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File photo by Kris Snibbe/Harvard Staff Photographer
"Although the practice of meditation is associated with a sense of peacefulness and physical relaxation, practitioners have long claimed that meditation also provides cognitive and psychological benefits that persist throughout the day," says the study’s senior author Sara Lazar, a Harvard Medical School instructor in psychology.
Participating in an eight-week mindfulness meditation program appears to make measurable changes in brain regions associated with memory, sense of self, empathy, and stress. In a study that will appear in the Jan. 30 issue ofPsychiatry Research: Neuroimaging, a team led by Harvard-affiliated researchers at Massachusetts General Hospital (MGH) reported the results of their study, the first to document meditation-produced changes over time in the brain’s gray matter.
“Although the practice of meditation is associated with a sense of peacefulness and physical relaxation, practitioners have long claimed that meditation also provides cognitive and psychological benefits that persist throughout the day,” says study senior author Sara Lazar of the MGH Psychiatric Neuroimaging Research Programand a Harvard Medical School instructor in psychology. “This study demonstrates that changes in brain structure may underlie some of these reported improvements and that people are not just feeling better because they are spending time relaxing.”
Previous studies from Lazar’s group and others found structural differences between the brains of experienced meditation practitioners and individuals with no history of meditation, observing thickening of the cerebral cortex in areas associated with attention and emotional integration. But those investigations could not document that those differences were actually produced by meditation.
For the current study, magnetic resonance (MR) images were taken of the brain structure of 16 study participants two weeks before and after they took part in the eight-week Mindfulness-Based Stress Reduction (MBSR) Program at the University of Massachusetts Center for Mindfulness. In addition to weekly meetings that included practice of mindfulness meditation — which focuses on nonjudgmental awareness of sensations, feelings, and state of mind — participants received audio recordings for guided meditation practice and were asked to keep track of how much time they practiced each day. A set of MR brain images was also taken of a control group of nonmeditators over a similar time interval.
Meditation group participants reported spending an average of 27 minutes each day practicing mindfulness exercises, and their responses to a mindfulness questionnaire indicated significant improvements compared with pre-participation responses. The analysis of MR images, which focused on areas where meditation-associated differences were seen in earlier studies, found increased gray-matter density in the hippocampus, known to be important for learning and memory, and in structures associated with self-awareness, compassion, and introspection.
Participant-reported reductions in stress also were correlated with decreased gray-matter density in the amygdala, which is known to play an important role in anxiety and stress. Although no change was seen in a self-awareness-associated structure called the insula, which had been identified in earlier studies, the authors suggest that longer-term meditation practice might be needed to produce changes in that area. None of these changes were seen in the control group, indicating that they had not resulted merely from the passage of time.
“It is fascinating to see the brain’s plasticity and that, by practicing meditation, we can play an active role in changing the brain and can increase our well-being and quality of life,” says Britta Hölzel, first author of the paper and a research fellow at MGH andGiessen University in Germany. “Other studies in different patient populations have shown that meditation can make significant improvements in a variety of symptoms, and we are now investigating the underlying mechanisms in the brain that facilitate this change.”
Amishi Jha, a University of Miami neuroscientist who investigates mindfulness-training’s effects on individuals in high-stress situations, says, “These results shed light on the mechanisms of action of mindfulness-based training. They demonstrate that the first-person experience of stress can not only be reduced with an eight-week mindfulness training program but that this experiential change corresponds with structural changes in the amygdala, a finding that opens doors to many possibilities for further research on MBSR’s potential to protect against stress-related disorders, such as post-traumatic stress disorder.” Jha was not one of the study investigators.
James Carmody of the Center for Mindfulness at University of Massachusetts Medical School is one of the co-authors of the study, which was supported by the National Institutes of Health, the British Broadcasting Company, and the Mind and Life Institute. For more information on the work of Lazar’s team.
打坐有益于身心健康,因此日益受到人们的重视。哈佛大学心理学教授萨拉·拉萨尔(Sara Lazar)表示,结合亲身实践及医学实验观察,打坐的益处不是安慰剂效应,而是真正可以改善人脑结构的一种健身方法。
拉萨尔不仅通过自身实践而且使用医学大脑扫描方法,研究打坐对人脑的影响。让她感到惊奇的是,大脑的结构因打坐而发生良性变化。
拉萨尔在美国米尔肯研究所(Milken Institute)近期举办的一次打坐医学研究讨论会上解释,打坐的好处不是安慰剂效应,而是具有改变大脑结构的实实在在的作用。所谓安慰剂效应,是指人,尤其是患病的人期望健康的心理而带来的良好感觉,实质上并未真正实现健康或疾病好转。
打坐8周 即可改变大脑
拉萨尔说:“我们发现,人大脑在打坐八个星期后,5个部位的体积变大。”其中与思索和自我相关(self-relevance)有关的扣带回后部变化最大,其余的变化部位包括有助于学习、认知、记忆和情绪调节的左海马;与态度、同情和慈善有关的颞顶交界处(TPJ);产生大量调控神经功能物质的脑桥;以及杏仁核(amygdala)变小,而这个大脑部位被认为与焦虑、恐惧及心理压力有重要关系。
拉萨尔的实验结果认为,每人每天27分钟,也就是大约半小时,连续八周即可改变大脑的结构。
她说:“实际情况是,不同人之间,打坐时间差异很大。有的每天40分钟,有的少于40分钟,有的甚至一周仅打坐几次。”
拉萨尔叙述,教练会告诉打坐试验者的具体打坐次数和时间,当然其依据不是科学方法。而且打坐试验者报告,每天打坐10分钟即可收到良性效果。拉萨尔对此表示这方面需要进一步验证。
拉萨尔强调,其它关于打坐的研究主要围绕生理功能的变化,而没有进行具体形态方面的观察。拉萨尔在试验中增加了神经成像技术,来查看打坐对身体结构的影响。
拉萨尔:人的思维也需锻炼
拉萨尔认为,人的心理活动和身体锻炼相似。也就是说,打坐是一种精神思维方面的锻炼运动,其效果是更好的对待压力及促进健康长寿。当然,打坐也不是适合所有人,有些人打坐不会收到效果。
拉萨尔介绍自己的打坐经验有20年之久,体会到打坐对她的生活带来非常深的影响,如减轻心理压力、思维更清晰以及促进与人的相处,增加同情心和慈善等等。
她叙述,开始接触打坐缘于运动外伤,在接受理疗师的瑜伽理疗练习后,逐渐感受到打坐的显著疗伤效果,因此对打坐越来越感兴趣,并坚持亲身实践。
拉萨尔说:“我每天打坐时间不定、次数不定。有时40分钟,有时5分钟,有时连续几天根本不打坐。”
拉萨尔表示,虽然看不到自己大脑发生的那些改变,但是“我敢肯定的是,我打坐越多,受益越多。”
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