Mindfulness

Reduce Paranoia with Mindfulness

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Reduce Paranoia with Mindfulness

 

By John M. de Castro, Ph.D.

 

“people who receive Mindfulness Based Cognitive Therapy (MBCT) are taught how to detach from their feelings of paranoia and social discomfort and to recognize that the feelings are simply feelings, and are not reality.” – Jen Wilson

 

Paranoia is a tendency to have delusions of persecution, jealousy, and extreme self-indulgence and believe them to be true. It is estimated that around one in five people worldwide has paranoid thoughts and about one in twenty has severe paranoia. The severe forms are expressed in psychopathological conditions of Paranoid Personality Disorder and Paranoid Schizophrenia. Paranoid thought patterns are stubborn and difficult to treat. They do not respond well to psychotherapy. Hence there is a need to find alternative methods to treat paranoia.

 

Mindfulness training has been shown through extensive research to be effective in improving the physical and psychological condition of otherwise healthy people and also treating the physical and psychological issues of people with illnesses. Techniques such as Mindfulness-Based Stress Reduction (MBSR) and Mindfulness-Based Cognitive Therapy (MBCT) as well as Yoga practice and Tai Chi or Qigong practice have been demonstrated to be particularly effective. This has led to an increasing adoption of these mindfulness techniques for the health and well-being of both healthy and ill individuals. The effectiveness of mindfulness training for paranoia, however, is not known.

 

In today’s Research News article “A Randomised Controlled Trial of a Brief Online Mindfulness-Based Intervention on Paranoia in a Non-Clinical Sample.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5770499/ ), Shore and colleagues examined the effectiveness of mindfulness training for reducing paranoia in normally functioning individuals. They recruited normal healthy participants from a university and through social media (mean age 32 years, predominantly >90% female) and randomly assigned them to a mindfulness or wait-list control condition. Mindfulness instruction was conducted on-line with a 10-minute guided meditation, daily, for two weeks. Participants were measured before and after training and one week later for mindfulness and paranoia.

 

They found that compared to baseline and the wait-list control group, the brief mindfulness training produced significant increases in mindfulness and significant decreases in paranoia that were maintained at the one-week follow-up. Mediation analysis revealed that the mindfulness training effect on paranoia was due to mindfulness training increasing the observe, describe, and non-react facets of mindfulness. Hence, the brief on-line mindfulness training appeared to increase mindfulness which in turn decreased paranoia in an otherwise normal non-clinical population.

 

These are interesting findings that suggest that a brief meditation training can improve the ability to observe what is transpiring in the present moment, describe its contents, and observe it without reaction. Paranoia is rooted in an improper interpretation of the present context and fears for the future. The mindfulness training, by improving the ability to properly observe and not react to what is happening, interrupts paranoid ideation and thereby reduces generalized paranoia. It remains to be seen if mindfulness training can also work with participants who have clinical levels of paranoia.

 

So, reduce paranoia with mindfulness.

 

“mindfulness will not reduce the amount of paranoid thinking but will simply change the way the person reacts to it and thus make it less disabling.” – Living with Schizophrenia

 

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

 

Robert Shore, Clara Strauss, Kate Cavanagh, Mark Hayward, Lyn Ellett. A Randomised Controlled Trial of a Brief Online Mindfulness-Based Intervention on Paranoia in a Non-Clinical Sample. Mindfulness (N Y) 2018; 9(1): 294–302. Published online 2017 Jul 14. doi: 10.1007/s12671-017-0774-2

 

Abstract

Paranoia is common and distressing in the general population and can impact on health, emotional well-being and social functioning, such that effective interventions are needed. Brief online mindfulness-based interventions (MBIs) have been shown to reduce symptoms of anxiety and depression in non-clinical samples; however, at present, there is no research investigating whether they can reduce paranoia. The current study explored whether a brief online MBI increased levels of mindfulness and reduced levels of paranoia in a non-clinical population. The mediating effect of mindfulness on any changes in paranoia was also investigated. One hundred and ten participants were randomly allocated to either a 2-week online MBI including 10 min of daily guided mindfulness practice or to a waitlist control condition. Measures of mindfulness and paranoia were administered at baseline, post-intervention and 1-week follow-up. Participants in the MBI group displayed significantly greater reductions in paranoia compared to the waitlist control group. Mediation analysis demonstrated that change in mindfulness skills (specifically the observe, describe and non-react facets of the FFMQ) mediated the relationship between intervention type and change in levels of paranoia. This study provides evidence that a brief online MBI can significantly reduce levels of paranoia in a non-clinical population. Furthermore, increases in mindfulness skills from this brief online MBI can mediate reductions in non-clinical paranoia. The limitations of the study are discussed.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5770499/

Be Mindful for Improved Psychological Health

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Be Mindful for Improved Psychological Health

 

By John M. de Castro, Ph.D.

 

“We’ve seen this in the clinical domain for many years. People, in concert with their physicians… actually going off their medications for pain, for anxiety, for depression, as they begin to learn the self-regulatory elements of mindfulness. They discover that the things that used to be symptomatically problematic for them are no longer arising at the same level.” – Jon Kabat-Zinn

 

Mindfulness training has been shown through extensive research to be effective in improving the physical and psychological condition of otherwise healthy people and also treating the physical and psychological issues of people with illnesses and particularly with the physical and psychological reactions to stress. Techniques such as Mindfulness-Based Stress Reduction (MBSR) and Mindfulness-Based Cognitive Therapy (MBCT) as well as Yoga practice and Tai Chi or Qigong practice have been demonstrated to be particularly effective. This has led to an increasing adoption of these mindfulness techniques for the health and well-being of both healthy and ill individuals.

 

In fact, the degree of mindfulness, inherent in the individual, without training, known as dispositional mindfulness, has been shown to be associated with the degree of mental and physical health. In today’s Research News article “Dispositional Mindfulness and Psychological Health: a Systematic Review.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5770488/ ), Tomlinson and colleagues review and summarize the published scientific research regarding the relationship of dispositional mindfulness to psychological health. They identified 93 research studies that found three different areas of relationship.

 

They report that the published research found that dispositional mindfulness was associated with improved psychopathological symptoms. The published research report that the higher the individuals’ levels of dispositional mindfulness the lower the levels of depression, anxiety, disordered eating, Post-Traumatic Stress Disorder (PTSD) symptoms, and Borderline Personality Disorder (DPD) symptoms.

 

They report that the published research found that dispositional mindfulness was associated with improved cognitive performance. It was found that that the higher the individuals’ levels of dispositional mindfulness the lower the levels of avoidant coping strategies e.g. procrastination, rumination, impulsivity, catastrophizing and neuroticism, and the higher the levels of executive function (high level thinking).

 

Finally, they report that dispositional mindfulness was associated with improved emotional control. It was reported that the higher the individuals’ levels of dispositional mindfulness the lower the levels of perceived stress, emotional distress, and higher levels of emotion regulation, emotional stability, psychological well-being, and recovery following stressful conditions.

 

This review of the published research suggests that being generally mindful (dispositional mindfulness) is associated with psychological health and well-being. The problem with dispositional characteristics is that they cannot be manipulated as they are relatively stable characteristics of the individual. They can only be correlated with other characteristics. As such, it is impossible to conclude causal relationships between dispositional mindfulness and psychological health. It is equally likely that psychological health produces dispositional mindfulness, that dispositional mindfulness produces psychological health, or that a third factor causes both.

 

Manipulative research, producing changes in the short-term state of mindfulness, however, demonstrates that increases in mindfulness cause improvements in psychological well-being. So, it is likely that the observed relationships of dispositional mindfulness and psychological health are the result of dispositional mindfulness causing improved emotional and cognitive function and thereby reduced psychopathology and improved mental health.

 

So, be mindful for improved psychological health.

 

“A great deal of research has documented physical health benefits of mindfulness, such as an improved immune system, lower blood pressure, and better sleep. Mindfulness has also been linked to mental health benefits, such as reduced stress and anxiety, and improved concentration and focus, less emotional reactivity.” – American Psychiatric 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

 

Eve R. Tomlinson, Omar Yousaf, Axel D. Vittersø, Lauraine Jones. Dispositional Mindfulness and Psychological Health: a Systematic Review. Mindfulness (N Y) 2018; 9(1): 23–43. Published online 2017 Jul 1. doi: 10.1007/s12671-017-0762-6

 

Abstract

Interest in the influence of dispositional mindfulness (DM) on psychological health has been gathering pace over recent years. Despite this, a systematic review of this topic has not been conducted. A systematic review can benefit the field by identifying the terminology and measures used by researchers and by highlighting methodological weaknesses and empirical gaps. We systematically reviewed non-interventional, quantitative papers on DM and psychological health in non-clinical samples published in English up to June 2016, following the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. A literature search was conducted using PsycINFO, PubMED, Medline and Embase, and 93 papers met the inclusion criteria. Within these, three main themes emerged, depicting the relationship between DM and psychological health: (1) DM appears to be inversely related to psychopathological symptoms such as depressive symptoms, (2) DM is positively linked to adaptive cognitive processes such as less rumination and pain catastrophizing and (3) DM appears to be associated with better emotional processing and regulation. These themes informed the creation of a taxonomy. We conclude that research has consistently shown a positive relationship between DM and psychological health. Suggestions for future research and conceptual and methodological limitations within the field are discussed.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5770488/

The Noble Eightfold Path – Right Mindfulness

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The Noble Eightfold Path – Right Mindfulness

 

By John M. de Castro, Ph.D.

 

“Buddhism began by encouraging its practitioners to engage in smrti (sati) or mindfulness, that is, developing a full consciousness of all about you and within you — whether seated in a special posture, or simply going about one’s life. This is the kind of meditation that Buddha himself engaged in under the bodhi tree, and is referred to in the seventh step of the eightfold path.” – C. George Boeree
The predominant iconic image of the Buddha is of him sitting in blissful meditation. This results in the popular conception that meditation is at the center of Buddhism.  But, as is evident from the first six components of the Noble Eightfold Path, at the center is how one goes about one’s life. This is evident in Right View, Right Intentions, Right Speech, Right Actions, Right Livelihood, Right Effort and Right Concentration. The real center of Buddhism is contained in the seventh component of the Buddha’s Noble Eightfold Path, Right Mindfulness. Mindfulness is the basis for all of the other components on the path. Unless one is mindful, there cannot be a right view, intention, speech, action, livelihood, effort, or concentration. The Buddha used meditation as a practice to develop mindfulness, thereby allowing progress on the path and eventually attaining enlightenment. So, meditation is a means to an end and that end is mindfulness and beyond.

 

Mindfulness is all about presence of mind or paying attention. But, it’s a particular kind of attention. We are forever paying attention to something. Mindfulness involves paying attention to what is occurring in the present moment. Paying attention to memories, daydreams, ruminations about the past, thoughts about the future, planning, problem solving, dreaming, visualizing, etc. are not mindfulness. Rather it is paying attention to the sensations from inside the body and from the outside environment, to the momentary thoughts floating through the mind, and to momentary awareness itself. In addition, it is intentional paying attention, doing so on purpose, and witnessing what is transpiring in the present moment without judgment, without consideration of it being good or bad, right or wrong, pleasant or unpleasant, or smart or stupid, rather, simply letting things be as they are. It can be thought of as thoughtless awareness, pure awareness of now, or bare attention, without reference to the past or the future or for that matter without any processing of the information whatsoever.

 

Mindfulness helps to lead to serenity, insight, deep concentration, or wisdom. It makes sure that the mind does not slip away and get lost in random undirected thoughts. Its primary tasks are to observe, to note, to discern phenomena with utmost precision until their fundamental characteristics and nature are brought to awareness. In order to attain these deeper understandings, the Buddha directed his followers that they should concentrate on four types of mindfulness being mindful of the body, feelings, mental states, and mental contents.

 

A sad aspect of our lack of mindfulness is an unawareness of the body. With the mind occupied with thoughts, ruminations, plans, etc. it is easy to lose track of the body and its physical state. It is eye opening when introducing people to a simple body scan, how amazed they are that they’re so unaware of it. So, to be truly in the present moment an acute awareness of the state of the body needs to be developed. This involves a number of components. Mindfulness of the body includes recognizing the position of the body, whether standing, sitting, lying down, and the various parts of the body, from toes to scalp and everything in between. Mindfulness of the body also includes a recognition of its composition of matter, air, and water, that are acquired from the environment, and thereby recognizing the body’s dependence and integration with the greater world. Finally, it involves a recognition of the body’s ever changing, impermanent nature, including its growth, development, deterioration, and eventual cessation in death. Yes, mindfulness of the body includes recognition of its mortality.

 

There is not only a lack of awareness of the body itself but also of the sensations from the body, including those associated with emotional states and how we evaluate, judge and respond to them. Mindfulness of feelings includes bring to awareness the sensations and feelings from the body and all its parts in the present moment, including feelings of temperature, pressure, pain, tingling, etc. As this awareness emerges so can an awareness of how we are judging these feelings as pleasurable, likable, distasteful, unlikable, or neutral and how we are reacting to them of doing things to develop or hold onto pleasant feelings and to eliminate or abbreviate unpleasant feelings. These are all deeply imbedded in human nature, but often appear to occur unconsciously. Mindfulness of feelings brings them into the light of awareness.

 

Emotions always involve both mental and physical components. Mindfulness of feelings is generally seen as pertaining to the bodily sensations accompanying emotions. It’s quite striking as mindfulness of feelings emerges and develops the degree to which they often occur without awareness or even recognition. Anger and fear are accompanied by a physiological activation, including increases in heart rate and blood pressure, muscle tone, blood moving away from the skin and gut to the muscles, and facial expressions. Yet, these are frequently not recognized. In developing mindfulness of feelings, the feelings produced by emotions are brought to awareness and felt deeply. This produces an ability to recognize the emotional state before it elicits a reaction that might harmful or regretted later. Mindfulness of feelings, then, allows for not only recognition but also the control of emotional reactions.

 

The mind is constantly interpreting and judging experience. These processes are responsible for forming ideas about these experiences, sometimes called mental formations, because they are formed in the mind. In psychology it is recognized that what emotion is felt is determined not only by our physical state but also how the mind interprets the environment. For example, fear is thought to occur when a physiological reaction occurs within what the mind interprets as a fearful context, e.g. the presence of a threat. Mindfulness of mental states involves firstly recognizing the state, e.g. anger, happiness, boredom, etc. and observing the workings of the mind that produce these mental formations. By watching how the mind interprets experience the practitioner becomes more and more aware of how the mind effects how experience is perceived and interpreted and the roots and conditions of these experiences. It may underline how the interpretation of the experience is based upon prior experiences or memories or how they are interconnected to other things in the environment. As the practice continues, it becomes easier and easier to see experiences in the raw, without interpretation, devoid of judgment, disconnected from prior experiences.

 

Every experience contains objects that are detected by our senses. Mindfulness of mental contents involves bringing these objects into awareness in all their aspects. This involves not only seeing and perceiving the object exactly as it is at the moment but also observing its impermanence and it interconnectedness to everything else. It’s seeing the object as an absolutely unique and ever changing expression of the entire universe. Deep mindfulness of an object includes perceiving how it is dynamically changing from moment to moment. An apple has a particular immediate appearance but this is just a snapshot of the apple which has changed moment to moment, from a seed, earth, and water, to a tree, to a bud, to an unripe piece of fruit, to its current state as a one of a kind apple. It is also to see that this apple will continue to change to overripe, to rotten, to garbage on the ground, to its component elements of soil and water, to its return to the earth. In other words, mindfulness of mental contents involves seeing the object as a transitory impermanent expression. In addition, it is to see how it is connected to everything else, the sunlight, the rain, the soil, the evolution of apple trees, the farmer, the machinery, the inventors of the machinery, the metal, plastics, and gasoline in the machinery, etc. In other words, it’s to see the apple as and ever changing and interconnected to all of existence. When objects are viewed in this way, they are truly seen mindfully.

 

So, Right Mindfulness is the development of an accurate and precise awareness of the present moment uncolored by ideas, memories, beliefs, expectations, etc., just the experience as it is. This is essential to progress on the path as it’s impossible to develop the other seven components of the path without being able to accurately perceive exactly what is actually transpiring in the present moment. It is the essential foundation for everything else. With it we have hope of progressing toward enlightenment, without it, we’re lost in delusion. So practice resolutely to develop mindfulness and move forward on the path.

 

 “When right mindfulness is developed and made much of, one realizes what one should do and should not do. Whether one should speak or not speak. When one speaks, what should be spoken and not spoken. Right mindfulness is the basis for the development of the right path that culminates in knowledge, wisdom, contentment and the highest happiness.” – Mithra Wettimuny

 

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

Could Mindfulness Help Save the World?

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Could Mindfulness Help Save the World?

 

By John M. de Castro, Ph.D.

 

“While the link between mindfulness, nature, and well-being is not concrete, research suggests an interrelationship between these three attributes. This research supports the sense of well-being and renewal I found from meditating in the garden, and perhaps why I sought the garden while taking a course in mindfulness practice.” – Joanna Shaw

 

The ability of humans to manipulate and control the environment has developed to the point that human activity is now threatening to destroy that environment. This can be seen in the rapid extinction of once thriving species, the loss of forestation, the historic rise in atmospheric carbon dioxide levels, sea level rise, and climate change. It has been argued that we may have crossed a tipping point where the environmental damage is irreversible. But, if we haven’t, there is a pressing need to address the very activities that are producing the damage. We need to begin acting more responsibly toward our environment in an attempt to reverse and heal the damage,

 

This will require actions by humans. This will require positive ecological behaviors. Ecological behavior is defined “as behaviors that protect/avoid harm to the environment and span all areas of life such as nutrition, mobility and transportation, energy and water consumption, waste avoidance, and consumerism.” In other words, humans need to change their behaviors toward more sustainable patterns.

 

Mindfulness promotes awareness of the internal and external environments. As such, it promotes sensitivity to these environments and to the impact of our actions on ourselves and the environment. In fact, mindfulness has been shown to be associated with the individual’s feelings of connectedness to nature. It is thus possible that mindfulness can stimulate ecological behavior and be a positive force for reversing the damage to our precious environment.

 

In today’s Research News article “Mindfully Green and Healthy: An Indirect Path from Mindfulness to Ecological Behavior.” (See summary below or view the full text of the study at: https://www.frontiersin.org/articles/10.3389/fpsyg.2017.02306/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_527044_69_Psycho_20180130_arts_A ), Geiger and colleagues examine the relationship of mindfulness with ecological behavior. They recruited participants from a University community including students, faculty, and staff and had them complete measures of mindfulness, health behaviors, and ecological behaviors. Health behaviors include “behaviors on nutrition, hygiene, stress recovery, risk prevention and physical exercise.” Ecological behaviors include “energy conservation, mobility, waste avoidance and recycling, consumerism, and vicarious, social behaviors toward conservation.”

 

Geiger and colleagues found that high levels of mindfulness were strongly related to high levels of health behaviors, but only moderately related to high levels of ecological behaviors, while health behaviors were strongly related to ecological behaviors. This suggests that mindfulness may be related directly and indirectly to ecological behaviors through the intermediary of health behavior. Indeed, an indirect effects analysis demonstrated exactly that, high levels of mindfulness were associated with high levels of ecological behaviors directly and also indirectly through mindfulness’ associations with health behaviors and in turn ecological behaviors.

 

This study is correlational and as such causation cannot be determined. It will remain for future research to demonstrate that increasing mindfulness through mindfulness training increases ecological behaviors. Nevertheless, the study demonstrates clear and strong relationships between mindfulness and behaviors that tend to protect and develop the environment. This further suggests that mindfulness may be a key to saving the planet. Developing mindfulness in the population may lead to the development of sustainable action toward the environment and perhaps reversing the present damage.

 

So, start saving the planet with mindfulness.

 

“Nature and mindfulness inform each other in profound ways. They are both aligned. Nature can provide the same kind of calming, quieting effect, which is enormously therapeutic and joyous for me.” – Mark Tercek

 

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

 

Geiger SM, Otto S and Schrader U (2018) Mindfully Green and Healthy: An Indirect Path from Mindfulness to Ecological Behavior. Front. Psychol. 8:2306. doi: 10.3389/fpsyg.2017.02306

 

This paper examines the nature of the link between mindfulness and ecological behavior. Based on the notion that mindfulness incorporates heightened awareness of bodily sensations, we suggest an indirect path from mindfulness to ecological behavior that is mediated through individual health behavior, such as improved nutrition and increased exercise. This indirect path is corroborated with two online studies (n = 147/n = 239) where mindfulness, personal health behavior and ecological behavior were assessed. We conclude that increased mindful awareness of momentary experience indeed favors more healthy lifestyles, which in turn relate to increased ecological behavior beyond personal health benefits. The findings support an agreeableness of personal and planetary health behavior and open up a path for environmental educational interventions based on mindfulness practices and personal health gains.

https://www.frontiersin.org/articles/10.3389/fpsyg.2017.02306/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_527044_69_Psycho_20180130_arts_A

Improve Post-Traumatic Stress Disorder (PTSD) with Mindfulness

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Improve Post-Traumatic Stress Disorder (PTSD) with Mindfulness

 

By John M. de Castro, Ph.D.

 

“Overall, there is a lot of evidence supporting mindfulness as a treatment approach for adults with PTSD, and a recent burgeoning literature corroborating positive neurological changes is following suit.” – Jennifer Wolkin

 

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

 

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

 

Obviously, these are troubling symptoms that need to be addressed. There are a number of therapies that have been developed to treat PTSD. One of which, mindfulness training has been found to be particularly effective. Mindfulness Based Stress Reduction (MBSR) has been found to improve PTSD symptoms. It has been shown that mindfulness practices can alter the brain structures and connectivity and this may underlie the beneficial effects of mindfulness on PTSD.

 

In today’s Research News article “Mindfulness-based treatments for posttraumatic stress disorder: a review of the treatment literature and neurobiological evidence.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5747539/ ), Boyd and colleagues review and summarize the published research literature on the effects of mindfulness training on the brain and its relationship to improvements in PTSD symptoms. They report that there is substantial evidence that a variety of mindfulness-based treatments including Mindfulness-Based Stress Reduction (MBSR), Mindfulness-Based Cognitive Therapy (MBCT), and Loving Kindness Meditation are effective for relieving the symptoms of PTSD.

 

In regards to brain function, they report that mindfulness practices result in greater activity in the prefrontal cortex, structures that are involved in higher level thought processes and attention and lower activity in the amygdala region that is associated with emotional arousal. In addition, there is increased connectivity between these two regions. This could explain the ability of mindfulness practices to reduce hyperarousal and emotionality with more rational thought and improvement in emotional regulation. In addition, they report that a series of midline cortical structures labelled the default mode network (DMN) have increased connectivity, suggesting an improvement in self-referential thinking.

 

There is increased activity in a series of cortical structures that connect to lower centers in the brain labelled the salience network (SN) that appears to be involved in detecting particularly important stimuli and regulating emotional responses to them. This may result in the PTSD sufferer having a greater ability to respond appropriately to things in the environment that may have previously produced flashbacks and hyperarousal. Finally, mindfulness training appears to improve the activity and connectivity of the brain’s Central Executive Network (CEN), including dorsolateral prefrontal cortex and the posterior parietal cortex, that is associated with high level thinking.

 

These findings suggest that mindfulness training alters brain function to increase thinking and reasoning in contrast to emotional arousal. This is exactly what the PTSD patient needs as PTSD tends to produce the opposite pattern with decreased reasoning and increased emotional responding. Hence these findings suggest that mindfulness training acts on the nervous system to counter the abnormal brain responses that occur with PTSD and thereby relieve the symptoms of PTSD. Obviously much more research is needed. But a coherent picture is emerging of the alterations in the nervous system produced by mindfulness training that are responsible for its beneficial effects on the symptoms of PTSD.

 

So, improve post-traumatic stress disorder (PTSD) with mindfulness.

 

“This type of attention training may help patients notice when they are stuck in a negative pattern of thought or rumination and make it a little easier to shift their attention to other things. And if you think about what mindfulness meditation is, that makes perfect sense. The ‘muscle’ that you are training is the ability to catch yourself when you are not thinking about your breath and move it to something else.” – Tony King

 

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

 

Jenna E. Boyd, Ruth A. Lanius, Margaret C. McKinnon. Mindfulness-based treatments for posttraumatic stress disorder: a review of the treatment literature and neurobiological evidence. J Psychiatry Neurosci. 2018 Jan; 43(1): 7–25. Published online 2017 Oct 3. doi: 10.1503/jpn.170021

 

Abstract

Mindfulness-based treatments for posttraumatic stress disorder (PTSD) have emerged as promising adjunctive or alternative intervention approaches. A scoping review of the literature on PTSD treatment studies, including approaches such as mindfulness-based stress reduction, mindfulness-based cognitive therapy and metta mindfulness, reveals low attrition with medium to large effect sizes. We review the convergence between neurobiological models of PTSD and neuroimaging findings in the mindfulness literature, where mindfulness interventions may target emotional under- and overmodulation, both of which are critical features of PTSD symptomatology. Recent emerging work indicates that mindfulness-based treatments may also be effective in restoring connectivity between large-scale brain networks among individuals with PTSD, including connectivity between the default mode network and the central executive and salience networks. Future directions, including further identification of the neurobiological mechanisms of mindfulness interventions in patients with PTSD and direct comparison of these interventions to first-line treatments for PTSD are discussed.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5747539/

Reduce Responsiveness to Social Evaluative Threat with Mindfulness

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Reduce Responsiveness to Social Evaluative Threat with Mindfulness

 

By John M. de Castro, Ph.D.

 

“You can’t judge yourself or worry about what the other person is thinking if you’re too busy experiencing the wonder of the here and now.” – Jonathan Hinek

 

Humans are social creatures. All that the species has accomplished resulted from its ability to work together and build upon the work of others. Social connections are crucial to our health and happiness. Hence, it is very important for the individual to have effective satisfying social relationships. Unfortunately, interacting with other people is extremely complex and many find it very difficult to effectively engage with others. It is a common human phenomenon that being in a social situation can be stressful and anxiety producing. This is particularly true when asked to perform in a social context such as giving a speech. In fact, research has demonstrated that people are more afraid of public speaking than they are of death.

 

Mindfulness in general appears to improve social relationships. In today’s Research News article “Trait Mindfulness Modulates Neuroendocrine and Affective Responses to Social Evaluative Threat.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5087919/ ), Brown and colleagues investigate the relationship of mindfulness with social anxiety. They recruited college students and randomly assigned them to either a social anxiety or control condition. The students performed a Trier Social Stress Test involving preparing and giving a 5-minute speech and doing simple math either in front of critical peer evaluators (social anxiety) or alone (control). Before and after the test the students provided saliva samples to assess cortisol levels, an indicator of stress. They were also measured for anxiety, negative emotions, fear of evaluation, and mindfulness.

 

They found that the social anxiety manipulation compared to the control condition produced a significant elevation of salivary cortisol and anxiety. But, mindfulness moderated the effects such that students high in mindfulness had significantly lower anxiety, negative emotions, and cortisol responses to the social anxiety test than students low in mindfulness. This was true even when the students’ levels of fear of evaluation were controlled for. On the other hand, there were no significant effects of mindfulness in the control condition. So, the mindfulness effects were only with social anxiety.

 

These results suggest that mindfulness buffers the response to social stress and is associated with lower levels of stress hormones and negative emotions when exposed to social evaluative stress. These results, however, are correlational. So, causation cannot be determined within this study. But other research has demonstrated that mindfulness produces lower levels of stress, negative emotions, and anxiety and better social performance. So, it is likely that the results from the present study are indicative of mindfulness lowering social anxiety.

 

So, reduce responsiveness to social evaluative threat with mindfulness.

 

“Mindfulness meditation starts with observing an experience without trying to change or control it. It’s a practice in accepting reality and minimizing your resistance to it. This means to stop judging social interactions with negative adjectives, such as, scary, intimidating, uncomfortable, embarrassing, and so on.” – Adam Rockman

 

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

 

Brown, K. W., Weinstein, N., & Creswell, J. D. (2012). Trait Mindfulness Modulates Neuroendocrine and Affective Responses to Social Evaluative Threat. Psychoneuroendocrinology, 37(12), 2037–2041. http://doi.org/10.1016/j.psyneuen.2012.04.003

 

Abstract

Background

Individual differences in mindfulness have been associated with numerous self-report indicators of stress, but research has not examined how mindfulness may buffer neuroendocrine and psychological stress responses under controlled laboratory conditions. The present study investigated the role of trait mindfulness in buffering cortisol and affective responses to a social evaluative stress challenge versus a control task.

Methods

Participants completed measures of trait mindfulness, perceived stress, anxiety, and fear of negative evaluation before being randomized to complete the Trier Social Stress Test (TSST; Kirschbaum et al., 1993) or a control task. At points throughout the session, participants provided five saliva samples to assess cortisol response patterns, and completed four self-report measures of anxiety and negative affect to assess psychological responses.

Results

In accord with hypotheses, higher trait mindfulness predicted lower cortisol responses to the TSST, relative to the control task, as well as lower anxiety and negative affect. These relations remained significant when controlling for the role of other variables that predicted cortisol and affective responses.

Conclusions

The findings suggest that trait mindfulness modulates cortisol and affective responses to an acute social stressor. Further research is needed to understand the neural pathways through which mindfulness impacts these responses.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5087919/

Improve Employee Mental Health with Internet-Based Mindfulness Training

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Improve Employee Mental Health with Internet-Based Mindfulness Training

 

By John M. de Castro, Ph.D.

 

“Mindfulness can only attain sustainable success in the business world if its benefits are optimized and its risks minimized. Participants in mindfulness practices in the workplace must engage voluntarily and proactively if their endeavors are to bear fruit.” – David Brendel

 

Work is very important for our health and well-being. We spend approximately 25% of our adult lives at work. How we spend that time is immensely important for our psychological and physical health. Indeed, the work environment has even become an important part of our social lives, with friendships and leisure time activities often attached to the work environment. 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 physical and mental 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. Indeed, 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. Devoting time during the busy workday can be difficult. Mindfulness training over the internet is an alternative training for people who find face-to-face training difficult and inconvenient. Online mindfulness training has shown great promise with effectiveness equivalent to face-to-face training.

 

In today’s Research News article “Effectiveness of eHealth interventions for reducing mental health conditions in employees: A systematic review and meta-analysis.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5739441/ ), Stratton and colleagues review, summarize, and perform a meta-analysis of the effectiveness of employee health mental programs implemented over the internet (E-Health Programs) to reduce symptoms of depression, anxiety, and/or stress. They identified 22 randomized controlled trials, with 11 employing Cognitive Behavioral Therapy (CBT), 6 employing stress reduction programs, and 6 employing mindfulness-based interventions.

 

They found that the Cognitive Behavioral Therapy (CBT) and the stress reduction programs were significantly effective in improving depression, anxiety, and/or stress in the workers, but the effect sizes were small to moderate. On the other hand, the mindfulness-based interventions produced large significant reductions in depression, anxiety, and/or stress. The effect sizes for mindfulness-based interventions were significantly larger than those for CBT or stress reduction programs.

 

The results suggest that programs implemented over the internet and designed to improve mental health in workers are effective in improving depression, anxiety, and/or stress. The results further suggest that mindfulness-based programs are significantly more effective. Mindfulness training has been frequently demonstrated to reduce depression, anxiety, and/or stress in general or clinical populations. So, it’s ability to do so here is not surprising but suggests that it is also effective when delivered over the internet. This is important as internet delivery does not detract from workplace time, is convenient for the employees, and is relatively inexpensive for the employer to implement.

 

So, improve employee mental health with internet-based mindfulness training.

 

“injecting a corporate culture of mindfulness not only improves focus, but the ability to manage stress and how employees work together.” – Science Daily

 

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

 

Elizabeth Stratton, Amit Lampit, Isabella Choi, Rafael A. Calvo, Samuel B. Harvey, Nicholas Glozier. Effectiveness of eHealth interventions for reducing mental health conditions in employees: A systematic review and meta-analysis. PLoS One. 2017; 12(12): e0189904. Published online 2017 Dec 21. doi: 10.1371/journal.pone.0189904

 

Abstract

Background

Many organisations promote eHealth applications as a feasible, low-cost method of addressing mental ill-health and stress amongst their employees. However, there are good reasons why the efficacy identified in clinical or other samples may not generalize to employees, and many Apps are being developed specifically for this group. The aim of this paper is to conduct the first comprehensive systematic review and meta-analysis evaluating the evidence for the effectiveness and examine the relative efficacy of different types of eHealth interventions for employees.

Methods

Systematic searches were conducted for relevant articles published from 1975 until November 17, 2016, of trials of eHealth mental health interventions (App or web-based) focused on the mental health of employees. The quality and bias of all identified studies was assessed. We extracted means and standard deviations from published reports, comparing the difference in effect sizes (Hedge’s g) in standardized mental health outcomes. We meta-analysed these using a random effects model, stratified by length of follow up, intervention type, and whether the intervention was universal (unselected) or targeted to selected groups e.g. “stressed”.

Results

23 controlled trials of eHealth interventions were identified which overall suggested a small positive effect at both post intervention (g = 0.24, 95% CI 0.13 to 0.35) and follow up (g = 0.23, 95% CI 0.03 to 0.42). There were differential short term effects seen between the intervention types whereby Mindfulness based interventions (g = 0.60, 95% CI 0.34 to 0.85, n = 6) showed larger effects than the Cognitive Behaviour Therapy (CBT) based (g = 0.15, 95% CI 0.02 to 0.29, n = 11) and Stress Management based (g = 0.17, 95%CI -0.01 to 0.34, n = 6) interventions. The Stress Management interventions however differed by whether delivered to universal or targeted groups with a moderately large effect size at both post-intervention (g = 0.64, 95% CI 0.54 to 0.85) and follow-up (g = 0.69, 95% CI 0.06 to 1.33) in targeted groups, but no effect in unselected groups.

Interpretation

There is reasonable evidence that eHealth interventions delivered to employees may reduce mental health and stress symptoms post intervention and still have a benefit, although reduced at follow-up. Despite the enthusiasm in the corporate world for such approaches, employers and other organisations should be aware not all such interventions are equal, many lack evidence, and achieving the best outcomes depends upon providing the right type of intervention to the correct population.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5739441/

Improve Physical and Psychological Discomfort from Musculoskeletal Disorders with Mindfulness

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Improve Physical and Psychological Discomfort from Musculoskeletal Disorders with Mindfulness

 

By John M. de Castro, Ph.D.

 

“Meditation’s goal is to relax the mind and body, acknowledge and release feelings about pain or other challenges, let go of tension, and tap into a positive outlook. Focusing on negativity exacerbates pain. Mindfulness practice allows you to step back from that negative thinking. It brings focus to the present moment and allows you to interrupt the vicious cycle of negativity and pain. “With our thoughts, we create a reality,” – Andrea Rudolph

 

Orthopedic Disorders consist of a wide range of problems that are concerned with muscles, ligaments and joints. Disorders are ailments, injuries or diseases that cause knee problems, whiplash, dislocated shoulder, torn cartilages, foot pain and fibromyalgia. The most common forms of orthopedic disorders are arthritis, and back and neck pain.

 

Arthritis is a chronic disease that most commonly affects the joints. Depending on the type of arthritis symptoms may include pain, stiffness, swelling, redness, and decreased range of motion. It affects an estimated 52.5 million adults in the United States. The pain, stiffness, and lack of mobility associate with arthritis produce fatigue and markedly reduce the quality of life of the sufferers. Arthritis can have very negative psychological effects diminishing the individual’s self-image and may lead to depression, isolation, and withdrawal from friends and social activities.

 

The most common forms of chronic pain are back and neck pain. Low Back Pain is the leading cause of disability worldwide and affects between 6% to 15% of the population. It is estimated, however, that 80% of the population will experience back pain sometime during their lives. Back and neck pain interferes with daily living and with work, decreasing productivity and creating absences. There are many different treatments for pain, but few are both safe and effective for chronic pain conditions. So, alternative treatments are needed. Mindfulness practices are effective in treating pain and have been shown to be safe and effective in the management of arthritis, low back pain and neck pain.

 

In today’s Research News article “First Use of a Brief 60-second Mindfulness Exercise in an Orthopedic Surgical Practice; Results from a Pilot Study.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5736889/ ), Chad-Friedman and colleagues perform a pilot study of the effectiveness of a brief mindfulness instruction via a video for the symptoms of orthopedic disorders. They recruited adult follow-up patients with a variety of orthopedic problems.  The participants then watched a 60 second mindfulness video where they were instructed to envision a stressful situation and place it in a bright star. Over the next 60 seconds they were to envision shrinking that star till it becomes small. They were measured before and after watching the video for pain, anxiety, distress, depression, anger, and satisfaction with the intervention. They found that after watching the video the patients reported large and significant improvements in pain and all psychological measures and high satisfaction ratings.

 

Obviously, with such a brief and uncontrolled pilot study there can be no clear conclusions. But, mindfulness interventions have been found in numerous controlled studies to decrease pain, anxiety, depression, and anger. So, the results suggest that the 60-second mindfulness practice has similar effects. It remains to be seen if such a brief practice can have lasting effects in comparison to a comparable non-mindfulness control condition and if daily brief practice can help maintain the benefits.

 

Orthopedic disorders are so common, costly, and debilitating that a simple, safe, and effective intervention is sorely needed. Physicians have little time. So, having mindfulness training via a video relieves them of the need to take the time to train the patients. In addition, making it very brief and simple may promote patient compliance with the practice. So, this pilot study suggests that this 60-second video intervention should be further studied for its effectiveness in relieving the suffering of patients with orthopedic disorders.

 

“Mindfulness training involves the cultivation of nonjudgemental attention to unwanted thoughts, feelings and bodily experiences via meditation and may help ameliorate both psychological and physical symptoms of chronic disease,” – Mary Kreitzer

 

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

 

Emma Chad-Friedman, Mojtaba Talaei-Khoei, David Ring, Ana-Maria Vranceanu. First Use of a Brief 60-second Mindfulness Exercise in an Orthopedic Surgical Practice; Results from a Pilot Study. Arch Bone Jt Surg. 2017 Nov; 5(6): 400–405.

 

Abstract

Background:

Mindfulness based interventions may be useful for patients with musculoskeletal conditions in orthopedic surgical practices as adjuncts to medical procedures or alternatives to pain medications. However, typical mindfulness programs are lengthy and impractical in busy surgical practices. We tested the feasibility, acceptability and preliminary effect of a brief, 60-second mindfulness video in reducing pain and negative emotions in patients presenting to an orthopedics surgical practice.

Methods:

This was an open pilot study. Twenty participants completed the Numerical Rating Scale to assess pain intensity, the State Anxiety subscale of the State Trait Anxiety Scale to assess state anxiety, and emotional thermometers to assess distress, anxiety, anger and depression immediately prior to and following the mindfulness video exercise. At the end of the exercise patients also answered three questions assessing satisfaction with the mindfulness video.

Results:

Feasibility of the mindfulness video was high (100%). Usefulness, satisfaction and usability were also high. Participants showed improvements in state anxiety, pain intensity, distress, anxiety, depression and anger after watching the video. These changes were both statistically significant and clinically meaningful, when such information was available.

Conclusion:

People with musculoskeletal pain seeking orthopedic care seem receptive and interested in brief mindfulness exercises that enhance comfort and calm.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5736889/

Help Control Eating Disorders in Men with Mindfulness

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Help Control Eating Disorders in Men with Mindfulness

 

By John M. de Castro, Ph.D.

 

“The practice of mindful eating can help a person create greater awareness of thoughts, emotions, feeling, and behaviors. While eating disorders effectively numb emotions, practicing mindfulness can help a person reflect on what they are feeling or experiencing prior to a binge.” – Jacquelyn Ekern

 

Around 30 million people in the United States of all ages and genders suffer from an eating disorder; either anorexia nervosa, bulimia, or binge eating disorder. Eating disorders are not just troubling psychological problems, they can be deadly, having the highest mortality rate of any mental illness. Anorexia Nervosa is particular troubling as it is often fatal as sufferers literally starve themselves to death. It occurs in about 1% to 4% of women in the U.S.  Indeed, the mortality rate associated with anorexia nervosa is 12 times higher than the death rate associated with all causes of death for females 15-24 years old.

 

Disordered eating is difficult to deal with in part because it is frequently paired with other disorders. In fact, around 50% of people with eating disorders also have a substance use disorder and 50% meet the criteria for clinical depression. Eating disorders are also frequently accompanied by anxiety and body image disturbance. Eating disorders are difficult to treat because eating is necessary and cannot be simply stopped as in smoking cessation or abstaining from drugs or alcohol. One must learn to eat appropriately not stop. So, it is important to find methods that can help prevent and treat eating disorders. Contemplative practices, mindfulness, and mindful eating have shown promise for treating eating disorders.

 

Most of the research, however, involves women, but eating disorders are also present in men. Hence, there is a need to study the effectiveness of mindfulness on eating disorders in men. In today’s Research News article “A preliminary investigation of the relationship between dispositional mindfulness and eating disorder symptoms among men in residential substance use treatment.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5659606/ ), Elmquist and colleagues study the relationship of mindfulness to eating disorders in men who also suffer from a substance use disorder. They recruited men who were being treated in a 12-step based residential treatment program for substance use. They were measured for substance use, eating disorder symptoms, and mindfulness.

 

They found that the higher the levels of mindfulness in these men, the lower the levels of both substance use and eating disorder symptoms. Further, they found that the negative relationship of mindfulness with eating disorder symptoms was present even when the levels of substance use were controlled. So, mindfulness was negatively associated with lower eating disorder symptoms, regardless of substance use.

 

This study was correlational and mindfulness was not manipulated. So, causation cannot be concluded. But mindfulness training has been found to be effective in treating eating disorders in women. So, it is reasonable to conclude that this would also be true for men. Further, these results suggest that since mindfulness training is effective for treating eating disorders and also substance use disorders, that mindfulness training would be particularly effective for people with comorbidity of the two disorders.

 

So, help control eating disorders in men with mindfulness.

 

“Practicing mindfulness techniques has proven to be extremely helpful in aiding individuals to understand the driving forces behind their eating disorder. Studies have shown that “students receiving mindfulness demonstrated significant reductions in weight and shape concern, dietary restraint, thin-ideal internalization, eating disorder symptoms, and psychosocial impairment” . . . In a world that is constantly clouded with distractions, cultivating mindfulness can help suffering individuals become comfortable in their own skin.” – Greta Gleissner 

 

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

 

Elmquist, J., Shorey, R. C., Anderson, S. E., & Stuart, G. L. (2017). A preliminary investigation of the relationship between dispositional mindfulness and eating disorder symptoms among men in residential substance use treatment. Addiction Research & Theory, 25(1), 67–73. http://doi.org/10.1080/16066359.2016.1198475

 

Abstract

The comorbidity between eating disorders (EDs) and substance use disorders (SUDs) is of particular concern given the high rates of mortality, relapse and poor treatment outcomes associated with both disorders. As a result, there has been a growing impetus within the field to elucidate factors that might influence and aid treatment for this comorbidity. One such factor is dispositional mindfulness, as past literature has demonstrated a significant relationship between mindfulness and both EDs and SUDs. However, we are unaware of any research that has examined the relationship between dispositional mindfulness and ED symptoms in a sample of men in residential treatment for SUDs. Medical records from 152 men were included in the current study. Alcohol and drug use and problems, ED symptoms, and dispositional mindfulness were assessed with self-report measures. Hierarchical regression analysis indicated that dispositional mindfulness was inversely related to ED symptoms after controlling for alcohol use, drug use, and age. Although results are preliminary and continued research in this area is needed, our findings suggest that there may be potential usefulness in targeting and enhancing mindfulness among patients in residential treatment for SUDs with co-occurring psychiatric symptoms (e.g., EDs).

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5659606/

Reduce Cell Phone Withdrawal Anxiety with Mindfulness

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Reduce Cell Phone Withdrawal Anxiety with Mindfulness

 

By John M. de Castro, Ph.D.

 

“It isn’t just the plethora of tech offerings that keep us feeling preoccupied and divided, it is our relationship to these devices that keep us wanting more.” – Sura

 

Over the last few decades cell phones have gone from a rare curiosity to the dominant mode of electronic communications. They have also expanded well beyond a telephone and have become powerful hand-held computers known as smartphones. In fact, they have become a dominant force in daily life, occupying large amounts of time and attention. We have become seriously attached. They have become so dominant that, for many, the thought of being without it produces anxiety. Many people have become addicted. It is estimated that about 12% of the population is truly “addicted,” developing greater levels of “tolerance” and experiencing “withdrawal” and distress when deprived of them.

 

Recent surveys and studies paint a vivid picture of our cell phone addiction: we feel a surge of panic when we are separated from our beloved cell phones. This has been given a name, nomophobia, “which is defined as the fear of being out of cellular phone contact, or “feelings of discomfort or anxiety experienced by individuals when they are unable to use their mobile phones or utilize the affordances these devices provide”. This phenomenon is so new that there is little understanding of its nature and causes. Obviously, nomophobia is ripe for scientific study.

 

In today’s Research News article “Individual Differences in the Relationship Between Attachment and Nomophobia Among College Students: The Mediating Role of Mindfulness.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5746620/ ), Ibrahim and colleagues study the relationships of this cell phone based phobia with attachment styles and mindfulness. They recruited undergraduate students and had them complete measurements of, attachment, mindfulness and nomophobia, with 4 subscales, “Unable to Access Information, Losing Connectedness, Unable to Communicate, and Giving Up Convenience.”

 

They noted that there were significant gender differences with women having significantly higher levels of anxious attachment and nomophobia than men. This suggests that women are emotionally more dependent and crave for more closeness and attention in their relationships than do men. and that women tend to become more dependent on their cell phones. So, just as women become more attached in their relationships, they also become more attached to their phones.

 

Ibrahim and colleagues also found that, overall, higher levels of both anxious and avoidant attachment were associated with higher levels of nomophobia and lower levels of mindfulness and higher levels of mindfulness were associated with lower levels of nomophobia. These results suggest that the attachment styles of cell phone users and their mindfulness are associated with the level of nomophobia, with anxious and avoidant attachment promoting nomophobia and mindfulness reducing it.

 

These results further suggest that people with more maladaptive styles of attachment, who are emotionally more dependent and crave more closeness and attention in their relationships, are also more prone to developing a phobia regarding their cell phones. On the other hand, people with high levels of mindfulness are less prone. So, mindfulness may, in part, be an antidote to nomophobia.

 

So, reduce cell phone withdrawal anxiety with mindfulness.

 

Those with mindfulness training were able to resist habitual behaviours — like instantly opening an email or text when it pops up — to focus their attention on individual tasks for longer. They began to make somewhat wiser choices about when to respond to something and when not to,” – David Levy

 

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

 

Ibrahim Arpaci, Mustafa Baloğlu, Hatice İrem Özteke Kozan, Şahin Kesici. Individual Differences in the Relationship Between Attachment and Nomophobia Among College Students: The Mediating Role of Mindfulness. J Med Internet Res. 2017 Dec; 19(12): e404. Published online 2017 Dec 14. doi: 10.2196/jmir.8847

 

Abstract

Background

There is a growing interest in nomophobia, which is defined as the fear of being out of cellular phone contact, or “feelings of discomfort or anxiety experienced by individuals when they are unable to use their mobile phones or utilize the affordances these devices provide”. However, only limited research can be found in terms of its determinants at present. Contemporary literature suggests that the relationships among attachment styles, mindfulness, and nomophobia have not been investigated.

Objective

This study aims to investigate the mediating effect of mindfulness on the relationship between attachment and nomophobia. In addition, the study also focuses on gender differences in attachment, mindfulness, and nomophobia. A theory-based structural model was tested to understand the essentials of the associations between the constructs.

Methods

The Experiences in Close Relationships Scale, Nomophobia Questionnaire, and Mindful Attention Awareness Scale were used to collect data from undergraduate students (N=450; 70.9% women [319/450]; mean age=21.94 years [SD 3.61]). Two measurement models (ie, attachment and mindfulness) and a structural model were specified, estimated, and evaluated.

Results

The structural equation model shows that the positive direct effects of avoidant (.13, P=.03) and anxious attachment (.48, P<.001) on nomophobia were significant. The negative direct effects of avoidant (−.18, P=.01) and anxious attachment (−.33, P<.001) on mindfulness were also significant. Moreover, mindfulness has a significant negative effect on nomophobia for women only (−.13, P=.03). Finally, the Sobel test showed that the indirect effects of avoidant and anxious attachment on nomophobia via mindfulness were significant (P<.001). The direct and indirect effects of anxious attachment, avoidant attachment, and mindfulness altogether accounted for 33% of the total variance in nomophobia. Gender comparison results show that there is a significant difference in attachment based on gender (F2,447=6.97, P=.01, Wilk λ=.97, partial η2=.03). Women (mean 68.46 [SD 16.96]) scored significantly higher than men (mean 63.59 [SD 15.97]) in anxious attachment (F1=7.93, P=.01, partial η2=.02). Gender differences in mindfulness were not significant (F4,448=3.45, P=.69). On the other hand, results do show significant gender differences in nomophobia (F4,445=2.71, P=.03, Wilk λ=.98, partial η2=.02) where women scored significantly higher than men.

Conclusions

In general, individuals who are emotionally more dependent and crave more closeness and attention in the relationship tend to display higher levels of fear or discomfort when they have no access to their mobile phones. However, gender has a differential impact on the relationship between avoidant attachment and nomophobia. This study establishes the impact of mindfulness on nomophobia for women; therefore, future studies should test the effectiveness of mindfulness-based therapy approaches and confirm whether they are effective and efficient. On the basis of significant gender difference in nomophobia and attachment, we conclude that gender should be taken into account in mindfulness-based treatments dealing with nomophobia.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5746620/