Evidence map›Paper›PMID 31573689›Full record

Trial reportPsychophysiology2020

The practice of meditation is not associated with improved interoceptive awareness of the heartbeat.

Sahib S Khalsa, David Rudrauf, Mahlega S Hassanpour, Richard J Davidson, Daniel Tranel

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Psychophysiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 3 pooled it
4.9field-weighted citation impact, top 4% 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, 3 syntheses or guidelines pooled it, 70 citations in OpenAlex.

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  14. Sensing, feeling and regulating: investigating the association of focal brain damage with voluntary respiratory and motor control.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 5 institutions in 2 countries.

Sahib S KhalsaLaureate Institute for Brain Research, Tulsa, Oklahoma.
David RudraufCISA/CUI/FAPSE/Campus Biotech, University of Geneva, Geneva, Switzerland.
Mahlega S HassanpourLaureate Institute for Brain Research, Tulsa, Oklahoma.
Richard J DavidsonDepartment of Psychology and Psychiatry, University of Wisconsin-Madison, Madison, Wisconsin.
Daniel TranelDepartment of Neurology, University of Iowa, Iowa City, Iowa.
Tulsa Community College · USUniversity of Geneva · CHUniversity of Iowa · USUniversity of Utah · USUniversity of Wisconsin–Madison · US

Funding

The Center for Neuroscience-based Mental Health Assessment and Prediction (NEUROMAP)P20GM121312 · NIGMS · LAUREATE INSTITUTE FOR BRAIN RESEARCH · PI MARTIN P. PAULUS · 2017 to 2026
$23.7M
Wisconsin Center for the Neuroscience and Psychophysiology of MeditationP01AT004952 · NCCIH · UNIVERSITY OF WISCONSIN-MADISON · PI DAVIDSON, RICHARD J · 2008 to 2018
$14.7M
Causal mapping of emotion networks with concurrent electrical stimulation and fMRIU01NS103780 · NINDS · CALIFORNIA INSTITUTE OF TECHNOLOGY · PI ADOLPHS, RALPH, HOWARD, MATTHEW A. · 2018 to 2020
$2.9M
Neural Basis of Meal Related Interoceptive Dysfunction in Anorexia NervosaK23MH112949 · NIMH · LAUREATE INSTITUTE FOR BRAIN RESEARCH · PI KHALSA, SAHIB · 2017 to 2021
$994k
Meditation and interoception: the role of the insulaF31AT003061 · NCCIH · UNIVERSITY OF IOWA · PI KHALSA, SAHIB · 2006 to 2007
$53k
NCCIH NIH HHS F31 AT003061NCCIH NIH HHS F31AT003061NCCIH NIH HHS P01 AT004952NIGMS NIH HHS P20 GM121312NIGMS NIH HHS P20GM121312NIH HHS P50 MH0942581NIH HHS U01 NS103780NIMH NIH HHS K23 MH112949NIMH NIH HHS K23MH112949NINDS NIH HHS U01 NS103780
6 · The paper itself

Abstract

Meditation is commonly assumed to be associated with enhanced interoceptive accuracy. We previously found that experienced meditators did not exhibit a greater ability than nonmeditators to detect heartbeat sensations at rest, despite the meditators' reported subjective ratings of higher accuracy and lower difficulty. Here, attempting to overcome previous methodological limitations, we assessed interoceptive awareness of heartbeat and breathing sensations across physiological arousal levels using infusions of isoproterenol, a beta-adrenergic agonist similar to adrenaline. We hypothesized that meditators would display greater interoceptive awareness than nonmeditators, as evidenced by higher interoceptive detection rates, increased interoceptive accuracy, and differences in localization of heartbeat sensations. We studied 15 meditators and 15 nonmeditators, individually matched on age, gender, and body mass index, using randomized, double-blinded, and placebo-controlled bolus infusions of isoproterenol. Participants reported their experience of heartbeat and breathing sensations using a dial during infusions and the location of heartbeat sensations on a two-dimensional manikin afterward. There was no evidence of higher detection rates or increased accuracy across any dose, although meditators showed a tendency to report cardiorespiratory sensation changes sooner at higher doses. Relative to nonmeditators, meditators exhibited prominent geographical differences in heartbeat localization, disproportionally reporting sensations throughout central regions of the chest, abdomen, neck, back, and head. To further assess indications of potential differences in cardiac interoceptive accuracy between meditators and nonmeditators, we conducted a meta-analysis including 724 participants and found little evidence for such differences. We conclude that the practice of meditation is not associated with improved cardiac interoceptive awareness.

Indexed as

MeditationMindfulnessRespirationAdultAwarenessDouble-Blind MethodFemaleHeart RateHumansInteroceptionMaleMeta-Analysis as TopicMiddle Agedheartbeat detectioninteroceptionmeditationmindfulnessrespiration

Identifiers

PMID31573689
PMCPMC6982546
OpenAlexW2977256911

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.