Mindfulness

Decrease Burnout in Parents During Covid-19 Lockdown with Mindfulness

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Decrease Burnout in Parents During Covid-19 Lockdown with Mindfulness

 

By John M. de Castro, Ph.D.

 

“mindfulness can lower stress and anxiety, help with sleep and increase wellbeing. There are also specific benefits of mindfulness for anyone providing care to others.” – Naomi Stoll

 

Parenting can be difficult in the best of times but within a pandemic induced lockdown the pressures on the parents are substantially increased. Burnout can result from the continuing stress. Being mindful or engaging in mindfulness practices can be helpful in coping with the physical and psychological manifestations of stress.  In addition mindfulness can help build empathy, self-compassion, patience, and flexibility that are so important for parenting, resilience to withstand the stresses, and the ability to effectively cope with the strong emotions. Indeed, Mindfulness practices has been shown to help parents cope with the physical and psychological demands of parenting.

 

In today’s Research News article “Self-Compassion and Rumination Type Mediate the Relation between Mindfulness and Parental Burnout.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8393602/ ) Paucsik and colleagues recruited online parents with children during the Covid-19 lockdown. They completed measures twice, separated by a month, of mindfulness practice, mindfulness, self-compassion, rumination, and parental burnout.

 

They found that at time 1 and 2 the higher the levels of parental mindfulness the higher the level of self-compassion and the lower the levels of burnout and rumination and the higher the levels of self-compassion the lower the levels of burnout and rumination. They further show that the higher the levels of mindfulness and self-compassion at time 1 the lower the levels of burnout at time 2 and the higher the levels of rumination at time 1 the higher the levels of burnout at time 2. Mindfulness at time 1 was found to be both directly associated with lower burnout at time 2 and also indirectly by being associated with higher self-compassion and lower ruminations at time 1 which were in turn associated with lower burnout.

 

These results are correlative and as such causation cannot be determined. But past research has demonstrated causal connections between mindfulness and burnout and self-compassion and burnout. So, the current results likely occurred also due to causal connections. Preventing the stress of the Covid-19 lockdown from debilitating parenting and producing burnout is highly important. The present study suggests that mindfulness and self-compassion can perform that role. This further suggests that mindfulness and self-compassion training would be helpful to parents in general and especially helpful during times of stress on the family.

 

So, decrease burnout in parents during Covid-19 lockdown with mindfulness.

 

“Practicing mindfulness is a way to focus on the present, rather than worrying about the past or the future. This is especially important when you’re spending a lot of your time in a caregiving role—you need time to relax your mind and your body.” – Karen Gagliatre

 

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

 

Paucsik, M., Urbanowicz, A., Leys, C., Kotsou, I., Baeyens, C., & Shankland, R. (2021). Self-Compassion and Rumination Type Mediate the Relation between Mindfulness and Parental Burnout. International journal of environmental research and public health, 18(16), 8811. https://doi.org/10.3390/ijerph18168811

 

Abstract

The COVID-19 lockdown increased the day-to-day challenges faced by parents, and thereby may have increased parental burnout risk. Therefore, identifying parental burnout protection factors is essential. This study aimed to assess the protective role of the following factors which can be increased through mindfulness practice: trait mindfulness, self-compassion, and concrete vs. abstract ruminations. A total of 459 parents (Mage = 40; 98.7% female) completed self-reported questionnaires at two-time points to assess the predictive role of mindfulness on parental burnout, self-compassion and rumination type, and the mediating role of self-compassion and rumination type in the relation between mindfulness and parental burnout. Results showed that trait mindfulness, self-compassion, and rumination type at Time 1 predicted levels of parental burnout at Time 2. Self-compassion (indirect effects: b = − 22, 95% CI = [−38, −05], p < 0.01), concrete ruminations (indirect effects: b = −20, 95% CI = [−32, −09], p < 0.001), and abstract ruminations (indirect effects: b = −0.54, 95% CI = [−71, −37], p < 0.001) partially mediated the relation between trait-mindfulness and parental burnout. These findings showed that trait mindfulness, self-compassion, and concrete (vs. abstract) ruminations may help prevent parental burnout in the context of the COVID-19 pandemic. These results contribute to the field of research on parental burnout prevention and will allow for the development of effective approaches to mental health promotion in parents.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8393602/

Decrease Burnout in Healthcare Workers During Covid-19 with Mindfulness

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Decrease Burnout in Healthcare Workers During Covid-19 with Mindfulness

 

By John M. de Castro, Ph.D.

 

“Healthcare professionals have been going above and beyond in order to safeguard everyone’s health and well-being during the coronavirus pandemic. Many have been stretched to capacity—and it’s not as if all the pre-COVID pressures have magically disappeared. Mindfulness can help healthcare professionals look after themselves and their colleagues during this time and beyond.” – Mindful

 

For healthcare professionals the Covid-19 pandemic has produced a number of difficult issues that may be helped by mindfulness practice. Being mindful or engaging in mindfulness practices can be helpful in coping with the physical and psychological manifestations of stress produced by long hours of working with very sick people with a highly infectious disease, the depression resulting from separation from family and loved ones, the post-traumatic stress disorder that can be produced by repeated exposure to suffering and death, and burnout that can result from the overwhelming quantity and seriousness of the symptoms. In addition mindfulness can help build empathy, compassion, patience, and flexibility that are so important for the treatment of the patients, resilience to withstand the stresses, and the ability to effectively cope with the strong emotions produced.

 

In today’s Research News article “Synchronous Mindfulness in Motion Online: Strong Results, Strong Attendance at a Critical Time for Health Care Professionals (HCPs) in the COVID Era.” (See summary below or view the full text of the study at: https://www.frontiersin.org/articles/10.3389/fpsyg.2021.725810/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1709299_a0P58000000G0YfEAK_Psycho_20210824_arts_A ) Klatt and colleagues recruited healthcare professionals and delivered to them a mindfulness training program, Mindfulness in Motion (MIM), either in person or over the internet and before the Covid-19 Pandemic or after. They were measured before and after training for resilience, perceived stress, work engagement, and burnout, including subscales of emotional exhaustion, depersonalization, and personal accomplishment.

 

They found that after the mindfulness training there were significant reductions in burnout and perceived stress, and significant increases in resilience and work engagement regardless of whether it was delivered before or after the Covid-19 Pandemic. After Covid there were significantly higher levels of emotional exhaustion, but the mindfulness training produced significantly greater reductions in emotional exhaustion and perceived stress. There were no significant differences between the effects of the training delivered virtually over the internet or in person.

 

These results demonstrate that mindfulness training improves the psychological health of healthcare workers regardless of whether it’s delivered in person or over the internet or whether it was delivered before or after the onset of the Covid-19 Pandemic. Although there weren’t control comparison conditions present, prior controlled research has demonstrated that mindfulness training produces significant decreases in burnout and perceived stress and increases in resilience and work engagement. So, the present results likely are due to the mindfulness training program.

 

These are important findings as healthcare workers, particularly during the Covid-19 Pandemic are under severe stress which makes burnout likely. In addition, these workers have little available time for training, so being able to deliver the program over the internet makes it more readily available. Hence, mindfulness training appears to be able to buffer the healthcare professionals from burnout and improve their psychological well-being even during the Covid-19 Pandemic.

 

So, decrease burnout in healthcare workers during Covid-19 with mindfulness.

 

“There is no doubt that the stress of the COVID-19 pandemic is causing a high level of stress and distress, particularly among health care workers due to our unique role in fighting the COVID-19 pandemic. During a pandemic like this, our capacity to stay calm, present, and compassionate is more important than ever.” – Dzung Vo

 

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

 

Klatt M, Bawa R, Gabram O, Westrick A and Blake A (2021) Synchronous Mindfulness in Motion Online: Strong Results, Strong Attendance at a Critical Time for Health Care Professionals (HCPs) in the COVID Era. Front. Psychol. 12:725810. doi: 10.3389/fpsyg.2021.725810

 

Mindfulness in Motion (MIM) is an organizationally-sponsored mindfulness program for employees at a large academic health center that consistently produces significant reductions in burnout and perceived stress, alongside significant increases in work engagement and resilience. This study compared outcome measures of a synchronous virtual delivery of MIM, necessitated by COVID-19, to traditional in-person delivery of MIM. Outcome measures from the virtual COVID (AU20, WI21, SP21) MIM cohorts (n = 99) were compared with the in-person Pre-COVID (SP19, AU19, WI20) MIM cohorts (n = 124). Both Pre-COVID and COVID cohorts had similar attendance rates with an average attendance of 84 and 80%, respectively. Qualitative analysis of COVID cohorts reported community support during COVID as a substantial intervention benefit, which was important at a time when isolation dominated the healthcare professional experience. Total burnout was determined by scores on the subscales of the Maslach Burnout Inventory (MBI). There were no significant differences in depersonalization (p = 0.3876) and personal accomplishment (p = 0.1519) changes between Pre-COVID and COVID cohorts, however there was a significant difference in emotional exhaustion (p = 0.0315), with COVID cohorts improving more. In both Pre, and COVID cohorts, the percentage of people meeting burnout criteria from pre to post between groups were similar, yielding a non-significant difference (p = 0.2950). The Connor Davidson Resiliency Scale (CDRS) and Utrecht Work Engagement Scale (UWES) also produced no significant differences between groups (p = 0.4259, p = 0.1984, respectively). The Perceived Stress Scale (PSS) though yielded significant differences in reduction between groups (p = 0.0405), again with COVID cohorts showing greater improvement. Results of the first synchronous, virtually delivered MIM cohorts reflect that participants achieved very similar results and that MIM created a community in a time when it was greatly needed due to pandemic healthcare professional stress.

https://www.frontiersin.org/articles/10.3389/fpsyg.2021.725810/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1709299_a0P58000000G0YfEAK_Psycho_20210824_arts_A

 

Reduce Stigma and Perceived Devaluation in Patients with Schizophrenia with Mindfulness

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Reduce Stigma and Perceived Devaluation in Patients with Schizophrenia with Mindfulness

 

By John M. de Castro, Ph.D.

 

“Stigma is the number one reason people do not seek help; therefore, efforts to reduce stigma are crucial to increasing people’s help-seeking behaviors.” – Sami Boomgarden

 

Stigma is a view that a distinguishing characteristic makes the individual less acceptable to others. This can lead to discrimination where stigmatized people are treated negatively either directly with ugly remarks such as “crazy” or “weird” or indirectly by being avoided or marginalized by others. This can produce fewer work opportunities, harassment, bullying, problems with insurance, and loneliness. The social isolation can even lead to early mortality. Stigma can lead to low self-esteem and self-stigmatization in which the individual adopts those negative stereotypes and as a result there is a loss of self-efficacy This leads to the individual ceasing trying to make things better, thinking “why try?”

 

Mindfulness promotes non-judgmental awareness in which the individual perceives things just as they are without labelling or making value judgements about them. It also promotes the ability to adaptively cope with emotions and reduces worry and rumination. These can be useful in overcoming stigmas and their effects, especially self-stigmas. So, mindfulness may buffer the individual from the effects of stigma and self-stigmatization in severe mental illnesses such as schizophrenia. Mindfulness-Based Cognitive Therapy (MBCT) involves the combination of mindfulness training and cognitive behavioral therapy. It contains sitting, walking and body scan meditations, and cognitive therapy that is designed to alter how the patient relates to the thought processes that often underlie and exacerbate psychological symptoms. Hence, MBCT may be particularly effective in reducing stigma in patients diagnosed with schizophrenia.

 

In today’s Research News article “Effects of Mindfulness-Based Cognitive Therapy on Stigma in Female Patients With Schizophrenia.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8342917/ ) Tang and colleagues recruited patients diagnosed with schizophrenia and randomly assigned them to either receive 8 weeks of Mindfulness-Based Cognitive Therapy (MBCT) or to a treatment as usual control condition. They were measured before and after treatment for mindfulness, insight and treatment attitudes, and stigma including subscales measuring perceived devaluation-discrimination, stigma-coping orientation, and stigma-related feeling.

 

They found that in comparison to baseline and the control group, the participants who received Mindfulness-Based Cognitive Therapy (MBCT) had significantly higher levels of mindfulness and insight and treatment attitudes, and significantly lower levels of stigma, including perceived devaluation-discrimination and stigma-coping orientation. They also found that the higher the levels of mindfulness after treatment the lower the levels of stigma and the higher the levels of insight and treatment attitudes.

 

Stigma involves “shame, evaluative thoughts, and fear of enacted stigma that results from individuals’ identification with a stigmatized group”. Stigma is an impediment to successful treatment of mental illnesses and improvement of social function. In fact, many patients high in stigma refuse treatment all together. The findings of the present study suggest that mindfulness training can help patients diagnosed with schizophrenia overcome stigma and as a result improve their attitudes toward treatment. As a result, mindfulness training may improve the patient’s prognosis and make successful treatment more likely.

 

So, reduce stigma and perceived devaluation in patients with schizophrenia with mindfulness.

 

“mindfulness-based psychoeducation was effective in reducing stigma in patients with schizophrenia.” – Emine Yılmaz

 

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

 

Tang, Q., Yang, S., Liu, C., Li, L., Chen, X., Wu, F., & Huang, X. (2021). Effects of Mindfulness-Based Cognitive Therapy on Stigma in Female Patients With Schizophrenia. Frontiers in psychiatry, 12, 694575. https://doi.org/10.3389/fpsyt.2021.694575

 

Abstract

Mindfulness-based cognitive therapy (MBCT) has been increasingly recognized as effective in different mental illnesses, but these effects are limited in schizophrenia. For patients with schizophrenia, stigma is one of the most negative factors that affects treatment, rehabilitation and social function. This research aimed to determine the effects of MBCT on stigma in patients with schizophrenia. In total, 62 inpatients with schizophrenia were recruited and randomly assigned to the experimental group or control group. The experimental group received an 8-week MBCT intervention, and the control group were treated as usual. Link’s Stigma Scales (with three subscales, including perceived devaluation-discrimination (PDD), stigma-coping orientation, and stigma-related feeling), Five Facet Mindfulness Questionnaire (FFMQ), and Insight and Treatment Attitudes Questionnaire (ITAQ) were used to collect data before and after intervention. After intervention, the post-test score of PDD, stigma-coping orientation, FFMQ, and ITAQ were significantly different between the experimental group and the control group. In the experimental group, the PDD and stigma-coping orientation scores significantly decreased, and FFMQ and ITAQ scores increased remarkably (P < 0.05). In addition, correlation analysis revealed a significant negative correlation between mindfulness and stigma. MBCT was effective in reducing stigma in patients with schizophrenia, which mainly manifested as changes in the patients’ perception of stigma as well as the withdrawal and avoidance caused by schizophrenia. Enhancing mindfulness will help reduce the stigma level. MBCT is worthy of promotion and application in patients with schizophrenia.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8342917/

 

Improve Military-Related Post Traumatic Stress Disorder (PTSD) with Mindfulness

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Improve Military-Related Post Traumatic Stress Disorder (PTSD) with Mindfulness

 

By John M. de Castro, Ph.D.

 

“mindfulness may help to mitigate the relationship between maladaptive thinking and posttraumatic distress.” – Matthew Tull

 

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

 

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

 

Obviously, these are troubling symptoms that need to be addressed. There are a number of therapies that have been developed to treat Post-Traumatic Stress Disorder (PTSD). Mindfulness-based therapies have been shown to be particularly effective in treating PTSD. There has accumulated a considerable amount of research. So, it is important to step back and summarize what has been learned.

 

In today’s Research News article “Military-related posttraumatic stress disorder and mindfulness meditation: 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/PMC8344114/ ) Sun and colleagues review summarize and perform a meta-analysis of the published randomized controlled trials on the effectiveness of mindfulness practice to improve the symptoms of PTSD.

 

They identified 19 published randomized controlled trials with a total of 1326 participants, 15 of which employed an active control condition. They report that the published research found that mindfulness meditation practices produced a significant reduction in the symptoms of military-related Post-Traumatic Stress Disorder (PTSD). This improvement was present regardless of the nature of the control condition, whether the treatment was provided individually or in a group, or the duration of the therapy. Hence, the published research studies support the conclusion that mindfulness meditation practice is a safe and effective treatment for the symptoms of PTSD in military personnel.

 

So, improve military-related Post Traumatic Stress Disorder (PTSD) with mindfulness.

 

CMCS – Center for Mindfulness and Contemplative Studies

 

“research has shown mindfulness to be helpful with other anxiety problems. It has also been shown to help with symptoms of PTSD, such as avoidance and hyperarousal.” – National Center for PTSD

 

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

 

Study Summary

 

Sun, L. N., Gu, J. W., Huang, L. J., Shang, Z. L., Zhou, Y. G., Wu, L. L., Jia, Y. P., Liu, N. Q., & Liu, W. Z. (2021). Military-related posttraumatic stress disorder and mindfulness meditation: A systematic review and meta-analysis. Chinese journal of traumatology = Zhonghua chuang shang za zhi, 24(4), 221–230. https://doi.org/10.1016/j.cjtee.2021.05.003

 

Abstract

Purpose

Posttraumatic stress disorder (PTSD) is a significant global mental health concern, especially in the military. This study aims to estimate the efficacy of mindfulness meditation in the treatment of military-related PTSD, by synthesizing evidences from randomized controlled trials.

Methods

Five electronic databases (Pubmed, EBSCO Medline, Embase, PsychINFO and Cochrane Library) were searched for randomized controlled trials focusing on the treatment effect of mindfulness meditation on military-related PTSD. The selection of eligible studies was based on identical inclusion and exclusion criteria. Information about study characteristics, participant characteristics, intervention details, PTSD outcomes, as well as potential adverse effects was extracted from the included studies. Risk of bias of all the included studies was critically assessed using the Cochrane Collaboration’s tool. R Statistical software was performed for data analysis.

Results

A total of 1902 records were initially identified and screened. After duplicates removal and title & abstract review, finally, 19 articles in English language with 1326 participants were included through strict inclusion and exclusion criteria. The results revealed that mindfulness meditation had a significantly larger effect on alleviating military-related PTSD symptoms compared with control conditions, such as treatment as usual, present-centered group therapy and PTSD health education (standardized mean difference (SMD) = −0.33; 95% CI [−0.45, −0.21]; p < 0.0001). Mindfulness interventions with different control conditions (active or non-active control, SMD = −0.33, 95% CI [−0.46, −0.19]; SMD = −0.49, 95% CI [−0.88, −0.10], respectively), formats of delivery (group-based or individual-based, SMD = −0.30, 95% CI [−0.42, −0.17], SMD = −0.49, 95% CI [−0.90, −0.08], respectively) and intervention durations (short-term or standard duration, SMD = −0.27, 95% CI [−0.46, −0.08], SMD = −0.40, 95% CI [−0.58, −0.21], respectively) were equally effective in improving military-related PTSD symptoms.

Conclusion

Findings from this meta-analysis consolidate the efficacy and feasibility of mindfulness meditation in the treatment of military-related PTSD. Further evidence with higher quality and more rigorous design is needed in the future.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8344114/

 

Improve Posttraumatic Stress Disorder (PTSD) with Mindfulness

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Improve Posttraumatic Stress Disorder (PTSD) with Mindfulness

 

By John M. de Castro, Ph.D.

 

“As a clinical psychologist working at the VA, I found that veterans who also had a practice, whether it be meditation or mindful movement, had better outcomes,” – Dan Libby

 

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

 

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

 

Obviously, these are troubling symptoms that need to be addressed. There are a number of therapies that have been developed to treat PTSD. One of which, mindfulness training has been found to be particularly effective. The Mindfulness-based Stress reduction (MBSR) program involves meditation, yoga, body scan and group discussion. It has been found to improve the symptoms of PTSD.

 

In today’s Research News article “A Multisite Randomized Controlled Trial of Mindfulness-Based Stress Reduction in the Treatment of Posttraumatic Stress Disorder.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8189576/ ) Davis and colleagues recruited veterans who were diagnosed with Post-Traumatic Stress Disorder (PTSD) and randomly assigned them to receive 8 weeks of Mindfulness-based Stress reduction (MBSR) or Present-Centered Group Therapy (PCGT). PCGT was a control condition that contained many of the non-specific, social effects and expectations contained in MBSR, but discussions were on current events and everyday problems but not trauma. They were measured before and after treatment and 7 weeks later for PTSD symptoms, mindfulness, and health.

They found that at the 7-week follow up assessment both groups had significant reductions in PTSD severity as assessed in a clinical interview and increases in mindfulness and did not statistically differ. For both groups the greater the increase in mindfulness that occurred over treatment the greater the reductions in clinically assessed PTSD severity. On the other hand, there were significantly greater reductions in self-reported PTSD symptoms in the MBSR group.

 

It is surprising that Present-Centered Group Therapy (PCGT) produced such significant improvements. This demonstrates the power of non-specific factors in therapy. Factors such as “decreased isolation, shared support, shared positive experiences with other veterans with similar symptoms, experience of an atmosphere of safety, and awareness and objectivity of how PTSD affects one’s daily life” produce major improvements in PTSD. In most research the control condition doesn’t contain these components and as a result the intervention effects appear quite large.

 

But even with the strong control condition employed here, Mindfulness-based Stress reduction (MBSR) produced significantly greater improvements in the veterans self-assessments of their symptoms. One of the reasons that Present-Centered Group Therapy (PCGT) produced significant improvements is that it increased mindfulness. It has been previously found that increases in mindfulness produces improvements in the symptoms of PTSD. So, increasing mindfulness, no matter what technique accomplishes it, may be the key to improving the symptoms of PTSD.

 

So, improve Posttraumatic Stress Disorder (PTSD) with mindfulness.

 

“Both MBSR and present-centered group therapy appear to have beneficial effects in treating PTSD in veterans, with greater improvement observed in self-reported PTSD symptoms among the MBSR group.” – Mitch Mirkin

 

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

 

Davis, L. L., Whetsell, C., Hamner, M. B., Carmody, J., Rothbaum, B. O., Allen, R. S., Al Bartolucci, A., Southwick, S. M., & Bremner, J. D. (2019). A Multisite Randomized Controlled Trial of Mindfulness-Based Stress Reduction in the Treatment of Posttraumatic Stress Disorder. Psychiatric research and clinical practice, 1(2), 39–48. https://doi.org/10.1176/appi.prcp.20180002

 

Abstract

Objective:

Posttraumatic stress disorder (PTSD) is often difficult to treat, and many patients do not achieve full remission. Complementary and integrative health approaches, such as mindfulness meditation, are intended to be integrated with evidence-based treatment. This study examined the efficacy of mindfulness-based stress reduction (MBSR) in the treatment of PTSD in U.S. military veterans.

Methods:

Veterans with a diagnosis of PTSD (N=214) were randomly assigned to either 90-minute group MBSR or present-centered group therapy (PCGT) for eight weeks. Follow-up assessments were obtained at baseline and weeks 3, 6, 9 (primary endpoint), and 16.

Results:

Both the MBSR and PCGT groups achieved significant improvement in PTSD as measured by the Clinician-Administered PTSD Scale for DSM-IV (CAPS-IV), with no statistically significant differences between groups. However, compared with PCGT, the MBSR group showed a statistically significant improvement in PTSD on the self-reported PTSD Checklist for DSM-IV over the nine weeks. This difference was not maintained posttreatment, at week 16. Strengths of the study include its large sample size, multisite design, active control group, single-blind outcome ratings, fidelity monitoring, large minority representation, and randomized approach. The study was limited by its high attrition rate and low representation of women.

Conclusion:

Both MBSR and PCGT appear to have beneficial effects in treating PTSD in veterans, with greater improvement observed in self-reported PTSD symptoms in the MBSR group. No differences between groups were observed on the CAPS-IV scale.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8189576/

 

Mindfulness Makes Teachers Better Teachers

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Mindfulness Makes Teachers Better Teachers

 

By John M. de Castro, Ph.D.

 

“Most teacher training focuses primarily on content and pedagogy, overlooking the very real social, emotional, and cognitive demands of teaching itself. Luckily, learning and cultivating skills of mindfulness. . . can help us to promote the calm, relaxed, but enlivened classroom environment that children need to learn.” – Patricia Jennings

 

In a school setting, mindfulness not only affects teachers, but also the students. Mindfulness has been demonstrated to be helpful in reducing the psychological and physiological responses to stress and for treating and preventing burnout in schools. But the effects of mindfulness on elementary school teachers and their students need further exploration. Are mindful elementary school teachers better teachers?

 

In today’s Research News article “Effects of a Mindfulness-Based Intervention for Teachers: a Study on Teacher and Student Outcomes.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8060685/ ) de Carvalho and colleagues recruited primary school teachers and randomly assigned them to a no-treatment control or to receive 30 hours of mindfulness training delivered over 10 weeks. They were measured before and after training for mindfulness, emotion regulation, self-compassion, self-efficacy, mental health, and burnout. They were also observed in the classroom and rated for “flexibility and ability to adapt to classroom situations, cooperation among students, and group cohesion.” They also recruited parents and students of the teachers. The students measured teacher involvement with students, and the students’ positive and negative emotions, mental health, and emotion control. Finally, the parents rated their child’s social behavior.

 

They found that in comparison to baseline and the control group, after mindfulness training there were significant improvements in all teacher measurements including the classroom observation measurements. The students of the mindfulness trained teachers rated the teachers as having higher involvement with students and the students of these teachers also had better emotion regulation, higher positive emotions, lower negative emotions, higher well-being and parental ratings of social behavior.

 

It should be noted that the control teachers received no treatment whatsoever. This passive type of control does not allow for the conclusion that it was mindfulness training per se that was responsible for the improvements. Rather any kind of attention to the teachers might result in similar improvements. The study should be replicated comparing teacher mindfulness training to an active control condition such as teacher fitness training.

 

The findings for the teachers replicate previous findings that mindfulness training increases mindfulness, emotion regulation, self-compassion, self-efficacy, mental health, and reduces burnout. The results also demonstrate that teacher mindfulness training makes them more attentive to the needs of their students which improves the students’ emotional well-being and their interactions with others.

 

These findings are remarkable in that they demonstrate how teaching mindfulness to teachers affects the entire classroom system, altering the teachers’ behavior which in turn affects the students’ behavior and well-being. This further suggests that training elementary school teachers in mindfulness will improve the school experience for both the teachers and their students. This could lower teacher burnout while improving the emotional and social development of the children.

 

So, mindfulness makes teachers better teachers.

 

“We see mental health benefits. We see some behavioral benefits. Youth are more likely not to engage in conflict — more likely to walk away from contentious discussions. They express greater acceptance of themselves.” – Erica Sibinga

 

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

 

de Carvalho, J. S., Oliveira, S., Roberto, M. S., Gonçalves, C., Bárbara, J. M., de Castro, A. F., Pereira, R., Franco, M., Cadima, J., Leal, T., Lemos, M. S., & Marques-Pinto, A. (2021). Effects of a Mindfulness-Based Intervention for Teachers: a Study on Teacher and Student Outcomes. Mindfulness, 1–14. Advance online publication. https://doi.org/10.1007/s12671-021-01635-3

 

Abstract

Objectives

Teachers’ stress can affect their occupational health and negatively impact classroom climate and students’ well-being. This study aims to evaluate the proximal and distal effects of a mindfulness-based program, specially developed to promote teachers’ social-emotional competencies (SEC), across teachers, classroom climates, and students’ outcomes.

Methods

The study followed a randomized trial design with two data collection points (pretest and posttest). Participants in the experimental group (EG) included 123 elementary school teachers, their 1503 students, and these students’ parents (1494), while the control group (CG) comprised 105 elementary school teachers, their 947 students, and these students’ parents (913). A mixed data collection strategy was used that included teachers’ and students’ (self-) report, observational ratings of teachers’ classroom behaviors, and parents’ reports on students.

Results

After the intervention, EG teachers, compared to CG teachers, reported a significant increase in mindfulness and emotional regulation competencies, self-efficacy, and well-being and a decrease in burnout symptoms. Similarly, a significant improvement was found in EG teachers’ classroom behaviors related to students’ engagement. Additionally, significant improvements were also found in EG students’ perceptions of the quality of their teachers’ involvement in classroom relationships, self-reported effect, and social competencies perceived by their parents.

Conclusions

These findings further the knowledge on the role played by mindfulness-based SEC interventions in reducing teachers’ burnout symptoms and cultivating their SEC and well-being, in promoting a nurturing classroom climate and also in promoting the SEC and well-being of students.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8060685/

 

Mindfulness Improve Social Media Control While Social Media Control Improves Mindfulness

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Mindfulness Improve Social Media Control While Social Media Control Improves Mindfulness

 

By John M. de Castro, Ph.D.

 

“social media overuse is increasingly commonplace today, and it may have some serious repercussions to your physical and mental health.” – Kristeen Cherney

 

Over the last few decades, the internet has gone from a rare curiosity to the dominant mode of electronic communications. In fact, it has become a dominant force in daily life, occupying large amounts of time and attention. As useful as the internet may be, it can also produce negative consequences. “Problematic Internet Use” is now considered a behavioral addiction, with almost half of participants in one study considered “Internet addicts”, developing greater levels of “tolerance” and experiencing “withdrawal” and distress when deprived. This phenomenon is so new that there is little understanding of its nature, causes, and consequences and how to treat it.

 

Mindfulness training has been shown to be helpful with each of the components of addictions, decreasing cravings, impulsiveness, and psychological and physiological responses to stress, and increasing emotion regulation.  It is no wonder then that mindfulness training has been found to be effective for the treatment of a variety of addictions. It also has been found to be helpful in overcoming internet and smartphone addictions. But there is a need to further explore the effectiveness of mindfulness training on one form of internet addiction, social media addiction.

 

In today’s Research News article “The reciprocal relationships between social media self-control failure, mindfulness and wellbeing: A longitudinal study.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8336798/ ) Du and colleagues recruited participants online between the ages of 16 to 60 years of age and had them complete measures of social media control, mindfulness, well-being, and life satisfaction. They completed the measures three times at four-month intervals.

 

They found that the higher the levels of mindfulness at all measurements the higher the levels of social media control, well-being, and life satisfaction at all measurements. They also found evidence that social media control at the first measurement was associated with better mindfulness at the second measurement which was, in turn, associated with better social media control at the third measurement.

 

These results are correlative and as such caution must be exercised in interpreting causation. But mindfulness training has been found in prior research to reduce internet addictions. In addition, the associations found between variables and other variables 4 months later prohibit a reverse causation explanation. So, the associations reported here may well be due to causal connections. Hence, it could be tentatively concluded that being able to control participation in social media improves mindfulness and mindfulness improves the individual’s ability to control their participation in social media.

 

This is potentially important as participation in social media often gets out of control to the point where it interferes in everyday activities to the detriment of the individual. It can even become an addiction. That being mindful can help keep it under control may be very helpful allowing attention to other life activities. Although it was not explored in the present study this suggests that mindfulness training may help make the individual resistant to losing control of participation in social media.

 

So, mindfulness improve social media control while social media control improves mindfulness.

 

“Social media addiction is becoming an increasing problem. . . One cure is mindfulness meditation. . . a powerful tool for kicking addictions ranging from drugs, to social media” – Elise Bialylew

 

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

 

Du, J., Kerkhof, P., & van Koningsbruggen, G. M. (2021). The reciprocal relationships between social media self-control failure, mindfulness and wellbeing: A longitudinal study. PloS one, 16(8), e0255648. https://doi.org/10.1371/journal.pone.0255648

 

Abstract

This paper aims to shed light on the question whether, and how, social media self-control failure is related to mindfulness and wellbeing. Using a 3-wave longitudinal design, the present study among 594 daily social media users examined the reciprocal relationships between social media self-control failure and mindfulness, and between social media self-control failure and wellbeing (as assessed by subjective vitality and life satisfaction). Results of the random-intercept cross-lagged panel model showed that social media self-control failure has a time-invariant negative association with mindfulness and subjective vitality. No full reciprocal influence was found between social media self-control failure and mindfulness, yet part of this trajectory was observed, suggesting that social media self-control failure could impair mindfulness, which, in turn, might increase future social media self-control failure. For wellbeing, life satisfaction was found to predict subsequent drops in social media self-control failure.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8336798/

 

Moderate the Effects of Routine Stressors on Police with Mindfulness

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Moderate the Effects of Routine Stressors on Police with Mindfulness

 

By John M. de Castro, Ph.D.

 

“While the practice of mindfulness is not a “silver bullet” for officer stress, it could be a potentially valuable tool in the fight going forward.” – John H. Kim

 

Policing is a very stressful occupation. It can result from threats to health and safety, boredom, responsibility for protecting the lives of others, continual exposure to people in pain or distress, the need to control emotions even when provoked, the presence of a gun, even during off-duty hours, and the fragmented nature of police work, with only rare opportunities to follow cases to conclusion or even to obtain feedback or follow-up information.

 

This stress can have serious consequences for the individual and in turn for society. Police officers have one of the highest suicide rates in the nation. They have a high divorce rate, about second in the nation. They are problem drinkers about twice as often as the general population. This is a major problem as stress and the resultant complications can impact job performance, which sometimes involve life or death situations. Mindfulness training has been shown to improve the physiological and psychological responses to stress and it has been found to reduce burnout in first responders. It has also been shown to improve the psychological well-being of police officers. Hence, mindfulness may help police cope with the stress.

 

In today’s Research News article “Trait Mindfulness Moderates the Association Between Stressor Exposure and Perceived Stress in Law Enforcement Officers.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8339391/ ) Chen and colleagues recruited active police officers and had them complete measures of perceived stress in policing, police organizational stress, overall perceived stress, resilience, and mindfulness. They also completed a daily event log of various stressors encountered for one week.

 

Component analysis of the daily logs revealed three principal components of daily stressors encountered by police, acute/traumatic stressors, routine stressors, and interpersonal stressors. For all 3 components, the higher the level of the stressor, the higher the levels of overall stress as measured by the various stress measures. They also found that the higher the levels of mindfulness, the weaker the relationship between experienced routine stressors and overall stress.

 

These results are correlational and as such causation cannot be determined. But they suggest, not surprisingly, that the stressors that the police encounter in their everyday work are predictive of their overall stress levels. In addition, in mindful police routine stressors such as paperwork, service calls etc. tend to have less of an impact on their overall stress levels. In other words, mindfulness doesn’t appear to help with dealing with acute/traumatic or interpersonal stressors, but rather with the stress produced by their everyday work tasks. Since, these routine stressors occur in the majority of the workday, mindfulness may be helpful in reducing overall stress and potentially burnout in the police.

 

So, moderate the effects of routine stressors on police with mindfulness.

 

“Meditation is helping police officers to de-escalate volatile situations, improve community relations—and improve their own well-being.” – Jill Suttie 

 

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

 

Chen, S., & Grupe, D. W. (2021). Trait Mindfulness Moderates the Association Between Stressor Exposure and Perceived Stress in Law Enforcement Officers. Mindfulness, 1–14. Advance online publication. https://doi.org/10.1007/s12671-021-01707-4

 

Abstract

Objectives

To test the magnitude of the relationship between self-reported stressor exposure and perceived stress in police officers using a novel measure of daily work events, and whether dispositional mindfulness and resilience moderate this relationship.

Methods

A total of 114 law enforcement officers from a mid-sized Midwestern US city completed daily logs of job stressors and associated perceived stress, as well as additional self-report measures of perceived stress, trait mindfulness and resilience, and demographics and work information. Principal component analysis (PCA) was used to cluster job stressors into a smaller number of components in a data-driven manner. Linear mixed-effects models were used to test the relationship between stressor exposure and perceived stress for each component, and the moderation of this relationship by trait mindfulness and resilience.

Results

The PCA categorized stressor exposure into three components: (1) acute or traumatic line-of-duty stressors, (2) routine daily stressors, and (3) interpersonal stressors. Results of mixed models showed robust positive relationships between self-reported stressor exposure and corresponding perceived stress across all 3 components. Dispositional mindfulness (but not resilience) moderated the association between stressor exposure and perceived stress for routine stressors, such that individuals with higher dispositional mindfulness showed a relatively attenuated relationship between exposure to routine daily stressors and resulting perceived stress.

Conclusions

Police officers high in dispositional mindfulness may experience daily routine stressors as less stressful, which can reduce the accumulation of general stress in the long term and which could help buffer against negative health outcomes associated with perceived stress.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8339391/

 

Mindfulness Training Improves Medical Students’ Mindfulness and Briefly Academic Success

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Mindfulness Training Improves Medical Students’ Mindfulness and Briefly Academic Success

 

By John M. de Castro, Ph.D.

 

“medical students who participate in mindfulness based stress reduction programs see a decrease in anxiety and stress.  Reduction in outside noise combined with the discipline to remain present in the moment can also lead to more effective concentration.” – Brendan Murphy

 

There is a lot of pressure on medical students to excel. This stress might in fact be counterproductive as the increased pressure can actually lead to stress and anxiety which can impede the student’s physical and mental health, well-being, and academic performance. Mindfulness training has been shown through extensive research to be effective in reducing the physiological and psychological responses to stress and improving physical and psychological health. Indeed, these practices have been found to improve psychological health in college students. So, it would be expected that training in mind-body practices would reduce stress and improve the psychological health of medical students.

 

In today’s Research News article “Mindfulness-based intervention helps preclinical medical students to contain stress, maintain mindfulness and improve academic success.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7934360/ ) Lampe and colleagues recruited preclinical medical students and offered them a midsemester mindfulness training. The course lasted 6-weeks and was an adapted version of Mindfulness-Based Stress Reduction (MBSR) consisting of meditation, yoga, and body scan training along with home practice and group discussion. They were measured before and after training and 6 months later for perceived stress, mindfulness, and academic test grades. They compared the students who participated in the course to those who did not.

 

They found that both before and after training the higher the students’ levels of mindfulness, the lower the levels of perceived stress. Neither mindfulness nor perceived stress were related to academic test grades. But after training the mindfulness group had significantly higher test grades and levels of mindfulness. 6 months later mindfulness remained significantly higher but there were no significant differences in test grades.

 

The study did not randomly assign participants but rather compared students who voluntarily chose to take a mindfulness course to those who chose not to. There were probably differences between the types of students who volunteered to those who didn’t. The results need to be interpreted with this in mind. Nevertheless, the results suggest, as has previous research, that mindfulness and perceived stress are inversely related. The results also suggest that training in mindfulness during medical education produces a lasting effect on mindfulness but only a transient improvement in academic performance. The improvement in mindfulness did not predict a lasting effect on academic performance. This suggests that more work is needed to identify how to intervene in medical education to reduce stress effects and improve students’ academic performances.

 

So, mindfulness training improves medical students’ mindfulness and briefly academic success.

 

“in medical students, higher empathy, lower anxiety, and fewer depression symptoms have been reported by students after participating in MSBR. . . mindfulness meditation may be used to elicit positive emotions, minimize negative affect and rumination, and enable effective emotion regulation.” – Michael Minichiello

 

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

 

Lampe, L. C., & Müller-Hilke, B. (2021). Mindfulness-based intervention helps preclinical medical students to contain stress, maintain mindfulness and improve academic success. BMC medical education, 21(1), 145. https://doi.org/10.1186/s12909-021-02578-y

 

Abstract

Background

Stress among students is on the rise during early medical school and has been implicated in poor academic performance. Several methods are being discussed to efficiently reduce stress, among them mindfulness-based interventions. We therefore set out to assess how stress, mindfulness, and academic performance are connected and if an intervention on mindfulness based stress reduction could alleviate stress among medical students and improve their academic achievements.

Methods

A non-randomized controlled trial including 143 medical students in their preclinical years was performed in 2019. The students completed two surveys – one in the first, the other in the third term – recording perceived stress and mindfulness via validated scales (PSS-10 and MAAS). In between both, 41 students participated in a voluntary mindfulness-based intervention including six two-hours courses. 86 students served as controls. Scholarly success was assessed via the scores achieved in six exams written during the observation period.

Results

Stress was inversely related with mindfulness and with the results of the most challenging exam. The intervention on mindfulness based stress reduction helped to contain stress and maintain mindfulness during the observation period and this effect lasted for at least six months beyond completion of the intervention. In contrast, beneficial effects on scholarly success were transient and only detectable at completion of the intervention.

Conclusion

Our observation of short- and intermediate term effects resulting from six individual interventions on mindfulness based stress reduction is encouraging and calls for alternative strategies to induce long-lasting impacts.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7934360/

 

Improve Self-Compassion with Residential Mindfulness Programs Conducted Either Inside or Outdoors

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Improve Self-Compassion with Residential Mindfulness Programs Conducted Either Inside or Outdoors

 

By John M. de Castro, Ph.D.

 

“The power of nature to bring us immediately to the present must be primally wired into us.” – Christopher Willard

 

Modern living is stressful, perhaps, in part because it has divorced us from the natural world that our species was immersed in throughout its evolutionary history. Modern environments may be damaging to our health and well-being simply because the species did not evolve to cope with them. This suggests that returning to nature, at least occasionally, may be beneficial. Indeed, researchers are beginning to study nature walks or what the Japanese call “Forest Bathing” and their effects on our mental and physical health.

 

Mindfulness practices have been found routinely to reduce the psychological and physiological responses to stress. People have long reported that walking in nature elevates their mood. It appears intuitively obvious that if it occurred in a beautiful natural place, it would greatly lift the spirits. But there is little systematic research regarding these effects. It’s possible that being in nature might increase mindfulness’ ability to improve mental and physical well-being.

 

In today’s Research News article “A Short Mindfulness Retreat for Students to Reduce Stress and Promote Self-Compassion: Pilot Randomised Controlled Trial Exploring Both an Indoor and a Natural Outdoor Retreat Setting.” (See summary below or view the full text of the study at: https://www.mdpi.com/2227-9032/9/7/910/htm ) Djernis and colleagues recruited moderately to highly stressed university students and randomly assigned them to a 5-day residential program of either mindfulness training indoors, outdoors, or a no treatment control. The mindfulness training was based upon Mindfulness-Based Stress Reduction program (MBSR) including meditation, yoga, body scan, and group discussion. The outdoor mindfulness training occurred in the university’s therapy garden. They were measured before and after the 5-days of training and 3 months later for self-compassion, perceived stress, mindfulness, connectedness to nature, and breath counting.

 

They found that mindfulness was significantly increased in the mindfulness training groups while self-compassion was significantly increased only in the mindfulness training groups at follow up. The outdoor mindfulness group only had a significant increase in connectedness to nature compared to the control group. They did not find a significant effect of group on perceived stress.

 

These results were somewhat disappointing, but the groups were small (17-21 participants) and many trends and non-significant differences were present. This suggests that a larger randomized controlled trial should be implemented. Indeed, increases in self-compassion and decreases in perceived stress have been routinely observed in previous research studies. Nevertheless, they did find that a residential mindfulness program increases self-compassion in stressed college students. Many previous studies have and that moving the training outside improves the participants feeling of connection to nature.

 

So, improve self-compassion with residential mindfulness programs conducted either inside or outdoors.

 

“People have been discussing their profound experiences in nature for the last several 100 years—from Thoreau to John Muir to many other writers,. Now we are seeing changes in the brain and changes in the body that suggest we are physically and mentally more healthy when we are interacting with nature.” – David Strayer

 

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

 

Djernis, D.; O’Toole, M.S.; Fjorback, L.O.; Svenningsen, H.; Mehlsen, M.Y.; Stigsdotter, U.K.; Dahlgaard, J. A Short Mindfulness Retreat for Students to Reduce Stress and Promote Self-Compassion: Pilot Randomised Controlled Trial Exploring Both an Indoor and a Natural Outdoor Retreat Setting. Healthcare 2021, 9, 910. https:// doi.org/10.3390/healthcare9070910

 

Abstract

Here, we developed and examined a new way of disseminating mindfulness in nature to people without meditation experience, based on the finding that mindfulness conducted in natural settings may have added benefits. We evaluated a 5-day residential programme aiming to reduce stress and improve mental health outcomes. We compared an indoor and an outdoor version of the programme to a control group in a pilot randomised controlled trial (RCT). Sixty Danish university students experiencing moderate to high levels of stress were randomised into a residential mindfulness programme indoors (n = 20), in nature (n = 22), or a control group (n = 18). Participants completed the Perceived Stress Scale and the Self-Compassion Scale (primary outcomes) along with additional secondary outcome measures at the start and end of the program and 3 months after. Stress was decreased with small to medium effect sizes post-intervention, although not statistically significant. Self-compassion increased post-intervention, but effect sizes were small and not significant. At follow-up, changes in stress were not significant, however self-compassion increased for both interventions with medium-sized effects. For the intervention groups, medium- to large-sized positive effects on trait mindfulness after a behavioural task were found post-intervention, and small- to medium-sized effects in self-reported mindfulness were seen at follow-up. Connectedness to Nature was the only outcome measure with an incremental effect in nature, exceeding the control with a medium-sized effect at follow-up. All participants in the nature arm completed the intervention, and so did 97% of the participants in all three arms. Overall, the results encourage the conduct of a larger-scale RCT, but only after adjusting some elements of the programme to better fit and take advantage of the potential benefits of the natural environment.

https://www.mdpi.com/2227-9032/9/7/910/htm