0:00:11.972,0:00:13.091 Good morning. 0:00:13.091,0:00:15.603 So when I was in graduate school, I was a runner, 0:00:15.603,0:00:18.486 and a friend and I decided that we're going to run the Boston Marathon. 0:00:18.486,0:00:20.999 And so we started training and we overtrained, 0:00:20.999,0:00:22.990 and I developed knee and back problems. 0:00:22.990,0:00:24.901 So I went to see a physical therapist, 0:00:24.901,0:00:26.569 and they told me that I had to stop running 0:00:26.569,0:00:28.441 and instead I should just stretch. 0:00:28.441,0:00:31.956 As I was leaving the phzsical therapist office, 0:00:31.956,0:00:35.410 I saw an ad for a vigorous yoga class 0:00:35.410,0:00:38.086 that promised not only to promote flexibility, 0:00:38.086,0:00:41.793 but also to promote strength and cardiorespiratory fitness. 0:00:41.793,0:00:44.205 So I thought, oh, well, this is a great way 0:00:44.205,0:00:47.320 that I can stretch, but also remain in shape, 0:00:47.320,0:00:49.892 and maybe I could even still run the Boston Marathon. 0:00:49.892,0:00:54.177 So I went to the yoga class and I really enjoyed it, 0:00:54.177,0:00:57.843 except when the teacher would make all sorts of claims, 0:00:57.843,0:01:01.493 you know, all sorts of medical claims, but also claims about, oh, yes, 0:01:01.493,0:01:03.074 it will help you... 0:01:03.074,0:01:06.045 You'll increase your compassion and open your heart and I was just like... 0:01:06.045,0:01:08.574 I remember my eyes would roll and... 0:01:08.574,0:01:11.770 I think, yeah, yeah, yeah, I am here to stretch. 0:01:11.770,0:01:14.489 (Laughter) 0:01:14.827,0:01:16.642 But what was interesting was that after a couple of weeks 0:01:16.642,0:01:18.460 I started noticing some of these changes, 0:01:18.460,0:01:21.850 I started noticing that I was calmer and I was better able 0:01:21.850,0:01:26.488 to handle difficult situations, and indeed, I was feeling more compassionate 0:01:26.488,0:01:28.101 and open-hearted towards other people, 0:01:28.101,0:01:30.540 and I was better able to see things from other people's point of view. 0:01:30.540,0:01:34.178 And, you know, I was like, hm, how could this be, 0:01:34.178,0:01:35.789 how could this be? 0:01:35.789,0:01:39.776 And, I thought, well maybe, you know, it's just a placebo response, right? 0:01:39.776,0:01:42.304 She told me I will feel this, so maybe that's why I was feeling it. 0:01:42.304,0:01:46.111 So I decided to do a literature search to see if there's any research on this. 0:01:46.111,0:01:48.792 And low and behold, there was quite a bit 0:01:48.792,0:01:55.479 showing both yoga and meditation are extremely effective for decreasing stress 0:01:55.479,0:01:58.621 they're also very good for reducing symptoms associated with numerous diseases 0:01:58.621,0:02:02.274 including depression, anxiety, pain, and insomnia. 0:02:02.274,0:02:06.763 And there's a couple of very good studies demonstrating it can actually 0:02:06.763,0:02:10.860 improve your ability to pay attention, and most interestingly, I thought 0:02:10.860,0:02:13.683 virtually every study has shown that people are just happier. 0:02:13.683,0:02:17.214 They report they're more satisfied with their life, and they have a higher quality of life. 0:02:17.214,0:02:20.276 And so, this was interesting to me. 0:02:20.276,0:02:24.657 And so I decided to switch and start doing this sort of research. 0:02:25.334,0:02:28.279 So as a nurse scientists, you know, how could this be happening? 0:02:28.279,0:02:31.656 How can something as silly as a yoga posture 0:02:31.656,0:02:33.099 or sitting and watching your breath. 0:02:33.099,0:02:36.743 How can that lead to all these sorts of different types of changes? 0:02:36.743,0:02:42.261 So, what we know is that whenever you engage in a behavior over and over again, 0:02:42.261,0:02:44.928 that this can lead to changes in your brain. 0:02:44.928,0:02:47.274 And this is what's referred to as neuroplasticity. 0:02:47.274,0:02:51.036 And what this just means is that your brain is plastic and that 0:02:51.036,0:02:55.330 the neurons can change how they talk to each other with experience. 0:02:55.330,0:03:00.134 And so, there's a couple of studies demonstrating 0:03:00.134,0:03:02.880 that you can actually detect this, using machines like the MRI machine. 0:03:02.880,0:03:04.565 The first study was with juggling. 0:03:04.565,0:03:06.916 They took people who had never ever juggled before, 0:03:06.916,0:03:09.400 and they scanned them, and then they taught them how to juggle, 0:03:09.400,0:03:11.515 and they said, "Keep practising for three months." 0:03:11.515,0:03:14.617 And they brought them back after three months, and they scanned them the second time, 0:03:14.617,0:03:17.749 and they found that they can actually detect with the MRI machine 0:03:17.749,0:03:20.383 changes in the amount of grey matter in the brain of these people 0:03:20.383,0:03:22.847 in areas that are important for detecting visual motion. 0:03:22.847,0:03:27.635 So, I thought, OK, three months, you know... 0:03:27.635,0:03:32.570 Can meditation change brain structure too? 0:03:32.570,0:03:36.329 Something as simple as, you know, as juggling. 0:03:36.329,0:03:37.481 What about meditation? 0:03:37.481,0:03:39.314 So the first study we did, 0:03:39.314,0:03:41.650 we recruited a bunch of people from the Boston area, 0:03:41.650,0:03:44.029 and these were not monks or meditation teachers, 0:03:44.029,0:03:46.235 they're just average Joes who on average practice meditation 0:03:46.235,0:03:47.706 about 30-40 minutes a day, 0:03:47.706,0:03:49.568 and we put them in a scanner, 0:03:49.568,0:03:51.755 and we compared them to a group of people who were demographically matched, 0:03:51.755,0:03:53.500 but who don't meditate. 0:03:53.500,0:03:56.089 And what we found is this: 0:03:56.089,0:03:58.209 That there were indeed several regions of the brain 0:03:58.209,0:04:01.757 that had more grey matter in the meditators compared to the controls. 0:04:01.757,0:04:04.755 One of the regions I'm going to point out to you 0:04:04.755,0:04:07.122 is here in the front of the brain, it's the area that's important 0:04:07.122,0:04:09.331 for working memory and executive decision making 0:04:09.331,0:04:11.480 and what was interesting about it 0:04:11.480,0:04:14.010 was when we actually plotted the data versus their ages. 0:04:14.010,0:04:17.716 So here in the red square, that's the controls. 0:04:17.716,0:04:19.647 And this is something you see actually, 0:04:19.647,0:04:21.646 it's been well documented that as we get older, 0:04:21.646,0:04:24.379 not just there, but across most of our cortex, 0:04:24.379,0:04:26.478 it actually shrinks as we get older. 0:04:26.478,0:04:28.496 And this is part of the reason why as we get older, 0:04:28.496,0:04:34.745 it's harder to figure things out and to remember things. 0:04:34.745,0:04:37.273 And what was interesting was that in this one region, 0:04:37.273,0:04:41.647 the 50 year old meditators had the same amount of cortex as the 25 year olds, 0:04:41.647,0:04:45.577 suggesting that meditation practice may actually slow down or prevent 0:04:45.577,0:04:51.093 the natural age-related decline in cortical structure. 0:04:51.093,0:04:53.450 So now, the critics, and there were many critics, 0:04:53.450,0:04:57.365 said, well, you know, meditators, they're weird. 0:04:57.365,0:05:00.193 Maybe they were just like that before they started practising, right? 0:05:00.193,0:05:02.867 A lot of them were vegetarian, so maybe it had something to do with their diet, 0:05:02.867,0:05:04.788 or something else with their lifestyle, you know. 0:05:04.788,0:05:07.419 Couldn't possible be the meditation, it's something else, right? 0:05:07.419,0:05:11.661 And to be fair, you know, that could be true. 0:05:11.661,0:05:14.382 This first study could not address that. 0:05:14.382,0:05:16.895 So we did a second study. 0:05:18.219,0:05:21.047 In this study, what we did is, we took people who had never meditated before, 0:05:21.047,0:05:24.995 and we put them in the scanner, and then we put them through 0:05:24.995,0:05:27.611 an eight-week meditation-based stress reduction program 0:05:27.611,0:05:30.700 where they were told to meditate every day for 30 to 40 minutes. 0:05:30.700,0:05:33.267 And then we scanned them again at the end of the eight weeks, 0:05:33.267,0:05:35.086 and this is what we found. 0:05:35.086,0:05:39.700 So what you see is that several areas became larger. 0:05:39.700,0:05:42.330 In this slide we can see the [br]hippocampus, 0:05:42.330,0:05:47.354 and in the graph, the controls are in blue and the meditation subjects 0:05:47.354,0:05:50.368 are in red, and what we see is that the [br]hippocampus, 0:05:50.368,0:05:52.734 this is the area that's important for learning and memory, 0:05:52.734,0:05:57.700 it's also important for emotion regulation and it was interesting it was less 0:05:57.700,0:06:00.516 grey matter in this region in people who had depression and PTSD. 0:06:00.516,0:06:04.984 Another region we identified was the temporo-parietal junction 0:06:04.984,0:06:06.683 which is here above your ear, 0:06:06.683,0:06:10.552 it's important for perspective taking and empathy and compassion. 0:06:10.552,0:06:14.085 And again, these are both functions which people report changing when 0:06:14.085,0:06:17.888 they start practising meditation and yoga. 0:06:17.888,0:06:20.737 Another region we identified was the amygdala. 0:06:20.737,0:06:23.189 And the amygdala is the fight-or-flight part of your brain. 0:06:23.189,0:06:26.071 And here we actually found a decrease in gray matter. 0:06:26.071,0:06:28.671 And what was interesting was that the change in grey matter 0:06:28.671,0:06:30.463 was correlated with the change in stress. 0:06:30.463,0:06:32.503 So the more stress reduction people reported, 0:06:32.503,0:06:35.706 the smaller the amygdala became. 0:06:36.337,0:06:40.575 And this was really interesting, because it's sort of opposite and parallel 0:06:40.575,0:06:43.173 of what some animal studies have shown. 0:06:43.173,0:06:46.349 So colleagues using rodents, 0:06:46.349,0:06:49.943 they took rodents who were just happy, normal rodents, 0:06:49.943,0:06:52.133 and they had them in their cage, and they measured 0:06:52.133,0:06:55.218 their amygdala, and then they put them through a ten- day stress regimen. 0:06:55.218,0:06:58.204 And at the end of the ten days, they measured their amygdala, 0:06:58.204,0:07:02.057 and this exact same analogous part of the rat brain grew. 0:07:02.057,0:07:06.484 So we found a decrease with stress, they found an increase with stress. 0:07:06.484,0:07:10.017 What was interesting was that then they left the animals alone, 0:07:10.017,0:07:12.887 and three weeks later they went back and tested them again. 0:07:12.887,0:07:16.087 And three weeks later, that same part of the amygdala was still large, 0:07:16.087,0:07:19.104 and the animals, even though they were in their original cages 0:07:19.104,0:07:22.355 where they were happy, were still acting stressed out, 0:07:22.355,0:07:25.105 so they, you know, they were cowering in the corner, 0:07:25.105,0:07:28.120 and they just weren't exploring the space the way they had before. 0:07:28.120,0:07:32.525 And so, this is the exact opposite of what we saw at the humans, 0:07:32.525,0:07:35.578 because with the humans nothing has changed with their environment. 0:07:35.578,0:07:37.754 They still had their stressful jobs, 0:07:37.754,0:07:40.076 all the difficult problems were still being difficult, 0:07:40.076,0:07:41.792 and the economy still sucked, 0:07:41.792,0:07:47.108 but yeah, their amygdala got smaller, and they were reporting less stress. 0:07:47.108,0:07:50.322 And so, together these really show that the change in the amygdala 0:07:50.322,0:07:54.191 is not responding to the change in the environment, but rather it's representing 0:07:54.191,0:07:59.837 the change in the people's reaction or relationship to their environment. 0:08:01.945,0:08:05.403 And then the other thing that the study shows is that, 0:08:05.850,0:08:09.650 it wasn't just the people were saying, "Oh, I feel better." 0:08:09.650,0:08:13.643 Or that it was a placebo response, or that they're trying to please us, 0:08:13.643,0:08:16.790 but there was actually a neurobiological reason why they're saying they 0:08:16.790,0:08:18.908 felt less stressed. 0:08:18.908,0:08:21.788 And so the idea that I'd like to share with all of you today is that meditation 0:08:21.788,0:08:23.120 can literally change your brain. 0:08:23.120,0:08:24.606 Thank you. 0:08:24.606,0:08:26.249 (Applause)