Guesgen HW. Novel machine learning-driven comparative analysis of CSP, STFT, and CSP-STFT fusion for EEG data classification across multiple meditation and non-meditation sessions in BCI pipeline. Brain Inform 2025; 12:4. [PMID: 39921681 PMCID: PMC11807047 DOI: 10.1186/s40708-025-00251-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2024] [Accepted: 01/24/2025] [Indexed: 02/10/2025] Open
Abstract
This study focuses on classifying multiple sessions of loving kindness meditation (LKM) and non-meditation electroencephalography (EEG) data. This novel study focuses on using multiple sessions of EEG data from a single individual to train a machine learning pipeline, and then using a new session data from the same individual for the classification. Here, two meditation techniques, LKM-Self and LKM-Others were compared with non-meditation EEG data for 12 participants. Among many tested, three BCI pipelines we built produced promising results, successfully detecting features in meditation/ non-meditation EEG data. While testing different feature extraction algorithms, a common neural network structure was used as the classification algorithm to compare the performance of the feature extraction algorithms. For two of those pipelines, Common Spatial Patterns (CSP) and Short Time Fourier Transform (STFT) were successfully used as feature extraction algorithms where both these algorithms are significantly new for meditation EEG. As a novel concept, the third BCI pipeline used a feature extraction algorithm that fused the features of CSP and STFT, achieving the highest classification accuracies among all tested pipelines. Analyses were conducted using EEG data of 3, 4 or 5 sessions, totaling 3960 tests on the entire dataset. At the end of the study, when considering all the tests, the overall classification accuracy using SCP alone was 67.1%, and it was 67.8% for STFT alone. The algorithm combining the features of CSP and STFT achieved an overall classification accuracy of 72.9% which is more than 5% higher than the other two pipelines. At the same time, the highest mean classification accuracy for the 12 participants was achieved using the pipeline with the combination of CSP STFT algorithm, reaching 75.5% for LKM-Self/ non-meditation for the case of 5 sessions of data. Additionally, the highest individual classification accuracy of 88.9% was obtained by the participant no. 14. Furthermore, the results showed that the classification accuracies for all three pipelines increased with the number of training sessions increased from 2 to 3 and then to 4. The study was successful in classifying a new session of EEG meditation/ non-meditation data after training machine learning algorithms using a different set of session data, and this achievement will be beneficial in the development of algorithms that support meditation.
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Affiliation(s)
- Nalinda D Liyanagedera
- School of Mathematical and Computational Sciences, Massey University, Palmerston North, 4410, New Zealand.
- Department of Computing & Information Systems, Faculty of Applied Sciences, Wayamba University of Sri Lanka, Kuliyapitiya, Sri Lanka.
| | - Corinne A Bareham
- School of Psychology, Massey University, Palmerston North, 4410, New Zealand
| | - Heather Kempton
- School of Psychology, Massey University, Auckland, 0632, New Zealand
| | - Hans W Guesgen
- School of Mathematical and Computational Sciences, Massey University, Palmerston North, 4410, New Zealand
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Lee S, Kim JH, Kim H, Kim SH, Park SS, Hong CW, Kwon KT, Lee SH, Kim KS, Choi H, Kim JB, Kim DJ. Investigating the effect of mindfulness training for stress management in military training: the relationship between the autonomic nervous system and emotional regulation. BMC Psychol 2025; 13:13. [PMID: 39773484 PMCID: PMC11706002 DOI: 10.1186/s40359-024-02322-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2024] [Accepted: 12/23/2024] [Indexed: 01/11/2025] Open
Abstract
BACKGROUND Military personnel face an increased risk of developing mental disorders owing to the stressful environments they encounter. Effective stress management strategies are crucial to mitigate this risk. Mindfulness training (MT) is promising as a stress management approach in such demanding settings. This study uses a quantitative approach to investigate the impact of MT on the relationship between the autonomic nervous system (ANS) and emotional regulation. METHODS The study evaluated the effectiveness of MT in reducing stress among 86 military personnel. Participants were divided into two groups: MT (n = 42) and non-MT (n = 38). The study compared the two groups using measures of heart rate variability (HRV), a reliable indicator of ANS activity. RESULTS The MT group exhibited a significant increase in HRV (14.4%, p = 0.001) and alpha asymmetry (AA) in the frontal lobe (45.7%, p < 0.001) compared to the non-MT group. Notably, the MT group achieved significantly higher scores on the parachute landing fall (PLF) training performance (p < 0.001). These improvements in HRV, AA, and PLF performance were strongly correlated. Furthermore, AA fully mediated the relationship between HRV and PLF training performance. CONCLUSIONS The findings suggest that MT has a positive impact on stress resilience, potentially by mitigating anxiety and attention deficits induced by extreme stressors. These positive effects are facilitated by concurrent modulation of the frontal cortex and autonomic nervous system. Our findings provide insight into the neural mechanisms behind MT-induced stress reduction from the perspective of neuromodulation.
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Affiliation(s)
- Seho Lee
- Department of Artificial Intelligence, Korea University, 145, Anam-ro, Seongbuk-gu, 02841, Seoul, Republic of Korea
- Department of AI Convergence, University of Ulsan, 93, Daehak-ro, Nam-gu, 44610, Ulsan, Republic of Korea
| | - Jin Hyung Kim
- Department of Brain and Cognitive Engineering, Korea University, 145, Anam-ro, Seongbuk-gu, 02841, Seoul, Republic of Korea
| | - Hakseung Kim
- Department of Brain and Cognitive Engineering, Korea University, 145, Anam-ro, Seongbuk-gu, 02841, Seoul, Republic of Korea
| | - Sung Ha Kim
- Department of Doctrine Development, Army Consolidated Administrative School, ROK Army, 70, Yangjeongjukchon-ro, Yeongdong-gun, Chungcheongbuk-do, Republic of Korea
| | - Sung Soo Park
- Department of Doctrine Development, Army Consolidated Administrative School, ROK Army, 70, Yangjeongjukchon-ro, Yeongdong-gun, Chungcheongbuk-do, Republic of Korea
| | - Chang Woo Hong
- Department of Doctrine Development, Army Consolidated Administrative School, ROK Army, 70, Yangjeongjukchon-ro, Yeongdong-gun, Chungcheongbuk-do, Republic of Korea
| | - Ki Tae Kwon
- Chaplaincy, Capital Corps of ROK Army, 132, Bisan-dong, Dongan-gu, Anyang-si, Republic of Korea
| | - Seung Hun Lee
- Department of Doctrine Development, Army Consolidated Administrative School, ROK Army, 70, Yangjeongjukchon-ro, Yeongdong-gun, Chungcheongbuk-do, Republic of Korea
| | - Kyoung Soo Kim
- Department of Doctrine Development, Army Consolidated Administrative School, ROK Army, 70, Yangjeongjukchon-ro, Yeongdong-gun, Chungcheongbuk-do, Republic of Korea
| | - Hoon Choi
- Department of Doctrine Development, Army Consolidated Administrative School, ROK Army, 70, Yangjeongjukchon-ro, Yeongdong-gun, Chungcheongbuk-do, Republic of Korea
| | - Jung Bin Kim
- Department of Neurology, Korea University College of Medicine, 73, Goryeodae-ro, Seongbuk-gu, 02841, Seoul, Republic of Korea
| | - Dong-Joo Kim
- Department of Artificial Intelligence, Korea University, 145, Anam-ro, Seongbuk-gu, 02841, Seoul, Republic of Korea.
- Department of Brain and Cognitive Engineering, Korea University, 145, Anam-ro, Seongbuk-gu, 02841, Seoul, Republic of Korea.
- Department of Neurology, Korea University College of Medicine, 73, Goryeodae-ro, Seongbuk-gu, 02841, Seoul, Republic of Korea.
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Slykerman RF, Davies N, Vlckova K, O'Riordan KJ, Bassett SA, Dekker J, Schellekens H, Hyland NP, Clarke G, Patterson E. Precision Psychobiotics for Gut-Brain Axis Health: Advancing the Discovery Pipelines to Deliver Mechanistic Pathways and Proven Health Efficacy. Microb Biotechnol 2025; 18:e70079. [PMID: 39815671 PMCID: PMC11735468 DOI: 10.1111/1751-7915.70079] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2024] [Revised: 12/19/2024] [Accepted: 12/26/2024] [Indexed: 01/18/2025] Open
Abstract
Advancing microbiome-gut-brain axis science requires systematic, rational and translational approaches to bridge the critical knowledge gaps currently preventing full exploitation of the gut microbiome as a tractable therapeutic target for gastrointestinal, mental and brain health. Current research is still marked by many open questions that undermine widespread application to humans. For example, the lack of mechanistic understanding of probiotic effects means it remains unclear why even apparently closely related strains exhibit different effects in vivo. For the therapeutic application of live microbial psychobiotics, consensus on their application as adjunct treatments to conventional neuromodulators, use in unmedicated populations or in at-risk cohorts with sub-clinical symptomatology is warranted. This missing information on both sides of the therapeutic equation when treating central nervous system (CNS) conditions makes psychobiotic research challenging, especially when compared to other pharmaceutical or functional food approaches. Expediting the transition from positive preclinical data to proven benefits in humans includes interpreting the promises and pitfalls of animal behavioural assays, as well as navigating mechanism-informed decision making to select the right microbe(s) for the job. In this review, we consider how these decisions can be supported in light of information accrued from a range of clinical studies across healthy, at-risk and pathological study populations, where specific strains have been evaluated in the context of gastrointestinal physiology, brain function and behaviour. Examples of successful, partial and unsuccessful translation from bench to bedside are considered. We also discuss the developments in in silico analyses that have enhanced our understanding of the gut microbiome and that have moved research towards pinpointing the host-microbe interactions most important for optimal gut-brain axis function. Combining this information with knowledge from functional assays across in vitro and ex vivo domains and incorporating model organisms can prime the discovery pipelines with the most promising and rationally selected psychobiotic candidates.
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Affiliation(s)
| | - Naomi Davies
- Department of Psychological MedicineUniversity of AucklandAucklandNew Zealand
| | - Klara Vlckova
- Fonterra Microbiome Research CentreUniversity College CorkCorkIreland
| | | | - Shalome A. Bassett
- Fonterra Research and Development CentrePalmerston NorthNew Zealand
- Riddet InstituteMassey UniversityPalmerston NorthNew Zealand
| | - James Dekker
- Fonterra Research and Development CentrePalmerston NorthNew Zealand
| | - Harriët Schellekens
- APC Microbiome IrelandUniversity College CorkCorkIreland
- Department of Anatomy and NeuroscienceUniversity College CorkCorkIreland
| | - Niall P. Hyland
- APC Microbiome IrelandUniversity College CorkCorkIreland
- Department of PhysiologyUniversity College CorkCorkIreland
| | - Gerard Clarke
- APC Microbiome IrelandUniversity College CorkCorkIreland
- Department of Psychiatry and Neurobehavioural ScienceUniversity College CorkCorkIreland
| | - Elaine Patterson
- Fonterra Microbiome Research CentreUniversity College CorkCorkIreland
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Zarka D, Cevallos C, Ruiz P, Petieau M, Cebolla AM, Bengoetxea A, Cheron G. Electroencephalography microstates highlight specific mindfulness traits. Eur J Neurosci 2024; 59:1753-1769. [PMID: 38221503 DOI: 10.1111/ejn.16247] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2023] [Revised: 11/29/2023] [Accepted: 12/18/2023] [Indexed: 01/16/2024]
Abstract
The present study aimed to investigate the spontaneous dynamics of large-scale brain networks underlying mindfulness as a dispositional trait, through resting-state electroencephalography (EEG) microstates analysis. Eighteen participants had attended a standardized mindfulness-based stress reduction training (MBSR), and 18 matched waitlist individuals (CTRL) were recorded at rest while they were passively exposed to auditory stimuli. Participants' mindfulness traits were assessed with the Five Facet Mindfulness Questionnaire (FFMQ). To further explore the relationship between microstate dynamics at rest and mindfulness traits, participants were also asked to rate their experience according to five phenomenal dimensions. After training, MBSR participants showed a highly significant increase in FFMQ score, as well as higher observing and non-reactivity FFMQ sub-scores than CTRL participants. Microstate analysis revealed four classes of microstates (A-D) in global clustering across all subjects. The MBSR group showed lower duration, occurrence and coverage of microstate C than the control group. Moreover, these microstate C parameters were negatively correlated to non-reactivity sub-scores of FFMQ across participants, whereas the microstate A occurrence was negatively correlated to FFMQ total score. Further analysis of participants' self-reports suggested that MBSR participants showed a better sensory-affective integration of auditory interferences. In line with previous studies, our results suggest that temporal dynamics of microstate C underlie specifically the non-reactivity trait of mindfulness. These findings encourage further research into microstates in the evaluation and monitoring of the impact of mindfulness-based interventions on the mental health and well-being of individuals.
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Affiliation(s)
- D Zarka
- Laboratory of Neurophysiology and Movement Biomechanics, Research Unit in Sciences of Osteopathy, Faculty of Human Motor Sciences, Université Libre de Bruxelles, Brussels, Belgium
- Research Unit in Sciences of Osteopathy, Faculty of Human Motor Sciences, Université Libre de Bruxelles, Brussels, Belgium
| | - C Cevallos
- Laboratory of Neurophysiology and Movement Biomechanics, Research Unit in Sciences of Osteopathy, Faculty of Human Motor Sciences, Université Libre de Bruxelles, Brussels, Belgium
- Departamento de Ingeniería Mecánica, Facultad de Ingeniería Mecánica, Escuela Politécnica Nacional, Quito, Ecuador
| | - P Ruiz
- Departamento de Ingeniería Mecánica, Facultad de Ingeniería Mecánica, Escuela Politécnica Nacional, Quito, Ecuador
| | - M Petieau
- Laboratory of Neurophysiology and Movement Biomechanics, Research Unit in Sciences of Osteopathy, Faculty of Human Motor Sciences, Université Libre de Bruxelles, Brussels, Belgium
| | - A M Cebolla
- Laboratory of Neurophysiology and Movement Biomechanics, Research Unit in Sciences of Osteopathy, Faculty of Human Motor Sciences, Université Libre de Bruxelles, Brussels, Belgium
| | - A Bengoetxea
- Research Unit in Sciences of Osteopathy, Faculty of Human Motor Sciences, Université Libre de Bruxelles, Brussels, Belgium
- Athenea Neuroclinics, San Sebastian, Spain
| | - G Cheron
- Laboratory of Neurophysiology and Movement Biomechanics, Research Unit in Sciences of Osteopathy, Faculty of Human Motor Sciences, Université Libre de Bruxelles, Brussels, Belgium
- Laboratory of Electrophysiology, Université de Mons, Mons, Belgium
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Liyanagedera ND, Hussain AA, Singh A, Lal S, Kempton H, Guesgen HW. Common spatial pattern for classification of loving kindness meditation EEG for single and multiple sessions. Brain Inform 2023; 10:24. [PMID: 37688757 PMCID: PMC10492719 DOI: 10.1186/s40708-023-00204-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2023] [Accepted: 08/19/2023] [Indexed: 09/11/2023] Open
Abstract
While a very few studies have been conducted on classifying loving kindness meditation (LKM) and non-meditation electroencephalography (EEG) data for a single session, there are no such studies conducted for multiple session EEG data. Thus, this study aims at classifying existing raw EEG meditation data on single and multiple sessions to come up with meaningful inferences which will be highly beneficial when developing algorithms that can support meditation practices. In this analysis, data have been collected on Pre-Resting (before-meditation), Post-Resting (after-meditation), LKM-Self and LKM-Others for 32 participants and hence allowing us to conduct six pairwise comparisons for the four mind tasks. Common Spatial Patterns (CSP) is a feature extraction method widely used in motor imaginary brain computer interface (BCI), but not in meditation EEG data. Therefore, using CSP in extracting features from meditation EEG data and classifying meditation/non-meditation instances, particularly for multiple sessions will create a new path in future meditation EEG research. The classification was done using Linear Discriminant Analysis (LDA) where both meditation techniques (LKM-Self and LKM-Others) were compared with Pre-Resting and Post-Resting instances. The results show that for a single session of 32 participants, around 99.5% accuracy was obtained for classifying meditation/Pre-Resting instances. For the 15 participants when using five sessions of EEG data, around 83.6% accuracy was obtained for classifying meditation/Pre-Resting instances. The results demonstrate the ability to classify meditation/Pre-Resting data. Most importantly, this classification is possible for multiple session data as well. In addition to this, when comparing the classification accuracies of the six mind task pairs; LKM-Self, LKM-Others and Post-Resting produced relatively lower accuracies among them than the accuracies obtained for classifying Pre-Resting with the other three. This indicates that Pre-Resting has some features giving a better classification indicating that it is different from the other three mind tasks.
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Affiliation(s)
- Nalinda D Liyanagedera
- School of Mathematical and Computational Sciences, Massey University, Palmerston North, 4410, New Zealand.
- Department of Computing & Information Systems, Faculty of Applied Sciences, Wayamba University of Sri Lanka, Kuliyapitiya, 60200, Sri Lanka.
| | - Ali Abdul Hussain
- School of Mathematical and Computational Sciences, Massey University, Palmerston North, 4410, New Zealand
| | - Amardeep Singh
- Universal College of Learning (UCOL), Palmerston North, 4410, New Zealand
| | - Sunil Lal
- School of Mathematical and Computational Sciences, Massey University, Palmerston North, 4410, New Zealand
| | - Heather Kempton
- School of Psychology, Massey University, Auckland, 0632, New Zealand
| | - Hans W Guesgen
- School of Mathematical and Computational Sciences, Massey University, Palmerston North, 4410, New Zealand
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Li Y, Li C, Zhang T, Wu L, Lin X, Li Y, Wang L, Yang H, Lu D, Miao D, Fang P. Questionnaires based on natural language processing elicit immersive ruminative thinking in ruminators: Evidence from behavioral responses and EEG data. Front Neurosci 2023; 17:1118650. [PMID: 36950128 PMCID: PMC10025410 DOI: 10.3389/fnins.2023.1118650] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2022] [Accepted: 02/06/2023] [Indexed: 03/08/2023] Open
Abstract
Rumination is closely related to mental disorders and can thus be used as a marker of their presence or a predictor of their development. The presence of masking and fabrication in psychological selection can lead to inaccurate detection of psychological disorders. Human language is considered crucial in eliciting specific conscious activities, and the use of natural language processing (NLP) in the development of questionnaires for psychological tests has the potential to elicit immersive ruminative thinking, leading to changes in neural activity. Electroencephalography (EEG) is commonly used to detect and record neural activity in the human brain and is sensitive to changes in brain activity. In this study, we used NLP to develop a questionnaire to induce ruminative thinking and then recorded the EEG signals in response to the questionnaire. The behavioral results revealed that ruminators exhibited higher arousal rates and longer reaction times, specifically in response to the ruminative items of the questionnaire. The EEG results showed no significant difference between the ruminators and the control group during the resting state; however, a significant alteration in the coherence of the entire brain of the ruminators existed while they were answering the ruminative items. No differences were found in the control participants while answering the two items. These behavioral and EEG results indicate that the questionnaire elicited immersive ruminative thinking, specifically in the ruminators. Therefore, the questionnaire designed using NLP is capable of eliciting ruminative thinking in ruminators, offering a promising approach for the early detection of mental disorders in psychological selection.
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Affiliation(s)
- Yulong Li
- Department of Military Medical Psychology, Air Force Medical University, Xi'an, China
| | - Chenxi Li
- Department of Military Medical Psychology, Air Force Medical University, Xi'an, China
| | - Tian Zhang
- Department of Military Medical Psychology, Air Force Medical University, Xi'an, China
| | - Lin Wu
- Department of Military Medical Psychology, Air Force Medical University, Xi'an, China
| | - Xinxin Lin
- Department of Military Medical Psychology, Air Force Medical University, Xi'an, China
| | - Yijun Li
- Department of Military Medical Psychology, Air Force Medical University, Xi'an, China
| | - Lingling Wang
- Department of Military Medical Psychology, Air Force Medical University, Xi'an, China
| | - Huilin Yang
- Department of Military Medical Psychology, Air Force Medical University, Xi'an, China
| | - Diyan Lu
- Department of Military Medical Psychology, Air Force Medical University, Xi'an, China
| | - Danmin Miao
- Department of Military Medical Psychology, Air Force Medical University, Xi'an, China
- Key Laboratory of Military Medical Psychology and Stress Support of PLA, Xi'an, China
- *Correspondence: Danmin Miao
| | - Peng Fang
- Department of Military Medical Psychology, Air Force Medical University, Xi'an, China
- Key Laboratory of Military Medical Psychology and Stress Support of PLA, Xi'an, China
- Shaanxi Provincial Key Laboratory of Bioelectromagnetic Detection and Intelligent Perception, Xi'an, China
- School of Biomedical Engineering, Air Force Medical University, Xi'an, China
- Peng Fang
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Lee ASY, Sun Y, Chung KKH. Linking University Students' Mindfulness to Positive Adjustment Amidst COVID-19 Pandemic: a 6-month Cross-Lagged Panel Design. Mindfulness (N Y) 2022; 13:3080-3090. [PMID: 36340968 PMCID: PMC9628522 DOI: 10.1007/s12671-022-02014-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 10/20/2022] [Indexed: 11/21/2022]
Abstract
Objectives In the face of a global pandemic, research on wellness-fostering resources is urgently needed, especially with longitudinal designs and diverse samples. According to the mindfulness-to-meaning theory and broaden-and-build theory, this study examined the reciprocal associations among a group of Chinese university students' trait mindfulness, positive and negative affect, and use of positive coping strategies, including positive reappraisal, planning, and seeking of emotional support during the COVID-19 pandemic. Methods Participants were 247 Hong Kong university students (M age = 20.96, SD = 2.38; female = 86%) who completed survey measures of mindfulness, positive and negative affect, and positive coping strategies at baseline and 6-month follow-up. Data were analysed using a cross-lagged panel design, controlling for participants' age. Results The proposed reciprocal model exhibited an excellent fit with the data. There was a reciprocal association between trait mindfulness and positive affect over time. However, no significant reciprocal effect was found among mindfulness, negative affect, and positive coping strategies. Conclusions Theoretically, the current findings extended the two theories to a non-Western population during a critical time and suggested a long-term reciprocal association between positive affect and mindfulness. Our study provided important insight into university students' positive well-being during COVID-19 and demonstrated the wellness-fostering effect of mindfulness.
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Affiliation(s)
- Alfred S. Y. Lee
- Centre for Child and Family Science, The Education University of Hong Kong, Taipo, Hong Kong
| | - Yao Sun
- Department of Psychology, University of Maryland, Baltimore County, MD USA
| | - Kevin Kien Hoa Chung
- Centre for Child and Family Science, The Education University of Hong Kong, Taipo, Hong Kong
- Department of Early Childhood Education, The Education University of Hong Kong, Taipo, Hong Kong
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Rich T, Chrisinger BW, Kaimal R, Winter SJ, Hedlin H, Min Y, Zhao X, Zhu S, You SL, Sun CA, Lin JT, Hsing AW, Heaney C. Contemplative Practices Behavior Is Positively Associated with Well-Being in Three Global Multi-Regional Stanford WELL for Life Cohorts. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:13485. [PMID: 36294068 PMCID: PMC9603492 DOI: 10.3390/ijerph192013485] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/06/2022] [Revised: 10/02/2022] [Accepted: 10/05/2022] [Indexed: 06/16/2023]
Abstract
Positive associations between well-being and a single contemplative practice (e.g., mindfulness meditation) are well documented, yet prior work may have underestimated the strength of the association by omitting consideration of multiple and/or alternative contemplative practices. Moreover, little is known about how contemplative practice behavior (CPB) impacts different dimensions of well-being. This study investigates the relationship of CPB, consisting of four discrete practices (embodied somatic-observing, non-reactive mindfulness, self-compassion, and compassion for others), with multiple dimensions of well-being. As with other canonical lifestyle behaviors, multiple contemplative practices can be integrated into one's daily routine. Thus, it is critical to holistically consider these behaviors, extending them beyond a simple uni-dimensional measure (e.g., daily mindfulness meditation practice). We developed an integrative measure of four types of contemplative practice and found it to be significantly associated with a multi-dimensional measure of well-being. Importantly, our findings were from three large global multi-regional cohorts and compared against better-understood lifestyle behaviors (physical activity). Data were drawn from California/San Francisco Bay Area, (n = 6442), Hangzhou City (n = 10,268), and New Taipei City (n = 3033). In all three cohorts, we found statistically significant (p < 0.05) positive associations between CPB and well-being, both overall and with all of the constituent domains of well-being, comparable to or stronger than the relationship with physical activity across most well-being outcomes. These findings provide robust and cross-cultural evidence for a positive association between CPB and well-being, illuminate dimensions of well-being that could be most influenced by CPB, and suggest CPB may be useful to include as part of fundamental lifestyle recommendations for health and well-being.
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Affiliation(s)
- Tia Rich
- Stanford Prevention Research Center, Department of Medicine, Stanford School of Medicine, Stanford University, Stanford, CA 94035, USA
| | | | | | - Sandra J. Winter
- Stanford Prevention Research Center, Department of Medicine, Stanford School of Medicine, Stanford University, Stanford, CA 94035, USA
| | - Haley Hedlin
- Quantitative Sciences Unit, Department of Medicine, Stanford University, Stanford, CA 94035, USA
| | - Yan Min
- Stanford Prevention Research Center, Department of Medicine, Stanford School of Medicine, Stanford University, Stanford, CA 94035, USA
- Department of Epidemiology and Population Health, Stanford School of Medicine, Stanford University, Stanford, CA 94305, USA
| | - Xueyin Zhao
- Chronic Disease Research Institute, The Children’s Hospital, and National Clinical Research Center for Child Health, School of Public Health, School of Medicine, Zhejiang University, Hangzhou 310058, China
- Department of Nutrition and Food Hygiene, School of Public Health, School of Medicine, Zhejiang University, Hangzhou 310058, China
| | - Shankuan Zhu
- Chronic Disease Research Institute, The Children’s Hospital, and National Clinical Research Center for Child Health, School of Public Health, School of Medicine, Zhejiang University, Hangzhou 310058, China
- Department of Nutrition and Food Hygiene, School of Public Health, School of Medicine, Zhejiang University, Hangzhou 310058, China
| | - San-Lin You
- School of Medicine, Data Science Center, College of Medicine Fu-Jen Catholic University, New Taipei City 24205, Taiwan
| | - Chien-An Sun
- School of Medicine, Data Science Center, College of Medicine Fu-Jen Catholic University, New Taipei City 24205, Taiwan
| | - Jaw-Town Lin
- Department of Gastroenterology and Hepatology, E-Da Hospital, Kaohsiung City 82445, Taiwan
| | - Ann W. Hsing
- Stanford Prevention Research Center, Department of Medicine, Stanford School of Medicine, Stanford University, Stanford, CA 94035, USA
- Department of Epidemiology and Population Health, Stanford School of Medicine, Stanford University, Stanford, CA 94305, USA
- Stanford Cancer Institute, Stanford School of Medicine, Stanford University, Stanford, CA 94035, USA
| | - Catherine Heaney
- Stanford Prevention Research Center, Department of Medicine, Stanford School of Medicine, Stanford University, Stanford, CA 94035, USA
- Department of Psychology, Stanford University, Stanford, CA 94305, USA
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11
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Ma J, Zhao D, Xu N, Yang J. The Effectiveness of Immersive Virtual Reality (VR) Based Mindfulness Training on Improvement Mental-Health in Adults: A Narrative Systematic Review. Explore (NY) 2022; 19:310-318. [PMID: 36002363 DOI: 10.1016/j.explore.2022.08.001] [Citation(s) in RCA: 25] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2022] [Accepted: 08/03/2022] [Indexed: 01/04/2023]
Abstract
OBJECTIVE In recent years, digital techniques, such as virtual reality (VR) has been employed in tandem with more traditional psychological interventions. The aim of this study is to investigate whether VR-based mindfulness training can improve mental health outcomes, and notably mindfulness levels amongst adults. In addition, this review seeks to summarise the various designed VR scenarios, as well as those elements around VR that may assist people in practising mindfulness and meditation. METHODS The search for eligible studies for inclusion was conducted via the following databases: the Applied Social Science Index & Abstract (ASSIA), PsychINFO, Medline, EMBASE, and the Web-of-Science Core Collection. Only experimental studies were eligible for inclusion, and specifically, those that compared the effectiveness of mindfulness training using immersive VR (on the one hand) with a control condition. RESULTS This search generated 2523 articles published between 2016 and 2022, and of these, 106 were assessed for eligibility. This review included seven studies, with a collective total of 798 participants. VR-based mindfulness training has been shown to be more effective than conventional mindfulness - it improves levels of mindfulness and meditation experience; but also shown to reduce anxiety, depression, improve sleep quality, emotion regulation, and generate mood improvement. VR-based mindfulness training frequently contains natural 'environmentally relevant' elements, such as forest, grassland, caves, sea, etc. CONCLUSIONS: This review suggests that using VR to assist mindfulness training is an effective and innovative way to improve mental health conditions within the adult population. Further directions and limitations are discussed.
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Affiliation(s)
- Jingni Ma
- School of Health in Social Science, University of Edinburgh, Edinburgh EH8 9AG, UK
| | - Dongrong Zhao
- Lanzhou Third People's Hospital, No. 130, Jianlan New Village, Qilihe District, Lanzhou 730050, China
| | - Naihong Xu
- Lanzhou Third People's Hospital, No. 130, Jianlan New Village, Qilihe District, Lanzhou 730050, China
| | - Jinmei Yang
- Lanzhou Third People's Hospital, Administration Building, No. 130, Jianlan New Village, Qilihe, Lanzhou, China.
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12
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Brown KW, Berry D, Eichel K, Beloborodova P, Rahrig H, Britton WB. Comparing impacts of meditation training in focused attention, open monitoring, and mindfulness-based cognitive therapy on emotion reactivity and regulation: Neural and subjective evidence from a dismantling study. Psychophysiology 2022; 59:e14024. [PMID: 35182393 PMCID: PMC9286350 DOI: 10.1111/psyp.14024] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2020] [Revised: 01/05/2022] [Accepted: 01/05/2022] [Indexed: 01/22/2023]
Abstract
Commonly conducted mindfulness‐based trainings such as Mindfulness‐based Stress Reduction (MBSR) and Mindfulness‐based Cognitive Therapy (MBCT) highlight training in two key forms of meditation: focused attention (FA) and open monitoring (OM). Largely unknown is what each of these mindfulness practices contributes to emotional and other important training outcomes. This dismantling trial compared the effects of structurally equivalent trainings in MBCT, FA, and OM on neural and subjective markers of emotional reactivity and regulation among community adults, with the aim to better understand which forms of training represent active ingredients in mindfulness trainings. Participants with varying levels of depressive symptoms were randomized to one of the three trainings. Before and after each 8‐week training, N = 89 participants completed a modified version of the Emotional Reactivity and Regulation Task while electroencephalographic (EEG) and self‐reported emotional responses to negative, positive, and neutral photographic images were collected. Examination of EEG‐based frontal alpha band asymmetry during passive viewing (reactivity) and active regulation phases of the task showed that FA and MBCT trainings produced significant leftward hemispheric shifts in frontal alpha asymmetry, commonly associated with a shift toward approach‐based positive affect. Self‐reported emotional responses to negative images corroborated these results, suggesting salutary changes in both emotional reactivity and regulation. OM training had limited beneficial effects, restricted to the subjective outcomes. The findings suggest that MBCT may derive its greatest benefit from training in FA rather than OM. Discussion highlights the potential value of FA training for emotional health. In the first report comparing emotion‐relevant impacts of focused attention meditation (FA), open awareness meditation (OM), and Mindfulness‐based Cognitive Therapy (MBCT) among those with depressive symptoms, we show that FA and MBCT produced leftward hemispheric shifts in frontal alpha asymmetry, consistent with approach‐based positive affect, during an emotion reactivity and regulation task. Self‐reported emotional responses to negative images corroborated these results. The findings highlight the potential value of FA and MBCT training for emotional health.
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Affiliation(s)
- Kirk Warren Brown
- Department of Psychology, Virginia Commonwealth University, Richmond, Virginia, USA
| | - Daniel Berry
- Department of Psychology, California State University, San Marcos, San Marcos, California, USA
| | - Kristina Eichel
- Department of Psychiatry and Human Behavior, Warren Alpert Medical School at Brown University, Providence, Rhode Island, USA
| | - Polina Beloborodova
- Department of Psychology, Virginia Commonwealth University, Richmond, Virginia, USA
| | - Hadley Rahrig
- Department of Psychology, Virginia Commonwealth University, Richmond, Virginia, USA
| | - Willoughby B Britton
- Department of Psychiatry and Human Behavior, Warren Alpert Medical School at Brown University, Providence, Rhode Island, USA
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13
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Susam BT, Riek NT, Beck K, Eldeeb S, Hudac CM, Gable PA, Conner C, Akcakaya M, White S, Mazefsky C. Quantitative EEG Changes in Youth With ASD Following Brief Mindfulness Meditation Exercise. IEEE Trans Neural Syst Rehabil Eng 2022; 30:2395-2405. [PMID: 35976834 PMCID: PMC9979338 DOI: 10.1109/tnsre.2022.3199151] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Mindfulness has growing empirical support for improving emotion regulation in individuals with Autism Spectrum Disorder (ASD). Mindfulness is cultivated through meditation practices. Assessing the role of mindfulness in improving emotion regulation is challenging given the reliance on self-report tools. Electroencephalography (EEG) has successfully quantified neural responses to emotional arousal and meditation in other populations, making it ideal to objectively measure neural responses before and after mindfulness (MF) practice among individuals with ASD. We performed an EEG-based analysis during a resting state paradigm in 35 youth with ASD. Specifically, we developed a machine learning classifier and a feature and channel selection approach that separates resting states preceding (Pre-MF) and following (Post-MF) a mindfulness meditation exercise within participants. Across individuals, frontal and temporal channels were most informative. Total power in the beta band (16-30 Hz), Total power (4-30 Hz), relative power in alpha band (8-12 Hz) were the most informative EEG features. A classifier using a non-linear combination of selected EEG features from selected channel locations separated Pre-MF and Post-MF resting states with an average accuracy, sensitivity, and specificity of 80.76%, 78.24%, and 82.14% respectively. Finally, we validated that separation between Pre-MF and Post-MF is due to the MF prime rather than linear-temporal drift. This work underscores machine learning as a critical tool for separating distinct resting states within youth with ASD and will enable better classification of underlying neural responses following brief MF meditation.
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Affiliation(s)
- Busra T. Susam
- Department of Electrical and Computer Engineering, University of Pittsburgh, Pittsburgh, PA 15261
| | - Nathan T. Riek
- Department of Electrical and Computer Engineering, University of Pittsburgh, PA 15261 USA
| | - Kelly Beck
- School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, PA 15260 USA
| | - Safaa Eldeeb
- Department of Electrical and Computer Engineering, University of Pittsburgh, PA 15261 USA
| | - Caitlin M. Hudac
- Department of Psychology, Carolina Autism and Neurodevelopment (CAN) Research Center, University of South Carolina, Columbia, SC 29208 USA
| | - Philip A. Gable
- Department of Psychological and Brain Sciences, University of Delaware, Newark, DE 19716 USA
| | - Caitlin Conner
- Department of Psychiatry, School of Medicine, University of Pittsburgh, Pittsburgh, PA 15213 USA
| | - Murat Akcakaya
- Department of Electrical and Computer Engineering, University of Pittsburgh, PA 15261 USA
| | - Susan White
- Department of Psychology, The University of Alabama, Tuscaloosa, AL 35401 USA
| | - Carla Mazefsky
- Department of Psychiatry, School of Medicine, University of Pittsburgh, Pittsburgh, PA 15213 USA
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14
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Santamaría-Peláez M, González-Bernal JJ, Verdes-Montenegro-Atalaya JC, Pérula-de Torres LÁ, Roldán-Villalobos A, Romero-Rodríguez E, Hachem Salas N, Magallón Botaya R, González-Navarro TDJ, Arias-Vega R, Valverde FJ, Jiménez-Barrios M, Mínguez LA, León-del-Barco B, Soto-Cámara R, González-Santos J. Mindfulness-Based Program for Anxiety and Depression Treatment in Healthcare Professionals: A Pilot Randomized Controlled Trial. J Clin Med 2021; 10:jcm10245941. [PMID: 34945237 PMCID: PMC8708843 DOI: 10.3390/jcm10245941] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2021] [Revised: 12/03/2021] [Accepted: 12/13/2021] [Indexed: 11/16/2022] Open
Abstract
In primary health care, the work environment can cause high levels of anxiety and depression, triggering relevant expert and individual change. Mindfulness-Based Stress Reduction (MBSR) programs reduce signs of anxiety and depression. The purpose of this sub-analysis of the total project, was to equate the effectiveness of the standard MBSR curriculum with the abbreviated version in minimizing anxiety and depression. This randomized controlled clinical trial enrolled 112 mentors and resident specialists from Family and Community Medicine and Nurses (FCMN), distributed across six teaching units (TU) of the Spanish National Health System (SNHS). Experimental group participants received a MBRS training (abbreviated/standard). Depression and anxiety levels were measured with the Goldberg Anxiety and Depression Scale (GADS) at three different time periods during the analysis: before (pre-test) and after (post-test) participation, as well as 3 months after the completion of intervention. Taking into account the pre-test scores as the covariate, an adjusted analysis of covariance (ANCOVA) showed significant depletion in anxiety and depression in general (F (2.91) = 4.488; p = 0.014; η2 = 0.090) and depression in particular (F (2, 91) = 6.653; p = 0.002; η2 = 0.128 at the post-test visit, maintaining their effects for 3 months (F (2.79) = 3.031; p = 0.050; η2 = 0.071-F (2.79) = 2.874; p = 0.049; η2 = 0.068, respectively), which is associated with the use of a standard training program. The abbreviated training program did not have a significant effect on the level of anxiety and depression. The standard MBSR training program had a positive effect on anxiety and depression and promotes long-lasting effects in tutors and resident practitioners. New research is needed to demonstrate the effectiveness of abbreviated versions of training programs.
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Affiliation(s)
- Mirian Santamaría-Peláez
- Department of Health Sciences, University of Burgos, 09001 Burgos, Spain; (M.S.-P.); (M.J.-B.); (R.S.-C.)
| | - Jerónimo Javier González-Bernal
- Department of Health Sciences, University of Burgos, 09001 Burgos, Spain; (M.S.-P.); (M.J.-B.); (R.S.-C.)
- Correspondence: (J.J.G.-B.); (J.G.-S.)
| | | | - Luis Ángel Pérula-de Torres
- Multi-Professional Teaching Unit for Family and Community Care of Córdoba, Healthcare District of Córdoba and Guadalquivir, Institute Maimónides of Research Córdoba (IMIBIC), Reina Sofía University Hospital, University of Córdoba, 14001 Cordoba, Spain;
| | - Ana Roldán-Villalobos
- Carlos Castilla del Pino Health Center, Healthcare District of Córdoba and Guadalquivir, Institute Maimónides of Research Córdoba (IMIBIC), Reina Sofía University Hospital, University of Córdoba, 14001 Cordoba, Spain;
| | - Esperanza Romero-Rodríguez
- Healthcare District of Córdoba and Guadalquivir, Institute Maimónides of Research Córdoba (IMIBIC), Reina Sofía University Hospital, University of Córdoba, 14001 Cordoba, Spain;
| | | | - Rosa Magallón Botaya
- IIS-Aragon—Group B21-R17, Family and Community Medicine Teaching Department of Zaragoza Sector 1, Institute of Health Carlos III—REDIAPP 06/18, University of Zaragoza, 50018 Zaragoza, Spain;
| | | | - Raquel Arias-Vega
- Castello Health Center (Madrid), Institute Maimónides of Research Córdoba (IMIBIC), Reina Sofía University Hospital, University of Córdoba, 14001 Cordoba, Spain;
| | | | - María Jiménez-Barrios
- Department of Health Sciences, University of Burgos, 09001 Burgos, Spain; (M.S.-P.); (M.J.-B.); (R.S.-C.)
| | | | - Benito León-del-Barco
- Department of Psychology, Faculty of Teacher Training College, University of Extremadura, 10071 Caceres, Spain;
| | - Raúl Soto-Cámara
- Department of Health Sciences, University of Burgos, 09001 Burgos, Spain; (M.S.-P.); (M.J.-B.); (R.S.-C.)
| | - Josefa González-Santos
- Department of Health Sciences, University of Burgos, 09001 Burgos, Spain; (M.S.-P.); (M.J.-B.); (R.S.-C.)
- Correspondence: (J.J.G.-B.); (J.G.-S.)
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15
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The Current Evidence Levels for Biofeedback and Neurofeedback Interventions in Treating Depression: A Narrative Review. Neural Plast 2021; 2021:8878857. [PMID: 33613671 PMCID: PMC7878101 DOI: 10.1155/2021/8878857] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2020] [Revised: 12/28/2020] [Accepted: 01/25/2021] [Indexed: 12/22/2022] Open
Abstract
This article is aimed at showing the current level of evidence for the usage of biofeedback and neurofeedback to treat depression along with a detailed review of the studies in the field and a discussion of rationale for utilizing each protocol. La Vaque et al. criteria endorsed by the Association for Applied Psychophysiology and Biofeedback and International Society for Neuroregulation & Research were accepted as a means of study evaluation. Heart rate variability (HRV) biofeedback was found to be moderately supportable as a treatment of MDD while outcome measure was a subjective questionnaire like Beck Depression Inventory (level 3/5, “probably efficacious”). Electroencephalographic (EEG) neurofeedback protocols, namely, alpha-theta, alpha, and sensorimotor rhythm upregulation, all qualify for level 2/5, “possibly efficacious.” Frontal alpha asymmetry protocol also received limited evidence of effect in depression (level 2/5, “possibly efficacious”). Finally, the two most influential real-time functional magnetic resonance imaging (rt-fMRI) neurofeedback protocols targeting the amygdala and the frontal cortices both demonstrate some effectiveness, though lack replications (level 2/5, “possibly efficacious”). Thus, neurofeedback specifically targeting depression is moderately supported by existing studies (all fit level 2/5, “possibly efficacious”). The greatest complication preventing certain protocols from reaching higher evidence levels is a relatively high number of uncontrolled studies and an absence of accurate replications arising from the heterogeneity in protocol details, course lengths, measures of improvement, control conditions, and sample characteristics.
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16
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Ghawadra SF, Lim Abdullah K, Choo WY, Danaee M, Phang CK. The effect of mindfulness‐based training on stress, anxiety, depression and job satisfaction among ward nurses: A randomized control trial. J Nurs Manag 2020; 28:1088-1097. [DOI: 10.1111/jonm.13049] [Citation(s) in RCA: 25] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2019] [Revised: 04/19/2020] [Accepted: 05/13/2020] [Indexed: 11/30/2022]
Affiliation(s)
- Sajed Faisal Ghawadra
- Department of Nursing Science Faculty of Medicine University of Malaya Kuala Lumpur Malaysia
- Faculty of Nursing Arab American University ‐ Palestine (AAUP) Jenin Palestine
| | - Khatijah Lim Abdullah
- Department of Nursing Science Faculty of Medicine University of Malaya Kuala Lumpur Malaysia
- Fakultas Keperawatan Universitas Airlangga Surabaya Indonesia
| | - Wan Yuen Choo
- Department of Social & Preventive Medicine Faculty of Medicine University of Malaya Kuala Lumpur Malaysia
| | - Mahmoud Danaee
- Department of Social & Preventive Medicine Faculty of Medicine University of Malaya Kuala Lumpur Malaysia
| | - Cheng Kar Phang
- Behavioral Health Centre Sunway Medical Centre Selangor Malaysia
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17
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Li X, Zhang G, Zhou C, Wang X. Negative emotional state slows down movement speed: behavioral and neural evidence. PeerJ 2019; 7:e7591. [PMID: 31579576 PMCID: PMC6754972 DOI: 10.7717/peerj.7591] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2019] [Accepted: 07/30/2019] [Indexed: 11/20/2022] Open
Abstract
BACKGROUND Athletic performance is affected by emotional state. Athletes may underperform in competition due to poor emotion regulation. Movement speed plays an important role in many competition events. Flexible control of movement speed is critical for effective athletic performance. Although behavioral evidence showed that negative emotion can influence movement speed, the nature of the relationship remains controversial. Thus, the present study investigated how negative emotion affects movement speed and the neural mechanism underlying the interaction between emotion processing and movement control. METHODS The present study combined electroencephalography (EEG) technology with a cued-action task to investigate the effect of negative emotion on movement speed. In total, 21 undergraduate students were recruited for this study. Participants were asked to perform six consecutive action tasks after viewing an emotional picture. Pictures were presented in two blocks (one negative and one neutral). After the participants completed a set of tasks (neutral of negative), they were subjected to complete a 9-point self-assessment manikin scale. Participants underwent EEG while performing the tasks. RESULTS At the behavior level, there was a significant main effect of emotional valence on movement speed, with participants exhibiting significantly slower movements in the negative emotional condition than in the neutral condition. EEG data showed increased theta oscillation and larger P1 amplitude in response to negative than to neural images suggesting that more cognitive resources were required to process negative than neutral images. EEG data also showed a larger late CNV area in the neutral condition than in the negative condition, which suggested that there was a significant decrease in brain activation during action tasks in negative emotional condition than in the neural. While the early CNV did not reveal a significant main effect of emotional valence. CONCLUSION The present results indicate that a negative emotion can slow movement, which is largely due to negative emotional processing consuming more resources than non-emotional processing and this interference effect mainly occurred in the late movement preparation phase.
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Affiliation(s)
- Xiawen Li
- School of Psychology, Shanghai University of Sport, Shanghai, China
| | - Guanghui Zhang
- Faculty of Information Technology, University of Jyväskylä, Jyväskylä, Finland
| | - Chenglin Zhou
- School of Psychology, Shanghai University of Sport, Shanghai, China
| | - Xiaochun Wang
- School of Psychology, Shanghai University of Sport, Shanghai, China
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