Focused attention meditation in healthy adults: A systematic review and meta-analysis of cross-sectional functional MRI studies

Author: Saampras Ganesan1, Emillie Beyer2, Bradford Moffat3, Nicholas T Van Dam4, Valentina Lorenzetti5, Andrew Zalesky6
Affiliation:
1 Melbourne Neuropsychiatry Centre, Carlton, Victoria 3053, Australia; Department of Biomedical Engineering, The University of Melbourne, Carlton, Victoria 3053, Australia. Electronic address: saampras.ganesan@unimelb.edu.au.
2 Neuroscience of Addiction and Mental Health Program, Healthy Brain and Mind Research Centre, School of Behavioral and Health Sciences, Faculty of Health, Australian Catholic University, Fitzroy, Victoria 3065, Australia. Electronic address: emillie.beyer@myacu.edu.au.
3 Melbourne Brain Centre Imaging Unit, Department of Radiology, The University of Melbourne, Parkville, Victoria 3052, Australia. Electronic address: bmoffat@unimelb.edu.au.
4 Melbourne School of Psychological Sciences, The University of Melbourne, Melbourne, Victoria 3010, Australia. Electronic address: nicholas.vandam@unimelb.edu.au.
5 Neuroscience of Addiction and Mental Health Program, Healthy Brain and Mind Research Centre, School of Behavioral and Health Sciences, Faculty of Health, Australian Catholic University, Fitzroy, Victoria 3065, Australia. Electronic address: valentina.lorenzetti@acu.edu.au.
6 Melbourne Neuropsychiatry Centre, Carlton, Victoria 3053, Australia. Electronic address: azalesky@unimelb.edu.au.
Conference/Journal: Neurosci Biobehav Rev
Date published: 2022 Sep 3
Other: Special Notes: doi: 10.1016/j.neubiorev.2022.104846. , Word Count: 174


Meditation trains the mind to focus attention towards an object or experience. Among different meditation techniques, focused attention meditation is considered foundational for more advanced practices. Despite renewed interest in its functional neural correlates, there is no unified neurocognitive model of focused attention meditation developed via quantitative synthesis of contemporary literature. Hence, we performed a quantitative systematic review and meta-analysis of all functional MRI studies examining focussed attention meditation. Following PRISMA guidelines, 28 studies were included in this review, of which 10 studies (200 participants) were amenable to activation likelihood estimation meta-analysis. We found that regions comprising three key functional brain networks i.e., Default-mode, Salience, and Executive Control, were consistently implicated in focused attention meditation. Furthermore, meditation expertise, mindfulness levels and attentional skills were found to significantly influence the magnitude, but not regional extent, of activation and functional connectivity in these networks. Aggregating all evidence, we present a unified neurocognitive brain-network model of focused attention meditation.

Keywords: activation likelihood estimation; focused attention; functional MRI; meditation; meta-analysis; neural correlates; neurocognitive model; systematic review.

PMID: 36067965 DOI: 10.1016/j.neubiorev.2022.104846

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