Cited by 18Grief, Bereavement, and Mental HealthDementia and Cognitive Impairment ResearchMindfulness and Compassion Interventions

Grief, Mindfulness and Neural Predictors of Improvement in Family Dementia Caregivers

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Jain, Felipe A., Connolly, Colm G., Moore, Leonardo C., Leuchter, Andrew F., Abrams, Michelle, Ben-Yelles, Ramzi W., Chang, Sarah E., Ramirez Gomez, Liliana A. +3 more·2019·Frontiers in Human Neuroscience

Published version of a preprint

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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  1. O’Connor M. F. Wellisch D. K. Stanton A. L. Eisenberger N. I. Irwin M. R. Lieberman M. D. (2008). Craving love? Enduring grief activates brain’s reward center. Neuroimage 42, 969– 972. 10.1016/j.neuroimage.2008.04.256 18559294 PMC2553561 · DOI · Paper page
  2. Sheehan D. V. Lecrubier Y. Sheehan K. H. Amorim P. Janavs J. Weiller E.. (1998). The mini-international neuropsychiatric interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. J. Clin. Psychiatry 59, 34– 57. 9881538

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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.
Venue
Frontiers in Human Neuroscience
Published
2019-05-14
Volume
13
Pages
155-155
ISSN
1662-5161 (ISSN-L)
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
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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