MBSR

Control Blood Pressure with Mindfulness

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“A chronic state of arousal isn’t healthy. It causes hypertension, and it has been implicated in diabetes, asthma, and various gastrointestinal disorders. Part of the arousal response is to turn off the immune system, so you are breaking down instead of healing yourself.” ~ Erika Friedmann

 

High Blood Pressure (Hypertension) is an insidious disease because there are no overt symptoms. The individual feels fine. But it can be deadly as more than 360,000 American deaths, roughly 1,000 deaths each day, had high blood pressure as a primary or contributing cause. In addition, hypertension markedly increases the risk heart attack, stroke, heart failure, and kidney disease.  Hypertension is present in about 70% of first heart attacks, about 80% of first strokes, and about 70% of chronic heart failures. It is also a very common disorder with about 70 million American adults (29%) having high blood pressure and only about half (52%) of people with high blood pressure have their condition under control. Additionally, nearly a third of American adults have prehypertension, with blood pressure higher than normal, but not yet considered hypertension.

 

High blood pressure, because it doesn’t have any primary symptoms is usually only diagnosed by direct measurement of blood pressure usually by a health care professional. When hypertension is chronically present over three quarters of patients are treated with antihypertensive drugs. But these medications often have adverse side effects. So, patients feel lousy when taking the drugs, but fine when they’re not. So, compliance is a major issue with many patients not taking the drugs regularly or stopping entirely.

 

Obviously there is a need for alternative to drug treatments for hypertension. Stress is known to be a contributing factor to hypertension. It acts in part by increasing activity in the sympathetic nervous system, the activating component of the peripheral nervous system and by increasing the release of stress hormones. So controlling stress would appear to be a reasonable non-drug approach to reducing high blood pressure.

 

Mindfulness Based Stress Reduction (MBSR) programs were designed specifically to reduce stress. They include meditation, body scan, and yoga practices. Meditation (see http://contemplative-studies.org/wp/index.php/2015/08/21/control-blood-pressure-with-meditation/), and yoga (see http://contemplative-studies.org/wp/index.php/category/contemplative-practice/yoga-contemplative-practice/), and body scan (see http://contemplative-studies.org/wp/index.php/2015/07/29/get-your-calm-on/)  have  been shown to be successful in reducing both the psychological and physiological responses to stress. So, it would seem appropriate to use these techniques as alternatives to drug treatment for hypertension.

 

In today’s Research News article “Effect of Group Mindfulness-Based Stress-Reduction Program and Conscious Yoga on Lifestyle, Coping Strategies, and Systolic and Diastolic Blood Pressures in Patients with Hypertension”

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1154248347932423/?type=3&theater

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4685370/

Nejati and colleagues compared hypertensive patients randomly assigned to receive an 8-week MBSR program or no treatment. They found significant positive improvements produced by MBSR treatment including improved lifestyle (nutrition, exercise, health responsibility, stress management, interpersonal support, and self-actualization), coping strategies (problem-focused and emotion-focused), and blood pressure (systolic and diastolic).

 

These results are impressive, but need to be tempered with the fact that the control condition was a no treatment condition. Without an active control many potentially confounding variables are present. But the results reinforce previous studies that make a compelling case that mindfulness practices such as MBSR are excellent alternatives to medication for the treatment of hypertension.

 

So, control blood pressure with mindfulness.

 

“Meditation can help us in many aspects of our lives, whether it be physically or mentally. It is a discipline that when practiced daily significantly decreases stress related diseases such as high blood pressure while increasing a deep relaxation response and the feel-good factor.” – Zenlama
CMCS – Center for Mindfulness and Contemplative Studies

 

Headaches are a Headache – Reduce them with Mindfulness 2

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“To diminish the suffering of pain, we need to make a crucial distinction between the pain of pain, and the pain we create by our thoughts about the pain. Fear, anger, guilt, loneliness and helplessness are all mental and emotional responses that can intensify pain.” ~Howard Cutler

 

Headaches are the most common disorders of the nervous system. It has been estimated that 47% of the adult population have a headache at least once during the last year. The most common type of headache is the tension headache with 80 to 90 percent of the population suffering from tension headaches at least some time in their lives. The second most common type of headache is the migraine headache. Around 16 to 17 percent of the population complains of migraines. It is the 8th most disabling illness in the world with more than 90% of sufferers unable to work or function normally during their migraine. American employers lose more than $13 billion each year as a result of 113 million lost work days due to migraine.

 

There are a wide variety of drugs that are prescribed for chronic headache pain with varying success. Most tension headaches can be helped by taking pain relievers such as aspirin, naproxen, acetaminophen, or ibuprofen. A number of medications can help treat and prevent migraines and tension headaches, including ergotamine, blood pressure drugs such as propranolol, verapamil, antidepressants, antiseizure drugs, and muscle relaxants. Drugs, however, can have some problematic side effects particularly when used regularly and are ineffective for many sufferers. So, almost all practitioners consider lifestyle changes that help control stress and promote regular exercise to be an important part of headache treatment and prevention. Avoiding situations that trigger headaches is also vital.

 

A Mindfulness Based Stress Reduction (MBSR) program has been shown to be an effective treatment for tension headache (see http://contemplative-studies.org/wp/index.php/2015/09/07/headaches-are-a-headache-reduce-them-with-mindfulness/). Unfortunately, migraine sufferers were not included in the study. In today’s Research News article “The Effectiveness of Mindfulness-Based Stress Reduction on Perceived Pain Intensity and Quality of Life in Patients with Chronic Headache”

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1144418128915445/?type=3&theater

Bakhshani and colleagues examine the effectiveness of an 8-week Mindfulness Based Stress Reduction (MBSR) program compared to a treatment as usual (primarily drugs) control group for chronic headaches including tension and migraine headaches. They found that in comparison to the control group which primarily controlled pain with drugs the MBSR group had a clinically significant reduction in pain intensity with a moderate effect size. They also found that MBSR produced a significant improvement in quality of life including role limitation due to physical health, bodily pain, general health, energy and vitality, emotional health and physical and mental health. These results indicate that MBSR is a clinically meaningful effective treatment for both tension and migraine headaches, not only reducing pain but also improving the patients’ quality of life. Importantly, MBSR effects were superior to drug treatment.

 

MBSR is structured to reduce stress and has been empirically shown to significantly reduce both the physiological and psychological responses to stress (see http://contemplative-studies.org/wp/index.php/2015/07/29/get-your-calm-on/). Since tension headaches are primarily produced by stress and migraine headaches are frequently triggered by stress, it would seem reasonable to conclude that the stress reduction contributed to the effectiveness of MBSR for chronic headaches. Mindfulness training, by focusing attention on the present moment has also been shown to reduce worry and catastrophizing (see http://contemplative-studies.org/wp/index.php/category/research-news/worry/ and http://contemplative-studies.org/wp/index.php/2015/08/07/pain-is-a-pain-relieve-it-with-meditation/). Pain is increased by worry about the pain and the expectation of greater pain in the future. So, reducing worry and catastrophizing should reduce headache pain. In addition, negative emotions are associated with the onset of headaches. Mindfulness has been shown to increae positive emotions and decrease negative ones (see http://contemplative-studies.org/wp/index.php/2015/08/15/spiraling-up-with-mindfulness/). Finally, mindfulness has been shown to change how pain is processed in the brain reducing the intensity of pain signals in the nervous system.

 

Regardless of the mechanism, it is clear that MBSR is a safe and effective treatment that is more effective than drugs for chronic headaches. So, reduce headache pain and improve quality of life with mindfulness.

 

“The way to live in the present is to remember that ‘This too shall pass.’ When you experience joy, remembering that ‘This too shall pass’ helps you savor the here and now. When you experience pain and sorrow, remembering that ‘This too shall pass’ reminds you that grief, like joy, is only temporary.” ~Joey Green

 

CMCS – Center for Mindfulness and Contemplative Studies

 

Mindfully Improve Memory

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“Mindfulness registers experiences, but it does not compare them. It does not label them or categorize them. It just observes everything as if it was occurring for the first time. It is not analysis which is based on reflection and memory.” – Bhante Gunaratana

 

Humans have both an amazing capacity to remember and a tremendously limited capacity depending upon which phase of the memory process that is looked at. Our long-term store of information is virtually unlimited. We can recall in great detail events that occurred years ago or a few minutes ago. It not only includes events but things that were memorized by rote, music, places and their relationship to other places, faces, emotions, facts, definitions, etc. It’s really quite amazing. On the other hand, or very short-term memory is extremely limited. This is called our working memory and it can contain only about 5 to 9 pieces of information at a time. This fact of a limited working memory store shapes a great deal about how we think, summarize, and categorize our world.

 

Memory is not always accurate. We forget a great deal of information or have great difficulty retrieving it. We sometimes vividly recall things that really never happened to us, called false memories. Problems with memory are exacerbated by interference within memory where similar things tend to produce problems in our ability to recalling them. The problems with memory are well known in the legal system where the unreliability of eyewitness testimony is legendary. So, methods to improve memory and recall could be quite helpful, particularly to students who are required to recall information regularly.

 

Mindfulness has a mixed record in regards to its effects on memory. It has been shown to increase the likelihood of false memories and to impair memory for emotionally negative words but not positive words in adults (see http://contemplative-studies.org/wp/index.php/category/research-news/memory/). But mindfulness has also been shown to improve working memory capacity and Graduate Record Exam (GRE) scores among college students (see http://www.ncbi.nlm.nih.gov/pubmed/23538911). So, mindfulness appears to be able to improve some forms of memory while impairing others. It is thus important to sort out what kinds of memories are affected by mindfulness, in what way, and with whom.

 

In today’s Research News article “A Randomized Controlled Trial Examining the Effect of Mindfulness Meditation on Working Memory Capacity in Adolescents.”

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http://ac.els-cdn.com/S1054139X15003808/1-s2.0-S1054139X15003808-main.pdf?_tid=79ab478a-9055-11e5-80cd-00000aab0f27&acdnat=1448113429_d94f3f38ebf8666c5d47d94b9f652dbb

Quach and colleagues investigated the effect of contemplative practices on working memory in 12 to 17 year-olds. They compared students receiving 4-weeks of the meditation component of a Mindfulness Based Stress Reduction (MBSR) program to students receiving 4-weeks of Hatha yoga training and to untreated students on a wait list. They found that over the 4 weeks the students receiving meditation training significantly improved their working memory capacity while neither the yoga training nor the wait list groups did.

 

Hence the results indicated that meditation training improved short-term memory in adolescents. This adds to the prior results that mindfulness improved working memory in college students and suggests that meditation practice may be an effective method to improve an important component of students’ memories, working memory. This should, in turn, improve cognitive abilities such as problem solving, mathematics, etc. and improve school performance in general. But, future research will be required to confirm this speculation.

 

Meditation training improves attentional ability and present moment awareness and reduces mind wandering. These effects of meditation may well account for the improved working memory. By simply being able to concentrate better on the material and stay on task more will be entered into memory and less lost. Also, meditation training has also been shown to increase the size of brain areas involved in memory. This structural change in the nervous system might also underlie the improved working memory. Regardless of the mechanism it appears clear that meditation practice can lead to improved working memory in high school and college students.

 

So, mindfully improve memory.

 

“Life is all memory, except for the one present moment that goes by you so quickly you hardly catch it going.” — Tennessee Williams

 

CMCS – Center for Mindfulness and Contemplative Studies

 

Mindfully Improve Thinking after Recovery from Cancer

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“You can be a victim of cancer, or a survivor of cancer. It’s a mindset.” – Dave Pelzer

 

Cancer diagnosis is not a death sentence. Over half of the people diagnosed with cancer are still alive 10 years later and this number is rapidly improving. With breast cancer about 80% survive at least 5 years and the earlier the diagnosis the better the survival rate. With colorectal cancer about 50% survive at least 5 years and again the earlier the diagnosis the better the survival rate.  It is estimated that 14,483,830 adults and children with a history of cancer alive in the United States today. So, there are a vast number of cancer survivors.

 

Surviving cancer carries with it a number of problems. “Physical, emotional, and financial hardships often persist for years after diagnosis and treatment. Cancer survivors are also at greater risk for developing second cancers and other health conditions.” National Cancer Survivors Day. Unfortunately, most of these residual problems go untreated. Psychologically, cancer survivors frequently suffer from anxiety, depression, mood disturbance, Post-Traumatic Stress Disorder (PTSD), sleep disturbance, fatigue, sexual dysfunction, loss of personal control, impaired quality of life, and psychiatric symptoms which have been found to persist even ten years after remission.

 

Less well known is that cancer survivors frequently suffer from residual cognitive impairments that affect the majority of survivors and can last for many years. These include problems with attention, including divided attention and multitasking, memory, including short and long-term memory and retrieval, and executive function. These impairments in the ability to think and the extra energy needed for routine cognitive activities can increase fatigue over the day.

 

Mindfulness has been shown to help with cancer recovery and help to alleviate many of the residual psychological symptoms (see http://contemplative-studies.org/wp/index.php/category/research-news/cancer/) and it has been shown to improve cognitive function (see http://contemplative-studies.org/wp/index.php/category/research-news/cognition/).  So, it would seem reasonable to postulate that mindfulness might help in alleviating the cognitive impairments occurring in cancer survivors.

 

In today’s Research News article “Randomized controlled pilot trial of mindfulness-based stress reduction for breast and colorectal cancer survivors: effects on cancer-related cognitive impairment”

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1142698709087387/?type=3&theater

Johns and colleagues examined the effect of an 8-week Mindfulness-based stress reduction (MBSR) program on cognitive function in cancer survivors and compared it to an 8-week Education and Support (ES) program involving comparable amounts of time. They found that the MBSR group in comparison to the ES group showed greater improvements in overall attentional function, particularly with effective action and attentional lapses. The MBSR group also showed greater improvement in ability to cope with cognitive interference as measured by the classic Stroop test. These improvements were lasting as they were still present 6-months after the conclusion of treatment.

 

These are exciting results as they are in comparison to an active control condition and they suggest that MBSR is an effective treatment for the cognitive impairments in cancer recovery patients. There are a number of explanations for how MBSR might produce these improvements. MBSR targets stress and has been shown to effectively reduce psychological and physiological stress responses. This stress reduction could greatly help the survivors deal with their residual problems. MBSR also markedly improves attention, particularly present moment attention. This may fairly directly help improve cognitive function. MBSR also improves emotion regulation. This may make the survivors better able to cope with the emotional sequela of cancer recovery. Finally, MBSR has been shown to improve cognitive function in healthy individuals and may simply be improving overall cognitive function and not specifically treating the cognitive symptoms of cancer recovery.

 

Regardless of the explanation, it is clear that mindfulness training is effective in alleviating the cognitive problems following recovery from cancer.

 

So, improve thinking after recovery from cancer with mindfulness.

 

“Cancer can take away all of my physical abilities. It cannot touch my mind, it cannot touch my heart, and it cannot touch my soul.” – Jim Valvano

 

CMCS – Center for Mindfulness and Contemplative Studies

 

Reduce Symptoms in Breast Cancer Survivors with Mindfulness

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“Health is a state of complete harmony of the body, mind and spirit. When one is free from physical disabilities and mental distractions, the gates of the soul open.”  ~B.K.S. Iyengar

 

About 12.5% of women in the U.S. develop invasive breast cancer over their lifetimes and every year about 40,000 women die. Indeed, more women in the U.S. die from breast cancer than from any other cancer, besides lung cancer. It is encouraging, however, that the death rates have been decreasing for decades from improved detection and treatment of breast cancer. Five-year survival rates are now at around 95%.

 

The improved survival rates mean that more women are now living with cancer. This can be difficult as breast cancer survivors can have to deal with the consequences of chemotherapy, and often experience increased fatigue, pain, and bone loss, reduced fertility, difficulty with weight maintenance, damage to the lymphatic system, heightened fear of reoccurrence, and an alteration of their body image. With the loss of a breast or breasts, scars, hair shedding, complexion changes and weight gain or loss many young women feel ashamed or afraid that others will reject or feel sorry for them. As a result, survivors often develop psychological symptoms of stress, anxiety, depression, and impaired cognitive functioning. These consequences of breast cancer can be grouped into three categories, gastrointestinal, cognitive/psychological, and pain and fatigue.

 

Mindfulness practices have been shown to be beneficial in cancer recovery (see http://contemplative-studies.org/wp/index.php/category/research-news/cancer/) and particularly with recovery from breast cancer (see http://contemplative-studies.org/wp/index.php/2015/08/29/live-more-effectively-with-breast-cancer-with-mindfulness/ and http://contemplative-studies.org/wp/index.php/2015/09/09/beating-radiotherapy-for-cancer-with-mindfulness/). But, these practices can produce varying results depending upon the peculiarities of the patient. It would be helpful for potentiating the effectiveness of mindfulness practices applied to breast cancer survivors if markers could be found which could identify those who were likely to respond favorably to mindfulness training from those who would not. Markers in the immune system are likely candidates. Breast cancer treatment and the sequela produce considerable stress in the survivor. Stress produces a robust response in the immune system and mindfulness training has been shown to reduce stress and the immune system response. So, it would make sense that immune system markers of the stress response might be predictors of mindfulness training efficacy.

 

In today’s Research News article “Immune Biomarkers as Predictors of MBSR(BC) Treatment Success in Off-Treatment Breast Cancer Patients”

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1132703630086895/?type=3&theater

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4604564/

Reich and colleagues looked for immune system markers which identify mindfulness training responders among breast cancer survivors. They took blood samples for lymphocyte analysis and then trained half the women with a modified Mindfulness Based Stress Reduction program that was specifically designed to be appropriate for breast cancer (MBSR)[BC]. The second half of the women were used as a wait list control group. They found that the mindfulness training produced decreases in all three symptom clusters, gastrointestinal, cognitive/psychological, and pain and fatigue. They found that there were significant immune system markers. But, they were different for the three symptom clusters. B-lymphocytes and interferon-γ were the strongest predictors of gastrointestinal improvement, +CD4+CD8 were the strongest predictor of cognitive/psychological improvement, while lymphocytes and interleukin (IL)-4 were the strongest predictors of fatigue improvement.

 

These results are interesting and potentially important. They are further evidence that the stress reduction produced by mindfulness training is important in dealing with the symptoms of breast cancer survival. They also suggest that immune system markers may be significant predictors for response to mindfulness training. The fact that there were different markers for different symptom clusters, however, muddies the waters, making the markers useful for certain women who have heightened symptoms in particular areas. Regardless, it is clear that mindfulness training is an effective treatment for the symptoms present after successful treatment of breast cancer and potentially markers which can identify potential responders may be possible.

 

So, it is increasing clear that mindfulness is an effective treatment for residual symptoms in breast cancer survivors.

 

“The root of all health is in the brain. The trunk of it is in emotion. The branches and leaves are the body. The flower of health blooms when all parts work together.” ~Kurdish Saying

 

CMCS – Center for Mindfulness and Contemplative Studies

Age Healthily – Beat Increased Worry and Decreased Cognitive Ability with Mindfulness

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“Aging has a wonderful beauty and we should have respect for that.” – Eartha Kitt

 

Worry and anxiety are associated with aging. These increases in the elderly can occur for very logical reasons. The elderly have to cope with increasing loss of friends and family, deteriorating health, as well as concerns regarding finances on fixed incomes. All of these are legitimate sources of worry. But, no matter how reasonable, the increased worry and anxiety add extra stress that can impact on the elderly’s already deteriorating physical and psychological health. So, clearly ameliorating the worry and anxiety could be highly beneficial to the well-being of the elderly.

 

Cognitive decline is also a problem with aging. There are reductions in memory ability, crystalized intelligence, reasoning and problem solving, attention, and processing speed that normally occur even with healthy aging. These changes can be slowed by reducing stress, improving health, and staying mentally active. One way to do this is with contemplative practices. Indeed, a variety of these practices have been shown to be helpful with the mental and physical changes associated with aging (see http://contemplative-studies.org/wp/index.php/category/research-news/aging/).

 

In today’s Research News article “Mindfulness-Based Stress Reduction for older adults with worry symptoms and co-occurring cognitive dysfunction”

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1132072886816636/?type=3&theater

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4136987/

Lenze and colleagues tested the ability of a Mindfulness Based Stress Reduction (MBSR) program to reduce worry and anxiety and the mental decline in individuals over 65-years of age who had significant difficulties with worry and anxiety. They found that the MBSR program produced improvements in both cognitive abilities and worry and anxiety. In particular, the MBSR program improved memory ability, verbal fluency, speed of processing, and the ability to screen out interference during processing. They also found a large, clinically significant reduction in worry and anxiety severity and a large significant increase in mindfulness after the MBSR training in the elderly participants. Further they found that the participants continued to practice mindfulness techniques six and twelve months after the endo of formal training.

 

These are very promising results and suggest that mindfulness training might be an effective program to assist with successful, healthy aging. It has been shown that mindfulness training reduces the physical and psychological responses to stress (see http://contemplative-studies.org/wp/index.php/category/research-news/stress/). This by itself could be responsible to the positive effects of MBSR on the elderly. But mindfulness practice has also been shown to reduce worry (see http://contemplative-studies.org/wp/index.php/category/research-news/worry/) and anxiety (see http://contemplative-studies.org/wp/index.php/category/research-news/anxiety/) directly, which could also account for, the results with the elderly. This, however, may be a subcategory of mindfulness effects as mindfulness has been shown to improve emotion regulation in general (see http://contemplative-studies.org/wp/index.php/category/research-news/emotions/). Finally, mindfulness training has been shown to help protect the aging brain from deterioration (see http://contemplative-studies.org/wp/index.php/2015/07/17/age-healthily-protect-the-brain-with-yoga/) which might be the primary mechanism for the reduction in cognitive decline in the elderly. Regardless of the mechanism mindfulness training should be recommended to assist the elderly in aging healthily.

 

So, beat increased worry and decreased cognitive ability with mindfulness.

 

“No one can avoid aging, but aging productively is something else.” – Katharine Graham

 

CMCS – Center for Mindfulness and Contemplative Studies

 

Improve Teacher Well-Being with Mindfulness

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“The connection between mindfulness and education is both natural and fundamentally important, now more than ever.  The difference between a good teacher and a great teacher, it is often that ineffable quality that you know but cannot pin down in words.”  – The Mindful teacher

 

Teaching is a stressful profession causing many to burn out and leave the profession. A recent survey found that roughly half a million U.S. teachers move or leave the profession each year. That’s a turnover rate of about 20 percent compared to 9 percent in 2009. Indeed, anywhere from 40 and 50 percent of teachers will leave the classroom within their first five years, with over nine percent leaving before the end of their first year.

 

The high stress of the occupation shows up in higher rates of anxiety disorders, but particularly in physical ailments, with higher rates of laryngitis, conjunctivitis, lower urinary tract infections, bronchitis, eczema/dermatitis and varicose veins in female teachers. There is a pressing need to retain good teachers. So, it has become very important to identify means to help relieve the stress and lower burnout rates.

 

Mindfulness has been shown repeatedly to decrease physiological and psychological responses to stress (see http://contemplative-studies.org/wp/index.php/2015/07/17/destress-with-mindfulness/ and http://contemplative-studies.org/wp/index.php/category/research-news/stress/). Mindfulness has also been shown to help improve performance and relieve stress in students (see http://contemplative-studies.org/wp/index.php/2015/08/08/building-a-better-adult-with-elementary-school-mindfulness-training/ and http://contemplative-studies.org/wp/index.php/2015/09/04/go-to-college-with-mindfulness/). In addition, mindfulness has been shown to decrease burnout in the medical profession (see http://contemplative-studies.org/wp/index.php/2015/08/10/burnout-burnout-with-mindfulness/). So, it would seem reasonable to suspect that mindfulness training would help teachers to reduce stress, the consequent physical symptoms, and burnout.

 

In today’s Research News article “The Effectiveness of Mindfulness-Based Stress Reduction on Educator Stress and Well-Being: Results from a Pilot Study”

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Frank and colleagues investigate the effectiveness of a mindfulness -based stress reduction (MBSR) program to improve high school teacher stress and well-being. They found that MBSR produced significant improvement in emotion regulation, self-kindness, mindfulness, overall self-compassion, and sleep quality in comparison to a no-treatment control group.

 

Hence it appears that MBSR is effective in improving well-being and reducing stress in high school teachers. Of course, more research is needed particularly with randomly assigned active control conditions and long term follow-up. But, these results are very promising. Given the importance of education to the well-being of our entire society, helping to relieve the problems experienced by teachers has to be a high priority.

 

This as well as research with students points to a development of a total mindful environment in education, where both students and teachers are trained in mindfulness and mindfulness practice is incorporated in the school day. The research suggests that this could have a major positive effect on education.

 

So, teach and learn with mindfulness

 

“I had decided that this would be my last year teaching until the mindfulness program began at my school. Now I am rededicated to my profession.” – Teacher, East Oakland

 

CMCS – Center for Mindfulness and Contemplative Studies

 

Control Low Back Pain with Mindfulness  

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“When I was able to concentrate I had a great experience. The only time I had a sensation is when I was concentrating on my lower back. I felt like something was happening to that section of my body and … the pain would disappear”

 

Low Back Pain is the leading cause of disability worldwide and affects between 6% to 15% of the population. It is estimated, however, that 80% of the population will experience back pain sometime during their lives. There are varied treatments for low back pain including chiropractic care, acupuncture, biofeedback, physical therapy, cognitive behavioral therapy, massage, surgery, opiate pain killing drugs, steroid injections, and muscle relaxant drugs.

 

The therapies are sometimes effective particularly for acute back pain. But, for chronic conditions the treatments are less effective and often require continuing treatment for years. Obviously, there is a need for effective treatments for low back pain that are low cost and don’t have troublesome side effects. Mindfulness training has shown promise in the treatment of a variety of pain conditions (see links at the bottom). But, there is a need for testing with chronic low back pain patients.

 

In today’s Research News article “Effectiveness of mindfulness meditation on pain and quality of life of patients with chronic low back pain”

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1103506393006619/?type=3&theater

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4479890/

Banth and colleagues compared the meditation and body scan components of an 8-wk Mindfulness Based Stress Reduction (MBSR) program to medical treatment as usual for chronic low back pain in women. They found that treatment as usual had very little if any effect. But, the mindfulness treatment markedly reduced pain by the end of the 8-wk treatment period. In addition,, the pain was reduced further for the subsequent 4-wks to the point where the pain scores were nearly cut in half. They also observed a large improvement in both mental and physical quality of life. These are remarkable results and suggest that mindfulness training is a safe and effective treatment for chronic low back pain.

 

Pain usually has a physical cause but it is greatly affected by the psychological reaction to pain. Mindfulness training is thought to modify pain sensitivity by both affecting the psychological and physical aspects of pain. Mindfulness training appears to uncouple the pain from the emotions and thought process such as worry and rumination that accompany chronic pain. These psychological processes can have the effect of amplifying the perceived pain. So, uncoupling them from the pain can greatly reduce the perceived pain. In addition, mindfulness training appears to reduce the nervous systems response to painful stimuli by reducing the activity of the brain areas that normally respond to painful stimuli.

 

So practice mindfulness and control chronic pain.

 

“There is a way to work with all this, based on Buddhist meditative practices, which can liberate you, to a very large extent, from the experience of pain. Whether or not you can reduce the level of sensory pain, the affective and cognitive contributions to the pain— which make it much worse—usually) can be lessened. And then, very often, the sensory component of the pain changes as well.” – John Kabat-Zinn

 

CMCS – Center for Mindfulness and Contemplative Studies

 

MBSR is effective in reducing pain http://contemplative-studies.org/wp/index.php/2015/07/17/mindfulness-the-pain-killer/ and headache pain http://contemplative-studies.org/wp/index.php/2015/09/07/headaches-are-a-headache-reduce-them-with-mindfulness/

Teenage meditators have reduced pain sensitivity http://contemplative-studies.org/wp/index.php/2015/08/07/pain-is-a-pain-relieve-it-with-meditation/

Yoga reduces pain from arthritis http://contemplative-studies.org/wp/index.php/2015/08/14/age-healthily-yoga-for-arthritis/

 

Reduce Fibromyalgia Pain with Mindfulness

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“I wake up tired, I stay up tired, I go to bed tired. I wake up in pain, I stay up in pain, I go to bed in pain. I wake up with hope, I stay up with hope, I go to bed with hope.” – FibroColors

 

Fibromyalgia is a mysterious disorder whose causes are unknown. It is characterized by widespread pain, abnormal pain processing, sleep disturbance, and fatigue that lead to psychological distress. Fibromyalgia may also have morning stiffness, tingling or numbness in hands and feet, headaches, including migraines, irritable bowel syndrome, sleep disturbances, thinking and memory problems, and painful menstrual periods.

 

Fibromyalgia is very common affecting over 5 million people in the U.S., about 2% of the population. The vast majority of fibromyalgia sufferers are women, roughly 7 times more prevalent than in men. Although it is not itself fatal, suicide rates are higher in fibromyalgia sufferers. The symptoms are so severe and debilitating that about half the patients are unable to perform routine daily functions and about a third have to stop work.

 

There is no cure for fibromyalgia and the treatments are aimed at symptom relief. Drugs from simple pain killers to antidepressants are used and can help. There is a need for other treatment options. In a previous post it was discussed how mindfulness practice can be effective for the symptoms of fibromyalgia (see http://contemplative-studies.org/wp/index.php/2015/07/17/mindfulness-the-pain-killer/). There are a number of other complementary and alternative therapies that might also be effective.

 

In today’s Research News article “Overview of Reviews for Complementary and Alternative Therapies in the Treatment of the Fibromyalgia Syndrome”

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1098448550179070/?type=3&theater

Lauche and colleagues review the literature on the use of complementary and alternative therapies such as mindfulness, meditation, yoga, biofeedback, homeopathy, etc. for the treatment of fibromyalgia. They found that the published research indicates that tai chi, yoga, meditation and mindfulness-based interventions, hypnosis or guided imagery, biofeedback, and hydrotherapy were consistently effective while homeopathy and phytotherapy produced very inconsistent effects.

 

It is interesting that mind body techniques in general appeared to have positive effects especially on pain and, importantly, tended to be more effective than the usual treatments for fibromyalgia. A common feature of these practices is that they tend to calm the sympathetic nervous system which is involved in physiological activation. It is possible that this is a key to producing some relief of fibromyalgia symptoms.

 

But, mind body therapies have a large number of effects that may underlie their usefulness for fibromyalgia. They tend to promote emotion regulation, allowing the individual to experience their emotions but not overreact or react inappropriately to them. Since, fibromyalgia tends to produce emotional distress, the improved emotion regulation produced by mind body therapies could be a key to relieving the symptoms.

 

In addition, mind body therapies are known to alter the nervous system processing of pain stimuli, reducing the intensity of pain and the reactions to pain. This effect of these therapies directly affects a central symptom of fibromyalgia, pain. There are also other effects of these therapies such as improved attention and increased focus on the present moment that may also have effects on the symptoms by reducing worry and rumination. It remains for future research to clarify the most important consequences of mind body therapies for the treatment of fibromyalgia.

 

So, practice mindfulness and improve fibromyalgia symptoms.

 

CMCS – Center for Mindfulness and Contemplative Studies

 

 

 

Control PTSD with Mindfulness

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“It is as though some old part of yourself wakes up in you, terrified, useless in the life you have, its skills and habits destructive but intact, and what is left of the present you, the person you have become, wilts and shrivels in sadness or despair: the person you have become is only a thin shell over this other, more electric and endangered self. The strongest, the least digested parts of your experience can rise up and put you back where you were when they occurred; all the rest of you stands back and weeps.” – Peter Straub

 

Experiencing trauma is quite common. It has been estimated that 60% of men and 50% of women will experience a significant traumatic event during their lifetime. But, only a fraction will develop Post-Traumatic Stress Disorder (PTSD). But this still results in a frightening number of people with 7%-8% of the population developing PTSD at some point in their life. For military personnel it’s much more likely for PTSD to develop with about 11%-20% of those who have served in a war zone developing PTSD.

 

PTSD involves a number of troubling symptoms including reliving the event with the same fear and horror in nightmares or with a flashback. PTSD sufferers avoid situations that remind them of the event this may include crowds, driving, movies, etc. and may avoid seeking help because it keeps them from having to think or talk about the event. They often experience negative changes in beliefs and feelings including difficulty experiencing positive or loving feelings toward other people, avoiding relationships, memory difficulties, or see the world as dangerous and no one can be trusted. Sufferers may feel hyperarousal, feeling keyed up and jittery, or always alert and on the lookout for danger. They may experience sudden anger or irritability, may have a hard time sleeping or concentrating, may be startled by a loud noise or surprise.

 

Obviously, these are troubling symptoms that need to be addressed. There are a number of therapies that have been developed to treat PTSD. One of which, mindfulness training has been found to be particularly effective (see links below).

 

In today’s Research News article “Mindfulness-Based Stress Reduction for Posttraumatic Stress Disorder among Veterans: A Randomized Clinical Trial”

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Polusny and colleagues tested Mindfulness Based Stress Reduction (MBSR) against Present Centered Group Therapy (PCGT) for the treatment of PTSD in military veterans. They found that MBSR was superior to PCGT and produced clinically significant improvements in PTSD symptoms and improved quality of life and mindfulness skills in the veterans. This superiority was enduring as it was present not only at the end of treatment but also significantly two months later.

 

These are exciting results that mindfulness practice can be of significant help for PTSD sufferers but especially because the treatment was superior to another form of therapy. In addition, its’ effectiveness continued to produce improvements even two months after the completion of therapy.

 

It is not known how mindfulness training could be so effective for PTSD. It can be speculated that the improvement in present moment awareness might have helped by focusing on the individual on the present rather than the past when the trauma occurred and by reducing rumination about the past. In addition, mindfulness training is known to improve emotion regulation and this may allow the veterans to not avoid but fully experience the emotions and then respond to them in a constructive fashion.

 

Regardless, it’s clear that PTSD sufferers benefit from mindfulness training.

 

“Often it isn’t the initiating trauma that creates seemingly insurmountable pain, but the lack of support after.” – S. Kelley Harrell

 

CMCS – Center for Mindfulness and Contemplative Studies

 

 

LINKS

Yoga has been shown to be effective in treating children who have experienced trauma http://contemplative-studies.org/wp/index.php/2015/07/17/yoga-for-trauma-in-children/ and mindfulness has been shown to improve an individual’s ability to deal with the aftermath of trauma http://contemplative-studies.org/wp/index.php/2015/07/17/dont-be-afraid-2-dealing-with-trauma/