Month: May 2018

Improve Stress, Sleep, and Memory with Mindfulness

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Improve Stress, Sleep, and Memory with Mindfulness

 

By John M. de Castro, Ph.D.

 

“Meditation trains you to be mindful of your incoming thoughts, weakening both the physiological link and strength that each thought has on you, as well as decreasing the frequency of incoming sleep-preventing thoughts. Meditation forces the worrywart, insomnia causing mind to shift into the present moment, while realizing that the day is now over, and tomorrow is not yet here.” – EOC Institute

 

It is estimated that over half of Americans sleep too little due to stress. As a result, people today sleep 20% less than they did 100 years ago. Over 70 million Americans suffer from disorders of sleep and about half of these have a chronic disorder. It has been estimated that about 4% of Americans revert to sleeping pills. But, these do not always produce high quality sleep and can have problematic side effects. Not having a good night’s sleep has adverse effects upon the individual’s health, well-being, and happiness and can even lead to memory problems. So, there is a need to find better methods to improve sleep. Mindfulness-based practices have been reported to improve sleep amount and quality, reduce stress and improve memory. It is not known, however, how these effects of mindfulness are related.

 

In today’s Research News article “Dispositional Mindfulness and Memory Problems: The Role of Perceived Stress and Sleep Quality.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5363402/ ), Brisbon and Lachman measured adult participants in the Boston Longitudinal Study for mindfulness, perceived stress, sleep quality, memory problems, physical health, openness, and neuroticism. The relationships between these measured were then explored with a regression analysis.

 

They found that stress was a key, with higher levels of perceived stress associated with poorer sleep quality and greater memory problems and neuroticism. Mindfulness was only slightly associated with lower perceived stress and neuroticism and greater openness and no significant relationship with sleep quality. A mediation analysis revealed that mindfulness was associated with lower memory problems indirectly by being associated with lower perceived stress which was associated with memory problems. Hence, high mindfulness was related to lower perceived stress which was, in turn, related to memory problems.

 

It should be kept in mind that the preset study was correlational and no conclusions about causation can be reached. But, these results suggest that stress is a key factor in sleep and memory problems and that mindfulness, by being associated with lower stress, is related to improved memory. It remains for future research to manipulate mindfulness and thereby determine if there are causal connections. But, given the increased memory problems associated with aging, it would be important to establish whether mindfulness may be helpful in delaying or reversing the deterioration of memory.

 

So, improve stress, sleep, and memory with mindfulness.

 

“We were surprised to find that the effect of mindfulness meditation on sleep quality was large and above and beyond the effect of the sleep hygiene education program, Not only did the researchers find that mindfulness could help reduce sleep problems in older adults, but that “this effect on sleep appears to carry over into reducing daytime fatigue and depression symptoms.” – David S. Black

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

 

Study Summary

 

Brisbon, N. M., & Lachman, M. E. (2017). Dispositional Mindfulness and Memory Problems: The Role of Perceived Stress and Sleep Quality. Mindfulness, 8(2), 379–386. http://doi.org/10.1007/s12671-016-0607-8

 

Abstract

There is a growing body of evidence exploring the beneficial effects of mindfulness on stress, sleep quality, and memory, though the mechanisms involved are less certain. The present study explored the roles of perceived stress and sleep quality as potential mediators between dispositional mindfulness and subjective memory problems. Data were from a Boston area subsample of the Midlife in the United States study (MIDUS-II) assessed in 2004–2006, and again approximately one year later (N=299). As expected, higher dispositional mindfulness was associated with lower perceived stress and better sleep quality. There was no direct association found between mindfulness and subjective memory problems, however, there was a significant indirect effect through perceived stress, although not with sleep quality. The present findings suggest that perceived stress may play a mediating role between dispositional mindfulness and subjective memory problems, in that those with higher mindfulness generally report experiencing less stress than those with lower mindfulness, which may be protective of memory problems in everyday life.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5363402/

 

Reduce the Symptoms of PTSD with Yoga

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Reduce the Symptoms of PTSD with Yoga

 

By John M. de Castro, Ph.D.

 

“It can be very difficult to stay in your own body when you’re getting flashbacks. The lighting changes, and you feel like you’re not even in the room. . . . [Yoga] reminds me that if I just keep plodding along, I can get there,” she says. “I can face it in little chunks and say, “I can work with this piece.'” – Denise Wills

 

Experiencing trauma is quite common. It has been estimated that 60% of men and 50% of women will experience a significant traumatic event during their lifetime. But, only a fraction will develop Post-Traumatic Stress Disorder (PTSD). But this still results in a frightening number of people with 7%-8% of the population developing PTSD at some point in their life. For military personnel, it’s much more likely for PTSD to develop with about 11%-20% of those who have served in a war zone developing PTSD.

 

PTSD involves a number of troubling symptoms including reliving the event with the same fear and horror in nightmares or with a flashback. PTSD sufferers avoid situations that remind them of the event this may include crowds, driving, movies, etc. and may avoid seeking help because it keeps them from having to think or talk about the event. They often experience negative changes in beliefs and feelings including difficulty experiencing positive or loving feelings toward other people, avoiding relationships, memory difficulties, or see the world as dangerous and no one can be trusted. Sufferers may feel hyperarousal, feeling keyed up and jittery, or always alert and on the lookout for danger. They may experience sudden anger or irritability, may have a hard time sleeping or concentrating, may be startled by a loud noise or surprise.

 

Obviously, these are troubling symptoms that need to be addressed. There are a number of therapies that have been developed to treat PTSD. One of which, mindfulness training has been found to be particularly effective. In addition, yoga has been shown to help relieve the symptoms of PTSD. In today’s Research News article “Yoga for posttraumatic stress disorder – a systematic review and meta-analysis.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5863799/ ), Cramer and colleagues review, summarize, and perform a meta-analysis of the published randomized controlled trials of the application of yoga practice for the treatment of the symptoms of Post-Traumatic Stress Disorder (PTSD).

 

They found 7 randomized controlled trials on 284 patients. They found that most of the research was of low quality. But, these studies found that yoga practice produced significant improvements in PTSD symptoms. There was good retention of participants in the yoga practice groups. In addition, there were no significant adverse events reported. Hence, they found that the published literature suggests that yoga practice is helpful for the relief of the symptoms of PTSD but the evidence was rather weak. This strongly suggests that better controlled, larger randomized controlled trials are needed.

 

Yoga is a complex practice, usually involving multiple components of postures, breathing exercises and meditation. It is not known which of these components or which combinations are necessary for effectiveness. The sole piece of evidence found was that the trial that did not contain the postures component did not find significant relief of symptoms. This suggests that the practice of yoga postures is the critical component.

 

So, reduce the symptoms of Post-Traumatic Stress Disorder (PTSD) with yoga.

 

“The first step in yoga practice is to link the mind and body through the breath, bringing awareness to what is happening in the moment. Intense feelings and thoughts can be experienced and reduced in intensity as the mind becomes more still and calm and the body allows the sensations to pass. An experience of a deeper level of existence is possible allowing the body mind complex to feel peace and generate positive emotions and enter a transformative period. With repeated practice and guidance, a yoga practice can bring long term relief and a fresh perspective on life for PTSD sufferers.” – The Art of Living

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

 

Study Summary

 

Cramer, H., Anheyer, D., Saha, F. J., & Dobos, G. (2018). Yoga for posttraumatic stress disorder – a systematic review and meta-analysis. BMC Psychiatry, 18, 72. http://doi.org/10.1186/s12888-018-1650-x

 

Abstract

Background

Yoga is increasingly used as a therapeutic treatment and seems to improve psychiatric conditions such as anxiety disorders and depression. The aim of this systematic review was to assess the evidence of yoga for reducing symptoms of posttraumatic stress disorder (PTSD).

Methods

The Cochrane Library, Medline/PubMed, PsycINFO, Scopus, and IndMED were searched through July 2017 for randomized controlled trials (RCTs) assessing the effects of yoga on symptoms of PTSD. Mean differences (MD) and standardized mean differences (SMD) with 95% confidence intervals (CI) were computed. The quality of evidence and the strength of recommendation were graded according to the GRADE recommendations.

Results

Seven RCTs (N = 284) were included. Meta-analysis revealed low quality evidence for clinically relevant effects of yoga on PTSD symptoms compared to no treatment (SMD = − 1.10, 95% CI [− 1.72, − 0.47], p < .001, I2 = 72%; MD = − 13.11, 95% CI [− 17.95, − 8.27]); and very low evidence for comparable effects of yoga and attention control interventions (SMD = − 0.31, 95%CI = [− 0.84, 0.22], p = .25; I2 = 43%). Very low evidence was found for comparable retention of patients in the trial for yoga and no treatment (OR = 0.68, 95%CI [0.06, 7.72]) or attention control interventions (OR = 0.66, 95%CI [0.10, 4.46]). No serious adverse events were reported.

Limitations

Few RCTs with only limited sample size were available.

Conclusions

Only a weak recommendation for yoga as an adjunctive intervention for PTSD can be made. More high quality research is needed to confirm or disconfirm these findings.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5863799/

 

Improve Sleep with Mindfulness

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Improve Sleep with Mindfulness

 

By John M. de Castro, Ph.D.

 

“When we lose awareness of the present moment, our minds get stuck in maladaptive ways of thinking. For example, you might be trying to go to sleep but your mind gets lost thinking about all the groceries you need to buy. Deep, relaxed breathing is forgotten. And once you realize sleep isn’t happening, your muscles tense and your thought process quickly shifts to “I’m not falling asleep! I have XYZ to do this week and I won’t be able to function tomorrow.” The body seizes up, breathing and heart rate can both quicken, and falling sleep becomes more difficult.” – Shelby Freedman Harris

 

Modern society has become more around-the-clock and more complex producing considerable pressure and stress on the individual. The advent of the internet and smart phones has exacerbated the problem. The resultant psychological distress can impair sleep. Indeed, it is estimated that over half of Americans sleep too little due to stress. As a result, people today sleep 20% less than they did 100 years ago. Not having a good night’s sleep has adverse effects upon the individual’s health, well-being, and happiness. So, non-drug methods to improve sleep are needed. Contemplative practices have been reported to improve mindfulness and, in turn, improve sleep amount and quality and help with insomnia. But, how mindfulness improves sleep has not been explored.

 

In today’s Research News article “Potential Mechanisms of Mindfulness in Improving Sleep and Distress.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5866834/ ), Lau and colleagues examine possible intermediaries that are effected by mindfulness and which, in turn, influence sleep. They recruited a large sample of meditation naïve, Chinese, adults and measured them over the internet for mindfulness, sleep quality, depression, anxiety, and stress. They then performed regression analysis of the associations among these variables.

 

Replicating previous findings, they found that the higher the levels mindfulness, especially acceptance (non-react facet of mindfulness), the greater the sleep quality and the lower the levels of anxiety, depression, and stress. They also found that the higher the levels of psychological distress, the higher the levels of anxiety, depression, and stress and the lower the levels of mindfulness and sleep quality. So, mindfulness, especially acceptance, was associated with better psychological health and sleep, while psychological distress acted in the opposite direction.

 

They then tested models that asserted various pathways whereby mindfulness affected sleep quality. They found that the higher the level of acceptance (non-react facet of mindfulness), the greater the impact of awareness (observe facet of mindfulness) on lower general psychological distress and higher the sleep quality. This suggests that acceptance associations with higher sleep quality may be in part mediated by the association of acceptance with lower levels of psychological distress and in turn improved sleep quality.

 

These findings begin the unravel the mechanisms by which mindfulness improves sleep. It suggests that acceptance (non-react facet of mindfulness) is a very important component of the associations with better sleep and that it, in part, works through associations with lower levels of psychological distress.

 

So, improve sleep with mindfulness.

 

“When I first started using mindfulness to get sleep, I believed I needed to be meditating at bedtime if I wanted to cure my insomnia. I was completely wrong! I learned that my worries about sleep were happening all day long. I started using mindfulness during the day to notice those worries and learn to accept that I may not get as much sleep as I hope for each night. . . . worrying about sleep works against the process of falling asleep. All of those concerns about your insomnia just might be making it harder to let go at the end of the day, to relax and let your body rest.” – Mary Sauer

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

 

Study Summary

Lau, W. K. W., Leung, M.-K., Wing, Y.-K., & Lee, T. M. C. (2018). Potential Mechanisms of Mindfulness in Improving Sleep and Distress. Mindfulness, 9(2), 547–555. http://doi.org/10.1007/s12671-017-0796-9

 

Abstract

The mechanisms of mindfulness-improved sleep quality are not extensively studied. Recently, attention monitoring/awareness and acceptance in mindfulness have been proposed to be the underlying mechanisms that tackle distress and related disorders. The current study tested if acceptance moderated the relationship of awareness with psychological distress and sleep quality, and verified that psychological distress mediated the relationship between mindfulness and sleep quality in a group of community-dwelling healthy adults. Three hundred and sixty-four healthy Chinese non-meditators (age 18–65, 59% female) completed a set of online self-reported questionnaires in Chinese via SurveyMonkey. Awareness and acceptance were measured by Observe and Nonreact facets in the Five Facet Mindfulness Questionnaire (FFMQ), respectively. General psychological distress levels and sleep quality were reflected in the global score of the Depression Anxiety and Stress Scales (DASS) and the Pittsburgh Sleep Quality Index (PSQI), respectively. Model 1 and model 8 in the PROCESS macro for SPSS were used to assess the moderation and moderated mediation effects. Increased level of acceptance (Nonreact) weakened the positive relationship between awareness (Observe) and poor sleep quality (β = −0.0154, p = 0.0123), which was partially mediated through perceived psychological distress (β = −0.0065, 95% bias-corrected bootstrap CI = −0.0128, −0.0004) in a group of community-dwelling healthy adults. Our findings suggested that awareness and acceptance could be the mechanisms of mindfulness interventions in improving sleep quality, partly via reducing psychological stress.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5866834/

 

The Middle Way in Mindfulness Practice

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The Middle Way in Mindfulness Practice

 

By John M. de Castro, Ph.D.

 

“Monks, these two extremes ought not to be practiced by one who has gone forth from the household life. (What are the two?) There is addiction to indulgence of sense-pleasures, which is low, coarse, the way of ordinary people, unworthy, and unprofitable; and there is addiction to self-mortification, which is painful, unworthy, and unprofitable. Avoiding both these extremes, the Tathagata (the Perfect One) has realized the Middle Path; it gives vision, gives knowledge, and leads to calm, to insight, to enlightenment and to Nibbana.”  – Siddhārtha  Gautama

 

I have a life-long habit of trying too hard. In American culture, that is not considered a fault, but in the contemplative life it often is. The Buddha taught the middle way as the proper approach. He tried the extremes from the excess in the life of a prince to the opposite excess in the life of an ascetic. He found after years of futile effort that neither worked in ending suffering. But, when he rejected both and compromised, exerting effort but not too much, he found success and attained enlightenment. So, he taught his followers the middle way.

 

The Buddha likened the spiritual path to a stringed musical instrument. If no effort is exerted the string is slack and does not produce music. If too much effort is exerted, the string is tightened too much and breaks. Only when the string is tightened moderately does it produce beautiful music. He taught this middle way of moderation in all things to achieve success in all phases of life but particularly in spiritual endeavors.

 

The modern sage Thich Nhat Hahn visited the San Francisco Zen Center; a center noted for its rigor. After his visit, he was asked by the leader how the Center could improve. He stated that first he would sleep later, and that they shouldn’t be so grim and dour, and should smile much more. What he was pointing to is the middle way; being less strict and rigorous and practicing with greater joy; keeping the body and spirit at a moderate level that allows for the practice to be relaxed and joyful.

 

I learned this lesson during this most recent retreat. It was a personal retreat with no one but myself setting the schedule of activities. The first couple of days it was raining hard, so I took the opportunity to meditate frequently and for extended periods; as it turns out too frequently and too long. After two days, I was physically and mentally exhausted. Meditation became painful and unproductive. I decided to take the afternoon and evening of the third day off. I simply rested, maintaining silence, but read a novel. Many teachers would reprimand me from breaking from the focus on silent meditation. But, as it turned out, it worked wonderfully. The next day I was refreshed, the pain was gone and my level of concentration was wonderful.

 

I scaled back on the frequency and duration of the meditation and rested more often and for longer times. There was no more novel reading or time off. I had learned the middle way as the way to practice in retreat. Previously on a formal retreat with scheduled meditations, I would scoff at participants who would skip a scheduled meditation or a dharma talk and believed that they were wasting a valuable opportunity. Now I see that I was being unfairly judgmental. I now realize that they were being wise, tailoring the retreat to their own level of energy and physical endurance. They were keeping the practice within the middle way.

 

Psychological research has demonstrated that there is an optimum level of motivation for any task and it is not at the extremes, but in the middle. The research has also demonstrated that what the optimum level is varies from person to person. For some, a low level works best, while for others only very high levels produce optimum results. For most, somewhere in the middle is best. It is up to each of us to find our own optimum level and practice accordingly. I found mine on this personal retreat and once I practiced at this level, the results were good. The Buddha taught to judge an activity, not by its nature, but by the results it produces. Clearly, following my own middle way had positive results for me.

 

Happiness is more likely to be found on the middle way. Studies of happiness have shown that people with very low incomes are generally unhappy. Surprising, those who are quite rich tend to be generally unhappy. It’s the people in the middle, with sufficient, but not excessive income, are generally the happiest. A surprising fact in this regard is that people who have one large amounts of money in the lottery afterward are much less happy than before. It is clear that the middle way with wealth leads to the greatest happiness.

 

Athletes have learned the benefits of the middle way. Trying too hard results in poorer performance and often times injury. Not working hard enough, being too lax, similarly leads to poor performance. Exerting the right amount of effort and relaxing, the middle way, leads to excellence in athletic achievement. Every yoga student knows that to improve flexibility muscles and tendons can’t be stretched too hard. The muscles will resist the stretch or could get injured. Similarly, too little stretch produces no benefits. On the other hand, moderate, middle way, stretching produces the best results.

 

Even something as simple as eating is best practiced on the middle way. We all know that we have to eat. Eating too little is damaging to health and eating too much leads to obesity and disease. During the evolutionary development of humans, the problem was a lack of consistency in the supply of food. Food was plentiful at times, but scarce at others. It was adaptive for humans to overeat during times of plenty in order to store the energy needed to withstand the times of scarcity. In modern times, though, where food can be plentiful at all times, the tendency to overeat doesn’t solve a problem, it creates one, obesity. Here, also, the middle way is best; eating sufficiently for health but not more than is needed. This is promoted by mindful eating. Eat carefully on the middle way.

 

Driving a car is a clear example of the need for a middle way. Driving too fast can lead to loss of control or inability to stop quickly in an emergency, which can be fatal. On the other hand, driving too slowly can also be dangerous as it can lead to being rear ended, prompt overly aggressive passing by other cars, or major back-ups in traffic. Driving too aggressively van be dangerous, while driving too passively can also be. It is best to be driving the middle way, not meaning down the center of the road, but with moderation with speed and assertiveness.

 

I spent many years as a teacher and observed students who were very highly motivated getting exhausted cramming and then were so nervous during exams that they performed poorly. It has been established that too high a level of motivation interferes with learning and memory. Similarly, students who were lackadaisical and don’t apply themselves also performed poorly. But those students who were moderately motivated so that they studied but who could relax, performed the best. Hence, in academics as in meditation, athletics, and work, the middle way is best.

 

In our live in general, overly stressing one aspect of life almost always leads to unhappiness. Balance, the middle way, is needed. Many people, particularly Americans, work excessively at their jobs, working long hours and rarely taking vacations. They may have successful careers, but be miserable. On the deathbed, people virtually never wish that they had spent more time or effort on developing their resumes, on working harder or being more successful. Rather, they most often decry the fact that they didn’t spend enough time and energy on family and friends. A palliative care nurse once recorded the top five regrets of the dying. They were

  1. I wish I’d had the courage to live a life true to myself, not the life others expected of me.
  2. I wish I hadn’t worked so hard.
  3. I wish I’d had the courage to express my feelings.
  4. I wish I had stayed in touch with my friends.
  5. I wish that I had let myself be happier.

 

When I was younger and went to a new interesting place, I was determined to see all the sights. I got up early and ran from sight to sight till closing time. By evening, I and any companions were exhausted. I had seen many great things; what the place had to offer. But, upon reflection, I realized that I really didn’t enjoy or truly appreciate any of them. I’ve learned to take the middle way, to slow down, to relax, to see less, but enjoy and learn from it more. Spending the day ticking off as many items as possible from the to-do list is a recipe for unhappiness. Take the middle way in everything you do.

 

Raising children is best guided by the middle way. Young children must learn boundaries to their behavior in order to function at home and in society. They can’t have everything they want and they can’t do everything they want. If parenting is too lax the child will grow unruly and difficult and will have problems integrating into school and social groups. On the other hand, if parenting is too severe and intrusive the child will be fearful, the child will have a damaged self-concept, creativity will be stifled, and the child will avoid authority. At extreme levels the child may experience abuse and trauma that may haunt them for the rest of their lives. Mindful parenting takes the middle road, maintaining boundaries but doing so with love and understanding, valuing the child, and guiding development with unconditional positive regard. With this middle way, children grow and are socialized while maintaining creativity and a positive self-regard. They grow into psychologically health adults.

 

So, practice the middle way in mindfulness practice and in life in general, finding the level of effort what works for you. Don’t string yourself too loosely or too tightly, enjoy the symphony of life, and play beautiful spiritual music.

 

“Your hand opens and closes, opens and closes. If it were always a fist or always stretched open, you would be paralyzed. Your deepest presence is in every small contracting and expanding, the two as beautifully balanced and coordinated as birds’ wings.” ― Jalaluddin Rumi

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

Improve eating Disorders with Yoga

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Improve eating Disorders with Yoga

 

By John M. de Castro, Ph.D.

 

“The practice of yoga can offer a therapeutic venue for engaging in physical activity while providing an outlet for many of the symptoms associated with eating disorders.“ – Jacquelyn Ekern
Around 30 million people in the United States of all ages and genders suffer from an eating disorder; either anorexia nervosa, bulimia, or binge eating disorder. 95% of those who have eating disorders are between the ages of 12 and 26. Eating disorders are not just troubling psychological problems, they can be deadly, having the highest mortality rate of any mental illness. Eating disorders can be difficult to treat because eating is necessary and cannot be simply stopped as in smoking cessation or abstaining from drugs or alcohol. One must learn to eat appropriately not stop. So, it is important to find methods that can help prevent and treat eating disorders. Contemplative practices, mindfulness, and mindful eating have shown promise for treating eating disorders. In addition, yoga practice appears to be beneficial.

 

In today’s Research News article “Effect of yoga in the treatment of eating disorders: A single-blinded randomized controlled trial with 6-months follow-up.” (See summary below or view the full text of the study at: http://www.ijoy.org.in/article.asp?issn=0973-6131;year=2018;volume=11;issue=2;spage=166;epage=169;aulast=Karlsen ), Karlsen and colleagues recruited young adult women, over 18 years of age, with eating disorders, primarily bulimia and unspecified eating disorders and randomly assigned them to either a yoga practice condition or a wait-list control group. The Hatha Yoga practice occurred twice a week for 90 minutes for 11 weeks. They were measured before and after treatment and 6 months later for global eating disorders, restraint, eating concern, weight concern, and shape concern.

 

They found that the yoga practice women in comparison to baseline and the wait-list control group had significantly lower global eating disorders scores, restraint, eating concern, and weight concern at the end of training. These improvements increased over time being largest at the 6-month follow up measurements. No adverse events were observed. Unfortunately, about a third of the women in the yoga group dropped out over the course of training. This is comparable to drop out rates observed from other eating disorder treatments. Hence, Hatha Yoga practice appears to be a safe and effective treatment of eating disorders in young adult women.

 

It is not known how yoga may assist with eating disorders. But, eating disorders are often associated with distorted body images and yoga practice emphasizes the appreciation of the body as it is. This may work to improve the accuracy of the women’s body images. It is also possible that the mindfulness aspects of yoga practice ground the women more in the present moment. Eating disorders are associated with the projection of the impact of eating on future body fatness. By, focusing on the present moment and the experience of eating in the present moment, yoga practice may increase the pleasure of eating and decrease the worry about its future impact.

 

So, improve eating disorders with yoga.

 

“Yoga can be an effective tool to restore the imbalances in both the body and the mind that occur with eating disorders. Yoga has a profound ability to balance the emotions and has been shown to help relieve depression, anger and anxiety and to promote equanimity: a calm, clear focused mind. Yoga can also promote self-esteem and a positive body image, which play primary roles in eating disorders, through the cultivation of non-judgment, confidence, self-acceptance, openness and inner strength. Physically, a regular yoga practice can help rebuild the strength, energy and bone density that is damaged and lost with Anorexia.” – Timothy Burgin

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

 

Study Summary

 

Karlsen KE, Vrabel K, Bratland-Sanda S, Ulleberg P, Benum K. Effect of yoga in the treatment of eating disorders: A single-blinded randomized controlled trial with 6-months follow-up. Int J Yoga 2018;11:166-9

 

Aim of the Study: The aim of this study is to examine the effect of yoga treatment of eating disorders (EDs). Methods: Adult females meeting the Diagnostic and Statistical Manual-IV criteria for bulimia nervosa or ED not otherwise specified (n = 30) were randomized to 11-week yoga intervention group (2 × 90 min/week) or a control group. Outcome measures, the Eating Disorder Examination (EDE)-Interview and Eating Disorders Inventory-2 (EDI-2) scores, were administered at baseline, posttest, and at 6-month follow-up. There was a dropout rate of 30% (posttest) and 37% (6-month follow-up). Results: The intervention group showed reductions in EDE global score (P < 0.01), the EDE subscale restraint (P < 0.05), and eating concern (P < 0.01) compared to the control group. The differences between the groups increased at 6-month follow-up. There were no differences between the groups in the EDI-2 score. Conclusion: The results indicate that yoga could be effective in the treatment of ED.

http://www.ijoy.org.in/article.asp?issn=0973-6131;year=2018;volume=11;issue=2;spage=166;epage=169;aulast=Karlsen

Mindful People Better Regulate Their Emotions

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Mindful People Better Regulate Their Emotions

 

By John M. de Castro, Ph.D.

“With MM training or practice (even a little practice has been shown to make a difference), we become more able to allow disturbing emotions and thoughts to pass through awareness. We develop the ability to NOT act or react to every emotion or thought we have.” – Timothy Pychyl

 

Mindfulness practice has been shown to improve emotion regulation. Practitioners demonstrate the ability to fully sense and experience emotions, but respond to them in more appropriate and adaptive ways. In other words, mindful people are better able to experience yet control their responses to emotions. This is a very important consequence of mindfulness. Humans are very emotional creatures and these emotions can be very pleasant, providing the spice of life. But, when they get extreme they can produce misery and even mental illness. The ability of mindfulness training to improve emotion regulation is thought to be the basis for a wide variety of benefits that mindfulness provides to mental health and the treatment of mental illness especially depression and anxiety disorders.

 

In today’s Research News article “Mindfulness Dampens Cardiac Responses to Motion Scenes of Violence.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5866822/ ), Brzozowski and colleagues examine the relationship of mindfulness with the ability of college students to regulate emotional responses to viewing a violent video.

 

In the first experiment they had the students complete a mindfulness scale and then view a 5-minute violent video. Afterwards they were measured for positive and negative emotions and arousal. They found that students high in mindfulness experienced the film less negatively. In the second experiment the students completed mindfulness and anxiety scales and were measured with and electrocardiogram (ECG) for cardiovascular activity, before, during, and after viewing the 5-minute violent video. They found that students high in mindfulness had lower heart rates before watching the clip, had lower heart rate increases during the clip, and reduced their heart rates to baseline levels faster after the clip.

 

This is a laboratory correlational study and as such is artificial, not necessarily representative of responses to emotions in everyday contexts. It also limits causal conclusions. In addition, there wasn’t a control comparison condition so it cannot be concluded that the recorded responses were due to watching violence or the reactivity to engaging in a scientific study in a laboratory. Nevertheless, the results suggest that mindful individuals have smaller negative emotional responses and less cardiovascular reactivity to watching a violent video. This suggests that mindfulness improves both psychological and physiological responses to viewing violence. Hence, it appears that mindfulness is associated with improved emotion regulation. It remains for future research to examine causation by actively training mindfulness, having a comparison condition, and making the situation more like real life.

 

But, it can be tentatively concluded that mindful people better regulate their emotions.

 

“So rather than getting rid of emotional experience altogether, . . . we can prevent or limit the disruptive aspects of emotions, like rumination. And this can be done by monitoring your thoughts and sensations, but also by adopting a non-judgmental attitude towards them.” – Emily Nauman

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

 

Study Summary

 

Brzozowski, A., Gillespie, S. M., Dixon, L., & Mitchell, I. J. (2018). Mindfulness Dampens Cardiac Responses to Motion Scenes of Violence. Mindfulness, 9(2), 575–584. http://doi.org/10.1007/s12671-017-0799-6

 

Abstract

Mindfulness is linked with improved regulatory processes of attention and emotion. The potential benefits of mindfulness are vast, including more positive emotional states and diminished arousal in response to emotional stimuli. This study aims to expand of the current knowledge of the mechanisms of mindfulness by relating the latter to cardiovascular processes. The paper describes two studies which investigated the relationship of trait mindfulness to self-report measures of emotions elicited during a violent video clip and cardiovascular responses to the clip. Both studies recruited male and female participants, mainly university undergraduate students. The clip was 5-min-long and evoked mainly feelings of tension and disgust. In study 1, we found that higher scores for trait mindfulness were associated with increased scores for valence (r = .370, p = .009), indicating a more positive interpretation of the clip. In study 2, the average heart rate during the clip was lower than during the preceding (p < .05) and following (p < .01) non-exposure conditions. Higher trait mindfulness was related to diminished heart rate reactivity (r = −.364, p = .044) and recovery (r = −.415, p = .020). This latter effect was obtained only when trait anxiety was used as a statistical covariate. Additionally, increased trait mindfulness was accompanied by higher resting heart rate (r = .390, p = .027). These outcomes suggest that mindfulness is linked with reductions in negative feelings evoked by violent motion stimuli.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5866822/

 

Sustain Attention, Vigilance, and Energy in Nurses with Mindfulness

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Sustain Attention, Vigilance, and Energy in Nurses with Mindfulness

 

By John M. de Castro, Ph.D.

 

“As attention is rooted more firmly in the present and less on the past and/or future, depression, rumination, and anxiety decrease,” the article explains. “The resulting effect is energy that was once spent clinging to the past or worrying about the future can now be spent in the present.” Mindful nurse leaders are likewise aware of the employees and organizations behind their day-to-day work. They’re authentic. They connect with others. They stay in touch with their values.”

 

Medical professionals have to pay close and sustained attention to their jobs. The consequences of lapses and error can be catastrophic. Yet often their jobs are repetitive which can tax attention and reduce needed vigilance. Contemplative practices have been shown to improve attention and vigilance and to maintain high levels of performance on the job. In today’s Research News article “Positive Effects of Mindfulness-Based Training on Energy Maintenance and the EEG Correlates of Sustained Attention in a Cohort of Nurses.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5838011/ ), Wong and colleagues investigate the effectiveness of mindfulness training to improve attention and vigilance in nurses tested in a laboratory environment.

 

They recruited nurses and trained them in mindfulness with an 8-week, once a week for 90 minutes, program based upon the Mindfulness-Based Stress Reduction (MBSR) program, containing meditation, body scan, and yoga practices. Training attendance was monitored and recorded. They were measured before and after training with a 20-minute psychomotor task requiring sustained attention and vigilance. In addition, the nurses were measured for sleep duration for two nights. They also completed scales of energy and mood and had their brain activity monitored during rest and during meditation, and with an electroencephalogram (EEG). They also recorded the event related potentials (ERP) in the EEG evoked by stimulus presentation during the attention and vigilance task.

 

They found that following mindfulness training the nurses had significantly smaller reduction in energy during performance of the attention and vigilance task and the greater the attendance at the mindfulness training sessions, the greater the energy sustainment. This was also true for their attention and vigilance, with nurses with high training attendance having significantly smaller reductions in response speed and significantly smaller increases in attentional lapses over the 20-minute task duration. Hence, those nurses with high mindfulness training attendance sustained their energy and attention better over the task period.

 

With the electroencephalogram (EEG), they found that after mindfulness training there were significantly smaller reductions in alpha rhythm power during meditation, suggesting improved attention. These improvements were higher in nurses who attended training more regularly. Similar findings were present with the EEG event related potentials (ERP), such that P3 amplitude reductions were lower over the attention and vigilance task, indicating greater sustainment of arousal and attention. Hence, brain electrical activity also suggested greater sustainment of attention following mindfulness training.

 

The results are interesting and potentially important. They suggest that mindfulness training can improve nurses’ abilities to sustain attention and vigilance over a prolonged period. This was evidenced by both behavioral and EEG indicators of sustained attention and vigilance. This is potentially important as it may suggest that mindfulness training may improve performance on the job, reducing lapses and errors. Future research is needed to verify if, indeed, mindfulness training has similar effects on the job that it has in the laboratory.

 

So, sustain attention, vigilance, and energy in nurses with mindfulness.

 

“Burnout continues to be a significant occupational hazard in the nursing profession. Mindfulness may be the necessary approach to help combat nursing burnout, affording considerable promise for the future of the nursing profession.” – Pamela Heard

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

 

Study Summary

 

Wong, K. F., Teng, J., Chee, M. W. L., Doshi, K., & Lim, J. (2018). Positive Effects of Mindfulness-Based Training on Energy Maintenance and the EEG Correlates of Sustained Attention in a Cohort of Nurses. Frontiers in Human Neuroscience, 12, 80. http://doi.org/10.3389/fnhum.2018.00080

 

Abstract

Mindfulness based training (MBT) is becoming increasingly popular as a means to improve general wellbeing through developing enhanced control over metacognitive processes. In this preliminary study, we tested a cohort of 36 nurses (mean age = 30.3, SD = 8.52; 2 male) who participated in an 8-week MBT intervention to examine the improvements in sustained attention and its energetic costs that may result from MBT. Changes in sustained attention were measured using the psychomotor vigilance task (PVT) and electroencephalography (EEG) was collected both during PVT performance, and during a brief period of meditation. As there was substantial variability in training attendance, this variable was used a covariate in all analyses. Following the MBT program, we observed changes in alpha power across all scalp regions during meditation that were correlated with attendance. Similarly, PVT performance worsened over the 8-week period, but that this decline was mitigated by good attendance on the MBT program. The subjective energy depletion due to PVT performance (measured using self-report on Likert-type scales) was also less in regular attendees. Finally, changes in known EEG markers of attention during PVT performance (P300 and alpha-band event-related desynchronization) paralleled these behavioral shifts. Taken together, our data suggest that sustained attention and its associated costs may be negatively affected over time in the nursing profession, but that regular attendance of MBT may help to attenuate these effects. However, as this study contained no control condition, we cannot rule out that other factors (e.g., motivation, placebo effects) may also account for our findings.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5838011/

 

Mindfulness is Associated with Fewer Worries about Cessation of the Use of Sleeping Pills for Insomnia

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Mindfulness is Associated with Fewer Worries about Cessation of the Use of Sleeping Pills for Insomnia

 

By John M. de Castro, Ph.D.

 

“If insomnia is at the root of your sleepless nights, it may be worth trying meditation. The deep relaxation technique has been shown to increase sleep time, improve sleep quality, and make it easier to fall (and stay) asleep.” – National Sleep Foundation

 

It is estimated that over half of Americans sleep too little due to stress. As a result, people today sleep 20% less than they did 100 years ago. Not having a good night’s sleep has adverse effects upon the individual’s health, well-being, and happiness. Yet over 70 million Americans suffer from disorders of sleep and about half of these have a chronic disorder. It has been estimated that about 4% of Americans revert to sleeping pills. But, these do not always produce high quality sleep and can have problematic side effects. In addition, these medications can become addictive such that the individual cannot sleep without them. So, there is a need to find better methods to improve sleep.

 

Mindfulness-based practices have been reported to improve sleep amount and quality and to help treat addictions. Indeed, Mindfulness-based Relapse Prevention (MBRP) was developed to specifically assist in relapse prevention and has been shown to be effective. In today’s Research News article “Dispositional mindfulness, anticipation and abstinence symptoms related to hypnotic dependence among insomniac women who seek treatment: A cross-sectional study.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5856331/ ), Barros and colleagues examined the relationship between mindfulness and addiction to sleeping pills in women.

 

They recruited adult women who used sleeping pills on a daily basis and had them complete paper and pencil measures of mindfulness, insomnia severity, anxiety, and dependence on sleeping pills, including problematic use, preoccupation with availability, lack of compliance with prescription, and withdrawal symptoms. They performed a regression analysis to examine the relationships between these variables.

 

They found that the higher the levels of mindfulness and particularly the observing facet of mindfulness, the lower the preoccupation with the availability of sleeping pills. This preoccupation frequently involves anxiety about not having the medication available for use. In addition, the higher the levels of mindfulness and particularly the non-reacting facet of mindfulness, the lower the lack of compliance with prescription. The women with high mindfulness were less likely to use the sleeping pills more often or in different circumstances than prescribed by their physician. Finally, the higher the levels of the mindfulness facets of observing and non-reacting, the lower the belief that withdrawal would produce severe uncomfortable experiences.

 

This study was correlative and as such conclusions regarding causation cannot be reached, Nevertheless, the results suggest that the levels of mindfulness prior to treatment for sleeping pill addiction are associated with the characteristics of the addiction and the patients’ anxieties regarding the availability of the pills and the consequences of withdrawal. This suggests that more mindful women would find it easier to withdraw from their use and treatment for the addiction would be more likely to be effective. It remains for future research to examine whether high levels of mindfulness prior to treatment is predictive of greater success in treatment.

 

“Imagine a country where we no longer have to depend on medication to help manage depression, chronic pain, or insomnia. . . mindfulness is just as effective as side-effect loaded medications. “ – Ruth Buczynski

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

 

Study Summary

 

Barros, V. V., Opaleye, E. S., Demarzo, M., Bowen, S., Curado, D. F., Hachul, H., & Noto, A. R. (2018). Dispositional mindfulness, anticipation and abstinence symptoms related to hypnotic dependence among insomniac women who seek treatment: A cross-sectional study. PLoS ONE, 13(3), e0194035. http://doi.org/10.1371/journal.pone.0194035

 

Abstract

Introduction

Dispositional mindfulness can be described as the mental ability to pay attention to the present moment, non-judgmentally. There is evidence of inverse relation between dispositional mindfulness and insomnia and substance use, but as of yet, no studies evaluating the specific association between dispositional mindfulness and the components of hypnotic use disorder.

Objective

To evaluate the association between dispositional mindfulness and the components of dependence among female chronic hypnotic users.

Design and method

Seventy-six women, chronic users of hypnotics, who resorted to Mindfulness-Based Relapse Prevention for the cessation of hypnotic use were included in the study. The Five Facet Mindfulness Questionnaire (FFMQ) evaluated the levels and facets of mindfulness, and the subscales of the Benzodiazepine Dependence Questionnaire (BENDEP) assessed dependence on hypnotics. We also evaluated sociodemographic variables and symptoms of insomnia and anxiety. The associations between the FFMQ facets and the BENDEP subscales were evaluated with binomial logistic regression, adjusted for income, schooling, anxiety, and insomnia.

Results

We observed associations between facets of the FFMQ and specific aspects of hypnotic dependence. The facet “observing” was inversely associated with the “concern about lack of availability of the hypnotic” [aOR = 0.87 95% CI (0.79–0.97)], and the facet “non-reacting to inner experience” with “noncompliance with the prescription recommendations” [aOR = 0.86 95% CI (0.75–0.99)]. The total score of the FFMQ was inversely associated to those two dependence subscales [aOR = 0.94 95% CI (0.89–0.99)]. “Observing” and “non-reactivity to inner experience” were also inversely associated with the “impairments related to the withdrawal symptoms” [aOR = 0.84 95% CI (0.73–0.97)] and [aOR = 0.78 95% CI (0.63–0.96)], respectively. The FFMQ was not associated with “awareness of problematic hypnotic use”.

Conclusion

Dispositional mindfulness, specifically the facets “observing” and “non-reactivity to inner experience, were inversely associated with the components of hypnotic dependence related to the anticipation of having the substance, its expected effect, and the impairments caused by the abstinence. We discuss the implications of those results for the clinical practice and future investigations.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5856331/

Reduce Addictions with Mindfulness

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Reduce Addictions with Mindfulness

 

By John M. de Castro, Ph.D.

 

“it’s tempting to conclude that mindfulness is the “best new thing” for addiction treatment, but that in reality, further study is needed. “It absolutely has promise, we have a lot more to learn. This is the beginning.” – Sarah Bowen

 

Substance abuse is a major health and social problem. There are estimated 22.2 million people in the U.S. with substance dependence. It is estimated that worldwide there are nearly ¼ million deaths yearly as a result of illicit drug use which includes unintentional overdoses, suicides, HIV and AIDS, and trauma. In the U.S. about 17 million people abuse alcohol. Drunk driving fatalities accounted for over 10,000 deaths annually. “Tobacco use remains the single largest preventable cause of death and disease in the United States. Cigarette smoking kills more than 480,000 Americans each year, with more than 41,000 of these deaths from exposure to secondhand smoke. In addition, smoking-related illness in the United States costs more than $300 billion a year. In 2013, an estimated 17.8% (42.1 million) U.S. adults were current cigarette smokers.”  (Centers for Disease Control and Prevention).

 

Obviously, there is a need to find effective methods to prevent and treat substance abuse. There are a number of programs that are successful at stopping the drug abuse, including the classic 12-step program emblematic of Alcoholics Anonymous. Unfortunately, the majority of drug and/or alcohol abusers relapse and return to substance abuse. Hence, it is important to find an effective method to both treat substance abuse disorders and to prevent relapses. Mindfulness practices have been shown to improve recovery from various addictions. In today’s Research News article “.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5907295/ ), Garland and Howard review and summarize the published research findings of the use of mindfulness interventions in the treatment of an array addictive behaviors, including drinking, smoking, opioid misuse, and use of illicit substances like cocaine and heroin.

 

They find that mindfulness training appears to alter brain structures that act to relieve the effects of addictions. They appear to strengthen the prefrontal lobe and its connection to lower brain structures. These alterations of the addict’s brain lead to changes in biological mechanisms underlying reward processing; increasing natural reward processes which in turn replace and reduce drug cravings. They also strengthen decision making executive functions and abilities to control behavior. This interferes with the automatic, reflexive, behaviors of addiction. In addition, the brain changes results in increased mindfulness resulting in improved acceptance and non-judgmental awareness of themselves. The changes also improve physiological and psychological responses to stress; resulting in the addict not reacting to stress with drug use. Also, the changes reduce the addict’s reactivity to the stimuli that usually signal drug use. Finally, they stop the addict’s tendency to try to suppress thoughts about drugs and rather deal with the thoughts directly producing more lasting reductions in drug use. All of this results in decreases in drug cravings and psychological distress, and improved sense of well-being, producing reduced drug use and improved recovery.

 

Garland and Howard review the published research and find that well controlled clinical trials of mindfulness-based interventions for a variety of different substance use disorders demonstrate that the interventions produce significant reductions in addictions, improved recovery, and reduced relapse. They note, however, the need for long-term follow-up to better elucidate the long-term effectiveness of the interventions. In general, the published research indicates that mindfulness-based interventions are a safe and effective treatment for a variety of addictions. They act by altering the brain which alters biological and psychological processes that underly addiction, improve psychological health and well-being, and thereby reduce cravings and drug use.

 

So, reduce addictions with mindfulness.

 

“It may not be possible for people to completely escape cravings, but they can learn to live with them. Mindfulness meditation is an excellent tool that allows the individual to have increased control over their mind. There is a saying that, the mind is a wonderful servant but a terrible master.” – DARA Thailand

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

 

Study Summary

 

Garland, E. L., & Howard, M. O. (2018). Mindfulness-based treatment of addiction: current state of the field and envisioning the next wave of research. Addiction Science & Clinical Practice, 13, 14. http://doi.org/10.1186/s13722-018-0115-3

 

Abstract

Contemporary advances in addiction neuroscience have paralleled increasing interest in the ancient mental training practice of mindfulness meditation as a potential therapy for addiction. In the past decade, mindfulness-based interventions (MBIs) have been studied as a treatment for an array addictive behaviors, including drinking, smoking, opioid misuse, and use of illicit substances like cocaine and heroin. This article reviews current research evaluating MBIs as a treatment for addiction, with a focus on findings pertaining to clinical outcomes and biobehavioral mechanisms. Studies indicate that MBIs reduce substance misuse and craving by modulating cognitive, affective, and psychophysiological processes integral to self-regulation and reward processing. This integrative review provides the basis for manifold recommendations regarding the next wave of research needed to firmly establish the efficacy of MBIs and elucidate the mechanistic pathways by which these therapies ameliorate addiction. Issues pertaining to MBI treatment optimization and sequencing, dissemination and implementation, dose–response relationships, and research rigor and reproducibility are discussed.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5907295/

 

Improve Psychological Well-being in Coronary Artery Disease Patients with Mindfulness-Based Art Therapy

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Improve Psychological Well-being in Coronary Artery Disease Patients with Mindfulness-Based Art Therapy

 

By John M. de Castro, Ph.D.

 

“Given the proven role of stress in heart attacks and coronary artery disease, effective meditation would be appropriate for almost all patients with coronary artery disease.” – Joon Sup Lee

 

Cardiovascular disease is the number one killer, claiming more lives than all forms of cancer combined. “Heart disease is the leading cause of death for both men and women. About 610,000 people die of heart disease in the United States every year–that’s 1 in every 4 deaths. Every year about 735,000 Americans have a heart attack.” (Centers for Disease Control). “Coronary artery disease develops when the major blood vessels that supply your heart with blood, oxygen and nutrients (coronary arteries) become damaged or diseased. Cholesterol-containing deposits (plaque) in your arteries and inflammation are usually to blame for coronary artery disease.” – (Mayo Clinic)

 

A myriad of treatments has been developed for heart disease including a variety of surgical procedures and medications. But the safest effective treatments are lifestyle changes. These include quitting smoking, weight reduction, improved diet, physical activity, and reducing stresses. Safe and effective alternative treatments for cardiovascular disease are contemplative practices, such as meditation, tai chi, and yoga, have also been shown to be helpful for heart health. These practices have also been shown to be helpful for producing the kinds of lifestyle changes needed to prevent heart disease such as smoking cessation, weight reduction, and stress reduction.

 

In today’s Research News article “Effects of Mindfulness-Based Art Therapy on Psychological Symptoms in Patients with Coronary Artery Disease.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5852419/ ), Jang and colleagues studied the effectiveness of Mindfulness-Based Art Therapy (MBAT) on the psychological states of patients with coronary artery disease. They recruited outpatients with coronary artery disease and randomly assigned them to either receive 12 weeks, once a week for 45 minutes, of Mindfulness-Based Art Therapy (MBAT) or a treatment as usual control. MBAT was based on the Mindfulness-Based Stress Reduction (MBSR) Program and included meditation, yoga, and body scan practices along with training in expressing their emotions through art and drawing. Patients were measured before and after training for anxiety, depression, and anger.

 

They found that the MBAT trained patients in comparison to baseline and the treatment as usual group had large and significant reduction in depression, anxiety and depression following treatment. In addition, there were large and significant decreases in experiences of anger and expressions of anger and also increases in anger control. Hence, the Mindfulness-Based Art Therapy (MBAT) program was successful in improving the psychological well-being of patients with coronary heart disease.

 

It should be noted that there wasn’t an active control conditions so the conclusions must be tempered with the understanding that there were considerable opportunities for bias and participant expectations to affect the results and there was no long-term follow-up to determine the durability of the effects. The findings, however, are encouraging and should provide encouragement for conducting a larger trial with active control conditions, e.g. aerobic exercise and long-term follow-up.

 

So, improve psychological well-being in coronary artery disease patients with mindfulness-based art therapy.

 

“15 minutes of meditation a day reduced the risk of death, heart attack, and stroke by 48 per cent” – British Heart Foundation

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

 

Study Summary

 

Jang, S.-H., Lee, J.-H., Lee, H.-J., & Lee, S.-Y. (2018). Effects of Mindfulness-Based Art Therapy on Psychological Symptoms in Patients with Coronary Artery Disease. Journal of Korean Medical Science, 33(12), e88. http://doi.org/10.3346/jkms.2018.33.e88

 

Abstract

Background

Mindfulness-based art therapy (MBAT) induces emotional relaxation in coronary artery disease (CAD) patients, and is a treatment known to improve psychological stability. The objective of this study was to evaluate the treatment effects of MBAT for CAD patients.

Methods

A total of 44 CAD patients were selected as participants, 21 patients belonged to a MBAT group, and 23 patients belonged to the control group. The patients in the MBAT group were given 12 sessions of treatments. To measure depression and anxiety, Beck Depression Inventory (BDI) and Trait Anxiety Inventory (TAI) were used. Anger and anger expression were evaluated using the State Trait Anger Expression Inventory (STAXI). The treatment results were analyzed using two-way repeated measures analysis of variance (ANOVA).

Results

The results showed that significant effects for groups, time, and interaction in the depression (interaction effect, [F(1,36) = 23.15, P < 0.001]; between groups, [F(1,36) = 5.73, P = 0.022]), trait anxiety (interaction effect, [F(1,36) = 13.23, P < 0.001]; between groups, [F(1,36) = 4.38, P = 0.043]), state anger (interaction effect, [F(1,36) = 5.60, P = 0.023]), trait anger (interaction effect, [F(1,36) = 6.93, P = 0.012]; within group, [F(1,36) = 4.73, P = 0.036]), anger control (interaction effect, [F(1,36) = 8.41, P = 0.006]; within group, [F(1,36) = 9.41, P = 0.004]), anger out (interaction effect, [F(1,36) = 6.88, P = 0.012]; within group, [F(1,36) = 13.17, P < 0.001]; between groups, [F(1,36) = 5.62, P = 0.023]), and anger in (interaction effect, [F(1,36) = 32.66, P < 0.001]; within group, [F(1,36) = 25.90, P < 0.001]; between groups, [F(1,36) = 12.44, P < 0.001]).

Conclusion

MBAT can be seen as an effective treatment method that improves CAD patients’ psychological stability. Evaluation of treatment effects using program development and large-scale research for future clinical application is needed.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5852419/