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Mindfulness-Based Cognitive Therapy (MBCT) Plus Loving-Kindness Mediation is highly Effective in Depressed Patients

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Mindfulness-Based Cognitive Therapy (MBCT) Plus Loving-Kindness Mediation is highly Effective in Depressed Patients

 

By John M. de Castro, Ph.D.

 

“MBCT can provide a viable relapse prevention intervention for people with a history of recurrent depression.” – Catherine Crane

 

Clinically diagnosed depression is the most common mental illness, affecting over 6% of the population. Major depression can be quite debilitating. Depression can be difficult to treat and is usually treated with anti-depressive medication. But, of patients treated initially with drugs, only about a third attained remission of the depression. After repeated and varied treatments including drugs, therapy, exercise etc. only about two thirds of patients attained remission. But drugs often have troubling side effects and can lose effectiveness over time. In addition, many patients who achieve remission have relapses and recurrences of the depression. Even after remission some symptoms of depression may still be present (residual symptoms). So, it is important that other treatments be identified that can relieve the suffering.

 

Mindfulness training is an alternative treatment for depression. It has been shown to be an effective treatment for depression and its recurrence and even in the cases where drugs fail. Mindfulness-Based Cognitive Therapy (MBCT) was specifically developed to treat depression. MBCT involves mindfulness training, containing sitting, walking and body scan meditations, and cognitive therapy that attempts to teach patients to distinguish between thoughts, emotions, physical sensations, and behaviors, and to recognize irrational thinking styles and how they affect behavior. MBCT has been found to be effective in treating depression.

 

Loving Kindness Meditation (LKM) is designed to develop kindness and compassion to oneself and others. The individual systematically pictures different individuals from self, to close friends, to enemies and wishes them happiness, well-being, safety, peace, and ease of well-being. Although LKM has been practiced for centuries, it has received very little scientific research attention. But it may be effective in counteracting the effects of stress and self-criticism. It is not known how effective the combination of Mindfulness-Based Cognitive Therapy (MBCT) and Loving Kindness Meditation might be in treating depression.

 

In today’s Research News article “A study on the effects of mindfulness-based cognitive therapy and loving-kindness mediation on depression, rumination, mindfulness level and quality of life in depressed patients.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8205847/ ) Wang and colleagues recruited adult patients with depression and randomly assigned them to receive either regular care or to receive 1 hour once per day for 1 week Loving Kindness Meditation followed by 8 weeks, once per week of Mindfulness-Based Cognitive Therapy (MBCT) also with Loving Kindness Meditation practice. Regular care consisted of “basic knowledge of depression, common drugs, possible adverse drug reactions, and prevention of adverse reactions . . . Face-to-face communication with patients was conducted regularly to understand their thoughts, evaluate the depression degrees of patients, so as to provide psychological support for depressed patients, and care for patients in daily life.” They were measured at baseline and at 2, 4, 6, and 8 weeks for mindfulness, depression, rumination, quality of life, self-acceptance, and sense of stigma.

 

They found that both groups significantly decreased in depression, sense of stigma, and rumination and increased in mindfulness, self-acceptance and quality of life over the 8 weeks. But the intervention group improved significantly more than the control group on all measures.

 

Previous research has shown that mindfulness training produces significant decreases in depression and rumination and increases in self-acceptance and quality of life. What is new here is that they found that the combination of Mindfulness-Based Cognitive Therapy (MBCT) and Loving Kindness Meditation was significantly more effective than the conventional psychological intervention. This is important but must be followed up to see if the improvements in the patients with depression are sustained over longer periods of time.

 

So, Mindfulness-Based Cognitive Therapy (MBCT) plus Loving-Kindness Mediation is highly effective in depressed patients.

 

“MBCT leads to a decrease in depressive symptoms, reduction in depression relapse rate and improvement in terms of mindfulness.” – Zulkiflu ArgunguMusa

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Wang, Y., Fu, C., Liu, Y., Li, D., Wang, C., Sun, R., & Song, Y. (2021). A study on the effects of mindfulness-based cognitive therapy and loving-kindness mediation on depression, rumination, mindfulness level and quality of life in depressed patients. American journal of translational research, 13(5), 4666–4675.

 

Abstract

Objective: To analyze the effects of mindfulness-based cognitive therapy (MBCT) plus loving-kindness mediation (LKM) in depressed patients. Methods: A total of 125 depressed patients diagnosed in the Department of Psychiatry of our hospital were selected as the research subjects and were randomly divided into a control group (n=62) and an observation group (n=63). The control group was treated with conventional psychological intervention, while the observation group was treated with MBCT plus LKM. The therapeutic outcomes were compared between the two groups. Results: At 2, 4, 6 and 8 weeks after intervention, the Hamilton Depression Rating Scale (HAMD) scores and the scores for introspection and deliberation, forced thinking, rumination of symptoms, treatment, ability and social relationships in the observation group were lower than those in the control group, while Five Facet Mindfulness Questionnaire (FFMQ) scores and the scores for psychology, environment, physiology, social relations, self-acceptance, and self-evaluation in the observation group were higher than those in the control group (P < 0.05). Conclusion: MBCT plus LKM can effectively improve depression, rumination, mindfulness level, quality of life, the sense of stigma and degree of self-acceptance in depressed patients.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8205847/

 

Improve Major Depression with Yoga

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Improve Major Depression with Yoga

 

By John M. de Castro, Ph.D.

 

“Kriya yoga may be an effective, low-cost, non-drug approach to help patients who do not respond to antidepressants.” – Anup Sharma

 

Depression affects over 6% of the population. Depression can be difficult to treat. It is usually treated with antidepressant medication. But, of patients treated initially with drugs only about a third attained remission of the depression. After repeated and varied treatments including drugs, therapy, exercise etc. only about two thirds of patients attained remission. But drugs often have troubling side effects and can lose effectiveness over time. Being depressed and not responding to treatment or relapsing is a terribly difficult situation. The patients are suffering and nothing appears to work to relieve their intense depression. Suicide becomes a real possibility. So, it is imperative that other treatments be identified that can relieve the suffering.

 

Mindfulness training is an alternative treatment for depression. It has been shown to be an effective treatment for depression and its recurrence and even in the cases where drugs fail.  Another effective alternative treatment is exercise. But it is difficult to get depressed people, who lack energy, to engage in regular exercise. Yoga is a contemplative practice that is both a mindfulness practice and an exercise. It has been shown to be effective in the treatment of depression. So, it makes sense to further study the effectiveness of yoga for major depression.

 

In today’s Research News article “Kriya Yoga in Patients with Depressive Disorders: A Pilot Study.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8079176/) Srivastava and colleagues recruited adult patients with major depressive disorder who were taking psychotropic medications and offered them Kriya yoga therapy. Those who chose not to participate were assigned to the control condition. Kriya yoga consisted of poses, breathing exercises, chanting, mantra repetition, meditation, and relaxation. For the first 2 weeks they were provided daily 45-minute instruction and practice followed by 6 weeks of 20-minute daily home practice. They were measured before training and at 2, 4, 6, and 8 weeks for depression characteristics and their level of depression.

 

They found that in comparison to baseline and the control condition, the participants who practiced Kriya yoga had significantly greater decreases in depression at 2, 4, 6, and 8 weeks. All of the participants in the Kriya yoga group achieved remission by 4 weeks while only 24% of the control group did.

 

The results must be interpreted carefully as the participants were not randomly assigned but rather self-selected to practice yoga or not and there was no follow-up after the completion of training to ascertain if the benefits last beyond the training period. Nevertheless, the participants that selected Kriya yoga in addition to psychotropic medication had faster and greater recovery from their major depressive disorder than participants taking psychotropic medications alone. These are encouraging results and should be followed up with a randomized controlled trial with long-term follow-up.

 

So, improve major depression with yoga.

 

“A breathing-based meditation practice known as Sudarshan Kriya yoga helped alleviate severe depression in people who did not fully respond to antidepressant treatments.” – Science Daily

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Srivastava, A., Kuppili, P. P., Gupta, T., Nebhinani, N., & Chandani, A. (2021). Kriya Yoga in Patients with Depressive Disorders: A Pilot Study. Journal of neurosciences in rural practice, 12(2), 362–367. https://doi.org/10.1055/s-0041-1726618

 

Abstract

Background and Objectives  Despite the easy acceptability and holistic nature of Kriya yoga, there are no studies evaluating the role of Kriya yoga intervention on depression. The objective of the current study was to assess the feasibility and effect of adjunctive Kriya yoga on depression.

Methods  Patients with major depressive disorder who opted for Kriya yoga were recruited into the intervention group (adjunctive Kriya yoga) and those on psychotropic medication alone were enrolled into the control group. The Hamilton Depression Rating Scale (HDRS) measurements were recorded at baseline, end of 2, 4, and 8 weeks.

Results  HDRS scores of the intervention group ( n = 29) were found to be significantly lesser than that of the control group ( n = 52) by the end of 2, 4, and 8 weeks. The remission rate was also significantly greater in the intervention group.

Conclusion  Kriya yoga intervention was found to be feasible, as well as improved the severity of depression.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8079176/

Spirituality is Associated with Fewer Suicide Attempts

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Spirituality is Associated with Fewer Suicide Attempts

 

By John M. de Castro, Ph.D.

 

“spirituality can engender the perspective that things happen for some reason and serve a greater purpose. This, in turn, deploys our attention toward the potential for a brighter future, which can create a sense of optimism even when one’s situation seems dire.” – David Rosmarin

 

Around 43,000 people take their own lives each year in the US. Someone dies from suicide every 12.3 minutes. Worldwide over 800,000 people die by suicide every year. The problem is far worse than these statistics suggest as it has been estimated that for every completed suicide there were 12 unsuccessful attempts. In other words, about a half a million people in the U.S. attempt suicide each year. Yet compared with other life-threatening conditions there has been scant research on how to identify potential suicide attempters, intervene, and reduce suicidality.

 

Depression and other mood disorders are the number-one risk factor for suicide. More than 90% of people who kill themselves have a mental disorder, whether depression, bipolar disorder or some other diagnosis. So, the best way to prevent suicide may be to treat the underlying cause. For many this means treating depression. Spirituality may help to provide meaning and prevent suicide. But there is scant research on the relationship of spirituality and religiosity and suicide.

 

In today’s Research News article “Factors Related to Suicide Attempts: The Roles of Childhood Abuse and Spirituality.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8044867/ ) Tae and Chae recruited patients with anxiety or depressive disorders and had them complete measures of suicide attempts, anxiety, depression, childhood trauma, spiritual well-being, and social support. 25% of the participants indicated that they had attempted suicide.

 

They found that in comparison to non-suicide attempters, the participants who had attempted suicide had significantly higher levels of anxiety, depression, emotional, physical, and sexual abuse, and emotional and physical neglect and significantly lower levels of spirituality and social support. A hierarchal regression revealed that a high level of emotional abuse and a high level of sexual abuse as well as low spirituality predicted suicide attempts. A mediation analysis revealed that childhood emotional, sexual abuse, and low spirituality were all significant direct predictors of suicide attempts and also significant indirect predictors such that abuse and low spirituality were associated with higher levels of depression which, in turn was associated with suicide attempts.

 

These results are correlational. So, no conclusions concerning causation can be reached. But the associations are clear. Depression, childhood emotional and sexual abuse, and low spirituality are all associated with suicide attempts. It is also clear that in addition to being directly associated with suicide attempts, childhood emotional and sexual abuse, and low spirituality also are associated with higher levels of depression which, in turn, is associated with suicide attempts.

 

Childhood emotional and sexual abuse are clearly risk factors for suicide and should be viewed as red flags in evaluating a patient. But these abuses occurred in the past and cannot be changed. Spirituality on the other hand can change. There are many religious and contemplative practices that can improve spirituality. The present results suggest that this may be helpful and lowering depression and preventing suicide. Future research is needed to investigate this idea, that increasing spirituality can decrease suicide risk.

 

So, spirituality is associated with fewer suicide attempts.

 

“I personally think spirituality is a part of each of our beings. It has been the difference in my life and has walked me back from the place where I thought suicide was my only option.” – Kelli Evans

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Tae, H., & Chae, J. H. (2021). Factors Related to Suicide Attempts: The Roles of Childhood Abuse and Spirituality. Frontiers in psychiatry, 12, 565358. https://doi.org/10.3389/fpsyt.2021.565358

 

Abstract

Objectives: The purpose of this article was to identify independent factors associated with suicide attempts in patients with depression and/or anxiety.

Background and Aims: This study was conducted in order to examine whether risk and protective psychological factors influence the risk of suicide attempts among outpatients with anxiety and/or depressive disorders. In this regard, explanatory models have been reported to detect high-risk groups for suicide attempt. We also examined whether identified factors serve as mediators on suicide attempts.

Materials and Methods: Patients from 18 to 65 years old from an outpatient clinic at Seoul St. Mary’s Hospital were invited to join clinical studies. From September 2010 to November 2017, a total of 737 participants were included in the final sample. The Beck Depression Inventory (BDI), State-Trait Anxiety Inventory (STAI), Childhood Trauma Questionnaire (CTQ), Functional Assessment of Chronic Illness Therapy-Spiritual Well-being Scale (FACIT-Sp-12), and Functional Social Support Questionnaire (FSSQ) were used to assess psychiatric symptoms. An independent samples t-test, a chi-square test, hierarchical multiple regression analyses, and the Baron and Kenny’s procedures were performed in order to analyze data.

Results: Young age, childhood history of emotional and sexual abuse, depression, and a low level of spirituality were significant independent factors for increased suicide attempts. Depression was reported to mediate the relationship between childhood emotional and sexual abuse, spirituality, and suicide attempts.

Conclusions: Identifying the factors that significantly affect suicidality may be important for establishing effective plans of suicide prevention. Strategic assessments and interventions aimed at decreasing depression and supporting spirituality may be valuable for suicide prevention.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8044867/

 

Relieve Loneliness with Meditation

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Relieve Loneliness with Meditation

 

By John M. de Castro, Ph.D.

 

“When we can rest in the middle [of meditation], we begin to have a nonthreatening relationship with loneliness, a relaxing and cooling loneliness that completely turns our usual fearful patterns upside down.” – Pema Chodron

 

Humans are social animals. We are generally happiest when we’re with family and friends. Conversely, being without close social contact makes us miserable. It’s the close relationship that is so important as we can be around people all day at work and still feel deep loneliness. These contacts are frequently superficial and do not satisfy our deepest need. It is sometimes said that we live in “the age of loneliness.” It is estimated that 20% of Americans suffer from persistent loneliness. This even when we are more connected than ever with the internet, text messaging, social media, etc. But these create the kinds of superficial contacts that we think should be satisfying, but are generally not. This has led to the counterintuitive findings that young adults, 18-34, have greater concerns with loneliness than the elderly.

 

The consequences of loneliness are dire. It has been estimated that being socially isolated increases mortality by 14%. This is twice the elevation produced by obesity. Even worse, for people over 60, loneliness increases their risk of death by 45%. When a spouse loses a marital partner there’s a 30% increase in mortality in the 6-months following the death. Hence, loneliness is not only an uncomfortable and unhappy state, but it is also a threat to health and longevity. It is clear that this epidemic of loneliness needs to be addressed.

 

Mindfulness has been found to reduce loneliness. The research is accumulating. So, it makes sense to step back and summarize what has been learned. In today’s Research News article “Saini, G. K., Haseeb, S. B., Taghi-Zada, Z., & Ng, J. Y. (2021). The effects of meditation on individuals facing loneliness: a scoping review.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8140565/ ) Saini and colleagues review and summarize the published research studies on the effectiveness of meditation as a treatment for loneliness.

 

They identified 13 published randomized controlled trials and report that the studies were relatively small but found that meditation produced a significant reduction in loneliness. How meditation may have its effects on loneliness is not known. Meditation, though has been shown to increase emotion regulation and positive emotions and reduce negative emotions in general and these effects may generalize to loneliness. Also, meditation produces acceptance of experience as it is and this may allow the individual to accept their loneliness and not fight against it. Regardless, it is clear that meditation practice is helpful in treating loneliness.

 

So, relieve loneliness with meditation.

 

“By making us feel connected to everyone and everything, meditation cancels out the detrimental mental, emotional, and physical effects of loneliness.” –  Eoc Institute

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Saini, G. K., Haseeb, S. B., Taghi-Zada, Z., & Ng, J. Y. (2021). The effects of meditation on individuals facing loneliness: a scoping review. BMC psychology, 9(1), 88. https://doi.org/10.1186/s40359-021-00585-8

 

Abstract

Background

Meditation is defined as a mind and body practice focused on interactions between the brain, mind, body, and behaviour, containing four key elements: a quiet location with little distractions, a comfortable posture, a focus of attention, and an open attitude. We sought to review the benefits of meditation on the alleviation of loneliness.

Methods

A scoping review was conducted based on Arksey and O’Malley’s five-stage framework. Eligibility criteria included primary studies of any type that investigated the effects of meditation on loneliness. Search strategies were developed and conducted on MEDLINE, EMBASE, AMED, and CINAHL. The National Center for Complementary and Integrative Health, and American Psychological Association websites were also searched. Articles meeting the inclusion criteria were critically reviewed using a descriptive-analytical narrative method.

Results

Thirteen studies met our inclusion criteria and were published between 2012 and 2020 across 10 countries. Eleven studies reported improvements in relation to loneliness. Of the remaining two studies (15%), one mentioned the alleviation of loneliness, but only looked primarily at social closeness in lonely individuals. The other study found a correlation between loneliness and nuclear factor (NF)-κB levels, which was the measured outcome; however, the direct effects of meditation on loneliness were unclear. Three main themes emerged from our analysis, as follows: 1) positive results across all studies, 2) relatively small randomized control trials conducted over the last decade, and 3) lack of diverse demographic information.

Conclusions

While a small number of studies exist at this intersection, given all included studies indicated positive findings, the effects of meditation in alleviating loneliness are promising. Future research should be directed at understanding how meditation mitigates loneliness and how this intervention can impact practice for healthcare professionals.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8140565/

 

Meditation Increases Functional Connectivity of Brain Networks

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Meditation Increases Functional Connectivity of Brain Networks

 

By John M. de Castro, Ph.D.

 

“It seems the longer you do meditation, the better your brain will be at self-regulation,” – Bin He

 

Mindfulness training has been shown through extensive research to be effective in improving physical and psychological health and particularly with reducing the physical and psychological reactions to stress. There are a number of ways that meditation practices produce these benefits, including changes to the brain and physiology. The nervous system changes in response to how it is used and how it is stimulated in a process called neuroplasticity. Highly used areas grow in size, metabolism, and connectivity. Mindfulness practices in general are known to produce these kinds of changes in the structure and activity of the brain. There is little research, however, on how these changes develop with meditation.

 

In today’s Research News article “Longitudinal effects of meditation on brain resting-state functional connectivity.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8166909/ ) Zhang and colleagues recruited novice meditators enrolled in a university meditation course. They practiced focused attention meditation over 2 months twice a week in class and at home 5 times per week for 10 minutes. Before and after training the students had their brains scanned with functional Magnetic Resonance Imaging (f-MRI).

 

They found that after the 2-month meditation training the participants had significant increases in the functional connectivity within the Dorsal Attention Network of the brain and between the Dorsal Attention Network and the Default Mode Network and also between the Default Mode Network and the visual cortex.

 

The Dorsal Attention Network is a series of structures in the brain that are associated with attentional focusing while the Default Mode Network is a series of structures in the brain that are associated with self-referential thought and mind wandering. Typically, during focused attention meditation, particularly in novice meditators, the mind switches back and forth between focus on the object of meditation and unfocused mind wandering. During mind wandering, visualizations of this content often occur. This usually occurs repeatedly during the meditation session. This switching involves going back and forth between the Dorsal Attention Network and the Default Mode Network and the visual areas of the brain. The brain scan findings indicate that this results in an increase in the functional connectivity between the two networks. Hence, the changes in the mental contents during meditation are reflected in brain activity.

 

So, meditation increases functional connectivity of brain networks.

 

“So, not only did meditation change the structures in the participants’ brains, it also changed how they felt.” – Lela Moore

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Zhang, Z., Luh, W. M., Duan, W., Zhou, G. D., Weinschenk, G., Anderson, A. K., & Dai, W. (2021). Longitudinal effects of meditation on brain resting-state functional connectivity. Scientific reports, 11(1), 11361. https://doi.org/10.1038/s41598-021-90729-y

 

Abstract

Changes in brain resting-state functional connectivity (rsFC) were investigated using a longitudinal design by following a 2-month focused attention meditation (FAM) practice and analyzing their association with FAM practice time. Ten novice meditators were recruited from a university meditation course. Participants were scanned with a resting-state fMRI sequence with multi-echo EPI acquisition at baseline and at the 2-month follow-up. Total FAM practice time was calculated from the daily log of the participants. We observed significantly increased rsFC between the posterior cingulate cortex (PCC) and dorsal attention network (DAN), the right middle temporal (RMT) region and default mode network (DMN), the left and right superior parietal lobules (LSPL/RSPL) and DMN, and the LSPL/RSPL and DAN. Furthermore, the rsFC between the LSPL and medial prefrontal cortex was significantly associated with the FAM practice time. These results demonstrate increased connectivity within the DAN, between the DMN and DAN, and between the DMN and visual cortex. These findings demonstrate that FAM can enhance the brain connection among and within brain networks, especially DMN and DAN, indicating potential effect of FAM on fast switching between mind wandering and focused attention and maintaining attention once in the attentive state.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8166909/

 

Increase Athletic Flow and Resilience with Mindfulness

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Increase Athletic Flow and Resilience with Mindfulness

 

By John M. de Castro, Ph.D.

 

“Mindfulness shares similarities with flow state, and because it is based on moment-to-moment experiences, it can promote attention regulation, emotional regulation, and body awareness.” – Jian-Hong Chen

 

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

 

Flow refers to a state of mind that is characterized by a complete absorption with the task at hand, often resulting in enhanced skilled performance. The flow state underlies the athletes’ feelings and thoughts when they recall the best performances of their careers. It is obvious that the notion of flow and mindfulness have great similarity. There is little known, however, about the relationship between mindfulness and flow in athletes.

 

In today’s Research News article “Examining the Effects of Brief Mindfulness Training on Athletes’ Flow: The Mediating Role of Resilience.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8166472/ ) Liu and colleagues recruited student athletes and randomly assigned them to receive a 30-minute audio recording with exercises about mindfulness or the news. Before and after training the students were measured for mindfulness, flow, and resilience.

 

They found that compared to baseline and the control group, the athletes who received the brief mindfulness instruction had significant increases in flow, resilience, and mindfulness, including the observing, describing, and nonreactivity facets of mindfulness. Further mediation analysis revealed that mindfulness affected flow directly and also indirectly by increasing resilience which in turn increased flow.

 

Previous research has demonstrated that mindfulness training increased resilience and flow. The present study, though, is remarkable in that such a brief (30 minute) mindfulness training produced such significant results. The study, however, is artificial as affects on actual athletic performance was not measured. It would be interesting in future studies to observe whether a brief mindfulness training would improve the students’ actual athletic performances.

 

So, increase athletic flow and resilience with mindfulness.

 

“athletes perform better when experiencing flow and that mindfulness meditation for athletes can help them experience flow.” – Ertheo

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Fengbo Liu, Zhongqiu Zhang, Shuqiang Liu, Nan Zhang. Examining the Effects of Brief Mindfulness Training on Athletes’ Flow: The Mediating Role of Resilience. Evid Based Complement Alternat Med. 2021; 2021: 6633658. Published online 2021 May 24. doi: 10.1155/2021/6633658

 

Abstract

Background

Flow is characterized by the strong concentration in competitions, eliminating irrelevant thoughts and emotions, integrating all tasks, and continuing the competition smoothly even in challenging situations. The present study was into whether or not brief mindfulness training can improve athletes’ flow and further explore the mediating effect of resilience in the intervention.

Methods

The 2 (experimental conditions) × 2 (time) mixed design was used in this study. Fifty-seven student-athletes were recruited and randomly assigned into either a brief mindfulness group (n = 29) or a control group (n = 28). Before and after the intervention, every participant completed a self-report measure including mindfulness, flow, and resilience.

Results

Participants in the brief mindfulness group showed increased mindfulness, flow, and resilience (p < 0.001) after brief mindfulness training; when putting resilience change (B = 0.30, 95% CI [0.031, 0.564]) into the equation, the direct (95% CI [3.156, 13.583]) and indirect (95% CI [0.470, 5.048]) effects of mindfulness training were both significant.

Conclusion

It was concluded that brief mindfulness training could significantly improve athletes’ flow and resilience, and resilience partly mediated the effects of brief mindfulness training on flow.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8166472/

 

Improve Hypertension and Hyperlipidemia in Older Adults with Tai Chi

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Improve Hypertension and Hyperlipidemia in Older Adults with Tai Chi

 

By John M. de Castro, Ph.D.

 

“Tai Chi is not only a suitable exercise for elderly people with obesity, but it can also help to regulate BP, improve heart and lung function in these individuals, as well as reduce the incidence of cardiovascular disease and other chronic diseases, helping to improve their quality of life.” – Sun Lei

 

High Blood Pressure (Hypertension) is an insidious disease because there are no overt symptoms. The individual feels fine. But it can be deadly as more than 360,000 American deaths, roughly 1,000 deaths each day, had high blood pressure as a primary or contributing cause. In addition, hypertension markedly increases the risk heart attack, stroke, heart failure, and kidney disease.  It is also a very common disorder with about 70 million American adults (29%) having high blood pressure and only about half (52%) of people with high blood pressure have their condition under control. Treatment frequently includes antihypertensive drugs. But these medications often have adverse side effects. So, patients feel lousy when taking the drugs, but fine when they’re not. So, compliance is a major issue with many patients not taking the drugs regularly or stopping entirely.

 

Obviously, there is a need for alternative to drug treatments for hypertension. Mindfulness practices have been shown to aid in controlling hypertension. Mindful movement practices such Tai Chi and Qigong are ancient Chinese practices involving mindfulness and gentle movements. They are easy to learn, safe, and gentle. So, it may be appropriate for patients with hypertension who lack the ability to engage in strenuous exercises. Indeed, Tai Chi practice has been shown to reduce blood pressure.

 

In today’s Research News article “A Randomized Trial of Tai Chi on Preventing Hypertension and Hyperlipidemia in Middle-Aged and Elderly Patients.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8160700/ ) Wen and colleagues recruited patients with hypertension and hyperlipidemia between the ages of 40-75 years. They were randomly assigned to practice for 6 weeks, 3 time per week, for 60 minutes either simplified Tai Chi (24 form Yang style) or a Wu Style Tai Chi (60 forms) that was designed for hypertension and hyperlipidemia. They also practiced at home for 30 minutes a day. They were measured before and after the interventions for body size, blood pressure, blood glucose, and blood lipids.

 

They found that the patients who practiced Wu Style Tai Chi in comparison to the simplified Tai Chi had significantly greater reductions in both systolic and diastolic blood pressure, triglycerides, and LDL Cholesterol and greater increases in HDL Cholesterol in comparison to baseline. In addition, a greater percentage of patients who practiced Wu Style Tai Chi discontinued antihypertensive drugs and showed clinically significant reductions in cardiovascular disease.

 

In the present study both forms of Tai Chi produced improvements in hypertension and hyperlipidemia as has been observed in previous research. But the present study demonstrated that Wu Style Tai Chi produces superior results. Wu Style is more complex and also emphasizes reverse abdominal breathing matched to the movements. It is believed that this increases circulation and may be responsible for the greater improvements. Regardless, Tai Chi is a safe and effective treatment for hypertension and hyperlipidemia in older adults.

 

So, improve hypertension and hyperlipidemia in older adults with Tai Chi.

 

“tai chi is a promising and safe exercise alternative for patients with coronary heart disease who are unable or unwilling to attend traditional CR, in particular for older people, women, and deconditioned individuals.” – Elena Salmoirago‐Blotcher

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Wen, J., & Su, M. (2021). A Randomized Trial of Tai Chi on Preventing Hypertension and Hyperlipidemia in Middle-Aged and Elderly Patients. International journal of environmental research and public health, 18(10), 5480. https://doi.org/10.3390/ijerph18105480

 

Abstract

In our randomized controlled trial, we investigated whether Wu-style Tai Chi (Tai Chi combined with Daoyin) as a potential exercise prescription is more effective than simplified Tai Chi in the prevention and treatment of hypertension and hyperlipidemia in the middle-aged and elderly. We randomly assigned 66 patients with hypertension and hyperlipidemia to one of the two groups: the Wu-style Tai Chi group or the simplified Tai Chi group; the simplified Tai Chi group only exercised simplified Tai Chi three times a week for 6 weeks. The Wu-style Tai Chi group participated in 60 min of Wu-style Tai Chi three times a week for 6 weeks. Serum biochemical tests were conducted at baseline and at the end of the study. Measurements of blood pressure were performed at the same time. Primary outcomes were compared within and between groups at baseline and at 6 weeks. The participants in the Wu-style Tai Chi group performed, at 6 weeks, significantly better than baseline on all of the primary outcomes (p value ≤ 0.05). The results also show significant difference within the simplified Tai Chi group from baseline to 6 weeks in TCHO (mmol/L), SBP (mmHg), and LDL-C (mmol/L) (p value < 0.05). From baseline to 6 weeks, the Wu-style Tai Chi group had significant differences at more test indexes in serum and blood pressure than the simplified Tai Chi group. At 6 weeks, the Wu-style Tai Chi group had a significantly greater mean improvement in the SBP (mmHg) than did the simplified Tai Chi group (mean between-group difference, −5.80 (mmHg) [95% CI, −14.01 to 2.41]; p = 0.007). The results showed that, compared with simplified Tai Chi, Wu-style Tai Chi had a better effect on hypertension in the middle-aged and elderly. At 6 weeks in LDL-C (mmol/L), the Wu-style Tai Chi group had significantly greater improvement between the two groups (means between-group difference, −0.45 (mmol/L) [95% CI, −0.89 to −0.17]; p = 0.03). The results showed that Wu-style Tai Chi protected the cardiovascular system of the middle-aged and elderly in improving LDL-C (mmol/L), and was more significant than simplified Tai Chi. After 6 weeks of exercise, Wu-style Tai Chi could effectively improve hyperlipidemia and hypertension. The total effective rate of cardiovascular disease was 90.00%. There was significant difference in the treatment effect of hypertension and hyperlipidemia between the two groups during 6 weeks (p = 0.039), showing that, in a small population of middle-aged and elderly subjects, Wu style Tai Chi could be useful in managing important CV risk factors, such as hypertension and hyperlipidemia.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8160700/

Yoga Improves Pregnancy and Childbirth Outcomes

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Yoga Improves Pregnancy and Childbirth Outcomes

 

By John M. de Castro, Ph.D.

 

“Much like other types of childbirth-preparation classes, prenatal yoga is a multifaceted approach to exercise that encourages stretching, mental centering and focused breathing. Research suggests that prenatal yoga is safe and can have many benefits for pregnant women and their babies.” – Mayo Clinic

 

The period of pregnancy is a time of intense physiological and psychological change. The psychological health of pregnant women has consequences for fetal development, birthing, and consequently, child outcomes. Depression during pregnancy is associated with premature delivery and low birth weight. Childbirth fear is associated with “low childbirth self-efficacy, greater use of pain medication during labor, more unwanted obstetric interventions in labor, as well as increased risk of postpartum depression.” Hence, it is clear that there is a need for methods to treat childbirth fear, depression, and anxiety during pregnancy. Since the fetus can be negatively impacted by drugs, it would be preferable to find a treatment that did not require drugs. Yoga has been shown to relieve maternal anxiety and depression during pregnancy. So, it would make sense to study the effects of yoga during pregnancy.

 

In today’s Research News article “The effect of yoga on the delivery and neonatal outcomes in nulliparous pregnant women in Iran: a clinical trial study.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8091762/ )  Yekefallah and colleagues recruited women during their first pregnancy in their 26th-28th week and randomly assigned them to a no-treatment control condition or to receive 10 weeks of twice a week 75-minute Hatha yoga classes. They completed demographic information and body size and information was recorded about the pregnancy, childbirth, and neonatal outcome (Apgar score).

 

They found that the yoga group was significantly less likely to have labor induced, have a preterm delivery, had a significantly shorter labor duration, and had significantly lower episiotomy rupture grades. In addition, the children of the yoga group had significantly higher birthweights, were born at a later gestational age, and had significantly higher Apgar scores.

 

The results clearly demonstrate that yoga practice during a first pregnancy improves the pregnancy, delivery, and neonatal outcomes. It should be noted, however, that the comparison group did not receive any treatment. So, it is not clear if the benefits were due to practicing yoga or if they would have been produced by any gentle exercise. Nevertheless, the study found evidence that practicing yoga during pregnancy is of great benefit to the mother and the infant.

 

So, yoga improves pregnancy and childbirth outcomes.

 

“The combination of length and strength in the pelvic floor creates muscles with great integrity to support a baby in addition to all of the organs that rest on it. These strong muscles in conjunction with the gluteus medius are called upon during the second stage of labor (pushing) and are responsible for helping the bones of the pelvis come back together after delivery.“ – Karly Treacy

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Yekefallah, L., Namdar, P., Dehghankar, L., Golestaneh, F., Taheri, S., & Mohammadkhaniha, F. (2021). The effect of yoga on the delivery and neonatal outcomes in nulliparous pregnant women in Iran: a clinical trial study. BMC pregnancy and childbirth, 21(1), 351. https://doi.org/10.1186/s12884-021-03794-6

 

Abstract

Background

Yoga can reduce the risk of preterm delivery, cesarean section (CS), and fetal death. The aim of the present study was to investigate the effects of Yoga on pregnancy, delivery, and neonatal outcomes.

Methods

This was a clinical trial study and using the random sampling without replacement 70 pregnant women entered Hatha Yoga and control groups according to the color of the ball they took from a bag containing two balls (blue or red). The data collection tool was a questionnaire pregnancy, delivery, and neonatal outcomes. The intervention in this study included pregnancy Hatha Yoga exercises that first session of pregnancy Yoga started from the 26th week and samples attended the last session in the 37th week. They exercised Yoga twice a week (each session lasting 75 min) in a Yoga specialized sports club. The control group received the routine prenatal care that all pregnant women receive.

Results

The results showed that yoga reduced the induction of labor, the episiotomy rupture, duration of labor, also had a significant effect on normal birth weight and delivery at the appropriate gestational age. There were significant differences between the first and second Apgar scores of the infants.

Conclusion

The results of the present study showed that Yoga can improve the outcomes of pregnancy and childbirth. They can be used as part of the care protocol along with childbirth preparation classes to reduce the complications of pregnancy and childbirth.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8091762/

 

Improve the Psychological Well-Being of Medical Students with Mindfulness

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Improve the Psychological Well-Being of Medical Students with Mindfulness

 

By John M. de Castro, Ph.D.

 

“Medical students are being trained to have 100 things on their mind at all times. It’s harder and harder to focus on one thing explicitly. [Mindfulness] gives you that skill to know that you can focus on everything at once, but when you need to focus on one thing, you can be present with it.” – Chloe Zimmerman

 

Stress is epidemic in the western workplace with almost two thirds of workers reporting high levels of stress at work. In high stress occupations, like healthcare, burnout is all too prevalent. Burnout is the fatigue, cynicism, emotional exhaustion, sleep disruption, and professional inefficacy that comes with work-related stress. It is estimated that over 45% of healthcare workers experience burnout. Currently, over a third of healthcare workers report that they are looking for a new job. It not only affects the healthcare providers personally, but also the patients, as it produces a loss of empathy and compassion. Burnout, in fact, it is a threat to the entire healthcare system as it contributes to the shortage of doctors and nurses.

 

Preventing burnout has to be a priority. Contemplative practices have been shown to reduce the psychological and physiological responses to stress. Indeed, mindfulness has been shown to be helpful in treating and preventing burnout, increasing resilience, and improving sleep. It would be best to provide techniques to combat burnout early in a medical career. Studying medicine can be extremely stressful and many students show distress and express burnout symptoms. The undergraduate medical student level may be an ideal time to intervene.

 

In today’s Research News article “Mindfulness-based stress reduction for medical students: a narrative review.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8105581/ )  Polle and colleagues review and summarize the published research on the effectiveness of the Mindfulness-Based Stress Reduction (MBSR) program to improve the psychological well-being of undergraduate medical students. MBSR includes training in meditation, body scan, and yoga, and group discussions normally over an 8-week period. They identified 9 published studies.

 

They report that the published research found that Mindfulness-Based Stress Reduction (MBSR) produced significant increases in undergraduate medical students mood, mental health, satisfaction with life, and self-compassion and significant reductions in psychological distress, perceived stress, and depression. One study followed up these students 6 years later and found persisting effects of MBSR.

 

The published research paints a clear picture that participating in a Mindfulness-Based Stress Reduction (MBSR) program produces lasting benefits for the psychological health of undergraduate medical students. This is important as stress and burnout is prevalent in the medical professions and intervening early may prevent or ameliorate future problems. Incorporation of MBSR into the undergraduate medical curriculum should be considered.

 

So, improve the psychological well-being of medical students with mindfulness.

 

“in medical students, higher empathy, lower anxiety, and fewer depression symptoms have been reported by students after participating in MSBR. In summary, mindfulness meditation may be used to elicit positive emotions, minimize negative affect and rumination, and enable effective emotion regulation.”- Michael Minichiello

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Polle, E., & Gair, J. (2021). Mindfulness-based stress reduction for medical students: a narrative review. Canadian medical education journal, 12(2), e74–e80. https://doi.org/10.36834/cmej.68406

 

Abstract

Background

Medical students are at high risk of depression, distress and burnout, which may adversely affect patient safety. There has been growing interest in mindfulness in medical education to improve medical student well-being. Mindfulness-based stress reduction (MBSR) is a commonly used, standardized format for teaching mindfulness skills. Previous research has suggested that MBSR may be of particular benefit for medical students. This narrative review aims to further investigate the benefits of MBSR for undergraduate medical students.

Methods

A search of the literature was performed using MedLine, Embase, ERIC, PSYCInfo, and CINAHL to identify relevant studies. A total of 102 papers were identified with this search. After review and application of inclusion and exclusion criteria, nine papers were included in the study.

Results

MBSR training for medical students was associated with increased measures of psychological well-being and self-compassion, as well as improvements in stress, psychological distress and mood. Evidence for effect on empathy was mixed, and the single paper measuring burnout showed no effect. Two studies identified qualitative themes which provided context for the quantitative results.

Conclusions

MBSR benefits medical student well-being and decreases medical student psychological distress and depression.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8105581/

 

Different Meditation Styles Affect the Medial Frontal Brain Network Differently

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Different Meditation Styles Affect the Medial Frontal Brain Network Differently

 

By John M. de Castro, Ph.D.

 

“meditation has a variety of neurological benefits, from changes in brain volume to decreasing activity in parts of the brain involved with stress.” – Ashley Welch

 

Mindfulness training has been shown to improve health and well-being. It has also been found to be effective for a large array of medical and psychiatric conditions, either stand-alone or in combination with more traditional therapies. How exactly mindfulness practices produce their benefits is unknown. But it is known that meditation practice alters brain activity.

 

There are a number of different types of meditation. Classically they’ve been characterized on a continuum with the degree and type of attentional focus. In focused attention meditation, the individual practices paying attention to a single meditation object, usually the breath. In open monitoring meditation, the individual opens up awareness to everything that’s being experienced including thoughts regardless of its origin. In Loving Kindness Meditation the individual

systematically pictures different individuals from self, to close friends, to enemies and wishes them happiness, well-being, safety, peace, and ease of well-being. It is suspected but not known that different forms of meditation practice can produce different changes in brain activity.

 

One way is to measure changes in the electroencephalogram (EEG), the rhythmic electrical activity that can be recorded from the scalp. In today’s Research News article “Attentional and cognitive monitoring brain networks in long-term meditators depend on meditation states and expertise.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7921394/ )  Yordanova and colleagues recruited highly experienced meditators who practiced focused attention meditation, open monitoring meditation, and Loving Kindness Meditation in a balanced way. They had their electroencephalograms (EEG) recorded while at rest and while performing the 3 meditation types for 3 minutes each.

 

They found that the Frontal-Parietal network, that is thought to underlie attentional mechanisms did not differ between meditation types. But there was increased connectivity between the right hemisphere frontal and left hemisphere parietal areas. On the other hand, the Medial Frontal network that is thought to underlie cognitive control and monitoring mechanisms had different activity patterns with the different meditation types. During focused attention meditation was increased synchronization in the parietal regions whereas during Loving Kindness Meditation it increased in the right frontal regions.

 

These are interesting findings that demonstrate that highly experienced meditators have distinct changes in the activity of their brains during meditation regardless of type. But in areas associated with cognitive monitoring mechanisms, difference appear. During focused attention meditation and Loving Kindness Meditation there are different patterns of activity. To some extent this is not surprising in that the two meditation types involve specific focuses. But Loving Kindness Meditation is emotionally focused while focused attention meditation is breath sensation focused and these require different kinds of cognitive control. These differences may underlie the different medial frontal activities.

 

It should be noted that these patterns are quite different from those of inexperienced meditators and that the greater the amount of practice the greater the neural activations. It would be expected that highly experienced meditators would have greater focus and much less mind wandering during meditation than inexperience meditators and this would produce different patterns of neural activation.

 

So, different meditation styles affect the medial frontal brain network differently.

 

“Meditation benefits for the brain are abundant. Meditating strengthens neural connections and can literally change the configuration of these networks. With regular practice, you can cultivate a more resilient neurobiology.” – Ask the Scientists

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Yordanova, J., Kolev, V., Nicolardi, V., Simione, L., Mauro, F., Garberi, P., Raffone, A., & Malinowski, P. (2021). Attentional and cognitive monitoring brain networks in long-term meditators depend on meditation states and expertise. Scientific reports, 11(1), 4909. https://doi.org/10.1038/s41598-021-84325-3

 

Abstract

Meditation practice is suggested to engage training of cognitive control systems in the brain. To evaluate the functional involvement of attentional and cognitive monitoring processes during meditation, the present study analysed the electroencephalographic synchronization of fronto-parietal (FP) and medial-frontal (MF) brain networks in highly experienced meditators during different meditation states (focused attention, open monitoring and loving kindness meditation). The aim was to assess whether and how the connectivity patterns of FP and MF networks are modulated by meditation style and expertise. Compared to novice meditators, (1) highly experienced meditators exhibited a strong theta synchronization of both FP and MF networks in left parietal regions in all mediation styles, and (2) only the connectivity of lateralized beta MF networks differentiated meditation styles. The connectivity of intra-hemispheric theta FP networks depended non-linearly on meditation expertise, with opposite expertise-dependent patterns found in the left and the right hemisphere. In contrast, inter-hemispheric FP connectivity in faster frequency bands (fast alpha and beta) increased linearly as a function of expertise. The results confirm that executive control systems play a major role in maintaining states of meditation. The distinctive lateralized involvement of FP and MF networks appears to represent a major functional mechanism that supports both generic and style-specific meditation states. The observed expertise-dependent effects suggest that functional plasticity within executive control networks may underpin the emergence of unique meditation states in expert meditators.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7921394/