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Table 3 Overview of neurobehavioral changes pre-to-post MBI in substance use disorder

From: Do mindfulness-based interventions change brain function in people with substance dependence? A systematic review of the fMRI evidence

Author, Year

Behavior changes pre-post mindfulness intervention

fMRI

Brain functional changes

Brain-behavior associations

Substance use

Mindfulness/other

Task

Analysis method

Function

Direction, region

Cohen’s d

p, correction

Z or t

Fahmy, Wasfi (26)

 

↑ Mindfulness (FMI), stress tolerance/appraisal/ absorption/regulation (DTS)

↓ negative urgency (UPPS-P)

= positive urgency, premeditation, perseverance, sensation seeking (UPPS-P)

Rest

(eyes closed)

Whole brain

ICA

(aDMN, pDMN)

Connectivity

↓ rSFG (aDMN)

= pDMN

 

P < .05

FDR-corrected

Z = 4

Neg. Cor. Mindfulness (FMI) & rSFG connectivity r = − .6

 N.S. Cor. UPPS-P (negative urgency, premeditation, perseverance), DTS (tolerance, appraisal, absorption, regulation) & rSFG connectivity

Janes, Datko (28)

↓ Cigs/day

 

Cue reactivity

(nicotine vs. neutral)

ROI (PCC)

control seeds: mPFC, anterior insula

Activity

= PCC cue-reactivity

 

P < .05

corrected with permutation testing

 

Pos. Cor. ΔCigs/day & ΔPCC, PCC, mPFC

N.S. Cor. ΔCigs/day & anterior insula

Kragel, Sweitzer (30)

 

= Mindfulness (FFMQ), stress (PSS)

Cue reactivity

(food vs. neutral)

Whole brain

Activity

↓ paraACC/SFG, fusiform, dmPFC, occipital, post-central/superior parietal, precentral, premotor

 

P < .05 cluster correction

Z = 4.09–5.93

 

Kober, Brewer (29)*

↑ Craving post stress scenarios

↑ stress (VAS) post stress scenarios

Cue reactivity

(stress vs. neutral)

Whole brain

Activity

  

P < .05 FWE-corrected

  

Tang, Tang (9)

↓ Craving, CO

 

Rest

(eyes closed)

Whole brain

(fALFF)

Activity

↑ ACC/mPFC & IFG/vlPFC

 

P < .05

montecarlo -corrected

t = 3.66–4.99

 N.S. Cor. Craving, CO & ACC/mPFC, IFG/vlPFC

  1. *Cross−sectionally, post intervention; ↑ Increased; ↓ Decreased; Δ Change; = no change
  2. Abbreviations: ACC, anterior cingulate cortex; aDMN, anterior default mode network; CO, carbon monoxide; Cor, correlation; dmPFC, dorsomedial prefrontal cortex; DTS, distress tolerance scales; fALFF, fractional amplitude of low−frequency fluctuations; FFMQ, five facet mindfulness questionnaire; FMI, Freiburg mindfulness inventory; ICA, independent component analysis; IFG, inferior frontal gyrus; MBI, mindfulness−based intervention; mPFC, medial prefrontal cortex; N.S., non−significant; Neg, negative; PCC, posterior cingulate cortex; pDMN, posterior default mode network; Pos, positive; PSS, perceived stress scale; ROI, region of interest; rSFG, right superior frontal gyrus; SFG, superior frontal gyrus; UPPS−P, impulsive behavior scale; VAS, visual analogue scale; vlPFC, ventrolateral prefrontal cortex