contemplative practice

Improve Sleep in Resident Physicians with Meditation

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Improve Sleep in Resident Physicians with Meditation

 

By John M. de Castro, Ph.D.

 

“residents. . . are on the move, working rotations in different clinics and even different hospitals. “Life in the hospital can be very stressful for residents. They aren’t just working long hours, they’re also geographic orphans.”- Chandra Are

 

Resident physicians have long tense shifts. The resultant stress can impair sleep. Not having adequate sleep has adverse effects upon the individual’s health, well-being, and happiness. Sleep deprivation is associated with decreased alertness and a consequent reduction in performance of even simple tasks, decreased quality of life, increased difficulties with memory and problem solving, and increased likelihood of accidental injury including automobile accidents. So, it is important that methods be found to improve sleep in resident physicians. Contemplative practices have been shown to reduce the psychological and physiological responses to stress and improve well-being. Indeed, mindfulness has been shown to be helpful in treating and preventing burnout, increasing resilience, and improving sleep. So, meditation may be able to improve sleep in resident physicians.

 

In today’s Research News article “Sleep Patterns of Resident Physicians and the Effect of Heartfulness Meditation.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8558985/ ) Thimmapuram and colleagues recruited medical residents and had them record sleep for a week including objective measurement with actigraphy. They received heartfulness meditation training for 20 minutes per day for one week and practiced this meditation for 6 minutes each night before sleep. After the weeks training sleep was measured again for 1 week.

 

They found that in comparison to baseline after meditation training there was a significant reduction in self-report and actigraphy measures of mean sleep onset time and sleep fragmentation and a significant increase in sleep quality and restfulness. There were no significant changes in caffeine or alcohol intake or naps.

 

It should be kept in mind that there wasn’t a comparison (control) condition leaving open many confounding alternative explanations including expectancy (placebo) effects, attentional and Hawthorne effects, experimenter bias etc. In addition, there were no follow-up measures to determine if the effects were lasting. So, conclusions must be limited and tempered. Nevertheless, the present study provides evidence that meditation training may result in improved sleep for medical residents. This may result in reduced stress and better health and performance.

 

So, improve sleep in resident physicians with meditation.

 

“Sleep deficiency impairs performance and patient safety, adversely affects the mental and physical health of resident physicians, and increases their risk of occupational injury and motor vehicle crashes,” – Charles Czeisler

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are available on Twitter @MindfulResearch

 

Study Summary

 

Thimmapuram, J., Pargament, R., Tredici, S. D., Bell, T., Yommer, D., Daoud, D., Powell, F., & Madhusudhan, D. K. (2021). Sleep Patterns of Resident Physicians and the Effect of Heartfulness Meditation. Annals of neurosciences, 28(1-2), 47–54. https://doi.org/10.1177/09727531211039070

 

Abstract

Background:

Medical residents are vulnerable to poor sleep quality due to intense work shifts and academic load. Studies objectively quantified with sleep quantity and quality among resident physicians are limited. Meditation techniques have been shown to improve sleep but are rarely studied in this population. The aim of the present study is to evaluate sleep patterns of internal medicine residents and the effect of a structured Heartfulness meditation program to improve sleep quality.

Methods:

A total of 36 residents participated in a pre–post cohort study from January 2019 through April 2019. Sleep was monitored during a one-week outpatient rotation with two validated assessment tools, namely consensus sleep diary and actigraphy. After four intervening weeks, when the residents returned to the same rotation, Heartfulness meditation was practiced and the same parameters were measured. At the end of the study period, an anonymous qualitative feedback survey was collected to assess the feasibility of the intervention.

Results:

All 36 residents participated in the study (mean age 31.09 years, SD 4.87); 34 residents (94.4%) had complete pre–post data. Consensus sleep diary data showed decreased sleep onset time from 21.03 to 14.84 min (P = .01); sleep quality and restfulness scores increased from 3.32 to 3.89 and 3.08 to 3.54, respectively (P < .001 for both). Actigraphy showed a change in sleep onset time from 20.9 min to 14.5 min (P = .003). Sleep efficiency improved from 83.5% to 85.6% (P = .019). Wakefulness after initial sleep onset changed from 38.8 to 39.9 min (P = .682). Sleep fragmentation index and the number of awakenings decreased from 6.16 to 5.46 (P = .004) and 41.71 to 36.37 (P = .013), respectively.

Conclusions:

Residents obtained nearly 7 h of sleep during outpatient rotation. Findings suggest a structured Heartfulness meditation practice to be a feasible program to improve subjective sleep onset time and several objective measures among resident physicians.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8558985/

 

Protect the Brain from Dementia-Related Deterioration with Meditation

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Protect the Brain from Dementia-Related Deterioration with Meditation

 

By John M. de Castro, Ph.D.

 

“the group who performed meditation and yoga at least two hours per week had less atrophy in parts of the brain and better brain connectivity than the control group.

This finding gives them hope that the practice of meditation and yoga may slow the progression of Alzheimer’s.” – Alissa Sauer

 

The aging process involves a systematic progressive decline in every system in the body, the brain included. The elderly frequently have problems with attention, thinking, and memory, known as mild cognitive impairment. An encouraging new development is that mindfulness practices such as meditation training and mindful movement practices can significantly reduce these declines in cognitive ability. In addition, it has been found that mindfulness practices reduce the deterioration of the brain that occurs with aging restraining the loss of neural tissue.

 

In today’s Research News article “Effects of Meditation on Structural Changes of the Brain in Patients With Mild Cognitive Impairment or Alzheimer’s Disease Dementia.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8633496/ ) Dwivedi and colleagues recruited patients between the ages of 45 and 70 years of age who were diagnosed with mild cognitive impairment or probable Alzheimer’s disease. They were assigned to usual care or to receive 6 months of daily 30-minutes sessions of either meditation practice or non-meditation focused task. Before and after the 6-month intervention they underwent detailed clinical and neuropsychological assessment and Magnetic Resonance Imaging (MRI) of the brain.

 

They found that in comparison to baseline and the control groups the meditation group had significantly higher cortical thickness and gray matter volume in the left caudal and rostral middle frontal areas and significantly higher gray matter volume in left lateral occipital, right inferior parietal, and right superior frontal cortices and significantly lower cortical thickness and gray matter volume in the entorhinal cortex and posterior parts of the brain. On the subcortical level they found increased volume in the right thalamus and the hippocampus. There were no significant differences between groups in clinical and neuropsychological measures.

 

The results suggest that 6-months of meditation practice protects the brain from deterioration in patients diagnosed with mild cognitive impairment or probable Alzheimer’s disease. This suggests that meditation may help to prevent the cognitive decline that occurs with these diseases. It is unfortunate, though, that no significant differences were found in the clinical and neuropsychological measures. The scores, however, did not appear to change significantly between baseline and the follow up assessments. So, there simply may not have been enough time for cognitive decline to be detectable in the patients. Regardless, it is clear that meditation has neuroprotective effects in patients showing early signs of dementia.

 

So, protect the brain from dementia-related deterioration with meditation.

 

“ indicators of Alzheimer’s disease. Results showed that those who practiced meditation saw major changes in the biological markers that would put them at a higher risk for Alzheimer’s disease by the end of the study, with the same participants reporting improvements in cognitive function, sleep, mood, and quality of life.” – Kim Innes

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are available on Twitter @MindfulResearch

 

Study Summary

 

Dwivedi, M., Dubey, N., Pansari, A. J., Bapi, R. S., Das, M., Guha, M., Banerjee, R., Pramanick, G., Basu, J., & Ghosh, A. (2021). Effects of Meditation on Structural Changes of the Brain in Patients With Mild Cognitive Impairment or Alzheimer’s Disease Dementia. Frontiers in human neuroscience, 15, 728993. https://doi.org/10.3389/fnhum.2021.728993

 

Abstract

Previous cross-sectional studies reported positive effects of meditation on the brain areas related to attention and executive function in the healthy elderly population. Effects of long-term regular meditation in persons with mild cognitive impairment (MCI) and Alzheimer’s disease dementia (AD) have rarely been studied. In this study, we explored changes in cortical thickness and gray matter volume in meditation-naïve persons with MCI or mild AD after long-term meditation intervention. MCI or mild AD patients underwent detailed clinical and neuropsychological assessment and were assigned into meditation or non-meditation groups. High resolution T1-weighted magnetic resonance images (MRI) were acquired at baseline and after 6 months. Longitudinal symmetrized percentage changes (SPC) in cortical thickness and gray matter volume were estimated. Left caudal middle frontal, left rostral middle frontal, left superior parietal, right lateral orbitofrontal, and right superior frontal cortices showed changes in both cortical thickness and gray matter volume; the left paracentral cortex showed changes in cortical thickness; the left lateral occipital, left superior frontal, left banks of the superior temporal sulcus (bankssts), and left medial orbitofrontal cortices showed changes in gray matter volume. All these areas exhibited significantly higher SPC values in meditators as compared to non-meditators. Conversely, the left lateral occipital, and right posterior cingulate cortices showed significantly lower SPC values for cortical thickness in the meditators. In hippocampal subfields analysis, we observed significantly higher SPC in gray matter volume of the left CA1, molecular layer HP, and CA3 with a trend for increased gray matter volume in most other areas. No significant changes were found for the hippocampal subfields in the right hemisphere. Analysis of the subcortical structures revealed significantly increased volume in the right thalamus in the meditation group. The results of the study point out that long-term meditation practice in persons with MCI or mild AD leads to salutary changes in cortical thickness and gray matter volumes. Most of these changes were observed in the brain areas related to executive control and memory that are prominently at risk in neurodegenerative diseases.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8633496/

 

Depth of Meditation is Associated with Different Levels of Brain Electrical Activity

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Depth of Meditation is Associated with Different Levels of Brain Electrical Activity

 

By John M. de Castro, Ph.D.

 

“Neuroscientific studies, particularly EEG, are revealing much about the neural correlates of meditation in the hopes of understanding why it has therapeutic value, and as a way to probe the nature of self and consciousness.” – Aaron Nitzkin

 

Meditation training has been shown to improve health and well-being. It has also been found to be effective for a large array of medical and psychiatric conditions, either stand-alone or in combination with more traditional therapies. There are a number of ways that meditation practices produce these benefits, including changes to the brain and physiology. One way to observe the effects of meditation on neural activity is to measure changes in the electroencephalogram (EEG), the rhythmic electrical activity that can be recorded from the scalp.

 

The recorded activity can be separated into frequency bands. Delta activity consists of oscillations in the 0.5-3 cycles per second band. Theta activity in the EEG consists of oscillations in the 4-8 cycles per second band. Alpha activity consists of oscillations in the 8-12 cycles per second band. Beta activity consists of oscillations in the 15-25 cycles per second band while Gamma activity occurs in the 35-45 cycles per second band. Changes in these brain activities can be compared during different depths of meditation.

 

In today’s Research News article “Alpha and theta oscillations are inversely related to progressive levels of meditation depth.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8633885/ ) Katyal and Goldin recruited healthy adult participants who were long-term meditators and demographically matched meditation naïve participants. They had their electroencephalogram (EEG) recorded during 4 blocks of either listening to a story, listening to music, or 2 6-minute blocks of meditation. They self-reported their depth of meditation after each block.

 

They found, not surprisingly, that in comparison to the meditation naïve participants, the experienced meditators had significantly greater depth of meditation. They also found that as the depth of meditation increased the alpha rhythm in the EEG significantly increased while the theta rhythm significantly decreased. This was true for both groups.

 

The alpha rhythm has been associated with relaxation and a suppression of mind wandering and distraction. Similarly, the greater the depth of meditation the less distraction and mind wandering. Thus, the increase in the alpha rhythm with increasing depth of meditation is reasonable and completely predictable. The theta rhythm is associated with dreaminess and sleep. That the theta rhythm is lowest with higher depths of meditation makes sense as depth is associated with alert awareness. Hence, the brain wave patterns seen during meditation are reflective of the depth of meditation.

 

So, depth of meditation is associated with different levels of brain electrical activity

 

“neurocognitive mechanisms that are present during both self-generated thought and controlled cognitive processes (i.e. the integration between the memory and executive components of cognition via alpha:theta cross-frequency coupling) are minimized during meditative practices.” – Julio Rodriguez-Larios

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are available on Twitter @MindfulResearch

 

Study Summary

 

Katyal, S., & Goldin, P. (2021). Alpha and theta oscillations are inversely related to progressive levels of meditation depth. Neuroscience of consciousness, 2021(1), niab042. https://doi.org/10.1093/nc/niab042

 

Highlights

  • Our study reveals neurophysiological changes that occur as meditation experiences become deeper.
  • Alpha and theta brainwaves are two reliable neurophysiological signatures of meditation.
  • Theta activity increased with more distractions and was suppressed during deeper experiences.
  • Increased alpha activity was related to fewer distractions and more deeper meditation experiences.
  • Deeper meditation experiences appear to involve a suppression of executive neural processing.

Abstract

Meditation training is proposed to enhance mental well-being by modulating neural activity, particularly alpha and theta brain oscillations, and autonomic activity. Although such enhancement also depends on the quality of meditation, little is known about how these neural and physiological changes relate to meditation quality. One model characterizes meditation quality as five increasing levels of ‘depth’: hindrances, relaxation, concentration, transpersonal qualities and nonduality. We investigated the neural oscillatory (theta, alpha, beta and gamma) and physiological (respiration rate, heart rate and heart rate variability) correlates of the self-reported meditation depth in long-term meditators (LTMs) and meditation-naïve controls (CTLs). To determine the neural and physiological correlates of meditation depth, we modelled the change in the slope of the relationship between self-reported experiential degree at each of the five depth levels and the multiple neural and physiological measures. CTLs reported experiencing more ‘hindrances’ than LTMs, while LTMs reported more ‘transpersonal qualities’ and ‘nonduality’ compared to CTLs, confirming the experiential manipulation of meditation depth. We found that in both groups, theta (4–6 Hz) and alpha (7–13 Hz) oscillations were related to meditation depth in a precisely opposite manner. The theta amplitude positively correlated with ‘hindrances’ and increasingly negatively correlated with increasing meditation depth levels. Alpha amplitude negatively correlated with ‘hindrances’ and increasingly positively with increasing depth levels. The increase in the inverse association between theta and meditation depth occurred over different scalp locations in the two groups—frontal midline in LTMs and frontal lateral in CTLs—possibly reflecting the downregulation of two different aspects of executive processing—monitoring and attention regulation, respectively—during deep meditation. These results suggest a functional dissociation of the two classical neural signatures of meditation training, namely, alpha and theta oscillations. Moreover, while essential for overcoming ‘hindrances’, executive neural processing appears to be downregulated during deeper meditation experiences.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8633885/

 

Psychedelic Drug Experiences Strengthen the Interpersonal Components of Personality.

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Psychedelic Drug Experiences Strengthen the Interpersonal Components of Personality.

 

By John M. de Castro, Ph.D.

 

“experience with psychedelic drugs was linked to increased positive affect and to personality traits that favor resilience and stability in the light of the ongoing crisis.” – Federico Cavanna

 

Psychedelic substances such as peyote, mescaline, LSD, Bufotoxin, ayahuasca and psilocybin 

have been used almost since the beginning of recorded history to alter consciousness and produce spiritually meaningful experiences. More recently hallucinogenic drugs such as MDMA (Ecstasy) and Ketamine have been similarly used. People find the experiences produced by these substances extremely pleasant. eye opening, and even transformative. They often report that the experiences changed them forever. Psychedelics and hallucinogens have also been found to be clinically useful as they markedly improve mood, increase energy and enthusiasm and greatly improve clinical depression. If these drugs actually change the individuals permanently then they should alter their personalities.

 

In today’s Research News article “.” (See summary below or view the full text of the study at: https://www.frontiersin.org/articles/10.3389/fpsyg.2021.749788/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1784429_a0P58000000G0YfEAK_Psycho_20211202_arts_A ) and colleagues recruited online healthy adults who intended to use psychedelic drugs in the near future. Before, 2-weeks and 4-weeks after the psychedelic experience the participants completed online measures of personality, empathetic concern, perspective taking, compassion, social connectedness, relatedness, and absorption. They were also measured for suggestibility, expectancy, motivation, setting of use, anxiety, depression, challenging experiences, mystical experiences, and emotional breakthrough.

 

They found that in comparison to baseline after the psychedelic experience there were significant decreases in the personality characteristics of anxious and critical while there were significantly higher levels of calm, extraverted, social connectedness, and relatedness. These correspond to the Big Five personality characteristics of neuroticism and agreeableness. They also found that the higher the levels of social connectedness the lower the levels of the personality characteristics of anxious, critical, and disorganized and higher levels of extraverted.

 

The absence of a control (comparison) condition should be noted, leaving the interpretation of the results open to a variety of confounding factors including participant expectancy (placebo) effects. The fact that only people who were intending to use psychedelics participated greatly limits the generalizability of the results. These considerations notwithstanding the results suggest that psychedelic experiences change personality traits for the better, decreased neuroticism and increased agreeableness. The psychedelic experiences appear to improve social functioning, prosociality and feelings of belonging in one’s social environment. These findings suggest that psychedelics may be useful in improving social function and potentially treating patients with negative personality characteristics.

 

So, psychedelic drug experiences strengthen the interpersonal components of personality.

 

“patients who rate highly for openness, acceptance and absorption, and were more likely to be in a psychological state of surrendering to what transpires, were more likely to have positive psychedelic experiences.” – Psych Congress

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are available on Twitter @MindfulResearch

 

Study Summary

 

Weiss B, Nygart V, Pommerencke LM, Carhart-Harris RL and Erritzoe D (2021) Examining Psychedelic-Induced Changes in Social Functioning and Connectedness in a Naturalistic Online Sample Using the Five-Factor Model of Personality. Front. Psychol. 12:749788. doi: 10.3389/fpsyg.2021.749788

 

The present study examines prospective changes in personality traits relevant to social functioning as well as perceived social connectedness in relation to the naturalistic use of psychedelic compounds in an online volunteer sample. The study also examined the degree to which demographic characteristics, social setting, baseline personality, and acute subjective factors (e.g., emotional breakthrough experiences) influenced trajectories of personality and perceived social connectedness. Participants recruited online completed self-report measures of personality and social connectedness at three timepoints (baseline, 2weeks post-experience, 4weeks post-experience). Linear mixed models were used to examine changes in outcomes and the moderation of these outcomes by covariates. The most substantive changes were reductions in the personality domains Neuroticism, and increases in Agreeableness and social connectedness. Notably, reductions in Neuroticism and increases in Agreeableness covaried over time, which may be suggestive of common processes involving emotion regulation. Preliminary evidence was found for a specific effect on a component of Agreeableness involving a critical and quarrelsome interpersonal style. Although moderation by demographic characteristics, social setting, baseline personality, and acute factors generally found limited support, baseline standing on Neuroticism, perspective taking, and social connectedness showed tentative signs of amplifying adaptive effects on each trait, respectively. Our findings hold implications for the potential use of psychedelics for treating interpersonal elements of personality pathology as well as loneliness.

https://www.frontiersin.org/articles/10.3389/fpsyg.2021.749788/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1784429_a0P58000000G0YfEAK_Psycho_20211202_arts_A

 

Improve Adolescent Psychological Well-Being with Tai Chi or Qigong

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Improve Adolescent Psychological Well-Being with Tai Chi or Qigong

 

By John M. de Castro, Ph.D.

 

“Qigong was able to improve attention in adolescents after 4 weeks of practice, leading us to conclude that it may be a useful tool when integrated into physical education classes.” – Leonel Duarte

 

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

 

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

 

Tai Chi and Qigong are ancient mindfulness practices involving slow prescribed movements. They are gentle and completely safe, are inexpensive to administer, can be performed in groups or alone, at home or in a facility or even public park. There has been accumulating research on the effects of Tai Chi and Qigong training on the psychological well-being of adolescents. So, it makes sense to summarize what has been learned.

 

In today’s Research News article “The Effects of Tai Chi and Qigong Exercise on Psychological Status in Adolescents: A Systematic Review and Meta-Analysis.” (See summary below or view the full text of the study at: https://www.frontiersin.org/articles/10.3389/fpsyg.2021.746975/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1784429_a0P58000000G0YfEAK_Psycho_20211202_arts_A  ) Liu and colleagues review, summarize, and perform a meta-analysis of the published controlled research studies effects of Tai Chi and Qigong training on the psychological well-being of adolescents (aged 12 to 18 years).

 

They identified 10 published research studies with a total of 1244 participants. They report that the published research studies found that Tai Chi or Qigong practice produced significant reductions in anxiety, depression, and blood cortisol levels (stress marker) and significant improvements in self-concept and general mental health. Adolescence is a turbulent and stressful time. The published research suggests that practicing Tai Chi or Qigong helps reduce the mental turbulence and may help the youths navigate adolescence and in their transition to adulthood.

 

So, improve adolescent psychological well-being with Tai Chi or Qigong.

 

“Teens . . . who had taken the Tai Chi Chuan classes showed markedly less stress and psychological distress and enjoyed a much better self-image.” – Jeff Paterson

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are available on Twitter @MindfulResearch

 

Study Summary

 

Liu X, Li R, Cui J, Liu F, Smith L, Chen X and Zhang D (2021) The Effects of Tai Chi and Qigong Exercise on Psychological Status in Adolescents: A Systematic Review and Meta-Analysis. Front. Psychol. 12:746975. doi: 10.3389/fpsyg.2021.746975

 

Background: The purpose of this study was to systematically review the effectiveness of Tai Chi and Qigong exercise on adolescents’ symptoms of depression and anxiety, and psychological status based on clinical evidences, and to calculate the pooled results using meta-analysis.

Methods: A systematic search using seven English and three Chinese databases was initiated to identify randomized controlled trials (RCT) and non-randomized comparison studies (NRS) assessing the effect of Tai Chi and Qigong exercise on psychological status among adolescents. Standardized mean differences (SMD) and their 95% confidence intervals (CI) were used to determine the pooled effect of the intervention. Study quality was evaluated using a Checklist to Evaluate a Report of a Non-pharmacological Trial (CLEAR-NPT) designed for non-pharmacological trials.

Results: Four RCTs and six NRS were identified, including 1,244 adolescents. The results suggested a potential beneficial effect of Tai chi and Qigong exercise on reducing anxiety (SMD = 0.386, 95 CI% [0.233, 0.538]) and depression (SMD = 1.937 [95 CI%, 1.392–2.546]) symptoms, and reducing cortisol level (SMD = 0.621 [95 CI%, 0.18–1.062]) in adolescents. Conversely, non-significant effects were found for stress, mood, and self-esteem.

Conclusions: The findings of this review suggest Qigong appears to be an effective therapeutic modality to improve psychological well-being in adolescents. Hope future studies will have rigorously designed, well-controlled randomized trials with large sample sizes in order to confirm these findings.

https://www.frontiersin.org/articles/10.3389/fpsyg.2021.746975/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1784429_a0P58000000G0YfEAK_Psycho_20211202_arts_A

 

Improve Parkinson’s Disease Psychological Symptoms with Mindfulness

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Improve Parkinson’s Disease Psychological Symptoms with Mindfulness

 

By John M. de Castro, Ph.D.

 

“[Parkinson’s Disease] patients experience greater levels of stress than controls, and that stress worsens both motor and non-motor symptoms. Mindfulness may improve [Parkinson’s Disease] symptom severity, with the strongest effects on anxiety and depressed mood.” – Anouk van der Heide

 

Parkinson’s Disease (PD) is an incurable progressive degenerative disease of the central nervous system. The condition is caused by the death of nerve cells in the brain that produce the neurotransmitter dopamine. There are around seven million people worldwide and one million people in the U.S. living with PD and about 60,000 people are diagnosed with PD every year. PD is associated with aging as the vast majority of patients are diagnosed after age 50. In fact, it has been speculated that everyone would eventually develop PD if they lived long enough.

 

Its physical symptoms include resting tremor, slow movements, muscle rigidity, problems with posture and balance, loss of automatic movements, and slurring of speech. PD itself is not fatal but is often associated with related complications which can reduce life expectancy, such as falls, choking, and cardiovascular problems. PD also has psychological effects, especially cognitive decline, anxiety, and depression. Balance is a particular problem as it effects mobility and increases the likelihood of falls, restricting activity and reducing quality of life.

 

There are no cures for Parkinson’s Disease (PD) or even treatments to slow its progression. There are only treatments that can produce symptomatic relief. So, there is a need to discover new and different treatments. Mindfulness training has been found to improve the psychological symptoms and the quality of life with PD patients. PD patients often develop an unawareness of their motor symptoms. It is not known if mindfulness training may help make the patients more aware of their symptoms.

 

In today’s Research News article “Pilot Study of Mindfulness Training on the Self-Awareness of Motor Symptoms in Parkinson’s Disease – A Randomized Controlled Trial.” (See summary below or view the full text of the study at: https://www.frontiersin.org/articles/10.3389/fpsyg.2021.763350/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1784429_a0P58000000G0YfEAK_Psycho_20211202_arts_A ) Buchwitz and colleagues recruited otherwise healthy patients diagnosed with Parkinson’s Disease (average 64 years) and randomly assigned them to either a wait-list control condition or to receive 8 weekly 2-hour sessions of mindfulness training tailored for Parkinson’s Disease patients. Before and after training and 8 weeks later they were measured for awareness of their motor symptoms, cognitive ability, and Parkinson’s Disease symptoms.

 

They found that there was no improvement in general cognitive ability, motor performance, or awareness of motor symptoms by either group. But the mindfulness trained group had significant improvement in mindfulness, sleep quality, attentional ability, and language performance and reductions in anxiety, apathy, and impulsivity of eating behavior.

 

The findings are similar to those of others that mindfulness training improves the psychological well-being of patients diagnosed with Parkinson’s Disease. But it did not improve motor symptoms or the awareness of those motor symptoms. This suggests that mindfulness training should be incorporated into the routine treatment program for Parkinson’s Disease patients.

 

So, improve Parkinson’s Disease psychological symptoms with mindfulness

 

 

“mindfulness training for people with [Parkinson’s Disease] found significant reductions in anxiety, depression and distress about symptoms, along with improvements in memory and verbal fluency.” – Emily Delzell

 

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are available on Twitter @MindfulResearch

 

Study Summary

 

Buchwitz TM, Maier F, Greuel A, Thieken F, Steidel K, Jakobs V and Eggers C (2021) Pilot Study of Mindfulness Training on the Self-Awareness of Motor Symptoms in Parkinson’s Disease – A Randomized Controlled Trial. Front. Psychol. 12:763350. doi: 10.3389/fpsyg.2021.763350

 

ABSTRACT

Objective: This study aims to evaluate feasibility and effects of a newly developed mindfulness intervention tailored to specific needs of patients with Parkinson’s disease (PD).

Background: The phenomenon of impaired self-awareness of motor symptoms (ISAm) in PD might be reduced by increasing patients’ mindfulness. A PD-specific mindfulness intervention has been developed and evaluated as a potential treatment option: IPSUM (“Insight into Parkinson’s Disease Symptoms by using Mindfulness”).

Methods: IPSUM’s effectiveness is evaluated by comparing an intervention with a waitlist-control group. Applying a pre-post design, patients were assessed before, directly after and 8weeks after treatment. The primary outcome was the change in a quantitative ISAm score from baseline to post-assessment. Secondary outcome measures were PD-related affective changes and neuropsychological test performance. Feasibility was evaluated via feedback forms.

Results: In total, 30 non-depressed and non-demented PD patients were included (intervention: n=14, waitlist-control: n=16). ISAm score did not change significantly, but the training group showed greater performance in sustained attention and language tasks over time. Additional changes included greater mindfulness as well as less sleeping problems and anxiety. Cognitive disturbances, apathy, and sleeping problems worsened only in the waitlist-control group. Patients’ feedback regarding the training concept and material was excellent.

Conclusion: Insight into Parkinson’s Disease Symptoms by using Mindfulness has not been capable of reducing ISAm in PD patients but appears to be a feasible and effective concept to, among others, support mental health in the mid-term. It has to be noted though that the study was stopped beforehand because of the SARS CoV-2 pandemic. The lack of findings might therefore be caused by a lack of statistical power. The need for further research to better understand the mechanisms of ISAm and its connection to mindfulness in PD is highlighted.

https://www.frontiersin.org/articles/10.3389/fpsyg.2021.763350/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1784429_a0P58000000G0YfEAK_Psycho_20211202_arts_A

 

Improve Complex Post-Traumatic Stress Disorder (CPTSD) Symptoms with Online Mindfulness Training

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Improve Complex Post-Traumatic Stress Disorder (CPTSD) Symptoms with Online Mindfulness Training

 

By John M. de Castro, Ph.D.

 

“Mindfulness can help people train themselves to get unstuck from a vicious cycle of negative thinking, often a cornerstone of trauma.” – 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.

 

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.

 

Recently, a new category has emerged of Complex Post-Traumatic Stress Disorder (CPTSD) that meets the criterion for PTSD but has the additional symptoms of disturbances in self-organization including affect dysregulation, negative self-concept, and disturbances in relationships. There are a number of therapies that have been developed to treat PTSD. Mindfulness-based therapies have been shown to be particularly effective. But it is not known if mindfulness-based therapies are also effective for CPTSD.

 

In today’s Research News article “Effects of Mindfulness-Based Internet Intervention on ICD-11 Posttraumatic Stress Disorder and Complex Posttraumatic Stress Disorder Symptoms: a Pilot Randomized Controlled Trial.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8435188/ ) Dumarkaite and colleagues recruited college students who had been exposed to trauma including natural disasters, accidents, physical or sexual abuse, or assault. They were randomly assigned to either a wait-list control condition or to receive 8 weekly online mindfulness trainings sessions. They were measured before and after training for traumatic experiences, symptoms of Post-Traumatic Stress Disorder (PTSD) or Complex Post-Traumatic Stress Disorder (CPTSD), anxiety, depression, positive mental health, and satisfaction and usability of the online program.

 

They found that in comparison to baseline and the wait-list control group, the participants who received online mindfulness training had significant decreases in disturbances in self-organization including negative self-concept, and disturbances in relationships and increases in positive mental health. In addition, satisfaction and usability of the online program was high. But they did not find significant changes in PTSD symptoms. Because of the improvements in self-concept, relationships, and mental health it is likely that online mindfulness training is effective for Complex Post-Traumatic Stress Disorder (CPTSD).

 

These results are disappointing in that Mindfulness training has been shown in multiple studies to be effective in improving the symptoms of Post-Traumatic Stress Disorder (PTSD). The difference here is that the mindfulness training was online. This raises the possibility that the interpersonal connections involved in the face-to-face delivery of mindfulness training which is usually delivered in groups is essential for the success of the therapy in treating PTSD.

 

So, improve Complex Post-Traumatic Stress Disorder (CPTSD) symptoms with online mindfulness training.

 

“Trauma and presence (or mindfulness) cannot coexist. Thus, mindfulness practices can help bring trauma victims back to the present and heal from disturbing past events.” – Jason Linder

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are available on Twitter @MindfulResearch

 

Study Summary

 

Dumarkaite, A., Truskauskaite-Kuneviciene, I., Andersson, G., Mingaudaite, J., & Kazlauskas, E. (2021). Effects of Mindfulness-Based Internet Intervention on ICD-11 Posttraumatic Stress Disorder and Complex Posttraumatic Stress Disorder Symptoms: a Pilot Randomized Controlled Trial. Mindfulness, 1–13. Advance online publication. https://doi.org/10.1007/s12671-021-01739-w

 

Abstract

Objectives

A substantial proportion of trauma survivors with posttraumatic stress disorder (PTSD) and complex PTSD (CPTSD) continue to experience symptoms even after trauma-focused therapies. Internet-based interventions could facilitate access to treatment for PTSD and CPTSD. The current pilot study aimed to investigate the effects of mindfulness-based internet intervention on PTSD and CPTSD symptoms.

Methods

A randomized controlled trial (RCT) design with two measurement points (pre-test and post-test) was used to investigate the effects of a structured mindfulness-based internet intervention on PTSD and CPTSD symptoms as well as anxiety, depression, and positive mental health. In total, 70 university students with high levels of PTSD and CPTSD symptoms based on ICD-11 criteria participated in the study: 31 in the intervention group and 39 in the waiting list control group.

Results

We found that the mindfulness-based internet intervention reduced CPTSD disturbances in self-organization (DSO) symptoms (ES = − 0.48 [− 0.96; 0.00]), particularly negative self-concept (ES = − 0.72 [− 1.21; − 0.24]) and disturbances in relationships (ES = − 0.55 [− 1.03; − 0.07]). Moreover, the intervention reduced the symptoms of PTSD sense of threat (ES = − 0.48 [− 0.96; − 0.01]) and promoted positive mental health (ES = 0.51 [0.03; 0.99]). High user satisfaction and good usability of the intervention were reported.

Conclusions

Promising treatment effects were found, indicating that mindfulness-based internet intervention can reduce CPTSD symptoms and have a positive effect on mental health among youth in general. The findings of the current study contribute to the further development of trauma care using internet-delivered interventions.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8435188/

 

Improve Empathy with Attention-Related Facets of Mindfulness

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Improve Empathy with Attention-Related Facets of Mindfulness

 

By John M. de Castro, Ph.D.

 

“mindfulness increases empathy and compassion for others and for oneself.” – Shauna Shapiro

 

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.

 

Mindfulness has been found to increase prosocial emotions such as compassion, and empathy and prosocial behaviors such as altruism.  It is not clear, however, exactly how mindfulness training improves empathy. Empathy involves the ability to understand and share the feelings of others. Thus, the basic attentional processes involved in mindfulness (observing and acting with awareness) could be key in the development of empathy.

 

In today’s Research News article “Exploring the Multidimensional Links Between Trait Mindfulness and Trait Empathy. Frontiers in psychiatry.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8371256/ ) Himichi and colleagues recruited healthy adults and had them complete measures of mindfulness, personal distress, fantasy, empathetic concern, and perspective taking. They found that the higher the level of the observing and acting with awareness facets of mindfulness the higher the level of empathetic concern and perspective taking.

 

In a second study a different sample of healthy adults were recruited, and they completed measures of mindfulness, emotion regulation, effortful control, and alexithymia. They again found that the higher the level of the observing and acting with awareness facets of mindfulness the higher the level of empathetic concern and perspective taking. But they also found that these facets of mindfulness affected the components of empathy both directly and indirectly by the mindfulness facets affecting reappraisal that in turn affected empathy.

 

The results are correlational and as such causation cannot be determined. But previous controlled research by others has found that mindfulness training increases empathy and reappraisal. So, the relationships observed in the present studies likely result from mindfulness causing an increase in empathy and reappraisal. The observing and acting with awareness facets of mindfulness require heightened attention and this attention to the present moment may make it easier to comprehend the situation with others increasing empathy. Reappraisal is a cognitive strategy used in emotion regulation. Reappraisal involves reexamining and reframing interpretations of events. Increasing reappraisal appears to also increase empathy perhaps by allowing for a mindful examination of the situations affecting others.

 

Regardless, it is clear that the attentional facets of mindfulness are related to empathy. This may explain why mindfulness improves social behavior and relationships. It may act by making the individual better able to pay attention to and examine what is going on with others and this understanding would promote better interactions.

 

So, improve empathy with attention-related facets of mindfulness.

 

“mindfulness’s most profound benefit may not be the one that’s most often touted—adapting to a stressful, competitive, even unkind 24/7 world. Instead, meditation might fundamentally alter how we treat those around us.” – David DeSteno

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are available on Twitter @MindfulResearch

 

Study Summary

 

Himichi, T., Osanai, H., Goto, T., Fujita, H., Kawamura, Y., Smith, A., & Nomura, M. (2021). Exploring the Multidimensional Links Between Trait Mindfulness and Trait Empathy. Frontiers in psychiatry, 12, 498614. https://doi.org/10.3389/fpsyt.2021.498614

 

Abstract

Empathy and mindfulness are currently major topics of scientific interest. Although it is well-known that mindfulness—typically as an outcome related to meditation—generates empathy at the state level, only a small number of studies have documented the trait (i.e., personality) level association between mindfulness and empathy. Furthermore, the underlying mechanisms (subcomponents and mediator variables) that support this association remain unclear. Thus, here, with a focus on the trait level, we investigated relationships among multiple subcomponents of trait mindfulness and trait empathy (Study 1). Next, we reexamined the aforementioned relationships in an independent sample, with the further aim of investigating relevant mediation factors (Study 2). We found that two attention-related components of trait mindfulness—observing and acting with awareness—reliably and positively related to both affective and cognitive dimensions of trait empathy (i.e., empathic concern and perspective taking). Furthermore, we found that effortful control, reappraisal, and trait alexithymia mediated relationships between the aforementioned attention-related components of trait mindfulness and empathic concern. Taken together, our results suggest that the links between mindfulness and empathy are multidimensional and complex. These findings may ultimately contribute to an understanding of the mechanisms underlying the positive effects of meditation on empathy.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8371256/

 

Improve Well-Being in Adults who Experienced Childhood Maltreatment with Mindfulness

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Improve Well-Being in Adults who Experienced Childhood Maltreatment with Mindfulness

 

By John M. de Castro, Ph.D.

 

“mindfulness-based interventions can be beneficial for childhood maltreatment survivors to alleviate psychological symptoms including stress, anxiety, recurrent depression, substance use, and post-traumatic stress.” – Diane Joss

 

Childhood trauma can leave in its wake symptoms which can haunt the victims for the rest of their lives. These include persistent recurrent re-experiencing of the traumatic event, including flashbacks and nightmares, loss of interest in life, detachment from other people, increased depression, anxiety and emotional arousal, including outbursts of anger, difficulty concentration, and jumpiness, startling easily. Unfortunately, childhood maltreatment can continue to affect mental and physical health throughout the individual’s life. How individuals cope with childhood maltreatment helps determine the effects of the maltreatment on their mental health.

 

It has been found that experiencing the feelings and thoughts produced by trauma completely, allows for better coping. This can be provided by mindfulness. Indeed, mindfulness has been found to be effective for relieving trauma symptoms. But it is not known how mindfulness works to impact the psychological well-being of adults who experienced childhood maltreatment.

 

In today’s Research News article “Nonattachment Predicts Empathy, Rejection Sensitivity, and Symptom Reduction After a Mindfulness-Based Intervention Among Young Adults with a History of Childhood Maltreatment.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7205188/ ) Joss and colleagues recruited patience with a history of childhood maltreatment including physical and emotional abuse or neglect, and sexual abuse, verbal abuse, witnessing violence between parents or physical abuse of siblings.

 

They were assigned to either a wait-list control condition or to receive mindfulness training. The training was modelled after the Mindfulness-Based Stress Reduction (MBSR) program and met once a week for eight weeks along with daily home practice and contained “breath awareness meditation, body scan meditation, mindful yoga, open awareness meditation, loving-kindness meditation, walking meditation, mountain meditation, mindful eating as well as noticing mindful moments in daily lives”. They were measured before and after training for mindfulness, childhood trauma, adverse childhood experiences, anxiety sensitivity, PTSD symptoms, rejection sensitivity, nonattachment, and interpersonal reactivity.

 

They found that in comparison to baseline and the wait-list control group, the group that received mindfulness training had significantly higher levels of mindfulness and nonattachment and significantly lower levels of PTSD symptoms, rejection sensitivity, and interpersonal reactivity. In addition, the greater the attendance at the mindfulness training sessions the greater the increases in mindfulness and nonattachment and decreases in personal distress and anxiety sensitivity. Further they found that mindfulness was associated with reduced rejection sensitivity indirectly by being associated with higher levels of nonattachment and empathy which were in turn associated with lower levels of rejection sensitivity.

 

The results suggest that mindfulness training improves the psychological well-being of young adults who had experienced childhood maltreatment in a dose dependent way. Nonattachment is a “flexible way of relating to one’s experiences without clinging to or suppressing them” and is increased by mindfulness training. In addition, empathy is “the capacity to understand others’ perspectives and to feel and share others’ feelings” and is increased by mindfulness training. These factors in turn appear to be important for the improvement in psychological well-being. In other words, mindfulness increases the ability to let go of experiences and not ruminate or worry about them and improves empathy and these factors improve the well-being of young adults who had experienced childhood maltreatment. All this suggests that mindfulness training should be recommended for people who experienced childhood maltreatment to reduce the impact of the trauma and improve psychological well-being.

 

So, improve well-being in adults who experienced childhood maltreatment with mindfulness.

 

“Mindfulness skills tend to be lower among adolescents and adults exposed to various forms of childhood maltreatment.” – Alan R. King

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are available on Twitter @MindfulResearch

 

Study Summary

 

Joss, D., Lazar, S. W., & Teicher, M. H. (2020). Nonattachment Predicts Empathy, Rejection Sensitivity, and Symptom Reduction After a Mindfulness-Based Intervention Among Young Adults with a History of Childhood Maltreatment. Mindfulness, 11(4), 975–990. https://doi.org/10.1007/s12671-020-01322-9

 

Abstract

Objectives:

Individuals with a childhood maltreatment history tend to have various psychological symptoms and impaired social functioning. This study aimed to investigate the related therapeutic effects of a mindfulness-based intervention in this population.

Methods:

We analyzed self-report questionnaire scores of the Mindful Attention Awareness Scale (MAAS), Non-Attachment Scale (NAS), Adult Rejection Sensitivity Questionnaire (A-RSQ), Interpersonal Reactivity Index (IRI), PTSD CheckList (PCL), and Anxiety Sensitivity Index (ASI), from 16 (3 males) young adults (age range 22–29) with mild to moderate childhood maltreatment, compared to 18 matched participants (6 males) on a waiting list, during both pre- and post-intervention/waiting periods. Analyses were conducted with linear mixed effects models, partial correlation analyses and t-tests.

Results:

There were group by time interaction effects with the scores of MAAS, NAS, PCL, IRI-Fantasy, and A-RSQ (p < .05). The mindfulness group had significant increase in MAAS (17.325%) and NAS (8.957%) scores, as well as reduction in PCL (15.599%) and A-RSQ (23.189%) scores (p < .05). Changes in non-attachment, but not mindfulness, had significant contributions to the score changes of PCL (16.375%), ASI (36.244%), IRI-Personal Distress (24.141%), IRI-Empathic Concern (16.830%), and A-RSQ (10.826%) (p < .05). The number of intervention sessions attended was correlated with score changes of NAS (r = .955, p < .001), and ASI (r = −.887, p < .001), suggesting a dose-dependent effect.

Conclusions:

Findings from this pilot study suggest that the mindfulness-based intervention improved mindfulness, non-attachment and empathy, which contributed to reduced interpersonal distress, rejection sensitivity and other psychological symptoms.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7205188/

 

Reduce the Depressive Effects of Adverse Childhood Experiences with Mindfulness

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Reduce the Depressive Effects of Adverse Childhood Experiences with Mindfulness

 

By John M. de Castro, Ph.D.

 

“mindfulness instruction may mitigate the negative effects of stress and trauma related to adverse childhood exposures, improving short- and long-term outcomes, and potentially reducing poor health outcomes in adulthood.” – Robin Ortiz

 

Childhood trauma can leave in its wake symptoms which can haunt the victims for the rest of their lives. These include persistent recurrent re-experiencing of the traumatic event, including flashbacks and nightmares, loss of interest in life, detachment from other people, increased depression, anxiety and emotional arousal, including outbursts of anger, difficulty concentration, and jumpiness, startling easily. Unfortunately, childhood maltreatment can continue to affect mental and physical health throughout the individual’s life. How individuals cope with childhood maltreatment helps determine the effects of the maltreatment on their mental health.

 

It has been found that experiencing the feelings and thoughts produced by trauma completely, allows for better coping. This can be provided by mindfulness. Indeed, mindfulness has been found to be effective for relieving trauma symptoms. But it is not known how mindfulness interacts with adverse childhood experiences to impact psychological well-being later on.

 

In today’s Research News article “Mindfulness as a mediator and moderator in the relationship between adverse childhood experiences and depression.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8215089/ ) McKeen and colleagues recruited college students and had them complete measures of mindfulness, adverse childhood experiences, and depression. Adverse childhood experiences included instances of physical or emotional abuse and family dysfunction. Of the students 71% reported some form of adverse childhood experiences.

 

They found that the greater the adverse childhood experiences the higher the levels of depression and the lower the levels of mindfulness, especially the describing, acting with awareness, and non-judging facets. They also found that the higher the levels of mindfulness the lower the levels of depression. Further they found that mindfulness moderated the relationship of adverse childhood experiences with depression such that the greater the level of adverse childhood experiences the lower the levels of mindfulness and in turn the lower the levels of depression.

 

The results of the present study are correlational and so no conclusions can be reached regarding causation. Previous research by others, however, has demonstrated a causal connection between mindfulness and lower depression. So, the observed relationship here is likely due to mindfulness causing a reduction in depression.

 

It has also been previously observed that adverse childhood experiences are associated with lower mindfulness and well-being.  What is new here is the demonstration that adverse childhood experiences are linked to depression by reduced mindfulness. This suggests that mindfulness training may be a means to reduce depression caused by adverse childhood experiences.

 

So, reduce the depressive effects of adverse childhood experiences with mindfulness.

 

“Numerous studies support the use of mindfulness as an effective intervention for youth exposed to trauma.” – Jennifer Peterson

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are available on Twitter @MindfulResearch

 

Study Summary

 

McKeen, H., Hook, M., Podduturi, P., Beitzell, E., Jones, A., & Liss, M. (2021). Mindfulness as a mediator and moderator in the relationship between adverse childhood experiences and depression. Current psychology (New Brunswick, N.J.), 1–11. Advance online publication. https://doi.org/10.1007/s12144-021-02003-z

 

Abstract

Adverse childhood experiences (ACEs) have been associated with a variety of negative physical and psychological health outcomes. The mechanisms by which this occurs and potential protective factors present in this relationship are understudied. Mindfulness is a cognitive resource that may protect individuals against symptoms of psychological distress. It has five core facets and encourages a nonjudgmental acceptance of the present moment. The purpose of this study was to explore the role of mindfulness in the relationship between ACEs and depression, both as a mediator and as a moderator, or protective factor. We hypothesized that the aware, describe, and non-judgement facets of mindfulness would be key factors in both sets of analyses. Participants at a university (N = 279) were given the Five Factor Mindfulness Questionnaire (FFMQ), the Adverse Childhood Experiences Scale (ACES), and the Patient Health Questionnaire (PHQ-8) to measure depression. Results indicated that the describe CI [.02, .11], aware CI [.05, .17], and non-judgement CI [.06, .18] facets of mindfulness significantly mediated the relationship between ACEs and depression. Additionally, the aware facet of mindfulness was also a significant moderator in this relationship, [t (interaction) = −3.22, p < 0.01], such that individuals with a high level of awareness had no increase in depression even as the number of ACEs increased. Negative cognitions associated with ACEs may harm one’s ability to effectively describe their feelings and to be fully aware of the present moment, which may contribute to symptoms of depression. Implications for mindfulness-based interventions (MBIs) are discussed.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8215089/