Meditation

The Variety of Meditation Experiences

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The Variety of Meditation Experiences

 

By John M. de Castro, Ph.D.

 

“One can have almost any type of physical sensation during meditation in any area of the body. . .  The ticklish sensation in your heart just means that some normalization is occurring there, allowing for a more full expression of your emotions. The sense of anxiety or fear is a by-product of that clearing process.” – Depak Chopra

 

Meditation is a wonderful practice that has many documented beneficial effects on mental, physical and spiritual health. For the most part, people have positive experiences during meditation, but it is not all positive. People begin meditation with the misconception that meditation will help them escape from their problems. Nothing could be further from the truth. In fact, meditation does the exact opposite, forcing the meditator to confront their issues. In meditation, the practitioner tries to quiet the mind. But, in that relaxed quiet state, powerful, highly emotionally charged thoughts and memories sometimes emerge.

 

Many practitioners never experience these issues or only experience very mild states. There are, however, few systematic studies of the extent of negative experiences. In general, the research has reported that unwanted (negative) experiences are quite common with meditators, but for the most part, are short-lived and mild. There is, however, a great need for more research into the nature of the experiences that occur during meditation.

 

In today’s Research News article “The varieties of contemplative experience: A mixed-methods study of meditation-related challenges in Western Buddhists.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5443484/ ),

Lindahl and colleagues recruited experienced adult meditation practitioners and teachers from a variety of different traditions. Meditators were excluded if they had a history of unusual psychological experiences prior to learning meditation. They conducted extensive semi-structured interviews that consisted of open-ended questions regarding meditation-related experiences. Interviews with the participants were conducted either in person, by videoconferencing, or by telephone. Transcripts of the interviews were then subjected to qualitative data analysis focusing on challenging or difficult experiences.

 

They found that most practitioners had experienced at least some challenging experiences. 29% encountered challenges in their first year of practice while 45% encountered them in their first 10 years. For 73% of the practitioners, challenging experiences were associated with meditation retreats, while the rest were associated with daily practice. The more meditation per day the greater the likelihood of negative experiences with only 25% who practiced for 30-60 minutes per day having negative experiences, 34% who practiced 1-9 hours per day, and 41% who practiced over 10 hours per day. One of the most striking findings was the duration of negative experiences. They were not brief or fleeting. In fact, on average they were reported to persist from 1 to 3 years and as long as 10 years.

 

Thematic content analysis of the transcripts revealed 59 different categories of experiences that occurred in 7 higher order domains; cognitive, perceptual, affective, somatic, conative, sense of self, and social. 73% of practitioners had experiences falling into at least 6 domains.

 

The Cognitive Domain consisted in “Changes . . . to mental functioning, including the frequency, quality and content of thoughts, as well as . . . planning, decision-making and memory.” Most experiences in this domain were pleasant but unpleasant experiences also occurred including inability to concentrate for extended periods, problems with memory, the disintegration of conceptual meaning structures, “mind racing,” vivid imagery, and delusional, irrational, or paranormal beliefs.

 

The Perceptual domain consisted of ”changes to any of the five senses: vision, hearing, smell, taste and somatosensory processing” and interoception and proprioception. Unpleasant experiences in this domain included hypersensitivity to stimuli, illusions, hallucinations, dissolution of perceptual objects, distortions in time and space, and sensations appearing dreamlike, as if in a fog.

 

The Affective domain consisted of changes in the type, frequency, or intensity of emotions. For many the affective experiences were pleasant including bliss and euphoria, sometimes verging on mania. But, unpleasant experiences were very frequent and involved both increased and decreased emotionality including anxiety fear, panic, re-experiencing trauma, irritability, anger, and paranoia with 82% reporting it. For some flat affect occurred with a loss of swings in emotion.

 

The Somatic domain consisted of “changes in bodily functioning or physiological processes.” Unpleasant experiences in this domain included sleep disruption, feelings of pressure, tension, and hot and cold, electricity like voltages or currents through the body sometimes resulting in involuntary movements.

 

The Conative domain consisted of “changes in motivation or goal-directed behaviors.” Unpleasant experiences in this domain included loss of desire for previously enjoyed activities and loss of motivation to achieve goals.

 

The Sense of Self domain consisted of “changes in how a practitioner conceives of himself or herself over time.” Unpleasant experiences in this domain including a dissolution of boundaries between the individuals and others and the environment, loss of a sense of ownership of thoughts, emotions and agency (the doer), and loss of a sense of self entirely.

 

The Social domain consisted of “changes in interpersonal activities or functioning, including level of engagement, quality of relationships, or periods of conflict, isolation or withdrawal.” Unpleasant experiences in this domain included problems re-integrating into society after a retreat or intensive practice, impaired functioning at work or with family, and doubt and loss of faith. In fact, many of the negative experiences bled over into everyday life affecting all social interactions.

 

These findings need to be kept in perspective as most experience with meditation are pleasant and positive and even the negative experiences are mainly brief and manageable. But the results emphasize that it’s not all what people are led to believe. It can turn unpleasant or even ugly. It is important that this be taught and managed in the meditation community. In the monasteries this is well understood and managed. But in the secular world, these negative experiences are rarely taught, understood, reacted to properly, or managed. For many negative experiences can lead to stopping practice, but for others they can lead to grave psychological harm. It is important that the practitioner be made aware of these possible experiences before they begin, so they are better able to understand them a handle them astutely.

 

Meditation should not be engaged in blindly without proper instruction. It can produce great benefit but sometimes great harm. In order to maximize the benefits and minimize the harm proper education and management is needed.

 

“Emotions that come up during meditation represent one of two things: 1) undigested past negative emotions that are rising up to be processed, or 2) a present-moment experience of raw emotion from something happening now, which can be positive or negative. Either way, it can make for an uncomfortable meditation and is one of the most common reasons people stop meditating.” – Trista Thorp

 

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Lindahl, J. R., Fisher, N. E., Cooper, D. J., Rosen, R. K., & Britton, W. B. (2017). The varieties of contemplative experience: A mixed-methods study of meditation-related challenges in Western Buddhists. PLoS ONE, 12(5), e0176239. http://doi.org/10.1371/journal.pone.0176239

 

Abstract

Buddhist-derived meditation practices are currently being employed as a popular form of health promotion. While meditation programs draw inspiration from Buddhist textual sources for the benefits of meditation, these sources also acknowledge a wide range of other effects beyond health-related outcomes. The Varieties of Contemplative Experience study investigates meditation-related experiences that are typically underreported, particularly experiences that are described as challenging, difficult, distressing, functionally impairing, and/or requiring additional support. A mixed-methods approach featured qualitative interviews with Western Buddhist meditation practitioners and experts in Theravāda, Zen, and Tibetan traditions. Interview questions probed meditation experiences and influencing factors, including interpretations and management strategies. A follow-up survey provided quantitative assessments of causality, impairment and other demographic and practice-related variables. The content-driven thematic analysis of interviews yielded a taxonomy of 59 meditation-related experiences across 7 domains: cognitive, perceptual, affective, somatic, conative, sense of self, and social. Even in cases where the phenomenology was similar across participants, interpretations of and responses to the experiences differed considerably. The associated valence ranged from very positive to very negative, and the associated level of distress and functional impairment ranged from minimal and transient to severe and enduring. In order to determine what factors may influence the valence, impact, and response to any given experience, the study also identified 26 categories of influencing factors across 4 domains: practitioner-level factors, practice-level factors, relationships, and health behaviors. By identifying a broader range of experiences associated with meditation, along with the factors that contribute to the presence and management of experiences reported as challenging, difficult, distressing or functionally impairing, this study aims to increase our understanding of the effects of contemplative practices and to provide resources for mediators, clinicians, meditation researchers, and meditation teachers.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5443484/

Reduce Depression by Improving Brain Responses with Mindfulness

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Reduce Depression by Improving Brain Responses with Mindfulness

 

By John M. de Castro, Ph.D.

 

“If we accept that you can’t control your thoughts or feelings, but rather focus on cultivating your awareness of them, and regulate their impact, without getting caught up with them, then life can be far less stressful. The important thing is to realize that the content of our thoughts and emotions is less important than how we let them affect us.” – Ray Williams

 

Clinically diagnosed depression is the most common mental illness, affecting over 6% of the population. Depression can be difficult to treat. It 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.

 

One of the characterizing features of depression is flat affect. Depressed individuals do not appear to react emotionally to either positive or negative events in their lives. Good things do not improve their mood and bad things don’t worsen it. This lack of reactivity tends to interfere with recovery from depression. Mindfulness training is an alternative treatment for depression. It has been shown to be an effective treatment for depression and is also effective for the prevention of its recurrence. This suggests that mindfulness training may help to reverse the flat affect, the lack of emotional reactivity.

 

In today’s Research News article “Brief training in mindfulness may normalize a blunted error-related negativity in chronically depressed patients.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5709439/ ), Fissler and colleagues employed an electrical response of the brain to the commission of an error, error related negativity, to measure non-reactivity in depressed patients and the effects of mindfulness training on this response.

 

They recruited adult depressed patients and healthy individuals as control participants. They were measured for depression both by clinical interview and self-report. Participants were asked to perform a sustained attention to response task in which single digits were presented and the participants were asked to press a space bar for all digits except the number 3. During the task, the Electroencephalogram (EEG) was recorded from the scalp to measure brain responses. The brain frontal lobe electrical response on correct trials was compared to that when errors were committed to measure error related negativity. After baseline measurement, the depressed patients were randomly assigned to either receive 2 weeks of mindfulness training or rest. The mindfulness training consisted of 25 minutes of meditation twice a day for 6 days per week. Resting depressed patients were asked to schedule rest periods on a similar schedule.

 

They found that the depressed patients were slower and made more errors on the sustained attention to response task than the health controls. In addition, the depressed patients had a significantly lower error related negativity in the EEG from the frontal lobe than controls, signifying less reactivity in these patients. They further compared the depressed patients who meditated to those who rested and found that both groups had decreased depression levels, but the meditators had significantly greater reductions in depression. Importantly, the depressed patients who meditated had an increased error related negativity response while the depressed patients who rested did not. This indicates that meditation improved depression and the brains electrical responses to events.

 

These are interesting and important results. It is well established that mindfulness training (meditation) significantly improves depression and this effect was repeated in this study. But, the results also suggest that meditation changes the brain of depressed patients, making it more responsive to environmental events. This suggests that meditation training may, to some extent, reverse the flat affect of depressed patients and that this occurs in combination with decreased depression. It cannot be established from this study if there is a causal connection between the flat affect and depression improvements. But, it is clear that mindfulness training (meditation) improves both.

 

So, reduce depression by improving brain responses with mindfulness.

 

“When unhappy or stressful thoughts occur, rather than taking them personally and merely reacting, mindfulness teaches you to observe such thoughts with friendly curiosity. You learn to catch negative patterns of thinking before they put you into a downward spiral. Over time, mindfulness can bring about long-term changes in mood and increased levels of happiness.” Sylvia Brafman

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Fissler, M., Winnebeck, E., Schroeter, T. A., Gummbersbach, M., Huntenburg, J. M., Gärtner, M., & Barnhofer, T. (2017). Brief training in mindfulness may normalize a blunted error-related negativity in chronically depressed patients. Cognitive, Affective & Behavioral Neuroscience, 17(6), 1164–1175. http://doi.org/10.3758/s13415-017-0540-x

 

Abstract

The error-related negativity (ERN), an evoked-potential that arises in response to the commission of errors, is an important early indicator of self-regulatory capacities. In this study we investigated whether brief mindfulness training can reverse ERN deficits in chronically depressed patients. The ERN was assessed in a sustained attention task. Chronically depressed patients (n = 59) showed significantly blunted expression of the ERN in frontocentral and frontal regions, relative to healthy controls (n = 18). Following two weeks of training, the patients (n = 24) in the mindfulness condition showed a significantly increased ERN magnitude in the frontal region, but there were no significant changes in patients who had received a resting control (n = 22). The findings suggest that brief training in mindfulness may help normalize aberrations in the ERN in chronically depressed patients, providing preliminary evidence for the responsiveness of this parameter to mental training.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5709439/

Different Mindfulness Practices Have Differing Effects on Mindfulness and Compassion

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Different Mindfulness Practices Have Differing Effects on Mindfulness and Compassion

 

By John M. de Castro, Ph.D.

 

“Last year it was mindfulness but this year, attending without judgment is out and compassion for you as an antidote to your perceived low self-worth, failure, or any other form of suffering is definitely in.“ – Patricia Rockman

 

Meditation training has been shown to improve health and well-being. It has also been found to be effective for a large array of medical and psychiatric conditions, either stand-alone or in combination with more traditional therapies. As a result, meditation training has been called the third wave of therapies. One problem with understanding meditation effects is that there are, a wide variety of meditation techniques and it is not known which work best for improving different conditions.

 

There are a number of different types of meditation. Many can be characterized on a continuum with the degree and type of attentional focus. In “Presence” meditation, also known as focused attention meditation, the individual practices paying attention to a single meditation object, learns to filter out distracting stimuli, including thoughts, and learns to stay focused on the present moment, filtering out thoughts centered around the past or future. “Perspective” meditation is another different method of cultivating mindfulness. In open monitoring meditation, the individual opens up awareness to everything that’s being experienced regardless of its origin. These include bodily sensations, external stimuli, and even thoughts. The meditator just observes these thoughts and lets them arise, and fall away without paying them any further attention. A third “Affect” meditation technique, e.g. Loving Kindness Meditation is designed to develop kindness and compassion to oneself and others. The individual systematically pictures different individuals from self, to close friends, to enemies and wishes them happiness, well-being, safety, peace, and ease of well-being. Although Loving Kindness Meditation has been practiced for centuries, it has received very little scientific research attention

 

In today’s Research News article “Differential Effects of Attention-, Compassion-, and Socio-Cognitively Based Mental Practices on Self-Reports of Mindfulness and Compassion.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5693975/ ), the effects of the various meditation techniques on mindfulness and compassion were compared. Hildebrandt and colleagues recruited healthy adults without meditation experience and randomly assigned them to one of two conditions; the first practiced “Presence”, “Affect”, and “Perspective” conditions in counterbalanced order, while the second constituted a retest control. The conditions were practiced daily at home for 13 weeks and involved a weekly 2-hour training session. In the “Presence” condition the participants practiced as focused attention meditation and body scan meditation In the “Affect” condition the participants practiced Loving Kindness Meditation and engaged in affect dyads, where they were paired with another participant to discuss for 5 minutes each day something that they were grateful for, In the “Perspective” condition the participants practiced observing thoughts meditation and engaged in perspective dyads, where they were paired with another participant to discuss for 5 minutes each day “a situation from the perspective of one of one’s own inner parts.”  The retest control participants were matched on mindfulness with the practice participants. All participants were measured before and after each condition for mindfulness, compassion, fear of compassion, and self-compassion.

 

They found that, compared to the retest control condition all three meditation conditions led to increased mindfulness presence, observing, and non-reacting, but only the “Affect” and “Perspective” conditions produced significant increases in the mindfulness non-judging, accepting, and compassion scales. The “Affect” condition produced additional significant increases in the compassion scales. Hence, different mindfulness practices produced different patterns of change in mindfulness and compassion.

 

Practicing focused meditation appears to improve present moment awareness and the ability to not react to its contents. Practicing observing thoughts appeared to not only improve these mindfulness components but also improved the ability to accept and not judge what is occurring. On the other hand, practicing Loving Kindness Meditation appears to improve all of these mindfulness components and in addition improve compassion. Hence, it appears that “Affect” meditation may be a superior technique for promoting both mindfulness and compassion.

 

These results are surprising as focused attention meditation has long been the most commonly taught practice, yet it was the least effective. It should be mentioned, however, that the present study was unusual in including dyadic discussions in only the “Affect” and “Perspective” conditions and not the “Presence” condition. These dyadic discussions may have been crucial in producing the enhanced effectiveness’ of these practices. It remains for future research to investigate this possibility.

 

This study is an important beginning in documenting the different effects of different meditation techniques. This may lead to better application of meditation tailored for the specific needs of the individual, leading to improved health and well-being.

 

“Mindfulness is more than just moment-to-moment awareness. It is a kind, curious awareness that helps us relate to ourselves and others with compassion.” – Shauna Shapiro

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Hildebrandt, L. K., McCall, C., & Singer, T. (2017). Differential Effects of Attention-, Compassion-, and Socio-Cognitively Based Mental Practices on Self-Reports of Mindfulness and Compassion. Mindfulness, 8(6), 1488–1512. http://doi.org/10.1007/s12671-017-0716-z

 

Abstract

Research on the effects of mindfulness- and compassion-based interventions is flourishing along with self-report scales to assess facets of these broad concepts. However, debates remain as to which mental practices are most appropriate to develop the attentional, cognitive, and socio-affective facets of mindfulness and compassion. One crucial question is whether present-moment, attention-focused mindfulness practices are sufficient to induce a cascade of changes across the different proposed facets of mindfulness, including nonjudgmental acceptance, as well as compassion or whether explicit socio-affective training is required. Here, we address these questions in the context of a 9-month longitudinal study (the ReSource Project) by examining the differential effects of three different 3-month mental training modules on subscales of mindfulness and compassion questionnaires. The “Presence” module, which aimed at cultivating present-moment-focused attention and body awareness, led to increases in the observing, nonreacting, and presence subscales, but not to increases in acceptance or nonjudging. These latter facets benefitted from specific cultivation through the socio-cognitive “Perspective” module and socio-affective, compassion-based “Affect” module, respectively. These modules also led to further increases in scores on the subscales affected by the Presence module. Moreover, scores on the compassion scales were uniquely influenced by the Affect module. Thus, whereas a present-moment attention-focused training, as implemented in many mindfulness-based programs, was indeed able to increase attentional facets of mindfulness, only socio-cognitive and compassion-based practices led to broad changes in ethical-motivational qualities like a nonjudgmental attitude, compassion, and self-compassion.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5693975/

Improve Memory and Frontal Lobe Function in Older Adults with Mind-Body Practices

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Improve Memory and Frontal Lobe Function in Older Adults with Mind-Body Practices

 

By John M. de Castro, Ph.D.

 

“Scientists . . . found increases in brain volume and improvements on tests of memory and thinking in Chinese seniors who practiced Tai Chi three times a week.” – Science Daily

 

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 area. and have found that meditation practice appears to mold and change the brain, producing psychological, physical, and spiritual benefits.

 

The aging process involves a systematic progressive decline in every system in the body, the brain included. Starting in the 20s there is a progressive decrease in the volume and activity of the brain as the years go by. Researchers have been able to investigate various techniques that might slow the process of neurodegeneration that accompanies normal aging. They’ve found that mindfulness practices reduce the deterioration of the brain that occurs with aging restraining the loss of neural tissue. Indeed, the brains of practitioners of meditation, yoga and Tai Chi have all been found to degenerate less with aging than non-practitioners. A practice, similar to Tai Chi, Baduanjin is a mind-body training consisted of 8 movements for limbs, body-trunk, and eye movements. But it has not been evaluated for application to aging individuals.

Because Tai Chi and Baduanjin are not strenuous, involving slow gentle movements, and are safe, having no appreciable side effects, they are appropriate for all ages including the elderly and for individuals with illnesses that limit their activities or range of motion.

 

In today’s Research News article “Tai Chi Chuan and Baduanjin Mind-Body Training Changes Resting-State Low-Frequency Fluctuations in the Frontal Lobe of Older Adults: A Resting-State fMRI Study.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5670503/ ), Tao and colleagues recruited older sedentary adults (50 to 70 years of age) and randomly assigned them to either a no-treatment control who were provided health information or to practice either Tai Chi or Baduanjin mind-body training for 12 weeks, one hour per day, five days per week. Participants were measured before and after training for memory and cognitive functions. They also underwent functional-Magnetic Resonance Imaging (f-MRI).

 

They found that the Tai Chi and Baduanjin groups did not differ, but, in comparison to baseline and the education control group they had significant (18%-24%) increases in memory performance after training. The brain scans demonstrated that, in comparison to the education control group the Baduanjin group had significant increases in activity in the low frequency range in the Medial Prefrontal Cortex while the Tai Chi group had significant increases in activity in the low frequency range in the Dorsal Lateral Prefrontal Cortex. Importantly, they found that the greater the increase in activity in the Prefrontal Areas the greater the improvement in memory.

 

Hence, the results showed that both mind-body practices of Tai Chi and Baduanjin improved memory in older adults in association with increases in Prefrontal Lobe activity. The Prefrontal cortex has been associated previously with memory, attention, and high-level thinking (executive function). The present results suggest that the mind-body practices of Tai Chi and Baduanjin act to improve memory in older adults by producing neuroplastic changes that increase activity in the brain’s Prefrontal Areas. Interestingly, the results also show that the two mind-body practices may act on different mechanisms in the brain; with Tai Chi acting on the medial areas of the Prefrontal Cortex while Baduanjin acting on the Dorsal Lateral areas.

 

Memory deteriorates with aging and this can progress to severe memory impairments and dementia. The results of this study suggest that engagement in the mind-body practices of Tai Chi and Baduanjin may be able to slow or prevent that decline by strengthening brain processing in the Prefrontal Cortex. Since both Tai Chi and Baduanjin are simple and safe exercises that can be easily learned and practiced at home alone or in groups, they are economical and scalable practices to improve memory during aging. As such, they should be recommended for older adults.

 

So, improve memory and frontal lobe function in older adults with mind-body practices.

 

“Because Tai Chi can be done indoors or out, and as a group activity or by yourself, it suits both people who like to work out alone at home and those who prefer to get their exercise in a social setting.” – Mark Huntsman

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Tao, J., Chen, X., Liu, J., Egorova, N., Xue, X., Liu, W., … Kong, J. (2017). Tai Chi Chuan and Baduanjin Mind-Body Training Changes Resting-State Low-Frequency Fluctuations in the Frontal Lobe of Older Adults: A Resting-State fMRI Study. Frontiers in Human Neuroscience, 11, 514. http://doi.org/10.3389/fnhum.2017.00514

 

Abstract

Age-related cognitive decline is a significant public health concern. Recently, non-pharmacological methods, such as physical activity and mental training practices, have emerged as promising low-cost methods to slow the progression of age-related memory decline. In this study, we investigated if Tai Chi Chuan (TCC) and Baduanjin modulated the fractional amplitude of low-frequency fluctuations (fALFF) in different frequency bands (low-frequency: 0.01–0.08 Hz; slow-5: 0.01–0.027 Hz; slow-4: 0.027–0.073 Hz) and improved memory function. Older adults were recruited for the randomized study. Participants in the TCC and Baduanjin groups received 12 weeks of training (1 h/day for 5 days/week). Participants in the control group received basic health education. Each subject participated in memory tests and fMRI scans at the beginning and end of the experiment. We found that compared to the control group: (1) TCC and Baduanjin groups demonstrated significant improvements in memory function; (2) TCC increased fALFF in the dorsolateral prefrontal cortex (DLPFC) in the slow-5 and low-frequency bands; and (3) Baduanjin increased fALFF in the medial PFC in the slow-5 and low-frequency bands. This increase was positively associated with memory function improvement in the slow-5 and low-frequency bands across the TCC and Baduanjin groups. Our results suggest that TCC and Baduanjin may work through different brain mechanisms to prevent memory decline due to aging.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5670503/

Brief Mindfulness Training may Increase Drinking Impulsivity to Negative Emotions

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Brief Mindfulness Training may Increase Drinking Impulsivity to Negative Emotions

 

By John M. de Castro, Ph.D.

 

“it’s helping people become really aware of what’s happening in their minds. Once they see that, they have a choice and they have some freedom.” – Sarah Bowen

 

Inappropriate use of alcohol is a major societal problem. In fact, about 25% of US adults have engaged in binge drinking in the last month and 7% have what is termed an alcohol use disorder. Alcohol abuse is very dangerous and frequently fatal. Nearly 88,000 people in the US and 3.3 million globally die from alcohol-related causes annually, making it the third leading preventable cause of death in the United States. Drunk driving accounted for over 10,000 deaths; 31% of all driving fatalities. Excessive alcohol intake has been shown to contribute to over 200 diseases including alcohol dependence, liver cirrhosis, cancers, and injuries. It is estimated that over 5% of the burden of disease and injury worldwide is attributable to alcohol consumption.

 

Alcohol abuse often develops during adolescence and it on display with college students where about four out of five college students drink alcohol and about half of those consume alcohol through binge drinking. About 25 percent of college students report academic consequences of their drinking including missing class, falling behind, doing poorly on exams or papers, and receiving lower grades overall. More than 150,000 students develop an alcohol-related health problem. These are striking and alarming statistics and indicate that controlling alcohol intake is an important priority for the individual and society.

 

There are a wide range of treatment programs for alcohol abuse, with varying success. Recently, mindfulness training has been successfully applied to treatment. One attractive feature of this training is that it appears to increase the ability of the drinker to control their intake, resulting in less binge drinking and dangerous inebriation. Since, mindfulness appears to hold promise as a treatment for excessive alcohol intake, there is a need to better understand its mechanisms of action in order to maximize its effectiveness. In today’s Research News article “Examination of trait impulsivity on the response to a brief mindfulness intervention among college student drinkers.” See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4975969/, Vinci and colleagues examined how mindfulness training might alter impulsivity related drinking urges.

 

They administered the Alcohol Use Disorders Identification Test to college students and identified a group of at-risk drinkers. They were then randomly assigned to receive either a 10-minute guided mindfulness meditation, muscle relaxation instruction, or engaged for 10-minutes in a word search puzzle. Before and after the interventions the at-risk students were administered measures of the mindfulness, positive and negative emotions, urge to drink, drinking motives of Enhancement, Coping, Social Affiliative, and Social Conformity and of impulsivity including Negative Urgency, (lack of) Premeditation, (lack of) Perseverance, Sensation Seeking, and Positive Urgency.

 

They found that mindfulness was increased by the brief mindfulness training. They also found that mindfulness and relaxation modulated the effects of drinking motives on the urge to drink. For participants in the mindfulness group, having low Negative Urgency was associated with a low urge to drink, while participants with high Negative Urgency reported a high urge to drink. The opposite pattern was observed for participants in the relaxation group, such that for those with low Negative Urgency, urge to drink was high; for those with high Negative Urgency, the urge to drink was low.

 

Negative Urgency is the likelihood of acting impulsively when experiencing negative emotions. A brief Mindfulness experience appears to have an immediate effect of heightening the ability of acting impulsively to negative emotions to affect the urge to drink. It may, by focusing the individual on the present moment, make the individual more aware of their own emptions and therefore they become more responsive to them. A brief relaxation, on the other hand tends to lower the ability of acting impulsively to negative emotions to affect the urge to drink. Perhaps relaxation make the students less aware of their own emotions.

 

These results suggest that a brief mindfulness training of students who are at-risk for alcohol abuse may be counterproductive, sensitizing them to feeling emotionally bad and thereby making drinking more likely. Since, it has been well established that mindfulness training decreases drinking and drinking motives, the results suggest that care must be taken to insure that sufficient training occurs to produce benefits as opposed to sensitizing impulsive responses to negative emotions.

 

So, care must be taken t administer and adequate dose of mindfulness training when treating at-risk college students.

 

“mindfulness . . . just 11 minutes of the therapy can reduce alcohol consumption in heavy drinkers.” – Liat Clark

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Vinci, C., Peltier, M., Waldo, K., Kinsaul, J., Shah, S., Coffey, S. F., & Copeland, A. L. (2016). Examination of trait impulsivity on the response to a brief mindfulness intervention among college student drinkers. Psychiatry Research, 242, 365–374. http://doi.org/10.1016/j.psychres.2016.04.115

 

Abstract

Mindfulness-based strategies show promise for targeting the construct of impulsivity and associated variables among problematic alcohol users. This study examined the moderating role of intervention (mindfulness vs relaxation vs control) on trait impulsivity and three outcomes examined post-intervention (negative affect, positive affect, and urge to drink) among 207 college students with levels of at-risk drinking. Moderation analyses revealed that the relationship between baseline impulsivity and the primary outcomes significantly differed for participants who underwent the mindfulness versus relaxation interventions. Notably, simple slope analyses revealed that negative urgency was positively associated with urge to drink following the mindfulness intervention. Among participants who underwent the relaxation intervention, analysis of simple slopes revealed that negative urgency was negatively associated with urge to drink, while positive urgency was positively associated with positive affect following the relaxation intervention. Findings suggest that level (low vs high) and subscale of impulsivity matter with regard to how a participant will respond to a mindfulness versus relaxation intervention.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4975969/

Improve Multiple Sclerosis with Meditation and Yoga

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Improve Multiple Sclerosis with Meditation and Yoga

 

By John M. de Castro, Ph.D.

 

“Studies show that for some people with MS, chronic exposure to stress is associated with worsening neurological symptoms and increased brain lesions. Researchers believe that mindfulness may help people better respond to stress by fostering healthier coping strategies. Mindfulness practice appears to be a safe, drug-free approach to coping with stress and anxiety, which may in turn help reduce your MS symptoms.” – Amit Sood

 

Multiple Sclerosis (MS) is a progressive demyelinating disease which attacks the coating on the neural axons which send messages throughout the body and nervous system. It affects about 2 million people worldwide and about 400,000 in the U.S. It is most commonly diagnosed in people between the ages of 20 and 50 years.  Unfortunately, there is no cure for multiple sclerosis. There are a number of approved medications that are used to treat MS but are designed to lessen frequency of relapses and slow the progression of the disease, but they don’t address individual symptoms.

 

Although there is a progressive deterioration, MS is not fatal with MS patients having about the same life expectancy as the general population. Hence, most MS sufferers have to live with the disease for many years. So, quality of life becomes a major issue. Quality of life with MS is affected by fatigue, cognitive decrements, physical impairment, depression, and poor sleep quality. There is a thus a critical need for safe and effective methods to help relieve the symptoms of MS and improve quality of life.

 

Mindfulness practices have been previously shown to improve depression, sleep quality, cognitive impairments, emotion regulation, and fatigue. It has also been shown to improve the symptoms of multiple sclerosis.  Yoga is a mindfulness practice that has the added feature of exercising and stretching the muscles. It would seem likely that yoga practice might be an ideal treatment for improving the quality of life and lessening symptoms in patients with multiple sclerosis.

 

In today’s Research News article “Mindfulness in Motion for People with Multiple Sclerosis: A Feasibility Study.” See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5649345/, Gilbertson and Klatt examined the combination of meditation and chair yoga practice which in the treatment of multiple sclerosis. They called this program “Mindfulness in Motion.” In a pilot feasibility study, they recruited patients with multiple sclerosis and provided them with 8 weeks of the “Mindfulness in Motion” program. The program met once a week for one hour and participants were expected to practice at home for 20 minutes every day. Participants were measured before and after the 8 weeks of practice for mindfulness, fatigue, anxiety, depression, behavior control, and positive affect, physical functioning, role limitations due to physical problems, bodily pain, general health perceptions, vitality, social functioning, role limitations due to emotional problems, and mental health.

 

They found that compared to baseline after completing the “Mindfulness in Motion” program the participants showed significant improvements in physical functioning, role-physical, vitality, mental health, anxiety, depression, and positive affect and cognitive and psychosocial fatigue and mindfulness including observing, acting with awareness, nonjudgment, and nonreactivity. Hence, after the 8-week “Mindfulness in Motion” program the participants showed marked and significant improvements in the psychological symptoms of multiple sclerosis.

 

It needs to be kept in mind that this study was a pilot feasibility study that did not have an active control condition, so conclusions must be made carefully. But, this is an extremely encouraging first step that suggests that the combination of two practices which individually produce symptom relief, meditation and chair yoga practice, is a particularly effective treatment for the psychological symptoms of multiple sclerosis.

 

So, improve multiple sclerosis with meditation and yoga.

 

“Studies in multiple sclerosis, these have shown that mindfulness can improve quality of life and help people cope better with their MS. The studies also found that it decreased stress, anxiety and depression.” – MS Trust

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Rachel M. Gilbertson, Maryanna D. Klatt. Mindfulness in Motion for People with Multiple Sclerosis: A Feasibility Study. Int J MS Care. 2017 Sep-Oct; 19(5): 225–231. doi: 10.7224/1537-2073.2015-095

 

Abstract

Background:

Mindfulness in Motion is an 8-week mindfulness-based intervention that uses yoga movement, mindfulness meditation, and relaxing music. This study examined the feasibility of using Mindfulness in Motion in people with multiple sclerosis (MS) and the effect of this program on stress, anxiety, depression, fatigue, and quality of life in people with MS.

Methods:

Twenty-two people with MS completed the 8-week mindfulness program as well as assessments 1 week before and after the intervention.

Results:

Pre/post comparison of four self-reported questionnaires—the Mental Health Inventory, 36-item Short Form Health Status Survey, Modified Fatigue Impact Scale, and Five Facet Mindfulness Questionnaire—showed significant improvement in physical functioning, vitality, and mental health. Specifically, improvements were seen in anxiety, depression, and positive affect; cognitive, psychosocial, and overall functioning regarding fatigue; and mindfulness in the areas of observing, acting with awareness, nonjudgment, and nonreactivity.

Conclusions:

Due to the uncertainty in disease progression associated with MS, and the multiplicity of mental and physical symptoms associated with it, programming that addresses anxiety, depression, and fatigue is a key area of future research in MS disease management. Mindfulness in Motion proved to be a feasible program yielding positive results, supporting the need for research to determine the extent to which the program can improve quality-of-life outcomes for people with MS.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5649345/

Reduce Opioid Treated Low Back Pain with Meditation

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Reduce Opioid Treated Low Back Pain with Meditation

 

By John M. de Castro, Ph.D.

 

“When your focus is on the pain, obviously that increases the pain. For people who meditate, their muscle tension and heart rate drops, their respiration slows and breaths gets deeper. All those things have impact on the pain.” – Jane Ehrman

 

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. These 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 safe and effective treatments for low back pain that are low cost and don’t have troublesome side effects.

 

Pain involves both physical and psychological issues. The stress, fear, and anxiety produced by pain tends to elicit responses that actually amplify the pain. So, reducing the emotional reactions to pain may be helpful in pain management. Mindfulness practices have been shown to improve emotion regulation producing more adaptive and less maladaptive responses to emotions. These include reducing pain catastrophizing. Indeed, mindfulness practices have been shown to be safe and  beneficial in pain management in general and yoga and mindfulness has been shown to specifically improve back pain. Since opiates are frequently used to treat chronic low back pain, there is a need to study the combination of long-term opiate treatment and meditation practice.

 

In today’s Research News article “Mindfulness Meditation and Cognitive Behavioral Therapy Intervention Reduces Pain Severity and Sensitivity in Opioid-Treated Chronic Low Back Pain: Pilot Findings from a Randomized Controlled Trial.” See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5063022/, Zgierska and colleagues recruited adult patients with chronic low back pain who had been treated for at least 3 months with relatively high doses (at least 30 mg/day) of opiates for pain. The patients were randomly assigned to receive meditation practice in combination with Cognitive Behavioral Therapy or to a wait-list control condition. The treatment consisted of 2-hour sessions once a week for 8 weeks of Cognitive Behavioral Therapy (CBT) for identifying and modifying unhealthy thought patterns concerning their pain (e.g. catastrophizing) and additionally mindfulness practices including breath meditation, loving-kindness meditation, body scan and mindful movement practices. Patients were also prescribed to practice meditation at home for at least 30 minutes, 6 days per week. Opiate medications were continued throughout testing. Patients were measured before and after treatment a half a year later for mindfulness, pain intensity, pain acceptance and coping, pain sensitivity to thermal stimuli, disability, opiate dose, and inflammatory biomarkers.

 

They found that the meditation group had a sustained decrease in unpleasantness and pain sensitivity to thermal stimuli (experimentally induced pain) and an 8% reduction in everyday pain intensity while the wait-list control group had an 8% increase in pain. The decrease in pain was greater for patients who consistently meditated at home compared to inconsistent meditators. In addition, the greater the increase in mindfulness in the meditation group, the greater the decrease in disability. No patients withdrew from the study suggesting that the treatment was acceptable and valued.

 

The intervention employed a combination of meditation with Cognitive Behavioral Therapy (CBT). So, it cannot be determined whether meditation, CBT, or their combination produced the benefits for the patients. Nevertheless, the results clearly demonstrated that the treatment was very effective in reducing pain and sensitivity to pain in patients with chronic low back pain who are under treatment with relatively high doses of opiates. It is quite striking that the effects were so large given the high doses of opiates in use and underscores the efficacy of the treatment. This suggests that perhaps the opioids had lost a degree of effectiveness with these patients and meditation training could replace the lost pain relief. So, meditation and CBT can effectively reduce pain even in patients taking opiates.

 

So, reduce opioid treated low back pain with meditation.

 

“Mindful mediation is an appealing option for treating your pain because it has an unusual benefit; it places you in a position of control. Unlike pain medications or surgical procedures, meditation is not done to you—but rather it is something you do for yourself.” – Stephanie Burke

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Zgierska, A. E., Burzinski, C. A., Cox, J., Kloke, J., Stegner, A., Cook, D. B., … Bačkonja, M. (2016). Mindfulness Meditation and Cognitive Behavioral Therapy Intervention Reduces Pain Severity and Sensitivity in Opioid-Treated Chronic Low Back Pain: Pilot Findings from a Randomized Controlled Trial. Pain Medicine: The Official Journal of the American Academy of Pain Medicine, 17(10), 1865–1881. http://doi.org/10.1093/pm/pnw006

 

Abstract

Objective. To assess benefits of mindfulness meditation and cognitive behavioral therapy (CBT)-based intervention for opioid-treated chronic low back pain (CLBP).

Design. 26-week parallel-arm pilot randomized controlled trial (Intervention and Usual Care versus Usual Care alone).

Setting. Outpatient.

Subjects. Adults with CLBP, prescribed ≥30 mg/day of morphine-equivalent dose (MED) for at least 3 months.

Methods. The intervention comprised eight weekly group sessions (meditation and CLBP-specific CBT components) and 30 minutes/day, 6 days/week of at-home practice. Outcome measures were collected at baseline, 8, and 26 weeks: primary-pain severity (Brief Pain Inventory) and function/disability (Oswestry Disability Index); secondary-pain acceptance, opioid dose, pain sensitivity to thermal stimuli, and serum pain-sensitive biomarkers (Interferon-γ; Tumor Necrosis Factor-α; Interleukins 1ß and 6; C-reactive Protein).

Results. Thirty-five (21 experimental, 14 control) participants were enrolled and completed the study. They were 51.8 ± 9.7 years old, 80% female, with severe CLBP-related disability (66.7 ± 11.4), moderate pain severity (5.8 ± 1.4), and taking 148.3 ± 129.2 mg/day of MED. Results of the intention-to-treat analysis showed that, compared with controls, the meditation-CBT group reduced pain severity ratings during the study (P = 0.045), with between-group difference in score change reaching 1 point at 26 weeks (95% Confidence Interval: 0.2,1.9; Cohen’s d = 0.86), and decreased pain sensitivity to thermal stimuli (P< 0.05), without adverse events. Exploratory analyses suggested a relationship between the extent of meditation practice and the magnitude of intervention benefits.

Conclusions. Meditation-CBT intervention reduced pain severity and sensitivity to experimental thermal pain stimuli in patients with opioid-treated CLBP.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5063022/

Reduce the Stress of Aging and Improve Quality of Life with Meditation

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Reduce the Stress of Aging and Improve Quality of Life with Meditation

 

By John M. de Castro, Ph.D.

 

“if we can delay the onset of memory loss by five years, we can reduce an individual’s chance of developing Alzheimer’s by 50 percent. Moreover, if you can keep your memory strong and vital 10 years longer than expected, you can forget about ever getting Alzheimer’s.” – Dharma Singh Khalsa

 

Human life is one of constant change. We revel in our increases in physical and mental capacities during development, but regret their decline during aging. As we age, there are systematic progressive declines in every system in the body, the brain included. This includes our mental abilities and results in impairments in memory, attention, and problem solving ability. It is inevitable and cannot be avoided. Aging also results in changes in mental health. Depression is very common in the elderly. The elderly 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. In addition, many elderly experience withdrawal and isolation from social interactions. But, no matter how reasonable, the increased loneliness, worry and anxiety add extra stress that can impact on the elderly’s already deteriorating physical and psychological health.

 

Mindfulness appears to be effective for an array of physical and psychological issues that occur with aging. It appears to strengthen the immune system and reduce inflammation. It has also been shown to be beneficial in slowing or delaying physical and mental decline with aging. and improve cognitive processes. It has also been shown to reduce anxiety, worry, and depression and improve overall mental health. Since the global population of the elderly is increasing at unprecedented rates, it is imperative to investigate safe and effective methods to slow physical and mental aging and improve mental health in the elderly.

 

In today’s Research News article “Effects of Meditation versus Music Listening on Perceived Stress, Mood, Sleep, and Quality of Life in Adults with Early Memory Loss: A Pilot Randomized Controlled Trial.” See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5649740/, Innes and colleagues recruited older adults (over 50 years of age) with mild cognitive impairments and randomly assigned them to either relax and listen to classical music or practice Kirtan Kriya meditation for 12-minutes, once a day for 12 weeks. They were measured before and after treatment and again 3 months later for perceived stress, sleep quality, positive and negative moods, psychological well-being, health-related quality of life, memory, and cognitive ability. Retention of participants was high as only 8% dropped out of the study.

 

They found that after 12 weeks of practice both the music listening and the Kirtan Kriya meditation groups showed significant improvements in psychological well-being, mood, including anxiety, depression, confusion, anger, and fatigue, sleep quality, and health-related quality of life, including mental health, energy, and emotional well-being. These improvements were sustained 3 months after the conclusion of formal practice. Importantly, the Kirtan Kriya meditation group had significantly greater improvement in perceived stress, mood, psychological well-being, mental health-related quality of life than the music listening group.

 

These results suggest that relaxation in general produces sustained improvements in the well-being of older adults with mild cognitive impairments. But, Kirtan Kriya meditation practice produces greater improvements. The fact that there was a music listening control group suggests that it was the meditation per se and not just the relaxation inherent in meditation practice that was responsible for the improvements. This suggests that meditation practice is very beneficial of older adults with mild cognitive impairments improving their mental health, perceived stress, and well-being and that these improvements are sustained at least for 3 months. Since, these factors are associated with further cognitive decline, the results suggest that meditation practice may slow age-related cognitive decline.

 

So, reduce the stress of aging and quality of life with meditation.

 

“One of the major difficulties that individuals with dementia and their family members encounter is that there is a need for new ways of communicating due to the memory loss and other changes in thinking and abilities. The practice of mindfulness places both participants in the present and focuses on positive features of the interaction, allowing for a type of connection that may substitute for the more complex ways of communicating in the past. It is a good way to address stress.” – Sandra Weintraub

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Kim E. Innes, Terry Kit Selfe, Dharma Singh Khalsa, Sahiti Kandati. Effects of Meditation versus Music Listening on Perceived Stress, Mood, Sleep, and Quality of Life in Adults with Early Memory Loss: A Pilot Randomized Controlled Trial. J Alzheimers Dis.  2016 Apr 8; 52(4): 1277–1298. doi: 10.3233/JAD-151106

 

Abstract

Background

Older adults with subjective cognitive decline (SCD) are at increased risk not only for Alzheimer’s disease, but for poor mental health, impaired sleep, and diminished quality of life (QOL), which in turn, contribute to further cognitive decline, highlighting the need for early intervention.

Objective

In this randomized controlled trial, we assessed the effects of two 12-week relaxation programs, Kirtan Kriya Meditation (KK) and music listening (ML), on perceived stress, sleep, mood, and health-related QOL in older adults with SCD.

Methods

Sixty community-dwelling older adults with SCD were randomized to a KK or ML program and asked to practice 12 minutes daily for 12 weeks, then at their discretion for the following 3 months. At baseline, 12 weeks, and 26 weeks, perceived stress, mood, psychological well-being, sleep quality, and health-related QOL were measured using well-validated instruments.

Results

Fifty-three participants (88%) completed the 6-month study. Participants in both groups showed significant improvement at 12 weeks in psychological well-being and in multiple domains of mood and sleep quality (p’s ≤ 0.05). Relative to ML, those assigned to KK showed greater gains in perceived stress, mood, psychological well-being, and QOL-Mental Health (p’s ≤ 0.09). Observed gains were sustained or improved at 6 months, with both groups showing marked and significant improvement in all outcomes. Changes were unrelated to treatment expectancies.

Conclusions

Findings suggest that practice of a simple meditation or ML program may improve stress, mood, well-being, sleep, and QOL in adults with SCD, with benefits sustained at 6 months and gains that were particularly pronounced in the KK group.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5649740/

Improve Brain Systems Underlying Mental Well-Being with Gratitude Meditation

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Improve Brain Systems Underlying Mental Well-Being with Gratitude Meditation

By John M. de Castro, Ph.D.

“benefit of meditation. Or, rather, some ancient benefit that is just now being confirmed with fMRI or EEG. The 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 Walton

There has accumulated a large amount of research demonstrating that meditation has significant benefits for psychological, physical, and spiritual wellbeing. Its positive effects are so widespread that it is difficult to find any other treatment of any kind with such broad beneficial effects on everything from mood and happiness to severe mental and physical illnesses. This raises the question of how meditation could do this. One possibility is that mindfulness practice results in beneficial changes in the nervous system.

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, mindfulness practice appears to mold and change the brain, producing psychological, physical, and spiritual benefits.

These neuroplastic changes, however, result from the summation of individual changes occurring to the nervous system in real time produced by the immediate behavior. In order to better understand the process by which behavior affects the nervous system, it is important to look initially at the short-term changes produced by behavior. Loving-kindness meditation has been shown to produce improvement in the regulation of emotions and also changes the areas of the nervous system involved in emotion regulation. To better understand the processes involved it is important to look at the short-term effects of focusing on gratitude on the nervous system.

In today’s Research News article “Effects of gratitude meditation on neural network functional connectivity and brain-heart coupling.” See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5506019/, Kyeong and colleagues recruited meditation-naïve adults. They were measured before testing for depression, competence, relatedness, and autonomy. The participants laid in a brain scanner and were instructed to think deeply in a gratitude condition and a resentment condition while their heart rate was recorded and functional Magnetic Resonance Imaging (f-MRI) was performed. In the gratitude condition the participants were instructed to think about and visualize their mother for 4 minutes and tell her in their mind how much they love and appreciate her. In the resentment condition the participants were instructed to think about and visualize a person who made them angry. The two conditions were presented in counterbalanced order to two randomly assigned groups.

They found that the heart rate was significantly lower during the gratefulness condition indicating the positive emotional effects of gratitude. In addition, they found that the functional connectivity of brain areas was significantly related to heart rate in the gratefulness condition but not the resentment condition. Hence, experiencing gratefulness connects central and peripheral mechanisms of emotion. They found that the functional connectivity of neural systems were altered during and after the two conditions. But, the gratitude condition altered the functional connectivity of brain areas associated with emotions and motivation.

These results suggest that the immediate focusing on gratitude produces momentary alterations of brain systems associated with the regulation of emotions and self-motivation. When carried out over a period of time this could sum to produce relatively permanent changes in these neural systems. This may be the mechanism by which loving-kindness meditation improves emotional well-being. These results are a useful start at unravelling the processes by which mental contents can produce relatively permanent alterations of the nervous system and thereby produce relatively permanent changes in the individual’s mood and regulation of that mood.

So, improve brain systems underlying mental well-being with gratitude meditation.

“Being distracted exacts a cost on our well-being, If we become more mindful of our everyday activities, we can learn well-being and become happier.” – Ritchie Davidson

CMCS – Center for Mindfulness and Contemplative Studies

This and other Contemplative Studies posts are available at the Contemplative Studies Blog http://contemplative-studies.org/wp/
They are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

Study Summary

Kyeong, S., Kim, J., Kim, D. J., Kim, H. E., & Kim, J.-J. (2017). Effects of gratitude meditation on neural network functional connectivity and brain-heart coupling. Scientific Reports, 7, 5058. http://doi.org/10.1038/s41598-017-05520-9

Abstract
A sense of gratitude is a powerful and positive experience that can promote a happier life, whereas resentment is associated with life dissatisfaction. To explore the effects of gratitude and resentment on mental well-being, we acquired functional magnetic resonance imaging and heart rate (HR) data before, during, and after the gratitude and resentment interventions. Functional connectivity (FC) analysis was conducted to identify the modulatory effects of gratitude on the default mode, emotion, and reward-motivation networks. The average HR was significantly lower during the gratitude intervention than during the resentment intervention. Temporostriatal FC showed a positive correlation with HR during the gratitude intervention, but not during the resentment intervention. Temporostriatal resting-state FC was significantly decreased after the gratitude intervention compared to the resentment intervention. After the gratitude intervention, resting-state FC of the amygdala with the right dorsomedial prefrontal cortex and left dorsal anterior cingulate cortex were positively correlated with anxiety scale and depression scale, respectively. Taken together, our findings shed light on the effect of gratitude meditation on an individual’s mental well-being, and indicate that it may be a means of improving both emotion regulation and self-motivation by modulating resting-state FC in emotion and motivation-related brain regions.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5506019/

Meditation Can Produce Uncomfortable Effects

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Meditation Can Produce Uncomfortable Effects

 

By John M. de Castro, Ph.D.

 

“While the benefits of mediation are being recorded in scientific journals, what’s not discussed as often are the negative meditation side effects. It can be a frustrating, sometimes agonizing process that will bring you into contact with your limitations and inner conflicts. Rather than a metamorphosis, you can experience a setback.” – Linda Kaban

 

People begin meditation with the misconception that meditation will help them escape from their problems. Nothing could be further from the truth. In fact, meditation does the exact opposite, forcing the meditator to confront their issues. In meditation, the practitioner tries to quiet the mind. But, in that relaxed quiet state, powerful, highly emotionally charged thoughts and memories are likely to emerge. The strength here is that meditation is a wonderful occasion to begin to deal with these issues. But, often the thoughts or memories are overwhelming. At times, professional therapeutic intervention may be needed.

 

Meditation practice can also produce some troubling experiences beyond unmasking deep psychological issues. Not the least of these experiences are awakening experiences themselves. If they are not properly understood, they can lead to sometimes devastating consequences. These experiences are so powerful and unusual that they can be misinterpreted. Awakening experiences have been misdiagnosed as psychotic breaks and the individual placed on powerful drugs and/or institutionalized. At the very least, the individual may believe that they are losing their sanity or as one has said, “I just got used to the idea that occasionally I would have just one of those days.”

 

Meditation practice can sometimes produce energetic states that can vary in intensity, location, and duration. If and when these occur, they are usually quite surprising and unexpected. They can be readily misinterpreted. They involve energy focused in specific parts of the body or overall. They can feel like nervousness, tension, or almost like electrical currents flowing through the body and can produce spontaneous and undirected movements. These energy states are usually found to be aversive and difficult to cope with.

 

Many practitioners never experience these issues or only experience very mild states. There are, however, no systematic studies of the extent of this problem. In today’s Research News article “Unwanted effects: Is there a negative side of meditation? A multicentre survey.” See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5584749/, Cebolla and colleagues conducted an on-line survey of meditation practitioners that engaged in a variety of different meditation techniques. They were asked if they had experienced any unwanted experiences. If they had, they were asked to describe the nature of these experiences. These incidents were categorized into 8 clusters; anxiety symptoms (including panic attacks), pain (stomach, headache, muscular, nausea), depersonalization and derealization, hypomania or depressive symptoms, emotional lability, visual focalization problems, loss of consciousness or dizziness, and other symptoms. They also completed a checklist of unwanted experiences.

 

They found that the incidence of negative events was quite high with 25.4% of the respondents reporting unwanted experiences. But most reported that the experiences were mild and transitory and most did not lead to the need for medical assistance or the cessation of meditation practice. These unwanted experiences occurred more frequently with individual rather than group practice and with focused meditation practice, particularly when practices was longer then 20 minutes. The most frequently described reactions were anxiety symptoms (including panic attacks) and depersonalization or derealization (“when I began to focus on my breath, a shift seemed to occur in my spatial awareness quite quickly. I felt like my awareness was becoming very close to me, and everything around me was becoming very distant.)

 

The results suggest that unwanted (negative) experiences are quite common with meditators, but for the most part are short-lived and mild. It should be kept in mind, however, that practitioners who had more severe and long lasting negative experience may well not continue meditation and not be included in the sample. So, the actual frequency and severity of unwanted (negative) experiences may actually be higher. There was also no comparison condition. It is possible that similar unwanted experiences occur over time in people who do not meditate.

 

The results suggest that better instruction is needed for beginning meditators regarding the types of experiences that meditators may have and resources provided for dealing with these experiences. In the West meditation has been promoted as a completely positive and beneficial practice. For the most part, it is. But, it can have significant, unpleasant, and potentially harmful consequences. It is important that practitioners be aware of this and have access to experienced teachers who can help them navigate through the difficulties if they appear.

 

It needs to be publicized that meditation can produce uncomfortable effects.

 

“To put things in perspective, many millions of people have meditated, over the past several thousands of years, and written about it extensively – there is a vast literature. If you look at this history as a vast trial run of a new drug, there are remarkably few negative side effects for such a powerful process.” – Lorin Roche

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Cebolla, A., Demarzo, M., Martins, P., Soler, J., & Garcia-Campayo, J. (2017). Unwanted effects: Is there a negative side of meditation? A multicentre survey. PLoS ONE, 12(9), e0183137. http://doi.org/10.1371/journal.pone.0183137

 

Abstract

Objectives

Despite the long-term use and evidence-based efficacy of meditation and mindfulness-based interventions, there is still a lack of data about the possible unwanted effects (UEs) of these practices. The aim of this study was to evaluate the occurrence of UEs among meditation practitioners, considering moderating factors such as the type, frequency, and lifetime duration of the meditation practices.

Methods

An online survey was developed and disseminated through several websites, such as Spanish-, English- and Portuguese-language scientific research portals related to mindfulness and meditation. After excluding people who did not answer the survey correctly or completely and those who had less than two months of meditation experience, a total of 342 people participated in the study. However, only 87 reported information about UEs.

Results

The majority of the practitioners were women from Spain who were married and had a University education level. Practices were more frequently informal, performed on a daily basis, and followed by focused attention (FA). Among the participants, 25.4% reported UEs, showing that severity varies considerably. The information requested indicated that most of the UEs were transitory and did not lead to discontinuing meditation practice or the need for medical assistance. They were more frequently reported in relation to individual practice, during focused attention meditation, and when practising for more than 20 minutes and alone. The practice of body awareness was associated with UEs to a lesser extent, whereas focused attention was associated more with UEs.

Conclusions

This is the first large-scale, multi-cultural study on the UEs of meditation. Despite its limitations, this study suggests that UEs are prevalent and transitory and should be further studied. We recommend the use of standardized questionnaires to assess the UEs of meditation practices.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5584749/