Brain Gray Matter Changes Associated with Mindfulness Meditation in Older Adults: An Exploratory Pilot Study using Voxel-based Morphometry.

Florian Kurth, Eileen Luders, Brian Wu, David S Black
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引用次数: 22

Abstract

Background: Mindfulness-based interventions (MBIs) have previously been associated with structural gray matter changes in normal healthy adults. However, it remains unknown if standardized MBIs can induce similar changes in older adults and those with health complaints as well. The objective of this investigation was to examine the effect of a standardized MBI on the gray matter tissue of older adults with sleep disturbances.

Methods: This exploratory single-group pilot longitudinal study examined local gray matter changes over a six-week MBI period. Participants included six older adult community volunteers (M=66.5 years of age, SD=5.5, range=58-75; 66% female) with sleep disturbances recruited through advertisement in local newspapers/flyers posted at a university medical center and affiliated clinics in Los Angeles, CA. The MBI was delivered as a weekly, two-hour, six-session, group-based course in mindfulness meditation. Gray matter was measured voxel-wise pre- and post-intervention.

Results: A significant gray matter increase was identified within the precuneus, possibly implicating meditation-induced changes of the default mode network. In contrast, observed significant gray matter decreases may have been driven by MBI-related remediation of brain architecture subserving sleep complaints.

Conclusions: Exploratory findings suggest that mindfulness meditation practice is associated with a detectable alteration of cerebral gray matter in older adults.

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老年人正念冥想相关的脑灰质变化:一项基于体素形态学的探索性初步研究。
背景:基于正念的干预(mbi)先前与正常健康成人的结构性灰质变化有关。然而,标准化的mbi是否能在老年人和那些有健康问题的人身上引起类似的变化,目前还不清楚。本研究的目的是检验标准化MBI对有睡眠障碍的老年人灰质组织的影响。方法:这项探索性的单组先导纵向研究检查了六周MBI期间局部灰质的变化。参与者包括6名老年社区志愿者(M=66.5岁,SD=5.5,范围=58-75;(66%为女性),有睡眠障碍的人通过在当地报纸上的广告或在加州洛杉矶一所大学医疗中心及其附属诊所张贴的传单招募。MBI是一项每周两小时、分六节、以小组为基础的正念冥想课程。在干预前后分别测量脑灰质体素。结果:在楔前叶内发现了显著的灰质增加,可能涉及冥想诱导的默认模式网络的变化。相比之下,观察到的显著灰质减少可能是由mbi相关的大脑结构修复所驱动的,这些修复有助于睡眠抱怨。结论:探索性发现表明,正念冥想练习与老年人大脑灰质的可检测变化有关。
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