Evidence map›Paper›PMID 31303261›Full record

Trial reportBiological psychiatry2019

Strengthened Hippocampal Circuits Underlie Enhanced Retrieval of Extinguished Fear Memories Following Mindfulness Training.

Gunes Sevinc, Britta K Hölzel, Jonathan Greenberg, Tim Gard, Vincent Brunsch, Javeria A Hashmi, Mark Vangel, Scott P Orr, Mohammed R Milad, Sara W Lazar

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Biological psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
3.2field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 64 citations in OpenAlex.

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  8. Breath-Counting Task Enhances the Sensitivity of Fear Acquisition.Behavioral sciences (Basel, Switzerland) · 2025
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  19. Interoception in Fear Learning and Posttraumatic Stress Disorder.Focus (American Psychiatric Publishing) · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 3 countries.

Gunes SevincDepartment of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts. Electronic address: gsevinc@mgh.harvard.edu.
Britta K HölzelDepartment of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts; Department of Neuroradiology, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany.
Jonathan GreenbergDepartment of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
Tim GardDepartment of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
Vincent BrunschDepartment of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
Javeria A HashmiDepartment of Anesthesia, Pain Management & Perioperative Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.
Mark VangelDepartment of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
Scott P OrrDepartment of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
Mohammed R MiladPsychiatry Department, University of Illinois at Chicago, Chicago, Illinois.
Sara W LazarDepartment of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
Harvard University · USDalhousie University · CAUniversity of Illinois Chicago · US

Funding

Neural and cognitive changes associated with mindfulness training in older adultsR01AG048351 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI DICKERSON, BRADFORD C, LAZAR, SARA W · 2015 to 2019
$4.0M
Structural, Functional, and Behavioral Effects of MeditationR01AT006344 · NCCIH · MASSACHUSETTS GENERAL HOSPITAL · PI LAZAR, SARA W · 2011 to 2015
$2.2M
Exploratory Analysis of RR and MBSR for Stress ReductionR21AT003425 · NCCIH · MASSACHUSETTS GENERAL HOSPITAL · PI LAZAR, SARA W · 2007 to 2008
$896k
NCCIH NIH HHS R01 AT006344NCCIH NIH HHS R21 AT003425NIA NIH HHS R01 AG048351
6 · The paper itself

Abstract

backgroundThe role of hippocampus in context-dependent recall of extinction is well recognized. However, little is known about how intervention-induced changes in hippocampal networks relate to improvements in extinction learning. In this study, we hypothesized that mindfulness training creates an optimal exposure condition by heightening attention and awareness of present moment sensory experience, leading to enhanced extinction learning, improved emotion regulation, and reduced anxiety symptoms.

methodsWe tested this hypothesis in a randomized controlled longitudinal study design using a 2-day fear conditioning and extinction protocol. The mindfulness training group included 42 participants (28 women) and the control group included 25 participants (15 women).

resultsWe show that mindfulness training is associated with differential engagement of the right supramarginal gyrus as well as hippocampal-cortical reorganization. We also report enhanced hippocampal connectivity to the primary sensory cortex during retrieval of extinguished stimuli following mindfulness training.

conclusionsThese findings suggest hippocampal-dependent changes in contextual retrieval as one plausible neural mechanism through which mindfulness-based interventions enhance fear extinction and foster stress resilience.

Indexed as

Extinction, PsychologicalAdolescentAdultAnimalsAnxietyBrain MappingConditioning, ClassicalEmotional RegulationFearFemaleHippocampusHumansLongitudinal StudiesMagnetic Resonance ImagingMaleMental RecallExtinctionExtinction retrievalFear memoryfMRIHippocampusMindfulness

Identifiers

PMID31303261
PMCPMC6788973
OpenAlexW2947488760

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.