1.3 - Hölzel et al.: Mindfulness & Brain Scans
Understanding mindfulness and localisation of function
Mindfulness and localisation of function are key ideas in biological psychology that help explain how certain practices can influence brain structure and wellbeing.
Mindfulness
Mindfulness is a stress-reduction technique that focuses on building awareness of the present moment while promoting compassionate and non-judgemental attitudes. As a result, mindfulness practices, such as those in Mindfulness-Based Stress Reduction (MBSR) programmes, are used to manage stress and enhance emotional health.
Localisation of function
Localisation of function refers to the theory that specific areas of the brain are responsible for particular behaviours or cognitive processes. This idea is important because it suggests that changes in these brain areas, known as structural plasticity (alterations in neural tissue), could explain improvements in wellbeing from practices like mindfulness.
Background to Hölzel et al.'s study
Research has shown that people who regularly meditate often have more grey matter in specific areas compared to those who do not. Grey matter concentration (GMC) is the density of this tissue in the brain. For instance, studies using functional magnetic resonance imaging (fMRI) have found increased activity in regions like the hippocampus during meditation. This leads to the hypothesis that mindfulness training could increase GMC in these areas, potentially linking to better wellbeing.
Aims of the study
- To explore how an MBSR programme affects brain structure.
- Investigate whether GMC changes occur after an eight-week MBSR programme.
- Identify which particular brain structures show these changes following the training.
Methodology of the study
Hölzel et al. used a structured approach to test their aims, combining experimental design with advanced brain imaging. This allowed them to compare changes over time and between groups.
Research design and methods
The study was a longitudinal experiment with a mixed design.
Design features:
- Repeated measures - The same participants were tested before and after the eight-week period to track individual changes.
- Independent measures - Results from the MBSR group were compared to a control group that received no training.
They also used correlations to examine links between time spent on mindfulness practice (measured in minutes) and increases in GMC.
Data collection techniques
Magnetic resonance imaging (MRI):
- Scans were taken two weeks before the programme started and at the end of the eight weeks.
- For each participant, a 3D digital brain model was built from 128 sagittal images.
- Voxel-based morphometry (VBM) measured GMC in specific areas like the hippocampi and insulae.
Self-reports:
- Participants completed the Five Facets of Mindfulness Questionnaire (FFMQ), which assesses five aspects of mindfulness linked to wellbeing.
- It involves rating 39 statements on a scale from 1 (never or very rarely true) to 5 (very often or always true), providing quantitative data.
Variables
Independent variable:
- Participation in the MBSR programme.
- The experimental group (6 males, 10 females; mean age 38) attended weekly 2.5-hour sessions for eight weeks, plus one 6.5-hour day, including yoga, sitting meditation, and body scanning.
- The control group (11 males, 6 females; mean age 39) was on a waiting list and received no training.
Dependent variables:
- Changes in GMC, measured via VBM in areas like the hippocampi and insulae.
- Mindfulness levels, measured by FFMQ scores.
Co-variable:
- Time spent on daily mindfulness exercises, recorded in diaries.
Sample
The sample consisted of 33 right-handed, healthy adults aged 25–55, with no regular medication and limited prior meditation experience. They were an opportunity sample recruited from four MBSR courses at a mindfulness centre in New England, USA. All participants were either referred or self-referred for stress reduction.
Procedure and controls
The study followed a clear sequence to ensure reliable data collection. This step-by-step process helped isolate the effects of MBSR.
Key stages of the procedure
- Two weeks before the programme: All participants underwent MRI scans and completed the FFMQ.
- During the eight weeks: The experimental group attended sessions and used a 45-minute audio recording for daily home practice.
- Two weeks after the programme: All participants had follow-up MRI scans and completed the FFMQ again.
Controls used
- Participant variables were minimised through the repeated measures design and by checking for no significant differences between groups in terms of age and educational background.
- Order effects were addressed by including the control group to show natural changes versus those from MBSR.
- Standardised procedures, such as consistent MRI timing, ensured consistency.
Ethical considerations
Ethical practices were followed to protect participants. Informed consent was obtained, with the experimental group agreeing to attend all sessions, complete homework, and keep diaries. Fees for MBSR were reduced as thanks. To prevent harm, those with claustrophobia or metallic implants were excluded.
Results of the study
The findings provided quantitative evidence of changes linked to MBSR. Data were analysed objectively using computer software for VBM.
Key findings on mindfulness practice
- Average daily practice time: 27 minutes.
- Total over eight weeks: 22.6 hours (standard deviation = 6.3 hours).
Changes in the experimental group
- Significant improvements in three FFMQ facets: acting with awareness, observing, and non-judging.
- Significant GMC increases in the left hippocampus, posterior cingulate cortex, temporoparietal junction, and cerebellum.
- No significant correlations between GMC changes and either practice time or FFMQ facets.
Changes in the control group
- No significant improvement in any FFMQ facets.
- A significant decrease in GMC in the posterior cingulate cortex.
Conclusions from the study
Regular mindfulness practice can cause localised increases in GMC in brain areas like the left hippocampus and posterior cingulate cortex. These changes may support wellbeing benefits, as these structures are associated with learning, memory, emotion regulation, and perspective-taking. However, earlier findings on the insula were not replicated, suggesting changes there might require longer than eight weeks.
Evaluation of the study
Hölzel et al.'s research has strengths and weaknesses that affect its overall quality. These can be assessed in terms of reliability, validity, and generalisability.
Strengths
- Reliability - The FFMQ is highly reliable, with strong correlations between items (e.g., +0.87 for 'acting with awareness' questions), ensuring consistent measurements.
- Objectivity - VBM analysis of quantitative data is computer-based, reducing researcher bias.
Weaknesses
- Validity - GMC changes in the experimental group might stem from confounding variables like social interaction during sessions, which were not controlled.
- Generalisability - The sample was limited to educated adults aged 25–55, so findings may not apply to younger, older, or less educated groups.
Applications and issues in psychology
This study highlights broader themes in psychology, showing how research can inform real-world practices and debates.
Application to everyday life
Incorporating daily mindfulness opportunities in workplaces could enhance wellbeing, potentially boosting productivity and reducing sick days.
Nature versus nurture debate
The study supports both sides. Nature is evident in the localisation of GMC increases to specific brain regions with distinct functions. Nurture is shown through how environmental factors, such as attending MBSR sessions, influence wellbeing and brain changes.