Pain is a multidimensional experience that involves sensory, cognitive and affective mechanisms. The constellation of interactions between these factors makes the treatment of clinical pain challenging and often a financial burden. Mindfulness meditation has been shown to improve health, well being, and at the same time is cost-effective. Moreover, mindfulness meditation has been found to significantly improve pain symptoms in experimental and clinical settings. Unfortunately, these benefits have largely been demonstrated in those with extensive meditation training and practice. The utility of mindfulness meditation may prove more attractive if it is found to reduce pain after brief training. The brain mechanisms involved in meditation- related pain relief are largely unknown and require further investigation. Recent findings from our laboratory determined that meditation, after four days (20m/d) of training, dramatically reduced pain intensity by 40% and pain unpleasantness ratings by 57%. Employing an emerging MRI technique (arterial spin labeling), we found that meditation-related pain relief was associated with multiple brain mechanisms related to reductions in somatosensory brain activity and increases in brain regions involved in cognitive control, emotion regulation, and executive processing. However, it remains unknown if meditation engages brain mechanisms that are distinct from other pain modulatory processes that also involve cognitive factors. Indirect evidence suggests that meditation-related pain modulation is associated with activation of the anterior insular cortex, while placebo-related pain modulation is associated with reduced activation of this structure. Thus, the research proposed in this fellowship will test the hypothesis that meditation induced modulation of pain engages brain mechanisms that are distinct from those involved during placebo-related pain modulation. This fellowship will provide the applicant with comprehensive training in the investigation of human brain mechanisms of pain and multiple development opportunities that will facilitate transition to a career as an independent investigator.

Public Health Relevance

The activities under the proposed fellowship will investigate the disparate brain mechanisms involved in meditation-relate pain relief. Employing robust experimental design and control conditions we will be able to demonstrate if meditation-related pain relief engages distinct brain mechanisms as placebo analgesia. Since this work reflects the effects of brief meditation training on experimentally induced pain, our results will demonstrate the efficacy of meditation-related pain relief in the translation of diagnosis and treatment of pain.

National Institute of Health (NIH)
National Center for Complementary & Alternative Medicine (NCCAM)
Postdoctoral Individual National Research Service Award (F32)
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Special Emphasis Panel (ZAT1-PK (20))
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Glowa, John R
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Wake Forest University Health Sciences
Anatomy/Cell Biology
Schools of Medicine
United States
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Zeidan, Fadel; Salomons, Tim; Farris, Suzan R et al. (2018) Neural mechanisms supporting the relationship between dispositional mindfulness and pain. Pain 159:2477-2485
Zeidan, Fadel; Vago, David R (2016) Mindfulness meditation-based pain relief: a mechanistic account. Ann N Y Acad Sci 1373:114-27
Vago, David R; Zeidan, Fadel (2016) The brain on silent: mind wandering, mindful awareness, and states of mental tranquility. Ann N Y Acad Sci 1373:96-113
Zeidan, Fadel; Emerson, Nichole M; Farris, Suzan R et al. (2015) Mindfulness Meditation-Based Pain Relief Employs Different Neural Mechanisms Than Placebo and Sham Mindfulness Meditation-Induced Analgesia. J Neurosci 35:15307-25
Zeidan, Fadel; Lobanov, Oleg V; Kraft, Robert A et al. (2015) Brain mechanisms supporting violated expectations of pain. Pain 156:1772-85
Zeidan, Fadel; Coghill, Robert C (2013) Functional connections between self-referential thought and chronic pain: a dysfunctional relationship. Pain 154:3-4