Mindfulness is Associated with Greater Psychological Well-Being

April 26, 2023 psyjdc Leave a comment

By John M. de Castro, Ph.D.

“If you want to conquer the anxiety of life, live in the moment, live in the breath.” ― Amit Ray

The primary focus of the majority of research on mindfulness has been on its ability to treat negative emotional states such as anxiety, depression, and perceived stress. As such, it has been found to be effective for a large array of medical and psychiatric conditions, either stand-alone or in combination with more traditional therapies. But mindfulness training has also been shown to improve health and well-being in healthy individuals. Indeed, it is possible that the effectiveness of mindfulness training in relieving mental and physical illness may result from its ability to improve positive psychological states.

In today’s Research News article “Could mindfulness diminish mental health disorders? The serial mediating role of self-compassion and psychological well-being.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9362435/ ) Tran and colleagues, during the Covid-19 pandemic, sent an online survey to university students and again after 15 days measuring mindfulness, self-compassion, anxiety, depression, stress, and psychological well-being. Students who practiced mindfulness were followed up with structured qualitative reports.

They found that the higher the levels of mindfulness the lower the levels of stress, anxiety, and depression, and the higher the levels of self-compassion, and psychological well-being. They also report that mindfulness has direct relationships with lower levels of stress, anxiety, and depression and also indirect relationships. Mindfulness was associated with higher levels of self-compassion which in turn was associated with higher levels of psychological well-being which in turn was associated with lower levels of stress, anxiety, and depression. The qualitative results corroborated these findiings.

These results suggest that the anxiety, depression, and stress that occurred during the Covid-19 pandemic are less in mindful students and suggests that these relationships are partially mediated by mindful people having higher levels of self-compassion and psychological well-being.

“The way to live in the present is to remember that ‘This too shall pass.’ When you experience joy, remembering that ‘This too shall pass’ helps you savor the here and now. When you experience pain and sorrow, remembering that ‘This too shall pass’ reminds you that grief, like joy, is only temporary.” – Joey Green

CMCS – Center for Mindfulness and Contemplative Studies

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

Study Summary

Tran MAQ, Vo-Thanh T, Soliman M, Ha AT, Van Pham M. Could mindfulness diminish mental health disorders? The serial mediating role of self-compassion and psychological well-being. Curr Psychol. 2022 Aug 3:1-14. doi: 10.1007/s12144-022-03421-3. Epub ahead of print. PMID: 35967505; PMCID: PMC9362435.

Abstract

The COVID-19 pandemic clearly has various detrimental psychological effects on people’s mental health, emphasizing the importance of mindfulness in overcoming such repercussions. This is in line with the growing number of studies that have been conducted to assess the effects of mindfulness in diverse settings. However, the role of mindfulness in reducing mental health issues among university students has received little attention. Therefore, the current work seeks to investigate how mindfulness could reduce the anxiety, depression, and stress of university students and how self-compassion and psychological well-being could mediate the links between mindfulness and these mental health disorders. To that end, an explanatory sequential mixed-method design was adopted. Quantitative data collected, through a two-wave survey, from 560 Vietnamese students having an average age of 18.7 years were used to test the hypotheses. To measure the six variables in the research models, we opted for the Five Facet Mindfulness Questionnaire (FFMQ), Self-Compassion Scale (SCS-26), Depression Anxiety Stress Scale (DASS-21–7 items for each subscale), and World Health Organization-Five Well-Being Index (WHO-5). Additionally, qualitative data from 19 in-depth interviews were utilized to explain the quantitative findings and explore students’ experiences in practicing mindfulness and self-compassion to decrease stress, depression, and anxiety. The results elucidated that self-compassion and psychological well-being serially mediated the relationships between mindfulness (as a predictor) and anxiety, stress, and depression (as outcome variables). The findings demonstrated the key role of mindfulness in increasing students’ self-compassion and psychological well-being as well as reducing anxiety, depression, and stress. This research holds substantial contributions by providing universities and psychotherapists with recommendations to deal with negative psychological consequences caused by COVID-19.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9362435/

Improve Asthma Symptoms with Mindfulness

April 19, 2023 psyjdc Leave a comment

Improve Asthma Symptoms with Mindfulness

By John M. de Castro, Ph.D.

“Asthma is treatable and well can be controlled.” —Cathy Freeman

Asthma is a chronic disease of the lungs that involves a persistent inflammation of the airways. When the inflammation worsens, it makes it more difficult for air to move in and out of the lungs provoking coughing, wheezing, shortness of breath and chest tightness. It is estimated that 300 million people worldwide and 30 million people in the U.S. suffer from asthma and the incidence appears to be growing. Asthma is not fatal and those with moderate asthma have an equivalent life expectancy to those that don’t. There is no cure for asthma. So, it is a chronic disease that must be coped with throughout the lifetime. Treatments are aimed at symptomatic relief. Most frequently drugs, anti-inflammatory hormones, and inhalers are used to help control the inflammation. Mindfulness training has been shown to improve the symptoms of Asthma.

In today’s Research News article “Clinically relevant effects of Mindfulness-Based Stress Reduction in individuals with asthma.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9513112/ ) Higgins and colleagues recruited asthma patients and randomly assigned them to either a wait-list control condition or to receive an 8-weekly 2.5 hour sessions of Mindfulness-Based Stress Reduction (MBSR) consisting of meditation, yoga, body scan, and group discussion. The participants were measured before, midpoint, after and every month for 6 months for asthma control, asthma severity, airway inflammation, anxiety, depression, perceived stress, symptoms and severity, and mindfulness.

They found that in comparison to baseline and the control group, the MBSR had significantly improved mindfulness and asthma control and significantly reduced symptom distress and airway inflammation. Hence, MBSR produced significant improvements in asthma symptoms and the patients ability to control the symptoms.

So, improve asthma with mindfulness.

“Asthma would not keep me from enjoying life.I beat asthma everyday.” —Unknown

CMCS – Center for Mindfulness and Contemplative Studies

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

Study Summary

Higgins ET, Davidson RJ, Busse WW, Klaus DR, Bednarek GT, Goldman RI, Sachs J, Rosenkranz MA. Clinically relevant effects of Mindfulness-Based Stress Reduction in individuals with asthma. Brain Behav Immun Health. 2022 Sep 14;25:100509. doi: 10.1016/j.bbih.2022.100509. PMID: 36177306; PMCID: PMC9513112.

Abstract

Background

Psychological distress and comorbid psychopathology contribute to exacerbation risk in patients with asthma. Thus, interventions designed to reduce stress and improve emotion regulation, such as Mindfulness-Based Stress Reduction (MBSR), may augment standard care. Few studies have addressed this question and a paucity of data exists to determine the ability of MBSR to impact clinical outcomes in asthma.

Methods

This randomized controlled trial investigated effects of MBSR training on asthma control and airway inflammation, in relation to psychological symptoms, in adults with asthma. Participants were randomized to an 8-week MBSR training (n = 35) or wait-list control group (n = 34). Clinically relevant asthma assessments, including Asthma Control Questionnaire and inflammatory biomarkers, were collected at baseline and six approximately-monthly follow-ups. Self-reported mindfulness, distress, depression, and anxiety symptoms were assessed at baseline, post-intervention, and study completion. Chronic stress level was determined at baseline only.

Results

Asthma control improved significantly in individuals randomized to MBSR, relative to wait-list controls (p = .01; effect size d = 0.76), which was maintained at 4mo post-intervention. 32% of MBSR participants achieved a clinically significant improvement, based on the ACQ6 Minimally Important Difference, relative to 12% of wait-list participants. Moreover, MBSR-related improvement in asthma control was associated with a reduction in distress (p = .043) and the intervention was most efficacious for those with the highest baseline depressive symptoms (p = .023). Importantly, MBSR also reduced levels of exhaled nitric oxide, a biomarker of airway inflammation, relative to wait-list controls (p < .05).

Conclusion

Supporting and extending extant evidence of mind-body relationships in asthma and the benefits of stress reduction for these patients, this is, to the best of our knowledge, the first RCT to demonstrate that training in MBSR improves clinically relevant asthma outcomes. MBSR may thus be a valuable addition to optimal asthma management, particularly for those with comorbid psychopathology.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9513112/

No Self

April 17, 2023 psyjdc Leave a comment

I asked ChatGPT “explain the buddhist idea of no self”

This is its response that is very accurate, understandable, and appropriate.

The Buddhist idea of “no self,” also known as anatta or anatman, is the concept that there is no permanent, unchanging self or soul that exists independently from the rest of the universe. Instead, Buddhism teaches that all phenomena, including individuals, are impermanent, constantly changing, and interconnected.

According to Buddhist philosophy, the concept of a fixed self or soul is a delusion that leads to suffering. The belief in a permanent self leads to attachment, clinging, and craving for things that we mistakenly think will make us happy. This attachment and clinging, in turn, lead to suffering when these things inevitably change or are taken away from us.

Buddhism teaches that our sense of self is actually a constantly changing combination of five aggregates or skandhas: form, sensation, perception, mental formations, and consciousness. These aggregates are not permanent or independent but are constantly changing and influenced by various causes and conditions.

In other words, Buddhism views the self as a process rather than a thing. It is a constantly changing and evolving phenomenon that arises due to various causes and conditions. Understanding this idea of no self can help us let go of attachment and craving, leading to a more peaceful and contented state of mind.

Yoga is an Effective Adjunct Practice for Mental Illness

April 12, 2023 psyjdc Leave a comment

Yoga is an Effective Adjunct Practice for Mental Illness

By John M. de Castro, Ph.D.

“Yoga is about clearing away whatever is in us that prevents our living in the most full and whole way. With yoga, we become aware of how and where we are restricted — in body, mind, and heart — and how gradually to open and release these blockages. As these blockages are cleared, our energy is freed. We start to feel more harmonious, more at one with ourselves. Our lives begin to flow — or we begin to flow more in our lives.” – Cybele Tomlinson

There are vast numbers of people who suffer with mental illnesses. In the United States it has been estimated that in any given year 1 in 5 people will experience a mental illness. Many are treated with drugs. But drug treatment can produce unwanted side effects, don’t work for many patients, and often can lose effectiveness over time. Mindfulness practices provide a safe alternative treatment. They have been found to be helpful with coping with these illnesses and in many cases reducing the symptoms of the diseases. Yoga practice is a mindfulness practice that includes beneficial exercise. There is accumulating research that mindfulness and yoga practices may be beneficial for patients with major mental illnesses. Hence it makes sense to step back and summarize what has been learned regarding the effectiveness of yoga practice as an adjunct therapy for mental illnesses.

In today’s Research News article “Integration of hatha yoga and evidence-based psychological treatments for common mental disorders: An evidence map.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9546402/ ) O’Shea and colleagues review and summarize the published research studies of the effectiveness of adding yoga practice to other evidence based therapies for mental illness. They identified 15 published research studies.

They report that the research used mainly cognitive behavioral therapy (CBT) or Mindfulness-Based Cognitive Therapy (MBCT) as the evidence-based therapy. They found that either incorporating yoga practice into the therapeutic technique or adding it as an adjunct therapy produced significant improvement in anxiety, depression, and post-traumatic stress disorder (PTSD). Although, there are only a small number of research studies, they suggest that yoga added to other evidence-based therapies improves the outcomes for patients with mental illnesses.

“The nature of yoga is to shine the light of awareness into the darkest corners of the body.” – Jason Crandell

CMCS – Center for Mindfulness and Contemplative Studies

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

Study Summary

O’Shea M, Capon H, Evans S, Agrawal J, Melvin G, O’Brien J, McIver S. Integration of hatha yoga and evidence-based psychological treatments for common mental disorders: An evidence map. J Clin Psychol. 2022 Sep;78(9):1671-1711. doi: 10.1002/jclp.23338. Epub 2022 Mar 21. PMID: 35315071; PMCID: PMC9546402.

Abstract

Background

Interest in the use of yoga to enhance engagement with and augment the benefits of psychological treatment has grown. However, a systematic approach to reviewing existing research examining the use of yoga with psychological treatment is lacking.

Materials and Methods

This mapping review identified and synthesised research trialling yoga as an integrated or adjunct therapy with evidence‐based psychological interventions for the treatment of anxiety, depression, PTSD, and eating disorders.

Results

Overall, the review identified ten published and three unpublished studies, representing either single group or small quasi‐experimental research designs.

Discussion

Limited but promising findings were shown for yoga with CBT for anxiety and depression, and the integration of yoga within intensive treatment models for PTSD.

Conclusions

Future research is encouraged to focus on controlled trials that enable examination of the component effect of yoga when applied with evidence‐based psychological treatment and acceptability and feasibility data to further knowledge regarding a role for yoga in clinical practice.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9546402/