Changes in Cerebral Blood Flow and Anxiety Associated with an 8‐week Mindfulness Programme in Women with Breast Cancer
Abstract
This study employed functional magnetic resonance imaging to evaluate changes in cerebral blood flow (CBF) associated with the Mindfulness‐based Art Therapy (MBAT) programme and correlate such changes to stress and anxiety in women with breast cancer. Eighteen breast cancer patients were randomized to the MBAT or education control group. The patients received the diagnosis of breast cancer between 6 months and 3 years prior to enrollment and were not in active treatment. The age of participants ranged from 52 to 77 years. A voxel‐based analysis was performed to assess differences at rest, during meditation and during a stress task. The anxiety sub‐scale of the Symptoms Checklist‐90‐Revised was compared with changes in resting CBF before and after the programmes. Subjects in the MBAT arm demonstrated significant increases in CBF at rest and during meditation in multiple limbic regions, including the left insula, right amygdala, right hippocampus and bilateral caudate. Patients in the MBAT programme also had a significant correlation between increased CBF in the left caudate and decreased anxiety scores. In the MBAT group, responses to a stressful cue resulted in reduced activation of the posterior cingulate. The results demonstrate that the MBAT programme was associated with significant changes in CBF, which correlated with decreased anxiety over an 8‐week period. Copyright © 2012 John Wiley & Sons, Ltd.
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MBAT-receiving participants demonstrated significant increases in blood flow at rest and during meditation in multiple limbic brain regions, including the insula, amygdala, hippocampus, and caudate nuclei.
“MBAT-receiving participants demonstrated significant increases in blood flow at rest and during meditation in multiple limbic brain regions, including the insula, amygdala, hippocampus, and caudate nuclei.”
From Mindfulness based art therapy study protocol to determine efficacy in reducing college stress and anxiety (2021) · cites this paper as [6]
Responses to a stressful cue resulted in reduced activation of the posterior cingulate cortex in MBAT-receiving participants, demonstrating MBAT's regulation of a specific neural circuit.
“Moreover, responses to a stressful cue resulted in reduced activation of the posterior cingulate cortex in MBAT-receiving participants, demonstrating MBAT’s regulation of a specific neural circuit.”
From Mindfulness based art therapy study protocol to determine efficacy in reducing college stress and anxiety (2021) · cites this paper as [6]
There is one standardized MBAT protocol published to date and it has demonstrated positive results in a real-world setting for women with breast cancer, including psychosocial adjustment and positive changes to cerebral blood flow.
“There is one standardized MBAT protocol that has been published to date and has demonstrated positive results in a real-world setting for women with breast cancer; these results include psychosocial adjustment and positive changes to cerebral blood flow [6–8].”
From Mindfulness based art therapy study protocol to determine efficacy in reducing college stress and anxiety (2021) · cites this paper as [6]
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- Authors
- Monti, D. A., Kash, K. M., Kunkel, E. J. S., Brainard, G., Wintering, N., Moss, A. S., Rao, H., Zhu, S., & Newberg, A. B.
- Affiliations
- Thomas Jefferson University (US)
- University of Pennsylvania (US)
- Corresponding author
- Monti, Daniel A.
- ORCID
- Venue
- Stress and Health
- Publisher
- Wiley
- Published
- 2012-11-05
- Volume
- 28
- Issue
- 5
- Pages
- 397-407
- ISSN
- 1532-2998 (ISSN-L)
- 1532-3005
- OpenAlex
- W1549917888
- Cited by
- 80
- References
- 52
- Citations by year
- 2026: 6 · 2025: 4 · 2024: 6 · 2023: 6 · 2022: 11 · 2021: 3 · 2020: 9 · 2019: 5 · 2018: 5 · 2017: 6 · 2016: 8 · 2015: 5 · 2014: 4 · 2013: 2
- FWCI
- 3.98
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Stress and Health (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Cancer Institute (R01CA111832)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Social Sciences › Arts and Humanities › Conservation › Art Therapy and Mental Health
- Keywords
- mindfulness-based art therapy, breast cancer, cerebral blood flow, anxiety, stress, meditation, limbic system, insula, amygdala, hippocampus, caudate nucleus, posterior cingulate cortex, stress response, cancer patients
- MeSH terms
- Aged, Anxiety, Brain, Breast Neoplasms, Cerebrovascular Circulation, Female, Humans, Magnetic Resonance Imaging, Middle Aged, Stress, Psychological, Treatment Outcome, Meditation
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