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      The impact of a brief mindfulness training on interoception: A randomized controlled trial

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          Abstract

          Interoception is a collection of different representations of signals originating within the body. The way of perceiving these signals seems to be related to both emotion regulation and dysregulation, and its dysfunction is implicated across a variety of affective disorders. There is a growing body of research investigating the relationship between mindfulness meditation practices and interoception showing an increase in interoceptive processes with regular training. In this study, we assessed the effects of a three-day mindfulness training on interoceptive accuracy and sensibility in a young healthy adult sample. Moreover, we also performed a mediation analysis on interoceptive sensibility and anxiety. Healthy participants (n = 40) naive to mindfulness practices were randomized to a brief mindfulness training (MT) (n = 20, females = 10) or to an active control group (n = 20, females = 10). Participants were assessed before and after the 3-days intervention for both groups on measures of interoception and anxiety in a modified intention-to-treat approach. The brief mindfulness training group increased interoceptive sensibility while active control had no effects on this variable. Five out of eight subdomains of interoceptive sensibility were significantly improved after mindfulness training. There was no significant difference in interoceptive accuracy after training. The effect of a brief mindfulness training on interoceptive sensibility mediated changes in the anxiety state. To date, this is the first study showing a plausible mechanism of a brief mindfulness training to explain the anxiolytic effects of meditation practices.

          Trial registration: RBR-7b8yh8, March 28 th 2017 http://www.ensaiosclinicos.gov.br/rg/RBR-7b8yh8/.

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          Most cited references54

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          Statistical Power Analysis for the Behavioral Sciences

          <i>Statistical Power Analysis</i> is a nontechnical guide to power analysis in research planning that provides users of applied statistics with the tools they need for more effective analysis. The Second Edition includes: <br> * a chapter covering power analysis in set correlation and multivariate methods;<br> * a chapter considering effect size, psychometric reliability, and the efficacy of "qualifying" dependent variables and;<br> * expanded power and sample size tables for multiple regression/correlation.<br>
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            The neuroscience of mindfulness meditation.

            Research over the past two decades broadly supports the claim that mindfulness meditation - practiced widely for the reduction of stress and promotion of health - exerts beneficial effects on physical and mental health, and cognitive performance. Recent neuroimaging studies have begun to uncover the brain areas and networks that mediate these positive effects. However, the underlying neural mechanisms remain unclear, and it is apparent that more methodologically rigorous studies are required if we are to gain a full understanding of the neuronal and molecular bases of the changes in the brain that accompany mindfulness meditation.
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              Interoception: the sense of the physiological condition of the body.

              Converging evidence indicates that primates have a distinct cortical image of homeostatic afferent activity that reflects all aspects of the physiological condition of all tissues of the body. This interoceptive system, associated with autonomic motor control, is distinct from the exteroceptive system (cutaneous mechanoreception and proprioception) that guides somatic motor activity. The primary interoceptive representation in the dorsal posterior insula engenders distinct highly resolved feelings from the body that include pain, temperature, itch, sensual touch, muscular and visceral sensations, vasomotor activity, hunger, thirst, and 'air hunger'. In humans, a meta-representation of the primary interoceptive activity is engendered in the right anterior insula, which seems to provide the basis for the subjective image of the material self as a feeling (sentient) entity, that is, emotional awareness.
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                Author and article information

                Contributors
                Role: ConceptualizationRole: Data curationRole: Formal analysisRole: InvestigationRole: MethodologyRole: Project administrationRole: ValidationRole: VisualizationRole: Writing – original draftRole: Writing – review & editing
                Role: Data curationRole: Formal analysisRole: SoftwareRole: VisualizationRole: Writing – review & editing
                Role: Data curationRole: InvestigationRole: Writing – review & editing
                Role: ConceptualizationRole: MethodologyRole: SupervisionRole: Writing – review & editing
                Role: ConceptualizationRole: SupervisionRole: Writing – review & editing
                Role: ConceptualizationRole: MethodologyRole: SupervisionRole: VisualizationRole: Writing – review & editing
                Role: ConceptualizationRole: Funding acquisitionRole: MethodologyRole: ResourcesRole: SupervisionRole: Writing – review & editing
                Role: Editor
                Journal
                PLoS One
                PLoS One
                plos
                PLoS ONE
                Public Library of Science (San Francisco, CA USA )
                1932-6203
                7 September 2022
                2022
                : 17
                : 9
                : e0273864
                Affiliations
                [1 ] Brain Institute, Federal University of Rio Grande do Norte, Natal, Brazil
                [2 ] Department of Psychology, University of Toronto Mississauga, Mississauga, Canada
                [3 ] Mente Aberta—Brazilian Center for Mindfulness and Health Promotion–Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil
                Brown University, UNITED STATES
                Author notes

                Competing Interests: The authors have declared that no competing interests exist.

                Author information
                https://orcid.org/0000-0002-3024-4853
                https://orcid.org/0000-0002-8674-5067
                https://orcid.org/0000-0002-7447-1839
                https://orcid.org/0000-0002-6934-2485
                https://orcid.org/0000-0001-6200-0418
                Article
                PONE-D-21-38906
                10.1371/journal.pone.0273864
                9451078
                36070308
                bf7f34b5-1e46-4a50-834d-ae69e5662fd1
                © 2022 Lima-Araujo et al

                This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                : 15 December 2021
                : 15 August 2022
                Page count
                Figures: 5, Tables: 2, Pages: 18
                Funding
                Funded by: Coordination for the Improvement of Higher Education Personnel (CAPES)
                Award Recipient :
                Funded by: Coordination for the Improvement of Higher Education Personnel (CAPES)
                Award Recipient :
                Funded by: Brazilian Council for Scientific and Technological Development (CNPq)
                Award ID: 484972/2013 8
                Award Recipient :
                MBCS was supported by Brazilian Council for Scientific and Technological Development (CNPq- https://www.gov.br/cnpq/pt-br) under Grant 484972/2013 8 and 306051/2017-6. GLLA and GMSJ were supported by Coordinaton for the Improviment of Higher Education Personnel (CAPES- https://www.gov.br/capes/pt-br). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
                Categories
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                Biology and Life Sciences
                Psychology
                Emotions
                Anxiety
                Social Sciences
                Psychology
                Emotions
                Anxiety
                Biology and Life Sciences
                Neuroscience
                Cognitive Science
                Cognitive Psychology
                Perception
                Sensory Perception
                Biology and Life Sciences
                Psychology
                Cognitive Psychology
                Perception
                Sensory Perception
                Social Sciences
                Psychology
                Cognitive Psychology
                Perception
                Sensory Perception
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                Neuroscience
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                Psychological Stress
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                Psychological Stress
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                Psychological Stress
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                Psychological Attitudes
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                Psychological Attitudes
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                Custom metadata
                The data files are available under the DOI 10.17605/OSF.IO/H5GQN.

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