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Reduce Distress with Diabetes with Mindfulness

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Reduce Distress with Diabetes with Mindfulness

 

By John M. de Castro, Ph.D.

 

“I fight a battle against my body every day. One that doesn’t end, with no breaks, and no finish line. I keep fighting even when I’m tired, weak, or when I feel I’ve had enough. I fight for my health in more ways than others understand. Until there is a cure.” – The Diabetic Journal

 

Diabetes is a major health issue. It is estimated that 30 million people in the United States and nearly 600 million people worldwide have diabetes, and the numbers are growing. Diabetes is heavily associated with other diseases such as cardiovascular disease, heart attacks, stroke, blindness, kidney disease, and circulatory problems leading to amputations. As a result, diabetes doubles the risk of death of any cause compared to individuals of the same age without diabetes.

 

Dealing with diabetes causes considerable distress in the patient. Mindfulness practices have been shown to be helpful in managing diabetes. This predicts that mindfulness training should reduce diabetes distress.

 

In today’s Research News article “Effects of an integrated mindfulness intervention for veterans with diabetes distress: a randomized controlled trial.” (See summary below or view the full text of the study at:  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8961140/ ) DiNardo and colleagues studied the effectiveness of online mindfulness raining in reducing diabetes distress in military veterans who were receiving education and support with diabetes self-management.

 

They found that the education and support program produced significant improvements in both the psychological and physical symptoms of diabetes. But the additional mindfulness training produced a greater reduction in diabetes distress and improvements in dietary behaviors. This suggests that mindfulness training should be incorporated into diabetes management programs.

 

“Diabetes is like a roller coaster. It has its ups and downs, but it’s your choice to scream or enjoy the ride.” – Melissa Skrocki

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

DiNardo MM, Greco C, Phares AD, Beyer NM, Youk AO, Obrosky DS, Morone NE, Owen JE, Saba SK, Suss SJ, Siminerio L. Effects of an integrated mindfulness intervention for veterans with diabetes distress: a randomized controlled trial. BMJ Open Diabetes Res Care. 2022 Mar;10(2):e002631. doi: 10.1136/bmjdrc-2021-002631. PMID: 35346971; PMCID: PMC8961140.

 

Abstract

Introduction

US military veterans have disproportionately high rates of diabetes and diabetes-related morbidity in addition to being at risk of comorbid stress-related conditions. This study aimed to examine the effects of a technology-supported mindfulness intervention integrated into usual diabetes care and education on psychological and biobehavioral outcomes.

Research design and methods

Veterans (N=132) with type 1 or 2 diabetes participated in this two-arm randomized controlled efficacy trial. The intervention arm received a one-session mindfulness intervention integrated into a pre-existing program of diabetes self-management education and support (DSMES) plus one booster session and 24 weeks of home practice supported by a mobile application. The control arm received one 3-hour comprehensive DSMES group session. The primary outcome was change in diabetes distress (DD). The secondary outcomes were diabetes self-care behaviors, diabetes self-efficacy, post-traumatic stress disorder (PTSD), depression, mindfulness, hemoglobin A1C (HbA1C), body weight, and blood pressure. Assessments were conducted at baseline, 12 weeks, and 24 weeks. Participant satisfaction and engagement in home practice were assessed in the intervention group at 12 and 24 weeks.

Results

Intention-to-treat group by time analyses showed a statistically significant improvement in DD in both arms without significant intervention effect from baseline to 24 weeks. Examination of distal effects on DD between weeks 12 and 24 showed significantly greater improvement in the intervention arm. Improvement in DD was greater when baseline HbA1C was <8.5%. A significant intervention effect was also shown for general dietary behaviors. The secondary outcomes diabetes self-efficacy, PTSD, depression, and HbA1C significantly improved in both arms without significant intervention effects. Mindfulness and body weight were unchanged in either group.

Conclusions

A technology-supported mindfulness intervention integrated with DSMES showed stronger distal effects on DD compared with DSMES control. Examination of longer-term outcomes, underlying mechanisms, and the feasibility of virtual delivery is warranted.

Significance of this study

What is already known about this subject?

Diabetes distress related to the burden of diabetes self-care is an independent predictor of diabetes outcomes.

Emerging studies of mindfulness-based interventions have shown efficacy in reducing diabetes distress, but research is limited in populations at risk, including US military veterans.

What are the new findings?

A targeted mindfulness intervention integrated into conventional diabetes care is feasible, acceptable, and more efficacious for improving general dietary behaviors and for reducing diabetes distress after 12 weeks compared with conventional care.

Reductions in diabetes distress were greater with baseline hemoglobin A1C <8.5% (69 mol/mol), which may be relevant in selecting appropriate patients for mindfulness-based diabetes interventions.

Use of mobile technologies may help persons remain engaged in mindfulness practice and contribute to longer-term positive diabetes outcomes.

How might these results change the focus of research or clinical practice?

These results might influence standards of diabetes care to include mindfulness training as an adjunct to diabetes self-management education and support for suitable candidates.

Replication of these results with virtual delivery might help expand access to mindfulness-based educational programs for veterans and other persons at risk of diabetes and diabetes distress.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8961140/

 

Mindfulness is Associated with Less Relapse and Recurrence of Major Depressive Disorder

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Mindfulness is Associated with Less Relapse and Recurrence of Major Depressive Disorder

 

By John M. de Castro, Ph.D.

 

“Fall seven times, stand up eight.” – Japanese Proverb

 

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.

 

Relapsing into depression 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 to study the factors that lead to relapse and recurrence. 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. So, it makes sense to study the relationship of mindfulness with relapse and recurrence of Major Depressive Disorder.

 

In today’s Research News article “Factors associated with relapse and recurrence of major depressive disorder in patients starting mindfulness-based cognitive therapy.” (See summary below or view the full text of the study at:  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9298927/ ) de Klerk-Sluis and colleagues studied patients who were in remission for Major Depressive Disorder and the factors that predicted relapse and recurrence.

 

They found that the higher the levels of mindfulness the lower the risk of relapse and recurrence. They also found that the greater the ability of mild emotions to reactivate negative thinking patterns (cognitive reactivity) the greater the likelihood of relapse and recurrence. Finally, they found that rumination was associated with relapse and recurrence in patients who were not taking antidepressant drugs but not in patients on the drugs.

 

It appears that thought processes have large effects on relapse and recurrence of Major Depressive Disorder. But mindful thinking is helpful in preventing relapse. This suggests that mindfulness training should be recommended for patients in remission from Major Depressive Disorder. Indeed, mindfulness training has been shown to reduce the likelihood of relapse.

 

“But if you’ve fought depression or know somebody who has, you know that no amount of money can fix it. No amount of fame. No logic. The continuing stigma around suicide and mental illness tells me that not enough people truly understand it. I don’t really blame them—its impossible unless you’ve lived it.”-  David Chang

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

de Klerk-Sluis JM, Huijbers MJ, Löcke S, Spijker J, Spinhoven P, Speckens AEM, Ruhe HG. Factors associated with relapse and recurrence of major depressive disorder in patients starting mindfulness-based cognitive therapy. Depress Anxiety. 2022 Feb;39(2):113-122. doi: 10.1002/da.23220. Epub 2021 Nov 9. PMID: 34752681; PMCID: PMC9298927.

 

Abstract

Background

Mindfulness‐based cognitive therapy (MBCT) is effective for relapse prevention in major depressive disorder (MDD). It reduces cognitive reactivity (CR) and rumination, and enhances self‐compassion and mindfulness. Although rumination and mindfulness after MBCT are associated with relapse, the association of CR, rumination, self‐compassion, and mindfulness with relapse before initiation of MBCT has never been investigated.

Methods

Data were drawn from two randomized controlled trials, including a total of 282 remitted MDD participants (≥3 depressive episodes) who had been using maintenance antidepressant medication (mADM) for at least 6 months before baseline. All participants were offered MBCT while either their mADM was maintained or discontinued after MBCT. CR, rumination, self‐compassion, and mindfulness were assessed at baseline by self‐rated questionnaires and were used in Cox proportional hazards regression models to investigate their association with relapse.

Results

CR and mindfulness were associated with relapse, independent of residual symptoms, previous depressive episodes, and mADM‐use. Higher CR and lower mindfulness increased the risk of relapse. Self‐compassion was not associated with relapse. For rumination, a significant interaction with mADM‐use was found. Rumination was associated with relapse in patients who discontinued their mADM, while this effect was absent if patients continued mADM.

Conclusions

These results show that CR, rumination, and mindfulness are associated with relapse in remitted MDD‐patients before initiation of MBCT, independent of residual symptoms and previous depressive episodes. This information could improve decisions in treatment planning in remitted individuals with a history of depression.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9298927/

 

Mindfulness Improves the Well-Being of The Caregivers of Children with Developmental Disabilities

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Mindfulness Improves the Well-Being of The Caregivers of Children with Developmental Disabilities

 

By John M. de Castro, Ph.D.

 

“There are only four kinds of people in the world. Those who have been caregivers. Those who are currently caregivers. Those who will be caregivers, and those who will need a caregiver.” — Rosalyn Carter

 

Intellectual disabilities involve below average intelligence and relatively slow learning. They are quite common, affecting an estimated 10% of individuals worldwide. These disabilities present problems for the individual in learning mathematics, reading and writing. Individuals with intellectual disorders often have challenging behaviors including aggression, disruptive and socially inappropriate behaviors, self‐injury and withdrawal behaviors. The challenging behaviors not only reduce the quality of life of the individual but also puts them at higher risk of abuse, neglect, deprivation, institutionalization, and restraints.  In addition, caregivers may have to deal with verbal and physical abuse. Obviously, there is a need for therapies that can reduce these behaviors. Mindfulness training may be useful. It has been shown to improve the behavior of individuals with intellectual disabilities and the well-being or their caregivers. So, there is a need to summarize what has been learned regarding the influence of mindfulness on the caregivers of children with developmental disabilities.

 

In today’s Research News article “The Effect of Mindfulness-Based and Acceptance Commitment Therapy-Based Interventions to Improve the Mental Well-Being Among Parents of Children with Developmental Disabilities: 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/PMC8237545/ ) Chua and Shorey review, summarize, and perform a meta-analysis of the published research on the influence of mindfulness on the caregivers of children with developmental disabilities.

 

They identified 10 published research studies that clearly demonstrate that mindfulness improves the well-being of the caregivers including improvements in anxiety, depression, and perceived stress. Importantly, these improvements would predict that the caregivers would be less likely to burnout and would provide better care for the children.

 

“My caregiver mantra is to remember: the only control you have is over the changes you choose to make.” — Nancy L. Kriseman

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Chua JYX, Shorey S. The Effect of Mindfulness-Based and Acceptance Commitment Therapy-Based Interventions to Improve the Mental Well-Being Among Parents of Children with Developmental Disabilities: A Systematic Review and Meta-Analysis. J Autism Dev Disord. 2022 Jun;52(6):2770-2783. doi: 10.1007/s10803-021-04893-1. Epub 2021 Jun 28. PMID: 34181139; PMCID: PMC8237545.

 

Abstract

Parents of children with developmental disabilities are susceptible to mental health problems. Mindfulness-based and acceptance and commitment therapy (ACT)-based interventions can improve their mental well-being. This review examined the effectiveness of mindfulness-based and ACT-based interventions in improving mental well-being and mindfulness among parents of children with developmental disabilities. Six electronic databases were searched, resulting in the inclusion of ten studies published between 2014 and 2020. Meta-analysis was conducted using the random-effect model. The results suggest that mindfulness-based and ACT-based interventions were effective in decreasing parental stress, anxiety and depression, however, the effectiveness of these interventions in increasing parental mindfulness was inconclusive. Based on these findings, we discussed considerations for implementing interventions and identified areas which warrant further research.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8237545/

 

Meditation Changes the Structures and Connectivity in the Brain

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Meditation Changes the Structures and Connectivity in the Brain

 

By John M. de Castro, Ph.D.

 

“[Meditation] practice appears to have an amazing variety of neurological benefits – from changes in grey matter volume to reduced activity in the “me” centers of the brain to enhanced connectivity between brain regions.” – Alice G. Walton

 

There has accumulated a large amount of research demonstrating that meditation practice has significant benefits for psychological, physical, and spiritual wellbeing. One way that meditation practices may produce these benefits is by altering the brain. The nervous system is a dynamic entity, constantly changing and adapting to the environment. It will change size, activity, and connectivity in response to experience. These changes in the brain are called neuroplasticity. Over the last decade neuroscience has been studying the effects of contemplative practices on the brain and has identified neuroplastic changes in widespread areas. In other words, meditation practice appears to mold and change the brain structures and connectivity, producing psychological, physical, and spiritual benefits, especially mindfulness.

 

In today’s Research News article “Meditation-induced effects on whole-brain structural and effective connectivity.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9232427/ ) De Filippi and colleagues recruited experienced meditators (> 1000 hours of experience) and control non-meditators and scanned their brains with functional Magnetic Resonance Imaging (fMRI) while at rest and while meditating.

 

They found that there were significant differences in whole brain activity between meditation and at rest and that these differences differed between experienced meditators and controls. They also found that experienced meditators had increased connectivity between the left hemisphere sub networks including the somatomotor, dorsal attention, subcortical, and visual networks. Hence, they found neuroplastic changes in the brain produced by meditation practice.

 

“Now, as the popularity of mindfulness grows, brain imaging techniques are revealing that this ancient practice can profoundly change the way different regions of the brain communicate with each other – and therefore how we think – permanently.” – Tom Ireland

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

De Filippi, E., Escrichs, A., Càmara, E., Garrido, C., Marins, T., Sánchez-Fibla, M., Gilson, M., & Deco, G. (2022). Meditation-induced effects on whole-brain structural and effective connectivity. Brain structure & function, 227(6), 2087–2102. https://doi.org/10.1007/s00429-022-02496-9

 

Abstract

In the past decades, there has been a growing scientific interest in characterizing neural correlates of meditation training. Nonetheless, the mechanisms underlying meditation remain elusive. In the present work, we investigated meditation-related changes in functional dynamics and structural connectivity (SC). For this purpose, we scanned experienced meditators and control (naive) subjects using magnetic resonance imaging (MRI) to acquire structural and functional data during two conditions, resting-state and meditation (focused attention on breathing). In this way, we aimed to characterize and distinguish both short-term and long-term modifications in the brain’s structure and function. First, to analyze the fMRI data, we calculated whole-brain effective connectivity (EC) estimates, relying on a dynamical network model to replicate BOLD signals’ spatio-temporal structure, akin to functional connectivity (FC) with lagged correlations. We compared the estimated EC, FC, and SC links as features to train classifiers to predict behavioral conditions and group identity. Then, we performed a network-based analysis of anatomical connectivity. We demonstrated through a machine-learning approach that EC features were more informative than FC and SC solely. We showed that the most informative EC links that discriminated between meditators and controls involved several large-scale networks mainly within the left hemisphere. Moreover, we found that differences in the functional domain were reflected to a smaller extent in changes at the anatomical level as well. The network-based analysis of anatomical pathways revealed strengthened connectivity for meditators compared to controls between four areas in the left hemisphere belonging to the somatomotor, dorsal attention, subcortical and visual networks. Overall, the results of our whole-brain model-based approach revealed a mechanism underlying meditation by providing causal relationships at the structure-function level.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9232427/

 

Mindfulness is Associated with Improved Academic Performance

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Mindfulness is Associated with Improved Academic Performance

 

By John M. de Castro, Ph.D.

 

Mindfulness can help all students (struggling or not) be more productive; it can help reduce depression, low moods, low self esteem, and anxiety; it increases well-being, self-compassion, compassion towards others and increases emotional resilience. A powerful tool!” – Rebecca Enderby

 

In the modern world education is a key for success. There is a lot of pressure on college students to excel so that they can get the best jobs after graduation. The pressure can lead to stress, anxiety, and depression which can impede the student’s mental health, well-being, and school performance. But it is, for the most part, beyond the ability of the individual to change the environment to reduce stress, so it is important that methods be found to reduce the college students’ responses to stress; to make them more resilient when high levels of stress occur.

 

Contemplative practices including meditation, mindfulness training, exercise, Tai Chi and Qigong, and yoga practice have been shown to reduce the psychological and physiological responses to stress, relieve anxiety, and reduce depression. But more research is needed.

 

In today’s Research News article “Benefits of mindfulness in academic settings: trait mindfulness has incremental validity over motivational factors in predicting academic affect, cognition, and behavior.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8895775/ ) Kuroda and colleagues recruited college students and had them complete measures of mindfulness facets, competence self-perception, implicit theory of intelligence, achievement goals, reasons for academic study, test anxiety, enjoyment in studying, study strategies, mind wandering, and help seeking avoidance.

 

Applying hierarchical regression, controlling for motivational factors, they found that mindfulness facet of acting with awareness was positively related to enjoyment of learning and negatively related to mind wandering, and test anxiety, while the facets of non-judging and observing were positively related to enjoyment of learning, and non-judging was negatively related to mind wandering. Hence, mindfulness appears to be related to academic performance variables.

 

These results are correlational. So, causation cannot be determined. In addition, academic performance itself was not measured. But the relationship with variables that predict positive academic performance suggests that mindfulness is associated with better ability to perform in a university setting even while considering the individuals’ motivations.

 

 

“the association between mindfulness and academic achievement is similar across diverse student characteristics.” – Camila Caballero

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Kuroda, Y., Yamakawa, O., & Ito, M. (2022). Benefits of mindfulness in academic settings: trait mindfulness has incremental validity over motivational factors in predicting academic affect, cognition, and behavior. BMC psychology, 10(1), 48. https://doi.org/10.1186/s40359-022-00746-3

 

Abstract

Background

Achievement motivation research has established that motivational factors predict academic affect, cognition, and behavior. Recent studies have shown that trait mindfulness might also predict these academic outcomes. However, it remains unclear whether trait mindfulness has incremental validity over motivational factors. We hypothesized that trait mindfulness would explain unique variance in academic outcomes beyond motivational factors, because mindfulness that is characterized by the being mode of mind (i.e., a present-focused, non-striving, and accepting mind mode) would contribute to academic outcomes through unique and effective self-regulatory processes (i.e., bottom-up self-regulation of learning and present-focused, acceptance-based self-regulation of academic stress), which differ from those (i.e., top-down self-regulation of learning and future-focused, change-oriented self-regulation of academic stress) promoted by motivational factors that are characterized by the doing mode of mind (i.e., a goal-oriented, striving, and change-seeking mind mode). We tested the hypothesis by examining four established motivational factors (competence perception, implicit theory of intelligence, achievement goals, and autonomous and controlled academic reasons) and five outcome variables (test anxiety, enjoyment of learning, study strategy, mind-wandering, and help-seeking avoidance) that had been investigated in both the trait mindfulness and achievement motivation literatures.

Methods

One hundred and seventy-five students (104 females) were recruited from undergraduate psychology and cultural studies classes at two universities in Japan. Trait mindfulness was assessed using the Five Facet Mindfulness Questionnaire. The other study variables were assessed using established measures as well. We conducted hierarchical multiple regression analyses to test the hypothesis.

Results

Trait mindfulness predicted four of the five outcome variables (i.e., test anxiety, enjoyment of learning, mind-wandering, and help-seeking avoidance) after controlling for the motivational factors. The acting-with-awareness facet predicted three outcome variables, whereas the other facets predicted one outcome each.

Conclusions

This study supports the incremental validity of trait mindfulness relative to motivational factors, suggesting that not only the doing mode of mind but also the being mode is beneficial for academic learning.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8895775/

 

Mindfulness is Associated with Nursing Students’ Grit and Achievement Emotions

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Mindfulness is Associated with Nursing Students’ Grit and Achievement Emotions

 

By John M. de Castro, Ph.D.

 

“Grit is defined as having perseverance and passion for long-term goals. It is challenging yourself despite your fears. It’s being resilient. It’s having the willingness to fail, fail again, and to fail better until you finally succeed.” – Shilpi Mahajan

 

Mindfulness practice has been shown to improve emotion regulation. Practitioners demonstrate the ability to fully sense and experience emotions but respond to them in more appropriate and adaptive ways. The ability of mindfulness training to improve emotion regulation is thought to be the basis for a wide variety of benefits that mindfulness provides to mental health and the treatment of mental illness especially depression and anxiety disorders.

 

Mindfulness can be divided into two different aspects. Meditation mindfulness emphasizes focusing on what is occurring right now without judgement. On the other hand, socio-cognitive mindfulness emphasizes openness to external stimuli allowing for flexible interactions with the environment. It would be expected that socio-cognitive mindfulness with its flexibility in interpreting external events in particular would underlie improvements in emotion regulation. Grit is perseverance for long-term goals which would also be expected to be related to emotions and mindfulness. But little is known regarding the relationships of mindfulness, grit, and emotions.

 

In today’s Research News article “Nursing Students’ Grit, Socio-Cognitive Mindfulness, and Achievement Emotions: Mediating Effects of Socio-Cognitive Mindfulness.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8909993/ ) Lee recruited nursing students and had them complete measures of socio-cognitive mindfulness, grit, and achievement emotions.

 

They found that the higher the levels of mindfulness the higher the levels of grit and positive emotions and the lower the levels of negative emotions. They also found that the higher the levels of grit the higher the levels of positive emotions and the lower the levels of negative emotions, Further the relationships between grit and emotions were mediated in part by mindfulness. Grit was positively related to positive emotions directly and indirectly by being associated with higher levels of mindfulness which was in turn also related to higher levels of positive emotions. Similarly, grit was negatively related to negative emotions directly and indirectly by being associated with higher levels of mindfulness which was in turn also related to lower levels of negative emotions.

 

These findings are correlative and as such causation cannot be determined. Nevertheless, they help to clarify the relationships of perseverance for long-term goals with nursing students’ emotions. Grit is associated with emotional well-being directly and indirectly through mindfulness.

 

“Follow-through (or Grit) is one of the greatest predictors of college success.” – Sarah Ritter

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Lee M. (2022). Nursing Students’ Grit, Socio-Cognitive Mindfulness, and Achievement Emotions: Mediating Effects of Socio-Cognitive Mindfulness. International journal of environmental research and public health, 19(5), 3032. https://doi.org/10.3390/ijerph19053032

 

Abstract

Background: Recognizing the under-examined socio-cognitive mindfulness and achievement emotions in nursing, this study aimed to examine the relationships between grit, socio-cognitive mindfulness, and achievement emotions among nursing students, as well as the mediating effects of socio-cognitive mindfulness. Methods: This study utilized a cross-sectional design. A total of 220 nursing students in Korea completed the questionnaire measuring the levels of grit, socio-cognitive mindfulness, and achievement emotions. To analyze data, structural equation modeling and path analysis were performed. Results: Grit was positively related to socio-cognitive mindfulness and positive achievement emotions but negatively related to negative emotions. Socio-cognitive mindfulness was positively related to positive emotions but negatively related to negative emotions. In addition, the mediating effects of socio-cognitive mindfulness were found in the association between grit and achievement emotions in nursing students. Conclusions: Grittier students tend to have higher socio-cognitive mindfulness and positive emotions but lower negative emotions in learning environments. Mediating effects highlight the benefits of socio-cognitive mindfulness in the context of nursing education, providing the basis for developing practical mindfulness programs to cultivate nursing students’ socio-cognitive mindfulness.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8909993/

Priming Improves the Effectiveness of Mindfulness to Reduce Stress and Improve Attention

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Priming Improves the Effectiveness of Mindfulness to Reduce Stress and Improve Attention

 

By John M. de Castro, Ph.D.

 

“Mindfulness is the awareness that arises from paying attention on purpose, in the present moment, and nonjudgmentally.” – Jon Kabat-Zinn

 

One of the primary effects of mindfulness training is an improvement in the ability to pay attention to the task at hand and ignore interfering stimuli. This is an important consequence of mindfulness training and produces improvements in thinking, reasoning, and creativity. The importance of heightened attentional ability to the individual’s ability to navigate the demands of complex modern life cannot be overstated. It helps in school, at work, in relationships, or simply driving a car.  Priming occurs when information about a stimulus is presented beforehand. It is not known if priming regarding mindfulness will enhance its effectiveness.

 

In today’s Research News article “The Effect of a Brief Mindfulness Practice on Perceived Stress and Sustained Attention: Does Priming Matter?” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9167905/) Ueberholz and Fiocco

Recruited undergraduate students for an online experiment. They were randomly assigned to either prime pus 10-minute meditation, 10-minute meditation only, or prime only conditions. The prime consisted of a mindfulness infographic including information on mindfulness, brain changes with mindfulness, and behavioral changes with mindfulness. The 10-minute audio guided meditation consisted in breath following and body scan meditations. They were measured before and after training for mindfulness, perceived stress, and sustained attention with a go/no go task.

 

They found that after training both the primed and no-prime meditation groups had significantly lower levels of perceived stress and fewer omission errors than the prime only group. On the other hand only the primed group had improved sustained attention as measured by commission errors and correct responses.

 

The results suggest that as seen in many studies meditation practice reduces perceived stress and improves attention. The results also suggest that priming with mindfulness information prior to meditation increases the impact of meditation on sustained attention.

 

So, potentiate the effects of meditation with priming.

 

“Research indicates mindfulness and meditation can help us allocate cognitive resources more efficiently. Sustained attention in particular appears to be enhanced in those who practice.” – William Stafford

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Ueberholz, R. Y., & Fiocco, A. J. (2022). The Effect of a Brief Mindfulness Practice on Perceived Stress and Sustained Attention: Does Priming Matter?. Mindfulness, 1–12. Advance online publication. https://doi.org/10.1007/s12671-022-01913-8

 

Abstract

Objectives

The objective of the current study was to investigate the effect of a brief mindfulness practice on perceived stress and sustained attention, and to determine whether priming the benefits of mindfulness meditation enhances this effect.

Methods

Two hundred and twenty undergraduate students were randomly assigned to a control condition (CC), a meditation condition (MC), or a priming + meditation condition (PMC). Baseline and post-treatment measures included subjective stress ratings on a visual analog scale (VAS) and performance on a Sustained Attention to Response Task (SART), determined by reaction time coefficient of variability (RTCV) and three measures of accuracy: correct responses, errors of commission, and errors of omission.

Results

Repeated measures analyses revealed that both the MC and the PMC displayed a decline in perceived stress relative to the CC. Analyses further revelated that the MC and PMC displayed fewer errors of omission relative to the CC. However, only the PMC displayed better performance relative to the CC with respect to total correct response and errors of commission. There were no significant between-group differences for RTCV.

Conclusions

These findings are novel and provide a foundation to further investigate the effect of priming on mindfulness engagement and its potential benefits.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9167905/

Mindfulness is Associated with Greater Well-Being During Covid – 19

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Mindfulness is Associated with Greater Well-Being During Covid – 19

 

By John M. de Castro, Ph.D.

 

“When you practice mindfulness and are present moment-to-moment, you are much more tuned in during typically “mindless” activities and routines throughout your day. This level of awareness not only positively affects your mind and body, but it turns out to be pretty darn useful during a pandemic.” – Henry Ford Health

 

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. So, there is a need to find ways to improve psychological well-being during the pandemic. Mindfulness is known to decrease the psychological and physical responses to stress. So, mindfulness may be helpful in coping with the mental and physical challenges resulting from the COVID-19 pandemic.

 

In today’s Research News article “Did Mindful People Do Better during the COVID-19 Pandemic? Mindfulness Is Associated with Well-Being and Compliance with Prophylactic Measures.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9105751/ ) Wen and colleagues performed an online survey during a Covid-19 lockdown in France. The participants completed measures of mindfulness, mood, quality of sleep, and behaviors to control the spread of Covid-19.

 

They found that the higher the levels of mindfulness the better their psychological well-being including less sleep disruption, and deterioration of mood. They also found that the higher the levels of mindfulness the greater the engagement in behaviors to control the spread of Covid-19, including physical distancing, lockdown and coughing into your sleeve, but not washing hands, not touching faces and wearing masks.

 

Hence, being mindful during the Covid-19 lockdown was associated with less deterioration in well-being and greater prophylactic behaviors. This suggests that mindful people fared better during the pandemic.

 

“During the current pandemic . . .Mindfulness can help us acknowledge this situation, without allowing us to be carried away with strong emotions; it can, in turn, help bring ourselves back to a centered calm. Only then can we see more clearly what it is we have control over and what it is that we do not.” – Michigan Psychiatry

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Wen, X., Rafaï, I., Duchêne, S., & Willinger, M. (2022). Did Mindful People Do Better during the COVID-19 Pandemic? Mindfulness Is Associated with Well-Being and Compliance with Prophylactic Measures. International journal of environmental research and public health, 19(9), 5051. https://doi.org/10.3390/ijerph19095051

 

Abstract

This paper investigates the relationship between mindfulness and well-being within the context of compliance with prophylactic measures in the time of COVID-19. We conducted a large-scale survey among a representative sample of the French population. We measured mindfulness, using the Mindful Attention Awareness Scale, and the extent to which respondents were impacted by COVID-19 in terms of their mood and quality of sleep, as well as how they complied with prophylactic measures. Our results suggest that more mindful individuals were less negatively impacted by COVID-19 with regard to their sleep and mood. Concerning the prophylactic measures, we obtained mixed results: more mindful participants were more likely to respect lockdowns, physical distancing and to cough in their sleeves, but did not wash their hands, wear masks or avoid touching their face more often than less mindful individuals.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9105751/

 

Improve Psychological Well-Being and Labor Duration with Pregnancy Yoga

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Improve Psychological Well-Being and Labor Duration with Pregnancy Yoga

 

By John M. de Castro, Ph.D.

 

“Prenatal yoga is a great way to stay active during pregnancy. It’s both gentle and low impact, while offering physical and mental benefits.” – Karisa Ding

 

The period of pregnancy is a time of intense physiological and psychological change. Anxiety, depression, and fear are quite common during pregnancy. More than 20 percent of pregnant women have an anxiety disorder, depressive symptoms, or both during pregnancy. Mindfulness training has been shown to improve anxiety and depression normally and to relieve maternal anxiety and depression during pregnancy and to relieve postpartum depression. Yoga has been shown to relieve maternal anxiety and depression during pregnancy. The research is accumulating. So, it makes sense to review and summarize what has been learned regarding the effects of yoga during pregnancy.

 

In today’s Research News article “The characteristics and effectiveness of pregnancy yoga interventions: 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/PMC8957136/ ) Corrigan and colleagues review, summarize, and perform a meta-analysis of the published research studies of the effects of yoga during pregnancy. They identified 31 published research studies including 2413 pregnant women.

 

They report that the published research found that practicing yoga during pregnancy produces significant psychological benefits including decreases in perceived stress, anxiety, and depression and significant increases in physical, psychological, and social quality of life. They also report that practicing yoga reduced the duration of labor.

 

The findings of the published research to date suggests that practicing yoga during pregnancy improves the psychological well-being of the women and reduces the amount of labor.

 

“Women who do yoga — including breathing exercises, posture positions and meditation — for one hour a day have been shown to have a lower preterm labor rate, as well as lower risk of pregnancy-reduced hypertension, compared with women who spent the same amount of time walking.” – Maura Hohman

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Corrigan, L., Moran, P., McGrath, N., Eustace-Cook, J., & Daly, D. (2022). The characteristics and effectiveness of pregnancy yoga interventions: a systematic review and meta-analysis. BMC pregnancy and childbirth, 22(1), 250. https://doi.org/10.1186/s12884-022-04474-9

 

Abstract

Background

Yoga is a popular mind-body medicine frequently recommended to pregnant women. Gaps remain in our understanding of the core components of effective pregnancy yoga programmes. This systematic review and meta-analysis examined the characteristics and effectiveness of pregnancy yoga interventions, incorporating the FITT (frequency, intensity, time/duration and type) principle of exercise prescription.

Methods

Nine electronic databases were searched: MEDLINE, PsycINFO, EMBASE, CINAHL, WHOLiS, AMED, ScieLo, ASSIA and Web of Science. Randomised control trials and quasi-experimental studies examining pregnancy yoga interventions were eligible. Covidence was used to screen titles, abstracts, and full-text articles. Outcomes of interest were stress, anxiety, depression, quality of life, labour duration, pain management in labour and mode of birth. The Cochrane Collaboration’s Risk of Bias Assessment tool was used to assess methodological quality of studies and GRADE criteria (GRADEpro) evaluated quality of the evidence. Meta-analysis was performed using RevMan 5.3.

Results

Of 862 citations retrieved, 31 studies met inclusion criteria. Twenty-nine studies with 2217 pregnant women were included for meta-analysis. Pregnancy yoga interventions reduced anxiety (SMD: -0.91; 95% CI: − 1.49 to − 0.33; p = 0.002), depression (SMD: -0.47; 95% CI: − 0.9 to − 0.04, P = 0.03) and perceived stress (SMD: -1.03; 95% CI: − 1.55 to − 0.52; p < 0.001). Yoga interventions also reduced duration of labour (MD = − 117.75; 95% CI − 153.80 to − 81.71, p < 0.001) and, increased odds of normal vaginal birth (OR 2.58; 95% CI 1.46–4.56, p < 0.001) and tolerance for pain. The quality of evidence (GRADE criteria) was low to very low for all outcomes. Twelve or more yoga sessions delivered weekly/bi-weekly had a statistically significant impact on mode of birth, while 12 or more yoga sessions of long duration (> 60 min) had a statistically significant impact on perceived stress.

Conclusion

The evidence highlights positive effects of pregnancy yoga on anxiety, depression, perceived stress, mode of birth and duration of labour.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8957136/

 

Reduce Affective Polarization with Mindfulness

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Reduce Affective Polarization with Mindfulness

 

By John M. de Castro, Ph.D.

 

“Today’s political language is harsh and inflexible, and the volume keeps increasing while neither side is really listening. Mindfulness is a practice of of deep listening, and can be used to decode language without resorting to knee-jerk reactions.” – Pamela Weiss

 

Affective polarization is defined as the difference in feelings and perceptions towards the political ingroup and the political outgroup. It has become the norm in wester political discourse. In the U.S. it shows up as liberal vs. conservative while in the U.K. it shows up as Brexit leave vs, stay. But it is harmful to useful discussion and debate. It may be seen as poisonous to democracy making reasoned political discourse impossible. Hence, it is important to discover means to overcome affective polarization.

 

Mindfulness involves nonjudgemental awareness and nonreactivity. These characteristics may be antidotes to affective polarization as critical judgement of others and over reaction to their beliefs underlies affective polarization. So, it would seem reasonable to examine the relationship of mindfulness to affective polarization.

 

In today’s Research News article “Effects of an 8-Week Mindfulness Course on Affective Polarization.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8739379/ ) Simonsson and colleagues recruited college students and randomly assigned them to either  wait-list control condition or to receive 8 weekly 90 minute mindfulness trainings along with home practice. They were measured before and after training for Brexit identity (leave or remain), mindfulness (FFMQ), affective polarization (strength of Brexit feelings), and trait ratings about people with their same Brexit identity.

 

They found that in comparison to baseline and the wait-list controls after mindfulness training there were significant increases in mindfulness and significant decreases in affective polarization. Hence, mindfulness training reduces political polarization. This is important and suggests that mindfulness training should be encouraged across the political spectrum.

 

“a brief, audio-guided, befriending-themed meditation reduced affective polarization between people on the “Remain” versus “Leave” sides of the U.K.’s Brexit referendum.” – TrendMD

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Simonsson, O., Bazin, O., Fisher, S. D., & Goldberg, S. B. (2022). Effects of an 8-Week Mindfulness Course on Affective Polarization. Mindfulness, 13(2), 474–483. https://doi.org/10.1007/s12671-021-01808-0

 

Abstract

Objectives

The European Union Brexit referendum has split the British electorate into two camps, with high levels of affective polarization between those who affiliate with the Remain side (Remainers) and the Leave side (Leavers) of the debate. Previous research has shown that a brief meditation intervention can reduce affective polarization, but no study has thus far investigated the effects of an 8-week mindfulness program on affective polarization. This is what will be examined in this study.

Methods

The present study used a randomized waitlist control design (n = 177) with a 1-month post-intervention follow-up to investigate whether an 8-week mindfulness program delivered online would have an effect on affective polarization among Remainers and Leavers.

Results

Results showed significantly greater reductions in affective polarization over time for participants in the mindfulness condition relative to participants in the waitlist control condition (time X group B =  − 0.087, p = .024).

Conclusions

Taken together, the findings highlight the potential of mindfulness training as a means to reduce intergroup biases in political contexts.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8739379/