The Impact of an App-Based Mindfulness-Based Intervention on Resting-State Functional Connectivity in Pediatric Concussion Article Swipe
Olivier Brown
,
O. Smith
,
Molly Cairncross
,
Andrew B. Dodd
,
Gary S. Goldfield
,
Clare Gray
,
Ashley D. Harris
,
Natalia Jaworska
,
Bechara J. Saab
,
Veronik Sicard
,
Noah D. Silverberg
,
Lisa A.S. Walker
,
Roger Zemek
,
Andrée‐Anne Ledoux
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.21203/rs.3.rs-7715247/v1
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.21203/rs.3.rs-7715247/v1
Objective: Mindfulness-Based Interventions (MBIs) may help normalize functional brain connectivity (FC) affected by concussion, but no pediatric trials exist. This study investigated whether an app-based MBI produced greater FC changes than a sham across the default mode (DMN), salience (SN), and central executive (CEN) networks. Methods: This randomized clinical trial (Clinicaltrials.gov ID# NCT05105802) recruited participants aged 12.00–17.99 years from the emergency department or interdisciplinary concussion clinic, then randomly assigned them to MBI or a sham app. Brain imaging sessions occurred at 72 hours and 4 weeks post-concussion. Region-of-interest and seed-to-voxel analyses examined Group × Time interactions in FC across DMN, SN, and CEN ( p < .050 FDR ). Results: Thirty-six participants were included (MBI: n = 16, median [IQR] age = 14.23 [13.52–15.65] years, 31% female; Sham: n = 20, median [IQR] age = 14.05 [13.13–16.26] years, 45% female). Intention-to-treat analyses revealed significant Group × Time interactions across networks. DMN-CEN FC patterns differed, with MBI participants showing diminished FC. Within DMN, four clusters showed significant interactions ( p < .050 FDR ), three exhibiting larger FC reductions at 4 weeks in MBI participants. MBI participants showed greater FC increase in one SN cluster ( p = .040 FDR ) and larger FC decrease in one CEN cluster ( p = .024 FDR ) at 4 weeks. Per-protocol analyses identified one significant DMN cluster ( p < .001 FDR ) where MBI participants exhibited greater FC increases. Conclusions: MBI training led to significant changes in FC in networks implicated in concussion recovery. Larger trials are needed to support these findings.
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Metadata
- Type
- preprint
- Language
- en
- Landing Page
- https://doi.org/10.21203/rs.3.rs-7715247/v1
- https://www.researchsquare.com/article/rs-7715247/latest.pdf
- OA Status
- gold
- References
- 91
- OpenAlex ID
- https://openalex.org/W4415183472
All OpenAlex metadata
Raw OpenAlex JSON
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https://openalex.org/W4415183472Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.21203/rs.3.rs-7715247/v1Digital Object Identifier
- Title
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The Impact of an App-Based Mindfulness-Based Intervention on Resting-State Functional Connectivity in Pediatric ConcussionWork title
- Type
-
preprintOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2025Year of publication
- Publication date
-
2025-10-15Full publication date if available
- Authors
-
Olivier Brown, O. Smith, Molly Cairncross, Andrew B. Dodd, Gary S. Goldfield, Clare Gray, Ashley D. Harris, Natalia Jaworska, Bechara J. Saab, Veronik Sicard, Noah D. Silverberg, Lisa A.S. Walker, Roger Zemek, Andrée‐Anne LedouxList of authors in order
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https://doi.org/10.21203/rs.3.rs-7715247/v1Publisher landing page
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https://www.researchsquare.com/article/rs-7715247/latest.pdfDirect link to full text PDF
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
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https://www.researchsquare.com/article/rs-7715247/latest.pdfDirect OA link when available
- Cited by
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0Total citation count in OpenAlex
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91Number of works referenced by this work
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