Grief, Mindfulness and Neural Predictors of Improvement in Family Dementia Caregivers
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Abstract
Background: Family dementia caregivers often suffer from an immense toll of grief while caring for their loved ones. We sought to identify the clinical relationship between grief, depression and mindfulness and identify neural predictors of symptomatology and improvement. Methods: 23 family dementia caregivers were assessed at baseline for grief, mindfulness and depression, of which 17 underwent functional magnetic resonance imaging (fMRI). During fMRI, caregivers were shown faces of either their dementia-stricken relative or that of a stranger, paired with grief-related or neutral words. In 9 subjects, post fMRI scans were also obtained after four weeks of either guided imagery or relaxation. Robust regression was used to predict changes in symptoms with longitudinal brain activation changes as the dependent variable. Results: Grief and depression symptoms were correlated (r = 0.50, p = .01), and both were negatively correlated with mindfulness (r = -.70, p = .0002; r = -.52, p = .01). Relative to viewing strangers, caregivers shown pictures of their loved ones (picture factor) exhibited increased activation in the dorsal anterior cingulate gyrus and precuneus. Improvement in grief but not mindfulness or depression was predicted by increased relative brain activation in the precuneus and anterior cingulate (different subregions from baseline). Viewing grief-related vs. neutral words elicited activity in the medial prefrontal cortex and precuneus. Conclusions: Caregiver grief, depression and mindfulness are interrelated but have at least partially nonoverlapping neural mechanisms. Picture and word stimuli related to grief evoked brain activity in regions previously identified with bereavement grief. These activation foci might be useful as biomarkers of treatment response.
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Studies also have found that mindfulness was negatively related to depressive symptoms, anxiety, stress, and grief in family caregivers of PLWD.
“Studies also have found that mindfulness was negatively related to depressive symptoms, anxiety, stress, and grief in family caregivers of PLWD”
From The feasibility and preliminary effects of a pilot randomized controlled trial: Videoconferencing acceptance and commitment therapy in distressed family caregivers of people with dementia. (2023) · cites this paper as Jain et al., 2019
The Results, under “Baseline Symptom Correlations” (page unavailable), report negative correlations between mindfulness and both depressive symptoms and grief in family dementia caregivers. The paper does not report corresponding correlations for anxiety or stress; its Introduction discusses anxiety benefits in broader populations and caregiving stressors, but not those claimed relationships. (LLM, conf=0.88)
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BackgroundThirumalai, S., Hutchings, G., Prigerson, H., & Kreicbergs, U. (2026) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2026.108057
Maluleke, S. F., Lephalala, M., & Byrne, D. C. (2026) · Reading & Writing · doi:10.4102/rw.v17i1.604
François, T. L., Hilberdink, C. E., Haelewyn, A., Lehodey, A., Soussi, C., Delarue, M., Hébert, O., Landeau, B., Chételat, G., & Bui, E. (2025) · Journal of Affective Disorders · doi:10.1016/j.jad.2025.05.042
Brito, L., Bernardo, A., Leite, Â., & Pereira, M. (2024) · Omega · doi:10.1177/00302228241246417
“It is essential to provide a supportive environment, like family and friends or seek professional help, where caregivers may freely express their emotions (Jain et al., 2019).”
- Authors
- Jain, F. A., Connolly, C. G., Moore, L. C., Leuchter, A. F., Abrams, M., Ben-Yelles, R. W., Chang, S. E., Ramirez Gomez, L. A., Huey, N., Lavretsky, H., & Iacoboni, M.
- Affiliations
- Harvard University (US)
- Florida State University (US)
- University of Central Florida (US)
- University of California, Los Angeles (US)
- Stanford University (US)
- University of California, San Francisco (US)
- Corresponding author
- Jain, Felipe A.
- ORCID
- Venue
- Frontiers in Human Neuroscience
- Publisher
- Frontiers Media SA
- Published
- 2019-05-14
- Volume
- 13
- Pages
- 155-155
- ISSN
- 1662-5161 (ISSN-L)
- PMC
- PMC6530345
- OpenAlex
- W2946499212
- Cited by
- 18
- References
- 76
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 3 · 2023: 4 · 2022: 2 · 2021: 2 · 2020: 3 · 2019: 1
- FWCI
- 2.34
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Human Neuroscience (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- eScholarship (California Digital Library) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- eScholarship (California Digital Library) (submittedVersion)
- MindRxiv (OSF Preprints) (submittedVersion, public-domain)
- MindRxiv (OSF Preprints) (submittedVersion)
- OSF Preprints (OSF Preprints) (submittedVersion)
- Funders
- National Institute on Aging
- Topics
- Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Keywords
- grief, depression, mindfulness, dorsal anterior cingulate cortex, precuneus, medial prefrontal cortex, guided imagery, relaxation, treatment response biomarkers, caregiver burden
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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