Improve Cognitive Function in the Elderly with Mind-Body Practices

February 17, 2020 psyjdc Leave a comment

By John M. de Castro, Ph.D.

“adults with Mild Cognitive Impairment can learn to practice mindfulness meditation, and by doing so may boost their cognitive reserve.” – Rebecca Erwin Wells

The aging process involves a systematic progressive decline in every system in the body, the brain included. This includes our cognitive (mental) abilities which decline with age including impairments in memory, attention, and problem-solving ability. It is inevitable and cannot be avoided. Research has 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 and yoga have been found to degenerate less with aging than non-practitioners. Tai Chi and Qigong have also been shown to be beneficial in slowing or delaying physical and mental decline with aging.

The research findings are accumulating suggesting that a summarization of what has been learned is called for. In today’s Research News article “The Effects of Mind-Body Exercise on Cognitive Performance in Elderly: A Systematic Review and Meta-Analysis.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6313783/), Zhang and colleagues review, summarize, and perform a meta-analysis of the published randomized controlled studies (RCTs) of the effectiveness of the mind-body practices of yoga, Tai Chi and Qigong, and Pilates to improve cognitive performance in the elderly (aged 60 and over).

They identified 19 published RCTs that included a total of 2539 participants. They report that the published studies reveal a significant, albeit small, improvement in global cognitive function after mind-body practices. This included significant improvements in executive function, language ability, memory, and visuospatial ability. They also report that the amount of improvement was significantly related to the amount of mind-body exercise training. Interestingly, the effects appear to be better in elderly without any signs of dementia than in those with mild dementia symptoms.

The findings based upon a fair number of well-controlled studies are relatively consistent revealing that mind-body practices are safe and effective in improving cognitive function in individuals over 60 years of age. This suggests that engaging in these practices can reduce the decline in mental abilities occurring with aging. This suggests that engaging in yoga, Tai Chi and Qigong, or Pilates practices should be recommended for people over 60 years of age.

So, improve cognitive function in the elderly with mind-body practices.

“engagement in mindfulness meditation may enhance cognitive performance in older adults, and that with persistent practice, these benefits may be sustained.” – Grace Bullock

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

Zhang, Y., Li, C., Zou, L., Liu, X., & Song, W. (2018). The Effects of Mind-Body Exercise on Cognitive Performance in Elderly: A Systematic Review and Meta-Analysis. International journal of environmental research and public health, 15(12), 2791. doi:10.3390/ijerph15122791

Abstract

Background: As the situation of cognitive aging is getting worse, preventing or treating cognitive decline through effective strategies is highly important. This systematic review aims to investigate whether mind-body exercise is an effective approach for treating cognition decline. Methods: Searches for the potential studies were performed on the eight electronic databases (MEDLINE, Scopus, Web of Science, SPORTDiscus, CINAHL, PsycArtilces, CNKI, and Wanfang). Randomized controlled trials (RCTs) examining the effect of mind-body exercise on cognitive performance in older adults were included. Data were extracted and effect sizes were pooled with 95% confidence intervals (95% CI) using random-effects models. The Physiotherapy Evidence Database Scale was employed to examine the study quality. Results: Nineteen RCTs including 2539 elders (67.3% female) with fair to good study quality were identified. Mind-body exercise, relative to control intervention, showed significant benefits on cognitive performance, global cognition (Hedges’g = 0.23), executive functions (Hedges’g = 0.25 to 0.65), learning and memory (Hedges’g = 0.37 to 0.49), and language (Hedges’g = 0.35). In addition, no significant adverse events were reported. Conclusion: Mind-body exercise may be a safe and effective intervention for enhancing cognitive function among people aged 60 years or older. Further research evidence is still needed to make a more conclusive statement.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6313783/

Meditation Comes in Seven Different Varieties

February 4, 2020 psyjdc Leave a comment

Meditation Comes in Seven Different Varieties

By John M. de Castro, Ph.D.

“Experienced meditators agree: a daily meditation practice can have significant benefits for mental and physical health. But one thing they probably won’t agree on? The most effective types of meditation. That’s simply because it’s different for everyone. After all, there are literally hundreds of meditation techniques encompassing practices from different traditions, cultures, spiritual disciplines, and religions.” Headspace

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. Classically they’ve been characterized on a continuum with the degree and type of attentional focus. In focused attention meditation, the individual practices paying attention to a single meditation object. Transcendental meditation is a silent mantra-based focused meditation in which a word or phrase is repeated over and over again. In open monitoring meditation, the individual opens up awareness to everything that’s being experienced regardless of its origin. In Loving Kindness Meditation 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.

But there are a number of techniques that do not fall into these categories and even within these categories there are a number of large variations. In today’s Research News article “What Is Meditation? Proposing an Empirically Derived Classification System.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6803504/), Matko and colleagues attempt to develop a more comprehensive system of classification. They found 309 different techniques but reduced them down to the 20 most popular ones. They recruited 100 meditators with at least 2 years of experience and asked them to rate how similar each technique was to every other technique.

They applied multidimensional scaling to the data which uncovered two dimensions that adequately described all of the 20 techniques. The analysis revealed a dimension of the amount of activation involved and a dimension of the amount of body orientation involved. All 20 techniques were classified within these two dimensions. Visual inspection of where the various techniques fell on the two dimensions produces 7 different clusters labelled as “(1) Body-centered meditation, (2) mindful observation, (3) contemplation, (4) mantra meditation, (5) visual concentration, (6) affect-centered meditation, and (7) meditation with movement.”

Within the high activation and low body orientation quadrant there was one cluster identified, labelled “Mantra Meditation” including singing sutras/mantras/invocations, repeating syllables and meditation with sounds. Within the low activation and low body orientation quadrant there were three clusters identified, labelled “affect-centered meditation” including cultivating compassion and opening up to blessings; “visual orientations” including visualizations and concentrating on an object; and “contemplation” including contemplating on a question and contradictions or paradoxes.

Within the high activation and high body orientation quadrant there was one cluster identified, labelled “meditation with movement” including “meditation with movement, manipulating the breath, and walking and observing senses. Within the low activation and high body orientation quadrant there was one cluster identified, labelled “mindful observation” including observing thoughts, lying meditation, and sitting in silence. Finally, they identified a cluster with high body but straddling the activation dimension, labelled “body centered meditation” including concentrating on a energy centers or channeling, body scan, abdominal breath, nostril breath, and observing the body.

This 7-category classification system is interesting and based upon the ratings of experienced meditators. So, there is reason to believe that there is a degree of validity. In addition, the system is able to encompass 20 different popular meditation techniques. It remains for future research to investigate whether this classification system is useful in better understanding the effects of meditation or the underlying brain systems.

“Not all meditation styles are right for everyone. These practices require different skills and mindsets. How do you know which practice is right for you? “It’s what feels comfortable and what you feel encouraged to practice,” – Mira Dessy

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

Matko, K., & Sedlmeier, P. (2019). What Is Meditation? Proposing an Empirically Derived Classification System. Frontiers in psychology, 10, 2276. doi:10.3389/fpsyg.2019.02276

Abstract

Meditation is an umbrella term, which subsumes a huge number of diverse practices. It is still unclear how these practices can be classified in a reasonable way. Earlier proposals have struggled to do justice to the diversity of meditation techniques. To help in solving this issue, we used a novel bottom-up procedure to develop a comprehensive classification system for meditation techniques. In previous studies, we reduced 309 initially identified techniques to the 20 most popular ones. In the present study, 100 experienced meditators were asked to rate the similarity of the selected 20 techniques. Using multidimensional scaling, we found two orthogonal dimensions along which meditation techniques could be classified: activation and amount of body orientation. These dimensions emphasize the role of embodied cognition in meditation. Within these two dimensions, seven main clusters emerged: mindful observation, body-centered meditation, visual concentration, contemplation, affect-centered meditation, mantra meditation, and meditation with movement. We conclude there is no “meditation” as such, but there are rather different groups of techniques that might exert diverse effects. These groups call into question the common division into “focused attention” and “open-monitoring” practices. We propose a new embodied classification system and encourage researchers to evaluate this classification system through comparative studies.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6803504/

Improve Physical and Psychological Symptoms and Quality of Life in People Living with HIV with Mind-Body Practices

August 8, 2019September 24, 2019 psyjdc Leave a comment

Improve Physical and Psychological Symptoms and Quality of Life in People Living with HIV with Mind-Body Practices

By John M. de Castro, Ph.D.

“Our bodies and minds are intimately connected. Living with HIV can be stressful and can challenge our emotional well-being. Similarly, stress and anxiety can affect our bodies. So maintaining “a healthy mind in a healthy body” is key.” – CATIE

More than 35 million people worldwide and 1.2 million people in the United States are living with HIV infection. In 1996, the advent of the protease inhibitor and the so-called cocktail changed the prognosis for HIV. Since this development a 20-year-old infected with HIV can now expect to live on average to age 69. Hence, living with HIV is a long-term reality for a very large group of people. People living with HIV infection experience a wide array of physical and psychological symptoms which decrease their perceived quality of life. The symptoms include chronic pain, muscle aches, anxiety, depression, weakness, fear/worries, difficulty with concentration, concerns regarding the need to interact with a complex healthcare system, stigma, and the challenge to come to terms with a new identity as someone living with HIV.

Mindfulness training has been found to be effective in treating chronic pain conditions. In addition, mindfulness training has been shown to improve psychological well-being, lower depression and strengthen the immune system of patients with HIV infection. The research and evidence is accumulating. Hence it makes sense to stop and summarize the research on the ability of mind-body practices to help relieve the symptoms of patients living with HIV.

In today’s Research News article “Mind-body practices for people living with HIV: a systematic scoping review.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6560810/ ), Ramirez-Garcia and colleagues review and summarize the published research studies of the effectiveness of mind-body practices for the treatment of the symptoms of HIV infection. “Mind-body practices include Tai Chi, Qigong, yoga, meditation, and all types of relaxation” training. They identified 84 published research studies.

They report that these studies found that for patients with HIV, Mindfulness-Based Stress Reduction (MBSR) decrease the physical symptoms and the side effects of the drug treatment, and improves the patient’s psychological state. They also report that Cognitive Behavioral Therapy and the combining at least three relaxation techniques decreases the patient’s physical and psychological symptoms, and increase quality of life and health. Yoga practice was also found to lower the patient’s blood pressure. Tai Chi, Qigong, and relaxation techniques were found to improve the patient’s physical and psychological condition.

Hence the accumulated research suggests that mind-body therapies in addition to antiretroviral treatment are safe and effective treatments to improve the health, well-being, and quality of life of patients living with HIV. This is important as these patients will be living for many years with the symptoms of HIV and the side effects of its treatment. The addition of mind-body practices can help make living with HIV more tolerable and improve the patients’ lives.

So, improve physical and psychological symptoms and quality of life in people living with HIV with Mindbody practices.

“Living a healthy lifestyle can help you better control HIV and prevent the progression to AIDS. Eating a healthy diet and maintaining a healthy body weight, exercising regularly, practicing safe sex, and following your medicine regimen are all important steps in managing HIV.” – Johns Hopkins Health

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

Ramirez-Garcia, M. P., Gagnon, M. P., Colson, S., Côté, J., Flores-Aranda, J., & Dupont, M. (2019). Mind-body practices for people living with HIV: a systematic scoping review. BMC complementary and alternative medicine, 19(1), 125. doi:10.1186/s12906-019-2502-z

Abstract

Background

Mind-body practices are frequently used by people living with HIV to reduce symptoms and improve wellbeing. These include Tai Chi, Qigong, yoga, meditation, and all types of relaxation. Although there is substantial research on the efficacy of mind-body practices in people living with HIV, there is no summary of the available evidence on these practices. The aim of this scoping review is to map available evidence of mind-body practices in people living with HIV.

Methods

The Arksey and O’Malley (Int J Soc Res Methodol 8:19-32, 2005) methodological framework was used. A search of 16 peer-review and grey literature databases, websites, and relevant journals (1983–2015) was conducted. To identify relevant studies, two reviewers independently applied the inclusion criteria to all abstracts or full articles. Inclusion criteria were: participants were people living with HIV; the intervention was any mind-body practice; and the study design was any research study evaluating one or several of these practices. Data extraction and risk of bias assessment were performed by one reviewer and checked by a second, as needed, using the criteria that Cochrane Collaboration recommends for systematic reviews of interventions (Higgins and Green, Cochrane handbook for systematic reviews of intervention. 2011). A tabular and narrative synthesis was carried out for each mind-body practice.

Results

One hundred thirty-six documents drawing on 84 studies met the inclusion criteria. The most widely studied mind-body practice was a combination of least three relaxation techniques (n = 20), followed in declining order by meditation (n = 17), progressive muscle relaxation (n = 10), yoga (n = 9) and hypnosis (n = 8). Slightly over half (47/84) of studies used a RCT design. The interventions were mainly (46/84) conducted in groups and most (51/84) included daily individual home practice. All but two studies were unblinded to participants.

Conclusion

The amount of available research on mind-body practices varies by practice. Almost half of the studies in this review were at high risk of bias. However, mindfulness, a combination of least three relaxation techniques and cognitive behavioral strategies, and yoga show encouraging results in decreasing physical and psychological symptoms and improving quality of life and health in people living with HIV. More rigorous studies are necessary to confirm the results of Tai Chi, Qigong, and some relaxation techniques.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6560810/

Reduce Inflammatory Processes with Mindfulness

February 12, 2018 psyjdc Leave a comment

Reduce Inflammatory Processes with Mindfulness

By John M. de Castro, Ph.D.

“Millions of people around the world already enjoy the health benefits of mind-body interventions like yoga or meditation, but what they perhaps don’t realize is that these benefits begin at a molecular level and can change the way our genetic code goes about its business. These activities are leaving what we call a molecular signature in our cells, which reverses the effect that stress or anxiety would have on the body by changing how our genes are expressed. Put simply, MBIs cause the brain to steer our DNA processes along a path which improves our wellbeing.” – Ivana Buric

The immune system is designed to protect the body from threats like stress, infection, injury, and toxic chemicals. One of its tools is the Inflammatory response. This response works quite well for short-term infections and injuries. But when inflammation is protracted and becomes chronic, it can itself become a threat to health. It can produce autoimmune diseases such as colitis, Chron’s disease, arthritis, heart disease, increased cancer risk, lung disease, sleep disruption, gum disease, decreased bone health, psoriasis, and depression. Needless to say, chronic inflammation can create major health problems. Indeed, the presence of chronic inflammation is associated with reduced longevity. So, it is important for health to control the inflammatory response, allowing it to do its job in fighting off infection but reducing its activity when no external threat is apparent.

Of course, it is far better to prevent chronic inflammation in the first place than to treat it later. Mind-body techniques such as yoga, Tai Chi and meditation have been shown to adaptively reduce the inflammatory response. In today’s Research News article “Effects of Mind-Body Training on Cytokines and Their Interactions with Catecholamines.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5561407/ ), Jang and colleagues recruited healthy adult Mind-Body Training (MBT) practitioners and a group of healthy adult non-practitioners. MBT consists of a combination of mindful movements, breathing exercises, and meditation. The recruited practitioners engaged in MBT on average for about an hour three or four times per week. Blood samples from all participants were drawn and assayed for cytokines, including TNF-Alpha, IL-6, IL-10, and IFN-Gamma, and the catecholamines, Norepinephrine, Epinephrine, and Dopamine.

They found that the Mind-Body Training (MBT) group had significantly higher levels of the anti-inflammatory cytokine, IL-10. Levels of the pro-inflammatory cytokines were lower in the MBT groups but the differences were not significant. In addition, they found that the higher the levels of IL-10, the higher the levels of the catecholamine ratios of Norepinephrine/Epinephrine and Dopamine/Epinephrine. Hence, MBT practice appears to be associated with decreases in inflammatory processes. In addition, high catecholamine ratios are associated with decreased stress levels, suggesting that the high IL-10 levels observed in the MBT group are associated with lower levels of stress.

The study did not actively manipulate MBT practice, so no conclusions about causation can be reached. The results, however, support the hypothesis that Mind-Body Training (MBT) is associated with decreased inflammatory responses and stress levels. Other research has shown that mindfulness practice can reduce inflammation and stress. So, it is reasonable to conclude that the present results were due to MBT practice. Since, chronic inflammation is detrimental to the health of the individual, the results suggest that MBT practice would help to improve or maintain the health and longevity of the individual.

So, reduce inflammatory processes with mindfulness.

“Chronic inflammation is associated with increased risk for psychiatric disorders, autoimmune conditions such as asthma and arthritis, cardiovascular disease, neurodegenerative disease and some types of cancer. But . . . mind-body interventions might help reduce the risk for inflammation-related disorders. And not just psychological ones, but even the physical ones like asthma or arthritis.” – Jo Marchant

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

Jang, J. H., Park, H. Y., Lee, U. S., Lee, K.-J., & Kang, D.-H. (2017). Effects of Mind-Body Training on Cytokines and Their Interactions with Catecholamines. Psychiatry Investigation, 14(4), 483–490. http://doi.org/10.4306/pi.2017.14.4.483

Abstract

Objective

Mind-body training (MBT) may control reactions to stress and regulate the nervous and immune systems. The present study was designed to assess the effects of MBT on plasma cytokines and their interactions with catecholamines.

Methods

The study group consisted of 80 subjects who practice MBT and a control group of 62 healthy subjects. Plasma catecholamine (norepinephrine, NE; epinephrine, E; and dopamine, DA) and cytokine (TNF-alpha, IL-6, IFN-gamma, and IL-10) levels were measured, and the differences between the MBT and control groups and the interactions of cytokines with catecholamines were investigated.

Results

A significant increase in IL-10+IFN-gamma was found in females of the MBT group compared with controls. Also, a significant increase of IL-10 (anti-inflammatory cytokine) in the MBT group was shown in a specific condition in which TNF-alpha and IL-6 (pro-inflammatory cytokines) are almost absent (≤1 ng/L) compared with controls. In the MBT group, significant positive correlations were found between IL-10 and the NE/E ratio and between IL-10 and the DA/E ratio, whereas the control group did not show any such correlations.

Conclusion

MBT may increase IL-10, under specific conditions such as a decrease of pro-inflammatory cytokines or E, which may regulate the stress response and possibly contribute to effective and beneficial interactions between the nervous and immune systems.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5561407/

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

January 5, 2018 psyjdc Leave a comment

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/

Reduce Pain in Children with Mind-Body Practices

October 23, 2017 psyjdc Leave a comment

Reduce Pain in Children with Mind-Body Practices

By John M. de Castro, Ph.D.

“Guided imagery is a meditative process that uses visualization and imagination to bring awareness to the mind-body connection. Children can easily access this healing process because they’re naturally imaginative. By relaxing into a vivid story they gain tools to deal with stress, pain or difficult feelings.” – Catherine Gillespie-Lopes

We all have to deal with pain. It’s inevitable, but hopefully it’s mild and short lived. For a wide swath of humanity, however, pain is a constant in their lives. At least 100 million adult Americans have chronic pain conditions. Sadly, about a quarter to a third of children experience chronic pain. It has to be kept in mind that pain is an important signal that there is something wrong or that damage is occurring. This signals that some form of action is needed to mitigate the damage. This is an important signal that is ignored at the individual’s peril. So, in dealing with pain, it’s important that pain signals not be blocked or prevented. They need to be perceived. But, methods are needed to mitigate the psychological distress produced by chronic pain.

The most common treatment for chronic pain is drugs. These include over-the-counter analgesics and opioids. But opioids are dangerous and prescription opioid overdoses kill more than 14,000 people annually. The use of drugs in children is even more complicated and potentially directly harmful or could damage the developing brain. So, there is a great need to find safe and effective ways to lower the psychological distress and improve children’s ability to cope with the pain.

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. There is an accumulating volume of research findings to demonstrate that mind-body therapies have highly beneficial effects on the health and well-being of humans. These include meditation, yoga, tai chi, qigong, biofeedback, progressive muscle relaxation, guided imagery, hypnosis, acupuncture, and deep breathing exercises. Mindfulness practices have been shown to improve emotion regulation producing more adaptive and less maladaptive responses to emotions. Indeed, mindfulness practices are effective in treating pain in adults. But there is very little systematic study of the application of these practices for the treatment of chronic pain in children.

In today’s Research News article “A Mind–Body Approach to Pediatric Pain Management.” See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5483625/, Brown and colleagues review and summarize the published research literature on the use of mind-body techniques to treat pain in children. They found that there is clear evidence from the research that yoga practice and acupuncture are effective in the treatment of pain in both adults and children. On the other hand, they found that meditation, mindfulness training, and hypnosis are effective for treating pain in adults, but that there is a void of research for its application in children.

Hence the published research literature is encouraging. Where there have been studies, mind-body practices have been found to safely and effectively reduce chronic pain in both adults and children. A great advantage of these treatments is that they have little or no side effects other than positive ones and are thus a promising safe alternative to the use of dangerous drugs. But, there is obviously a need for much more research on the effectiveness of mind-body techniques for chronic pain in children.

So, reduce pain in children with mind-body practices.

“Mindfulness provides a more accurate perception of pain . . . For instance, you might think that you’re in pain all day. But bringing awareness to your pain might reveal that it actually peaks, valleys and completely subsides. One of Goldstein’s clients believed that his pain was constant throughout the day. But when he examined his pain, he realized it hits him about six times a day. This helped to lift his frustration and anxiety.” – Margarita Tartakovsky

CMCS – Center for Mindfulness and Contemplative Studies

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

Study Summary

Brown, M. L., Rojas, E., & Gouda, S. (2017). A Mind–Body Approach to Pediatric Pain Management. Children, 4(6), 50. http://doi.org/10.3390/children4060050

Abstract

Pain is a significant public health problem that affects all populations and has significant financial, physical and psychological impact. Opioid medications, once the mainstay of pain therapy across the spectrum, can be associated with significant morbidity and mortality. Centers for Disease and Control (CDC) guidelines recommend that non-opioid pain medications are preferred for chronic pain outside of certain indications (cancer, palliative and end of life care). Mindfulness, hypnosis, acupuncture and yoga are four examples of mind–body techniques that are often used in the adult population for pain and symptom management. In addition to providing significant pain relief, several studies have reported reduced use of opioid medications when mind–body therapies are implemented. Mind–body medicine is another approach that can be used in children with both acute and chronic pain to improve pain management and quality of life.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5483625/

Change Gene Expression to Lessen the Effects of Chronic Stress with Mind-Body Practices

September 11, 2017 psyjdc Leave a comment

Change Gene Expression to Lessen the Effects of Chronic Stress with Mind-Body Practices

By John M. de Castro, Ph.D.

“Millions of people around the world already enjoy the health benefits of mind-body interventions like yoga or meditation, but what they perhaps don’t realise is that these benefits begin at a molecular level and can change the way our genetic code goes about its business. These activities are leaving what we call a molecular signature in our cells, which reverses the effect that stress or anxiety would have on the body by changing how our genes are expressed. Put simply, MBIs cause the brain to steer our DNA processes along a path which improves our wellbeing.” – Ivana Buric

There is an accumulating volume of research findings to demonstrate that Mind-body practices have highly beneficial effects on the health and well-being of humans. These include meditation, yoga, tai chi, qigong, biofeedback, progressive muscle relaxation, guided imagery, hypnosis, and deep breathing exercises. Because of their proven benefits the application of these practices to relieving human suffering has skyrocketed.

It is clear that Mind-body practices affect the physiology. In other words, the mind can alter the body. In turn, the genes can affect our minds. In fact, the genes have been shown to affect an individual’s inherent level of mindfulness. These interactions are well documented. The mechanisms by which they occur, however, are not well understood. It has been shown that contemplative practices help create balance in the inflammatory response which is very beneficial for health. But, the mechanism through which contemplative practices affect the immune system is not known. The genes dictate all of the chemical processes in our bodies including immune and inflammatory responses. So, it would seem reasonable to investigate whether alterations in gene expressions might be the intermediary between mind-body therapies and health.

The immune system is designed to protect the body from threats like stress, infection, injury, and toxic chemicals. One of its tools is the Inflammatory response. Its primary effect is to increase blood circulation around the infected area, dilating the blood vessels around the site of inflammation. It also produces gaps in the cell walls surrounding the infected area, allowing the larger immune cells, to pass. It also tends to increase body temperature to further fight infection. This response works quite well for short-term infections and injuries and as such is an important defense mechanism for the body. But when inflammation is protracted and becomes chronic, it can itself become a threat to health, producing autoimmune diseases such as colitis, Chron’s disease, arthritis, heart disease, increased cancer risk, lung disease, sleep disruption, gum disease, decreased bone health, psoriasis, and depression.

Mind-body practices appear to relax the physical systems of the body including the immune system, reducing inflammation. Mind-body techniques such as yoga, Tai Chi and meditation have been shown to adaptively reduce the inflammatory response. Hence, it makes sense to investigate the effects of mind-body practices on gene expressions that underlie the immune and inflammatory responses. In today’s Research News article “What Is the Molecular Signature of Mind–Body Interventions? A Systematic Review of Gene Expression Changes Induced by Meditation and Related Practices.” See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5472657/, Buric and colleagues review and summarize the published research literature on the effects of mind-body practices on gene expressions.

They found 18 published research articles. These articles, in general, report that following engaging in mind-body practices there is a reduction in the expression of genes that are involved in the inflammatory response resultant from chronic stress, particularly downregulation of NF-κB-targeted genes. It has been well established that mind-body practices reduce the psychological and physiological responses to stress. The published research on the effects of mind-body practices on gene expressions provide a mechanism by which these practices affect the stress response. They do so by affecting the physiology on the molecular level altering the genes that underlie the chemical processes involved in the inflammatory responses to stress.

These findings suggest that Mind-body practices can improve the health and well-being of the practitioner. One of the premiere mechanisms by which this is accomplished is by reducing the individual’s responses to the debilitating effects of chronic stress. Many of the difficulties produced by chronic stress are caused by producing a chronic inflammatory response damaging tissues. It appears that mind-body practices improve health by altering the genes that underlie these processes.

So, change gene expression to lessen the effects of chronic stress with mind-body practices.

“doing yoga or meditating may lead to a decrease in cyctokine production, and a reversal of the inflammatory gene, which ultimately lowers the risk of inflammation-related diseases and conditions.” – Brianna Steinhilber

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

Buric, I., Farias, M., Jong, J., Mee, C., & Brazil, I. A. (2017). What Is the Molecular Signature of Mind–Body Interventions? A Systematic Review of Gene Expression Changes Induced by Meditation and Related Practices. Frontiers in Immunology, 8, 670. http://doi.org/10.3389/fimmu.2017.00670

Abstract

There is considerable evidence for the effectiveness of mind–body interventions (MBIs) in improving mental and physical health, but the molecular mechanisms of these benefits remain poorly understood. One hypothesis is that MBIs reverse expression of genes involved in inflammatory reactions that are induced by stress. This systematic review was conducted to examine changes in gene expression that occur after MBIs and to explore how these molecular changes are related to health. We searched PubMed throughout September 2016 to look for studies that have used gene expression analysis in MBIs (i.e., mindfulness, yoga, Tai Chi, Qigong, relaxation response, and breath regulation). Due to the limited quantity of studies, we included both clinical and non-clinical samples with any type of research design. Eighteen relevant studies were retrieved and analyzed. Overall, the studies indicate that these practices are associated with a downregulation of nuclear factor kappa B pathway; this is the opposite of the effects of chronic stress on gene expression and suggests that MBI practices may lead to a reduced risk of inflammation-related diseases. However, it is unclear how the effects of MBIs compare to other healthy interventions such as exercise or nutrition due to the small number of available studies. More research is required to be able to understand the effects of MBIs at the molecular level.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5472657/

Improve Attention Deficit Hyperactivity Disorder (ADHD) with Mind-Body Practices

June 7, 2017 psyjdc 1 Comment

Improve Attention Deficit Hyperactivity Disorder (ADHD) with Mind-Body Practices

By John M. de Castro, Ph.D.

“mindfulness practice can help us pay attention better, resist distractions, be less impulsive, remember what we are doing in the moment, and regulate our own emotions, it is helpful whether we have ADHD or not. But it holds special interest for those with ADHD.” – Casey Dixon

Attention Deficit Hyperactivity Disorder (ADHD) is currently epidemic in the US. Roughly 6.4 million American children have been diagnosed with ADHD and 6.4% of American children are being treated with medication. There has been a 42% increase in the diagnoses of ADHD in the last 8 years. This increase in diagnoses probably represents an increase in awareness and willingness to diagnose ADHD rather than an increase in cases of ADHD. “Many children who like to run and jump may be high-energy. But that doesn’t mean they are hyperactive. To count as ADHD, symptoms have to be on the extreme side and have to cause problems in the child’s life. Also, they have to have been doing this for at least 6 months.” – WebMD

What can be done about this huge problem that is affecting such a large proportion of American children and adults? The most common treatment is drugs, like methylphenidate, Ritalin, which helps reduce symptoms in about 30% of the people with ADHD. Unfortunately, the effectiveness of the drugs appears to be markedly reduced after the first year. In addition, the drugs often have troublesome side effects, including nervousness agitation, anxiety, irritability, sleep and appetite problems, head and stomach aches, nausea, dizziness, and heart palpitations. They can also be addictive and can readily be abused. If that’s not enough using drugs that alter the brain in children during the time of brain development is fraught with long-term risks. So, drugs, at present, do not appear to be a good solution, only affecting some, only for a short time, and with unwanted side effects. Is there a better way?

There are indications that mind-body training may be a more effective treatment for ADHD. It makes sense that it should be, as the skills and abilities strengthened by mind-body training are identical to those that are defective in ADHD, attention, impulse control, executive function, emotion control, and mood improvement. Mind-body practices include meditation, tai chi, qigong, yoga , etc. Movement based mind-body practices would appear to be particularly appropriate as they are also exercise and as such an outlet for some of the excess energy.

In today’s Research News article “Mind–Body Therapy for Children with Attention-Deficit/Hyperactivity Disorder.” See summary below or view the full text of the study at: http://www.mdpi.com/2227-9067/4/5/31/htm

Herbert and Esparham review and summarize the published research literature on the effectiveness of mind-body practices for the treatment of Attention Deficit Hyperactivity Disorder (ADHD).

They report that in general movement based mind-body practices are effective for children with ADHD. The research suggests that yoga practice improves attention, executive function, sleep patterns, produces less anxiety, more ability to focus at school, and less conflicts in children. The ancient Chinese slow movement practice of Tai Chi also appears to help with ADHD, producing significantly decreased anxiety, daydreaming, inappropriate emotions, and hyperactivity, and improved conduct. Meditation practice also appears to be effective for the symptoms of ADHD. The research indicates that mindfulness meditation practice appears to reduce ADHD symptoms and internalization, and improve attention and thinking. The research suggests that meditation practice acts by producing changes to the brains of children with ADHD.

These are exciting findings that suggest that mind-body practices are effective treatments for ADHD in children. This is particularly heartening as these mind-body practices are safe, and unlike drugs, have no significant side effects. They are also inexpensive treatments in comparison to active therapies and drugs. They are also convenient for the children to practice when time is available at home or school. Families and teachers can access online or purchase videos as resources to guide the practices. In addition, there are indications that these practices produce relatively permanent beneficial changes in the children’s brains, suggesting lasting benefits.

So, improve attention deficit hyperactivity disorder (ADHD) with mind-body practices.

“Mindfulness meditation for people with ADHD? It may seem like a stretch, since difficulty with mindfulness is the very challenge for those with attention deficit hyperactivity disorder. And yet recent research shows that mindfulness training can be adapted for this condition and that it can improve concentration.” – Lynda McCullough

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

Herbert, A.; Esparham, A. Mind–Body Therapy for Children with Attention-Deficit/Hyperactivity Disorder. Children 2017, 4, 31. doi:10.3390/children4050031

Abstract

Attention-deficit/hyperactivity disorder (ADHD) is pervasive among the pediatric population and new treatments with minimal adverse effects are necessary to be studied. The purpose of this article is to review current research studying mind-body therapies for treatment of children diagnosed with ADHD. Literature was reviewed pertaining to the effectiveness of movement-based therapies and mindfulness/meditation-based therapies for ADHD. Many positive effects of yoga, Tai Chi, physical activity, and meditation may significantly improve symptoms of ADHD among children.

http://www.mdpi.com/2227-9067/4/5/31/htm

Improve Inflammatory Biomarkers in Healthy and Cancer Patients with Mindfulness

May 5, 2017May 5, 2017 psyjdc Leave a comment

Improve Inflammatory Biomarkers in Healthy and Cancer Patients with Mindfulness

By John M. de Castro, Ph.D.

“stressed-out adults who practised mindfulness meditation not only had their brain connectivity altered, they also had reduced levels of a key inflammation biomarker, known as Interleukin-6, four months later. That’s important because, in high doses, Interleukin-6 has been linked to inflammation-related diseases such as cancer, Alzheimer’s, and autoimmune conditions.” – Fiona McDonald

Of course it is far better to prevent chronic inflammation in the first place than to treat it later. Mind-body techniques such as yoga, Tai Chi and meditation have been shown to adaptively reduce the inflammatory response. Most of these results were obtained from treating diseased individuals. It is important to establish if Mind-body techniques can be effective in preventing chronic inflammation also in healthy individuals. In today’s Research News article “Effects of mindfulness-based interventions on biomarkers in healthy and cancer populations: a systematic review.” See summary below or view the full text of the study at:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5324275/

Sanada and colleagues review the published research literature on the effects of Mind-body practices on biomarkers of the inflammatory response and compare the effects in healthy individuals to that of cancer patients.

They examined randomized controlled trials that trained participants in Mind-body practices for at least 6 weeks and measured biomarkers of the inflammatory response including cytokines, neuropeptides and C-reactive protein (CRP). They found 7 studies on healthy individuals and 6 on cancer patients. They found that the literature, in general, indicated that Mind-body techniques had significant effects on these inflammatory biomarkers, but different studies using different techniques found that different biomarkers were affected. In regard to healthy individuals the studies reported no effects of Mind-body practices on cytokines, but significant increases in neuropeptides, particularly insulin-like growth factor 1 (IGF-1). In cancer patients the literature reports that Mind-body practices result in reduction of cytokines that promote inflammation, particularly IL-6 and TNF. In general the results for Mind-body practices effects on inflammatory biomarkers were mixed and at times contradictory.

These results are interesting and suggest that Mind-body practices affect inflammatory biomarkers in both healthy individuals and cancer patients. But, it is clear that the effects are not simple and straightforward. This could well be due to the mixture of different Mind-body practices. Even individual techniques such as Mindfulness-Based Stress Reduction (MBSR) contain complex mixtures of Mind-body practices. As such, it is difficult to separate out their varying effects. But, nevertheless the literature suggests that Mind-body practices affect the inflammatory response, which may, to some extent, explain these practices’ beneficial effects on health.

So, improve inflammatory biomarkers in healthy and cancer patients with mindfulness.

“It turns out that some of the most difficult elements of the cancer experience are very well-suited to a mindfulness practice.” – Linda Carlson

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

Sanada, K., Alda Díez, M., Salas Valero, M., Pérez-Yus, M. C., Demarzo, M. M. P., Montero-Marín, J., … García-Campayo, J. (2017). Effects of mindfulness-based interventions on biomarkers in healthy and cancer populations: a systematic review. BMC Complementary and Alternative Medicine, 17, 125. http://doi.org/10.1186/s12906-017-1638-y

Abstract

Background

Only a small number of articles have investigated the relationship between mindfulness-based interventions (MBIs) and biomarkers. The aim of this systematic review was to study the effect of MBIs on specific biomarkers (cytokines, neuropeptides and C-reactive protein (CRP)) in both healthy subjects and cancer patients.

Methods

A search was conducted using PubMed, EMBASE, PsycINFO and the Cochrane library between 1980 and September 2016.

Results

A total of 13 studies with 1110 participants were included. In the healthy population, MBIs had no effect on cytokines, but were found to increase the levels of the neuropeptide insulin-like growth factor 1 (IGF-1). With respect to neuropeptide Y, despite the absence of post-intervention differences, MBIs may enhance recovery from stress. With regard to CRP, MBIs could be effective in lower Body Mass Index (BMI) individuals. In cancer patients, MBIs seem to have some effect on cytokine levels, although it was not possible to determine which specific cytokines were affected. One possibility is that MBIs might aid recovery of the immune system, increasing the production of interleukin (IL)-4 and decreasing interferon gamma (IFN-γ).

Conclusions

MBIs may be involved in changes from a depressive/carcinogenic profile to a more normalized one. However, given the complexity and different contexts of the immune system, and the fact that this investigation is still in its preliminary stage, additional randomized controlled trials are needed to further establish the impact of MBI programmes on biomarkers in both clinical and non-clinical populations.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5324275/

Improve Mental Health in Disadvantaged Populations with Mindfulness

March 22, 2017 psyjdc Leave a comment

Improve Mental Health in Disadvantaged Populations with Mindfulness

By John M. de Castro, Ph.D.

“Mindfulness training could be integrated into educational settings on a city, state, or national level, thus promoting health and mental health. Integrating mindfulness-based practices into educational settings could offer the potential to promote a more positive path for our children, something that would be particularly beneficial for disadvantaged urban youth like the kids in our studies.” – Tamar Mendelson

Disadvantaged populations have a disproportionate share of mental health issues. Indeed, the lower the socioeconomic status of an individual the greater the likelihood of a mental disorder. It is estimated that major mental illnesses are almost 3 times more likely in the disadvantaged, including almost double the incidence of depression, triple the incidence of anxiety disorders, alcohol abuse, and eating disorders. These higher incidences of mental health issues occur, in part, due to mental health problems leading to unemployment and poverty, but also to the stresses of life in poverty.

The disadvantaged are much more likely to be uninsured, not have mental health services available, and less likely to seek treatment. In addition, when they are treated it is almost exclusively with drugs. These often do not work, have adverse effects, or are not taken as prescribed and are thus ineffective. Most psychotherapies were developed to treat disorders in affluent populations and are not affordable or sensitive to the unique situations and education levels of the disadvantaged. So, very few disadvantaged people with mental health problems are treated with psychotherapies.

Hence, there is a great need for alternative treatments for the mentally ill disadvantaged. One increasingly popular alternative is mind-body practices. These include meditation, tai chi, qigong, yoga, guided imagery, etc. In today’s Research News article “Mind–Body Approaches to Treating Mental Health Symptoms Among Disadvantaged Populations: A Comprehensive Review.” See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4761814/

Burnett-Zeigler and colleagues review the published research literature on the effectiveness of mind-body practices for the treatment of mental health issues in disadvantaged populations.

They found that in general mind-body techniques are feasible, acceptable, and efficacious with disadvantaged populations. The published research reports than Mindfulness Based Stress Reduction (MBSR) programs produced significant improvements in disadvantaged populations in general health, social functioning, vitality, physical and emotional role functioning, stress, mindfulness, anxiety, self-compassion, life satisfaction, depression, relationships, awareness, self-acceptance, and self-empowerment, nonreactivity, improved self-care, and decreased distress. The research also reports that yoga practice results in significant improvements in distressed mood, depression, emotional well-being, body weight, depression, and disease-specific quality of life. Other mind-body techniques were also reported to have similar benefits.

Hence the published research studies are fairly uniform in finding that mind-body practices can be successfully implemented with disadvantaged populations and produce significant mental health benefits. Although much more research is needed, these are exciting findings. Mind-body techniques show tremendous promise for the mental health needs of the disadvantaged. They can be implemented cost-effectively and many of these practices can be employed at home on convenient schedules. Hence mind-body practices, if implemented broadly, may be major contributors to improved mental health in disadvantaged populations. This, in turn, may lead to better employment possibilities and a route out of poverty.

So, improve mental health in disadvantaged populations with mindfulness.

“Research and experience have shown that meditation-based or contemplative practices have proven to be beneficial with populations that are considered at risk, marginalized, or oppressed and with those who are incarcerated.” – Sadye Logan

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

Burnett-Zeigler, I., Schuette, S., Victorson, D., & Wisner, K. L. (2016). Mind–Body Approaches to Treating Mental Health Symptoms Among Disadvantaged Populations: A Comprehensive Review. Journal of Alternative and Complementary Medicine, 22(2), 115–124. http://doi.org/10.1089/acm.2015.0038

Abstract

Mind–body approaches are commonly used to treat a variety of chronic health conditions, including depression and anxiety. A substantial proportion of individuals with depression and anxiety disorders do not receive conventional treatment; disadvantaged individuals are especially unlikely to receive treatment. Mind–body approaches offer a potentially more accessible and acceptable alternative to conventional mental health treatment for disadvantaged individuals, who may not otherwise receive mental health treatment. This review examines evidence for the efficacy of mind–body interventions for mental health symptoms among disadvantaged populations. While rates of utilization were relatively lower for racial/ethnic minorities, evidence suggests that significant proportions of racial/ethnic minorities are using complementary health approaches as health treatments, especially prayer/healers and natural or herbal remedies. This review of studies on the efficacy of mind–body interventions among disadvantaged populations found evidence for the efficacy of mind–body approaches for several mental and physical health symptoms, functioning, self-care, and overall quality of life.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4761814/