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Psychophysiology

Interoceptive awareness in experienced meditators

Sahib S. Khalsa

Department of Neurology and Neuroscience Program, University of Iowa, Iowa City, Iowa, USA

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David Rudrauf

Department of Neurology and Neuroscience Program, University of Iowa, Iowa City, Iowa, USA

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Antonio R. Damasio

Brain and Creativity Institute, Department of Psychology and Neurology, University of Southern California, Los Angeles, California, USA

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Richard J. Davidson

W. M. Keck Laboratory for Functional Brain Imaging and Behavior, Waisman Center, and Laboratory for Affective Neuroscience, Department of Psychology, University of Wisconsin, Madison, Wisconsin, USA

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Antoine Lutz

W. M. Keck Laboratory for Functional Brain Imaging and Behavior, Waisman Center, and Laboratory for Affective Neuroscience, Department of Psychology, University of Wisconsin, Madison, Wisconsin, USA

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Daniel Tranel

Department of Neurology and Neuroscience Program, University of Iowa, Iowa City, Iowa, USA

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First published: 22 May 2008
Cited by: 91
Address reprint requests to: Sahib S. Khalsa, B.S., Neuroscience Graduate Program, Department of Neurology, University of Iowa, 200 Hawkins Drive, Iowa City, IA 52242, USA. E‐mail: sahib‐khalsa@uiowa.edu

We thank M. Ricard and A. Francis for assistance with participant recruitment. The project was supported by NIH NCCAM F31AT003061 from the National Center For Complementary & Alternative Medicine (NCCAM) (S.K.), by the Mind and Life Institute (S.K.), by NCCAM U01AT002114‐01A1 (A.L.), and by NIDA R01 DA022549 (D.T.).

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Abstract

Attention to internal body sensations is practiced in most meditation traditions. Many traditions state that this practice results in increased awareness of internal body sensations, but scientific studies evaluating this claim are lacking. We predicted that experienced meditators would display performance superior to that of nonmeditators on heartbeat detection, a standard noninvasive measure of resting interoceptive awareness. We compared two groups of meditators (Tibetan Buddhist and Kundalini) to an age‐ and body mass index‐matched group of nonmeditators. Contrary to our prediction, we found no evidence that meditators were superior to nonmeditators in the heartbeat detection task, across several sessions and respiratory modulation conditions. Compared to nonmeditators, however, meditators consistently rated their interoceptive performance as superior and the difficulty of the task as easier. These results provide evidence against the notion that practicing attention to internal body sensations, a core feature of meditation, enhances the ability to sense the heartbeat at rest.

Number of times cited according to CrossRef: 91

  • , Behavioral Assessment of Mindfulness: Defining Features, Organizing Framework, and Review of Emerging Methods, Current Opinion in Psychology, 10.1016/j.copsyc.2019.01.008, (2019).
  • , Training novice practitioners to reliably report their meditation experience using shared phenomenological dimensions, Consciousness and Cognition, 10.1016/j.concog.2019.01.004, 68, (57-72), (2019).
  • , Metacognition across sensory modalities: Vision, warmth, and nociceptive pain, Cognition, 10.1016/j.cognition.2019.01.018, 186, (32-41), (2019).
  • , I can feel my heartbeat: Dancers have increased interoceptive accuracy, Psychophysiology, 55, 4, (2017).
  • , Interoceptive accuracy and body awareness – Temporal and longitudinal associations in a non-clinical sample, Physiology & Behavior, 184, (100), (2018).
  • , Outstanding Challenges in Scientific Research on Mindfulness and Meditation, Perspectives on Psychological Science, 13, 1, (62), (2018).
  • , Comparing embodiment experiences in expert meditators and non-meditators using the rubber hand illusion, Consciousness and Cognition, 10.1016/j.concog.2018.09.003, 65, (325-333), (2018).
  • , The link between interoceptive processing and anxiety in children diagnosed with autism spectrum disorder: Extending adult findings into a developmental sample, Biological Psychology, 10.1016/j.biopsycho.2018.05.003, 136, (13-21), (2018).
  • , Interocepció. Narratív összefoglaló, Mentálhigiéné és Pszichoszomatika, 10.1556/0406.19.2018.014, 19, 4, (297-334), (2018).
  • , Studying the experience of meditation through micro-phenomenology, Current Opinion in Psychology, 10.1016/j.copsyc.2018.10.009, (2018).
  • , Contingent biofeedback outperforms other methods to enhance the accuracy of cardiac interoception: A comparison of short interventions, Journal of Behavior Therapy and Experimental Psychiatry, 10.1016/j.jbtep.2018.12.002, (2018).
  • , Audio-visual sensory deprivation degrades visuo-tactile peri-personal space, Consciousness and Cognition, 10.1016/j.concog.2018.04.001, 61, (61-75), (2018).
  • , Taking time to feel our body: Steady increases in heartbeat perception accuracy and decreases in alexithymia over 9 months of contemplative mental training, Psychophysiology, 54, 3, (469-482), (2016).
  • , Improvement of Interoceptive Processes after an 8-Week Body Scan Intervention, Frontiers in Human Neuroscience, 11, (2017).
  • , Neural correlates of interoception: Effects of interoceptive focus and relationship to dimensional measures of body awareness, Human Brain Mapping, 38, 12, (6068-6082), (2017).
  • , Mindfulness en waarnemen, Mindfulness en fysiotherapie, 10.1007/978-90-368-0699-2_5, (59-67), (2017).
  • , Translation and Psychometric Testing of the Chinese Version of the Multidimensional Assessment of Interoceptive Awareness, Journal of Nursing Research, 25, 1, (76), (2017).
  • , Interactions Between Body and Social Awareness in Yoga, The Journal of Alternative and Complementary Medicine, 23, 3, (227), (2017).
  • , Convergence of interoception, emotion, and social cognition: A twofold fMRI meta-analysis and lesion approach, Cortex, 10.1016/j.cortex.2016.12.019, 88, (124-142), (2017).
  • , The missing pieces in the scientific study of bodily awareness, Philosophical Psychology, 30, 5, (571), (2017).
  • , Characteristics of attention-related body sensations. Temporal stability and associations with measures of body focus, affect, sustained attention, and heart rate variability, Somatosensory & Motor Research, 34, 3, (179), (2017).
  • , Pleasure junkies all around! Why it matters and why ‘the arts’ might be the answer: a biopsychological perspective, Proceedings of the Royal Society B: Biological Sciences, 284, 1854, (20162837), (2017).
  • , Interoception and gender: What aspects should we pay attention to?, Consciousness and Cognition, 48, (129), (2017).
  • , The MindfulBreather: Motion Guided Mindfulness, Frontiers in Human Neuroscience, 11, (2017).
  • , Clinical neurocardiology defining the value of neuroscience‐based cardiovascular therapeutics, The Journal of Physiology, 594, 14, (3911-3954), (2016).
  • , Effects of Mindfulness-Based Cognitive Therapy on Body Awareness in Patients with Chronic Pain and Comorbid Depression, Frontiers in Psychology, 7, (2016).
  • , Interoceptive dimensions across cardiac and respiratory axes, Philosophical Transactions of the Royal Society B: Biological Sciences, 371, 1708, (20160014), (2016).
  • , Participants’ above-chance recognition of own-heart sound combined with poor metacognitive awareness suggests implicit knowledge of own heart cardiodynamics, Scientific Reports, 6, 1, (2016).
  • , Allostatic Self-efficacy: A Metacognitive Theory of Dyshomeostasis-Induced Fatigue and Depression, Frontiers in Human Neuroscience, 10, (2016).
  • , Touching the Lived Body in Patients with Medically Unexplained Symptoms. How an Integration of Hands-on Bodywork and Body Awareness in Psychotherapy may Help People with Alexithymia, Frontiers in Psychology, 7, (2016).
  • , Neurophenomenology of an Altered State of Consciousness: An fMRI Case Study, EXPLORE, 10.1016/j.explore.2015.12.004, 12, 2, (128-135), (2016).
  • , Improved Emotional Stability in Experienced Meditators with Concentrative Meditation Based on Electroencephalography and Heart Rate Variability, The Journal of Alternative and Complementary Medicine, 21, 1, (31), (2015).
  • , First-person experience and yoga research: studying neural correlates of an intentional practice, Frontiers in Human Neuroscience, 9, (2015).
  • , Symptom Perception, Awareness and Interpretation, International Encyclopedia of the Social & Behavioral Sciences, 10.1016/B978-0-08-097086-8.14137-6, (866-872), (2015).
  • , Interoceptive ability predicts aversion to losses, Cognition and Emotion, 29, 4, (695), (2015).
  • , Mindful(l) intuition: Does mindfulness influence the access to intuitive processes?, The Journal of Positive Psychology, 10, 3, (282), (2015).
  • , Heart evoked potential triggers brain responses to natural affective scenes: A preliminary study, Autonomic Neuroscience, 10.1016/j.autneu.2015.06.006, 193, (132-137), (2015).
  • , Panic and comorbid depression and their associations with stress reactivity, interoceptive awareness and interoceptive accuracy of various bioparameters, Journal of Affective Disorders, 185, (170), (2015).
  • , Knowing your own heart: Distinguishing interoceptive accuracy from interoceptive awareness, Biological Psychology, 10.1016/j.biopsycho.2014.11.004, 104, (65-74), (2015).
  • , Interoception, contemplative practice, and health, Frontiers in Psychology, 6, (2015).
  • , Evidence for Enhanced Interoceptive Accuracy in Professional Musicians, Frontiers in Behavioral Neuroscience, 9, (2015).
  • , Interoception, International Encyclopedia of the Social & Behavioral Sciences, 10.1016/B978-0-08-097086-8.14145-5, (614-620), (2015).
  • , Psychophysiology of duration estimation in experienced mindfulness meditators and matched controls, Frontiers in Psychology, 6, (2015).
  • , Altered interoceptive awareness in anorexia nervosa: Effects of meal anticipation, consumption and bodily arousal, International Journal of Eating Disorders, 48, 7, (889), (2015).
  • , A pilot study investigating changes in neural processing after mindfulness training in elite athletes, Frontiers in Behavioral Neuroscience, 9, (2015).
  • , Differential changes in self-reported aspects of interoceptive awareness through 3 months of contemplative training, Frontiers in Psychology, 5, (2015).
  • , Exploring the Relationship Between Mindfulness and Cardiac Perception, Mindfulness, 5, 3, (298), (2014).
  • , First-person approaches in neuroscience of consciousness: Brain dynamics correlate with the intention to act, Consciousness and Cognition, 26, (105), (2014).
  • , Eye contact elicits bodily self-awareness in human adults, Cognition, 133, 1, (120), (2014).
  • , Monitoring Emotion Through Body Sensation: A Review of Awareness in Goenka’s Vipassana, Journal of Religion and Health, 10.1007/s10943-013-9754-6, 53, 6, (1693-1705), (2013).
  • , Cross-cultural differences in somatic awareness and interoceptive accuracy: a review of the literature and directions for future research, Frontiers in Psychology, 5, (2014).
  • , Is meditation associated with altered brain structure? A systematic review and meta-analysis of morphometric neuroimaging in meditation practitioners, Neuroscience & Biobehavioral Reviews, 10.1016/j.neubiorev.2014.03.016, 43, (48-73), (2014).
  • , Cardiac sensitivity in children: Sex differences and its relationship to parameters of emotional processing, Psychophysiology, 51, 9, (932-941), (2014).
  • , Striking Discrepancy of Anomalous Body Experiences with Normal Interoceptive Accuracy in Depersonalization-Derealization Disorder, PLoS ONE, 9, 2, (e89823), (2014).
  • , Mindfulness: An Antidote for Wandering Minds , The Wiley Blackwell Handbook of Mindfulness, (153-167), (2014).
  • , What the heart forgets: Cardiac timing influences memory for words and is modulated by metacognition and interoceptive sensitivity, Psychophysiology, 50, 6, (505-512), (2013).
  • , Follow your breath: Respiratory interoceptive accuracy in experienced meditators, Psychophysiology, 50, 8, (777-789), (2013).
  • , Accuracy and awareness of perception: Related, yet distinct (commentary on Herbert et al., 2012), Biological Psychology, 92, 2, (426), (2013).
  • , Brief body-scan meditation practice improves somatosensory perceptual decision making, Consciousness and Cognition, 22, 1, (348), (2013).
  • , Body Conscious? Interoceptive Awareness, Measured by Heartbeat Perception, Is Negatively Correlated with Self-Objectification, PLoS ONE, 8, 2, (e55568), (2013).
  • , Molecular Mechanisms of Meditation, Molecular Neurobiology, 48, 3, (808), (2013).
  • , Preliminary evidence about the effects of meditation on interoceptive sensitivity and social cognition, Behavioral and Brain Functions, 9, 1, (47), (2013).
  • , Cold pressor stress induces opposite effects on cardioceptive accuracy dependent on assessment paradigm, Biological Psychology, 93, 1, (167), (2013).
  • , More of myself: Manipulating interoceptive awareness by heightened attention to bodily and narrative aspects of the self, Consciousness and Cognition, 22, 4, (1231), (2013).
  • , Attentional Modulation of Primary Interoceptive and Exteroceptive Cortices, Cerebral Cortex, 10.1093/cercor/bhr385, 23, 1, (114-126), (2012).
  • , Emotional Regulation and Bodily Sensation: Interoceptive Awareness Is Intact in Borderline Personality Disorder, Journal of Personality Disorders, 27, 4, (506), (2013).
  • , Conceptualizing Religious Practices in Psychological Research: Problems and Prospects, Pastoral Psychology, 61, 5-6, (735), (2012).
  • , Looking into myself: Changes in interoceptive sensitivity during mirror self‐observation, Psychophysiology, 49, 11, (1672-1676), (2012).
  • , Mindfulness practice leads to increases in regional brain gray matter density, Psychiatry Research: Neuroimaging, 191, 1, (36), (2011).
  • , Activation of the anterior prefrontal cortex and serotonergic system is associated with improvements in mood and EEG changes induced by Zen meditation practice in novices, International Journal of Psychophysiology, 80, 2, (103), (2011).
  • , Effects of Mindfulness Training on Body Awareness to Sexual Stimuli, Psychosomatic Medicine, 73, 9, (817), (2011).
  • , How Does Mindfulness Meditation Work? Proposing Mechanisms of Action From a Conceptual and Neural Perspective, Perspectives on Psychological Science, 6, 6, (537), (2011).
  • , Relating to Ourselves without a Self: Eckhart and Neuroscience, Medieval Mystical Theology, 20, 1, (66), (2011).
  • , References, Zen Meditation in Psychotherapy, (239-251), (2011).
  • , Interoceptive awareness declines with age, Psychophysiology, 46, 6, (1130-1136), (2009).
  • , Central and peripheral nervous system interactions: From mind to brain to body, International Journal of Psychophysiology, 72, 1, (1), (2009).
  • , A Nonrandomized Non-Naive Comparative Study of the Effects ofKapalabhatiand Breath Awareness on Event-Related Potentials in Trained Yoga Practitioners, The Journal of Alternative and Complementary Medicine, 15, 3, (281), (2009).
  • , Bolus isoproterenol infusions provide a reliable method for assessing interoceptive awareness, International Journal of Psychophysiology, 72, 1, (34), (2009).
  • , The Emerging Role of Meditation in Addressing Psychiatric Illness, with a Focus on Substance Use Disorders, Harvard Review of Psychiatry, 17, 4, (254), (2009).
  • , Envisioning a Future Contemplative Science of Mindfulness: Fruitful Methods and New Content for the Next Wave of Research, Complementary health practice review, 14, 1, (3), (2009).
  • , The neuroscience of mindfulness meditation, Nature Reviews Neuroscience, 10.1038/nrn3916, 16, 4, (213-225), (2015)., (2015).
  • , Ballet as a movement-based contemplative practice? Implications for neuroscientific studies, Frontiers in Human Neuroscience, 10.3389/fnhum.2014.00513, 8, (2014).
  • , Can Interoception Improve the Pragmatic Search for Biomarkers in Psychiatry?, Frontiers in Psychiatry, 10.3389/fpsyt.2016.00121, 7, (2016).
  • , Investigating the relationship between interoceptive accuracy, interoceptive awareness, and emotional susceptibility, Frontiers in Psychology, 10.3389/fpsyg.2015.01202, 6, (2015).
  • , The Multidimensional Assessment of Interoceptive Awareness (MAIA), PLoS ONE, 10.1371/journal.pone.0048230, 7, 11, (e48230), (2012).
  • , From Retreat Center to Clinic to Boardroom? Perils and Promises of the Modern Mindfulness Movement, Religions, 10.3390/rel5041062, 5, 4, (1062-1086), (2014).
  • , On the Origin of Interoception, Frontiers in Psychology, 10.3389/fpsyg.2016.00743, 7, (2016).
  • , Introspective disputes deflated: the case for phenomenal variation, Philosophical Studies, 10.1007/s11098-017-1000-8, (2017).
  • , Future directions in meditation research: Recommendations for expanding the field of contemplative science, PLOS ONE, 10.1371/journal.pone.0205740, 13, 11, (e0205740), (2018).
  • , Stress reappraisal during a mathematics competition: testing effects on cardiovascular approach-oriented states and exploring the moderating role of gender, Anxiety, Stress, & Coping, 10.1080/10615806.2018.1530049, (1-14), (2018).
  • , Improving interoceptive ability through the practice of power posing: A pilot study, PLOS ONE, 10.1371/journal.pone.0211453, 14, 2, (e0211453), (2019).