Improve Attention, Memory, and Emotions with Meditation

Improve Attention, Memory, and Emotions with Meditation

 

By John M. de Castro, Ph.D.

 

meditating can change the structure and function of the brain through relaxation, which can: Reduce stress, anxiety, and depression, Increase focus and learning concentration, Improve memory and attention span, Build stronger immune system and greater physical/psychological resilience, Allow better sleep” – Columbia University

 

Mindfulness training has been shown to be effective in improving physical and psychological health and particularly with the physical and psychological reactions to stress. Mindfulness also decreases the individual’s tendency to use tried and true solutions to problems and thereby improves cognitive flexibility. Mindfulness has also been shown to improve attention, memory, and emotions. This has led to an increasing adoption of these mindfulness techniques for the health and well-being of both healthy and ill individuals.There are, however, a large variety of meditation techniques and it is not known which types are best for which benefit.

 

In today’s Research News article “Effects of Combining Meditation Techniques on Short-Term Memory, Attention, and Affect in Healthy College Students.” (See summary below or view the full text of the study at: https://www.frontiersin.org/articles/10.3389/fpsyg.2021.607573/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1616048_69_Psycho_20210504_arts_A )  Pragya and colleagues recruited college students and randomly assigned them to one of three meditation groups or to a no-treatment control group. Meditation occurred in 3 25-minute sessions per week for 8 weeks and was either a sound meditation (Bee sound), color imagery (green) or the combination of the two. They were measured before and after training for short-term memory and positive and negative emotions. They also completed a continuous performance test to measure selective attention, sustained attention, and impulsivity.

 

They found that in comparison to baseline and the control group the combined meditation groups had significantly greater short-term memory and positive emotions and significantly lower negative emotions, inattention, and impulsivity. The two types of meditation techniques and their combination had somewhat different magnitudes of effects. Sound meditation had greater improvements of attention and reductions in negative emotions, while the color focused meditation group had greater attentiveness and short-term memory. The combined color and sound meditation group had the greatest improvements.

 

These results demonstrate as has been previously reported that mindfulness practices produce greater short-term memory and positive emotions and significantly lower negative emotions, inattention, and impulsivity. The contribution of the present study is to demonstrate that different meditation techniques produce similar effects but differ in the magnitudes of those effects. This could help to determine which techniques work best for people with different weaknesses. Regardless, meditation appear to improve cognitive and emotional well-being.

 

So, improve attention, memory, and emotions with meditation.

 

A critical part of attention (and working memory capacity) is being able to ignore distraction. There has been growing evidence that meditation training (in particular mindfulness meditation) helps develop attentional control, and that this can start to happen very quickly.” – About memory

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

 

Pragya SU, Mehta ND, Abomoelak B, Uddin P, Veeramachaneni P, Mehta N, Moore S, Jean-Francois M, Garcia S, Pragya SC and Mehta DI (2021) Effects of Combining Meditation Techniques on Short-Term Memory, Attention, and Affect in Healthy College Students. Front. Psychol. 12:607573. doi: 10.3389/fpsyg.2021.607573

 

Meditation refers to a family of self-regulation practices that focuses on training attention and awareness to foster psycho-emotional well-being and to develop specific capacities such as calmness, clarity, and concentration. We report a prospective convenience-controlled study in which we analyzed the effect of two components of Preksha Dhyāna – buzzing bee sound meditation (Mahapran dhvani) and color meditation (leśyā dhyāna) on healthy college students. Mahapran and leśya dhyāna are two Preksha Dhyāna practices that are based on sound and green color, respectively. The study population represents a suitable target as college students experience different stress factors during the school year. This study measures the individual and combined effects of two techniques (one focusing on sound and one focusing on color), on short-term memory, attention, and affect, in novice meditators. We used a battery of cognitive, performance, and compared results with baseline and control values. We found improved cognition, especially attention, short-term memory, and affect in terms of positivity and reduced negativity. Overall, the two techniques produced variable benefits and subjects showed improved scores over baseline for short-term memory, cognitive function, and overall wellbeing. Further studies are required to understand underlying mechanisms for the observed differences between the two techniques and to elucidate mechanisms underlying the more pronounced and global benefits observed with the combined techniques. These results underscore a need to examine individual components of meditation practices in order to individualize treatment approaches for attention disorders in young adults.

https://www.frontiersin.org/articles/10.3389/fpsyg.2021.607573/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1616048_69_Psycho_20210504_arts_A

 

Reduce Pain and Depression in Chronic Pain Patients with Mindful Dance

Reduce Pain and Depression in Chronic Pain Patients with Mindful Dance

 

By John M. de Castro, Ph.D.

 

“Music is the mediator between the life of the senses and the life of the spirit”  – Ludwig van Beethoven

 

Headaches are the most common disorders of the nervous system. It has been estimated that 47% of the adult population have a headache at least once during the last year. Primary headaches do not result from other medical conditions and include migraine, tension, and cluster headaches. There are a wide variety of drugs that are prescribed for primary headache pain with varying success. Headaches are treated with pain relievers, ergotamine, blood pressure drugs such as propranolol, verapamil, antidepressants, antiseizure drugs, and muscle relaxants. Drugs, however, can have some problematic side effects particularly when used regularly and are ineffective for many sufferers.

 

Most practitioners consider lifestyle changes that help control stress and promote regular exercise to be an important part of headache treatment and prevention. Avoiding situations that trigger headaches is also vital. A number of research studies have reported that mindfulness training is an effective There is an accumulating volume of research findings that demonstrate that mindfulness practices, in general, are effective in treating chronic pain and particularly headache pain. But there have been very few studies of the effectiveness of mindful dance for reducing chronic pain.

 

In today’s Research News article “” (See summary below or view the full text of the study at: https://www.frontiersin.org/articles/10.3389/fpsyg.2021.587923/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1616048_69_Psycho_20210504_arts_A )  Majore-Dusele and colleagues recruited adult patients with chronic headaches and who were high in anxiety and depression. They were randomly assigned to either a wait-list control condition or to receive a twice a week for 90 minutes for 5 weeks program of Mindful-Based Dance Movement Therapy. They were measured before and after treatment and 2 month later for pain intensity, anxiety, depression, depressive symptom severity, and mindfulness.

 

They found that in comparison to baseline and the wait-list control group, the participants who received Mindful-Based Dance Movement Therapy had significant reductions in pain intensity and depression symptom severity that were maintained at the 2-month follow-up. It should be noted that there wasn’t an active control group such as another exercise. So, it isn’t clear if it was mindful dance or the exercise involved in the program that was the effective component. More tightly controlled studies with active controls are needed to clarify these issues.

 

This was a small pilot study that demonstrated feasibility, acceptability, and adherence to the Mindful-Based Dance Movement Therapy program. But it did more in suggesting that the treatment produces significant improvements in the mental health and headache pain of the patients. Mindfulness training has been previously shown to improve headache and depression. What is new here is the demonstration that Mindful-Based Dance Movement Therapy may also be effective.

 

So, reduce pain and depression in chronic pain patients with mindful dance.

 

meditation used as a pain mediator . . allows us to see our thoughts & feelings in a non-reactive way. Sure it takes practice to get to this point, but so does everything. To be able to feel discomfort and watch your thoughts, decreases the chance of feeding the symptoms and inevitably increasing them. It allows us to practice being non-reactive to every sensation.” – Mehta Physiotherapy

 

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

 

Majore-Dusele I, Karkou V and Millere I (2021) The Development of Mindful-Based Dance Movement Therapy Intervention for Chronic Pain: A Pilot Study With Chronic Headache Patients. Front. Psychol. 12:587923. doi: 10.3389/fpsyg.2021.587923

 

Chronic pain is of significant global concern. There is growing evidence that body–mind therapies and psychological approaches can contribute toward changing chronic pain perceptions. This is the first model described in the literature that combines a mindfulness-based approach with dance movement therapy and explores the potential psychological and pain-related changes for this client population. In this paper, the results from the pilot study are presented involving patients with chronic headache recruited in an outpatient rehabilitation setting.

Methods: In this pilot study, 29 patients (n = 29) with chronic headache were randomized to either the Mindful-Based Dance Movement Therapy (MBDMT) group or the waiting list control group (treatment as usual, TAU). The MBDMT group was offered 10 sessions in a clinical outpatient rehabilitation setting for 5 weeks. Data were collected pre- and post-intervention and 16 weeks after the intervention was finished. The Hospital Anxiety and Depression Scale (HADS), Patient Health Questionnaire−9 (PHQ-9), Five Facet Mindfulness Questionnaire (FFMQ), and Numeric Rating Scale (NRS) were used as outcome measures.

Results: The working model of MBDMT identifies nine therapeutic mechanisms (safe therapeutic environment, mindfulness skills, body awareness, relaxation/releasing, distancing and staying with discomfort, meaning making, self-regulation, acceptance and integration, creative process). Per-protocol analysis reveals statistically significant reduction of pain intensity and depression scores in favor of the MBDMT group, and these improvements were maintained in the follow-up assessment.

Conclusions: The results suggest that MBDMT is a feasible and promising therapy approach for chronic pain patients. The pilot study offered sufficient information and preliminary results in the desirable direction to enable the researchers to move to a randomized controlled trial (RCT) stage in order to establish the efficacy of the intervention.

https://www.frontiersin.org/articles/10.3389/fpsyg.2021.587923/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1616048_69_Psycho_20210504_arts_A

 

Mindfulness is Associated with Improved Mood and Lower Interpersonal Sensitivity

Mindfulness is Associated with Improved Mood and Lower Interpersonal Sensitivity

 

By John M. de Castro, Ph.D.

 

“Mindfulness training may help reduce interpersonal sensitivity in college students. When college students have strong effectiveness/authenticity, lower negative emotions may be a protective factor to prevent interpersonal sensitivity.” – Xiaoqian Ding

 

Humans are social animals. This is a great asset for the species as the effort of the individual is amplified by cooperation. In primitive times, this cooperation was essential for survival. But in modern times it is also essential, not for survival but rather for making a living and for the happiness of the individual. Mindfulness has been found to increase prosocial emotions such as compassion, and empathy and prosocial behaviors such as altruism. So, being mindful socially is very important.

 

The importance of social interactions, however, can increase a person’s interpersonal sensitivity. This is associated with low self-esteem and a poor self-concept. At extremes, this can result in social anxiety disorders. Mindfulness training has been shown to help with the treatment of social anxiety disorders and to improve self-esteem. So, mindfulness may be effective in reducing interpersonal sensitivity. But there is little research on mindfulness and interpersonal sensitivity.

 

In today’s Research News article “Exploring the Relationship Between Trait Mindfulness and Interpersonal Sensitivity for Chinese College Students: The Mediating Role of Negative Emotions and Moderating Role of Effectiveness/Authenticity.” (See summary below or view the full text of the study at: https://www.frontiersin.org/articles/10.3389/fpsyg.2021.624340/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1616048_69_Psycho_20210504_arts_A )  Ding and colleagues recruited college students and had them complete measures of mindfulness, mood states, mental health symptoms, interpersonal sensitivity, emotional effectiveness/authenticity, emotional novelty, and emotional preparedness.

 

They found that the higher the levels of mindfulness the higher the levels of emotional effectiveness/authenticity and emotional preparedness and the lower the levels of negative emotions and interpersonal sensitivity. A mediation analysis revealed that mindfulness was negatively associated with interpersonal sensitivity directly and also indirectly by being associated with lower negative emotions which in turn was associated with lower interpersonal sensitivity. Finally, they found that the mindfulness’ association with lower negative emotions and in turn lower interpersonal sensitivity was stronger when the participants were also high in emotional effectiveness/authenticity.

 

These findings are correlational and as such causation cannot be determined. In prior research, however, mindfulness training has been shown to decrease negative emotions. So, the observed relationship is likely due to a causal relationship between mindfulness and lower negative emotions. In addition, mindfulness has been shown to improve self-esteem and the self-concept. Hence, mindfulness improves mood and lowers emotional sensitivity.

 

Interpersonal sensitivity is a problem for everyone and especially college students. It suggests that the individual doesn’t think much of themselves and looks at themselves as a problem. This can produce maladaptive behaviors on the part of the individual compounding the problem. Negative emotions feed into this negative self-concept. But this can be disrupted by mindfulness which not only improves the self-concept, reducing interpersonal sensitivity, but also improves emotions that also lower this sensitivity. This all suggests that mindfulness training may be recommended for college students to improve their psychological health.

 

So, mindfulness is associated with improved mood and lower interpersonal sensitivity.

 

Mindfulness meditation could provide a healthy method of coping with interpersonal stress for college students and offer a valuable addition to traditional relaxation and imagery techniques.” – Lily Preer

 

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

 

Ding X, Zhao T, Li X, Yang Z and Tang Y-Y (2021) Exploring the Relationship Between Trait Mindfulness and Interpersonal Sensitivity for Chinese College Students: The Mediating Role of Negative Emotions and Moderating Role of Effectiveness/Authenticity. Front. Psychol. 12:624340. doi: 10.3389/fpsyg.2021.624340

 

Background: Interpersonal sensitivity is a prominent mental health problem facing college students today. Trait mindfulness is a potential positive factor that may influence interpersonal relationships. However, the precise relationship between trait mindfulness and interpersonal sensitivity remains elusive, which limits the optimization and further application of mindfulness-based intervention schemes targeting interpersonal sensitivity. This study aimed to explore (a) whether negative emotions mediate the relationship between trait mindfulness and interpersonal sensitivity and (b) whether the relationship among trait mindfulness, negative emotions, and interpersonal sensitivity is moderated by effectiveness/authenticity. We hypothesize that (a) negative emotions mediate the relationship between trait mindfulness and interpersonal sensitivity, and (b) effectiveness/authenticity moderates the indirect association between trait mindfulness and interpersonal sensitivity through negative emotions.

Methods: One thousand four hundred nineteen Chinese college students (1,023 females, 396 males), aged from 17 to 23 (SD = 0.86, mean = 18.38), participated in this study. Their trait mindfulness, negative emotions, the effectiveness/authenticity, and interpersonal sensitivity were measured using well-validated self-report questionnaires.

Results: Correlational analyses indicated that both trait mindfulness and effectiveness/authenticity were significantly and negatively associated with interpersonal sensitivity. Mediation analyses uncovered a partial mediating role of negative emotions in the relationship between trait mindfulness and interpersonal sensitivity. Moderated mediation analyses showed that in college students with high effectiveness/authenticity, the relationship between trait mindfulness and negative emotions was stronger, whereas the relationship between negative emotions and interpersonal sensitivity was weaker.

Conclusion: Negative emotion is a mediator of the relationship between trait mindfulness and interpersonal sensitivity, which in turn is moderated by effectiveness/authenticity. These findings suggest a potential mechanism through which trait mindfulness influences interpersonal sensitivity. Mindfulness-based interventions have the potential to decrease interpersonal sensitivity and offer a basis for predicting individual differences in response to mindfulness-based interventions among individuals.

https://www.frontiersin.org/articles/10.3389/fpsyg.2021.624340/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1616048_69_Psycho_20210504_arts_A

 

Mindfulness Training Increases the Use of Yoga and Meditation to Cope with the Covid-19 Lockdown

Mindfulness Training Increases the Use of Yoga and Meditation to Cope with the Covid-19 Lockdown

 

By John M. de Castro, Ph.D.

 

“mindfulness is one tool that can help promote mental wellness throughout the COVID-19 pandemic and beyond.” – Julie Dunne

 

Mindfulness training has been shown to improve health and well-being in healthy individuals. 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. The COVID-19 pandemic has challenged the mental and physical health of the population. It has created intense stress both for frontline workers but also for people simply isolating at home. Mindfulness is known to decrease the psychological and physical responses to stress. So, mindfulness training may be helpful in coping with the mental and physical challenges resulting from the lockdown during the the COVID-19 pandemic.

 

In today’s Research News article “Developing Resilience During the COVID-19 Pandemic: Yoga and Mindfulness for the Well-Being of Student Musicians in Spain.” (See summary below or view the full text of the study at: (https://www.frontiersin.org/articles/10.3389/fpsyg.2021.642992/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1616048_69_Psycho_20210504_arts_A ) Bartos and colleagues recruited Spanish college music students who enrolled in 1-hour per week mindfulness course and those who did not. The course ran from November 2019 to May 2020. In march 2020 a nationwide lockdown was initiated and the mindfulness course switched to online. The students were asked whether during Covid-19 lockdown they received psychological help, had setbacks, health changes, the nature of health changes, changes in physical, psychological, and sleep quality during the lockdown, and any practices engaged in during the lockdown and the nature of the practices.

 

They found that the students who experienced mindfulness training were significantly more likely to practice yoga and meditation to improve their health and well-being during the lockdown than the control participants. They also indicated that they received greater benefits from the practices. Almost all of the mindfulness trained participants engaged in these practices while only about a half of the control participants did.

 

It should be noted that there wasn’t random assignment of students to groups. Rather, the groups were formed by the selections of the students. This can result in different kinds of students in the two groups. It is possible that students who were likely to use yoga and meditation as coping mechanisms would be much more likely to choose to participate in a mindfulness course.

 

The Covid-19 lockdown provided a natural experiment that the researchers took advantage of to investigate the impact of mindfulness training on the students’ well-being during the lockdown. The findings support the efficacy of mindfulness training in improving the likelihood that yoga and meditation will be used as coping strategies and that these practices produce greater perceived benefits.

 

So, mindfulness training increases the use of yoga and meditation to cope with the covid-19 lockdown.

 

Introducing a mindfulness and meditation practice during this pandemic has the potential to complement treatment and is a low-cost beneficial method of providing support with anxiety for all.” – C. Behan

 

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

 

Bartos LJ, Funes MJ, Ouellet M, Posadas MP and Krägeloh C (2021) Developing Resilience During the COVID-19 Pandemic: Yoga and Mindfulness for the Well-Being of Student Musicians in Spain. Front. Psychol. 12:642992. doi: 10.3389/fpsyg.2021.642992

 

Here, we report on a quasi-experimental study to explore the applicability and perceived benefits of the CRAFT program, which is based on mindfulness, yoga, positive psychology, and emotional intelligence, to improve higher education student musicians’ health and well-being during the lockdown. A subset of student musicians at a Higher Conservatory of Music in Spain followed the CRAFT program during the academic year 2019/2020, 1 h per week as part of their curriculum. Students enrolled in CRAFT-based elective subjects formed the CRAFT program group (n = 40), while other students represented the control group (n = 53). The onset of the national lockdown elicited by the COVID-19 pandemic occurred halfway through the program, which was subsequently delivered in an online format. We administered an online survey to explore the effect that the exposure to the CRAFT program had in terms of how participants dealt with various health and well-being concerns arising from the COVID-19 lockdown. There was a significantly higher proportion of proactive participants in the CRAFT program group, 92%, than in the control group, 58%, in terms of implementing practices to improve their health and well-being during the lockdown. Additionally, significantly more participants acknowledged perceived benefits from their practices in the CRAFT program group, 78%, than in the control group, 52%. Among proactive participants, yoga/meditation was the most implemented in the CRAFT program group, followed by exercise, and other yoga/meditation practices, whereas in the control group, exercise and Alexander technique-based practices were the most applied. In the CRAFT program group, the highest rate of perceived benefits was from yoga/meditation CRAFT-based practices, 51%, followed by exercise, 32%, and other yoga/meditation practices, 27%, whereas in the control group, benefits were reported by 29% of exercising participants and 16% for those having practiced the Alexander technique. A similar pattern was observed when excluding participants with previous yoga/meditation experience. This study revealed how participants can independently apply learned skills from the CRAFT program in response to a naturally occurring life event of unprecedented global impact, suggesting that previous exposure to mindfulness and yoga is likely to have a beneficial effect on how young adults react towards exceptionally stressful conditions.

https://www.frontiersin.org/articles/10.3389/fpsyg.2021.642992/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1616048_69_Psycho_20210504_arts_A

 

Improve Psychological Health at Work with Mindfulness

Improve Psychological Health at Work with Mindfulness

 

By John M. de Castro, Ph.D.

 

“Mindful working means applying focus and awareness to everything you do from the moment you enter the office. Focus on the task at hand and recognize and release internal and external distractions as they arise. In this way, mindfulness helps increase effectiveness, decrease mistakes, and even enhance creativity.” – Rasmus Hougaard

 

Work is very important for our health and well-being. We spend approximately 25% of our adult lives at work. How we spend that time is immensely important for our psychological, social, and physical health. But, nearly 2/3 of employees worldwide are unhappy at work. This is partially due to work-related stress which is epidemic in the western workplace. Almost two thirds of workers reporting high levels of stress at work. This stress can result in impaired health and can result in burnout; producing fatigue, cynicism, and professional inefficacy.

 

To help overcome unhappiness, stress, and burnoutmindfulness practices have been implemented in the workplace. Indeed, mindfulness practices have been shown to markedly reduce the physiological and psychological responses to stress. As a result, it has become very trendy for business to incorporate meditation into the workday to help improve employee well-being, health, and productivity. These programs attempt to increase the employees’ mindfulness at work and thereby reduce stress. It is not known, however, how mindfulness and its benefits grow over training

 

In today’s Research News article “An App-Based Workplace Mindfulness Intervention, and Its Effects Over Time.” (See summary below or view the full text of the study at: https://www.frontiersin.org/articles/10.3389/fpsyg.2021.615137/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1616048_69_Psycho_20210504_arts_A) Lu and colleagues recruited participants online to an online mindfulness training (Awakened Mind) once a week for 8 weeks. They were measured before and after each weekly session for mindfulness, emotional exhaustion, work engagement, and job satisfaction.

 

They report that over training mindfulness significantly increases and was associated with higher levels of work engagement and job satisfaction and lower levels of emotional exhaustion. Multilevel growth level analysis revealed that amount of time in training significantly increased mindfulness and it, in turn, increased work engagement and job satisfaction and decreased emotional exhaustion. They also report that the rate of growth in mindfulness significantly slowed over the 8 weeks of training.

 

Previous research has demonstrated that mindfulness training improves work engagement and job satisfaction and reduces emotional exhaustion. The contribution of the present study was to document the growth of mindfulness and its impact on work over 8 weeks of online training. Not surprisingly, the growth in mindfulness was relatively rapid at the beginning of training and slower toward the end of the 8 weeks of training. So, further training produces diminishing returns.

 

The mindfulness training was online and thus did not interrupt the participants’ work. This is important as employers are reluctant to take time away from work for mindfulness training. Having it occur online allows the participants to schedule it at their own convenience without disrupting work and also greatly increases its availability to large numbers of workers at low cost. Online training, then, is an almost ideal method of training workers in mindfulness and thereby improve their psychological state at work.

 

So, improve psychological health at work with mindfulness.

 

To be mindful at work means to be consciously present in what you’re doing, while you’re doing it, as well as managing your mental and emotional state.” – Shamash Alidina

 

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

 

Lu Y, Remond J, Bunting M, Ilies R, Tripathi N and Narayanan J (2021) An App-Based Workplace Mindfulness Intervention, and Its Effects Over Time. Front. Psychol. 12:615137. doi: 10.3389/fpsyg.2021.615137

 

We investigated the week-to-week effects of a mindfulness intervention on emotional exhaustion, work engagement, and job satisfaction in a field study involving 218 participants who participated and reported their weekly outcomes during the 8-week program. To examine how mindfulness impacted work outcomes, we used intraindividual modeling of the 8-week data. Mindfulness increased over time, and time also had indirect effects on emotional exhaustion, work engagement, and job satisfaction, through mindfulness. Supplementary growth curve analyses on the improvement of mindfulness over time showed a slight decrease in the positive effect of time on mindfulness.

https://www.frontiersin.org/articles/10.3389/fpsyg.2021.615137/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1616048_69_Psycho_20210504_arts_A

 

Improve Psychological Well-Being and Emotion Regulation with a Mindfulness Smartphone App

Improve Psychological Well-Being and Emotion Regulation with a Mindfulness Smartphone App

 

By John M. de Castro, Ph.D.

 

We know that the effect of this pandemic on people’s mental health is huge. . . Through the app . . You are led through a multi-sensory process of imagining yourself in a particular situation. . . Those techniques can in fact help people to reduce depression, reduce anxiety, and improve their mood,” – Judith Gordon

 

Mindfulness training has been shown through extensive research to be effective in improving physical and psychological health. But the vast majority of the mindfulness training techniques, however, require a trained therapist. This results in costs that many clients can’t afford. In addition, the participants must be available to attend multiple sessions at particular scheduled times that may or may not be compatible with their busy schedules and at locations that may not be convenient. As an alternative, mindfulness training with smartphone apps has been developed. These have tremendous advantages in decreasing costs, making training schedules much more flexible, and eliminating the need to go repeatedly to specific locations. In addition, research has indicated that mindfulness training via smartphone apps can be effective for improving the health and well-being of the participants.

 

In today’s Research News article “A Self-Compassion and Mindfulness-Based Cognitive Mobile Intervention (Serene) for Depression, Anxiety, and Stress: Promoting Adaptive Emotional Regulation and Wisdom.” (See summary below or view the full text of the study at: https://www.frontiersin.org/articles/10.3389/fpsyg.2021.648087/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1616048_69_Psycho_20210504_arts_A ) Al-Refae and colleagues recruited adults and assigned them to a wait-list control condition or to receive a 4-week program of mindfulness, self-compassion, and cognitive restructuring training delivered by a smartphone app (Serene). They were measured before and after training for depression, stress, anxiety, self-compassion, wisdom, psychological well-being, and subjective well-being.

 

They found that in comparison to the wait-list group, after the 4-weeks of training the participants that received the mindfulness training had significant decreases in depression, anxiety, perceived stress self-judgement, isolation, and overidentification and significant increases in self-compassion, common humanity, mindfulness, and emotion regulation. In other words, the participants had improvements in psychological health and well-being.

 

Previous research has established that mindfulness training decreases depression, anxiety, perceived stress, and self-judgement and increases self-compassion, and emotion regulation. The contribution of the present study was demonstrating that mindfulness training with a smartphone app was also capable of producing these same benefits. This improves the scalability and convenience of training and reduces the cost, expanding the number of people who can benefit from mindfulness training.

 

So, improve psychological well-being and emotion regulation with a mindfulness smartphone app.

 

The Serene app features support videos that introduce users to meditation and other safe activities. . . It offers more than 250 activities and provides link to . . . mental-health support services, including crisis centers. This app is for all ages and is meant to help track your emotions and mood swings.” – Fontaine Glenn

 

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

 

Al-Refae M, Al-Refae A, Munroe M, Sardella NA and Ferrari M (2021) A Self-Compassion and Mindfulness-Based Cognitive Mobile Intervention (Serene) for Depression, Anxiety, and Stress: Promoting Adaptive Emotional Regulation and Wisdom. Front. Psychol. 12:648087. doi: 10.3389/fpsyg.2021.648087

 

Introduction: Many individuals and families are currently experiencing a high level of COVID-19-related stress and are struggling to find helpful coping mechanisms. Mindfulness-based interventions are becoming an increasingly popular treatment for individuals experiencing depression and chronic levels of stress. The app (Serene) draws from scholarly evidence on the efficacy of mindfulness meditations and builds on the pre-existing apps by incorporating techniques that are used in some therapies such as cognitive behavioral therapy and mindfulness-based cognitive therapy.

Methods: Participants were randomly assigned to a 4-week mindfulness and self-compassion-based cognitive smartphone intervention (Serene) or a wait-list control group. They were instructed to engage in self-compassion and mindfulness practices and a cognitive restructuring task. They also completed measures that evaluated their levels of depression, stress, anxiety, self-compassion, wisdom, psychological well-being, and subjective well-being. The intervention group was also instructed to track their weekly engagement with the app. Standardized effect sizes for between-group differences were calculated using Cohen’s d for complete case analyses.

Results: Complete case analyses from baseline to the end of this randomized controlled trial demonstrated significant moderate between-group differences for depressive symptoms (d = −0.43) and decisiveness (d = 0.34). Moderate between-group differences were also found for self-compassion (d = 0.6) such that significant improvements in self-kindness, common humanity, mindfulness and decreases in self-judgement, isolation, and overidentification were observed. A small between-group difference was found for emotional regulation (d = 0.28). Moreover, a significant moderate within-group decrease in stress (d = −0.52) and anxiety symptoms (d = −0.47) was also observed in the intervention group.

Conclusions: Serene is an effective intervention that promotes increased levels of self-compassion and emotional regulation. Engaging with Serene may help reduce depressive symptoms through mindfulness, self-compassion, and cognitive restructuring which help reduce overidentification with one’s negative emotions. As individuals rebalance their thinking through cognitive restructuring, they can identify the varying stressors in their life, develop action plans and engage in adaptive coping strategies to address them. Serene may promote greater self-understanding which may provide one with a more balanced perspective on their current upsetting situations to positively transform their challenges during the pandemic.

https://www.frontiersin.org/articles/10.3389/fpsyg.2021.648087/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1616048_69_Psycho_20210504_arts_A

 

Mindfulness Training Moves Participants toward Self-Transcendence

Mindfulness Training Moves Participants toward Self-Transcendence

 

By John M. de Castro, Ph.D.

 

The sense of time changes, the sense of space around one changes, and the sense of self changes. I think we can learn a lot about the presence of these aspects of consciousness by studying instances in which they’re altered or absent, like during experiences of self-transcendence.” – David Yaden

 

The common, central feature of transcendent experiences is a sense of oneness, that all things are contained in a single thing, a sense of union with the universe and/or God and everything in existence. This includes a loss of the personal self. What they used to refer to as the self is experienced as just a part of an integrated whole. People who have had these experiences report feeling interconnected with everything else in a sense of oneness with all things. Although transcendent experiences can vary widely, they all contain this experience of oneness. Contemplative practices are thought to lead to mindfulness and to eventual self-transcendent experiences. Unfortunately, there is very little systematic research on self-transcendence and its relationship to mindfulness.

 

In today’s Research News article “Effects of Mindfulness Meditation on Self-Transcendent States: Perceived Body Boundaries and Spatial Frames of Reference.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7968136/ )  Handley and colleagues recruited adults from a large American University who were meditation naïve and randomly assigned them to receive 5 sessions of either mindfulness or active listening training. They were measured before and after each training session for perceived body boundaries, where participants assess how strong is the boundary between themselves and the world, and spatial frame of reference, where participants assess how far their field of awareness extends beyond their body.

 

They found that after each mindfulness training session but not active listening there was a significant decrease in perceived body boundaries and significant increases in spatial frame of reference. Further they found that the greater the decrease in perceived body boundaries the greater the increase in spatial frames of reference. They also found that the increase in spatial frames of reference produced by mindfulness training were mediated by decreases in perceived body boundaries.

 

These results suggest that mindfulness training relaxes the boundaries between self and the world and extends the size of the field of awareness beyond the body. This suggests that the experience of self is highly malleable and expanded by mindfulness training. Since, transcendent experiences involve a dissolution of the boundaries between of the self, producing the experience of everything as one, mindfulness training appears to lead in that direction. Hence, the results suggest that mindfulness training can lead in the direction of self-transcendence.

 

So, mindfulness training moves participants toward self-transcendence.

 

mindfulness training can cultivate self-transcendent experiences through the process of decentering from internal phenomena.” – Adam Handley

 

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

 

Hanley, A. W., Dambrun, M., & Garland, E. L. (2020). Effects of Mindfulness Meditation on Self-Transcendent States: Perceived Body Boundaries and Spatial Frames of Reference. Mindfulness, 11(5), 1194–1203. https://doi.org/10.1007/s12671-020-01330-9

 

Abstract

Objectives:

Mindfulness training is believed to encourage self-transcendent states, but little research has examined this hypothesis. This study examined the effects of mindfulness training on two phenomenological features of self-transcendence: 1) perceived body boundary dissolution, and 2) more allocentric spatial frames of reference.

Methods:

A sample of healthy, young adults (n=45) were randomized to five sessions of mindfulness training or an active listening control condition.

Results:

Results indicated mindfulness training decreased perceived body boundaries (F4,172=6.010, p<.001, η2=.12) and encouraged more allocentric frames of reference (F4,168=2.586, p=.039, η2=.06). The expected inverse relationship was observed between perceived body boundaries and allocentric frames of reference ((β=−.58, p=.001)), and path analysis revealed the effect of mindfulness training on allocentric frames of reference was mediated by decreased perceived body boundaries (β=.24, se=.17, CI: 0.11 to 0.78).

Conclusions:

Taken together, study results suggest that mindfulness training alters practitioners’ experience of self, relaxing the boundaries of the self and extending the spatial frame of reference further beyond the physical body. Future studies are needed to explore the psychophysiological changes that co-occur with phenomenological reports of self-transcendence and the behavioral consequences following self-transcendent experiences.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7968136/

 

Reduce Stress and Anxiety about Covid-19 with Mindfulness

Reduce Stress and Anxiety about Covid-19 with Mindfulness

 

By John M. de Castro, Ph.D.

 

“Even as states move forward with re-opening, the psychological consequences of coronavirus will be long-lasting. Mindfulness can be cultivated by anyone as one way to improve mental health amidst the uncertainty.” – Julie Dunn

 

Mindfulness training has been shown to improve health and well-being in healthy individuals. 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. The COVID-19 pandemic has challenged the mental and physical health of the population. It has created intense stress both for frontline workers but also for people simply isolating at home. Mindfulness is known to decrease the psychological and physical responses to stress. So, mindfulness training may be helpful in coping with the mental and physical challenges resulting from the stress produced by the COVID-19 pandemic.

 

In today’s Research News article “Trait mindfulness is negatively associated with distress related to COVID-19.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8062409/ ) Dillard and colleagues in their first study conducted during the Covid-19 pandemic, recruited healthy college students who had never been diagnosed with Covid-19 and had them complete measures of mindfulness, perceived stress, anxiety, worry about coronavirus, and their anticipated negative reactions to Covid-19 infection.

 

They found that the higher the levels of students’ mindfulness the lower the levels of perceived stress, anxiety, worry about coronavirus, and anticipated negative reactions to Covid-19 infection. These relationships were still significant even after accounting for the general health of the students.

 

In their second study conducted during the Covid-19 pandemic, they recruited healthy community adults aged between 25 and 73 years. They had them complete the same measures as in study 1, along with additional measures of depression and coping strategies. Similar to study 1, they found that the higher the levels of mindfulness the lower the levels of perceived stress, anxiety, worry about coronavirus, and anticipated negative reactions to Covid-19 infection and additionally, depression levels. These relationships were still significant even after accounting for the general health of the adults. They also found that the higher the levels of mindfulness the greater the use of positive coping strategies and the lower the use of negative coping strategies. Such as substance abuse and denial.

 

In many ways the present results replicate previous findings that mindfulness is associated with lower the levels of perceived stress, anxiety, depression, and worry and greater use of positive coping strategies, and better mental health during Covid-19. The present study finds these relationships between mindfulness and mental health specifically linked to Covid-19. They also suggest that mindfulness may produce better coping and this may be responsible for the better mental health.

 

The studies, however, were correlational and as such causation cannot be determined. Nevertheless, these findings suggest that mindfulness training may be helpful in producing better coping mechanisms to the stress of the pandemic, reducing the resultant mental health problems of both college students and older adults.

 

So, reduce stress and anxiety about Covid-19 with mindfulness.

 

With COVID-19 front and center of nearly every aspect of life . . . under the surface, many people are grieving the loss of their former lives. “It’s not just the kind of grief you feel when a loved one dies—it’s grief created by so much uncertainty. We liked the way things were.” – Yale Medicine

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Dillard, A. J., & Meier, B. P. (2021). Trait mindfulness is negatively associated with distress related to COVID-19. Personality and individual differences, 179, 110955. https://doi.org/10.1016/j.paid.2021.110955

 

Abstract

Research suggests that mindfulness is associated with psychological health including a healthier response to stressors.

Objective

This research tested associations between trait mindfulness and mental health factors related to the novel coronavirus (COVID-19).

Methods

Two studies (Study 1 N = 248 college students; Study 2 N = 300 U.S adults) assessed trait mindfulness, perceived stress and anxiety, worry about the coronavirus, and anticipated negative affect of a coronavirus diagnosis. Additionally, Study 2 assessed depressive symptoms and coping with the coronavirus.

Results

In both studies, findings indicated that individuals higher in trait mindfulness reported less stress and anxiety. Higher mindfulness in both studies was also associated with less worry about the virus and anticipating less negative affect if one gets the virus. In Study 2, trait mindfulness was negatively related to depression, and numerous associations between mindfulness and coping emerged, showing higher trait mindfulness was associated with healthier strategies in coping with coronavirus.

Conclusions

These data are consistent with research that has revealed that those who think and act more mindfully are less stressed and anxious. By revealing these associations with mindfulness in the context of a real-world, novel stressor, this research makes an important contribution to the literature.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8062409/

 

Improve the Physical and Psychological Health of Patients with Cardiac Arrhythmias with Yoga

Improve the Physical and Psychological Health of Patients with Cardiac Arrhythmias with Yoga

 

By John M. de Castro, Ph.D.

 

“Exercise that revs up your heart rate isn’t the only kind of physical activity that can help prevent or manage heart disease. The calming exercise of yoga is good for the heart, too.” – Johns Hopkins Medicine

 

Cardiovascular disease is the number one killer, claiming more lives than all forms of cancer combined. Lifestyle changes have proved to be quite effective in reducing the risk of cardiovascular disease. These include quitting smoking, weight reduction, improved diet, physical activity, and reducing stresses. Contemplative practices, such as meditation, tai chi, and yoga, have also been shown to be helpful for heart health. These practices have also been shown to be helpful for producing the kinds of other lifestyle changes needed such as smoking cessationweight reduction and stress reduction. Yoga is a mindfulness practice that has been shown to improve physical well-being and cardiovascular health.

 

An arrhythmia is a problem with the rate or rhythm of the heartbeat. During an arrhythmia, the heart can beat too fast, too slowly, or with an irregular rhythm. When a heart beats too fast, the condition is called tachycardia. When a heart beats too slowly, the condition is called bradycardia.” (NIH). Arrythmias if untreated could lead to heart failure, stroke, cardiac arrest and sudden infant death. So, it is very important to identify treatments for arrhythmias. Research on the ability of yoga practice to treat arrhythmias has been accumulating, So, it makes sense to step back and review what has been learned on the ability of yoga to treat heart arrhythmia.

 

In today’s Research News article “A Review on Role of Yoga in the Management of Patients with Cardiac Arrhythmias.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8023436/ )  Sharma and colleagues review and summarize the published research on the effects of yoga practice on heart arrhythmia and its symptoms. They found 6 published research studies.

 

They report that the published research studies found that yoga practice significantly reduced the number of both symptomatic and non-symptomatic atrial fibrillation events and ventricular repolarization dispersion indices. There were also significant decreases in resting heart rate and blood pressure. The patients’ psychological well-being was also improved by yoga practice with significant decreases in depression and anxiety and significant increases in quality of life,

 

The results of this review indicates that yoga practice is a safe and effective treatment for patients with cardiac arrhythmias, improving both the physical and psychological manifestations of arrhythmias (paroxysmal atrial fibrillation, ventricular tachyarrhythmia, and palpitation). Although long-term follow-up was not included, the observed improvements produced by yoga practice would predict that there would be a lessened occurrence of cardiovascular disease and an increase in longevity.

 

So, improve the physical and psychological health of patients with cardiac arrhythmias with yoga.

 

In the patients with cardiac arrhythmias, pranayama yoga therapy has been shown to reduce the ventricular repolarization dispersion thereby lowering the risk of developing malignant ventricular arrhythmias and sudden cardiac death. In heart failure patients, yoga therapy resulted in reduction in heart rate and blood pressure due to improved HRV, increased vagal tone and decreased sympathetic tone.” – Krishna Akella

 

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

 

Sharma, G., Mooventhan, A., Naik, G., & Nivethitha, L. (2021). A Review on Role of Yoga in the Management of Patients with Cardiac Arrhythmias. International journal of yoga, 14(1), 26–35. https://doi.org/10.4103/ijoy.IJOY_7_20

 

Abstract

Evidence suggests that yoga is safe and effective in improving various risk factors, quality of life (QoL), and psychological burden that is related to arrhythmia. However, this is the first-ever systematic review performed to report the role of yoga in arrhythmia. We have performed a literature search using Cochrane Library, Medline/PubMed, Web of Science Core Collection, and IndMED electronic databases up to 3, January 2018. Of 240 articles, 6 potentially eligible articles were identified and included in the review. Results showed that yoga could be considered an efficient adjuvant in reducing arrhythmia (paroxysmal atrial fibrillation, ventricular tachyarrhythmia, and palpitation) related health problems; blood pressure, heart rate, depression and anxiety scores; and in improving health-related QoL of arrhythmia patients. However, there is a lack of randomized controlled trials and a clear mechanism behind the effect of yoga; studies had relatively a small sample size and different yoga protocols.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8023436/

 

Improve Hypertension with Tai Chi

Improve Hypertension with Tai Chi

 

By John M. de Castro, Ph.D.

 

“under well-designed conditions, Tai Chi exercise training could decrease blood pressure and results in favorable lipid profile changes and improve subjects’ anxiety status. Therefore, Tai Chi could be used as an alternative modality in treating patients with mild hypertension, with a promising economic effect.” – Jen-Chen Tsai

 

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 may be appropriate for patients with hypertension who lack the ability to engage in strenuous exercises. Indeed, Qigong practice has been shown to reduce blood pressure. There have been a number of studies performed and it is useful to summarize what has been learned.

 

In today’s Research News article “Tai Ji Quan as antihypertensive lifestyle therapy: A systematic review and meta-analysis.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7987647/ )  Wu and colleagues reviewed, summarized, and performed a meta-analysis of the published research studies on the effectiveness of Tai Chi practice for the treatment of hypertension in adults..

 

They found 15 published controlled research studies and report that these studies found that Tai Chi practice alone produced significant reductions in both systolic and diastolic blood pressure in patients with hypertension. These effects were greatest when the baseline blood pressure was highest. The size of the blood pressure reductions would be expected to reduce cardiovascular disease risk by at least 40%.

 

It is important to note that Tai Chi and Qigong are ancient mindfulness practices involving slow prescribed movements. They are gentle and completely safe, can be used with the elderly and sickly, are inexpensive to administer, can be performed in groups or alone, at home or in a facility or even public park, and can be quickly learned. In addition, they can also be practiced in social groups without professional supervision. This can make it fun, improving the likelihood of long-term engagement in the practice. Hence, Tai Chi practice is an almost ideal treatment for hypertension.

 

So, improve hypertension with Tai Chi.

 

Despite its gentle nature, the health benefits of tai chi can be impressive.” – Abbott

 

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

 

Wu, Y., Johnson, B. T., Chen, S., Chen, Y., Livingston, J., & Pescatello, L. S. (2021). Tai Ji Quan as antihypertensive lifestyle therapy: A systematic review and meta-analysis. Journal of sport and health science, 10(2), 211–221. https://doi.org/10.1016/j.jshs.2020.03.007

 

Abstract

Background

Professional health organizations are not currently recommending Tai Ji Quan alongside aerobic exercise to treat hypertension. We aimed to examine the efficacy of Tai Ji Quan as antihypertensive lifestyle therapy.

Methods

Tai Ji Quan interventions published in English and Chinese were included when they involved healthy adults, reported pre- and post-intervention blood pressure (BP), and had a non-exercise/non-diet control group. We systematically searched 11 electronic databases for studies published through July 31, 2018, yielding 31 qualifying controlled trials. We (1) evaluated the risk of bias and methodological study quality, (2) performed meta-regression analyses following random-effects assumptions, and (3) generated additive models representing the largest possible clinically relevant BP reductions.

Results

Participants (n = 3223) were middle-aged (56.6 ± 15.1 years of age, mean ± SD) adults with prehypertension (systolic BP (SBP) = 136.9 ± 15.2 mmHg, diastolic BP (DBP) = 83.4 ± 8.7 mmHg). Tai Ji Quan was practiced 4.0 ± 1.4 sessions/week for 54.0 ± 10.6 min/session for 22.3 ± 20.2 weeks. Overall, Tai Ji Quan elicited significant reductions in SBP (–11.3 mmHg, 95%CI: –14.6 to –8.0; d+ = –0.75) and DBP (–4.8 mmHg, 95%CI: –6.4 to –3.1; d+ = –0.53) vs. control (p < 0.001). Controlling for publication bias among samples with hypertension, Tai Ji Quan trials published in English elicited SBP reductions of 10.4 mmHg and DBP reductions of 4.0 mmHg, which was half the magnitude of trials published in Chinese (SBP reductions of 18.6 mmHg and DBP reductions of 8.8 mmHg).

Conclusion

Our results indicate that Tai Ji Quan is a viable antihypertensive lifestyle therapy that produces clinically meaningful BP reductions (i.e., 10.4 mmHg and 4.0 mmHg of SBP and DBP reductions, respectively) among individuals with hypertension. Such magnitude of BP reductions can lower the incidence of cardiovascular disease by up to 40%.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7987647/