Mindfulness

Improve Major Depressive Disorder with Psilocybin and Mindfulness Meditation

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Improve Major Depressive Disorder with Psilocybin and Mindfulness Meditation

 

By John M. de Castro, Ph.D.

 

“mindfulness training enhances the positive effects of a single dose of psilocybin, and can increase empathy and permanently reduce ego-centricity. This opens up new therapeutic avenues, for example for the treatment of depression.” – Franz Vollenweider

 

Psychedelic substances have been used almost since the beginning of recorded history to alter consciousness and produce spiritually meaningful experiences. People find these experiences very pleasant and eye opening. They often report that the experiences changed them forever. Even though the effects of psychedelic substances have been experienced and reported on for centuries, only very recently have these effects come under rigorous scientific scrutiny.

 

Psilocybin is a psychedelic substance that is found naturally in a number of varieties of mushrooms. It has been used for centuries particularly by Native Americans for their spiritual practices. When studied in the laboratory under double blind conditions, Psilocybin has been shown to “reliably occasion deeply personally meaningful and often spiritually significant experiences (e.g. mystical-type experiences).” Psilocybin has also been shown to improve clinical depression. Mindfulness training has also been found to improve depression. Since the effects of meditation and psilocybin appear similar, it’s important to look at the mechanism by which mindfulness meditation and psilocybin improve depression.

 

In today’s Research News article “Depression, Mindfulness, and Psilocybin: Possible Complementary Effects of Mindfulness Meditation and Psilocybin in the Treatment of Depression. A Review.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7136554/), Heuschkel and colleagues review and summarize the published research studies of the effectiveness of meditation and psilocybin for the treatment of depression. They identified 95 published articles on the effectiveness of either mindfulness or psilocybin on major depressive disorders.

 

They found that the published reports that both mindfulness meditation and psilocybin produce significant and lasting improvements in mood, cognitive function, and social skills in patients with major depressive disorders. Mindfulness training has been shown through extensive research with a variety of healthy and ill individuals to reduce depression, stress responses, and inflammatory responses, and improves cognition, and social skills. It is interesting that both have similar effects.

 

The published research also reports that both mindfulness meditation and psilocybin produce significant neuroplastic changes in the nervous system but act different where mindfulness meditation produces slow changes that accumulate over time while psilocybin produces rapid changes in the brain. They also affect different neural circuits where mindfulness meditation increases activity and connectivity in brain systems associate with interoceptive awareness, psilocybin appears to disrupt function integrity of brain systems, promoting cognitive flexibility.

 

Both mindfulness meditation and psilocybin produce changes in endocrine and immune function. Both produce significant reductions in perceived stress and reduce inflammatory responses, they appear to do so through different mechanisms. Where mindful meditation appears to lower stress responses through the lowering cortisol, psilocybin appears to work through the anti-inflammatory cytokines.

 

Hence, the published research suggests that mindfulness meditation and psilocybin produce similar effects on patients with major depressive disorders, reducing depression, altering the brain both chronically and acutely, and reducing stress and inflammatory responses. But they appear to produce these effects through different biological processes. This suggests that they may complement each other. So, combining the two in a treatment for major depressive disorder may increase overall effectiveness. It remains for future research to investigate the effectiveness of combined treatment.

 

So, improve major depressive disorder with psilocybin and mindfulness meditation.

 

“A growing body of evidence suggests that psychedelic drugs, such as psilocybin, may be effective at treating a variety of psychological disorders, including depression and anxiety, and could one day be prescribed to patients.” – Traci Pederson

 

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

 

Heuschkel, K., & Kuypers, K. (2020). Depression, Mindfulness, and Psilocybin: Possible Complementary Effects of Mindfulness Meditation and Psilocybin in the Treatment of Depression. A Review. Frontiers in psychiatry, 11, 224. https://doi.org/10.3389/fpsyt.2020.00224

 

Abstract

Depression is a major public health problem that affects approximately 4.4% of the global population. Since conventional pharmacotherapies and psychotherapies are only partially effective, as demonstrated by the number of patients failing to achieve remission, alternative treatments are needed. Mindfulness meditation (MM) and psilocybin represent two promising novel treatments that might even have complementary therapeutic effects when combined. Since the current literature is limited to theoretical and empirical underpinnings of either treatment alone, the present review aimed to identify possible complementary effects that may be relevant to the treatment of depression. To that end, the individual effects of MM and psilocybin, and their underlying working mechanisms, were compared on a non-exhaustive selection of six prominent psychological and biological processes that are well known to show impairments in patients suffering from major depression disorder, that is mood, executive functioning, social skills, neuroplasticity, core neural networks, and neuroendocrine and neuroimmunological levels. Based on predefined search strings used in two online databases (PubMed and Google Scholar) 1129 articles were identified. After screening title and abstract for relevance related to the question, 82 articles were retained and 11 were added after reference list search, resulting in 93 articles included in the review. Findings show that MM and psilocybin exert similar effects on mood, social skills, and neuroplasticity; different effects were found on executive functioning, neural core networks, and neuroendocrine and neuroimmune system markers. Potential mechanisms of MM’s effects are enhanced affective self-regulation through mental strategies, optimization of stress reactivity, and structural and functional adjustments of prefrontal and limbic areas; psilocybin’s effects might be established via attenuation of cognitive associations through deep personal insights, cognitive disinhibition, and global neural network disintegration. It is suggested that, when used in combination, MM and psilocybin could exert complementary effects by potentiating or prolonging mutual positive effects, for example, MM potentially facilitating psilocybin-induced peak experiences. Future placebo-controlled double-blind randomized trials focusing on psilocybin-assisted mindfulness-based therapy will provide knowledge about whether the proposed combination of therapies maximizes their efficacy in the treatment of depression or depressive symptomatology.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7136554/

 

Virtual Reality Enhances Online Mindfulness Training

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Virtual Reality Enhances Online Mindfulness Training

 

By John M. de Castro, Ph.D.

 

“I’ve done meditation before and I just zone out to what they are saying…because your mind’s working to picture something it then is working to daydream as well…Whereas, when it was just there in front of you, I think that it took a bit of pressure off of thinking, and you could be in the present.” – Study Participant

 

Over the last several decades, research and anecdotal experiences have accumulated an impressive evidential case that the development of mindfulness has positive benefits for the individual’s mental, physical, and spiritual life. Mindfulness appears to be beneficial both for healthy people and for people suffering from a myriad of illnesses. It appears to be beneficial across ages, from children to the elderly. And it appears to be beneficial across genders, personalities, race, and ethnicity. The breadth and depth of benefits is unprecedented.

 

There is no other treatment or practice that has been shown to come anyway near the range of mindfulness’ positive benefits. With impacts so great it is important to know how to promote the development of mindfulness even in individuals who dislike or avoid the discipline of practice. Technology has recently been applied to training in mindfulness. Indeed, mindfulness training carried out completely on-line has been shown to be effective for as number of conditions. There is evidence that virtual reality may be used to enhance the therapeutic effectiveness of mindfulness training. There is a need, however, to explore whether virtual reality enhances the development of mindfulness?

 

In today’s Research News article “Understanding How Virtual Reality Can Support Mindfulness Practice: Mixed Methods Study.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7113800/), Seabrook and colleagues recruited healthy adults online and trained them in mindfulness with a 15-minute virtual reality experience that included viewing forest scenes with a guided meditation voiceover. They were measured before and after training for mindfulness, anxiety, depression, perceived stress, and positive and negative emotions. They were also asked to evaluate the virtual reality with questionnaires on simulator sickness and general systems presence and were asked to engage in a semi-structured interview to assess the VR.

 

They found that after training there were significant increases in mindfulness and positive emotions. They also reported a strong sense of presence and very little simulator sickness during the VR. They rated it as very engaging and that it helped them focus on the present moment and practice mindfulness.

 

The study did not incorporate a comparison, control, condition. So, conclusions must be tempered with the knowledge that the results might reflect participant expectations or demand characteristics. It also had only a brief single session of training. So, it is unclear if virtual reality may be useful in sustained mindfulness training. Nevertheless, the results suggest that virtual reality may be a useful add on to mindfulness training to improve the development of mindfulness.

 

So, virtual reality enhances online mindfulness training.

 

“If I were sitting in that same environment in reality I would be thinking…are there other people there… is the car there. But knowing that this environment was virtual, I was able to simply enjoy it.” -– Study Participant

 

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

 

Seabrook, E., Kelly, R., Foley, F., Theiler, S., Thomas, N., Wadley, G., & Nedeljkovic, M. (2020). Understanding How Virtual Reality Can Support Mindfulness Practice: Mixed Methods Study. Journal of medical Internet research, 22(3), e16106. https://doi.org/10.2196/16106

 

Abstract

Background

Regular mindfulness practice has been demonstrated to be beneficial for mental health, but mindfulness can be challenging to adopt, with environmental and personal distractors often cited as challenges. Virtual reality (VR) may address these challenges by providing an immersive environment for practicing mindfulness and by supporting the user to orient attention to the present moment within a tailored virtual setting. However, there is currently a limited understanding of the ways in which VR can support or hinder mindfulness practice. Such an understanding is required to design effective VR apps while ensuring that VR-supported mindfulness is acceptable to end users.

Objective

This study aimed to explore how VR can support mindfulness practice and to understand user experience issues that may affect the acceptability and efficacy of VR mindfulness for users in the general population.

Methods

A sample of 37 participants from the general population trialed a VR mindfulness app in a controlled laboratory setting. The VR app presented users with an omnidirectional video of a peaceful forest environment with a guided mindfulness voiceover that was delivered by a male narrator. Scores on the State Mindfulness Scale, Simulator Sickness Questionnaire, and single-item measures of positive and negative emotion and arousal were measured pre- and post-VR for all participants. Qualitative feedback was collected through interviews with a subset of 19 participants. The interviews sought to understand the user experience of mindfulness practice in VR.

Results

State mindfulness (P<.001; Cohen d=1.80) and positive affect (P=.006; r=.45) significantly increased after using the VR mindfulness app. No notable changes in negative emotion, subjective arousal, or symptoms of simulator sickness were observed across the sample. Participants described the user experience as relaxing, calming, and peaceful. Participants suggested that the use of VR helped them to focus on the present moment by using visual and auditory elements of VR as attentional anchors. The sense of presence in the virtual environment (VE) was identified by participants as being helpful to practicing mindfulness. Interruptions to presence acted as distractors. Some uncomfortable experiences were discussed, primarily in relation to video fidelity and the weight of the VR headset, although these were infrequent and minor.

Conclusions

This study suggests that an appropriately designed VR app can support mindfulness practice by enhancing state mindfulness and inducing positive affect. VR may help address the challenges of practicing mindfulness by creating a sense of presence in a tailored VE; by allowing users to attend to visual and auditory anchors of their choice; and by reducing the scope of the content in users’ mind-wandering. VR has the unique capability to combine guided mindfulness practice with tailored VEs that lend themselves to support individuals to focus attention on the present moment.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7113800/

 

Improve Self-Compassion with Psychophysiological Flexibility and Mindfulness

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Improve Self-Compassion with Psychophysiological Flexibility and Mindfulness

By John M. de Castro, Ph.D.

 

“self-compassion is strongly associated with emotional wellbeing, coping with life challenges, lower levels of anxiety and depression, healthy habits such as diet and exercise, and more satisfying personal relationships. It is an inner strength that enables us to be more fully human—to acknowledge our shortcomings, learn from them, and make necessary changes with an attitude of kindness and self-respect.” – Greater Good Science Center

 

One of the more remarkable aspects of Western culture is that in general people do not like themselves. We are constantly comparing ourselves to others and since there can only one best, virtually everyone falls short. So, we constantly criticize ourselves for not being the smartest, the swiftest, the strongest, the most liked, the most handsome or beautiful. If there wasn’t something wrong with us, then we would be the best. As a result, we become focused and obsessed with our flaws. This can lead to anxiety and worry.

 

Mindfulness promotes experiencing and accepting ourselves as we are, which is a direct antidote to seeing ourselves in comparison to others and as we wish to be. In other words, mindfulness promotes self-compassion. Self-compassion involves being warm and understanding about ourselves rather than self-criticism. If we have that attitude, we will like ourselves more and suffer less. So, it is important to study the mindfulness and self-compassion and their relationships with the ability to regulate emotional arousal.

 

In today’s Research News article “Is Dispositional Self-Compassion Associated With Psychophysiological Flexibility Beyond Mindfulness? An Exploratory Pilot Study.” (See summary below or view the full text of the study at: https://www.frontiersin.org/articles/10.3389/fpsyg.2020.00614/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1302118_69_Psycho_20200416_arts_A), Svendsen and colleagues recruited college students and had them complete scales measuring self-compassion, mindfulness, anxiety, and rumination. They also had their cardiac function measured at rest with an electrocardiogram (ECG). This was used to calculate the vagally mediated heart rate variability as a measure of psychophysiological flexibility. It measures the interplay between the parasympathetic and sympathetic branches of the autonomic nervous system, with higher heart rate variability signaling parasympathetic predominance, usually indicating relaxation.

 

Employing regression analysis, they found that the higher the levels of self-compassion the higher the levels of mindfulness and psychophysiological flexibility. They also found that both higher levels of mindfulness and also self-compassion the lower the levels of anxiety and rumination (worry). So, mindfulness is related to self-compassion and lower anxiety and rumination and self-compassion is related to mindfulness and psychophysiological flexibility and lower anxiety and rumination.

 

The findings are correlative and as such causation cannot be determined. But they show that mindfulness is significantly related to self-compassion and both are related to better mental health. In prior manipulative studies, it has been demonstrated that mindfulness causes increased self-compassion and decreased anxiety and rumination. So, the present results likely reflect causal connections.

 

The results also demonstrated that self-compassion has the strongest relationship with psychophysiological flexibility suggesting that self-compassion is related to the ability to regulate emotional arousal. It is this ability that may underlie the lower levels of anxiety and rumination found with high levels of self-compassion. Hence, mindfulness and self-compassion are important components of the mental health of young adults.

 

So, improve self-compassion with psychophysiological flexibility and mindfulness.

 

“mindfulness increases empathy and compassion for others and for oneself, and that such attitudes are good for you. To me, that affirms that when we practice mindfulness, we are simultaneously strengthening our skills of compassion.” – Shauna Shapiro

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Svendsen JL, Schanche E, Osnes B, Vøllestad J, Visted E, Dundas I, Nordby H, Binder P-E and Sørensen L (2020) Is Dispositional Self-Compassion Associated With Psychophysiological Flexibility Beyond Mindfulness? An Exploratory Pilot Study. Front. Psychol. 11:614. doi: 10.3389/fpsyg.2020.00614

 

Abstract

Background: Dispositional mindfulness and self-compassion are shown to associate with less self-reported emotional distress. However, previous studies have indicated that dispositional self-compassion may be an even more important buffer against such distress than dispositional mindfulness. To our knowledge, no study has yet disentangled the relationship between dispositional self-compassion and mindfulness and level of psychophysiological flexibility as measured with vagally mediated heart rate variability (vmHRV). The aim was thus to provide a first exploratory effort to expand previous research relying on self-report measures by including a psychophysiological measure indicative of emotional stress reactivity.

Methods: Fifty-three university students filled out the “Five Facet Mindfulness Questionnaire” (FFMQ) and the “Self-Compassion Scale” (SCS), and their heart rate was measured during a 5 min resting electrocardiogram. Linear hierarchical regression analyses were conducted to examine the common and unique variance explained by the total scores of the FFMQ and the SCS on level of resting vmHRV.

Results: Higher SCS total scores associated significantly with higher levels of vmHRV also when controlling for the FFMQ total scores. The SCS uniquely explained 7% of the vmHRV. The FFMQ total scores did not associate with level of vmHRV.

Conclusion: These results offer preliminary support that dispositional self-compassion associates with better psychophysiological regulation of emotional arousal above and beyond mindfulness

https://www.frontiersin.org/articles/10.3389/fpsyg.2020.00614/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1302118_69_Psycho_20200416_arts_A

 

Improve Psychological Health in the COVID-19 pandemic with Mindfulness

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Improve Psychological Health in the COVID-19 pandemic with Mindfulness

 

By John M. de Castro, Ph.D.

 

“Amid ever-changing information around the COVID-19 pandemic, many people are experiencing heightened stress and anxiety. . . Another way to cope with anxiety is to practice mindfulness.” – Cynthia Weiss

 

Modern living is stressful under the best of conditions. But with the COVID-19 pandemic the levels of stress have been markedly increased. These conditions markedly increase anxiety. This is true for everyone but especially for healthcare workers and people caring for patients with COVID-19 and for people with pre-existing conditions that makes them particularly vulnerable. But it is also true for healthy individuals who worry about infection for themselves or loved ones.

 

The COVID-19 pandemic has also produced considerable economic stress, with loss of employment and steady income. For the poor this extends to high levels of food insecurity. This not only produces anxiety about the present but also for the future. It is important for people to engage in practices that can help them control their responses to the stress and their levels of anxiety. Mindfulness practices have been found routinely to reduce the psychological and physiological responses to stress, reduce anxiety levels, and improve mood.

 

In today’s Research News article “The benefits of meditation and mindfulness practices during times of crisis such as COVID-19.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7287297/), Behan discusses the uses of mindfulness practices for helping individuals cope with the stress and anxiety surrounding the COVID-19 pandemic. It is asserted that the pandemic produces psychological issues for individuals and also for those tasked with caring for them and that these issues can be ameliorated with mindfulness practice.

 

For the individual mindfulness practice can be helpful in coping with the anxiety about infection or the future, depression, loneliness, and reduction in quality of life resulting from isolation, physical and psychological manifestations of stress produced by financial and employment concerns or family or relationship difficulties, the strong emotions and general distress produced, the frustration resulting from feelings of helplessness, and the worry and rumination about the present situation and the future or the health of loved ones. Mindfulness practice can even strengthen the immune system to better fight off the infection.

 

For first responders and healthcare workers the pandemic produces 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.

 

Mindfulness practices have a wide variety of benefits that can be very helpful to the individual and those charged with caring for them in coping with the varied effects of the pandemic. So, improve psychological health in the COVID-19 pandemic by being mindful and engaging in mindfulness practices.

 

“There is so much uncertainty about what is to come, and we have less opportunity for social support than in other crises.  Some are already ill, others know someone who is, and many are caring for those who have COVID-19.  In these circumstances, it can be easy to feel frightened and overwhelmed.  Having a regular mindfulness practice can be helpful.” – John Schorling

 

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

 

Behan C. (2020). The benefits of meditation and mindfulness practices during times of crisis such as COVID-19. Irish journal of psychological medicine, 1–3. Advance online publication. https://doi.org/10.1017/ipm.2020.38

 

Abstract

Meditation and mindfulness are practices that can support healthcare professionals, patients, carers and the general public during times of crisis such as the current global pandemic caused by COVID-19. While there are many forms of meditation and mindfulness, of particular interest to healthcare professionals are those with an evidence base such as mindfulness-based stress reduction (MBSR). Systematic reviews of such practices have shown improvements in measures of anxiety, depression and pain scores. Structural and functional brain changes have been demonstrated in the brains of people with a long-term traditional meditation practice, and in people who have completed a MBSR programme. Mindfulness and meditation practices translate well to different populations across the lifespan and range of ability. Introducing a mindfulness and meditation practice during this pandemic has the potential to complement treatment and is a low-cost beneficial method of providing support with anxiety for all.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7287297/

 

Improve Empathy and Self-Compassion in College Students with Mindfulness

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Improve Empathy and Self-Compassion in College Students with Mindfulness

 

By John M. de Castro, Ph.D.

 

“When we are mindful of our suffering and respond with kindness, remembering that suffering is part of the shared human condition, we are able to cope with life’s struggles with greater ease.” – Kristin Neff

 

In the modern world education is a key for success. Where a high school education was sufficient in previous generations, a college degree is now required to succeed in the new knowledge-based economies. There is a lot of pressure on students to excel so that they can get the best jobs after graduation. 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 school performance. It is, for the most part, beyond the ability of the individual to change the environment to reduce stress, so it is important that methods be found to reduce the college students’ responses to stress; to make them more resilient when high levels of stress occur.

 

Mindfulness training has been shown through extensive research to be effective in improving physical and psychological health and particularly with the physical and psychological reactions to stress and resilience in the face of stress. Additionally, there is a widespread problem that many people don’t seem to like themselves. The antidote to self-dislike is self-compassion. Self-compassion is “treating oneself with kindness and understanding when facing suffering, seeing one’s failures as part of the human condition, and having a balanced awareness of painful thoughts and emotions” – Kristin Neff.  Mindfulness has been found to improve self-compassion. But there has been little systematic research of the effectiveness of mindfulness practice in developing empathy and self-compassion in college students.

 

In today’s Research News article “Effect of Mindfulness on Empathy and Self-Compassion: An Adapted MBCT Program on Filipino College Students.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7139462/), Centeno and colleagues recruited 2 groups of senior college students majoring in psychology who enrolled in a 4-week counseling class either with or without a mindfulness component. They were measured before and after the classes for mindfulness, self-compassion, and empathy, including the perspective taking, fantasy, empathic concern, and personal distress subscales.

 

They found in comparison to baseline that the group that received the mindfulness training had significantly higher levels of mindfulness, including the describing, observing, acting with awareness, nonjudging and nonreacting subscales, empathetic concern, and perspective taking while the control group did not. Self-compassion was improved in both groups with the mindfulness group having a much larger improvement.

 

The results are interesting and suggest that mindfulness training is beneficial for college students increasing mindfulness, self-compassion, and empathy. Although the study did not investigate this, the improvements in the student’s mental health should help them in dealing with the stresses of college and improve their academic performance.

 

So, improve empathy and self-compassion in college students with mindfulness.

 

“the three features of self-compassion are kindness toward oneself, a sense of common humanity with others, and mindfulness— . . . each of these components buffer people against negative reactions to undesired events, like failure, humiliation, and rejection—all situations that are pretty common during the first year of college.” – Bianca Lorenz

 

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

 

Centeno R. (2020). Effect of Mindfulness on Empathy and Self-Compassion: An Adapted MBCT Program on Filipino College Students. Behavioral sciences (Basel, Switzerland), 10(3), 61. https://doi.org/10.3390/bs10030061

 

Abstract

Attending college is meaningful for many young adults. This period is marked by physical, emotional, and psychological changes that can have both positive and negative effects on college students. The last two decades have seen an alarming increase in the number of college students who suffer from mental health conditions, such as depression, suicide, anxiety, and alcohol abuse. It is recommended that actions to support the students’ wellbeing must be creative and evidence-based. Research suggests that a mindfulness-based intervention may be an effective strategy to address mental health conditions among college students. This study was done to examine the efficacy of an adapted mindfulness-based cognitive therapy (MBCT) program that was implemented in a classroom setting in the Philippines and to explore how mindfulness practice can affect empathy and self-compassion on senior Filipino college students aged 19–22 years old. Two classes were used to compare the effects of mindfulness intervention. One class underwent the adapted MBCT program while the other class underwent the same kind of class without mindfulness interventions. Self-report measures of the Five Facet Mindfulness Questionnaire, Perspective Taking subscale and Empathic Concern subscale of Interpersonal Reactivity Index, and Self-compassion scale—short form were administered before undergoing the adapted MBCT and after the program. After going through the adapted MBCT, college students’ mindfulness significantly improved. Empathy and self-compassion also significantly improved after undergoing the program. This corroborates previous studies done on mindfulness and its efficacy with adolescents and suggests how practicing mindfulness can improve empathy and self-compassion with Filipino college students. It provides a promising groundwork for the emerging interest and research in Asia, particularly in the Philippines, on how the practice of mindfulness can help with the mental health of college students.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7139462/

 

Reduce the Psychological Burdens on Parkinson’s Disease Caregivers with Mindfulness

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Reduce the Psychological Burdens on Parkinson’s Disease Caregivers with Mindfulness

 

By John M. de Castro, Ph.D.

 

“Mindfulness-based interventions can improve mental health status, including reduction of stress and anxiety levels, in family caregivers of veterans with Parkinson’s disease.” Patricia Inacio

 

Parkinson’s Disease (PD) is an incurable progressive degenerative disease of the central nervous system. The condition is caused by the death of nerve cells in the brain that produce the neurotransmitter dopamine. There are around seven million people worldwide and one million people in the U.S. living with PD and about 60,000 people are diagnosed with PD every year. Its physical symptoms include resting tremor, slow movements, muscle rigidity, problems with posture and balance, loss of automatic movements, and slurring of speech. PD itself is not fatal but is often associated with related complications which can reduce life expectancy, such as falls, choking, and cardiovascular problems. Parkinson’s Disease (PD) also has psychological effects, especially cognitive decline, anxiety, and depression. All of these symptoms result in a marked reduction in the quality of life. There are no cures for Parkinson’s Disease or even treatments to slow its progression. There are only treatments that can produce symptomatic relief.

 

Caring for Parkinson’s Disease patients is very demanding and goes on for years. This exacts a tremendous toll on caregivers’ health and well-being. Caregiving has been associated with increased levels of depression and anxiety as well as higher use of psychoactive medications, poorer self-reported physical health, compromised immune function, and increased mortality. Mindfulness training has been shown to be beneficial for caregivers. So, mindfulness training may be helpful in decreasing the psychological difficulty of caring for a patient with Parkinson’s Disease.

 

In today’s Research News article “Mindfulness and Psychological Flexibility are Inversely Associated with Caregiver Burden in Parkinson’s Disease.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7071391/), Klietz and colleagues recruited Parkinson’s Disease patients and their primary caregivers. The patients and the caregivers were asked to complete a questionnaire measuring depression, and health-related quality of life. The caregivers only completed measures of Parkinson’s disease caregiver burden, psychological flexibility, and mindfulness. The patients also completed a measure of Parkinson’s disease -related impairment.

 

They found that the higher the levels of Parkinson’s Disease symptoms, patient quality-of-life restrictions, caregiver quality-of-life restrictions, and depressive symptoms of the caregiver the higher the Parkinson’s Disease caregiver burden. But the higher the levels of mindfulness and psychological flexibility the lower the levels of Parkinson’s Disease caregiver burden.

 

These results are correlational and so causation cannot be determined. They show that the burden on the caregivers are related to the severity of Parkinson’s Disease symptoms and their impact on the patient’s and caregiver’s quality of life. But the results also suggest that if the caregiver’s have high levels of mindfulness and the ability to be flexible, they experience lower burden.

 

“Psychological flexibility refers to the extent to which a person can cope with changing circumstances and think about problems and tasks in novel and creative ways.” This then suggests that the caregiver’s ability to think about their situation in different ways is important for reducing the burden they experience. “Mindfulness is defined as the tendency to purposely bring one’s attention to experiences occurring in the present moment without judgement.” This suggests that the caregiver’s ability to see their situation as it really is but not judge it contributes to lessening their burden. In the future it would be interesting to train caregivers in mindfulness and psychological flexibility and determine if this training produces a decrease in the burden the caregivers experience.

 

So, reduce the psychological burdens on Parkinson’s Disease caregivers with mindfulness.

 

“Family caregivers fill a world of need, and in doing so are at risk of falling into the caregiver burnout abyss. . . Mindfulness is a necessary core competency that we all need to develop. Taking space for yourself will keep you grounded and peaceful while allowing you to be of service.” – Audrey Meinertzhagen

 

 

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

 

Klietz, M., Drexel, S. C., Schnur, T., Lange, F., Groh, A., Paracka, L., Greten, S., Dressler, D., Höglinger, G. U., & Wegner, F. (2020). Mindfulness and Psychological Flexibility are Inversely Associated with Caregiver Burden in Parkinson’s Disease. Brain sciences, 10(2), 111. https://doi.org/10.3390/brainsci10020111

 

Abstract

Parkinson’s disease (PD) is a neurodegenerative movement disorder with progressive impairments in activities of daily living. With disease progression, people with PD (PwP) need more help and care from their spouses or professional caregivers. Identifying factors that help caregivers to cope with their burden is needed to frame future interventions for PwP caregivers. Mindfulness and psychological flexibility might be factors contributing to resilience against the burden of giving care. In this cross-sectional questionnaire-based study, 118 PwP and their respective primary caregivers were included. Caregivers reported moderate burden and only mild depressive symptoms. Mindfulness measured by the Mindfulness Attention and Awareness scale (p 0.003) and psychological flexibility measured by Acceptance and Actions Questionnaire II (p 0.001) correlated negatively with caregiver burden. Data from this study indicate mindfulness and psychological flexibility are factors contributing to resilience against caregiver burden. Future interventions to reduce burden in PwP caregivers might be improved by the inclusion of mindfulness training programs.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7071391/

 

Mindfulness is Associated with Greater Resilience and Less Emotional and Behavioral Problems in Adolescents

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Mindfulness is Associated with Greater Resilience and Less Emotional and Behavioral Problems in Adolescents

 

By John M. de Castro, Ph.D.

 

“mindfulness practice could be beneficial to teens, helping them cultivate empathy, as well as skills for concentration and impulse control. In short, mindfulness can help adolescents navigate the challenges of adolescence.” – Sarah Rundell Beach

 

Adolescence is a time of mental, physical, social, and emotional growth. It is during this time that higher levels of thinking, sometimes called executive function, develops. But adolescence can be a difficult time, fraught with challenges. During this time the child transitions to young adulthood; including the development of intellectual, psychological, physical, and social abilities and characteristics. There are so many changes occurring during this time that the child can feel overwhelmed and unable to cope with all that is required. This can lead to emotional and behavioral problems.

 

Indeed, up to a quarter of adolescents suffer from depression or anxiety disorders, and an even larger proportion struggle with subclinical symptoms. Mindfulness training in adults has been shown to reduce anxiety and depression levels and improve resilience and emotional regulation. In addition, in adolescents it has been shown to improve emotion regulation and to benefit the psychological and emotional health.

 

In today’s Research News article “Mindfulness, Life Skills, Resilience, and Emotional and Behavioral Problems for Gifted Low-Income Adolescents in China.” (See summary below or view the full text of the study at: https://www.frontiersin.org/articles/10.3389/fpsyg.2020.00594/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1293822_69_Psycho_20200407_arts_A), Huang and colleagues recruited low-income gifted high school students and measured them for emotional and behavioral problems, including both internalizing and externalizing behaviors, resilience, life skills, including  self-control, assertiveness, refusal and relaxation, and mindfulness.

 

They found that the higher the levels of mindfulness the higher the levels of resilience and life skills and the lower the levels of emotional and behavioral problems. They also found that the higher the levels of life skills the higher the levels of mindfulness and resilience and the lower the levels of emotional and behavioral problems. Structural modelling revealed that mindfulness and life skills were associated with reduced emotional and behavioral problems both directly and indirectly by being associated with higher levels of resilience that was in turn associated with lower levels of emotional and behavioral problems.

 

These results are interesting but correlational and as such causation cannot be determined. Nevertheless, they suggest that the emotional and behavioral problems of gifted adolescents from low-income families are to some extent reduced by having strong mindfulness, resilience, and life skills. Additionally, the findings suggest that mindfulness and life skills are not only directly related to less emotional and behavioral problems but also indirectly by being related to higher levels of resilience. It remains for future research to determine if these connections are causal by training adolescents in mindfulness and life skills and observing if there are increases in resilience and decreases in emotional and behavioral problems.

 

So, mindfulness is associated with greater resilience and less emotional and behavioral problems in adolescents.

 

“Mindfulness processes and practices can help young people develop emotional resilience, self-awareness and regulation skills that assist them in taking greater responsibility for their behaviors, decisions and relationships.” – Jennifer Frank

 

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

 

Huang C-C, Chen Y, Jin H, Stringham M, Liu C and Oliver C (2020) Mindfulness, Life Skills, Resilience, and Emotional and Behavioral Problems for Gifted Low-Income Adolescents in China. Front. Psychol. 11:594. doi: 10.3389/fpsyg.2020.00594

 

In contrast to emotional and behavioral problems (EBPs), which can disrupt normal adolescent development, resilience can buffer the effects of stress and adverse childhood experiences and can help youth overcome adversity. While research has looked at the relationship between adolescent resilience and EBPs, current literature relatively lack a discussion of a strengths-based approach of resilience framework, nor discuss non-western sociocultural contexts. In this study, we utilized the resilience theory to examine the effects of individual mindfulness and life skills on resilience and consequently on EBPs in a group of low-income and gifted adolescents in China. A secondary data of 152 adolescents from a specialized school for low-income and gifted students in Guangzhou, China was used for the analysis. The findings from structural equation modeling indicated that mindfulness and life skills were associated with heightened resilience and reduced EBPs. In addition, resilience reduced EBPs for this group of adolescents. These findings underscore the promise of mindfulness and life skills training on increasing resilience and reducing EBPs in gifted adolescents.

https://www.frontiersin.org/articles/10.3389/fpsyg.2020.00594/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1293822_69_Psycho_20200407_arts_A

 

Improve the Symptoms of Psychosis with Mindfulness

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Improve the Symptoms of Psychosis with Mindfulness

 

By John M. de Castro, Ph.D.

 

“There is increasing evidence that specially adapted mindfulness techniques can be used safely and effectively in the management and treatment of severe mental health problems, such as psychosis.” – Carly Samson

 

Psychoses are mental health problems that cause people to perceive or interpret things differently from those around them. This might involve hallucinations; seeing and, in some cases, feeling, smelling or tasting things that aren’t objectively there, or delusions; unshakable beliefs that, when examined rationally, are obviously untrue. The combination of hallucinations and delusional thinking can often severely disrupt perception, thinking, emotion, and behavior, making it difficult if not impossible to function in society without treatment. Psychoses appear to be highly heritable and involves changes in the brain. The symptoms of psychoses usually do not appear until late adolescence or early adulthood. There are, however, usually early signs of the onset of psychoses which present as cognitive impairments.

 

Mindfulness training has been shown to be beneficial for patients with psychosis. Implementing interventions early in the disease progression may maximize the benefits. This training improves a number of different facets of mindfulness. These include describing, observing, acting with awareness, non-judging, and nor-reacting facets. It has not been established which of these facets is critical for symptom improvement

 

In today’s Research News article “The Role of Five Facets of Mindfulness in a Mindfulness-Based Psychoeducation Intervention for People With Recent-Onset Psychosis on Mental and Psychosocial Health Outcomes.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7078358/), Chien and colleagues recruited patients in the early stages of psychosis (< 5 years since onset) including schizophrenia, schizophreniform/schizoaffective disorders or other psychotic disorders. They were randomly assigned to receive either mindfulness-based psychoeducation, conventional psychoeducation, or treatment-as-usual. The mindfulness-based psychoeducation program was a Mindfulness-Based Stress Reduction (MBSR) modified for psychotic patients and consisted of one session every other week for 24 weeks along with daily practice of 20 minutes. They were measured before and after the program and 6 and 18 months later for positive and negative psychotic symptoms, process of recovery, insight, treatment attitude, level of functioning, and mindfulness.

 

They found that in comparison to baseline and the control groups the patients who received mindfulness-based psychoeducation had significantly greater increases in mindfulness that persisted at the 18-month follow-up. They also found that greater the increases in mindfulness the greater the improvements in positive and negative psychotic symptoms, process of recovery, insight, treatment attitude, and level of functioning. Psychosocial functioning was the most highly related symptom while psychotic symptoms were less associated. Of the facets of mindfulness, only the observing and acting with awareness facets were significantly associated with the symptom improvements.

 

These results are interesting and suggest that mindfulness can be improved in psychotic patients with training and that these improvements are related to improvements in symptoms. It appears that training that improves the patient’s ability to observe what is occurring in the present moment and to act with awareness in response to what is occurring are the most important aspects of mindfulness for symptom improvement. It would make sense that these abilities would be particularly useful for psychosocial functioning. Psychotic symptoms are extremely difficult to treat. So, these results suggest that mindfulness training may be a helpful program for psychotic patients in the early stages of the disease.

 

So, improve the symptoms of psychosis with mindfulness.

 

“There is emerging evidence that mindfulness for psychosis – when used in an adapted form – is safe and therapeutic.” – Paul Chadwick

 

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

 

Chien, W. T., Chow, K. M., Chong, Y. Y., Bressington, D., Choi, K. C., & Chan, C. (2020). The Role of Five Facets of Mindfulness in a Mindfulness-Based Psychoeducation Intervention for People With Recent-Onset Psychosis on Mental and Psychosocial Health Outcomes. Frontiers in psychiatry, 11, 177. https://doi.org/10.3389/fpsyt.2020.00177

 

Abstract

Objective: This study aimed to examine how five facets of mindfulness may be associated with the changes in psychotic patients’ health outcomes after participating in a mindfulness-based psychoeducation group (MBPEG) program.

Methods: Longitudinal follow-up data from two pragmatic randomized controlled trials of MBPEG for psychotic patients were used for this study. A total of 124 patients who completed the MBPEG program were included in this analysis. Patient outcomes (psychotic symptoms, functioning, insight into illness/treatment, subjective recovery) and five facets of mindfulness were assessed at baseline and six, 12 and 24 months post-intervention. Areas under the curve of individual outcomes in repeated-measures were computed using trapezoidal method, rescaled to the original possible range of the underlying variable and used for correlation and regression analyses.

Results: All mean scores of the five facets increased across time and were significantly correlated with the improvements in all patient outcomes (p-values ranged from <0.001 to <0.05), except “non-judging” facet and symptom severity. Regression analyses revealed that only “observing” and “acting with awareness” were significantly associated with positive changes across all outcomes (increase in adjusted R2 ranged from 5.9% to 24.2%, p < 0.001).

Conclusions: Two facets of mindfulness, “observing” and “acting with awareness,” were related to positive outcomes of psychotic patients after participating in the MBPEG. More efforts in addressing these two facets of mindfulness can be considered to increase the efficacy of mindfulness-based interventions in psychosis.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7078358/

 

Improve Psychological Well-Being at Work with a Mindfulness App

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Improve Psychological Well-Being at Work with a Mindfulness App

By John M. de Castro, Ph.D.

“Mindfulness is not about living life in slow motion. It’s about enhancing focus and awareness both in work and in life. It’s about stripping away distractions and staying on track with individual, as well as organizational, goals.” Jacqueline Carter

 

Work is very important for our health and well-being. We spend approximately 25% of our adult lives at work. Indeed, the work environment has even become an important part of our social lives, with friendships and leisure time activities often attached to the people we work with. But, more than half of employees in the U.S. and nearly 2/3 worldwide are unhappy at work. This is partially due to work-related stress which is epidemic in the western workplace. Almost two thirds of workers reporting high levels of stress at work. This stress can result in impaired health and can result in burnout; producing fatigue, cynicism, and professional inefficacy.

 

To help overcome unhappiness, stress, and burnout, mindfulness practices have been implemented in the workplace. These mindfulness practices have been shown to markedly reduce the physiological and psychological responses to stress. As a result, it has become very trendy for business to incorporate meditation into the workday to help improve employee well-being, health, and productivity.

 

The vast majority of the mindfulness training techniques, however, require a trained teacher. The participants must be available to attend multiple sessions at particular scheduled times that may or may not be compatible with busy employee schedules and at locations that may not be convenient. As an alternative, apps for smartphones have been developed. These have tremendous advantages in decreasing costs, making training schedules much more flexible, and eliminating the need to go repeatedly to specific locations. But the question arises as to the effectiveness of these apps in inducing mindfulness and reducing stress and improving psychological well-being in employees in real-world work settings.

 

In today’s Research News article “Mindfulness on-the-go: Effects of a mindfulness meditation app on work stress and well-being.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6215525/), Bostock and colleagues recruited healthy adults in the workplace and randomly assigned them to either a wait-list control condition or to 45 days of daily mindfulness training with the “Headspace” app for their smartphones. They were measured before and after the intervention and 8 weeks later for blood pressure and daily well-being at 5 different times during the day, psychological well-being, anxiety, depression, job strain, job status, workplace social support, and mindfulness.

 

They found that in comparison to baseline and the wait-list controls the participants who used the mindfulness training app had significantly higher levels of psychological well-being, daily positive emotions, and workplace social support and significantly lower levels of blood pressure, anxiety, depression, and job strain. They found that these benefits only occurred in participants who completed 10 or more practice sessions. Most of these improvements were maintained at the 8-week follow-up.

 

The research design contained a control condition but the condition was not active. This leaves open the possibility of placebo effects, demand characteristics, and experimenter bias. Employees that used the app less than 10 times, however, could be seen as an active control and they did not show improvements. Nevertheless, the results suggest that using a mindfulness training smartphone app can improve the psychological well-being of employees in the workplace. Since they can receive the training at their own convenience and schedule, it is especially applicable to busy real-world work environments. The low cost of this training suggests that it can be used over large numbers of employees, at diverse locations.

 

So, improve psychological well-being at work with a mindfulness app.

 

“mindfulness and mindfulness-based practices improve self-regulation of thoughts, emotions, and behaviors, linking them to both performance and employee well-being in the workplace.” Theresa Glomb

 

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

 

Bostock, S., Crosswell, A. D., Prather, A. A., & Steptoe, A. (2019). Mindfulness on-the-go: Effects of a mindfulness meditation app on work stress and well-being. Journal of occupational health psychology, 24(1), 127–138. https://doi.org/10.1037/ocp0000118

 

Abstract

We investigated whether a mindfulness meditation program delivered via a smartphone application (app) could improve psychological well-being, reduce job strain, and reduce ambulatory blood pressure during the workday. Participants were 238 healthy employees from two large UK companies that were randomized to a mindfulness meditation practice app or a wait-list control condition. The app offered 45 pre-recorded 10–20 minute guided audio meditations. Participants were asked to complete one meditation per day. Psychosocial measures, and blood pressure throughout one working day, were measured at baseline and 8 weeks later; a follow-up survey was also emailed to participants 16 weeks after the intervention start. Usage data showed that during the 8-week intervention period, participants randomized to the intervention completed an average of 17 meditation sessions (range 0 to 45 sessions). The intervention group reported significant improvement in well-being, distress, job strain, and perceptions of workplace social support compared to the control group. In addition, the intervention group had a marginally significant decrease in self-measured workday systolic blood pressure from pre to post intervention. Sustained positive effects in the intervention group were found for well-being and job strain at the 16-week follow-up assessment. This trial suggests that short guided mindfulness meditations delivered via smartphone and practiced multiple times per week can improve outcomes related to work stress and well-being, with potentially lasting effects.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6215525/

 

Reduce Burnout in Medical Residents with Mindfulness

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Reduce Burnout in Medical Residents with Mindfulness

 

By John M. de Castro, Ph.D.

 

“while they appreciate the great meaning in their work, clinicians’ ability to disconnect and recharge may be even more critical than it is for others when it comes to how they view work environments and feel as employees.” – David Gregg

 

Stress is epidemic in the western workplace with almost two thirds of workers reporting high levels of stress at work. In high stress occupations, like healthcare, burnout is all too prevalent. Burnout is the fatigue, cynicism, emotional exhaustion, sleep disruption, and professional inefficacy that comes with work-related stress. It is estimated that over 45% of healthcare workers experience burnout. It not only affects the healthcare providers personally, but also the patients, as it produces a loss of empathy and compassion. Burnout, in fact, it is a threat to the entire healthcare system. Currently, over a third of healthcare workers report that they are looking for a new job. Hence, burnout contributes to the shortage of doctors and nurses.

 

Preventing burnout has to be a priority. Unfortunately, it is beyond the ability of the individual to change the environment to reduce stress and prevent burnout. So, it is important that methods be found to reduce the individual’s responses to stress; to make the individual more resilient when high levels of stress occur. Contemplative practices have been shown to reduce the psychological and physiological responses to stress and improve well-being. Indeed, mindfulness has been shown to be helpful in treating and preventing burnout, increasing resilience, and improving sleep. Hence, mindfulness may be a means to reduce burnout and improve well-being in hospital residents.

 

In today’s Research News article “Evidence-Based Interventions that Promote Resident Wellness from the Council of Emergency Residency Directors.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7081870/), Parsons and colleagues review and summarize the published research regarding methods to reduce burnout in medical residents. From this research they formed conclusions  and recommendations.

 

They report that the published studies demonstrate that medical resident burnout is mitigated by interventions that emphasize mindfulness, stress management, and resilience training. The evidence is fairly strong from well conducted controlled trials. It should be noted that mindfulness training improves both stress management and resilience. So, mindfulness training may be the key to all of the effective training strategies. They also report that working conditions tend to produce fatigue and stress that contribute to burnout. Reduction in burnout can be accomplished by adjustments to the work environment including shift scheduling.

 

So, reduce burnout in medical residents with mindfulness.

 

“Research exploring the effects of mindfulness training suggests it produces broad and significant improvements in attributes applicable to patient care and physician well-being.” – American Medical Association

 

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

 

Parsons, M., Bailitz, J., Chung, A. S., Mannix, A., Battaglioli, N., Clinton, M., & Gottlieb, M. (2020). Evidence-Based Interventions that Promote Resident Wellness from the Council of Emergency Residency Directors. The western journal of emergency medicine, 21(2), 412–422. https://doi.org/10.5811/westjem.2019.11.42961

 

Abstract

Initiatives for addressing resident wellness are a recent requirement of the Accreditation Council for Graduate Medical Education in response to high rates of resident burnout nationally. We review the literature on wellness and burnout in residency education with a focus on assessment, individual-level interventions, and systemic or organizational interventions.

Best Practice Recommendations for Individual Interventions

  • Mindfulness training should be incorporated into residency training to improve wellness and reduce burnout (Level 1b, Grade B).
  • Consider incorporating behavioral interventions, such as reframing, self-compassion, and empathy into residency training (Level 4, Grade C)
  • Encourage self-care with respect to physical, psychological, and emotional health. This should include an emphasis on sleep, healthy eating, regular exercise, development of social and professional support networks, PCP visits, resources for substance abuse, and counseling or mentoring programs (Level 4, Grade C)
  • Program faculty should meet privately with residents potentially suffering from burnout to identify the unique causes and appropriate interventions. Close follow-up meetings should assess improvement (Level 4, Grade C)

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7081870/