Month: May 2025

Improve Mental Health and Well-Being with Yoga Practice

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Zen lounges, yoga helping HCA Houston nurses relieve stress

By John M. de Castro, Ph.D.

 

In today’s Research News article “A Systematic Review of Yoga Interventions on the Mental Health of Nursing Professionals and Students” (See summary below or view the full text of the study at: https://pmc.ncbi.nlm.nih.gov/articles/PMC12068460/ ) Arya and colleagues reviewed and summarized the published research studies on the effectiveness of yoga interventions on the mental health of nurses and nursing students. They report that the published studies found that yoga interventions significantly improved mental health including reductions in stress, depression, and burnout and significant increases in sleep quality, mindfulness, and life satisfaction.

 

Yoga is effective in improving mental health and well-being among nurses and students.

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are also available on the Contemplative Studies Blog  http://contemplative-studies.org

 

Study Summary

 

Arya RG, Srivastava D, Divya BR, Madhu, Bhargav H. A Systematic Review of Yoga Interventions on the Mental Health of Nursing Professionals and Students. Int J Yoga. 2025;18(1):13-26. doi:10.4103/ijoy.ijoy_195_24

 

Abstract

This systematic review aimed to evaluate the impact of yoga interventions on preventing and alleviating mental health issues, including stress, anxiety, burnout, depression, and other related factors among nursing professionals and students. The review adhered to the PRISMA guidelines and was registered in PROSPERO (CRD42024512366). A comprehensive literature search was conducted in Google Scholar and PubMed using keywords such as “nursing students,” “nursing professionals,” “yoga interventions,” and “mental health.” Eligible studies were randomized controlled trials (RCTs) published from 1st January 2014 to 31st December 2024, involving nursing population and yoga-based interventions targeting mental health outcomes. The risk of bias was assessed using the CASP tool. The search identified 14 RCTs (967 participants, predominantly female, age range – 18 to 69 years) that met the eligibility criteria. The yoga intervention varied in duration (10 minutes to 1 hour per session), frequency (once to five times weekly), and protocols (Laughter yoga being the most common). Mental health outcomes such as stress, anxiety, burnout, mindfulness, depression, quality of sleep, and life satisfaction were assessed. Most studies reported significant improvements in these outcomes in the yoga intervention groups compared to control groups. Nine studies showed a significant stress reduction, and 3 studies found a decrease in anxiety. No adverse effects were reported, and dropout rates varied between 0% to 52.1%. Yoga was found to be effective in improving mental health and well-being among nursing professionals and students. Yoga mainly reduced stress, anxiety, burnout, and depression, suggesting its potential as a low-cost, accessible intervention for mental health management in this population. Future studies should focus on refining protocols and exploring long-term effects to establish yoga as an integral part of mental health care for nursing professionals and students.

 

Older Adults Have Enhanced Benefits of Meditation and Precepts Practice

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Buddhism: Practices - RELIGION, PHILOSOPHY AND ETHICS AT HABERDASHERS' ABRAHAM DARBY.

By John M. de Castro, Ph.D.

 

In today’s Research News article “A comparative study of the impact of meditation and Buddhist five precepts on stress and depression between older adults and younger adults.” (See summary below or view the full text of the study at: https://pmc.ncbi.nlm.nih.gov/articles/PMC12053757/) Wongpakaran and colleagues investigated the relationships between meditation and the practice of the five precepts on stress and depression in older (average 68 years) and younger (average 29 years) adults. The five precepts involve refraining from killing or harming living beings, stealing or taking others’ property without permission, engaging in sexual misconduct, speaking falsely, and consuming alcohol or intoxicants. They report that meditation and the practice of the five precepts enhances the reductions in stress and depression in older but not younger adults.

 

Meditation and practice of the five precepts reduces stress and depression in older adults.

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are also available on the Contemplative Studies Blog  http://contemplative-studies.org

 

Study Summary

 

Wongpakaran N, Klaychaiya S, Panuspanudechdamrong C, et al. A comparative study of the impact of meditation and Buddhist five precepts on stress and depression between older adults and younger adults. Sci Rep. 2025;15(1):15739. Published 2025 May 6. doi:10.1038/s41598-025-99430-w

 

Abstract

Older adults frequently face a myriad of physical and mental health challenges, which can contribute to feelings of stress and subsequent depression. Nevertheless, with age often comes a wealth of life experience and resilience. Perceived stress commonly predicts depression across all age groups, while meditation has been associated with lower levels of depression. Additionally, adherence to the Five Precepts is a prevalent practice among Thai individuals, particularly among older adults. However, it remains unclear how the combination of meditation and the Buddhist Five Precepts influences depression levels. This study aims to explore the predictive roles of meditation, the practice of the Five Precepts, and perceived stress on depression among older adults, with comparisons drawn to younger adults. A sample of 1472 individuals (232 were older adults and 1240 were adults) participated in the study. All completed the questionnaires for depression, perceived stress, meditation, and five precepts using the core symptom index, perceived stress scale, and inner strength-based inventory. Moderation model and mediation model analyses were employed to analyze the relationship between the perceived stress scores and the symptoms of depression for both older and younger samples. In the older adults group, 59.9% were female, with a mean age of 67.96 years (SD 6.8). In the adult group, 71.3% were male, with a mean age of 29.04 years (SD 10.5). The findings revealed that among the older adults’ group, precepts, meditation, and their interaction significantly predicted a lower level of depressive symptoms (estimated coefficient = − 0.1082, 95% CI = − 0.1865, − 0.03). However, this association was not observed in the younger adults’ group (estimated coefficient = -0.0199, 95% CI = − 0.0465, 0.0066). The variance explained in depressive symptoms changed from 24.9% in the linear model of perceived stress to 31.8% in the moderated moderation model, representing a 27.7% increase. Conversely, meditation and the five precepts mediated the relationship between stress and depressive symptoms in younger people but not in older adults. The indirect effect of perceived stress was significant only through the five precepts (estimated coefficient = − 0.3173, 95% CI = − 0.4787, − 0.1558; p = .0001). The variance explained in depressive symptoms changed from 42.2% in the linear model of perceived stress to 43.2% in the mediation model, representing a 2.5% increase. This study emphasizes that older adults may experience enhanced benefits from meditation and adherence to the Five Precepts compared to younger adults. Additionally, the effectiveness of meditation appears to be influenced by the extent of precept practice. Older individuals who actively engage in both high levels of precept adherence and meditation demonstrate a more significant buffering effect on the relationship between stress and depression. These findings suggest that lifestyle factors, such as religious practices like meditation and adherence to precepts, may have a differential impact on older adults compared to younger counterparts. The implications for older individuals are promising and warrant encouragement, while further research is needed to explore relevant factors contributing to reduced depression among younger populations.

 

Improve Well-Being with Mindfulness-Based Stress Reduction (MBSR)

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Guy Checking Smartwatch When Meditating In Lotus Pose - Stock Video | Motion Array

By John M. de Castro, Ph.D.

 

In today’s Research News article “Mindfulness-based stress reduction training supplemented with physiological signals from smartwatch improves mindfulness and reduces stress, but not anxiety and depression” (See summary below or view the full text of the study at: https://pmc.ncbi.nlm.nih.gov/articles/PMC12017836/ ) Sumińska and colleagues examined the effectiveness of Mindfulness-Based Stress Reduction (MBSR) therapy alone or in combination with smartwatch provided feedback on heart rate, breath, and movement. They found that MBSR produced significant increases in mindfulness and significant decreases in stress, anxiety, eating disorder symptoms, and intrusive ruminations. The addition of smartwatch physiological feedback further enhanced mindfulness.

 

Mindfulness-Based Stress Reduction (MBSR) training improves well-being.

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are also available on the Contemplative Studies Blog  http://contemplative-studies.org

 

Study Summary

 

Sumińska S, Rynkiewicz A. Mindfulness-based stress reduction training supplemented with physiological signals from smartwatch improves mindfulness and reduces stress, but not anxiety and depression. PLoS One. 2025;20(4):e0322413. Published 2025 Apr 23. doi:10.1371/journal.pone.0322413

 

Abstract

Introduction

Mindfulness-Based Stress Reduction (MBSR) helps counteract the negative consequences of stress. An essential aspect of mind-body therapies is learning to be mindful of emotional reactions and bodily sensations, a process defined as interoceptive awareness. This awareness can also be enhanced by providing physiological feedback from a smartwatch. However, the impact of using smartwatch-generated physiological signals during mindfulness training has not been studied yet. The study aims at verifying, whether physiological signals from a smartwatch would support the MBSR.

Methods

We conducted a mixed-design randomized controlled trial to investigate the effects of MBSR training, with and without monitoring physiological signals via a smartwatch, on mental functioning parameters, with measurements taken at baseline and after 8 weeks. Participants were classified into three groups (N = 72): the MBSR group, the MBSR + smartwatch group, and the control group. Between measurement sessions, two groups of participants were engaged in MBSR training, while the third group did not participate in any training.

Results

Results showed a significant reduction in subjectively perceived stress levels, eating disorder symptoms, and intrusive ruminations in both groups participating in MBSR, compared to the control group. However, a notable difference emerged between the two MBSR groups: in the group with smartwatches, a significant increase in mindfulness was observed. In contrast, in the MBSR group without smartwatches, there was a significant decrease across multiple stress-related components, including: anxiety, cognitive impairment, addictions, sleep disorders symptoms, behaviors indicating lack of entertainment, and poor functioning.

Conclusions

The results suggest that supplementing MBSR with monitoring interoceptive signals by a smartwatch enhances mindfulness, and maintains the effect of stress and eating disorders symptoms reduction but does not decrease anxiety nor improve general mental functioning. This imposes the need for further research to investigate mechanisms involved when observing interoceptive signals by a smartwatch.

 

Mindfulness is not Improved by Neurofeedback

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Figure 1

By John M. de Castro, Ph.D.

 

In today’s Research News article “Consumer-Grade Neurofeedback With Mindfulness Meditation: Meta-Analysis” (See summary below or view the full text of the study at: https://pmc.ncbi.nlm.nih.gov/articles/PMC12046271/) Treves and colleagues reviewed, summarized, and performed a meta-analysis of the published research studies on the effectiveness of neurofeedback, produced by a readily available commercial neurofeedback device, on mindfulness, and physiological and psychological health. They report that the published findings found only a small positive effect on psychological distress but, in general, no effects on mindfulness or physiological and psychological health.

 

Neurofeedback does no improve mindfulness.

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are also available on the Contemplative Studies Blog  http://contemplative-studies.org

 

Study Summary

 

Treves I, Bajwa Z, Greene KD, et al. Consumer-Grade Neurofeedback With Mindfulness Meditation: Meta-Analysis. J Med Internet Res. 2025;27:e68204. Published 2025 Apr 17. doi:10.2196/68204

 

Abstract

Background

There is burgeoning interest in the application of neuroscientific technology to facilitate meditation and lead to beneficial psychological outcomes. One popular approach is using consumer-grade neurofeedback devices to deliver feedback on brain targets during meditation (mindfulness-based neurofeedback). It is hypothesized that optimizing brain targets like alpha and theta band activity may allow meditators to experience deeper mindfulness and thus beneficial outcomes.

Objective

This study aimed to systematically review and meta-analyze the impacts of consumer-grade mindfulness-based neurofeedback compared with control conditions. Included studies involved mindfulness practice operationalized as open monitoring or focused attention meditation. This study was preregistered.

Methods

A total of 16 randomized controlled training trials, as well as 5 randomized within-participant designs were included, encompassing 763 and 167 unique participants, respectively. Effects were categorized outcomes (ie, psychological distress, cognitive function, and physiological health) and process variables (ie, state mindfulness and brain measures). Study risk of bias, reporting bias, and publication bias were assessed.

Results

Samples were typically small (n=30-50), and the majority of studies used mindfulness apps as controls. To deliver neurofeedback, most studies used the Muse device (11/16 randomized controlled trials [RCTs]). There was a modest effect for decreases in psychological distress compared with controls (k=11, g=–0.16, P=.03), and heterogeneity was low (I2< 0.25). However, there was no evidence for improvements in cognition (k=7, g=0.07, P=.48), mindfulness (k=9, g=0.02, P=.83), and physiological health (k=7, g=0.11, P=.57) compared to controls. Mechanistic modulation of brain targets was not found in RCTs or within-participant designs. Sex (male or female), age, clinical status, study quality, active or passive controls, sample size, and neurofeedback duration did not moderate effects. There was some evidence for reporting bias, but no evidence of publication bias. Adverse effects were not assessed in 19 out of 21 studies and not found in the 2 studies that assessed them.

Conclusions

Assertions that consumer-grade devices can allow participants to modulate their brains and deepen their meditations are not currently supported. It is possible that neurofeedback effects may rely on “neurosuggestion” (placebo effects of neurotechnology). Future research should examine more extensive calibration and individualization of devices, larger sample sizes, and gold-standard sham-controlled RCTs.

 

Transcendental Meditation Improves the Symptoms of Post-Traumatic Stress Disorder

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What Is Transcendental Meditation? Benefits, Techniques, & More

By John M. de Castro, Ph.D.

 

In today’s Research News article “Systematic Review and Meta-Analysis of Transcendental Meditation for Post-Traumatic Stress Disorder” (See summary below or view the full text of the study at: https://pmc.ncbi.nlm.nih.gov/articles/PMC12028398/) Orme-Johnson and colleagues review, summarize and perform a meta-analysis of the effectiveness of Transcendental Meditation (TM) for the treatment of Post-Traumatic Stress Disorder (PTSD). They report that the published studies found that TM significantly improves the symptoms of PTSD in miliary and civilian patients.

 

Meditation improves the symptoms of Post-Traumatic Stress Disorder.

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are also available on the Contemplative Studies Blog  http://contemplative-studies.org

 

Study Summary

 

Orme-Johnson DW, Barnes VA, Rees B, Tobin J. Systematic Review and Meta-Analysis of Transcendental Meditation for Post-Traumatic Stress Disorder. Medicina (Kaunas). 2025;61(4):659. Published 2025 Apr 3. doi:10.3390/medicina61040659

 

Abstract

Background and Objectives. Our recent systematic review and meta-analysis of all studies on meditation as treatment for PTSD (61 studies) found a moderate effect size of Hedges’s g = −0.67 for post-minus-pre change in symptom scores. Separate tests of the four meditation categories found a large effect size of g = −1.13 for the Transcendental Meditation (TM) technique that is significantly greater than for each other category. The present follow-up used a different method, calculating effects relative to internal controls, to better characterize the effects of this meditation technique. Materials and Methods. Our study followed Prisma guidelines. Major databases, research anthologies, and bibliographies were searched for studies that used TM for treating PTSD, all military and civilian populations, and all age groups. Results. The searches located 15 controlled trials on TM that met the inclusion criteria (longitudinal and reporting sufficient statistics to calculate effect sizes), 1248 subjects total, mean age 40.5 years (range 20.6 to 54.4 years), and 46.9% males (range 0% to 100%). Using the random effects model, the pooled effect across all studies of TM compared to other treatments was g = −1.01, 95% CI = −1.29 to −0.74, p < 0.000000001. One-study removed analysis found that no study reduced the pooled effect to less than −1.0. Funnel plots indicated no risk of bias. TM was non-inferior to prolonged exposure therapy, p = 0.0001, and it worked significantly faster (p = 0.04 at week six). Conclusions. TM produced clinically meaningful reductions in PTSD for civilian and military personnel, young and older adults, and for both men and women. We recommend phase-III multisite studies comparing TM with known first-line treatments for PTSD.

 

Spirituality has Positive Relationships with Well-being and Quality of Life in Patients with Rheumatic Diseases

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Spirituality, religion linked to heart health among Black Americans | National Institutes of Health (NIH)

By John M. de Castro, Ph.D.

 

In today’s Research News article “The Effect of Medication Adherence and Spirituality in Quality of Life of Patients with Rheumatic Diseases” (See summary below or view the full text of the study at: https://pmc.ncbi.nlm.nih.gov/articles/PMC11855639/) Kavvadia and colleagues examined the relationships of spirituality with health and quality of life in patients with the  Rheumatic Diseases of rheumatoid arthritis or lupus, They report that spirituality is significantly associated with the quality of life of these patients and their physical and psychological health.

 

Spirituality was associated with enhanced well-being and quality of life in patients with Rheumatic Diseases.

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are also available on the Contemplative Studies Blog  http://contemplative-studies.org

 

Study Summary

 

Kavvadia M, Saridi M, Toska A, et al. The Effect of Medication Adherence and Spirituality in Quality of Life of Patients with Rheumatic Diseases. Healthcare (Basel). 2025;13(4):436. Published 2025 Feb 18. doi:10.3390/healthcare13040436

 

Abstract

Background: Spirituality is significantly associated with the quality of life of patients suffering from rheumatic diseases, helping them to cope with pain and improve emotional well-being. There is a gap in the literature regarding the relationship between spirituality, quality of life and treatment adherence in patients with rheumatic diseases, especially rheumatoid arthritis (RA) and systemic lupus erythematosus (SLE), as relevant studies, especially in the Greek population, are limited. Aims: The present study aimed to evaluate the effect of medication adherence and spirituality on the quality of life of patients with rheumatic diseases. Methods: This was a cross-sectional study conducted in adult patients with rheumatoid arthritis and systemic lupus erythematosus from the region of Crete. Data were collected via a self-administrated questionnaire consisting of four parts, including questions regarding demographic and clinical information; the WHOQoL-BREF, 3, FACIT-Sp-12, and SMAQ questionnaires were used. The level of statistical significance was set at α = 0.05 for all analyses. Results: The study sample consisted of 115 participants, with the majority being women (90%). The majority of the participants suffered from RA (62%), while 38% suffered from SLE. The mean age of the participants was 49.15 years (SD = 11.7), and 46% described their health as good. We found that the dimensions of spirituality are positively related to the dimensions of quality of life. The peace dimension has a strong correlation with psychological health (r = 0.679, p < 0.001) and overall quality of life (QOL Global, r = 0.671, p < 0.001). Meaning also shows a positive correlation with psychological health (r = 0.563, p < 0.001) and overall quality of life (r = 0.506, p < 0.001), whereas adherence to medication shows a low but positive correlation with overall spirituality (r = 0.192, p = 0.040). Conclusions: The findings support that spirituality can be a protective mechanism, improving the mental resilience and adaptability of patients. This study has the potential to contribute to the development of evidence-based guidelines for the integration of spiritual care into clinical practice, with the objective of enhancing the psychological well-being and overall quality of life of patients with rheumatic diseases.

Improve Alzheimer’s Disease Symptoms with Yoga Practice

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To reduce pre-Alzheimer's cognitive impairment, get to the yoga mat | UCLA

By John M. de Castro, Ph.D.

 

In today’s Research News article “Yoga an integrated mind body intervention for improvement in quality of life in individuals with Alzheimer’s disease and their caregivers” (See summary below or view the full text of the study at: https://pmc.ncbi.nlm.nih.gov/articles/PMC11968721/) Kaushik and colleagues investigated the effects of a 12-week yoga practice intervention on depression, cognitive abilities and quality of life of patients with Alzheimer’s Disease and the difficulties of caregiving. They report that yoga practice significantly reduced depression and increased cognitive ability and quality of life in the patients and significantly reduced the burden of caregiving.

 

Yoga practice improves the symptoms of patients with Alzheimer’s disease and their caregivers difficulties.

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are also available on the Contemplative Studies Blog  http://contemplative-studies.org

 

Study Summary

 

Kaushik M, Yadav A, Upadhyay A, et al. Yoga an integrated mind body intervention for improvement in quality of life in individuals with Alzheimer’s disease and their caregivers. Front Aging. 2025;6:1449485. Published 2025 Mar 21. doi:10.3389/fragi.2025.1449485

 

Abstract

Background and objective

Alzheimer’s disease (AD) presents profound challenges, significantly impairing quality of life (QOL) for patients and increasing the burden on caregivers. This study aims to investigate the effectiveness of a tailored 12-week yoga intervention in improving the quality of life for individuals with mild to moderate AD and reducing caregiver burden (CB).

Methods

This is yoga interventional study with healthy controls enrolled 30 participants (18 males, 12 females) diagnosed with mild to moderate AD by an expert neurologist. Participants were aged 60 years or older and were recruited from an old age home. A 12-week yoga program, including specific postures (asanas), pranayama (breathing exercises), and meditation, was conducted for 1 hour daily, 6 days a week. Neurocognitive assessments were performed pre- and post-intervention using the Geriatric Depression Scale (GDS), Montreal Cognitive Assessment (MoCA), and Caregiver Burden (CB) Scale. MoCA scores were analyzed across specific domains, including language, memory, attention, visuospatial ability, delayed recall, abstraction, and orientation.

Results

The intervention led to significant improvements in quality-of-life measures. GDS scores decreased from 8.36 ± 2.79 to 5.13 ± 3.07 (P < 0.01; 95% CI: −3.98 to −2.31), while MoCA total scores improved from 18.23 ± 4.90 to 21.10 ± 5.09 (P < 0.01; 95% CI: 2.17–3.89). Domain-specific MoCA scores also showed significant enhancements, particularly in language, attention, and delayed recall. Caregiver burden, measured using the CB Scale, demonstrated notable reductions following the intervention (P < 0.01; 95% CI: −2.54 to −1.23).

Conclusion

This study underscores the significant improvements in depression and cognitive function, and overall quality of life in individuals with mild to moderate AD. Additionally, the intervention alleviated caregiver burden, highlighting its potential as an effective mind-body approach for AD management.