Within-Person Modulation of Neural Networks following Interoceptive Awareness Training through Mindful Awareness in Body-Oriented Therapy (MABT): A Pilot Study
Open accessAbstract
Interoception, the representation of the body’s internal state, is increasingly recognized for informing subjective wellbeing and promoting regulatory behavior. However, few empirical reports characterize interoceptive neural networks, and fewer demonstrate changes to these networks in response to an efficacious intervention. Using a two-group randomized controlled trial, this pilot study explored within-participant neural plasticity in interoceptive networks following Mindful Awareness in Body-oriented Therapy (MABT). Participants (N = 22) were assigned to either 8 weeks of MABT or to a no-treatment control and completed baseline and post-intervention assessments that included subjective interoceptive awareness (MAIA) and neuroimaging of an interoceptive awareness task. MABT was uniquely associated with insula deactivation, increased functional connectivity between the dorsal attention network and the somatomotor cortex, and connectivity changes correlated positively with changes in subjective interoception. Within the MABT group, changes in subjective interoception interacted with changes in a predefined anterior cingulate seed region to predict changes in right middle insula activity, a putative primary interoceptive representation region. While the small sample size requires the replication of findings, results suggest that interoceptive training enhances sensory–prefrontal connectivity, and that such changes are commensurate with enhanced interoceptive awareness.
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Evidence indicates that mindfulness interventions work through reducing stress and craving and improving mindfulness and interoceptive awareness.
“Evidence indicates that mindfulness interventions work through reducing stress and craving and improving mindfulness and interoceptive awareness [15,19,20,28–32].”
From Mindful moms: acceptability and impact of co-designed and digitally delivered video meditations for pregnant and parenting women with opioid use disorder (2025) · cites this paper as [31]
The Introduction (page unavailable) reports prior MABT findings of reduced craving and improved interoceptive awareness. The Discussion (page unavailable) reports improved interoceptive awareness in this pilot study, but no change in symptom burden or the measured mindfulness skills of decentering and non-judgment. It therefore does not establish the full claim that mindfulness interventions work through all four proposed changes, including reduced stress. (LLM, conf=0.88)
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- Authors
- Price, C. J., Sevinc, G., & Farb, N. A. S.
- Affiliations
- University of Washington (US)
- Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA
- University of Toronto (CA)
- Corresponding author
- Price, Cynthia J.
- Venue
- Brain Sciences
- Publisher
- MDPI AG
- Published
- 2023-09-30
- Volume
- 13
- Issue
- 10
- Pages
- 1396
- ISSN
- 2076-3425 (ISSN-L)
- PMC
- PMC10605589
- OpenAlex
- W4387230444
- Cited by
- 20
- References
- 89
- Citations by year
- 2026: 5 · 2025: 10 · 2024: 5
- FWCI
- 4.05
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Brain Sciences (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- TSpace (University of Toronto) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National Institute of Health (UL1 TR002319, RGPIN-2015-05901, Research Intramural Funding Program)
- Canadian Natural Sciences and Engineering Council (UL1 TR002319, RGPIN-2015-05901, Research Intramural Funding Program)
- School of Nursing, University of Washington (UL1 TR002319, RGPIN-2015-05901, Research Intramural Funding Program)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
- Keywords
- interoception, neuroplasticity, dorsal attention network, somatomotor cortex, anterior cingulate cortex, functional connectivity, mindfulness-based interventions
About these checks
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.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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