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Spirituality Predicts Less Compulsive Sexual Behavior While Religiosity Predicts More

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Spirituality Predicts Less Compulsive Sexual Behavior While Religiosity Predicts More

 

By John M. de Castro, Ph.D.

 

“In a spiritual encounter, all relationships are seen as mirrors of the self, while the heart remains open to freely express and receive love without possessiveness.”― Michael Mirdad

 

Sexual behavior is a very important aspect of human behavior, especially for reproduction. In fact, Sigmund Freud made it a centerpiece of his psychodynamic theory. At its best, it is the glue that holds families and relationships together. But it is a common source of dysfunction and psychosocial problems. Compulsive sexual behavior “encompasses problems with preoccupation with thoughts surrounding sexual behavior, loss of control over sexual behavior, disturbances in relationships due to sexual behavior, and disturbances in affect (e.g., shame) due to sexual behavior.” It is also called sex addiction and hypersexuality. It is chronic and remarkably common affecting 3% to 17% of the population. In addition, it is associated with substance abuse in around half of people with compulsive sexual behavior.

 

Compulsive sexual behavior is looked at as an addiction. Spirituality and religiosity are associated in complex ways with addictions and sexual behavior. There is accumulating research on their relationships. So, it makes sense to step back and summarize what has been learned.

 

In today’s Research News article “Compulsive sexual behavior, religiosity, and spirituality: A systematic review.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8987424/ ) Jennings and colleagues review and summarize the published research studies on the relationships between spirituality and religiosity and compulsive sexual behavior. They identified 46 published research studies.

 

They report that the published research studies found that the higher the levels of religiosity the higher the levels of compulsive sexual behavior, especially for problematic pornography use. On the other hand, many studies found that the higher the levels of spirituality the lower the levels of compulsive sexual behavior.

 

The reviewed published research suffered from inconsistent findings and varied methodologies and measurement techniques making the conclusion relatively weak. More and better designed and consistent research is needed. But it appears that religiosity has a different relationship with compulsive sexual behavior than spirituality. Being religious is associated with use of pornography while being spiritual is associated with less compulsive sexual behavior.

 

Religiosity is associated with the beliefs and practices of one’s particular religion, while spirituality is associated with deeper existential issues. Religions mainly teach that sexuality outside of strict boundaries should be suppressed. This suppression may lead to more compulsive sexual behavior rather than less. On the other hand, being truly spiritual may lead to more open mindedness and acceptance of sexuality leading to less problematic behavior.

 

Hence, spirituality predicts less compulsive sexual behavior while religiosity predicts more.

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“Originally and naturally, sexual pleasure was the good, the beautiful, the happy, that which united man with nature in general. When sexual feelings and religious feelings became separated from one another, that which is sexual was forced to become the bad, the internal, the diabolical.” ― Wilhelm Reich

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Jennings TL, Lyng T, Gleason N, Finotelli I, Coleman E. Compulsive sexual behavior, religiosity, and spirituality: A systematic review. J Behav Addict. 2021 Dec 31;10(4):854-878. doi: 10.1556/2006.2021.00084. PMID: 34971357; PMCID: PMC8987424.

 

Abstract

Background and aims

In recent years, increasing attention has been given to the relationship between compulsive sexual behavior (CSB), religiosity, and spirituality. This review summarizes research examining the relationship CSB has with religiosity and spirituality, clarifying how these constructs inform the assessment and treatment of this syndrome.

Methods

The present paper reviews research published through August 1, 2021, using the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. Only studies providing quantitative analyses were included.

Results

This review identified 46 articles, subsuming 59 studies, analyzing the relationship between CSB and religiosity or spirituality. Most studies used cross-sectional designs with samples primarily composed of heterosexual White men and women. Generally, the studies found small to moderate positive relationships between religiosity and CSB. Studies considering the mediating or moderating role of moral incongruence identified stronger, indirect relationships between religiosity and problematic pornography use (PPU), a manifestation of CSB. Few studies examined the association between spirituality and CSB, but those that did either reported negative relationships between indicators of spiritual well-being and CSB or positive relationships between CSB and aspects of spiritual struggles.

Discussion and conclusions

Although research examining CSB and religiosity has flourished, such growth is hampered by cross-sectional samples lacking in diversity. Moral incongruence assists in explaining the relationship between religiosity and PPU, but future research should consider other manifestations of CSB beyond PPU. Attention should also be given to examining other religiosity and spirituality constructs and obtaining more diverse samples in research on CSB, religiosity, and spirituality.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8987424/

 

Reduce Psychological Distress by Increasing Emotion Regulation with Mindfulness

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Reduce Psychological Distress by Increasing Emotion Regulation with Mindfulness

 

By John M. de Castro, Ph.D.

 

“When the chest is opening, the mind is opening, and we feel emotionally shiny and stability comes.” – Vanda Scaravelli

 

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. It appears to be able to prevent or relieve psychological distress. So, it is important to examine the mechanisms by which mindfulness improves emotion regulation and psychological well-being.

 

In today’s Research News article “Mindfulness as a Protective Factor Against Depression, Anxiety and Psychological Distress During the COVID-19 Pandemic: Emotion Regulation and Insomnia Symptoms as Mediators.” (See summary below or view the full text of the study at:  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9010863/ ) Mamede and colleagues had adult from the general population answer an online questionnaire regarding their mindfulness, emotion regulation, and psychological states.

 

They report that the higher the levels of mindfulness the lower the levels of psychological distress, including anxiety and depression. These were direct effects of mindfulness. But, in addition, mindfulness had indirect effects by improving emotion regulation which in turn decreased psychological distress. Also, the higher the levels of mindfulness, the lower the levels of insomnia which were in turn associated with lower levels of psychological distress.

 

The findings suggest that mindfulness works directly to improve psychological well-being but also indirectly by improving the emotion regulation and reducing insomnia. This clearly suggests that improving mindfulness levels is a good method to improve psychological health.

 

“Mindfulness isn’t about escaping negative emotions or painful experiences but learning how to feel peace amidst them.” – Charlotte Hilton Anderson

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Mamede A, Merkelbach I, Noordzij G, Denktas S. Mindfulness as a Protective Factor Against Depression, Anxiety and Psychological Distress During the COVID-19 Pandemic: Emotion Regulation and Insomnia Symptoms as Mediators. Front Psychol. 2022 Apr 1;13:820959. doi: 10.3389/fpsyg.2022.820959. PMID: 35432084; PMCID: PMC9010863.

 

Abstract

Objectives

Research has linked mindfulness to improved mental health, yet the mechanisms underlying this relationship are not well understood. This study explored the mediating role of emotion regulation strategies and sleep in the relationship between mindfulness and symptoms of depression, anxiety and psychological distress during the COVID-19 pandemic.

Methods

As detailed in this study’s pre-registration (osf.io/k9qtw), a cross-sectional research design was used to investigate the impact of mindfulness on mental health and the mediating role of emotion regulation strategies (i.e., cognitive reappraisal, rumination and suppression) and insomnia. A total of 493 participants from the general population answered an online survey and were included in the final analysis. The online survey consisted of the short form of the Five-Facets Mindfulness Questionnaire (FFMQ-SF), the Impact of Event Scale-revised (IES-R), the Generalised Anxiety Disorder Scale (GAD-7), the Patient Health Questionnaire (PHQ-8), the Emotion Regulation Questionnaire (ERQ), the short form of the Rumination Response Scale (RSS-SF), and the Insomnia Severity Index (ISI).

Results

Structural equation modelling revealed that mindfulness was related to lower symptoms of depression, anxiety and psychological distress, both directly and indirectly. Mindfulness was negatively associated with rumination and insomnia. As hypothesised, models revealed that the associations between mindfulness and depression, anxiety and psychological distress were significantly mediated by its negative associations with rumination and insomnia. Our findings also demonstrated that rumination was related to increased insomnia symptoms, which in turn was associated with increased mental health problems, indicating a mediated mediation. Mindfulness was also positively associated with cognitive reappraisal and negatively associated with suppression, which were, respectively, negatively and positively associated with depressive symptoms, and thus functioned as specific mediators of the association between mindfulness and depression.

Conclusion

Our findings suggest that rumination and insomnia operate transdiagnostically as interrelated mediators of the effects of mindfulness on mental health, whereas cognitive reappraisal and suppression function as specific mediators for depression. These insights emphasise the importance of targeting emotion regulation and sleep in mindfulness interventions for improving mental health. Limitations and implications for practice are discussed.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9010863/

Reduce Dysfunctional Eating with Mindfulness

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Reduce Dysfunctional Eating with Mindfulness

 

By John M. de Castro, Ph.D.

 

“The more you eat, the less flavor; the less you eat, the more flavor.” ~Chinese Proverb

 

Around 30 million people in the United States of all ages and genders suffer from an eating disorder: either anorexia nervosa, bulimia, or binge eating disorder. 95% of those who have eating disorders are between the ages of 12 and 26. Eating disorders are not just troubling psychological problems, they can be deadly, having the highest mortality rate of any mental illness. Two example of eating disorders are binge eating disorder (BED) and bulimia nervosa (BN). BED involves eating a large amount of food within a short time-period while experiencing a sense of loss of control over eating. BN involves binge-eating and purging (e.g., self-induced vomiting, compensatory exercise).

 

Eating disorders can be difficult to treat because eating is necessary and cannot be simply stopped as in smoking cessation or abstaining from drugs or alcohol. One must learn to eat appropriately not stop. So, it is important to find methods that can help prevent and treat eating disorders. Contemplative practices, mindfulness, and mindful eating have shown promise for treating eating disorders. It is not known however, if mindfulness training can improve dysregulated eating and in turn reduce the likelihood of eating disorders.

 

In today’s Research News article “Delivering Mindfulness-Based Interventions for Insomnia, Pain, and Dysfunctional Eating Through a Text Messaging App: Three Randomized Controlled Trials Investigating the Effectiveness and Mediating Mechanisms.” (See summary below or view the full text of the study at:  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9115660/ ) Li and colleagues recruited adults over the internet and provided mindfulness training through text messaging. They measured insomnia, pain, and dysregulated eating.

 

They found that mindfulness training compared to a wait-list control condition resulted in resulted in significant decreases in anxiety, depression, insomnia, pain, and dysregulated eating and these improvements were sustained 3 months after the end of training. They found a wide array of improvements from mindfulness training. Particularly important from the perspective of eating disorders were the findings of reductions in depression and dysregulated eating. This suggests that mindfulness training reduces the likelihood of the development of an eating disorder.

 

“When walking, walk. When eating, eat.” rashaski · Zen Proverb

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Li AC, Wong KK, Chio FH, Mak WW, Poon LW. Delivering Mindfulness-Based Interventions for Insomnia, Pain, and Dysfunctional Eating Through a Text Messaging App: Three Randomized Controlled Trials Investigating the Effectiveness and Mediating Mechanisms. J Med Internet Res. 2022 May 3;24(5):e30073. doi: 10.2196/30073. PMID: 35503653; PMCID: PMC9115660.

 

Abstract

Background

Although text messaging has the potential to be the core intervention modality, it is often used as an adjunct only. To improve health and alleviate the distress related to insomnia, pain, and dysregulated eating of people living in urban areas, text messaging–based mindfulness-based interventions were designed and evaluated in 3 randomized controlled trials.

Objective

This study investigated the effectiveness and mediating mechanisms of text messaging–based mindfulness-based interventions for people with distress related to insomnia, pain, or dysregulated eating.

Methods

In these trials, 333, 235, and 351 participants were recruited online and randomized to intervention and wait-list control conditions for insomnia, pain, and dysregulated eating, respectively. Participants experienced 21 days of intervention through WhatsApp Messenger. Participants completed pre-, post-, 1-month follow-up, and 3-month follow-up self-report questionnaires online. The retention rates at postmeasurements were 83.2% (139/167), 77.1% (91/118), and 72.9% (129/177) for intervention groups of insomnia, pain, and dysregulated eating, respectively. Participants’ queries were answered by a study technician. Primary outcomes included insomnia severity, presleep arousal, pain intensity, pain acceptance, and eating behaviors. Secondary outcomes included mindfulness, depression, anxiety, mental well-being, and functional impairments. Mindfulness, dysfunctional beliefs and attitudes about sleep, pain catastrophizing, and reactivity to food cues were hypothesized to mediate the relationship between the intervention and outcomes.

Results

For all 3 studies, the intervention groups showed significant improvement on most outcomes at 1-month follow-up compared to their respective wait-list control groups; some primary outcomes (eg, insomnia, pain, dysregulated eating indicators) and secondary outcomes (eg, depression, anxiety symptoms) were sustained at 3-month follow-up. Medium-to-large effect sizes were found at postassessments in most outcomes in all studies. In the intervention for insomnia, mediation analyses showed that dysfunctional beliefs and attitudes about sleep mediated the effect of the intervention on all primary outcomes and most secondary outcomes at both 1-month and 3-month follow-ups, whereas mindfulness mediated the intervention effect on presleep arousal at 1-month and 3-month follow-ups. In the intervention for pain, pain catastrophizing mediated the effect of intervention on pain intensity and functioning at both 1-month and 3-month follow-ups, whereas mindfulness only mediated the effect of intervention on anxiety and depressive symptoms. In the intervention for dysregulated eating, power of food mediated the effect of intervention on both uncontrolled and emotional eating at both 1-month and 3-month follow-ups and mindfulness was found to mediate the effect on depressive symptoms at both 1-month and 3-month follow-ups.

Conclusions

These 3 studies converged and provided empirical evidence that mindfulness-based interventions delivered through text messaging are effective in improving distress related to sleep, pain, and dysregulated eating. Text messaging has the potential to be a core intervention modality to improve various common health outcomes for people living a fast-paced lifestyle.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9115660/

 

Improve Flow, Communication Skills, and Safety Attitudes of Surgeons with Mindfulness

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Improve Flow, Communication Skills, and Safety Attitudes of Surgeons with Mindfulness

 

By John M. de Castro, Ph.D.

 

“Once you can communicate with yourself, you’ll be able to communicate outwardly with more clarity. The way in is the way out.”― Thích Nhất Hạnh

 

Stress is epidemic in the western workplace with almost two thirds of workers reporting high levels of stress at work. In high stress occupations, like healthcare, burnout is all too prevalent. Preventing burnout has to be a priority. Contemplative practices have been shown to reduce the psychological and physiological responses to stress and improve well-being. Indeed, mindfulness has been shown to be helpful in treating and preventing burnout, increasing resilience, and improving sleep. Mindfulness has also been shown to improve flow, a state of mind that is characterized by a complete absorption with the task at hand, often resulting in enhanced skilled performance. Thus, there is a need to investigate how mindfulness effects doctors’ well-being, performance, and flow.

 

In today’s Research News article “Focused-Attention Meditation Improves Flow, Communication Skills, and Safety Attitudes of Surgeons.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9099589/ ) Chen and colleagues recruited surgeons and randomly assigned them to either a wait-list control condition or to receive 50 minutes of focused meditation practice 3 times per week for 8 weeks. They were measured before and after training for work-related flow, communications skills, safety attitudes, and clinical adverse events.

 

They found that in comparison to baseline and the wait-list control group the surgeons who received mindfulness training had significantly increased levels of work-related flow, communications skills, and safety attitudes. Eight weeks after the training the mindfulness trained surgeons had significantly lower levels of clinical adverse events.

 

Hence, mindfulness training significantly improved surgeons’ flow and medical performance. This further suggests that mindfulness training should be recommended for physicians.

 

“physicians could use mindfulness as a stand-alone technique prior to engaging in bad news delivery to patients.” – AMRA

 

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, Cao XY, Wu K, Chen YL, Liu CY, Huang DH, Chiou WK. Focused-Attention Meditation Improves Flow, Communication Skills, and Safety Attitudes of Surgeons. Int J Environ Res Public Health. 2022 Apr 27;19(9):5292. doi: 10.3390/ijerph19095292. PMID: 35564687; PMCID: PMC9099589.

 

Abstract

Objective: Patient safety is a worldwide problem and a focus of academic research. Human factors and ergonomics (HFE) is an approach to improving healthcare work systems and processes. From the perspective of the cognitive ergonomics of HFE, the aim of this study is to improve the flow level, communication skills, and safety attitudes of surgeons through focused-attention meditation (FAM) training, thus helping to reduce adverse clinical events. Methods: In total, 140 surgeons were recruited from three hospitals in China and randomly divided into two groups (FAM group and control group). The FAM group received 8 weeks of FAM training, while the control group was on the waiting list and did not receive any interventions. Three scales (WOLF, LCSAS, and SAQ-C) were used to measure the data of three variables (flow, communication skills, and safety attitude), respectively, at two times, before and after the intervention (pre-test and post-test). The incidence of adverse events during the intervention was also collected for both groups. Results: The ANOVA results showed that all three variables had a significant main effect of time and significant interactions between time and group. The independent-sample T-test results showed that the incidence of adverse events during the intervention was significantly lower in the FAM group than in the control group. Conclusions: The intervention of FAM could significantly improve surgeons’ flow levels, communication skills, and safety attitudes, potentially helping to reduce adverse clinical events.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9099589/

 

Improve Immune function with a Meditation Retreat

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Improve Immune function with a Meditation Retreat

 

By John M. de Castro, Ph.D.

 

“meditative practice enhanced immune function without activating inflammatory signals. This suggests that meditation, as a behavioral intervention, may be an effective component in treating diseases characterized by increased inflammatory responsiveness with a weakened immune system.” – Vijayendran Chandran

 

The immune system is designed to protect the body from threats like stress, infection, injury, and toxic chemicals. One of its tools is the Inflammatory response. This response works quite well for short-term infections and injuries. But when inflammation is protracted and becomes chronic, it can itself become a threat to health. It can produce autoimmune diseases such as colitis, Chron’s disease, arthritis, heart disease, increased cancer risk, lung disease, sleep disruption, gum disease, decreased bone health, psoriasis, and depression.

 

When the immune system attacks the liver, it produces autoimmune hepatitis which damages the liver. It is rare but affects women four times more often than men. Mind-body techniques such as yoga, Tai Chi and meditation have been shown to adaptively reduce the inflammatory response. So, it would seem reasonable that mindfulness training may be effective in treating autoimmune hepatitis.

 

In today’s Research News article “). Large-scale genomic study reveals robust activation of the immune system following advanced Inner Engineering meditation retreat.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8713789/ ) Chandran and colleagues recruited healthy participants in an 8-day meditation, yoga, and vegan diet retreat. Blood was drawn for genomic analysis 5 weeks before, immediately before and after the retreat and 3 months later.

 

They found that there was lessened activity in genes associated with oxidative stress, detoxification, and cell cycle regulation and increased activity in genes associated with the immune response but no change in genes associated with inflammation. Hence, participation in the meditation, yoga, and vegan diet retreat produced genetic expressions representative of improved immune response without inflammation.

 

So, improve immune function with a meditation retreat.

 

“multiple genes related to the immune system were activated — dramatically — when you do Inner Engineering practices,” – Vijayendran Chandran

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Chandran, V., Bermúdez, M. L., Koka, M., Chandran, B., Pawale, D., Vishnubhotla, R., Alankar, S., Maturi, R., Subramaniam, B., & Sadhasivam, S. (2021). Large-scale genomic study reveals robust activation of the immune system following advanced Inner Engineering meditation retreat. Proceedings of the National Academy of Sciences of the United States of America, 118(51), e2110455118. https://doi.org/10.1073/pnas.2110455118

 

SIGNIFICANCE

Several studies on the impact of yoga and meditation on mental and physical health have demonstrated beneficial effects. However, the potential molecular mechanisms and critical genes involved in this beneficial outcome have yet to be comprehensively elucidated. This study identified and characterized the transcriptional program associated with advanced meditation practice, and we bioinformatically integrated various networks to identify meditation-specific core network. This core network links several immune signaling pathways, and we showed that this core transcriptional profile is dysfunctional in multiple sclerosis and severe COVID-19 infection. Very importantly, we demonstrated that the meditative practice enhanced immune function without activating inflammatory signals. Together, these results make meditation an effective behavioral intervention for treating various conditions associated with a weakened immune system.

Keywords: meditation, immune, Isha yoga, Inner Engineering, COVID-19

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ABSTRACT

The positive impact of meditation on human well-being is well documented, yet its molecular mechanisms are incompletely understood. We applied a comprehensive systems biology approach starting with whole-blood gene expression profiling combined with multilevel bioinformatic analyses to characterize the coexpression, transcriptional, and protein–protein interaction networks to identify a meditation-specific core network after an advanced 8-d Inner Engineering retreat program. We found the response to oxidative stress, detoxification, and cell cycle regulation pathways were down-regulated after meditation. Strikingly, 220 genes directly associated with immune response, including 68 genes related to interferon signaling, were up-regulated, with no significant expression changes in the inflammatory genes. This robust meditation-specific immune response network is significantly dysregulated in multiple sclerosis and severe COVID-19 patients. The work provides a foundation for understanding the effect of meditation and suggests that meditation as a behavioral intervention can voluntarily and nonpharmacologically improve the immune response for treating various conditions associated with excessive or persistent inflammation with a dampened immune system profile.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8713789/

 

Improve Autism Spectrum Disorder in Adults with Mindfulness

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Improve Autism Spectrum Disorder in Adults with Mindfulness

 

By John M. de Castro, Ph.D.

 

“Everyone has a mountain to climb and autism has not been my mountain, it has been my opportunity for victory.” – Rachel Barcellona

 

Autism spectrum disorder (ASD) is a developmental disability that tends to appear during early childhood and affect the individual throughout their lifetime. It affects a person’s ability to communicate, and interact with others, delays learning of language, makes eye contact or holding a conversation difficult, impairs reasoning and planning, narrows and intensifies interests, produces poor motor skills and sensory sensitivities, and is frequently associated with sleep and gastrointestinal problems. ASD is a serious disorder that impairs the individual’s ability to lead independent lives including complete an education, enter into relationships or find and hold employment. Mindfulness training has been shown to be helpful in treating ASD.

 

Dialectical Behavior Therapy (DBT) produces behavior change by focusing on changing the thoughts and emotions that precede problem behaviors, as well as by solving the problems faced by individuals that contribute to problematic thoughts, feelings, and behaviors. In DBT five core skills are practiced; mindfulness, distress tolerance, emotion regulation, the middle path, and interpersonal effectiveness. Radically Open Dialectical Behavior Therapy (RO-DBT) is a modified form of DBT that focuses on social skills and emotional expression. It is not known whether RO-DBT would be effective in treating Autism spectrum disorder (ASD).

 

In today’s Research News article “Evaluation of radically open dialectical behaviour therapy in an adult community mental health team: effectiveness in people with autism spectrum disorders.” (See summary below or view the full text of the study at:  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9059310/ ) Cornwall and colleagues examined the effectiveness of RO-DBT  in treating Autism spectrum disorder (ASD) in adults.

 

They found that after treatment the adults had significant improvement in global distress, including subjective well-being, problems or symptoms, social and life functioning, and risk of harm to self and others.

 

The findings suggest that Radically Open Dialectical Behavior Therapy (RO-DBT) improves the symptoms of Autism Spectrum Disorder in adults.

 

“I used to think, when I was first diagnosed with Asperger’s Syndrome – a form of autism, about what I can’t do, rather than what I can do, which was a mistake in thinking” – Merrick Egber

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Cornwall PL, Simpson S, Gibbs C, Morfee V. Evaluation of radically open dialectical behaviour therapy in an adult community mental health team: effectiveness in people with autism spectrum disorders. BJPsych Bull. 2021 Jun;45(3):146-153. doi: 10.1192/bjb.2020.113. PMID: 33261708; PMCID: PMC9059310.

 

Abstract

Aims and method

Radically open dialectical behaviour therapy (RO DBT) is a transdiagnostic treatment designed to address disorders associated with overcontrol, including autism spectrum disorders (ASD). To date, no studies have reported on the effectiveness of RO DBT for people with ASD. Forty-eight patients were referred to a RO DBT programme, of whom 23 had a diagnosis of ASD. Outcome was measured using the Clinical Outcomes in Routine Evaluation – Outcome Measure (CORE) and the Questionnaire about the Process of Recovery.

Results

The intervention was effective, with a medium effect size of 0.53 for improvement in CORE global distress. End-point CORE global distress score was predicted from initial severity and a diagnosis of ASD. Participants with a diagnosis of ASD who completed the therapy had significantly better outcomes than completing participants without an ASD diagnosis.

Clinical implications

These findings provide preliminary support for RO DBT as an effective intervention for ASD in routine settings.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9059310/

 

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/