Month: December 2021

Mindfulness is Associated with Improved Symptoms of Schizophrenia

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Mindfulness is Associated with Improved Symptoms of Schizophrenia

 

By John M. de Castro, Ph.D.

 

“schizophrenia patients may benefit from mindfulness-based interventions because they . . . demonstrate strong relationships between mindfulness and psychological constructs related to adaptive functioning.” – Naomi T. Tabak

 

Schizophrenia is the most common form of psychosis. Its effects about 1% of the population worldwide. It appears to be highly heritable and involves changes in the brain. It is characterized by both positive and negative symptoms. Positive symptoms include hallucinations; seeing and, in some cases, feeling, smelling or tasting things that aren’t there, or delusions; unshakable beliefs that, when examined rationally, are obviously untrue. Negative symptoms include a reduced ability to function normally, neglect of personal hygiene, lack of emotion, blank facial expressions, speaking in a monotone, loss of interest in everyday activities, social withdrawal, an inability to experience pleasure, and a lack of insight into their symptoms. The symptoms of schizophrenia usually do not appear until late adolescence or early adulthood.

 

Schizophrenia is very difficult to treat with psychotherapy and is usually treated with antipsychotic drugs. These drugs, however, are not always effective, sometimes lose effectiveness, and can have some difficult side effects. Mindfulness training has been shown to be beneficial for a variety of mental health problems, including psychosis. Mindfulness has also been shown to associated with lower symptom severity of schizophrenia. So, it makes sense to study the relationships of mindfulness with the symptoms of schizophrenia.

 

In today’s Research News article “The Relationship Between Mindfulness, Depression, Anxiety, and Quality of Life in Individuals With Schizophrenia Spectrum Disorders.” (See summary below or view the full text of the study at: https://www.frontiersin.org/articles/10.3389/fpsyg.2021.708808/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1721400_a0P58000000G0YfEAK_Psycho_20210909_arts_A ) Bergmann and colleagues recruited patients who were diagnosed with schizophrenia and measured them for mindfulness, anxiety, depression, perceived stress, and quality of life.

 

They found that the higher the levels of mindfulness, the lower the levels of anxiety, depression, and perceived stress and the higher the levels of quality of life. In addition, they found that the higher the levels of anxiety, depression, and perceived stress the lower the levels of quality of life. A mediation analysis found that mindfulness was positively related to quality of life directly and also indirectly by being associated with lower levels of anxiety and depression that were in turn associated with higher quality of life.

 

This study is correlational and as such causation cannot be determined. But, previous controlled research has demonstrated the mindfulness training produces lower levels of anxiety and depression and higher levels of quality of life. So the present results are likely due to causal effects of mindfulness. Hence, being mindful improves quality of life and decreases anxiety and depression which then also improve quality of life. These are similar findings to those seen in healthy individuals. So, the present findings suggest that mindfulness affects people with schizophrenia in a similar fashion. They further suggest that mindfulness training might improve the psychological health and well-being of patients with schizophrenia.

 

So, mindfulness is associated with improved symptoms of schizophrenia.

 

“mindfulness-based interventions for psychotic symptoms can afford people a greater acceptance and insight into their experiences. They can also reduce the symptoms of anxiety and depression which often accompany, and may exacerbate, psychotic disorders.” – Adrianna Mendrek

 

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

 

Bergmann N, Hahn E, Hahne I, Zierhut M, Ta TMT, Bajbouj M, Pijnenborg GHM and Böge K (2021) The Relationship Between Mindfulness, Depression, Anxiety, and Quality of Life in Individuals With Schizophrenia Spectrum Disorders. Front. Psychol. 12:708808. doi: 10.3389/fpsyg.2021.708808

 

Background: Schizophrenia spectrum disorders (SSD) are frequently accompanied by comorbid depressive and anxiety symptoms, as well as impaired quality of life (QoL). A growing body of evidence has demonstrated the relevance of mindfulness for SSD in recent years. The study examined the association between mindfulness, depression, anxiety, and QoL.

Materials and Methods: A total of 83 participants with SSD were recruited at the in- and outpatient psychiatric hospital care. Participants completed the Southampton Mindfulness Questionnaire, Comprehensive Inventory for Mindful Experiences, and Freiburger Mindfulness Inventory, the Depression, Anxiety, Stress Scale to assess depression and anxiety, and the WHO-QoL Questionnaire. Multiple regression analyses examined the relationship between mindfulness and QoL and the mediating role of depression and anxiety.

Results: Mindfulness had a significant statistical positive effect on QoL domains physical health, psychological, and environmental QoL in patients with SSD. Depression was identified as a significant mediator of this relationship.

Conclusion: This study provides novel insight into mindfulness’ mechanisms and paves the way for a process-oriented approach to treat SSD. The results provide first evidence for the process-based value of mindfulness for SSD; future studies can focus on the role of mindfulness for central therapeutic processes of change by employing longitudinal designs.

https://www.frontiersin.org/articles/10.3389/fpsyg.2021.708808/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1721400_a0P58000000G0YfEAK_Psycho_20210909_arts_A

 

Improve Psychological Well-Being and Sleep in Police with Mindfulness

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Improve Psychological Well-Being and Sleep in Police with Mindfulness

 

By John M. de Castro, Ph.D.

 

“increased mindfulness was related to increased resilience and decreased burnout among police officers.” – John Kim

 

Policing is a very stressful occupation. Stress in police can result from role conflicts between serving the public, enforcing the law, and upholding ethical standards and personal responsibilities as spouse, parent, and friend. Stress also results from, threats to health and safety, boredom, responsibility for protecting the lives of others, continual exposure to people in pain or distress, the need to control emotions even when provoked, the presence of a gun, even during off-duty hours, and the fragmented nature of police work, with only rare opportunities to follow cases to conclusion or even to obtain feedback or follow-up information.

 

This stress can have serious consequences for the individual and in turn for society. Police officers have one of the highest suicide rates in the nation, possibly the highest. They have a high divorce rate, about second in the nation. They are problem drinkers about twice as often as the general population. This is a major problem as stress and the resultant complications can impact job performance, which sometimes involve life or death situations.

 

Mindfulness training has been shown to improve the physiological and psychological responses to stress and it has been found to reduce burnout in first responders. So, it is likely that mindfulness training with police can help them cope with the stress and thereby improve their psychological well-being.

 

In today’s Research News article “The Impact of Mindfulness Training on Police Officer Stress, Mental Health, and Salivary Cortisol Levels.” (See summary below or view the full text of the study at: https://www.frontiersin.org/articles/10.3389/fpsyg.2021.720753/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1721400_a0P58000000G0YfEAK_Psycho_20210909_arts_A ) Grupe and colleagues recruited police officers and randomly assigned them to either a wait-list control condition or to receive 18 hours over 8 weeks of mindfulness training. The program was based upon the Mindfulness-Based Stress Reduction (MBSR) program. They were measured before and after training and 3 months later for stress, mental health, physical health, anxiety, depression, fatigue, sleep disturbances, ability to participate in social roles and activities, physical function, pain interference, and pain intensity, sleep, alcohol use, burnout, and work limitations. They also had blood and hair samples collected for analysis of levels of cortisol and markers of inflammation.

 

They found that in comparison to baseline and the wait-list control group, the police who received mindfulness training had significantly lower levels of perceived stress, distress, and mental illness symptoms. These improvements were maintained at the 3-month follow up. Sleep quality was significantly improved, and cortisol levels were lower at the 3-month follow up.

 

The comparison, control, condition was a wait-list control which is passive and doesn’t control for many confounding factors such as expectancy, experimenter bias, and attentional effects. But previous controlled research has shown that mindfulness training produces lower levels of stress, distress, anxiety, depression, and cortisol levels, and improved sleep. So, the present findings were likely due to the mindfulness training rather than confounding factors.

 

Policing is a highly stressful difficult job that can have mental health consequences. So, the findings that mindfulness training produces lasting improvements in psychological health in the police are encouraging. They suggest that mindfulness training can help the officers withstand the stress and maintain psychological health and reduce burnout.

 

So, improve psychological well-being and sleep in police with mindfulness.

 

“Meditation is helping police officers to de-escalate volatile situations, improve community relations—and improve their own well-being.” – JILL SUTTIE

 

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

 

Grupe DW, Stoller JL, Alonso C, McGehee C, Smith C, Mumford JA, Rosenkranz MA and Davidson RJ (2021) The Impact of Mindfulness Training on Police Officer Stress, Mental Health, and Salivary Cortisol Levels. Front. Psychol. 12:720753. doi: 10.3389/fpsyg.2021.720753

 

Unaddressed occupational stress and trauma contribute to elevated rates of mental illness and suicide in policing, and to violent and aggressive behavior that disproportionately impacts communities of color. Emerging evidence suggests mindfulness training with police may reduce stress and aggression and improve mental health, but there is limited evidence for changes in biological outcomes or the lasting benefits of mindfulness training. We conducted a randomized controlled trial (RCT) of 114 police officers from three Midwestern U.S. law enforcement agencies. We assessed stress-related physical and mental health symptoms, blood-based inflammatory markers, and hair and salivary cortisol. Participants were then randomized to an 8-week mindfulness intervention or waitlist control (WLC), and the same assessments were repeated post-intervention and at 3-month follow-up. Relative to waitlist control, the mindfulness group had greater improvements in psychological distress, mental health symptoms, and sleep quality post-training, gains that were maintained at 3-month follow-up. Intervention participants also had a significantly lower cortisol awakening response (CAR) at 3-month follow-up relative to waitlist control. Contrary to hypotheses, there were no intervention effects on hair cortisol, diurnal cortisol slope, or inflammatory markers. In summary, an 8-week mindfulness intervention for police officers led to self-reported improvements in distress, mental health, and sleep, and a lower CAR. These benefits persisted (or emerged) at 3-month follow-up, suggesting that this training may buffer against the long-term consequences of chronic stress. Future research should assess the persistence of these benefits over a longer period while expanding the scope of outcomes to consider the broader community of mindfulness training for police.

https://www.frontiersin.org/articles/10.3389/fpsyg.2021.720753/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1721400_a0P58000000G0YfEAK_Psycho_20210909_arts_A

 

Improve Graduate Student Emotion Regulation and Reduce Stress with Mindfulness

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Improve Graduate Student Emotion Regulation and Reduce Stress with Mindfulness

 

By John M. de Castro, Ph.D.

 

“graduate students . . . who practiced mindfulness reported a statistically significant reduction in depression and increased self-efficacy, hope and resilience.” – Coleen Flaherty

 

In the modern world education is a key for success. Where a high school education was sufficient in previous generations, a college or graduate degree is now required to succeed in the new knowledge-based economies. There is a lot of pressure on undergraduate and graduate students to excel so that they can get the best jobs after graduation. This stress might in fact be counterproductive as the increased pressure can lead to stress and anxiety which can impede the student’s physical and mental health, well-being, and school performance.

 

Mindfulness training has been shown through extensive research to be effective in improving physical and psychological health and particularly with reducing the physical and psychological reactions to stress and increasing resilience in the face of stress. Indeed, these practices have been found to reduce stress and improve psychological health in college students. It makes sense that mindfulness might be equally effective for graduate students.

 

In today’s Research News article “Emotion Regulation, Stress, and Well-Being in Academic Education: Analyzing the Effect of Mindfulness-Based Intervention.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8382289/ ) Peixoto and colleagues recruited university graduate students and randomly assigned them to receive 8 weekly 2-hour trainings in mindfulness or to a wait-list control condition. They were measured before and after treatment for perceived stress, mindfulness, psychological well-being, and momentary emotions. They also underwent a structured interview on the impressions, beliefs, opinions, and experiences of the participants.

 

They found that in comparison to the baseline and the wait-list control group, the mindfulness trained group had significantly higher mindfulness and psychological well-being and significantly lower perceived stress. Wait-list control conditions do not produce the kinds of expectations that are produced by mindfulness training, and this raises the possibility that the results may be due to confounding factors such as placebo effects, experimenter bias, and attentional effects. But previous controlled research has shown that mindfulness training produces higher psychological well-being and significantly lower perceived stress. So, it is likely that the benefits observed in the present study were due to the mindfulness training.

 

The interviews of the graduate students revealed that the graduate school training process produced ambivalent feelings of joy, satisfaction, and fulfillment, accompanied by anxiety, distress, and insecurity. The ambivalent feelings resulted from the student’s love of their discipline but the problems they have with graduate study with “excess hours of study, poor academic performance evaluations, relationship with advisor, reconciling with one’s personal life, demand for productivity, deadlines, and institutional problems” and financial insecurity and worries about future career prospects.

 

These results suggest that graduate students benefit from mindfulness training, improving their psychological well-being. In the interviews the students reported that the mindfulness training helped them cope with these stresses in their training. These results suggest that the process of graduate school training should be examined to reduce the stresses and worries of the students and that mindfulness training should be incorporated into the training to improve the student’s ability to cope with the situation.

 

So, improve graduate student emotion regulation and reduce stress with mindfulness.

 

“If you are someone struggling with mental health in graduate school, or just feel stressed, mindfulness can help you to focus on the present, remain positive, and feel in control.” – Natalya Ortolano

 

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

 

Santos Alves Peixoto, L., Guedes Gondim, S. M., & Pereira, C. R. (2021). Emotion Regulation, Stress, and Well-Being in Academic Education: Analyzing the Effect of Mindfulness-Based Intervention. Trends in Psychology, 1–25. Advance online publication. https://doi.org/10.1007/s43076-021-00092-0

 

Abstract

Recent studies point to an increase in psychological distress among graduate students. The aim of this study was to analyze the effects of mindfulness practices on emotion regulation, on the perception of stress, and on the psychological well-being of graduate students. Forty-five (45) graduate students participated in the study, divided into an intervention and a control group. Questionnaires were applied for self-assessment of mindfulness, perceived stress, and psychological well-being, in addition to qualitative interviews in the pre- and post-timeframes of a mindfulness-based intervention. Quantitative data were analyzed using ANOVAs for repeated measures, while the interviews were analyzed using the thematic content analysis technique. The results indicated increases in the levels of mindfulness and psychological well-being, and a reduction in perceived stress in the intervention group, post-intervention. The interviews indicated the presence of ambivalent emotions in relation to graduate studies and the development of new strategies to cope with the stress in this work context. The main contribution of the study was to present empirical evidence of the effectiveness of mindfulness practices in the graduate-level education context, allowing students to become more capable of dealing with the challenges of an academic career.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8382289/

 

Improve Athletic Endurance with Mindfulness

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Improve Athletic Endurance with Mindfulness

 

By John M. de Castro, Ph.D.

 

“endurance athletes. In fact, endurance sport could be considered a perfect meditative state to use these techniques, as it encourages a state of flow due to the repetitiveness of marathon running in particular. “ – Charlotte Griffin

 

Athletic performance requires the harmony of mind and body. Excellence is in part physical and in part psychological. That is why an entire profession of Sports Psychology has developed. “In sport psychology, competitive athletes are taught psychological strategies to better cope with a number of demanding challenges related to psychological functioning.” They use a number of techniques to enhance performance including mindfulness training. It has been shown to improve attention and concentration and emotion regulation and reduces anxiety and worry and rumination, and the physiological and psychological responses to stress. As a result, mindfulness training has been employed by athletes and even by entire teams to enhance their performance.

 

In today’s Research News article “On Mindfulness Training for Promoting Mental Toughness of Female College Students in Endurance Exercise.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8410402/ ) Wang and colleagues recruited female college athletes and randomly assigned them to receive once a weeks for 8-weeks of either 90 minutes of mindfulness training or classroom studies. They were measured before and after training for mindfulness and psychological toughness. They then performed an 800-meter run followed by a measure of subjective fatigue.

 

They found that after training there were significant increases in mindfulness and mental toughness (including tenacity, strength, and optimism) in the mindfulness trained group but not the control group. After the 800-meter run there was a significant reduction in perceived exercise intensity in the mindfulness group but not the control group.

 

The results suggest that mindfulness training improves the mental toughness and reduces perceived exercise intensity in female college athletes. The researchers did not explore the mechanisms by which mindfulness produced these benefits but prior research has demonstrated that mindfulness training improves pain tolerance. This may be why the athletes found the 800-meter run to be lower in exercise intensity than the control group.

 

So, improve athletic endurance with mindfulness.

 

“The mindfulness group significantly improved their time to exhaustion, indicating a benefit to endurance exercise performance.” – Training4Endurance

 

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

 

Wang, Y., Tian, J., & Yang, Q. (2021). On Mindfulness Training for Promoting Mental Toughness of Female College Students in Endurance Exercise. Evidence-based complementary and alternative medicine : eCAM, 2021, 5596111. https://doi.org/10.1155/2021/5596111

 

Abstract

Objective

The aim of this study was to examine the promoting effects of mindfulness training on female college students’ mental toughness in endurance exercise.

Methods

A cluster sampling method was used to select 60 female college students as subjects. Based on the body mass index (BMI), stratified randomization was used to divide them into the mindfulness-training group and the control group. Participants in mindfulness-training group had an 8-week mindfulness training, while participants in control group waited. Before and after training, Five Facet Mindfulness Questionnaire (FFMQ) and Connor–Davidson Resilience Scale (CD-RISC) were used for pretest and posttest, and paired t-test and covariance analysis were performed on pretest and posttest between-group data.

Results

(1) Paired t-test results showed the posttest scores (26.67 ± 3.56; 20.97 ± 3.66; 126.53 ± 8.59) of the three dimensions of description, nonresponse and FFMQ total score of the mindfulness-training group were higher than the pretest scores (25.53 ± 3.74; 19.23 ± 3.59; 121.43 ± 6.78). Statistical significance was shown in their differences (t = −2.25; −2.70; −3.25, p < 0.05). However, there was no statistical significance in the pretest and posttest of control group. The covariance analyses showed the posttest scores of the mindfulness-training group in three dimensions of description, nonresponse, and FFMQ were higher than the posttest scores of the control group. Statistical significance was shown in their differences (F = 6.55; 6.08; 5.91; p < 0.05). (2) Paired t-test showed posttest scores (46.50 ± 5.93; 30.40 ± 3.75; 15.00 ± 2.34) were significantly higher than pretest scores (42.60 ± 7.68; 26.50 ± 4.32; 12.87 ± 2.51) in all dimensions of the mental toughness of the mindfulness-training group. Statistical significance was shown in their differences (t = −3.135, −4.765, −4.922, p < 0.01). However, there was no significant difference in the pretest and posttest scores in all dimensions of the mental toughness of the control group. The covariance analysis showed that the posttest scores of all dimensions of the mental toughness of the mindfulness-training group were higher than those of the control group, and the differences were statistically significant (F = 11.133, 12.101, 16.053, all p < 0.001). (3) Paired t-test showed that the posttest score of the mindfulness-training group on exercise intensity perception immediately after 800-meter endurance run (5.67 ± 2.61) was lower than the pretest score (7.03 ± 1.24) and the difference was statistically significant (t = 4.18, p < 0.001), while the difference was not statistically significant in the control group. The covariance analysis showed that the posttest score of the mindfulness-training group on exercise intensity perception was lower than that of the control group, and the difference was statistically significant (F = 15.81, p < 0.001).

Conclusion

Mindfulness training improved the level of female college students’ mindfulness and mental toughness in their endurance sports, while reducing the fatigue feeling of female college students in endurance sports.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8410402/

 

Improve Alcohol Treatment Completion with Spirituality

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Improve Alcohol Treatment Completion with Spirituality

 

By John M. de Castro, Ph.D.

 

“spiritual experiences and spiritual practices, including prayer and mindfulness meditation, may be helpful in reducing hazardous drinking and in the treatment of [Alcohol Use Disorder].” – Katie Witkiewitz

 

Inappropriate use of alcohol is a major societal problem. In fact, about 25% of US adults have engaged in binge drinking in the last month and 7% have what is termed an alcohol use disorder. Alcohol abuse is very dangerous and frequently fatal. Nearly 88,000 people in the US and 3.3 million globally die from alcohol-related causes annually, making it the third leading preventable cause of death in the United States. Drunk driving accounted for over 10,000 deaths; 31% of all driving fatalities. Excessive alcohol intake has been shown to contribute to over 200 diseases including alcohol dependence, liver cirrhosis, cancers, and injuries. It is estimated that over 5% of the burden of disease and injury worldwide is attributable to alcohol consumption.

 

An effective treatment for this addiction has been elusive. Alcoholics Anonymous has been as effective as any other treatment devised. Why is it somewhat effective when many other programs fail? Why is it effective for some, but not all? One reason could be the emphasis on spirituality present in AA. So, it is important to investigate the role of spirituality in successful treatment for alcohol abuse.

 

In today’s Research News article “The Effect of Baseline Patterns of Spiritual Coping, Forgiveness, and Gratitude on the Completion of an Alcohol Addiction Treatment Program.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8137607/ ) Charzyńska and colleagues recruited adults undergoing outpatient treatment for alcohol dependence and had them complete measures of spiritual coping, forgiveness, gratitude, and whether they completed the therapy program.

 

They report that 52.6% of the participants completed the therapy program. They found that the patients who had positive spiritual coping, forgiveness, and gratitude, and a low level of negative spiritual coping were most likely to complete the program. They also found that patients who employed negative spiritual coping had the lowest likelihood of completing the program.

 

Positive spiritual coping involves the search for inner peace and harmony, deep relationships with other people, seeking peace in nature, and seeking support from a higher being. The results suggest that this kind of coping makes it more likely that the patient will complete therapy for alcohol abuse. On the other hand, negative spiritual coping involves questioning life’s meaning, seeing others as hypocritical and egoistic, and questioning god’s love for humans. The results suggest that this kind of coping makes it less likely that the patient will complete therapy.

 

These findings suggest that people who use spirituality to make their lives better, richer, and more meaningful are more likely to be successful in alcohol abuse treatment, while those who use it as an excuse for their behavior, projecting their failures onto god and others, are less likely to be successful. Hence, spirituality is helpful for patients undergoing treatment for alcohol abuse if it used in a positive life affirming way.

 

So, improve alcohol treatment completion with spirituality.

 

“Spiritual and faith-based treatments greatly soothe the psyche and emotions and carry little to no risk of adverse impact for patients.” – Krystina Murray

 

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

 

Charzyńska E. (2021). The Effect of Baseline Patterns of Spiritual Coping, Forgiveness, and Gratitude on the Completion of an Alcohol Addiction Treatment Program. Journal of religion and health, 60(3), 1796–1817. https://doi.org/10.1007/s10943-021-01188-8

 

Abstract

The purpose of this study was to identify distinct profiles of persons beginning alcohol addiction therapy with similar baseline configurations of spiritual coping, forgiveness, and gratitude. The associations between latent profile membership and the completion of therapy were also examined. The sample was composed of 358 alcohol-dependent persons receiving an outpatient treatment program. The Spiritual Coping Questionnaire, the Forgiveness Scale, and the Gratitude Questionnaire were used to assess the baseline levels of spirituality-related variables. Using latent profile analysis, five profiles were identified: (1) both moderately positive and negative dimensions of spirituality (33.2%), (2) moderately positive dimensions of spirituality (21.0%), (3) predominantly negative dimensions of spirituality (20.2%), (4) mixed dimensions of spirituality with the lowest positive religious coping (14.0%), and (5) highly positive dimensions of spirituality (11.6%). Notably, the latent profiles differed in terms of the treatment completion rates. The results suggest the need to carry out a multidimensional assessment of spiritual functioning of persons beginning alcohol addiction therapy to provide treatment that is adjusted to patients’ spiritual potential and deficits.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8137607/

 

Improve Walking in the Elderly with Knee Osteoarthritis with Tai Chi

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Improve Walking in the Elderly with Knee Osteoarthritis with Tai Chi

 

By John M. de Castro, Ph.D.

 

“The most common type of arthritis is called osteoarthritis (OA). . . Fortunately, lifestyle changes such as gentle yoga have been shown to improve OA symptoms.” – Robin Madell

 

Osteoarthritis is a chronic degenerative joint disease that is the most common form of arthritis. It produces pain, swelling, and stiffness of the joints. It is the leading cause of disability in the U.S., with about 43% of arthritis sufferers limited in mobility and about a third having limitations that affect their ability to perform their work. Knee osteoarthritis effects 5% of adults over 25 years of age and 12% of those over 65. It is painful and disabling. Its causes are varied including, hereditary, injury including sports injuries, repetitive stress injuries, infection, or from being overweight.

 

There are no cures for knee osteoarthritis. Treatments are primarily symptomatic, including weight loss, exercise, braces, pain relievers and anti-inflammatory drugs, corticosteroids, arthroscopic knee surgery, or even knee replacement. Gentle movements of the joints with exercise and physical therapy appear to be helpful in the treatment of knee osteoarthritis. This suggests that alternative and complementary practices that involve gentle knee movements may be useful for treatment.

 

Mindfulness practices such as Tai Chi and Qigong  and yoga have been shown to reduce the physical symptoms of knee osteoarthritis. Tai Chi practice, has been shown to be a safe and effective treatment for a wide variety of physical and psychological conditions, including arthritis. The research has been accumulating, so, it would seem reasonable to review and summarize what has been learned.

 

In today’s Research News article “Effects of Tai Chi exercise on improving walking function and posture control in elderly patients with knee osteoarthritis: 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/PMC8078456/ ) You and colleagues review, summarize, and perform a meta-analysis of the effectiveness of Tai Chi practice on walking ability in elderly patients with knee osteoarthritis. They identified 11 published randomized controlled trials.

 

They report that the published research found that Tai Chi practice produced a significant improvement in the distance covered during a 6-minute walking test, faster performance with the timed up and go test, and improved postural control. Hence the published studies demonstrate that Tai Chi practice improves the walking ability of elderly patients with knee osteoarthritis. It should be mentioned, however, that they did not compare Tai Chi practice to other exercises. So, it cannot be determined as to whether Tai Chi practice produces its benefits as a result of exercise rather than something specific to Tai Chi practice.

 

Mobility is extremely important for the elderly. So, the improvement in walking ability should greatly contribute to their quality of life. In addition, improved walking ability should make falls less likely, and falls are a major contributor to disability and mortality in the elderly. So, Tai Chi practice should be recommended for elderly patients in general but particularly for patients with knee osteoarthritis.

 

So, improve walking in the elderly with knee osteoarthritis with Tai Chi.

 

“If you struggle with knee pain, yoga may offer relief. A regular exercise routine can help maintain good strength and mobility in the knees, which are crucial for walking and other daily activities” – Michelle Polizzi

 

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

 

You, Y., Liu, J., Tang, M., Wang, D., & Ma, X. (2021). Effects of Tai Chi exercise on improving walking function and posture control in elderly patients with knee osteoarthritis: A systematic review and meta-analysis. Medicine, 100(16), e25655. https://doi.org/10.1097/MD.0000000000025655

 

Abstract

Objective:

It remains unclear whether Tai Chi is effective for walking function and posture control improvements in aged populations with knee osteoarthritis. The aim of this study was to systematically evaluate the effects of Tai Chi on improving walking function and posture control in elderly patients with knee osteoarthritis by updating the latest trial evidence.

Methods:

Web of Science, PubMed/Medline, Embase, Scopus, PEDro, and Cochrane library were searched up to October 1, 2020 to identify RCTs evaluating Tai Chi for improving walking function and posture control in older adults with knee osteoarthritis. The primary outcomes were walking function and posture control. Meta-analysis was performed with RevMan Version 5.3 software.

Results:

A total of 603 participants with knee osteoarthritis in the 11 trials were included. The results of meta-analysis showed that: The Tai Chi group was associated with better performance in 6-minute walk test (6 MWT), time up and go test (TUG) and “Western Ontario and McMaster Universities (WOMAC) Osteoarthritis Index” Physical Function Score than the control group ([MD: 46.67, 95% CI 36.91–56.43, P < .001]), ([MD: −0.89, 95% CI −1.16 to −0.61, P < .001]), ([MD: −11.28, 95% CI −13.33 to −9.24, P < .001]).

Conclusion:

This meta-analysis provided evidence from 11 RCTs that Tai Chi could be an excellent physical training strategy for improving walking function and posture control in older adults with knee osteoarthritis. Assuming that Tai Chi is at least effective and safe in most areas, it can be used as an adjuvant and reliable physical training strategy for walking function upgrading and balance control improvements for older patients with knee osteoarthritis.

What is known

Tai Chi exercise may potentially improve balance and reduce falls among the older adults. When it comes to elderly patients with specific knee osteoarthritis, its curative effects for walking function and postural control ability remain controversial.

What is new

The results of the meta-analysis with other new randomized controlled trials provide evidence support that Tai Chi Exercise has a positive effect on improving walking function and posture control in elderly patients with knee osteoarthritis. The present systematic review suggests that non-pharmaceutical therapies like Tai Chi could be used as an adjuvant and reliable physical training strategy for walking function upgrading and postural control improvements for older patients with knee osteoarthritis.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8078456/