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Improve the Psychological Well-Being of Patients with Parkinson’s Disease with Mindfulness

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Improve the Psychological Well-Being of Patients with Parkinson’s Disease with Mindfulness

 

By John M. de Castro, Ph.D.

 

“People with Parkinson’s reported that stress worsened both motor and non-motor symptoms, especially tremor and anxiety. More than 38 percent of respondents found mindfulness helped manage their stress and improved motor and non-motor symptoms, including anxiety and depressed mood.” – Christina Destro

 

Parkinson’s Disease (PD) is an incurable progressive degenerative disease of the central nervous system. The condition is caused by the death of nerve cells in the brain that produce the neurotransmitter dopamine. There are around seven million people worldwide and one million people in the U.S. living with PD and about 60,000 people are diagnosed with PD every year. PD is associated with aging as most patients are diagnosed after age 50. In fact, it has been speculated that everyone would eventually develop PD if they lived long enough.

 

Its physical symptoms include resting tremor, slow movements, muscle rigidity, problems with posture and balance, loss of automatic movements, and slurring of speech. PD itself is not fatal but is often associated with related complications which can reduce life expectancy, such as falls, choking, and cardiovascular problems. PD also has psychological effects, especially cognitive decline, anxiety, and depression. Balance is a particular problem as it effects mobility and increases the likelihood of falls, restricting activity and reducing quality of life.

 

There are no cures for Parkinson’s Disease (PD) or even treatments to slow its progression. There are only treatments that can produce symptomatic relief. So, there is a need to discover new and different treatments. Mindfulness training has been found to improve the psychological symptoms and the quality of life with PD patients.  Mindfulness-Based Cognitive Therapy (MBCT) involves mindfulness training, containing sitting, walking and body scan meditations, and cognitive therapy that attempts to teach patients to distinguish between thoughts, emotions, physical sensations, and behaviors, and to recognize irrational thinking styles and how they affect behavior. So, there is a need to further investigate the effectiveness of mindfulness training in the treatment of Parkinson’s Disease (PD).

 

In today’s Research News article “). Online Mindfulness-Based Cognitive Therapy for People with Parkinson’s Disease and Their Caregivers: a Pilot Study.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9059916/ ) Seritan and colleagues recruited patients with Parkinson’s Disease who also had symptoms of anxiety and depression and their caregivers and provided them with 8 weekly 2.5 hour online sessions of Mindfulness-Based Cognitive Therapy (MBCT) along with home practice. They were measured before and after treatment for mindfulness, anxiety, depression, and caregiver burden.

 

They found that after Mindfulness-Based Cognitive Therapy (MBCT) training there were significant reductions in anxiety and depression and significant increases in mindfulness regardless of whether the patients were high in anxiety or high in depression before treatment. Hence, online mindfulness training improves the psychological well-being of patients with Parkinson’s Disease.

 

“like regular physical activity, mindfulness meditation can serve as the cornerstone for self-care that people with PD can use to manage their symptoms.” – Emily Delzell

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Seritan, A. L., Iosif, A. M., Prakash, P., Wang, S. S., & Eisendrath, S. (2022). Online Mindfulness-Based Cognitive Therapy for People with Parkinson’s Disease and Their Caregivers: a Pilot Study. Journal of technology in behavioral science, 1–15. Advance online publication. https://doi.org/10.1007/s41347-022-00261-7

 

Abstract

Anxiety and depression are common non-motor symptoms of Parkinson’s disease (PD). Caregivers of people with PD may experience severe caregiver burden. This study explored the feasibility and potential benefits of an online mindfulness-based cognitive therapy (MBCT) intervention for improving anxiety and depressive symptoms in people with PD and their caregivers (ClinicalTrials.gov NCT04469049, 7/8/2020). People with PD or parkinsonism and anxiety and/or depressive symptoms and caregivers of people with PD participated in one of three online MBCT groups. Demographic variables, pre- and post-MBCT behavioral measures (GAD-7, PHQ-9, Five Facet Mindfulness Questionnaire — FFMQ-15, Caregiver Self-Assessment Questionnaire — CSAQ), and satisfaction surveys were collected. Descriptive statistics were used to summarize data. Pre- and post-MBCT behavioral scores were compared using mixed-effect models. Fifty-six potential participants were assessed for eligibility. Twenty-eight entered MBCT groups; all but one completed the intervention. The overall sample analyzed (22 people with PD, 4 caregivers) showed significant GAD-7 and PHQ-9 score reductions and FFMQ-15 total and observing and non-reactivity subscale score increases (all p’s < 0.05). Participants with PD and anxiety symptoms (n = 14) had a significant GAD-7 score reduction; those with PD and depressive symptoms (n = 12) had a significant PHQ-9 score reduction (both p’s < 0.05). Participants with PD also had a significant FFMQ-15 observing subscale score increase (p < 0.05). The caregiver sample was too small to be analyzed separately. Online MBCT is feasible (as measured by high attendance, completion rate, and participant satisfaction) and may be effective in improving anxiety and depressive symptoms in people with PD.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9059916/

 

Alter Cognition of Patients with Anxiety with Mindfulness

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Alter Cognition of Patients with Anxiety with Mindfulness

 

By John M. de Castro, Ph.D.

 

“Anxiety can mentally exhaust you and have real impacts on your body. But before you get anxious about being anxious, know that research has shown you can reduce your anxiety and stress with a simple mindfulness practice.” – Mandy Ferreira 

 

Anxiety disorders are the most common mental illness in the United States, affecting 40 million adults, or 18% of the population. A characterizing feature of anxiety disorders is that the sufferer overly identifies with and personalizes their thoughts. The sufferer has recurring thoughts, such as impending disaster, that they may realize are unreasonable, but are unable to shake. Anxiety disorders have generally been treated with drugs. But there are considerable side effects, and these drugs are often abused. There are several psychological therapies for anxiety. But, about 45% of the patients treated do not respond to the therapy. So, there is a need to develop alternative treatments. Recently, it has been found that mindfulness training can be effective for anxiety disorders.

 

Mindfulness-Based Cognitive Therapy (MBCT) has been shown to be effective in treating anxiety disorders. MBCT involves mindfulness training, containing sitting, walking and body scan meditations, and cognitive therapy that attempts to teach patients to distinguish between thoughts, emotions, physical sensations, and behaviors, and to recognize irrational thinking styles and how they affect behavior. But how MBCT affects the thought processes in anxiety disorders needs further investigation.

 

In today’s Research News article “Mindfulness-Based Cognitive Therapy: A Preliminary Examination of the (Event-Related) Potential for Modifying Threat-Related Attentional Bias in Anxiety.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9159034/ ) Gupta and colleagues recruited adults with high levels of anxiety and randomly assigned them to receive 8 weekly 2.5 hour sessions of Mindfulness-Based Cognitive Therapy (MBCT) along with home practice presented either online of in-person. Before and after training they were measured for anxiety, depression, and perceived stress. In addition, the participants had their electroencephalogram (EEG) recorded while performing a task to measure threat-related attentional bias.

 

They found that after Mindfulness-Based Cognitive Therapy (MBCT) there were significantly lower levels of anxiety, depression, and perceived stress. In addition, after MBCT EEG responses and response times to pictures of faces showing emotions were reduced. Hence, mindfulness training improved the psychological well-being of anxious adults in association with reduced brain responses to emotional faces.

 

“As you become more mindful, you will also notice that you will become more centered, happier, and less depressed and this in turn has a direct positive effect on your anxiety.” – Stefan G. Hofmann

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Gupta, R. S., Kujawa, A., Fresco, D. M., Kang, H., & Vago, D. R. (2022). Mindfulness-Based Cognitive Therapy: A Preliminary Examination of the (Event-Related) Potential for Modifying Threat-Related Attentional Bias in Anxiety. Mindfulness, 1–14. Advance online publication. https://doi.org/10.1007/s12671-022-01910-x

 

Abstract

Objectives

Mindfulness-based cognitive therapy (MBCT) can reduce anxiety and depression symptoms in adults with anxiety disorders, and changes in threat-related attentional bias may be a key mechanism driving the intervention’s effects on anxiety symptoms. Event-related potentials (ERPs) can illuminate the physiological mechanism through which MBCT targets threat bias and reduces symptoms of anxiety. This preliminary study examined whether P1 ERP threat–related attentional bias markers in anxious adults change from pre- to post-MBCT delivered in-person or virtually (via Zoom) and investigated the relationship between P1 threat–related attentional bias markers and treatment response.

Methods

Pre- and post-MBCT, participants with moderate to high levels of anxiety (N = 50) completed a dot-probe task with simultaneous EEG recording. Analyses focused on pre- and post-MBCT P1 amplitudes elicited by angry-neutral and happy-neutral face pair cues, probes, and reaction times in the dot-probe task and anxiety and depression symptoms.

Results

Pre- to post-MBCT, there was a significant reduction in P1-Probe amplitudes (d = .23), anxiety (d = .41) and depression (d = .80) symptoms, and reaction times (d = .10). Larger P1-Angry Cue amplitudes, indexing hypervigilance to angry faces, were associated with higher levels of anxiety both pre- and post-MBCT (d = .20). Post-MBCT, anxiety symptoms were lower in the in-person versus virtual group (d = .80).

Conclusions

MBCT may increase processing efficiency and decreases anxiety and depression symptoms in anxious adults. However, changes in threat bias specifically were generally not supported. Replication with a comparison group is needed to clarify whether changes were MBCT-specific.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9159034/

 

Improve the Health of the Elderly with Depression with Tai Chi

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Improve the Health of the Elderly with Depression with Tai Chi

 

By John M. de Castro, Ph.D.

 

“adding a mind-body exercise like tai chi that is widely available in the community can improve the outcomes of treating depression in older adults.” – UCLA Health

 

The aging process involves a systematic progressive decline in every system in the body, the cardiovascular system and respiratory system included. The elderly frequently also have problems with attention, thinking, and memory abilities, known as mild cognitive impairment. An encouraging new development is that mindfulness practices such as meditation training and mindful movement practices can significantly reduce these declines.

 

Tai Chi has been practiced for thousands of years with benefits for health and longevity. Tai Chi training is designed to enhance function and regulate the activities of the body through regulated breathing, mindful concentration, and gentle movements. Tai Chi practice has been found to be effective for an array of physical and psychological issues. Tai Chi has been shown to help the elderly improve attention, balance, reducing falls, arthritis, cognitive function, memory, and reduce age related deterioration of the brain. The elderly are often depressed. So, it makes sense to study the effectiveness of Tai Chi practice on the health of  the elderly with depression.

 

In today’s Research News article “Comparison of the effects of Tai Chi and general aerobic exercise on weight, blood pressure and glycemic control among older persons with depressive symptoms: a randomized trial.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9077840/ ) Wang and colleagues recruited older adults (> 60 years of age) who had depressive symptoms and randomly assigned the to receive 3 times per week for 60 minutes for 12 weeks of either Tai Chi practice or 20 movement low impact aerobic exercise. They were measured before and after training and 3 month later for body size, blood pressure and blood HbA1c levels.

 

They found that in comparison to baseline and the aerobic exercise group, the group that practiced Tai Chi lost a significantly greater amount of weight and Body Mass Index (BMI), had significantly lower systolic and diastolic blood pressure, and had significantly lower HbA1c levels. Hence, in older adults with depressive symptoms Tai Chi practice is more effective than aerobic exercise in reducing body weight, blood pressure, and improving long-term glucose control.

 

So, Tai Chi improves the physical well-being of older adults.

 

“tai chi is an exercise form you can practice all your life.  Good for the mind and the body, it’s a physical activity that will help keep you feeling healthy for years to come. “ – NHSNetworks

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Wang, Y., Luo, B., Wu, X., Li, X., & Liao, S. (2022). Comparison of the effects of Tai Chi and general aerobic exercise on weight, blood pressure and glycemic control among older persons with depressive symptoms: a randomized trial. BMC geriatrics, 22(1), 401. https://doi.org/10.1186/s12877-022-03084-6

 

Abstract

Background

Blood pressure and glycemic control are associated with the management of depressive symptoms in patients with depression. Previous studies have demonstrated that both Tai Chi and aerobic exercise have positive effects on blood pressure and glycemic control. Few studies have compared the physiological effects of Tai Chi versus aerobic exercise in older adults with depressive symptoms. The objective of this study was to compare the effects of Tai Chi and aerobic exercise on weight, body mass index, blood pressure and glycosylated hemoglobin (HbA1c) level in older persons with mild to moderate-severe depressive symptoms.

Methods

A randomized controlled trial was performed. The older persons (age ≥ 60 years old) with depressive symptoms were recruited. Then, participants were randomly allocated to the Tai Chi group and the aerobic exercise group received a 12-week 24-movement Yang’s Tai Chi intervention and aerobic exercise, respectively. Data collection occurred at baseline and after completion of the interventions (week 12).

Results

A total of 238 participants with mild to moderate-to-severe depressive symptoms were included in the final analysis, including 120 in the Tai Chi group and 118 in the aerobic exercise group. The difference in weight and body mass index in the Tai Chi group was 2.0 kg (Z = -4.930, P < 0.001) and 0.77 kg/m2 (Z = -5.046, P < 0.001) higher than that in the aerobic exercise group, respectively. After the 12-week intervention, the systolic pressure and diastolic pressure in the Tai Chi group were 5.50 mmHg (Z = -2.282, P = 0.022) and 8.0 mmHg (Z = -3.360, P = 0.001) lower than that in the aerobic exercise group, respectively. The difference in HbA1c level in the Tai Chi group was 0.50% higher than that in the aerobic exercise group (Z = -4.446, P < 0.001).

Conclusion

This study showed that Tai Chi exercise was more effective in improving blood pressure and HbA1c level than general aerobic exercise. It suggested that Tai Chi might be an effective approach for the management of blood pressure and long-term glucose control in older persons with depressive symptoms.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9077840/

Enhance Creativity and Flow with Mindfulness

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Enhance Creativity and Flow with Mindfulness

 

By John M. de Castro, Ph.D.

              

“Flexibility of thought is essential to creativity and studies show that mindfulness practice is positively correlated with cognitive flexibility.” – Wendy Ann Greeenhalgh

 

Creative solutions are unusual but appropriate and useful solutions to a problem. Problem solving most frequently involves logic and reasoning, sometimes along with mathematics. If logic and reason fail, then fanciful and out-of-the box thinking may be needed. In this case mind wandering, taking the thought process away from the failed logical strategy, is superior, often producing a solution in a flash, an “aha” moment.

 

Creative solutions often occur after an incubation period where the individual gets away from the problem for a while. This tends to break up repetitive and routine thinking that may interfere with finding a creative solution. Mindfulness practices may provide incubation periods that help to spur creative thought. Indeed, mindfulness has been found to increase creativity. Regardless, there is a need to further investigate the effects of mindfulness on creativity

 

In today’s Research News article “The Effect of Animation-Guided Mindfulness Meditation on the Promotion of Creativity, Flow and Affect.” (See summary below or view the full text of the study at: https://www.frontiersin.org/articles/10.3389/fpsyg.2022.894337/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1885330_a0P58000000G0YfEAK_Psycho_20220614_arts_A ) Chen and colleagues recruited psychologically healthy employees engaged in creative activities and provide them with either animation-based of audio guided mindfulness training 3 times per week for 8 weeks. Before and after training they completed measures of creativity (Work Creativity Scale), Mindfulness (Mindful Attention Awareness Scale), flow (Short Dispositional Flow Scale – 2), and emotions (Positive and Negative Affect Scale).

 

They found that after training there were significant improvements in all measures. The animation group, however, had significantly greater improvements in mindfulness, work creativity, and positive emotions. Path analysis revealed that mindfulness and flow were highly elated and both were associated with higher levels of creativity directly and also indirectly y being positively related to positive emotions which were in turn positively related to creativity.

 

The results demonstrate the mindfulness training produce increased creativity and well-being regardless of whether training involves animation or audio guided meditation. But animation guided meditation produced superior results. So, improve creativity and flow with mindfulness training.

 

“mindfulness meditation and other mindfulness practices enhance three essential skills necessary for creative problem solving. First, mindfulness switches on divergent thinking. In other words, meditation opens your mind to new ideas. Second, mindfulness practice improves attention and makes it easier to register the novelty and usefulness of ideas. And finally, mindfulness nurtures courage and resilience in the face of skepticism and setbacks, which is important because failure and setbacks are inextricably linked with any innovation process.” – Emma Schootstra

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Chen H, Liu C, Zhou F, Chiang C-H, Chen Y-L, Wu K, Huang D-H, Liu C-Y and Chiou W-K (2022) The Effect of Animation-Guided Mindfulness Meditation on the Promotion of Creativity, Flow and Affect. Front. Psychol. 13:894337. doi: 10.3389/fpsyg.2022.894337

 

Creativity is so important for social and technological development that people are eager to find an easy way to enhance it. Previous studies have shown that mindfulness has significant effects on positive affect (PA), working memory capacity, cognitive flexibility and many other aspects, which are the key to promoting creativity. However, there are few studies on the relationship between mindfulness and creativity. The mechanism between mindfulness and creativity is still uncertain. Meditation is an important method of mindfulness training, but for most people who do not have the basic training, it’s difficult to master how to get into a state of mindfulness. Animation has been shown by many studies to help improve cognition and is often used as a guiding tool. Using animation as the guiding carrier of meditation is more convenient and easier to accept. Therefore, this study adopted the intervention method of animation-guided meditation, aiming to explore: (1) the effect of animation-guided meditation on enhancing creativity; (2) the role of flow and emotion in the influence of mindfulness on creativity. We advertised recruitment through the internal network of a creative industrial park, and the final 95 eligible participants were divided into two groups: animation (n = 48) and audio (n = 47) guided meditation. The animation group was given an animated meditation intervention, and the audio group was given an audio meditation intervention, both interventions were performed 3 times a week and last for 8 weeks. Results: (1) Animation-guided meditation significantly increased participants’ mindfulness and creativity levels; Significantly reduced their cognitive load compared to audio-guided meditation. (2) Mindfulness has a significant direct effect on creativity, and significant indirect effects on creativity; Flow and PA act as the mediating variable. Conclusion: (1) Mindfulness, flow, and PA all helped to improve the subjects’ work creativity. In addition to the direct positive impact of mindfulness on creativity, mindfulness can also have an indirect positive impact on creativity through flow and PA. (2) Compared with audio, animation can significantly reduce cognitive load and help improve users’ cognitive ability, which is more suitable for the guidance materials of mindfulness meditation to enhance the effect of meditation.

https://www.frontiersin.org/articles/10.3389/fpsyg.2022.894337/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1885330_a0P58000000G0YfEAK_Psycho_20220614_arts_A

 

Different Meditation Techniques Improve Well-Being Through Different Brain Systems

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Different Meditation Techniques Improve Well-Being Through Different Brain Systems

 

By John M. de Castro, Ph.D.

 

‘Meditation can alter the mechanism of your brain after some time.” – Perpetua Neo

 

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.

 

There are, however, a wide variety of meditation practices and there has been extensive research into the impact of these different practices on the brain psychological well-being. The different practices can be classified as to whether they focus on present centered awareness (attention to present moment sensation and perception), meta-awareness (attention to consciousness), or non-reactive self-related processing (nonjudgmental attention to and acceptance of self-related perceptions). There is a need to summarize what has been learned about the psychological effects and brain activities related to these different meditation classifications.

 

In today’s Research News article “Classification of Mindfulness Meditation and Its Impact on Neural Measures in the Clinical Population.” (See summary below or view the full text of the study at: https://www.frontiersin.org/articles/10.3389/fpsyg.2022.891004/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1885330_a0P58000000G0YfEAK_Psycho_20220614_arts_A ) Ngan and colleagues reviewed and summarized the published research literature on the effects of meditation techniques focusing on present moment attention, meta-awareness, or non-reactive self-related processing on brain systems and psychological well-being. They found 12 published research studies.

 

They report that the published research studies found that meditation focusing on present centered awareness was associated with neural activity in the brain’s salience network that is associated with identifying important aspects of the environment to pay attention to. They also found that meditation focusing on meta-awareness was associated with neural activity in the brain’s default mode network that is associated with self-related processing and mind wandering. Finally, they found that meditation focusing on meta-awareness was associated with neural activity in the brain’s default mode network interconnections with the executive network that is associated with high level thinking.

 

So, although all meditation focuses produce beneficial psychological effects, they may do so through different neural mechanisms.

 

“it really matters what you practice—the observed brain changes were specific to different types of training and coincided with improvements in emotional and cognitive skills.” – Tania Singer

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Ngan STJ and Cheng PWC (2022) Classification of Mindfulness Meditation and Its Impact on Neural Measures in the Clinical Population. Front. Psychol. 13:891004. doi: 10.3389/fpsyg.2022.891004

 

Different forms of mindfulness meditation are increasingly integrated in the clinical practice in the last three decades. Previous studies have identified changes in the neurophysiology and neurochemistry of the brain resulting from different mindfulness meditation practices in the general population. However, research on neural correlates of different types of meditation, particularly on the clinical outcomes, is still very sparse. Therefore, the aim of this article is to review the neural impact of mindfulness meditation interventions on different mental disorders via the classification of main components of mindfulness meditation. The clearer classification of mindfulness meditation may inform future clinical practice and research directions.

https://www.frontiersin.org/articles/10.3389/fpsyg.2022.891004/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1885330_a0P58000000G0YfEAK_Psycho_20220614_arts_A

 

Mindfulness Promotes Grit in College Students with Adverse Childhood Experiences

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Mindfulness Promotes Grit in College Students with Adverse Childhood Experiences

 

By John M. de Castro, Ph.D.

 

“As we introduce Mindfulness and the concept of “whole grit, the focus moves from the outside benchmarks of achievement to the inside benchmarks of achievement. The focus shifts from being a product to the process of learning and happiness. The focus shifts from the tangible grades to the intangible happiness and being in the present moment.” – Shilpi Mahajan

 

Childhood trauma can leave in its wake symptoms which can haunt the victims for the rest of their lives. These include persistent recurrent re-experiencing of the traumatic event, including flashbacks and nightmares, loss of interest in life, detachment from other people, increased depression, anxiety and emotional arousal, including outbursts of anger, difficulty concentration, and jumpiness, startling easily. Unfortunately, childhood maltreatment can continue to affect mental and physical health throughout the individual’s life. How individuals cope with childhood maltreatment helps determine the effects of the maltreatment on their mental health.

 

It has been found that experiencing the feelings and thoughts produced by trauma completely, allows for better coping. This can be provided by mindfulness. Indeed, mindfulness has been found to be effective for relieving trauma symptoms. But it is not known how mindfulness interacts with adverse childhood experiences to impact psychological well-being later. One possibility is that mindfulness helps to promote grit, perseverance for long-term goals.

 

In today’s Research News article “Adverse Childhood Experiences, Mindfulness, and Grit in College Students in China.” (See summary below or view the full text of the study at: https://www.frontiersin.org/articles/10.3389/fpsyg.2022.891532/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1885330_a0P58000000G0YfEAK_Psycho_20220614_arts_A ) Cheung and colleagues recruited university students online and had them complete measures of mindfulness, grit, adverse childhood experiences, and socioeconomic status.

 

They found hat the higher the level of adverse childhood experiences the lower the level of grit while the higher the levels of mindfulness the higher the levels of grit. But considering the levels of mindfulness, the negative association of adverse childhood experiences with grit became nonsignificant. In other words, being mindful prevents adverse childhood experiences from being associated with lower levels of grit.

 

These results are correlative, and causation cannot be determined. Nevertheless, the result suggests that persevering in the pursuit of long-term goals is harmed by having experienced neglect of abuse in childhood, but being mindful prevents this, allowing the student to still pursue long-term goals even though they’ve experienced significant trauma.

 

“the best predictor of success in any situation is “grit”” – Ria Sankar

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Cheung SP, Tu B and Huang C (2022) Adverse Childhood Experiences, Mindfulness, and Grit in College Students in China. Front. Psychol. 13:891532. doi: 10.3389/fpsyg.2022.891532

 

This study investigated the effect of ACEs and COVID-19 on grit and whether this effect is mediated by mindfulness. Although current scholarship has found that adverse childhood experiences (ACEs) have harmful consequences to individuals across the life span, less is known about the relationship between ACEs and grit. Grit is predictive of educational success and subjective wellbeing. A cross-sectional online survey administered to junior and senior students from 12 universities spread across China was conducted from September 20, 2020 to October 5, 2020. The universities were selected from geographically diverse regions of China to ensure a diverse sample. We received 1,871 completed responses from 2,229 invited students. The survey response rate was 83.9%. The results indicated that ACEs had significantly negative effects on grit, while mindfulness had significantly positive effects on grit. Once controlling for level of mindfulness, the effects of ACEs on grit largely reduced and became insignificant. The findings of this research indicate that mindfulness has a significant mediational effect on the relation between ACEs and grit and call for mindfulness-based interventions for enhancing grit for the population at risks.

https://www.frontiersin.org/articles/10.3389/fpsyg.2022.891532/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1885330_a0P58000000G0YfEAK_Psycho_20220614_arts_A

 

Virtual Mindfulness Training Improves Well-Being

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Virtual Mindfulness Training Improves Well-Being

 

By John M. de Castro, Ph.D.

 

“Spending too much time planning, problem solving, daydreaming, or thinking negative or random thoughts can be draining. It also can make you more likely to experience stress, anxiety and symptoms of depression. Practicing mindfulness exercises, on the other hand, can help you direct your attention away from this kind of thinking and engage with the world around you.” – Mayo Clinic

 

Mindfulness training has been shown to improve health and well-being. It has also been found to be effective for a large array of medical and psychiatric conditions, either stand-alone or in combination with more traditional therapies. As a result, mindfulness training has been called the third wave of therapies. But the vast majority of the mindfulness training techniques require a trained teacher. The participants must be available to attend multiple sessions at scheduled times that may or may not be compatible with their schedules and at locations that may not be convenient.

 

As an alternative, training over the internet has been developed. This has tremendous advantages in decreasing costs, making training schedules much more flexible, and eliminating the need to go repeatedly to specific locations. But the question arises as to the effectiveness of internet training in improving psychological well-being. The evidence is accumulating. So, it makes sense to review what has been learned.

 

In today’s Research News article “Virtual mindfulness interventions to promote well-being in adults: A mixed-methods systematic review.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8765070/ ) Xu and colleagues review and summarize the published research studies on the effectiveness of mindfulness training over the internet to improve psychological well-being. They identified 32 published studies.

 

They report that the published studies found that internet-based mindfulness training produced significant improvements in well-being and mental health including reductions in anxiety and depression, perceived stress, sleep disruptions, and negative emotions and significant increases in academic performance and cognition, including reduced mind-wandering.

 

The published research indicates that on-line mindfulness training improves the well-being, mental health, and cognitive performance of students.

 

“Even though the app we evaluate is vastly less expensive than in-person psychotherapy, it leads to comparable short-run improvements in mental health.” – Advik Shreekumar

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Xu, J., Jo, H., Noorbhai, L., Patel, A., & Li, A. (2022). Virtual mindfulness interventions to promote well-being in adults: A mixed-methods systematic review. Journal of affective disorders, 300, 571–585. https://doi.org/10.1016/j.jad.2022.01.027

 

Abstract

Background

With the onset of the COVID-19 pandemic, many have experienced drastic changes in their academic and social lives with ensuing consequences towards their physical and mental well-being. The purpose of this systematic review is to identify virtual mindfulness-based interventions for the well-being of adults aged 19 to 40 years in developed countries and examine the efficacy of these techniques/exercises.

Methods

This mixed-methods systematic review follows the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) guidelines with a registered PROSPERO protocol. With a convergent integrated synthesis approach, IEEE Xplore, PsychInfo, Web of Science and OVID were searched with a predetermined criteria and search strategy employing booleans and filters for peer-reviewed and gray literature. Data screening and extraction were independently performed by two authors, with a third author settling disagreements after reconciliation. Study quality of selected articles was assessed with two independent authors using the Mixed Methods Appraisal Tool (MMAT). Studies were analyzed qualitatively (precluding meta and statistical analysis) due to the heterogeneous study results from diverse study designs in present literature.

Results

Common mindfulness-based interventions used in the appraised studies included practicing basic mindfulness, Mindfulness-Based Stress Reduction (MBSR) programs, Mindfulness-Based Cognitive Therapy programs (MBCT) and the Learning 2 BREATHE (L2B) program.

Conclusion

Studies implementing mindfulness interventions demonstrated an overall improvement in well-being. Modified versions of these interventions can be implemented in a virtual context, so adults can improve their well-being through an accessible format.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8765070/

 

Improve Physiological Relaxation in Breast Cancer Patients with Mindfulness

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Improve Physiological Relaxation in Breast Cancer Patients with Mindfulness

 

By John M. de Castro, Ph.D.

 

“mindfulness-based meditation can help ease the stress, anxiety, fear, and depression that often come along with a breast cancer diagnosis and treatment.” –  Breastcancer.org

 

Mindfulness training has been shown to help with general cancer recovery. Mindfulness practices have been shown to improve the residual symptoms in cancer survivors. The Mindfulness-Based Stress Reduction (MBSR) program is a mindfulness training program that includes meditation practice, body scan, yoga, and discussion along with daily home practice. MBSR has been shown to be beneficial for cancer patients in general and also specifically for the symptoms of breast cancer survivors. So, it makes sense to further explore the mechanisms of the effectiveness of MBSR for the treatment of breast cancer survivors.

 

In today’s Research News article “.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9180838/ ) and colleagues recruited breast cancer survivors who had received a diagnosis and treatment at least 2 years ago. They either participated in a 6 week, 2 hour once a week session of Mindfulness-Based Stress Reduction (MBSR) or usual care. Before and after treatment they were measured for heart rate, heart rate variability with an electrocardiogram.

 

They found that in comparison to baseline and the usual care group after Mindfulness-Based Stress Reduction (MBSR) the survivors had significantly lower resting heart rate and higher heart rate variability. Increases in heart rate variability indicates a reduction in physiological activation, an increase in parasympathetic relaxation, providing a physiological indicator of physiological relaxation. This suggests that MBSR resulted in greater relaxation in the breast cancer survivors and this is an indicator of improved physical and psychological well-being in these cancer survivors.

 

So, mindfulness training increases physiological relaxation in breast cancer survivors.

 

“practice mindfulness meditation to help you better handle the stressors that life is throwing your way. Being more mindful can also help you remain physically active and stick to a healthy diet – all key ingredients for successfully navigating cancer survivorship!” – Jessica Pieczynski

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Wang, S. J., Chang, Y. C., Hu, W. Y., Chang, Y. M., & Lo, C. (2022). The Comparative Effect of Reduced Mindfulness-Based Stress on Heart Rate Variability among Patients with Breast Cancer. International journal of environmental research and public health, 19(11), 6537. https://doi.org/10.3390/ijerph19116537

 

Abstract

Heart rate variability (HRV) is a powerful tool for observing interactions between the sympathetic and parasympathetic nervous systems. This study evaluated HRV during a mindfulness-based stress reduction (MBSR) program among women with breast cancer after receiving treatment. A quasi-experimental, nonrandomized design was used. Patients were allocated to usual care (n = 25) and MBSR (n = 25) groups. HRV was measured using recognized methods to assess the autonomic nervous system. Two-way ANOVA and t-tests were used to examine HRV changes between and within groups, respectively. A significant interaction effect of time with group was observed on heart rate (F (1, 96) = 4.92, p = 0.029, η2 = 0.049). A significant difference was also observed within the MBSR group preintervention and postintervention with regard to heart rate (t (24) = −3.80, p = 0.001), standard deviation of the RR interval (t (24) = 5.40, p < 0.001), root-mean-square difference in the RR interval (t (24) = 2.23, p = 0.035), and high-frequency power (t (24) = 7.73, p < 0.001). Large effect sizes for heart rate and SDNN of 0.94 and 0.85, respectively, were observed between the MBSR and usual care groups. This study provides preliminary evidence that an MBSR program may be clinically useful for facilitating parasympathetic activity associated with feelings of relaxation in treated breast cancer survivors.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9180838/

Improve Weight Loss with Yoga Practice

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Improve Weight Loss with Yoga Practice

 

By John M. de Castro, Ph.D.

 

“Yoga may be a promising way to help with behavioral change, weight loss, and maintenance by burning calories, heightening mindfulness, and reducing stress.” – Emily Cronkleton

 

Overweight and obesity is epidemic in the modern world. Despite copious research and a myriad of dietary and exercise programs, there still is no safe and effective weight loss method. Mindfulness is known to be associated with lower risk for obesity, alter eating behavior and improve health in obesity. This suggests that mindfulness training may be an effective treatment for overweight alone or in combination with other therapies. Yoga is both an exercise and a mindfulness practice that has been shown to have a myriad of physical and psychological benefits. These include significant loss in weight and body mass index (BMI), resting metabolism, and body fat.

 

In today’s Research News article “A preliminary investigation of yoga as an intervention approach for improving long-term weight loss: A randomized trial.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8815874/ ) Unick and colleagues recruited overweight and obese adult women and had them complete a 12-week behavioral weight loss program including reduced caloric intake and increased exercise and weekly 1-hour group eating behavior therapy meetings. They then randomly assigned them to receive 12 weeks of twice weekly 1-hour classes of either yoga or culinary and nutrition classes. The women were measured before treatment, after the weight loss treatment (3 months), and after yoga or control treatment (6 months) for body size, physical activity, mindfulness perceived stress, distress tolerance, positive and negative emotions, and self-compassion.

 

The women lost on average 6.4 kg of weight over the behavioral weight loss treatment. They found that among the women with high weight loss (>5% body weight) after the 3-month yoga or control period those that practiced yoga had a significantly greater average weight loss, 9.0 kg, compared to controls, 6.7 kg and had significantly greater increases in mindfulness, distress tolerance, and self-compassion and significantly greater decreases in negative emotions and perceived stress.

 

The findings show that for overweight and obese women who had significant weight losses, as a result of a behavioral weight reduction program, those that practiced yoga during the succeeding 3 months lost more weight than controls. This suggests that practicing yoga after weight loss treatment produces greater further reductions in weight and improved psychological well-being.

 

So, yoga assists in long-term weight loss after a dietary program and improves psychological well-being.

 

“Yoga, if done right, becomes a lifestyle change, which in turn can help increase physical activity and decrease emotional eating. And it can help you manage stress, which can also help with weight maintenance.” – Judi Barr

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Unick, J. L., Dunsiger, S. I., Bock, B. C., Sherman, S. A., Braun, T. D., & Wing, R. R. (2022). A preliminary investigation of yoga as an intervention approach for improving long-term weight loss: A randomized trial. PloS one, 17(2), e0263405. https://doi.org/10.1371/journal.pone.0263405

 

Abstract

Objective

Yoga targets psychological processes which may be important for long-term weight loss (WL). This study is the first to examine the feasibility, acceptability, and preliminary efficacy of yoga within a weight management program following WL treatment.

Methods

60 women with overweight or obesity (34.3±3.9 kg/m2, 48.1±10.1 years) were randomized to receive a 12-week yoga intervention (2x/week; YOGA) or a structurally equivalent control (cooking/nutrition classes; CON), following a 3-month behavioral WL program. Feasibility (attendance, adherence, retention) and acceptability (program satisfaction ratings) were assessed. Treatment groups were compared on weight change, mindfulness, distress tolerance, stress, affect, and self-compassion at 6 months. Initial WL (3-mo WL) was evaluated as a potential moderator.

Results

Attendance, retention, and program satisfaction ratings of yoga were high. Treatment groups did not differ on WL or psychological constructs (with exception of one mindfulness subscale) at 6 months. However, among those with high initial WL (≥5%), YOGA lost significantly more weight (-9.0kg vs. -6.7kg) at 6 months and resulted in greater distress tolerance, mindfulness, and self-compassion and lower negative affect, compared to CON.

Conclusions

Study findings provide preliminary support for yoga as a potential strategy for improving long-term WL among those losing ≥5% in standard behavioral treatment.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8815874/

 

Mindfulness is Associated with Better Medical Students School Performance

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Mindfulness is Associated with Better Medical Students School Performance

 

By John M. de Castro, Ph.D.

 

“in medical students . . . mindfulness meditation may be used to elicit positive emotions, minimize negative affect and rumination, and enable effective emotion regulation.” –  Michael Minichiello

 

Medical School is challenging both intellectually and psychologically. Stress levels are high, and burnout is common. It’s been estimated that 63% of medical students experience negative consequences from stress while symptoms of severe stress were present in 25% of students. High stress levels lead to lower performance in medical school and higher levels of physical and mental health problems, especially anxiety and depression. Indeed 50% of medical students report burnout and 11% have considered suicide in the last year.

 

Obviously, there is a need to either lower stress levels in medical education or find methods to assist medical students in dealing with the stress. One promising possibility is mindfulness training. It has been shown to reduce stress in students, to help with the negative consequences of stress and to reduce burnout in medical professionals. So, it would seem reasonable to suspect that mindfulness would be helpful in assisting medical students cope with the stress of their training.

 

In today’s Research News article “Mindfulness practice correlates with reduced exam-induced stress and improved exam performance in preclinical medical students with the “acting with awareness”, “non-judging” and “non-reacting” facets of mindfulness particularly associated with improved exam performance.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8864822/ ) Hearn and Stocker recruited undergraduate medical students at the end of their 2nd year of study and measured them 7 days before and immediately before their end-of-year examinations for salivary cortisol levels, perceived stress, mindfulness, and exam performance.

 

They found that just prior to the exams there were, not surprisingly, significant increases in perceived stress and salivary cortisol levels. The greater the increase in salivary cortisol levels the poorer the performance on the exams. In addition, the greater the students’ levels of mindfulness, including the acting with awareness, non-judging, and non-reactivity facet scores, the better the exam performance and the smaller the.increase in salivary cortisol.

 

These findings are correlative. So, causation cannot be determined. But these results suggest that mindfulness is associated with smaller physiological responses to stress and better grades.

 

Hence, the more mindful the students were the better their academic performance.

 

“We all have a need to know ourselves better and to understand our place in the world. That’s the fundamental motivation  for students to not only think of medical training as learning a set of facts and procedures but also paying attention to their evolving relationship to the work that they do. The meaning they derive from that work, and their connection to it.” – Ronald Epstein

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Hearn, J. H., & Stocker, C. J. (2022). Mindfulness practice correlates with reduced exam-induced stress and improved exam performance in preclinical medical students with the “acting with awareness”, “non-judging” and “non-reacting” facets of mindfulness particularly associated with improved exam performance. BMC psychology, 10(1), 41. https://doi.org/10.1186/s40359-022-00754-3

 

Abstract

Background

Medical students demonstrate higher levels of psychological distress compared with the general population and other student groups, especially at exam times. Mindfulness interventions show promise in stress reduction for this group, and in the reduction of cortisol, an established clinical marker of the body’s stress response. This study investigated the relationship of mindfulness to exam-induced stress, salivary cortisol and exam performance in undergraduate medical students.

Methods

A controlled pre-post analysis design with within-groups comparisons. 67 medical students completed the five facet mindfulness questionnaire (FFMQ) and provided saliva samples, from which cortisol was extracted, during group work (control/baseline) and immediately prior to end of year 2 examinations (experimental). Academic performance data was extracted for comparison with measures.

Results

Exam-induced salivary cortisol concentration showed a significant negative relation with exam performance. Total FFMQ score showed a significant positive relation with exam performance and a significant negative relation with exam-induced salivary cortisol. The specific mindfulness facets of acting with awareness, non-judging and non-reacting also showed a positive correlation with exam performance.

Conclusions

This study suggests that there exists an important relationship between mindfulness and the physiological biomarker of stress, cortisol, and this manifests into improved assessment outcomes potentially through healthier, more adaptive coping and stress management strategies. In particular, this study identifies the acting with awareness, non-judging and non-reacting facets of mindfulness to be significantly associated with exam performance suggesting that these may be important facets for clinical educators to target when helping students with mindfulness practice.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8864822/