Gartenschläger Martin, Schreckenberger Mathias, Buchholz Hans-Georg, Reiner Iris, Beutel Manfred E, Adler Julia, Michal Matthias
Department of Nuclear Medicine, University Medical Center of the Johannes Gutenberg-University, Langenbeckstrasse 1, Mainz, D-55131 Germany.
Department of Psychosomatic Medicine and Psychotherapy, University Medical Center of the Johannes Gutenberg University, Mainz, Germany.
Mindfulness (N Y). 2017;8(4):1009-1017. doi: 10.1007/s12671-017-0677-2. Epub 2017 Feb 9.
Mindfulness denotes a state of consciousness characterized by receptive attention to and awareness of present events and experiences. As a personality trait, it constitutes the ability to become aware of mental activities such as sensations, images, feelings, and thoughts, and to disengage from judgment, conditioned emotions, and their cognitive processing or automatic inhibition. Default brain activity reflects the stream of consciousness and sense of self at rest. Analysis of brain activity at rest in persons with mindfulness propensity may help to elucidate the neurophysiological basis of this important mental trait. The sample consisted of 32 persons-23 with mental disorders and 9 healthy controls. Dispositional mindfulness (DM) was operationalized by Mindful Attention Awareness Scale (MAAS). Brain activity at rest with eyes closed was assessed by fluorodeoxyglucose positron emission tomography (F-18-FDG PET). After adjustment for depression, anxiety, age and years of education, resting glucose metabolism in superior parietal lobule and left precuneus/Brodmann area (BA) 7 was positively associated with DM. Activity of the left inferior frontal orbital gyrus (BA 47) and bilateral anterior thalamus were inversely associated with DM. DM appears to be associated with increased metabolic activity in some core area of the default mode network (DMN) and areas connected to the DMN, such as BA 7, hosting sense of self functions. Hypometabolism on the other hand was found in some nodes connected to the DMN, such as left inferior frontal orbital gyrus and bilateral thalamus, commonly related to functions of memory retrieval, decision making, or outward attention.
正念是一种意识状态,其特征是对当前事件和经历保持接受性关注并有所觉察。作为一种人格特质,它构成了一种能力,即能够意识到诸如感觉、意象、情感和思想等心理活动,并摆脱判断、条件性情绪及其认知加工或自动抑制。静息态脑活动反映了休息时的意识流和自我感。分析具有正念倾向者的静息态脑活动可能有助于阐明这一重要心理特质的神经生理基础。样本包括32人,其中23人患有精神障碍,9人为健康对照。用正念注意觉知量表(MAAS)来衡量 dispositional mindfulness(DM,特质正念)。通过氟脱氧葡萄糖正电子发射断层扫描(F-18-FDG PET)评估闭眼时的静息态脑活动。在对抑郁、焦虑、年龄和受教育年限进行校正后,顶上小叶和左侧楔前叶/布罗德曼区(BA)7的静息态葡萄糖代谢与DM呈正相关。左侧眶额下回(BA 47)和双侧丘脑前核的活动与DM呈负相关。DM似乎与默认模式网络(DMN)的一些核心区域以及与DMN相连的区域(如负责自我功能的BA 7)的代谢活动增加有关。另一方面,在与DMN相连的一些节点中发现了代谢减低,如左侧眶额下回和双侧丘脑,这些区域通常与记忆检索、决策或外部注意功能有关。