Mindfulness

Improve Depression, Anxiety, and Stress Symptoms and Lower Rumination with Mindfulness

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Improve Depression, Anxiety, and Stress Symptoms and Lower Rumination with Mindfulness

 

By John M. de Castro, Ph.D.

 

“mindfulness-based practices have proved to be helpful in promoting mental well-being, especially by reducing the symptoms of depression and anxiety in various populations.” – Han Ding

 

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 mental and physical 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. There is a vast array of techniques for the development of mindfulness that include a variety of forms of meditation, yoga, mindful movements, contemplative prayer, and combinations of practices.

 

Mindfulness-Based Cognitive Therapy (MBCT)  was specifically developed to treat depression. MBCT involves mindfulness training, containing 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. Another therapeutic technique is Compassion Focused Therapy (CFT). “It seeks to help individuals develop compassion for self and others . . . and includes cultivating mindfulness and body awareness. . . . MBCT puts the primary focus on cultivating mindfulness whereas CFT puts it on cultivating compassion toward self and others.”

 

In today’s Research News article “Effects of Mindfulness Based Cognitive Therapy (MBCT) and Compassion Focused Therapy (CFT) on Symptom Change, Mindfulness, Self-Compassion, and Rumination in Clients With Depression, Anxiety, and Stress.” (See summary below or view the full text of the study at: https://www.frontiersin.org/articles/10.3389/fpsyg.2019.01099/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_999212_69_Psycho_20190528_arts_A), Frostadottir and colleagues recruited patients at a 4-week inpatient rehab clinic who were suffering from mild to moderate depression, anxiety, or stress symptoms. They were assigned to receive twice a week 2 hour sessions for 4 weeks of either Mindfulness-Based Cognitive Therapy (MBCT), Compassion Focused Therapy (CFT), or a wait-list control condition. They were measured before and after treatment and one month later for mindfulness, self-compassion, rumination, anxiety, depression, and stress.

 

They found that in comparison to baseline and the wait-list control group, the groups that received either Mindfulness-Based Cognitive Therapy (MBCT) or Compassion Focused Therapy (CFT) demonstrated significantly lower levels of rumination, anxiety, depression, and stress and significantly higher levels of mindfulness and self-compassion. These improvements were still present and significant at the 1-month follow-up. Those participants who were high in rumination had significantly higher posttreatment mindfulness for the MBCT group while CFT produced higher mindfulness regardless of rumination.

 

Since there wasn’t an active control group placebo effects and experimenter bias are possible alternative explanations for the changes. Other research however has routinely demonstrated that mindfulness training produces lower levels of anxiety, depression, stress symptoms, and rumination and higher levels of self-compassion and mindfulness. Hence, it is likely that the benefits seen in the present study were due to the interventions and not to artifact.

 

The results suggest that both Mindfulness-Based Cognitive Therapy (MBCT) and Compassion Focused Therapy (CFT) are beneficial for the mental health of patients with mild to moderate depression, anxiety, or stress symptoms. Since, both therapies train mindfulness and both successfully increased mindfulness, it would appear that mindfulness training in general is beneficial to patients with mild to moderate mental health issues. So, the present study adds to the large literature demonstrating the benefits of mindfulness for psychological health.

 

So, improve depression, anxiety, and stress symptoms and lower rumination with mindfulness.

 

“If you have unproductive worries. You might think ‘I’m late, I might lose my job if I don’t get there on time, and it will be a disaster!’ Mindfulness teaches you to recognize, ‘Oh, there’s that thought again. I’ve been here before. But it’s just that—a thought, and not a part of my core self,’” – Elizabeth Hoge

 

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

 

Frostadottir AD and Dorjee D (2019) Effects of Mindfulness Based Cognitive Therapy (MBCT) and Compassion Focused Therapy (CFT) on Symptom Change, Mindfulness, Self-Compassion, and Rumination in Clients With Depression, Anxiety, and Stress. Front. Psychol. 10:1099. doi: 10.3389/fpsyg.2019.01099

 

Objectives: Over the past decade there has been an increasing interest in exploring self-compassion as a related and complementary construct to mindfulness. Increases in self-compassion may predict clinical outcomes after MBCT and cultivation of compassion toward self and others is central to CFT. This pilot study compared the impact of MBCT applying implicit self-compassion instructions and CFT employing explicit self-compassion instructions on symptom change, mindfulness, self-compassion, and rumination.

Method: This non-randomized wait-list controlled study (N = 58) with two intervention arms (MBCT N = 20, CFT N = 18, Control N = 20) assessed the outcomes of clients with depression, anxiety, and stress symptoms from before to after the interventions and at one month follow up (MBCT N = 17, CFT N = 13, Control N = 13).

Results: Both treatments resulted in significant increases in mindfulness and self-compassion and decreases in rumination, depression, anxiety, and stress. Furthermore, MBCT enhanced mindfulness for people who were initially high in rumination, whereas CFT enhanced mindfulness across the board.

Conclusion: The findings suggest that both MBCT and CFT, and hence implicit or explicit self-compassion instructions, produce similar clinical outcomes with CFT enhancing mindfulness regardless of client’s rumination level.

https://www.frontiersin.org/articles/10.3389/fpsyg.2019.01099/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_999212_69_Psycho_20190528_arts_A

 

Sexual Arousal and Mindfulness are Linked in Complex Ways

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Sexual Arousal and Mindfulness are Linked in Complex Ways

 

By John M. de Castro, Ph.D.

 

“mindfulness meditation” training — which teaches how to bring one’s thoughts into the present moment — can quiet the mental chatter that prevents these women from fully feeling sexual stimuli.” – Gina Silverstein

 

Problems with sex are very common, but, with the exception of male erectile dysfunction, driven by the pharmaceutical industry, it is rarely discussed and there is little research. While research suggests that sexual dysfunction is common, it is a topic that many people are hesitant or embarrassed to discuss. Women suffer from sexual dysfunction more than men with 43% of women and 31% of men reporting some degree of difficulty. These problems have major impacts on people’s lives and deserve greater research attention.

 

Problems with sex with women can involve reduced sex drive, difficulty becoming aroused, vaginal dryness, lack of orgasm and decreased sexual satisfaction. Sexual function in women involves many different systems in the body, including physical, psychological and hormonal factors. So, although, female sexual dysfunction is often caused by physical/medical problems, it is also frequently due to psychological issues. This implies that it many cases female sexual problems may be treated with therapies that are effective in working with psychological problems.

 

Mindfulness trainings have been shown to improve a variety of psychological issues including emotion regulation, stress responses, trauma, fear and worry, anxiety, and depression, and self-esteem. Mindfulness training has also been found useful in treating sexual problems. But there is little empirical research. So, it makes sense to further investigate the relationship of mindfulness with female sexual arousal.

 

In today’s Research News article “Subjective and Oxytocinergic Responses to Mindfulness Are Associated With Subjective and Oxytocinergic Responses to Sexual Arousal.” (See summary below or view the full text of the study at: https://www.frontiersin.org/articles/10.3389/fpsyg.2019.01101/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_999212_69_Psycho_20190528_arts_A), Dickinson and colleagues recruited women between the ages of 20 to 35 for a study on sexuality and stress hormones and measured them for mindfulness. They watched landscape photographs and rated their liking of the photographs and then provided salivary samples to assess oxytocin and cortisol. Oxytocin levels are a marker of sexual arousal. They then listened to 1.5-minute stories that were either neutral or erotic and provided salivary samples. They also rated their sexual arousal after each story. They then performed a breath focused meditation for 15 minutes and provided a third salivary sample. After a 15-minute quiet period they provided a fourth sample.

 

They found that the higher the women scored on mindfulness, particularly the describing facet, the higher their levels of reported arousal in response to the erotic stories. They also found that oxytocin levels did not significantly increase in response to the erotic stories, decreased significantly in response to mindful breathing, and increased during recovery. They further found that women high in the mindfulness facet of non-judging internal experience and women who were quicker in detecting mind wandering during meditation had significantly greater decreases in oxytocin during meditation. In addition, women who were quick in detecting mind wandering and women who reported large increases in sexual arousal while listening to the erotic stories had greater decreases in oxytocin while meditating.

 

These are complex results. They suggest that in women mindfulness, subjective sexual arousal, and endocrine markers of sexual arousal are all linked in complex ways. They also suggest that women who are high in mindfulness are more sexually responsive to erotic stimuli. This may suggest that mindfulness training may be effective in increasing women’s ability to be sexually aroused. Future research should investigate whether mindfulness training may be an effective treatment for women who have difficulty with sexual arousal.

 

“among women who have sexual difficulties, mindfulness not only improves their desire but improves their overall sexual satisfaction, too.” – Tracy Clark-Flory

 

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

 

Dickenson JA, Alley J and Diamond LM (2019) Subjective and Oxytocinergic Responses to Mindfulness Are Associated With Subjective and Oxytocinergic Responses to Sexual Arousal. Front. Psychol. 10:1101. doi: 10.3389/fpsyg.2019.01101

 

Mindfulness – the ability to pay attention, on purpose, without judgment, and in the present moment – has consistently been shown to enhance women’s sexual arousal. As a first step toward understanding potential neuroendocrine underpinnings of mindfulness and sexual arousal, we examined whether individual differences in subjective and neuroendocrine (i.e., oxytocin) responses to mindful breathing were associated with individual differences in subjective and neuroendocrine responses to sexual arousal. To achieve this aim, 61 lesbian, bisexual, and heterosexual women completed a questionnaire assessing dispositional mindfulness, underwent an arousal task while continuously rating their sexual arousal and a mindful breathing task, after which participants reported on their ability to detect attentional shifts, and provided salivary samples after each assessment. Results indicated that women who were quicker to detect attentional shifts and women who reported greater sexual arousability reported larger changes (decreases) in oxytocin in response to mindful breathing and were the only women to report increases in oxytocin in response to the sexual arousal induction. Results further indicated that individuals who report greater subjective responsiveness to mindfulness and sexual arousal appear to have an oxytocinergic system that is also more responsive to both arousal and to mindfulness. These results make a significant contribution to our understanding of the role of attentional processes in sexual arousal, and warrant future examination of oxytocin as a potential neuroendocrine mechanism underlying the link between mindfulness and sexual arousal.

https://www.frontiersin.org/articles/10.3389/fpsyg.2019.01101/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_999212_69_Psycho_20190528_arts_A

 

Improve Attention Deficit Hyperactivity Disorder (ADHD) in Adults with Mindfulness

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Improve Attention Deficit Hyperactivity Disorder (ADHD) in Adults with Mindfulness

 

By John M. de Castro, Ph.D.

 

“Mindful awareness isn’t about staying with the breath, but about returning to the breath. That’s what enhances your ability to focus. And this emphasis on re-shifting your attention, of outwitting the mind’s natural tendency to wander, is what makes this technique especially helpful to someone who has ADHD.” – Carl Sherman

 

Attention Deficit Hyperactivity Disorder (ADHD) is most commonly found in children, but for about half it persists into adulthood. It’s estimated that about 5% of the adult population has ADHD. Hence, this is a very large problem that can produce inattention, impulsivity, hyperactivity, and emotional issues, and reduce quality of life. The most common treatment is drugs, like methylphenidate, Ritalin, which helps reducing symptoms in about 30% of the people with ADHD. Unfortunately, the effectiveness of the drugs appears to be markedly reduced after the first year. In addition, the drugs often have troublesome side effects, can be addictive, and can readily be abused. So, drugs, at present, do not appear to be a good solution, only affecting some, only for a short time, and with unwanted side effects.

 

There are indications that mindfulness training may be an effective treatment for ADHD. It makes sense that it should be, as the skills and abilities strengthened by mindfulness training are identical to those that are defective in ADHD,  attention, impulse control, executive function, emotion control, and mood improvement. In addition, unlike drugs, it is a relatively safe intervention that has minimal troublesome side effects. Since mindfulness is so promising as a treatment, it is important to step back and summarize what has been learned in the scientific research of the effectiveness of mindfulness training for ADHD. Most of the research has been with children. But ADHD often persists into adulthood. So, it is important to take a look at the published research on the effectiveness of mindfulness training for ADHD in adults.

 

In today’s Research News article “Behavioral and Cognitive Impacts of Mindfulness-Based Interventions on Adults with Attention-Deficit Hyperactivity Disorder: A Systematic Review.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6476147/), Poissant and colleagues review and summarize the published research studies on the effectiveness of Mindfulness based interventions on the symptoms of ADHD in adults.

 

They found 13 published studies with a total of 753 participants. All 13 studies reported significant improvements in Attention Deficit Hyperactivity Disorder (ADHD) symptoms following mindfulness training and the improvements were maintained six months after the end of training. The participants had significant improvements in higher level thinking (cognitive function) and emotion regulation.

 

They also report that the quality of the research designs used were fairly weak and hence caution must be exercised in reaching definitive conclusions. Better controlled research studies are needed. Nevertheless the published research studies consistently found that mindfulness-based interventions produced improvements in the symptoms of adults with Attention Deficit Hyperactivity Disorder (ADHD).

 

So, improve attention deficit hyperactivity disorder (ADHD) in adults with mindfulness.

 

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

 

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

 

Poissant, H., Mendrek, A., Talbot, N., Khoury, B., & Nolan, J. (2019). Behavioral and Cognitive Impacts of Mindfulness-Based Interventions on Adults with Attention-Deficit Hyperactivity Disorder: A Systematic Review. Behavioural neurology, 2019, 5682050. doi:10.1155/2019/5682050

 

Abstract

Mindfulness-based interventions (MBIs) are becoming increasingly popular as treatments for physical and psychological problems. Recently, several studies have suggested that MBIs may also be effective in reducing symptoms of attention-deficit hyperactivity disorder (ADHD). Most studies have examined the effectiveness in children, but there are now a sufficient number of individual treatment trials to consider a systematic review in adults. Majority of existing systematic reviews and meta-analyses only consider ADHD symptoms as an outcome, and most of them do not fully report potential biases of included studies, thus limiting considerably their conclusions. This is an important facet because some studies could be found ineligible to be included in future analysis due to their low quality. In this systematic review, we followed the PRISMA/PICO criteria and we thoroughly assessed the risks of bias for each of the selected studies according to Cochrane guidelines. We searched the available literature concerning MBIs in adult participants with ADHD using PsycINFO, PubMed, Scopus, and ERIC databases. In total, 13 studies conducted with 753 adults (mean age of 35.1 years) were identified as eligible. Potential moderators such as participants’ age, ADHD subtypes, medication status, comorbidity, intervention length, mindfulness techniques, homework amount, and training of therapists were carefully described. Aside from measuring the symptoms of ADHD, outcome measures were categorized into executive/cognitive functioning, emotional disturbances, quality of life, mindfulness, and grade point average at school. According to presented descriptive results, all the studies (100%) showed improvement of ADHD symptoms. In addition, mindfulness meditation training improves some aspects of executive function and emotion dysregulation. Although these are promising findings to support treatment efficacy of MBIs for ADHD, various biases such as absence of randomization and lack of a control group may affect the actual clinical value and implications of the studies. Moreover, the relatively low quality of selection and performance criteria in several studies, as well as relatively high attrition bias across studies, call for caution before considering conducting further analysis.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6476147/

 

Improve Mindfulness by Interacting with Trustworthy People

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Improve Mindfulness by Interacting with Trustworthy People

 

By John M. de Castro, Ph.D.

 

“When deciding in whom to place trust, trust the guilt-prone.” – Emma Levine

 

It is well established that engaging in contemplative practices such as meditation, yoga, and Tai Chi produces increased mindfulness. But the level of mindfulness varies among people who do not engage in contemplative practice; some being high in mindfulness, while others are very low. So, there must be other factors that contribute to the level of mindfulness. To some extent inheritance (the genes) affects an individual’s mindfulness. But what transpires in the environment during an individual’s life may also be important.

 

Being able to trust other people may be important in developing mindfulness. In today’s Research News article “Does interacting with trustworthy people enhance mindfulness? An experience sampling study of mindfulness in everyday situations.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6485709/), Kudesia and Reina examine the relationships of interacting with trustworthy people with mindfulness. They recruited undergraduate students and had them complete measures of mindful attention and mindful metacognition (noticing their thoughts and feelings about experiences).

 

For 8 days the participants engaged in experience sampling where they received “prompts for experience sampling three times a day (9:30 AM, 2:30 PM, 7:30 PM) over their phone.” They rated their mindfulness and indicated if over the time since the last prompt whether they interacted with someone they deemed a leader or a teammate and if so to describe the interaction, rate the trustworthiness of the leader or teammate, and rate their satisfaction with the interaction. “Common interactions with leaders entailed managers, executives, and recruiters in the workplace, coaches of sports teams, and professors, academic advisors, and residence hall advisors in the university. Common interactions with teammates entailed fellow members of workplace teams, volunteer organizations, sports teams, and class project teams.”

 

They found that the students cooperated for the most part, responding to 75% of the prompts. They separately analyzed responses on what they called a particularized pathway where the particular interactions reported to the prompts were associated with the mindfulness at that same time. There were no significant relationships between trustworthiness and mindfulness for this pathway for either leaders or teammates. They also analyzed responses on what they called a generalized pathway where the average trustworthiness over all interactions were associated with the average overall mindfulness. This produced significant positive relationships between trustworthiness and mindful attention and mindful metacognition for both interactions with leaders and with teammates.

 

The results indicate that overall, in general, when mindfulness is high so is the trustworthiness of both leaders and teammates. These are correlative relationships so it cannot be determined causation. Being mindful of experiences may make one feel that the other person is more trustworthy. That is being cognizant of what’s transpiring in the present moment may focus attention on the other person making them seem more trustworthy. Conversely, being with a trustworthy individual may relax the individual so they become more focused on the present moment (mindful). Finding someone else untrustworthy may help to shift thinking to the future consequences of that untrustworthiness or to ruminating about past occurrences that elicited the feelings of untrustworthiness. This would reduce mindfulness.

 

So, improve mindfulness by interacting with trustworthy people.

 

“He who does not trust enough will not be trusted.” — Lao Tzu

 

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

 

Kudesia, R. S., & Reina, C. S. (2019). Does interacting with trustworthy people enhance mindfulness? An experience sampling study of mindfulness in everyday situations. PloS one, 14(4), e0215810. doi:10.1371/journal.pone.0215810

 

Abstract

Mindfulness is known to increase after meditation interventions. But might features of our everyday situations outside of meditation not also influence our mindfulness from moment-to-moment? Drawing from psychological research on interpersonal trust, we suggest that interacting with trustworthy people could influence the expression of mindfulness. And, extending this research on trust, we further suggest that the influence of trustworthy social interactions on mindfulness could proceed through two pathways: a particularized pathway (where specific interactions that are especially high (or low) in trustworthiness have an immediate influence on mindfulness) or a generalized pathway (where the typical level of trustworthiness a person perceives across all their interactions exerts a more stable influence on their mindfulness). To explore these two pathways, study participants (N = 201) repeatedly reported their current levels of mindfulness and their prior interactions with trustworthy leaders and teammates during their everyday situations using an experience sampling protocol (n¯ = 3,605 reports). Results from mixed-effects models provide little support for the particularized pathway: specific interactions with trustworthy leaders and teammates had little immediate association with mindfulness. The generalized pathway, however, was strongly associated with mindfulness—and remained incrementally predictive beyond relevant individual differences and features of situations. In sum, people who typically interact with more trustworthy partners may become more mindful.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6485709/

 

Improve Empathy with Mindfulness

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Improve Empathy with Mindfulness

 

By John M. de Castro, Ph.D.

 

“As we practice mindfulness we learn to be with our own emotions and difficulties, which makes us become more able to deal with others.  We can better empathize, but through the cultivation of kindness and compassion we are able to take care of ourselves and continue to help others.” – Gail Davies

 

Humans are social animals. This is a great asset for the species as the effort of the individual is amplified by cooperation. In primitive times, this cooperation was essential for survival. But in modern times it is also essential, not for survival but rather for making a living and for the happiness of the individual. This ability to cooperate is so essential to human flourishing that it is built deep into our DNA and is reflected in the structure of the human nervous system. Empathy and compassion are essential for appropriate social engagement and cooperation. In order for these abilities to emerge and strengthen, individuals must be able to see that other people are very much like themselves.

 

Mindfulness has been found to increase prosocial behaviors such as altruism, compassion and empathy. It is not known how mindfulness practice might do this. Mindfulness is actually a complex concept. There are thought to be five distinct facets of mindfulness; describing, observing, acting with awareness, non-judgement, and non-reactivity. It is not known which of these facets of mindfulness are important for the development of empathy.

 

In today’s Research News article “Mediating effect of mindfulness cognition on the development of empathy in a university context.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6472790/), De la Fuente-Anuncibay and colleagues recruited undergraduate students and separated them into students who had and had not previously practiced mindfulness. They were asked to complete measures of empathy and the five facets of mindfulness; describing, observing, acting with awareness, non-judgement, and non-reactivity.

 

They found that the students who practiced mindfulness were higher in their levels of empathy. They further found that mindfulness practice was related to higher levels of empathy directly and also indirectly, such that mindfulness practice was related to the five facets of mindfulness which were in turn related to higher levels of empathy. Further tests of structural models revealed that the mindfulness facets that were mediating the relationship of mindfulness practice with empathy were, observing, describing, and non-reactivity to inner experience.

 

These findings are correlational and so causation cannot be directly determined. But prior research has established that mindfulness practice is a causal factor in improving empathy. So, it is likely that the current results were due to causal connections. This suggests that mindfulness practice increases the individual’s ability to observe and describe present moment experience but not react to it and this improves empathy.

 

Empathy involves the ability to understand and share the feelings of another. The results then suggest that being aware of what is transpiring in the moment but observing it dispassionately may be a key to empathy; seeing others plight without reacting overly emotionally may underlie the development of true empathy. By not reacting and being overwhelmed by one’s own emotions the individual may be better able to share the feelings of the other.

 

So, improve empathy with mindfulness.

 

“Learning to communicate with empathy can go a long way toward building more positivity in your relationships and reducing your stress. If we all focused more on listening and understanding each other, the world would be a lot less stressful—and a lot happier—place to live.” – Arthur P. Ciaramicoli 

 

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 la Fuente-Anuncibay, R., González-Barbadillo, Á., González-Bernal, J., Cubo, E., & PizarroRuiz, J. P. (2019). Mediating effect of mindfulness cognition on the development of empathy in a university context. PloS one, 14(4), e0215569. doi:10.1371/journal.pone.0215569

 

Abstract

Numerous interventions propose mindfulness training as a means of improving empathy. Our aim is to analyse the relationship between mindfulness practice and empathy through the mediating process of trait mindfulness. This sample comprised 264 undergraduate students (x¯=24,13years, SD = 11,39). The instruments used were Five Facet Mindfulness Questionnaire and Toronto Empathy Questionnaire. The indirect effect was calculated using 10.000 bootstrap samples for the bootstrap confidence intervals corrected for bias. Empathy improvement is mediated by changes in the cognitions derived from mindfulness (B = .346, p<.01). The direct effect of mindfulness practice on empathy disappears in presence of this mediator (B = .133, p>.05). Mindfulness interventions that aim to improve empathy should focus on three of its components; observing, describing and nonreactivity to inner experience. Given the significance of the results, the research must be extended to larger samples.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6472790/

 

Produce Long-Term Improvements in Depression and Insulin Resistance in Adolescents with Mindfulness

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Produce Long-Term Improvements in Depression and Insulin Resistance in Adolescents with Mindfulness

 

By John M. de Castro, Ph.D.

 

“So like with so many topics related to type 2 diabetes, insulin resistance can be avoided, and reversed, through living healthfully and mindfully.” – Defeat Diabetes Foundation

 

Diabetes is a major health issue. It is estimated that 30 million people in the United States and nearly 600 million people worldwide have diabetes and the numbers are growing. Type II Diabetes results from a resistance of tissues, especially fat tissues, to the ability of insulin to promote the uptake of glucose from the blood. As a result, blood sugar levels rise producing hyperglycemia. Diabetes is heavily associated with other diseases such as cardiovascular disease, heart attacks, stroke, blindness, kidney disease, and circulatory problems leading to amputations. As a result, diabetes doubles the risk of death of any cause compared to individuals of the same age without diabetes.

 

Type 2 diabetes is a common and increasingly prevalent illness that is largely preventable. One of the reasons for the increasing incidence of Type 2 Diabetes is its association with overweight and obesity which is becoming epidemic in the industrialized world. A leading cause of this is a sedentary life style. Unlike Type I Diabetes, Type II does not require insulin injections. Instead, the treatment and prevention of Type 2 Diabetes focuses on diet, exercise, and weight control. Recently, mindfulness practices have been shown to be helpful in managing diabetes. This suggests that mindfulness training may be able to reduce insulin resistance in adolescents at risk for Type II diabetes.

 

In today’s Research News article “One-Year Follow-Up of a Randomized Controlled Trial Piloting a Mindfulness-Based Group Intervention for Adolescent Insulin Resistance.” (See summary below or view the full text of the study at: https://www.frontiersin.org/articles/10.3389/fpsyg.2019.01040/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_990182_69_Psycho_20190516_arts_A), Shomaker and colleagues recruited overweight and obese adolescent girls (12-17 years of age) with a family history of Type II Diabetes. They were randomly assigned to receive a 6-week program of either a mindfulness-based intervention (MBI) or a cognitive behavioral therapy (CBT) depression prevention. They were measured before and after the interventions and 1-year later for mindfulness, insulin resistance, depression, body size, and body fat.

 

They found that 1 year after the interventions only the mindfulness group had significant improvement in insulin resistance. Although both groups had significant decreases in depression, the mindfulness group had significantly greater decreases than the CBT group. These findings are consistent with prior findings by this research group. But these results demonstrate that the effectiveness of mindfulness training is lasting. This suggests that mindfulness training should be recommended for adolescent girls who are overweight and obese and with a family history of Type II Diabetes. This may prevent the onset of type II diabetes in this at-risk group.

 

So, produce long-term improvements in depression and insulin resistance in adolescents with mindfulness.

 

“Research shows that meditation actually helps the body regulate blood sugar by using insulin more efficiently. The stress hormone cortisol is a major contributor to insulin resistance, and meditation leads to lower cortisol levels, which in turn allows insulin to do its job properly.” – Avi Craimer

 

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

 

Shomaker LB, Pivarunas B, Annameier SK, Gulley L, Quaglia J, Brown KW, Broderick P and Bell C (2019) One-Year Follow-Up of a Randomized Controlled Trial Piloting a Mindfulness-Based Group Intervention for Adolescent Insulin Resistance. Front. Psychol. 10:1040. doi: 10.3389/fpsyg.2019.01040

 

Introduction: To explore if a brief mindfulness-based intervention (MBI) leads to sustained, improved clinical outcomes in adolescents at-risk for type 2 diabetes (T2D).

Methods: Participants were 12–17y girls with overweight/obesity, elevated depression symptoms, and T2D family history participating in a randomized, controlled pilot trial of a six-session MBI vs. cognitive-behavioral therapy (CBT) group. At baseline and 1-year, mindfulness, depression, insulin resistance (IR), and body composition were assessed with validated instruments.

Results: One-year retention was 71% (n = 12) in MBI; 81% (n = 13) in CBT. At 1-year, depression decreased (Cohen’s d = 0.68) and IR decreased (d = 0.73) in adolescents randomized to MBI compared to those in CBT. There were no significant between-condition differences in mindfulness, adiposity, or BMI.

Discussion: One-year outcomes from this randomized, controlled pilot trial suggest that brief MBI may reduce depression and IR in at-risk adolescents. Replication and exploration of mechanisms within the context of a larger clinical trial are necessary.

https://www.frontiersin.org/articles/10.3389/fpsyg.2019.01040/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_990182_69_Psycho_20190516_arts_A

 

Improve the Mental Health on Intensive Care Nurses with Mindfulness

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Improve the Mental Health on Intensive Care Nurses with Mindfulness

 

By John M. de Castro, Ph.D.

 

“Nurses are particularly vulnerable to stress and burnout, with little time in their schedule to commit to self-care or intensive stress reduction programs” . . . on-the-job mindfulness-based intervention is viable for this nursing population. In addition to reductions in stress and burnout, participants also reported improved job satisfaction and self-compassion.” Mindful USC

 

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. This is particularly acute in intensive care. 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. 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 in medical professionals in high stress areas.

 

In today’s Research News article “Moderating Effect of Mindfulness on the Relationships Between Perceived Stress and Mental Health Outcomes Among Chinese Intensive Care Nurses.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6482227/), Lu and colleagues recruited intensive care nurses and had them complete measures of burnout, mindfulness, anxiety, depression, perceived stress, and subjective well-being. The measure of subjective well-being is a composite that includes a high level of satisfaction with life, more positive emotions, and fewer negative emotions.

 

They found that the higher the nurses’ levels of mindfulness the better the nurses’ mental health including lower levels of anxiety, depression, perceived stress, negative emotions and burnout and higher levels of subjective well-being, life satisfaction and positive emotions. They also found that the greater the levels of perceived stress the worse the nurses’ mental health including greater levels of burnout, negative emotions, anxiety, and depression, and lower levels of mindfulness, satisfaction with life, positive emotions, and life satisfaction. In addition, they found that mindfulness moderated the negative effects of perceived stress such that when mindfulness was high, perceived stress had a smaller relationship with emotional exhaustion, depression, anxiety, and negative affect and a larger relationship with positive affect.

 

In interpreting these results, it needs to be recognized that the study was correlational and as such causation cannot be determined. But previous research has already established that mindfulness produces reductions in burnout, anxiety, depression, perceived stress, and negative emotions and produces increases in life satisfaction, positive emotions, and subjective well-being. So, it is reasonable to conclude that the present findings were due to the causal effects of mindfulness. But the present findings add to this knowledge by showing that mindfulness not only directly improves the psychological state of the nurses but also acts to reduce the negative impact of stress.

 

These effects of mindfulness are important as burnout in high stress occupations like nursing is all too common. The results suggest that mindfulness training should be routinely administered to intensive care nurses to improve their well-being and mental health and reduce the likelihood that they will experience burnout.

 

So, improve the mental health on intensive care nurses with mindfulness.

 

Learning mindfulness also helped the ICU personnel to “become aware of what their individual stress response is” and to “practice flexibility in cultivating alternative ways” of dealing with chronic stress.” – Marianna Klatt

 

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

 

Lu, F., Xu, Y., Yu, Y., Peng, L., Wu, T., Wang, T., … Li, M. (2019). Moderating Effect of Mindfulness on the Relationships Between Perceived Stress and Mental Health Outcomes Among Chinese Intensive Care Nurses. Frontiers in psychiatry, 10, 260. doi:10.3389/fpsyt.2019.00260

 

Abstract

This study aimed to explore the potential moderating effect of mindfulness and its facets on the relationships among perceived stress and mental health outcomes (burnout, depression, anxiety, and subjective well-being) among Chinese intensive care nurses. A total of 500 Chinese intensive care nurses completed self-report measures of mindfulness, burnout syndromes, perceived stress, depression, anxiety, and subjective well-being. Correlation and hierarchical multiple regressions were applied for data analysis. Mindfulness moderated the effects of perceived stress on emotional exhaustion (the core component of burnout syndrome), depression, anxiety, positive affect, and negative affect but not on the other two dimensions of burnout and life satisfaction. Further analyses indicated that the ability to act with awareness was particularly crucial in improving the effects of perceived stress on depression. These results further broaden our understanding of the relationships between perceived stress and burnout, depression, anxiety, and subjective well-being by demonstrating that mindfulness may serve as a protective factor that alleviates or eliminates the negative effects of perceived stress on depression, anxiety, burnout syndrome, and subjective well-being and may instigate further research into targeted mindfulness interventions for Chinese intensive care nurses.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6482227/

 

Improve Mental Well-Being with Mindfulness

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Improve Mental Well-Being with Mindfulness

 

By John M. de Castro, Ph.D.

 

“engaging in mindfulness meditation cultivates our ability to both focus and broaden our attention, which is a practical way to elicit psychological well-being.” Jennifer Wolkin

 

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 mental and physical 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.

 

There is a vast array of techniques for the development of mindfulness. They include a variety of forms of meditation, yoga, mindful movements, contemplative prayer, and combinations of practices. Some are recommended to be practiced for years while others are employed for only a few weeks. Regardless of the technique, they all appear to develop and increase mindfulness. One particularly effective mindfulness training program is Mindfulness-Based Stress Reduction (MBSR). The MBSR program consists of 8 weekly group sessions involving meditation, yoga, body scan, and discussion. The patients are also encouraged to perform daily practice. It is unclear, however, exactly how the state of mindfulness of the participants at the beginning of training affect the effects of the MBSR program.

 

In today’s Research News article “The many facets of mindfulness and the prediction of change following mindfulness-based stress reduction (MBSR)” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5815955/), Gawrysiak and colleagues recruited participants in an 8-week, one 2.5-hour session per week of Mindfulness-Based Stress Reduction (MBSR) program. They were measured before and after treatments for perceived stress, positive and negative emotions, mindfulness, and decentering.

 

They found that in comparison to baseline, after the MBSR program there were large significant improvements in all measures including increases in mindfulness, positive emotions, and decentering and decreases in negative emotions, and perceived stress. They then examined the relationship of the levels of mindfulness facets at baseline and the changes in emotions and stress produced by the MBSR program. They found that in general, participants with high levels of mindfulness facets of awareness, acceptance, and decentering had significantly greater increases in positive emotions and decreases in negative emotions. On the other hand, participants with low levels of acceptance, and decentering had significantly greater decreases in stress, negative emotions.

 

These results clearly demonstrate that participating in an MBSR program produces improved mindfulness, emotional health, and stress reduction. These are in line with a number of previous findings that mindfulness training improves emotions and perceived stress levels. But, the results regarding baseline mindfulness facets on emotions and stress are complex and a bit counterintuitive. They suggest that participants who are already high in awareness, acceptance, and decentering benefited the most in regards to their emotions from the MBSR program. While, those low in acceptance, and decentering benefited the most in regards to their perceived stress levels. More research is needed to better understand these complex relationships.

 

So, improve mental well-being with mindfulness.

 

“The practice of mindfulness is an effective means of enhancing and maintaining optimal mental health and overall well-being, and can be implemented in every aspect of daily living.” – Rezvan Ameli

 

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

 

Gawrysiak, M. J., Grassetti, S. N., Greeson, J. M., Shorey, R. C., Pohlig, R., & Baime, M. J. (2017). The many facets of mindfulness and the prediction of change following mindfulness-based stress reduction (MBSR). Journal of clinical psychology, 74(4), 523–535. doi:10.1002/jclp.22521

 

Abstract

Objectives

Mindfulness-Based Stress Reduction (MBSR) promotes numerous psychological benefits, but few studies have identified for whom MBSR is most effective. The current study tested the hypothesis that lower baseline mindfulness invites more “room to grow” and, thus, predicts greater improvement during MBSR.

Design

We examined three facets of mindfulness (awareness, acceptance, decentering), among 131 MBSR participants prior to enrollment, to test the hypothesis that lower baseline mindfulness predicts greater improvements in perceived stress, positive affect (PA), and negative affect (NA) following MBSR.

Results

Lower acceptance and decentering predicted greater decreases in perceived stress. Higher awareness, acceptance, and decentering predicted greater increases in PA. Higher awareness predicted greater reductions in NA. Lower decentering predicted greater reductions in NA.

Conclusions

Findings partly supported the hypothesis that lower baseline mindfulness predicts greater improvement following MBSR and emphasize the importance of assessing multiple mindfulness facets given their unique, contrasting relations to outcomes.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5815955/

 

Improve Mental Health and Well-Being of College Students with Mindfulness

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Improve Mental Health and Well-Being of College Students with Mindfulness

 

By John M. de Castro, Ph.D.

 

“Student life can be stressful, but that doesn’t mean students have to let stress take over their lives. By incorporating mindfulness and meditation into daily routines, students can not only relieve the pressure, but also improve their memory, focus and ultimately their grades.” – Todd Braver

 

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 be admitted to the best universities and there is a lot of pressure on university 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. Contemplative practices including meditation, mindfulness training, and yoga practice have been shown to reduce the psychological and physiological responses to stress. Indeed, these practices have been found to reduce stress and improve psychological health in college students. So, it would seem important to examine various techniques to relieve the stress and its consequent symptoms in college students.

 

In today’s Research News article “The Effects of Meditation, Yoga, and Mindfulness on Depression, Anxiety, and Stress in Tertiary Education Students: A Meta-Analysis.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6491852/), Breedvelt and colleagues review, summarize, and perform a meta-analysis of the published randomized controlled trials of the effectiveness of mindfulness practices for the mental health and well-being of college students. They identified 23 published studies employing a total of 1373 students.

 

They found that the published research reported that in comparison to baseline and no-treatment or wait-list control conditions mindfulness practices including meditation, mindfulness, and yoga practice produced significant reductions in anxiety, depression, and perceived stress. The effects were still present as much as 24 months later. They did not find any significant differences in the effectiveness of the various practices. These effects were most evident when mindfulness practices were compared to no-treatment or wait-list control conditions. When compared to active controls (drugs, exercise, Cognitive Behavioral Therapy) the effects were much smaller and non-significant.

 

The results suggest that there are many practices including mindfulness, exercise, or other therapies that are effective in improving the mental health of college students. Mindfulness practices are safe and effective treatments but so are other treatments. It would appear that it doesn’t matter so much what treatment is employed, but that some treatment occurs.

 

So, improve mental health and well-being of college students with mindfulness.

 

“a mindfulness intervention can help reduce distress levels in college students during a stressful exam week, as well as increase altruistic action in the form of donating to charity.” – J. Galante–

 

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

 

Breedvelt, J., Amanvermez, Y., Harrer, M., Karyotaki, E., Gilbody, S., Bockting, C., … Ebert, D. D. (2019). The Effects of Meditation, Yoga, and Mindfulness on Depression, Anxiety, and Stress in Tertiary Education Students: A Meta-Analysis. Frontiers in Psychiatry, 10, 193. doi:10.3389/fpsyt.2019.00193

 

Abstract

Background: Meditation, yoga, and mindfulness are popular interventions at universities and tertiary education institutes to improve mental health. However, the effects on depression, anxiety, and stress are unclear. This study assessed the effectiveness of meditation, yoga, and mindfulness on symptoms of depression, anxiety, and stress in tertiary education students.

Methods: We searched Cochrane Central Register of Controlled Trials (CENTRAL), PubMed, PsycINFO and identified 11,936 articles. After retrieving 181 papers for full-text screening, 24 randomized controlled trials were included in the qualitative analysis. We conducted a random-effects meta-analysis amongst 23 studies with 1,373 participants.

Results: At post-test, after exclusion of outliers, effect sizes for depression, g = 0.42 (95% CI: 0.16–0.69), anxiety g = 0.46 (95% CI: 0.34–0.59), stress g = 0.42 (95% CI: 0.27–0.57) were moderate. Heterogeneity was low (I2 = 6%). When compared to active control, the effect decreased to g = 0.13 (95% CI: −0.18–0.43). No RCT reported on safety, only two studies reported on academic achievement, most studies had a high risk of bias.

Conclusions: Most studies were of poor quality and results should be interpreted with caution. Overall moderate effects were found which decreased substantially when interventions were compared to active control. It is unclear whether meditation, yoga or mindfulness affect academic achievement or affect have any negative side effects.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6491852/

 

Improve Major Mental Illnesses with Mindfulness and Yoga

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Improve Major Mental Illnesses with Mindfulness and Yoga

 

By John M. de Castro, Ph.D.

 

“for many patients dealing with depression, anxiety, or stress, yoga may be a very appealing way to better manage symptoms. Indeed, the scientific study of yoga demonstrates that mental and physical health are not just closely allied, but are essentially equivalent. The evidence is growing that yoga practice is a relatively low-risk, high-yield approach to improving overall health.” – Harvard Health

 

There are vast numbers of people who suffer with mental illnesses. In the United states it has been estimated that in any given year 1 in 5 people will experience a mental illness. Many are treated with drugs. But drug treatment can produce unwanted side effects, don’t work for many patients, and often can lose effectiveness over time. Mindfulness practices provide a safe alternative treatment. They have been found to be helpful with coping with these illnesses and in many cases reducing the symptoms of the diseases. Hence, it appears that mindfulness practices are safe and effective treatments for a variety of psychiatric conditions including anxiety, depression, psychoses, addictions, etc..

 

Yoga practice is a mindfulness practice that includes beneficial exercise. There is accumulating research that mindfulness and yoga practices may be beneficial for patients with major mental illnesses. Hence it makes sense to step back and summarize what has been learned regarding the effectiveness of yoga practice for major mental illnesses.

 

In today’s Research News article “Role of Yoga and Mindfulness in Severe Mental Illnesses: A Narrative Review.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6329226/), Sathyanarayanan and colleagues reviewed and summarized published research studies of the effects of mindfulness and yoga practices for the treatment of major mental illnesses including schizophrenia, psychosis, major depression, and bipolar disorder. They identified 49 published studies.

 

They report that the research finds that yoga practice is effective in improving the symptoms of schizophrenia including reducing emotional and social withdrawal, and improving flat emotions, rapport, spontaneity, and cognitive functions, including attention and cognitive flexibility. There were also significant improvements in social and occupational functioning, quality of life, achieving functional remission, subjective well-being, personal hygiene, life skills, interpersonal activities, and communication. Mindfulness-Based treatments were also effective in improving the symptoms of schizophrenia including stress, anxiety, depression, obsession, anger, impulsivity, lack of concentration, agoraphobic symptoms, awareness of the psychotic experiences and helps individuals to articulate their distress.

 

Yoga and mindfulness practices have been shown to significantly improve bipolar disorder including improvements in cognitive, emotional, and physical domains. Yoga and mindfulness practices have also been shown to improve the symptoms of major depressive disorder, including significant reductions in depression and anxiety and increases in activation. They have also been shown to reduce depression in Post-Traumatic Stress Disorder (PTSD).

 

In most of the reviewed studies the patients continued drug treatments and yoga and mindfulness trainings were provided in addition to the drug treatments. This suggests that both yoga and mindfulness practices are safe and effective adjunctive treatment for major mental illnesses. This is particularly significant as these illnesses are particularly difficult to treat. Hence, the additional benefits of yoga and mindfulness practices are very important and welcome in the treatment of these debilitating conditions.

 

So, improve major mental illnesses with mindfulness and yoga.

 

“Yoga is incredible in terms of stress management. It brings a person back to homeostasis [or equilibrium]. For people who have anxieties of many kinds, yoga helps lower their basic physiological arousal level.” – Eleanor Criswell

 

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

 

Sathyanarayanan, G., Vengadavaradan, A., & Bharadwaj, B. (2019). Role of Yoga and Mindfulness in Severe Mental Illnesses: A Narrative Review. International journal of yoga, 12(1), 3–28. doi:10.4103/ijoy.IJOY_65_17

 

Abstract

Background:

Yoga has its origin from the ancient times. It is an integration of mind, body, and soul. Besides, mindfulness emphasizes focused awareness and accepting the internal experiences without being judgemental. These techniques offer a trending new dimension of treatment in various psychiatric disorders.

Aims:

We aimed to review the studies on the efficacy of yoga and mindfulness as a treatment modality in severe mental illnesses (SMIs). SMI includes schizophrenia, major depressive disorder (MDD), and bipolar disorder (BD).

Methods:

We conducted a literature search using PubMed, Google Scholar, and Cochrane Library with the search terms “yoga,” “meditation,” “breathing exercises,” “mindfulness,” “schizophrenia spectrum and other psychotic disorders,” “depressive disorder,” and “bipolar disorder” for the last 10-year period. We also included relevant articles from the cross-references.

Results:

We found that asanas and pranayama are the most commonly studied forms of yoga for schizophrenia. These studies found a reduction in general psychopathology ratings and an improvement in cognition and functioning. Some studies also found modest benefits in negative and positive symptoms. Mindfulness has not been extensively tried, but the available evidence has shown benefits in improving psychotic symptoms, improving level of functioning, and affect regulation. In MDD, both yoga and mindfulness have demonstrated significant benefit in reducing the severity of depressive symptoms. There is very sparse data with respect to BD.

Conclusion:

Both yoga and mindfulness interventions appear to be useful as an adjunct in the treatment of SMI. Studies have shown improvement in the psychopathology, anxiety, cognition, and functioning of patients with schizophrenia. Similarly, both the techniques have been established as an effective adjuvant in MDD. However, more rigorously designed and larger trials may be necessary, specifically for BD.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6329226/