Month: April 2022

Improve Functional Fitness in the Elderly with Knee Osteoarthritis with Tai Chi

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Improve Functional Fitness in the Elderly with Knee Osteoarthritis with Tai Chi

 

By John M. de Castro, Ph.D.

 

“patients over 65 years of age with knee osteoarthritis (OA) who engage in regular Tai Chi exercise improve physical function and experience less pain.” – Science Daily

 

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. Much of the research involves controlled laboratory studies. It needs to be demonstrated that Tai Chi practice is an effective treatment for knee osteoarthritis of the community-dwelling elderly.

 

In today’s Research News article “Impacts of tai chi exercise on functional fitness in community-dwelling older adults with mild degenerative knee osteoarthritis: a randomized controlled clinical trial.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8325845/ ) Chen and colleagues recruited a sample of community-dwelling otherwise healthy elderly (age >65 years) individuals diagnosed with knee osteoarthritis. They were randomly assigned them to a 60 minutes twice a week for 12 week program of either health education or Sun style Tai Chi practice. They were measured before and after the 12-week practice period for functional fitness including the 30-s chair stand, 30-s arm curl, 2-min step, chair sit-and-reach, back-scratch flexibility, single-leg stand, functional reach, 8-foot up-and-go, and 10-m walk tests.

 

They found that in comparison to baseline and the health education group, the group that practiced Tai Chi  had significant improvements in the 30-s chair stand, 30-s arm curl, 2-min step, chair sit-and-reach, single-leg stand, functional reach, and 8-foot up-and-go. Hence, Tai Chi practice increases functional fitness in the community-dwelling elderly with knee osteoarthritis. This should translate in improved movement with less pain and increased quality of life in these community-dwelling elderly individuals.

 

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

 

“research shows an ancient form of exercise called Tai Chi might offer hope to combat arthritis pain in seniors.” – Julie Podewitz

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are available on Twitter @MindfulResearch

 

Study Summary

 

Chen, P. Y., Song, C. Y., Yen, H. Y., Lin, P. C., Chen, S. R., Lu, L. H., Tien, C. L., Wang, X. M., & Lin, C. H. (2021). Impacts of tai chi exercise on functional fitness in community-dwelling older adults with mild degenerative knee osteoarthritis: a randomized controlled clinical trial. BMC geriatrics, 21(1), 449. https://doi.org/10.1186/s12877-021-02390-9

 

Abstract

Background

Degenerative osteoarthritis (OA) often leads to pain and stiffness of the affected joints, which may affect the physical performance and decrease the quality of life of people with degenerative knee OA. Compared to traditional exercise, tai chi is a safe exercise with slow movements which can facilitate physical functioning and psychological well being, and might be suitable for improving the physical activities of older adults with knee OA. Therefore, this study investigated the impacts of tai chi exercise on the functional fitness of community-dwelling older adults with degenerative knee OA.

Methods

Sixty-eight community-dwelling older adults with knee OA were recruited from the local community to participate in this randomized controlled clinical trial. All subjects were randomly assigned to either an TCE group that practiced tai chi exercise (TCE) (n = 36) or a control group (CON) (n = 32) that received regular health education programs twice per week for 12 weeks. Outcome measurements were determined using functional fitness tests before and after the intervention, including a 30-s chair stand (number of repeats), 30-s arm-curl (number of repeats), 2-min step (number of steps), chair sit-and-reach (reaching distance, cm), back-scratch flexibility (distance between hands, cm), single-leg stand (time, s), functional reach (reaching distance, cm), 8-foot up-and-go (time, s), and 10-m walk tests (time, s). Pre-post comparisons of functional fitness were analyzed using the ANCOVA test with SPSS software version 18.0.

Results

Results revealed that participants’ functional fitness in the TCE group had significantly higher adjusted mean post-tests scores than that in the CON group after the intervention, including the 8-foot up-and-go (s) (mean difference [MD]=-2.92 [-3.93, -1.91], p = 2.39*10− 7), 30-s arm curl (MD = 4.75 (2.76, 6.73), p = 1.11*10− 5), 2-min step (MD = 36.94 [23.53, 50.36], p = 7.08*10− 7), 30-s chair stand (MD = 4.66 [2.97, 6.36], p = 6.96*10− 7), functional-reach (MD = 5.86 [3.52, 8.20], p = 4.72*10− 6), single-leg stand with eyes closed (MD = 3.44 [1.92, 4.97], p = 2.74*10− 5), chair sit-and-reach (MD = 3.93 [1.72, 6.15], p = 0.001), and single-leg stand with eyes opened (MD = 17.07 [6.29, 27.85], p = 0.002), with large effect sizes (η²=0.14 ~ 0.34).

Conclusions

Community-dwelling older adults with knee OA in the TCE group had better functional fitness performances after the 12-week tai chi intervention than those receiving only health education.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8325845/

 

Improve Preschool Teacher Job Satisfaction with Mindfulness

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Improve Preschool Teacher Job Satisfaction with Mindfulness

 

By John M. de Castro, Ph.D.

 

“Teachers who engage in mindfulness-based practices have been shown to have lower cortisol levels and to be more responsive and compassionate towards their students, less emotionally reactive, and more intentional in their teaching practices.” – Meghan Robles

 

Stress is epidemic in the workplace with almost two thirds of workers reporting high levels of stress at work. This often produces burnout; fatigue, cynicism, emotional exhaustion, and professional inefficacy. In a school setting, this burnout and exhaustion not only affects teachers and administrators personally, but also the students and schools, as it produces a loss of enthusiasm, empathy, and compassion. If stress doesn’t produce burnout, it at least can produce lowered psychological well-being and job satisfaction and impair teaching performance.

 

Hence, there is a need to identify methods of reducing stress and improve teachers’ psychological health. Mindfulness has been demonstrated to be helpful in reducing the psychological and physiological responses to stress and for treating and preventing burnout in a number of work environments. But the relationship of mindfulness on preschool teacher’s job satisfaction has not been explored.

 

In today’s Research News article “Can Trait Mindfulness Improve Job Satisfaction? The Relationship Between Trait Mindfulness and Job Satisfaction of Preschool Teachers: The Sequential Mediating Effect of Basic Psychological Needs and Positive Emotions.” (See summary below or view the full text of the study at: https://www.frontiersin.org/articles/10.3389/fpsyg.2021.788035/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1796285_a0P58000000G0YfEAK_Psycho_20211223_arts_A ) Song and colleagues recruited kindergarten teachers and had them complete an online survey measuring mindfulness, positive emotions, job satisfaction, and basic psychological needs, including capacity needs, relationship needs, and autonomy needs.

 

They found that the higher the teacher’s level of mindfulness the higher the levels of basic psychological needs, positive emotions, and job satisfaction and the higher the level of positive emotions the higher the levels of basic psychological needs and job satisfaction. Modelling analysis revealed that mindfulness was associated with higher levels of job satisfaction directly and also indirectly by being associated with higher levels of basic psychological needs and positive emotions that were in turn associated with higher levels of job satisfaction.

 

These findings are correlational and as such causation cannot be determined. But previous controlled studies have demonstrated that mindfulness training increases positive emotions, job satisfaction, and basic psychological needs. So, the present findings are probably due to causative effects of mindfulness. This suggests that mindfulness is an important determinant of the psychological well-being of kindergarten teachers leading to satisfaction with their work. This should decrease the likelihood of burnout and improve teaching performance. This further suggests that mindfulness training would be of great benefit for preschool teachers.

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So, improve preschool teacher job satisfaction with mindfulness.

 

“Mindfulness can also help us to be more effective at reducing conflict and developing more positive ways of relating in the classroom, which can help us feel more job satisfaction.” – Patricia Jennings

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are available on Twitter @MindfulResearch

 

Study Summary

 

Song Z, Pan B and Wang Y (2021) Can Trait Mindfulness Improve Job Satisfaction? The Relationship Between Trait Mindfulness and Job Satisfaction of Preschool Teachers: The Sequential Mediating Effect of Basic Psychological Needs and Positive Emotions. Front. Psychol. 12:788035. doi: 10.3389/fpsyg.2021.788035

 

Objective: This study aims to explore the relationship between basic psychological needs and positive emotions of preschool teachers between trait mindfulness and job satisfaction.

Methods: Three hundred and ninety-eight preschool teachers were tested with mindfulness attention awareness scale, basic psychological needs scale, positive emotion scale, and job satisfaction scale.

Results: Preschool teachers trait mindfulness can predict job satisfaction (β = 0.265, p < 0. 001). Preschool teachers trait mindfulness has an indirect impact on job satisfaction through basic psychological needs (β = 0.059, p = 0.002), and preschool teachers trait mindfulness has an indirect impact on job satisfaction through positive emotions (β = 0.123, p < 0. 001). In addition, basic psychological needs and positive emotions play a sequential intermediary role between preschool teachers trait mindfulness and job satisfaction (β = 0.017, p < 0. 001).

Conclusion: Basic psychological needs and positive emotions play a sequential mediating role between preschool teachers trait mindfulness and job satisfaction, and this sequential mediating effect accounts for a high proportion of the total effect.

https://www.frontiersin.org/articles/10.3389/fpsyg.2021.788035/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1796285_a0P58000000G0YfEAK_Psycho_20211223_arts_A

Mindfulness Reduces Smartphone Addiction

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Mindfulness Reduces Smartphone Addiction

 

By John M. de Castro, Ph.D.

 

“As a culture, we are slowly beginning to devalue wellness and prioritize productivity at the expense of our health. This creates an unhealthy reliance on digital devices.” – Alfred James

 

Over the last few decades, the internet has gone from a rare curiosity to the dominant mode of electronic communications. In fact, it has become a dominant force in daily life, occupying large amounts of time and attention. The dominant mode of accessing the internet is through smartphones creating smartphone addictions. Individuals with smartphone addiction develop greater levels of “tolerance” and experience “withdrawal” and distress when deprived. This phenomenon is so new that there is little understanding of its nature, causes, and consequences and how to treat it.

 

Mindfulness training has been shown to be helpful with addictions, decreasing cravings, impulsiveness, and psychological and physiological responses to stress, and increasing emotion regulation.  Mindfulness has also been shown to be effective for the treatment of a variety of addictions. Hence, there is a need to further explore how mindfulness affects smartphone addiction in adolescents.

 

In today’s Research News article “Preference for Solitude and Mobile Phone Addiction Among Chinese College Students: The Mediating Role of Psychological Distress and Moderating Role of Mindfulness.” (See summary below or view the full text of the study at: https://www.frontiersin.org/articles/10.3389/fpsyg.2021.750511/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1796285_a0P58000000G0YfEAK_Psycho_20211223_arts_A ) Chen and colleagues recruited university students and had them complete a questionnaire measuring preference for solitude, psychological distress, including anxiety, depression, and perceived stress, mindfulness, mobile phone use, and mobile phone addiction.

 

They found that the higher the levels of mindfulness the lower the levels of preference for solitude, psychological distress, mobile phone addiction, and time spent per day on the mobile phone. On the other hand, the higher the preference for solitude the higher the levels of psychological distress. time spent per day on the mobile phone, and mobile phone addiction. Modelling analysis revealed that preference for solitude was associated with higher mobile phone addiction directly and indirectly by being associated with higher psychological distress that was in turn associated with greater mobile phone addiction. But this indirect association was only significant for students who were low in mindfulness. For students high in mindfulness the indirect association was not significant.

 

These results are correlative and as such causation cannot be determined. For example, reference for solitude may result from psychological distress and mobile phone addiction rather than the other way around. Regardless the importance of mindfulness is apparent. It is associated with lower levels of preference for solitude, psychological distress, mobile phone addiction. These associations are probably causal as previous controlled research has demonstrated that mindfulness training reduces preference for solitude, psychological distress, and mobile phone addiction. In addition, mindfulness may also disrupt mobile phone addiction by countering the relationship between preference for solitude and mobile phone addiction.

 

These results underscore the importance of mindfulness for the psychological health and well-being of university students. Indeed, mindfulness has been repeatedly shown in prior research to improve psychological well-being. The present study reveals another way that mindfulness may have these benefits by reducing the association of preference for solitude and mobile phone addiction. Mobile phone addiction can be problematic for the well-being and academic performance of university students and mindfulness may help to reduce the addiction and allow for better academic performance.

 

So, mindfulness reduces smartphone addiction.

 

“mindfulness training is beneficial to improve the ability of self-control and reduce rumination levels, thereby inhibiting the negative impact of smartphone addiction on college students.” – Shi-Shi Cheng

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are available on Twitter @MindfulResearch

 

Study Summary

 

Chen W-Y, Yan L, Yuan Y-R, Zhu X-W, Zhang Y-H and Lian S-L (2021) Preference for Solitude and Mobile Phone Addiction Among Chinese College Students: The Mediating Role of Psychological Distress and Moderating Role of Mindfulness. Front. Psychol. 12:750511. doi: 10.3389/fpsyg.2021.750511

 

Background: With the increasing incidence of mobile phone addiction, the potential risk factors of mobile phone addiction have attracted more and more researchers’ attention. Although various personality trait factors have been proven to be significant predictors of mobile phone addiction, limited attention has been paid to preference for solitude. Considering the adverse impacts of preference for solitude in the context of collectivistic societies and its possible negative effect on mobile phone addiction, this study was designed to examine the relationship between preference for solitude and mobile phone addiction, and to test the mediating role of psychological distress and the moderating role of mindfulness in this relationship.

Methods: Data were collected through convenience sampling from a comprehensive university in China. A total of 927 Chinese college students (371 males and 556 females), aged from 16 to 24 (Mage = 19.89 years, SD = 1.22), participated in this study. Their preference for solitude, psychological distress, mindfulness, and mobile phone addiction were measured using well-validated self-report questionnaires.

Results: Correlational analyses, sobel test, SPSS macro PROCESS (Model 8) and simple slopes analyses were used for major data analysis. Results showed that preference for solitude was significantly and positively associated with mobile phone addiction, and this link could be mediated by psychological distress. Moreover, the indirect effect of psychological distress in this link was moderated by mindfulness, with this effect being stronger for college students with lower levels of mindfulness. However, mindfulness can not moderate the direct relation between preference for solitude and mobile phone addiction.

Conclusion: The present study broadened our knowledge of how and when (or for whom) preference for solitude is related to mobile phone addiction. Education professionals and parents should pay special attention to the psychological distress and mobile phone addiction of college students with high levels of preference for solitude, particularly for those with lower levels of mindfulness.

https://www.frontiersin.org/articles/10.3389/fpsyg.2021.750511/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1796285_a0P58000000G0YfEAK_Psycho_20211223_arts_A

 

Improve Working Memory with Yogic Visual Concentration

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Improve Working Memory with Yogic Visual Concentration

 

By John M. de Castro, Ph.D.

 

“The Hatha Yoga Pradipika defines trataka as “looking intently with an unwavering gaze at a small point until tears are shed.” This simple technique has a purifying, invigorating effect on the mind and improves concentration, paving the way for a deeper meditation practice. “ – Natalya Podgorny

 

Yoga practice has been shown to have a myriad of benefits for psychological and physical health, social, and spiritual well-being. It is both an exercise and a mind-body practice those stresses both mental attention to present moment movements, breath control, and flexibility, range of motion, and balance. There has, however, not been much attention paid to the characteristics of practice that are important for producing maximum benefits. One little researched component of some yoga practices is yogic visual concentration.

 

In today’s Research News article “Effect of Trataka (Yogic Visual Concentration) on the Performance in the Corsi-Block Tapping Task: A Repeated Measures Study.” (See summary below or view the full text of the study at: https://www.frontiersin.org/articles/10.3389/fpsyg.2021.773049/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1796285_a0P58000000G0YfEAK_Psycho_20211223_arts_A ) Swathi and colleagues recruited healthy university students and trained them for 20 minutes per day for 6 weeks on the yogic visual concentration technique of Trataka and also eye exercise training. Trataka involved eye exercises, viewing a candle in a dark room, and visualizing the candle flame. Eye exercises involved exercising eye movement in all planes. Training was followed by one week of no training. They then alternated practicing eye exercises or Trataka for 4 days. After the practices they were measured for memory processes with the Corsi Block Tapping task.

 

They found that in comparison to baseline and the eye exercise condition, after practicing yogic visual concentration (Trataka) there was significant improvements in memory, including working memory, spatial memory, and spatial attention. Using eye exercises as a comparison (control) condition reduces many possible confounding explanations and is a strength of the study, strengthening the conclusion that yogic visual concentration results in improvement of short-term nenory.

 

Mindfulness practices, including yoga, contain a number of components including practicing concentration. These practices are also known to improve memory. The present results suggest that the concentration practice is sufficient to produce improvements in short-term (working) memory. This makes sense as a prerequisite of memory is obtaining the information in the first place without interference, and this would be improved by learning to concentrate better on the task at hand.

 

So, improve working memory with yogic visual concentration.

 

“The purpose of concentration techniques is to discover how to focus the mind on one point for a sustained duration. . . With dedicated practice, concentration techniques can help prevent memory loss, create clarity of thought, and promote everyday mindfulness.” – Timothy Burgin

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are available on Twitter @MindfulResearch

 

Study Summary

 

Swathi PS, Bhat R and Saoji AA (2021) Effect of Trataka (Yogic Visual Concentration) on the Performance in the Corsi-Block Tapping Task: A Repeated Measures Study. Front. Psychol. 12:773049. doi: 10.3389/fpsyg.2021.773049

 

Background and Objective: Attention and memory are essential aspects of cognitive health. Yogasanas, pranayama, and meditation have shown to improve cognitive functions. There has been no assessment of Trataka (yogic visual concentration) on working or on spatial memory. The present study was planned to assess the immediate effects of Trataka and of eye exercise sessions on the Corsi-block tapping task (CBTT).

Methods: A total of 41 healthy volunteers of both genders with age 23.21 ± 2.81 years were recruited. All participants underwent baseline assessment, followed by 2 weeks of training in Trataka (including eye exercise). Each training session lasted for 20 min/day for 6 days a week. After completion of the training period, a 1-week washout period was given. Each participant then was assessed in two sessions in Trataka and in eye exercise on two separate days, maintaining the same time of the day. Repeated measure analysis of variance with Holm’s adjustment was performed to check the difference between the sessions.

Results: Significant within-subjects effects were observed for forward Corsi span andforward total score (p < 0.001), and also for backward Corsi span (p < 0.05) and backward total score (p < 0.05). Post hoc analyses revealed Trataka session to be better than eye exercises and baseline. The eye exercise session did not show any significant changes in the CBTT.

Conclusion: The result suggests that Trataka session improves working memory, spatial memory, and spatial attention.

https://www.frontiersin.org/articles/10.3389/fpsyg.2021.773049/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1796285_a0P58000000G0YfEAK_Psycho_20211223_arts_A

 

Mindfulness Components of Decentering, Acceptance, and Non-Attachment are All Subsumed as a “Delusion of Me”

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Mindfulness Components of Decentering, Acceptance, and Non-Attachment are All Subsumed as a “Delusion of Me”

 

By John M. de Castro, Ph.D.

 

“You’re not really selfless- I am!” – Joseph Goldstein

 

Most people strongly believe that they have a self, an ego. Reflecting this, our language is replete with concepts that contain self; oneself, myself, himself, herself, ourselves, self-concept, self-esteem, self-love, self-regard, selfless, selfish, selfhood, selfie, etc. But particularly note the term self-concept. It directly states that self is a concept. It is not a thing. It is an idea.  This is important, as most of us think that there is a thing that is the self, when, in fact, there is not. A concept is a way to summarize a set of phenomena that appear to have common properties, such as fruit, or more abstractly, attention. But note there is not a single entity that is fruit. It is a set of things that are grouped together by common biological factors. The idea of attention is not a thing. Rather it refers to a set of processes. This is also true of the concept of self.

 

The problem with the idea of a self is that it can lead to not seeing things as they are, a rigidity in approaching the world, and psychological distress. Mindfulness practices are thought to alter or even eliminate the idea of a self. These practices are thought to change different components of the self, producing decentering, acceptance, and non-attachment. But the meanings of these concepts have major overlaps. This suggests that they may be measuring in part a similar component. A statistical method to tease out common factors is called factor analysis. Perhaps it can identify the common component contained in decentering, acceptance, and non-attachment.

 

In today’s Research News article “Decentering, Acceptance, and Non-Attachment: Challenging the Question “Is It Me?”.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8637104/ ) Soler and colleagues recruited adults online who were meditators and meditation naïve participants and had them complete an online survey measuring mindfulness, decentering, non-attachment, resilience, anxiety, depression, and stress. These data were then subjected to an exploratory and confirmatory factor analyses.

 

They identified a general factor that subsumed the three constructs of decentering, acceptance, and non-attachment. When the shared general factor was present the individual differences between the concepts were minimal. They labelled the general factor as “Delusion of Me”. This refers to seeing that the self is a delusion. Decentering reflects just that, acceptance reflects seeing things as they are, and non-attachment reflects an absence of a fixation on ideas like those generated by a self. So, all three concepts contribute to the dissolution of an idea of self and the advancement of an understanding that the self is but a delusion.

 

They found that the higher the levels of this general factor, “Delusion of Me,” the higher the levels of resilience. This suggests that the idea of self reduces latitude of actions making one less resilient. This in turn explains why mindfulness training significantly improves resilience. In addition, the higher the levels of “Delusion of Me” the lower the levels of depression. This suggests that the idea that there is a self leads to a rigidity in processing experiences producing expectations of how things should be, and this contributes to feelings of depression. This also explains why mindfulness training significantly reduces depression.

 

These findings are correlational and as such do not determine causation. It is possible that a lack of resilience and the presence of depression produces a concept of “Me”. But the findings open up a potentially fruitful avenue of research by specifying a specific conceptual variable which may contribute to psychological well-being. This may lead to more focused therapeutic techniques that may better treat mental illness and contribute to human thriving.

 

So, mindfulness components of decentering, acceptance, and non-attachment are all subsumed as a “Delusion of Me”.

 

“delusion is a state of not realizing what it is that we actually know, and what we don’t know — and not asking the right questions. It is a state of failure or resistance to see things as they actually are.” – Sharon Salzberg

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are available on Twitter @MindfulResearch

 

Study Summary

 

Soler J, Montero-Marin J, Domínguez-Clavé E, González S, Pascual JC, Cebolla A, Demarzo M, Analayo B, García-Campayo J. Decentering, Acceptance, and Non-Attachment: Challenging the Question “Is It Me?”. Front Psychiatry. 2021 Nov 18;12:659835. doi: 10.3389/fpsyt.2021.659835. PMID: 34867498; PMCID: PMC8637104.

 

Abstract

Among mindfulness measures the three constructs acceptance, decentering, and non-attachment are psychometrically closely related, despite their apparent semantic differences. These three facets present robust psychometric features and can be considered core themes in most “third wave” clinical models. The aim of the present study was to explore the apparently different content domains (acceptance, decentering, and non-attachment) by administering various psychometric scales in a large sample of 608 volunteers. Resilience and depression were also assessed. Exploratory and confirmatory factor analyses performed in two randomly selected subsamples showed a bifactor approximation. The explained common variance suggested a unidimensional nature for the general factor, with good psychometric properties, which we named “Delusion of Me” (DoM). This construct is also strongly correlated with resilience and depression, and appears to be a solid latent general construct closely related to the concept of “ego.” DoM emerges as a potentially transdiagnostic construct with influence on well-being and clinical indexes such as resilience and depression. Further studies should analyze the potential utility of this new construct at a therapeutic level.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8637104/

 

Improve the Psychological Well-Being of Opioid Users Undergoing Medicinal Therapy with Mindfulness

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Improve the Psychological Well-Being of Opioid Users Undergoing Medicinal Therapy with Mindfulness

 

By John M. de Castro, Ph.D.

 

“As individuals with [Substance Use Disorders] engage in mindfulness practices within [Mindfulness-Based Interventions], they learn to cultivate trait mindfulness, providing a bulwark against substance use and relapse.” – Sarah E Priddy

 

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. 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 treat substance abuse and prevent relapse, but an effective treatment has been elusive. Most programs and therapies to treat addictions have poor success rates. Recently, mindfulness training has been found to be effective in treating addictions and preventing relapses. Medicinal therapies with drugs such as buprenorphine/naloxone have also been effective. But there is a need to study the effectiveness of mindfulness training in combination with medicinal therapy on relapse prevention.

 

In today’s Research News article “Testing Mindfulness-Based Relapse Prevention with Medications for Opioid Use Disorder Among Adults in Outpatient Therapy: a Quasi-experimental Study.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8504564/ ) Zullig and colleagues recruited patients who were addicted to opioids and after treatment had been opioid free for at least 90 days. They continued on receiving treatment with daily injections of buprenorphine/naloxone and attending Narcotics Anonymous meetings. Patients who volunteered underwent additional 24 weeks of twice weekly 60-minute sessions of Mindfulness-Based Relapse Prevention (MBRP) treatment. The participants were measured before, at midpoint, and after treatment and 12 weeks later for relapse, craving symptoms, anxiety, depression, and mindfulness.

 

They found that 73% of the participants were retained through the entire 36 weeks with no differences between groups. Relapse occurred in 45% of the participants but there were no differences between groups. Cravings declined throughout the 36 weeks but again there were no differences between groups. On the other hand, the decline in anxiety and depression and increase in mindfulness was significantly greater for the group that received Mindfulness-Based Relapse Prevention (MBRP).

 

The findings suggest that adding Mindfulness-Based Relapse Prevention (MBRP) to medicinal therapy for opioid relapse prevention produced significantly lower levels of anxiety and depression in the patients. But it did not appear to improve relapses or cravings. More research is needed to ascertain whether the additional cost and staff support involved in implementing MBRP is justified by the additional improvements in psychological well-being.

 

So, improve the psychological well-being of opioid users undergoing medicinal therapy with mindfulness.

 

“Mindfulness-Based Relapse Prevention (MBRP) has been shown to help with physical and psychological well-being, reduce craving, and help with anxiety and depression.” – Keith Zullig

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are available on Twitter @MindfulResearch

 

Study Summary

 

Zullig, K. J., Lander, L. R., Tuscano, M., Garland, M., Hobbs, G. R., & Faulkenberry, L. (2021). Testing Mindfulness-Based Relapse Prevention with Medications for Opioid Use Disorder Among Adults in Outpatient Therapy: a Quasi-experimental Study. Mindfulness, 1–11. Advance online publication. https://doi.org/10.1007/s12671-021-01763-w

 

Abstract

Objectives

This study aimed to explore the effectiveness of mindfulness-based relapse prevention (MBRP) with individuals receiving medication for opioid use disorder (MOUD) in a naturalistic, open-ended outpatient group treatment setting.

Methods

Eighty participants (mean age 36.3) who had at least 90 consecutive days substance free self-selected into treatment (MBRP, n = 35) or comparison groups (treatment as usual, TAU, n = 45). Outcomes tracked included treatment retention and relapse, and self-reported craving, anxiety, depression, and mindfulness at baseline, 12 weeks, 24 weeks, and 36 weeks post-recruitment. MBRP group participants attended biweekly 60-min sessions for 24 weeks. A linear mixed model analysis of variance determined the significance of the MBRP intervention on changes in craving, anxiety, depression, and mindfulness.

Results

No significant differences in sex, education level, insurance status, relationship status, or employment status were detected at baseline between groups. The 36-week retention (74%, MBRP/MOUD; 71%, TAU/MOUD) and relapse rates (43%, MBRP/MOUD; 47%, TAU/MOUD) were similar for the groups. There were only four relapses on opioids. Significant reductions (p < .05) were observed in the MBRP/MOUD group for craving, anxiety, and depression in addition to significant increases in mindfulness compared to those in TAU/MOUD.

Conclusions

Although state and federal resources are available to expand MOUD, no standard of behavioral therapy has been established as most complimentary to MOUD. The current study results suggest MBRP can be implemented as an outpatient therapy for individuals in MOUD.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8504564/

 

Mindfulness May Produce Its Benefits by Improving Self-Related Processes

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Mindfulness May Produce Its Benefits by Improving Self-Related Processes

 

By John M. de Castro, Ph.D.

 

“Mindful people might be happier because they have a better idea of who they are.” – Kira M. Newman

 

“Meditation leads to concentration, concentration leads to understanding, and understanding leads to happiness” – This wonderful quote from the modern-day sage Thich Nhat Hahn is a beautiful pithy description of the benefits of mindfulness practice. Mindfulness allows us to view our experience and not put labels on it, not make assumptions about it, not relate it to past experiences, and not project it into the future. Rather mindfulness lets us experience everything around and within us exactly as it is arising and falling away from moment to moment including the self and psychological processes related to the self.

 

mindfulness training has been shown to increase psychological well-being and happiness and help to relieve mental illness. A number of mechanisms of how mindfulness produces these benefits have been proposed. Many of the proposed mechanisms involve self-relate processes which require “one to evaluate or judge some feature in relation to one’s perceptual image or mental concept of oneself,” such as self-efficacy, decentering, and self-regulation. There has accumulated a large volume of research. So, it is important to examine the findings and what has been learned.

 

In today’s Research News article “From Self-Esteem to Selflessness: An Evidence (Gap) Map of Self-Related Processes as Mechanisms of Mindfulness-Based Interventions.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8645694/ ) Britton and colleagues review and summarize the published research on the role of self-related processes in the beneficial effects of mindfulness-based interventions. They examine 3 categories of self-related processes, self-regulation skills, and embodied self-regulation processes.

 

They report that the published research found that alterations self-related processes in part mediate the beneficial effects of mindfulness-based interventions. These include reductions in negative self-evaluations including rumination and dysfunctional attitudes and increases in positive self-evaluations including self-compassion and self-esteem. Self-regulation skills also appear in part to mediate the beneficial effects of mindfulness-based interventions. These include increases in self-efficacy and decentering. Finally, embodied self-regulation processes appear in co-occur with the beneficial effects of mindfulness-based interventions but have not been conclusively established as mediators. These include increases in interoception, selflessness, and self-transcendence.

 

These findings suggest that mindfulness-based interventions produce beneficial effects by at least in part altering how the individual views and processes ideas of the self. Mindfulness training involves focusing on the present moment and this focus may reduce the influence of the past and projections of the future on the individual’s psychological well-being. Most negative views of the self are past and future based. So, mindfulness training may improve the ideas of self by focusing on the present and seeing the self as processes occurring in the now, a more grounded and realistic view of the self. Obviously more research is needed on this promising area of potential mindfulness mediators.

 

So, mindfulness may produce its benefits by improving self-related processes.

 

“[Mindfulness] encourages people to simply observe the contents of their mind. In this way, I think that mindfulness allows for greater self-insight.” – Rimma Tepper

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are available on Twitter @MindfulResearch

 

Study Summary

 

Britton, W. B., Desbordes, G., Acabchuk, R., Peters, S., Lindahl, J. R., Canby, N. K., Vago, D. R., Dumais, T., Lipsky, J., Kimmel, H., Sager, L., Rahrig, H., Cheaito, A., Acero, P., Scharf, J., Lazar, S. W., Schuman-Olivier, Z., Ferrer, R., & Moitra, E. (2021). From Self-Esteem to Selflessness: An Evidence (Gap) Map of Self-Related Processes as Mechanisms of Mindfulness-Based Interventions. Frontiers in psychology, 12, 730972. https://doi.org/10.3389/fpsyg.2021.730972

 

Abstract

Self-related processes (SRPs) have been theorized as key mechanisms of mindfulness-based interventions (MBIs), but the evidence supporting these theories is currently unclear. This evidence map introduces a comprehensive framework for different types of SRPs, and how they are theorized to function as mechanisms of MBIs (target identification). The evidence map then assesses SRP target engagement by mindfulness training and the relationship between target engagement and outcomes (target validation). Discussion of the measurement of SRPs is also included. The most common SRPs measured and engaged by standard MBIs represented valenced evaluations of self-concept, including rumination, self-compassion, self-efficacy, and self-esteem. Rumination showed the strongest evidence as a mechanism for depression, with other physical and mental health outcomes also supported. Self-compassion showed consistent target engagement but was inconsistently related to improved outcomes. Decentering and interoception are emerging potential mechanisms, but their construct validity and different subcomponents are still in development. While some embodied self-specifying processes are being measured in cross-sectional and meditation induction studies, very few have been assessed in MBIs. The SRPs with the strongest mechanistic support represent positive and negative evaluations of self-concept. In sum, few SRPs have been measured in MBIs, and additional research using well-validated measures is needed to clarify their role as mechanisms.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8645694/

 

Improved Psychological Well-Being and Cognition is Reported by Adult who Engage in Microdosing of Psychedelic Substances

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Improved Psychological Well-Being and Cognition is Reported by Adult who Engage in Microdosing of Psychedelic Substances

 

By John M. de Castro, Ph.D.

 

“After a 40-year moratorium, the psychedelic renaissance has begun: rigorous scientific methods can now be used to investigate psychedelics as potential medicines and for “the betterment of well people”. – Thomas Anderson

 

Psychedelic substances such as peyote, mescaline, LSD, Bufotoxin, ayahuasca and psilocybin 

have been used almost since the beginning of recorded history to alter consciousness and produce spiritually meaningful experiences. More recently hallucinogenic drugs such as MDMA (Ecstasy) and Ketamine have been similarly used. People find the experiences produced by these substances extremely pleasant. eye opening, and even transformative. They often report that the experiences changed them forever. Psychedelics and hallucinogens have also been found to be clinically useful as they markedly improve mood, increase energy and enthusiasm and greatly improve clinical depression.

 

Recently doses of psychedelic substances that are small enough that they do not produce psychedelic effects (microdoses) have been employed repeatedly in real world settings. They have been reported to produce reductions in the symptoms of depression and anxiety, improve cognitive function, and promote social interaction. But there is little systematic research on the effects of repeated psychedelic microdosing.

 

In today’s Research News article “Psychedelic Microdosing: Prevalence and Subjective Effects.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7282936/ ) Cameron and colleagues recruited adult volunteers to complete an anonymous online survey of “Recreational Drug and Alcohol Use”. The survey requested information regarding familiarity with psychedelic microdosing. personal practices, drugs used, and any changes observed in depression, anxiety, memory, sociability, focus/attention, and physical health.

 

They found that of the 2347 respondents the majority (59%) were familiar with psychedelic microdosing but only 13 % ever practiced it and only 4% were currently practicing. LSD and Psilocybin were the most common drugs used in microdosing. Males, veterans, and less educated participants were significantly more likely to practice psychedelic microdosing.

 

In comparison to participants who did not microdose, those that did reported significantly greater reductions in depression anxiety and greater improvements in memory, attention, and sociability. Males again reported the greatest improvements. The majority of the participants who stopped microdosing attributed it to difficulty in obtaining the drugs and their legal riskiness.

 

These results were produced by an anonymous survey and there was no way to ascertain the veracity of the responses. In addition, there were no comparison to other spontaneously used drugs to determine demand characteristics or placebo effects. Hence, the results are from a self-selected sample, have strong expectancy effect, and with no objective verification of the responses. So, these results must be viewed as preliminary. Nevertheless, the findings suggest that psychedelic microdosing is viewed by those engaging in it as beneficial for their psychological well-being and cognitive ability. These are interesting results that suggest that further investigation in warranted to determine if this practicemay be useful in improving well-being.

 

So, improved psychological well-being and cognition is reported by adult who engage in microdosing of psychedelic substances.

 

“We have an epidemic of mental health problems, with existing treatments that don’t work for everyone. We need to follow the lead of patients who are taking these initiatives to improve their wellbeing and reduce suffering.” – Zach Walsh

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are available on Twitter @MindfulResearch

 

Study Summary

 

Cameron, L. P., Nazarian, A., & Olson, D. E. (2020). Psychedelic Microdosing: Prevalence and Subjective Effects. Journal of psychoactive drugs, 52(2), 113–122. https://doi.org/10.1080/02791072.2020.1718250

 

Abstract

Anecdotal reports suggest that the administration of sub-hallucinogenic doses of psychedelic compounds on a chronic, intermittent schedule—a practice known as psychedelic microdosing—is becoming increasingly popular among young adults due to its purported ability to reduce symptoms of depression and anxiety while improving cognitive function and promoting social interaction. Using an anonymous online survey, we collected data from 2347 people to 1) assess the prevalence of psychedelic microdosing and characterize the demographics of microdosers, 2) determine whether microdosers associate the practice with changes in mood, cognitive function, social interaction, or physiology, and 3) investigate frequent motives for discontinuing the practice. Fifty-nine percent of respondents (NT = 2183) reported familiarity with the concept of psychedelic microdosing, with 17% (383 respondents, NT=2200) having engaged in this practice. Microdosers attributed psychedelic microdosing with improving their mood, decreasing their anxiety, and enhancing their memory, attention, and sociability. The most frequently cited reasons for quitting microdosing (NT = 243) were the risks associated with taking an illegal substance (24.28%) and the difficulty of obtaining psychedelic compounds (22.63%). Overall, our findings suggest that psychedelic microdosing is relatively common and is subjectively associated with a broad spectrum of socio-affective, cognitive, and physical outcomes.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7282936/

Improve Physical Ability, Balance, and Flexibility with Tai Chi

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Improve Physical Ability, Balance, and Flexibility with Tai Chi

 

By John M. de Castro, Ph.D.

 

“Tai Chi is a relatively safe activity that can result in gains in general motor function and improve bradykinesia and balance. “ – Xiny Yu

 

Tai Chi is an ancient Chinese practice involving mindfulness and gentle movements. It is easy to learn, safe, and gentle. Tai Chi has been practiced for thousands of years with benefits for health and longevity. Tai Chi training is designed to enhance function and regulate the activities of the body through controlled breathing, mindful concentration, and gentle movements. Only recently though have the physical and motor effects of this practice been scrutinized with empirical research. The findings have been accumulating. So, it makes sense to summarize what has been learned.

 

In today’s Research News article “Effect of Tai Chi on muscle strength, physical endurance, postural balance and flexibility: 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/PMC7871341/ ) Wehner and colleagues review, summarize and perform a meta-analysis of the published research findings from randomized controlled trials (RCTs) of the effects of Tai Chi training on physical ability, strength, balance, and flexibility. They identified 31 published randomized controlled trials that included mostly participants over 60 years of age.

 

They report that the published research found that Tai Chi practice produce a significant increase in hand grip strength, timed walking distance, postural balance, and spine flexibility. These findings suggest that engaging in Tai Chi practice results in improved health-related fitness. This is particularly important for aging individuals where physical decline is inevitable and suggests an increased health-related quality of life. The improvements in balance are important as they signal a decreased likelihood of falls which are very dangerous for the elderly.

 

So, improve physical ability, balance, and flexibility with Tai Chi.

 

“our main finding suggests a statistically significant general improvement in motor efficiency for the TC group.” – Luisa Sartori

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are available on Twitter @MindfulResearch

 

Study Summary

 

Wehner, C., Blank, C., Arvandi, M., Wehner, C., & Schobersberger, W. (2021). Effect of Tai Chi on muscle strength, physical endurance, postural balance and flexibility: a systematic review and meta-analysis. BMJ open sport & exercise medicine, 7(1), e000817. https://doi.org/10.1136/bmjsem-2020-000817

 

What is already known?

  • Tai Chi training has positive effects on a variety of chronic diseases (eg, osteoarthritis) and health-related issues (eg, reduced risk of falling).
  • Tai Chi training exerts a positive impact not only on physical parameters, but also on mental health.
  • There is good evidence for positive effects of Tai Chi training for older people and patient populations, as most previous studies concentrated on these populations.

What are the new findings?

  • There is evidence that Tai Chi training can also moderately improve physical fitness as measured by tests commonly applied in health-related fitness or competitive sports contexts; for healthy people such tests are more relevant compared with the clinical assessment tools used for unfit and patient populations. Improvements were observed in handgrip strength, functional capacity, postural balance and thoracolumbar flexibility.
  • We hypothesise that not only slow motions of the legs and kicking movements while standing on one leg, which are characteristic in Tai Chi but also the improvement of thoracolumbar flexibility enhance postural balance.

Abstract

Objective

To investigate the impact of Tai Chi training on muscle strength, physical endurance, postural balance and flexibility, as measured by tests commonly used in health-related fitness or competitive sports contexts.

Design

Systematic review and meta-analysis.

Data sources

The following databases were searched up to 31 July 2020: CINAHL, Cochrane Library, MEDLINE via PubMed and SPORTDiscus.

Eligibility criteria for studies

Inclusion: (1) Randomised controlled trials published in German or English; (2) Tai Chi used as an intervention to improve physical performance; (3) Test methods commonly used in health-related fitness or competitive sports and (4) Participants aged ≥16 years (irrespective of health status). Exclusion: (1) Studies not focusing on Tai Chi or including Tai Chi mixed with other interventions and (2) Modified or less than eight Tai Chi movements.

Results

Out of 3817 records, 31 studies were included in the review, 21 of them in the meta-analysis. Significant improvements in handgrip strength (2.34 kg, 95% CI 1.53 to 3.14), walking distance during 6 min (43.37 m, 95% CI 29.12 to 57.63), standing time in single-leg-stance with open eyes (6.41 s, 95% CI 4.58 to 8.24) and thoracolumbar spine flexibility (2.33 cm, 95% CI 0.11 to 4.55) were observed.

Conclusion

Tai Chi training seems to moderately improve physical fitness when evaluated by tests used in health-related fitness or competitive sports. Moreover, thoracolumbar spine flexibility seems to be a factor in the improvement of postural balance. Further research is needed, including younger healthy participants performing a widely used, standardised form (eg, Peking-style routine) with high-intensity movements (eg, use of lower stances).

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7871341/

 

Improve the Psychological Well-Being of Patients with Breast Cancer with Mindfulness

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Improve the Psychological Well-Being of Patients with Breast Cancer with Mindfulness

 

By John M. de Castro, Ph.D.

 

“Mindfulness based interventions hold a great deal of promise for helping people with cancer cope across a broad range of symptoms and issues, both during and after the completion of active treatment.” – Jessica Pieczynski

 

Receiving a diagnosis of cancer has a huge impact on most people. Feelings of depression, anxiety, and fear are very common and are normal responses to this life-changing and potentially life-ending experience. But cancer diagnosis is not necessarily a death sentence. Over half of the people diagnosed with cancer are still alive 10 years later and this number is rapidly increasing. But, surviving cancer carries with it a number of problems. Anxiety, depression, fatigue and insomnia are common symptoms in the aftermath of surviving breast cancer. These symptoms markedly reduce the quality of life of the patients.

 

Mindfulness training has been shown to help with cancer recovery and help to alleviate many of the residual physical and psychological symptoms, including stress,  sleep disturbance, and anxiety and depression. A therapeutic technique that contains mindfulness training and Cognitive Behavioral Therapy (CBT) is Acceptance and Commitment Therapy (ACT). It focuses on the individual’s thoughts, feelings, and behavior and how they interact to impact their psychological and physical well-being. It then works to change thinking to alter the interaction and produce greater life satisfaction. ACT employs mindfulness practices to increase awareness and develop an attitude of acceptance and compassion in the presence of painful thoughts and feelings. ACT teaches individuals to “just notice”, accept and embrace private experiences and focus on behavioral responses that produce more desirable outcomes. This suggests that ACT may be an effective treatment for women with breast cancer.

 

In today’s Research News article “Efficacy of acceptance and commitment therapy (ACT) on depression, pain acceptance, and psychological flexibility in married women with breast cancer: a pre- and post-test clinical trial.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8317551/ ) Ghorbani and colleagues recruited married women with breast cancer who exhibited moderate levels of anxiety and depression and randomly assigned them to receive 8 weekly 90 minute sessions of Acceptance and Commitment Therapy (ACT) or to a wait list control condition. They were measured before and after ACT and 2 months later for perceived stress, anxiety, depression, chronic pain, and acceptance and action.

 

They found that in comparison to baseline and the wait-list control group after Acceptance and Commitment Therapy (ACT) there were significant reductions in depression and significant increases in pain acceptance and flexibility. These improvements were maintained at the 2-month follow-up.

 

The study did not have an active control condition, rather employing a wait-list control. This leaves open the possibility of participant expectancy (placebo) effects or attentional (Hawthorne) effects explaining the results. In addition, Acceptance and Commitment Therapy (ACT) is a complex therapy with several therapeutic components. It is unclear what components or combination of components are critical for the benefits. Nevertheless, the results demonstrate that Acceptance and Commitment Therapy (ACT) is effective in improving the psychological well-being of breast cancer patients. This could well translate into better recovery and health in these women.

 

So, improve the psychological well-being of patients with breast cancer with mindfulness.

 

“mindfulness-based stress reduction can be effective in alleviating anxiety and depression, decreasing long-term emotional and physical side effects of treatments and improving the quality of sleep in breast cancer patients.” –  BCRF

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are available on Twitter @MindfulResearch

 

Study Summary

 

Ghorbani, V., Zanjani, Z., Omidi, A., & Sarvizadeh, M. (2021). Efficacy of acceptance and commitment therapy (ACT) on depression, pain acceptance, and psychological flexibility in married women with breast cancer: a pre- and post-test clinical trial. Trends in psychiatry and psychotherapy, 43(2), 126–133. https://doi.org/10.47626/2237-6089-2020-0022

 

Abstract

Objective:

Breast cancer is the most common cancer in women worldwide. Many of these patients suffer from multiple psychological symptoms. The present study aimed to investigate the impact of acceptance and commitment therapy (ACT) on depression, pain acceptance, and psychological flexibility in married women with breast cancer.

Methods:

The present study was a pre- and post-test clinical trial with intervention and control groups. The research population consisted of women with breast cancer referred to the Ayatollah Yasrebi and Shahid Beheshti Hospitals in Kashan in 2018. Through a purposive sampling method, 40 women were selected and randomly divided into two groups, namely, intervention (n = 20) and control (n = 20). The applied tools included the Depression, Anxiety and Stress Scale (DASS-21), Chronic Pain Acceptance Questionnaire 8 (CPAQ-8), and Acceptance and Action Questionnaire – II (AAQ-II). Data were analyzed by SPSS 16 using descriptive statistics and analysis of variance (ANOVA).

Results:

The results showed that ACT treatment significantly reduced the mean scores of depression compared to the control group (F = 107.72, p < 0.001). The mean scores of pain acceptance (F = 9.58, p < 0.05) and psychological flexibility (F = 10.61, p < 0 .05) significantly increased in comparison with the control group.

Conclusion:

ACT can be considered as an effective therapeutic approach to reduce depression and increase pain acceptance and psychological flexibility in women with breast cancer. These changes appear to be due to improved acceptance of thoughts and feelings associated with cancer and increased psychological flexibility, which is the primary goal of ACT treatment.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8317551/