metricas

Psiquiatría Biológica

Sugerencias
Psiquiatría Biológica Sustratos psiconeurobiológicos de la meditación y la conciencia plena
Información de la revista
Vol. 21. Núm. 2.
Páginas 43-88 (Mayo - Agosto 2014)
Cita
Cita
Compartir
Descargar PDF
Más opciones de artículo
Visitas
10628
Vol. 21. Núm. 2.
Páginas 43-88 (Mayo - Agosto 2014)
Revisión

Sustratos psiconeurobiológicos de la meditación y la conciencia plena

Neuropsychological substrates for mindfulness and meditation
Visitas
10628
José Manuel Bertolin Guillen
Servicio de Psiquiatría y Salud Mental, Hospital Arnau de Vilanova, Generalitat Valenciana, Valencia, España
Este artículo ha recibido
Información del artículo
Resumen
Texto completo
Bibliografía
Descargar PDF
Estadísticas
Resumen

El presente estudio se propone contribuir a esclarecer en el momento actual los sustratos neurales y psicofisiológicos subyacentes a la meditación y la conciencia plena o mindfulness con arreglo a la mejor información científica disponible de calidad. El trabajo es una revisión narrativa, no sistemática, de tipo cualitativo, basada principalmente en una búsqueda en PubMed e ISI Web of Knowledge hasta final de 2013. El conocimiento de los efectos de la meditación en la fisiología del cerebro es aún limitado, pero hay pruebas de que afecta a la función del sistema nervioso central y autónomo, activa las estructuras neuronales involucradas en la atención y regula las emociones. La práctica meditativa se asocia con cambios en la neuroplasticidad de la corteza cingulada anterior, ínsula, unión temporoparietal, red neuronal frontolímbica y otras, cambios que pueden operar en conjunto estableciendo una mayor autorregulación. La conciencia plena proporciona una metacognición emocional más adaptativa y mejores índices fisiológicos de regulación autonómica. Especialmente en el largo plazo, los meditadores detentan diferencias estructurales en la materia cerebral gris y blanca debidas a la plasticidad neuronal.

Palabras clave:
Conciencia plena
Meditación
Mindfulness
Neurobiología
Psicofisiología
Psicoterapia
Abstract

This study intends to help elucidate the current psycho-physiological and neural basis underlying meditation and mindfulness, according to the best good-quality available scientific information. The work is a qualitative, non-systematic, narrative review, which is mainly based on the search in PubMed and ISI Web of Knowledge until the end of 2013. Knowledge of the effects of meditation on the brain physiology is limited, but there is evidence showing that it affects the function of the autonomous and central nervous system, activates the neuronal cells involved in attention, and regulates emotions. Meditative practice is associated with changes in the neuroplasticity of the anterior cingulate cortex, insula, temporoparietal junction, frontolimbic neural networks, and others. These changes can work together to produce better self-regulation. Mindfulness provides more adaptive emotional metacognition and better physiological rates of self-regulation. Meditators show structural differences in grey and white brain matter due to neuronal plasticity, particularly in the long term.

Keywords:
Meditation
Mindfulness
Neurobiology
Psychophysiology
Psychotherapy

Artículo

Opciones para acceder a los textos completos de la publicación Psiquiatría Biológica
Suscriptor
Suscriptor de la revista

Si ya tiene sus datos de acceso, clique aquí.

Si olvidó su clave de acceso puede recuperarla clicando aquí y seleccionando la opción "He olvidado mi contraseña".
Comprar
Comprar acceso al artículo

Comprando el artículo el PDF del mismo podrá ser descargado

Comprar ahora
Contactar
Teléfono para suscripciones e incidencias
De lunes a viernes de 9h a 18h (GMT+1) excepto los meses de julio y agosto que será de 9 a 15h
Llamadas desde España
932 415 960
Llamadas desde fuera de España
+34 932 415 960
E-mail
Bibliografía
[1]
J.M. Bertolín Guillén.
Conciencia plena y salud mental.
Triacastela, (2014),
[2]
S.T. Moulton.
Meditation well-being and cognitive ability: A meta-analysis and five quasi-experiments.
Harvard University, (2008),
[3]
D. Brown, M. Forte, M. Dysart.
Differences in visual sensitivity among mindfulness meditators and non-meditators.
Percept Mot Skills, 58 (1984), pp. 727-733
[4]
D. Brown, M. Forte, M. Dysart.
Visual sensitivity and mindfulness meditation.
Percept Mot Skills, 58 (1984), pp. 775-784
[5]
H.A. Slagter, A. Lutz, L.L. Greischar, A.D. Francis, S. Nieuwenhuis, J.M. Davis, et al.
Mental training affects distribution of limited brain resources.
[6]
H.A. Slagter, A. Lutz, L.L. Greischar, S. Nieuwenhuis, R.J. Davidson.
Theta phase synchrony and conscious target perception: Impact of intensive mental training.
J Cogn Neurosci, 21 (2009), pp. 1536-1549
[7]
K.A. MacLean, E. Ferrer, S.R. Aichele, D.A. Bridwell, A.P. Zanesco, T.L. Jacobs, et al.
Intensive meditation training improves perceptual discrimination and sustained attention.
Psychol Sci, 21 (2010), pp. 829-839
[8]
B.R. Cahn, A. Delorme, J. Polich.
Event-related delta, theta, alpha and gamma correlates to auditory oddball processing during Vipassana meditation.
Soc Cogn Affect Neurosci, 8 (2013), pp. 100-111
[9]
R. Horan.
The neuropsychological connection between creativity and meditation.
Creat Res J, 21 (2009), pp. 199-222
[10]
L.S. Colzato, A. Ozturk, B. Hommel.
Meditate to create: The impact of focused-attention and open-monitoring training on convergent and divergent thinking.
Front Psychol, 3 (2012), pp. 116
[11]
M. Kozhevnikov, O. Louchakova, Z. Josipovic, M.A. Motes.
The enhancement of visuospatial processing efficiency through Buddhist Deity meditation.
Psychol Sci, 20 (2009), pp. 645-653
[12]
Ospina MB, Bond TK, Karkhaneh M, Tjosvold L, Vandermeer B, Liang Y, et al. Meditation practices for health: State of the research. Evidence Report/Technology Assessment No. 155. University of Alberta Evidence-based Practice Center. AHRQ Publication No. 07-E010. Rockville (Maryland, EEUU): Agency for Healthcare Research and Quality; 2007.
[13]
M.B. Ospina, K. Bond, M. Karkhaneh, N. Buscemi, D.M. Dryden, V. Barnes, et al.
Clinical trials of meditation practices in health care: Characteristics and quality.
J Altern Complement Med, 14 (2008), pp. 1199-1213
[14]
L.C. Delgado Pastor, P. Perakakis, P. Subramanya, S. Telles, J. Vila.
Mindfulness (Vipassana) meditation: Effects on P3b event-related potential and heart rate variability.
Int J Psychophysiol, 90 (2013), pp. 207-214
[15]
J.A. Brefczynski-Lewis, A. Lutz, H.S. Schaefer, D.B. Levinson, R.J. Davidson.
Neural correlates of attentional expertise in long-term meditation practitioners.
Proc Natl Acad Sci U S A, 104 (2007), pp. 11483-11488
[16]
A. Lutz, J. Brefczynski-Lewis, T. Johnstone, R.J. Davidson.
Regulation of the neural circuitry of emotion by compassion meditation: Effects of meditative expertise.
[17]
M. Iacoboni, M. Dapretto.
The mirror neuron system and the consequences of its dysfunction.
Nat Rev Neurosci, 7 (2006), pp. 942-951
[18]
V.L. Ruggieri.
Empatía, cognición social y trastornos del espectro autista.
Rev Neurol, 56 (2013), pp. S13-S21
[19]
A. Lutz, L.L. Greischar, D.M. Perlman, R.J. Davidson.
BOLD signal in insula is differentially related to cardiac function during compassion meditation in experts vs. novices.
Neuroimage, 47 (2009), pp. 1038-1046
[20]
F. De Vignemont, T. Singer.
The empathic brain: How, when and why?.
Trends Cogn Sci, 10 (2006), pp. 435-441
[21]
T.M. Lee, M.K. Leung, W.K. Hou, J.C. Tang, J. Yin, K.F. So, et al.
Distinct neural activity associated with focused-attention meditation and loving-kindness meditation.
[22]
N.A. Paul, S.J. Stanton, J.M. Greeson, M.J. Smoski, L. Wang.
Psychological and neural mechanisms of trait mindfulness in reducing depression vulnerability.
Soc Cogn Affect Neurosci, 8 (2013), pp. 56-64
[23]
R.J. Davidson, J. Kabat-Zinn, J. Schumacher, M. Rosenkranz, D. Muller, S.F. Santorelli, et al.
Alterations in brain and immune function produced by mindfulness meditation.
Psychosom Med, 65 (2003), pp. 564-570
[24]
P. Goldin, W. Ramel, J. Gross.
Mindfulness meditation training and self-referential processing in social anxiety disorder: Behavioral and neural effects.
J Cogn Psychother, 23 (2009), pp. 242-257
[25]
S. Vázquez Rivera, S. Gómez Magariños, C. González Blanch.
Efectos en el cerebro de los tratamientos psicológicos eficaces en los trastornos de ansiedad: una revisión sistemática.
Actas Esp Psiquiatr, 38 (2010), pp. 239-248
[26]
P.R. Goldin, J.J. Gross.
Effects of mindfulness-based stress reduction (MBSR) on emotion regulation in social anxiety disorder.
Emotion, 10 (2010), pp. 83-91
[27]
B.K. Hölzel, J. Carmody, M. Vangel, C. Congleton, S.M. Yerramsetti, T. Gard, et al.
Mindfulness practice leads to increases in regional brain gray matter density.
Psychiatry Res, 191 (2011), pp. 36-43
[28]
L.A. Kilpatrick, B.Y. Suyenobu, S.R. Smith, J.A. Bueller, T. Goodman, J.D. Creswell, et al.
Impact of mindfulness-based stress reduction training on intrinsic brain connectivity.
[29]
V. Van Veen, C.S. Carter.
The anterior cingulate as a conflict monitor: fMRI and ERP studies.
Physiol Behav, 77 (2002), pp. 477-482
[30]
B.K. Hölzel, U. Ott, H. Hempel, A. Hackl, K. Wolf, R. Stark, et al.
Differential engagement of anterior cingulate and adjacent medial frontal cortex in adept meditators and non-meditators.
Neurosci Lett, 421 (2007), pp. 16-21
[31]
T. Sharot, A.M. Riccardi, C.M. Raio, E.A. Phelps.
Neural mechanisms mediating optimism bias.
Nature, 450 (2007), pp. 102-105
[32]
J.L. Valdés, F. Torrealba.
La corteza prefrontal medial controla el alerta conductual y vegetativo. Implicancias en desórdenes de la conducta.
Rev Chil Neuro-Psiquiat, 44 (2006), pp. 195-204
[33]
J.D. Creswell, B.M. Way, N.I. Eisenberger, M.D. Lieberman.
Neural correlates of dispositional mindfulness during affect labeling.
Psychosom Med, 69 (2007), pp. 560-565
[34]
M.K. Leung, C.C. Chan, J. Yin, C.F. Lee, K.F. So, T.M. Lee.
Increased gray matter volume in the right angular and posterior parahippocampal gyri in loving-kindness meditators.
Soc Cogn Affect Neurosci, 8 (2013), pp. 34-39
[35]
S.W. Lazar, C.E. Kerr, R.H. Wasserman, J.R. Gray, D.N. Greve, M.T. Treadway, et al.
Meditation experience is associated with increased cortical thickness.
Neuroreport, 16 (2005), pp. 1893-1897
[36]
D.J. Siegel.
The mindful brain. Reflection and attunement in the cultivation of well-being.
W. W. Norton and Company, (2007),
[37]
V.L. Ives-Deliperi, M. Solms, E.M. Meintjes.
The neural substrates of mindfulness: An fMRI investigation.
Soc Neurosci, 6 (2011), pp. 231-242
[38]
B.K. Hölzel, S.W. Lazar, T. Gard, Z. Schuman-Olivier, D.R. Vago, U. Ott.
How does mindfulness meditation work?.
Perspect Psychol Sci, 6 (2011), pp. 537-559
[39]
E. Luders, F. Kurth, E.A. Mayer, A.W. Toga, K.L. Narr, C. Gaser.
The unique brain anatomy of meditation practitioners: Alterations in cortical gyrification.
Front Hum Neurosci, 6 (2012), pp. 34
[40]
E. Luders, K. Clark, K.L. Narr, A.W. Toga.
Enhanced brain connectivity in long-term meditation practitioners.
Neuroimage, 57 (2011), pp. 1308-1316
[41]
E. Luders, O.R. Phillips, K. Clark, F. Kurth, A.W. Toga, K.L. Narr.
Bridging the hemispheres in meditation: Thicker callosal regions and enhanced fractional anisotropy (FA) in long-term practitioners.
[42]
Y.Y. Tang, Q. Lu, M. Fan, Y. Yang, M.I. Posner.
Mechanisms of white matter changes induced by meditation.
Proc Natl Acad Sci U S A, 109 (2012), pp. 10570-10574
[43]
D.H. Kang, H.J. Jo, W.H. Jung, S.H. Kim, Y.H. Jung, C.H. Choi, et al.
The effect of meditation on brain structure: Cortical thickness mapping and diffusion tensor imaging.
Soc Cogn Affect Neurosci, 8 (2013), pp. 27-33
[44]
J.A. Brewer, P.D. Worhunsky, J.R. Gray, Y.Y. Tang, J. Weber, H. Kober.
Meditation experience is associated with differences in default mode network activity and connectivity.
Proc Natl Acad Sci U S A, 108 (2011), pp. 20254-20259
[45]
J.H. Jang, W.H. Jung, D.H. Kang, M.S. Byun, S.J. Kwon, C.H. Choi, et al.
Increased default mode network connectivity associated with meditation.
Neurosci Lett, 487 (2011), pp. 358-362
[46]
W. Hasenkamp, C.D. Wilson-Mendenhall, E. Duncan, L.W. Barsalou.
Mind wandering and attention during focused meditation: A fine-grained temporal analysis of fluctuating cognitive states.
[47]
W. Hasenkamp, L.W. Barsalou.
Effects of meditation experience on functional connectivity of distributed brain networks.
Front Hum Neurosci, 6 (2012), pp. 38
[48]
V.A. Taylor, V. Daneault, J. Grant, G. Scavone, E. Breton, S. Roffe-Vidal, et al.
Impact of meditation training on the default mode network during a restful state.
Soc Cogn Affect Neurosci, 8 (2013), pp. 4-14
[49]
J. Dickenson, E.T. Berkman, J. Arch, M.D. Lieberman.
Neural correlates of focused attention during a brief mindfulness induction.
Soc Cogn Affect Neurosci, 8 (2013), pp. 40-47
[50]
N.A. Farb, Z.V. Segal, A.K. Anderson.
Mindfulness meditation training alters cortical representations of interoceptive attention.
Soc Cogn Affect Neurosci, 8 (2013), pp. 15-26
[51]
N.A. Farb, Z.V. Segal, A.K. Anderson.
Attentional modulation of primary interoceptive and exteroceptive cortices.
Cereb Cortex, 23 (2013), pp. 114-126
[52]
E. Luders, P.M. Thompson, F. Kurth, J.Y. Hong, O.R. Phillips, Y. Wang, et al.
Global and regional alterations of hippocampal anatomy in long-term meditation practitioners.
Hum Brain Mapp, 34 (2013), pp. 3369-3375
[53]
J.B. Couto, L. Sedeño, A. Ibáñez.
Interocepción y corteza insular: convergencia multimodal y surgimiento de la conciencia corporal.
Rev Chil Neuropsicol, 7 (2012), pp. 21-25
[54]
A. Chiesa.
Zen meditation: An integration of current evidence.
J Altern Complement Med, 15 (2009), pp. 585-592
[55]
C.A. Brown, A.K. Jones.
Meditation experience predicts less negative appraisal of pain: Electrophysiological evidence for the involvement of anticipatory neural responses.
[56]
S.G. Hofmann, P. Grossman, D.E. Hinton.
Loving-kindness and compassion meditation: Potential for psychological interventions.
Clin Psychol Rev, 31 (2011), pp. 1126-1132
[57]
D.P. Johnson, D.L. Penn, B.L. Fredrickson, P.S. Meyer, A.M. Kring, M. Brantley.
Loving-kindness meditation to enhance recovery from negative symptoms of schizophrenia.
J Clin Psychol, 65 (2009), pp. 499-509
[58]
D.P. Johnson, D.L. Penn, B.L. Fredrickson, A.M. Kring, P.S. Meyer, L.I. Catalino, et al.
A pilot study of loving-kindness meditation for the negative symptoms of schizophrenia.
Schizophr Res, 129 (2011), pp. 137-140
[59]
R.J. Davidson.
Well-being and affective style: Neural substrates and biobehavioural correlates.
Philos Trans R Soc Lond B Biol Sci, 359 (2004), pp. 1395-1411
[60]
N.A. Farb, A.K. Anderson, Z.V. Segal.
The mindful brain and emotion regulation in mood disorders.
Can J Psychiatry, 57 (2012), pp. 70-77
[61]
B.R. Cahn, J. Polich.
Meditation (Vipassana) and the P3a event-related brain potential.
Int J Psychophysiol, 72 (2009), pp. 51-60
[62]
Delgado Pastor LC. Correlatos psicofisiológicos de mindfulness y la preocupación. Eficacia de un entrenamiento en habilidades mindfulness. [Tesis doctoral]. Departamento de Personalidad, Evaluación y Tratamiento Psicológico. Granada: Editorial de la Universidad de Granada; 2009.
[63]
L.C. Delgado, P. Guerra, P. Perakakis, J. Vila.
La meditación «mindfulness» o de atención plena como tratamiento de la preocupación crónica: evidencia psicofisiológica.
Ciencia Cognitiva, 4 (2010), pp. 73-75
[64]
D.M. Campagne.
Teoría fisiología de la meditación.
Cuadernos de Medicina Psicosomática y Psiquiatría de Enlace, (2004), pp. 1-16
[65]
Clinical handbook of mindfulness,
asdasdasd
Opciones de artículo
Herramientas