Document Detail

The mindful brain and emotion regulation in mood disorders.
MedLine Citation:
PMID:  22340146     Owner:  NLM     Status:  MEDLINE    
Mindfulness involves nonjudgmental attention to present-moment experience. In its therapeutic forms, mindfulness interventions promote increased tolerance of negative affect and improved well-being. However, the neural mechanisms underlying mindful mood regulation are poorly understood. Mindfulness training appears to enhance focused attention, supported by the anterior cingulate cortex and the lateral prefrontal cortex (PFC). In emotion regulation, these PFC changes promote the stable recruitment of a nonconceptual sensory pathway, an alternative to conventional attempts to cognitively reappraise negative emotion. In neural terms, the transition to nonconceptual awareness involves reducing evaluative processing, supported by midline structures of the PFC. Instead, attentional resources are directed toward a limbic pathway for present-moment sensory awareness, involving the thalamus, insula, and primary sensory regions. In patients with affective disorders, mindfulness training provides an alternative to cognitive efforts to control negative emotion, instead directing attention toward the transitory nature of momentary experience. Limiting cognitive elaboration in favour of momentary awareness appears to reduce automatic negative self-evaluation, increase tolerance for negative affect and pain, and help to engender self-compassion and empathy in people with chronic dysphoria.
Norman A S Farb; Adam K Anderson; Zindel V Segal
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  Canadian journal of psychiatry. Revue canadienne de psychiatrie     Volume:  57     ISSN:  1497-0015     ISO Abbreviation:  Can J Psychiatry     Publication Date:  2012 Feb 
Date Detail:
Created Date:  2012-02-20     Completed Date:  2012-09-27     Revised Date:  2013-06-26    
Medline Journal Info:
Nlm Unique ID:  7904187     Medline TA:  Can J Psychiatry     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  70-7     Citation Subset:  IM    
Postdoctoral Fellow, Rotman Research Institute, Baycrest Centre, Toronto, Ontario, Canada.
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MeSH Terms
Attention / physiology
Awareness / physiology
Brain Mapping
Cognitive Therapy / methods*
Emotions / physiology*
Empathy / physiology
Limbic System / physiology*
Meditation / psychology*
Mood Disorders / therapy*
Prefrontal Cortex / physiology*
Grant Support
MH 087723/MH/NIMH NIH HHS; MT81164//Canadian Institutes of Health Research; R01 MH066992-05/MH/NIMH NIH HHS
Comment In:
Can J Psychiatry. 2012 Feb;57(2):61-2   [PMID:  22340144 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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