The benefits of mindfulness meditation, increasingly
popular in recent years, are supposed to be many: reduced stress and risk for
various diseases, improved well-being, a rewired brain. But the experimental
bases to support these claims have been few. Supporters of the practice have
relied on very small samples of unrepresentative subjects, like isolated
Buddhist monks who spend hours meditating every day, or on studies that
generally were not randomized and did not include placebo control groups.
This month, however, a study published in Biological Psychiatry brings
scientific thoroughness to mindfulness meditation and for the first time shows
that, unlike a placebo, it can change the brains of ordinary people and
potentially improve their health.
To meditate mindfully demands ‘‘an open and receptive,
nonjudgmental awareness of your present-moment experience,’’ says J. David
Creswell, who led the study and is an associate professor of psychology and the
director of the Health and Human Performance Laboratory at Carnegie Mellon
University. One difficulty of investigating meditation has been the placebo
problem. In rigorous studies, some participants receive treatment while others
get a placebo: They believe they are getting the same treatment when they are
not. But people can usually tell if they are meditating. Dr. Creswell, working
with scientists from a number of other universities, managed to fake
mindfulness.
First they recruited 35 unemployed men and women who
were seeking work and experiencing considerable stress. Blood was drawn and
brain scans were given. Half the subjects were then taught formal mindfulness
meditation at a residential retreat center; the rest completed a kind of sham
mindfulness meditation that was focused on relaxation and distracting oneself
from worries and stress.
‘‘We had everyone do stretching exercises, for
instance,’’ Dr. Creswell says. The mindfulness group paid close attention to
bodily sensations, including unpleasant ones. The relaxation group was
encouraged to chatter and ignore their bodies, while their leader cracked
jokes.
At the end of three days, the participants all told
the researchers that they felt refreshed and better able to withstand the
stress of unemployment. Yet follow-up brain scans showed differences in only
those who underwent mindfulness meditation. There was more activity, or
communication, among the portions of their brains that process stress-related
reactions and other areas related to focus and calm. Four months later, those
who had practiced mindfulness showed much lower levels in their blood of a
marker of unhealthy inflammation than the relaxation group, even though few
were still meditating.
Dr. Creswell and his colleagues believe that the
changes in the brain contributed to the subsequent reduction in inflammation,
although precisely how remains unknown. Also unclear is whether you need to
spend three uninterrupted days of contemplation to reap the benefits. When it
comes to how much mindfulness is needed to improve health, Dr. Creswell says,
‘‘we still have no idea about the ideal dose.”
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