contemplative practice

Mindfulness Traits May Affect the Ability of Brief Meditation to Improve Attention

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Mindfulness Traits May Affect the Ability of Brief Meditation to Improve Attention

 

By John M. de Castro, Ph.D.

 

“even relatively short daily meditation practice can have similar behavioral effects as longer duration and higher-intensity mediation practices.” – Julia Basso

 

One of the primary effects of mindfulness training is an improvement in the ability to pay attention to the task at hand and ignore interfering stimuli. This is an important consequence of mindfulness training and produces improvements in thinking, reasoning, and creativity. The importance of heightened attentional ability to the individual’s ability to navigate the demands of complex modern life cannot be overstated. It helps in school, at work, in relationships, or simply driving a car. As important as attention is, it’s surprising that little is known about the how much meditation and what types of meditation work best to improve attention

 

In today’s Research News article “Individual Differences in the Change of Attentional Functions With Brief One-Time Focused Attention and Open Monitoring Meditations.” (See summary below or view the full text of the study at: https://www.frontiersin.org/articles/10.3389/fpsyg.2021.716138/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1765474_a0P58000000G0YfEAK_Psycho_20211102_arts_A ) Tanaka and colleagues recruited university students and randomly assigned them to no-meditation, focused meditation, or open monitoring meditation. The participants were measured for mindfulness, and attentional functions (alerting, orienting, and conflict monitoring). They then spent 30 minutes either listening to music, focused meditation, or open monitoring meditation followed by measurement of attentional functions.

 

They found that before and after the 30-minute interventions there were no significant differences in attentional functions or mindfulness between the groups. But they found that individual differences in mindfulness affected the effects of the interventions on the alerting attentional function. In particular, employing stepwise multiple regressions, that for participants who practiced focused meditation the higher the nonreactivity mindfulness score the smaller the change in the alerting score. In addition, for participants who practiced open monitoring meditation the higher the describing mindfulness score the larger the change in the alerting score.

 

It has been previously demonstrated that mindfulness training over a period of time improves attention. The present findings, though, show that a brief, one-time meditation, regardless of type, is not sufficient to improve attention. This suggests that attentional improvement requires repeated meditation practices. The results also suggest that people with different levels of mindfulness may respond differently to meditation affecting attention. There were, however, multiple comparisons (45) involved here and only 2 were significantly different. This could occur be chance. So, caution must be exercised in reaching conclusions about these relationships until they can be replicated.

 

So, mindfulness traits may affect the ability of brief meditation to improve attention.

 

“Mindfulness and meditation can have a tangible effect on the way your brain processes and stores information, reducing your stress, increasing your ability to respond flexibly to change, and can improve your ability to focus on tasks and pay attention over a period of time.“ – Maren Hunsberger

 

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

 

Tanaka M, Nakashima R, Hiromitsu K and Imamizu H (2021) Individual Differences in the Change of Attentional Functions With Brief One-Time Focused Attention and Open Monitoring Meditations. Front. Psychol. 12:716138. doi: 10.3389/fpsyg.2021.716138

 

Mindfulness meditation is increasingly used for clinical treatment and to improve well-being. One of the most fundamental benefits of mindfulness meditation is now considered as enhanced attentional control. Mindfulness meditation is a complex technique but most of its variants consist of a combination of two types of basic meditation practice: focused attention meditation (FAM) and open monitoring meditation (OMM). Although many studies have examined the effect of relatively long-term meditation on attention, some recent studies have focused on the effect of a brief one-time meditation on cognitive processing, including attentional functions. Furthermore, it is necessary to discuss the relationship between the effect of mindfulness meditation on attentional functions and personality traits (especially traits related to mindfulness). This study investigated whether attentional control is improved by a single 30-min FAM or OMM and whether the degree of improvement in attentional functions – alerting, orienting, and conflict monitoring – induced by the meditation varies according to the participant’s trait scores related to mindfulness measured by the Five Facets Mindfulness Questionnaire. Participants were randomly assigned to one of three groups, i.e., FAM, OMM, and no-meditation (noM) groups, and given an Attentional Network Test before and after each 30-min meditation session. Compared with the noM group, there was no overall improvement in attentional functions with either type of meditation. However, there were associations between the change of the alerting function’s score and the personality traits: in the FAM group, alerting scores were negatively associated with the nonreactivity facet of the FFMQ, and in the OMM group, alerting scores were positively associated with describing facet scores of the FFMQ. The results indicate that the effects of meditation methods on attentional functions could depend on the individual’s traits related to mindfulness and that mindfulness meditation could sometimes appear to have no impact on attentional functions.

https://www.frontiersin.org/articles/10.3389/fpsyg.2021.716138/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1765474_a0P58000000G0YfEAK_Psycho_20211102_arts_A

 

Improve College Student Psychological Well-Being with Online Mindfulness Training

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Improve College Student Psychological Well-Being with Online Mindfulness Training

 

By John M. de Castro, Ph.D.

 

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

 

In the modern world education is a key for success. There is a lot of pressure on college students to excel so that they can get the best jobs after graduation. The pressure can lead to stress, anxiety, and depression which can impede the student’s mental health, well-being, and school performance. But it is, for the most part, beyond the ability of the individual to change the environment to reduce stress, so it is important that methods be found to reduce the college students’ responses to stress; to make them more resilient when high levels of stress occur.

 

Contemplative practices including meditation, mindfulness training, exercise, Tai Chi and Qigong, and yoga practice have been shown to reduce the psychological and physiological responses to stress, relieve anxiety, and reduce depression  Most mindfulness trainings, however, require a trained teacher. The participants must be available to attend multiple sessions at particular scheduled times that may or may not be compatible with busy student schedules and at locations that may not be convenient. Online mindfulness trainings have tremendous advantages in decreasing costs, making training schedules much more flexible, and eliminating the need to go repeatedly to specific locations. So, it would seem important to examine whether brief online mindfulness training can relieve stress and improve the psychological well-being of college students.

 

In today’s Research News article “An Evaluation of an Online Brief Mindfulness-Based Intervention in Higher Education: A Pilot Conducted at an Australian University and a British University.” (See summary below or view the full text of the study at: https://www.frontiersin.org/articles/10.3389/fpsyg.2021.752060/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1765474_a0P58000000G0YfEAK_Psycho_20211102_arts_A ) Chung and colleagues recruited college students and randomly assigned them to either a wait-list control condition or to receive a 6 or 12 week online mindfulness training. They were measured before and after the intervention for mental well-being, perceived stress, and mindfulness.

 

They found that in comparison to baseline and the wait-list control condition after mindfulness training the students had significantly higher levels of mindfulness and mental well-being and lower levels of perceived stress. Mindfulness training has been repeatedly found with a variety of groups to reduce stress and improve well-being. So, the present results are not surprising. But the results clearly demonstrate that online mindfulness training significantly improves the psychological well-being of college students.

 

So, improve college student psychological well-being with online mindfulness training.

 

“Being mindful makes it easier to savor the pleasures in life as they occur, helps you become fully engaged in activities, and creates a greater capacity to deal with adverse events,” – Abby Fortin

 

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

 

Chung J, Mundy ME, Hunt I, Coxon A, Dyer KR and McKenzie S (2021) An Evaluation of an Online Brief Mindfulness-Based Intervention in Higher Education: A Pilot Conducted at an Australian University and a British University. Front. Psychol. 12:752060. doi: 10.3389/fpsyg.2021.752060

 

Mental ill health among higher education students is a well-established problem; therefore, it is imperative to implement preventative approaches to support wellbeing. Blended and fully online education programmes widens access for mature or returning students; however, the psychological wellbeing of this sub-group of students is under-researched. Finally, evaluating wellbeing interventions that meet the needs of university students as well as accessible for online students is required. The aim of this study was to evaluate a brief, online and mindfulness-based intervention to assist the self-management of wellbeing and stress for both online and on-campus higher education students. The total sample included 427 participants (96% psychology students) at Monash University, Australia (n=283) and King’s College London (n=144), with 152 participants completing the whole study. Participants were allocated to a brief, self-guided, online and mindfulness-based intervention (over the course of one study period; n=297), or to a wait-list control group (n=148). Baseline and end of semester questionnaires included the 14-item Warwick-Edinburgh Mental Wellbeing Scale, 10-item Perceived Stress Scale and the 15-item Mindful Attention Awareness Scale. Regression modelling revealed the intervention condition accounted for up to 12% of the variability in change in student wellbeing, stress and mindfulness between the start and end of semester (when controlling for baseline). These findings support the implementation of a brief, online and asynchronous mindfulness-based intervention for supporting student mental health and psychological wellbeing. An on-going challenge in practice includes engaging and maintaining student engagement in wellbeing initiatives.

https://www.frontiersin.org/articles/10.3389/fpsyg.2021.752060/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1765474_a0P58000000G0YfEAK_Psycho_20211102_arts_A

 

Meditation Effects on Mindfulness and Emotion Regulation are Associated with Changes in Brain Activity

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Meditation Effects on Mindfulness and Emotion Regulation are Associated with Changes in Brain Activity

 

By John M. de Castro, Ph.D.

 

“the meditation intervention had large varying effects on EEG spectra, . . Findings suggest that brief guided meditation intervention may offer positive and immediate health benefits to help combat stress.” – Peta Stapleton

 

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 several 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. There needs to be further research on how changes in brain activity progress a meditation practice develops.

 

In today’s Research News article “Mindfulness Training Associated With Resting-State Electroencephalograms Dynamics in Novice Practitioners via Mindful Breathing and Body-Scan.” (See summary below or view the full text of the study at: https://www.frontiersin.org/articles/10.3389/fpsyg.2021.748584/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1765474_a0P58000000G0YfEAK_Psycho_20211102_arts_A ) Ng and colleagues recruited meditation naive healthy adults and randomly assigned them to either a wait-list control condition or to receive 8 weekly 2,5 hour sessions of Mindfulness-Based Stress Reduction (MBSR). The intervention consisted of meditation, body scan, and yoga along with group discussion and home practice. Before and after the 8-week program they were measured for mindfulness and emotion regulation and underwent simultaneous brain scanning with functional magnetic resonance imaging (fMRI) and brain electrical activity measurement with electroencephalogram (EEG). The scanning occurred with 5-minute epochs of rest, mindful breathing, body scan, and rest during which they were asked to press a button whenever their mind wandered.

 

They found that in comparison to baseline and the wait-list control group the group that received Mindfulness-Based Stress Reduction (MBSR) had significantly greater levels of mindfulness and emotion regulation. In the electroencephalogram (EEG) after MBSR training there were significant increases in power in the beta and gamma bands and decreases in the delta band in the frontal and parietal cortex regardless of condition. They also found that in comparison to the resting condition during body scan the MBSR group had significantly lower power in the delta, beta, and gamma bands. Changes in the EEG powers were significantly related to changes in mindfulness and emotion regulation.

 

The present results are similar to previous findings that mindfulness training produces significant improvements in mindfulness and emotion regulation. But the present findings are unique in showing that these changes are associated with changes in the electroencephalogram (EEG) produced by mindfulness training. Since the participants were meditation naïve at the beginning, these findings document how mindfulness training may produce its benefits. They suggest that mindfulness training alters brain processing increasing spectral power in the brain and this produces changes in psychological processes.

 

Hence, meditation effects on mindfulness and emotion regulation are associated with changes in brain activity.

 

“Many studies on mindfulness meditation have linked lower frequency alpha waves, as well as theta waves, to meditation.” – Wikipedia

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are available at the Contemplative Studies Blog http://contemplative-studies.org/wp/

They are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

 

Study Summary

 

Ng H-YH, Wu CW, Huang F-Y, Cheng Y-T, Guu S-F, Huang C-M, Hsu C-F, Chao Y-P, Jung T-P and Chuang C-H (2021) Mindfulness Training Associated With Resting-State Electroencephalograms Dynamics in Novice Practitioners via Mindful Breathing and Body-Scan. Front. Psychol. 12:748584. doi: 10.3389/fpsyg.2021.748584

 

Objectives: Mindfulness-based stress reduction has been proven to improve mental health and quality of life. This study examined how mindfulness training and various types of mindfulness practices altered brain activity.

Methods: Specifically, the spectral powers of scalp electroencephalography of the mindfulness-based stress reduction (MBSR) group (n=17) who underwent an 8-week MBSR training—including mindful breathing and body-scan—were evaluated and compared with those of the waitlist controls (n=14).

Results: Empirical results indicated that the post-intervention effect of MBSR significantly elevated the resting-state beta powers and reduced resting-state delta powers in both practices; such changes were not observed in the waitlist control. Compared with mindful breathing, body-scanning resulted in an overall decline in electroencephalograms (EEG) spectral powers at both delta and low-gamma bands among trained participants.

Conclusion: Together with our preliminary data of expert mediators, the aforementioned spectral changes were salient after intervention, but mitigated along with expertise. Additionally, after receiving training, the MBSR group’s mindfulness and emotion regulation levels improved significantly, which were correlated with the EEG spectral changes in the theta, alpha, and low-beta bands. The results supported that MBSR might function as a unique internal processing tool that involves increased vigilant capability and induces alterations similar to other cognitive training.

 

https://www.frontiersin.org/articles/10.3389/fpsyg.2021.748584/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1765474_a0P58000000G0YfEAK_Psycho_20211102_arts_A

 

By John M. de Castro, Ph.D.

 

“the meditation intervention had large varying effects on EEG spectra, . . Findings suggest that brief guided meditation intervention may offer positive and immediate health benefits to help combat stress.” – Peta Stapleton

 

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 several 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. There needs to be further research on how changes in brain activity progress a meditation practice develops.

 

In today’s Research News article “Mindfulness Training Associated With Resting-State Electroencephalograms Dynamics in Novice Practitioners via Mindful Breathing and Body-Scan.” (See summary below or view the full text of the study at: https://www.frontiersin.org/articles/10.3389/fpsyg.2021.748584/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1765474_a0P58000000G0YfEAK_Psycho_20211102_arts_A ) Ng and colleagues recruited meditation naive healthy adults and randomly assigned them to either a wait-list control condition or to receive 8 weekly 2,5 hour sessions of Mindfulness-Based Stress Reduction (MBSR). The intervention consisted of meditation, body scan, and yoga along with group discussion and home practice. Before and after the 8-week program they were measured for mindfulness and emotion regulation and underwent simultaneous brain scanning with functional magnetic resonance imaging (fMRI) and brain electrical activity measurement with electroencephalogram (EEG). The scanning occurred with 5-minute epochs of rest, mindful breathing, body scan, and rest during which they were asked to press a button whenever their mind wandered.

 

They found that in comparison to baseline and the wait-list control group the group that received Mindfulness-Based Stress Reduction (MBSR) had significantly greater levels of mindfulness and emotion regulation. In the electroencephalogram (EEG) after MBSR training there were significant increases in power in the beta and gamma bands and decreases in the delta band in the frontal and parietal cortex regardless of condition. They also found that in comparison to the resting condition during body scan the MBSR group had significantly lower power in the delta, beta, and gamma bands. Changes in the EEG powers were significantly related to changes in mindfulness and emotion regulation.

 

The present results are similar to previous findings that mindfulness training produces significant improvements in mindfulness and emotion regulation. But the present findings are unique in showing that these changes are associated with changes in the electroencephalogram (EEG) produced by mindfulness training. Since the participants were meditation naïve at the beginning, these findings document how mindfulness training may produce its benefits. They suggest that mindfulness training alters brain processing increasing spectral power in the brain and this produces changes in psychological processes.

 

Hence, meditation effects on mindfulness and emotion regulation are associated with changes in brain activity.

 

“Many studies on mindfulness meditation have linked lower frequency alpha waves, as well as theta waves, to meditation.” – Wikipedia

 

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

 

Ng H-YH, Wu CW, Huang F-Y, Cheng Y-T, Guu S-F, Huang C-M, Hsu C-F, Chao Y-P, Jung T-P and Chuang C-H (2021) Mindfulness Training Associated With Resting-State Electroencephalograms Dynamics in Novice Practitioners via Mindful Breathing and Body-Scan. Front. Psychol. 12:748584. doi: 10.3389/fpsyg.2021.748584

 

Objectives: Mindfulness-based stress reduction has been proven to improve mental health and quality of life. This study examined how mindfulness training and various types of mindfulness practices altered brain activity.

Methods: Specifically, the spectral powers of scalp electroencephalography of the mindfulness-based stress reduction (MBSR) group (n=17) who underwent an 8-week MBSR training—including mindful breathing and body-scan—were evaluated and compared with those of the waitlist controls (n=14).

Results: Empirical results indicated that the post-intervention effect of MBSR significantly elevated the resting-state beta powers and reduced resting-state delta powers in both practices; such changes were not observed in the waitlist control. Compared with mindful breathing, body-scanning resulted in an overall decline in electroencephalograms (EEG) spectral powers at both delta and low-gamma bands among trained participants.

Conclusion: Together with our preliminary data of expert mediators, the aforementioned spectral changes were salient after intervention, but mitigated along with expertise. Additionally, after receiving training, the MBSR group’s mindfulness and emotion regulation levels improved significantly, which were correlated with the EEG spectral changes in the theta, alpha, and low-beta bands. The results supported that MBSR might function as a unique internal processing tool that involves increased vigilant capability and induces alterations similar to other cognitive training.

 

https://www.frontiersin.org/articles/10.3389/fpsyg.2021.748584/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1765474_a0P58000000G0YfEAK_Psycho_20211102_arts_A

Reduce Burnout and Increase Resilience in Healthcare Workers with Mindfulness

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Reduce Burnout and Increase Resilience in Healthcare Workers with Mindfulness

 

By John M. de Castro, Ph.D.

 

“Mindfulness practices and perspectives are profoundly beneficial at all levels of healthcare—from the personal to the professional to the patients.” – Mindful

 

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

 

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

 

In today’s Research News article “A Novel Mindful-Compassion Art-Based Therapy for Reducing Burnout and Promoting Resilience Among Healthcare Workers: Findings From a Waitlist Randomized Control Trial.” (See summary below or view the full text of the study at: https://www.frontiersin.org/articles/10.3389/fpsyg.2021.744443/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1765474_a0P58000000G0YfEAK_Psycho_20211102_arts_A ) Ho and colleagues recruited frontline healthcare workers and randomly assigned them to either a wait-list control condition or to receive 6 weekly 3-hour sessions of Mindful-Compassion Art-based Therapy (MCAT). The treatment included meditation, lectures, and art therapy that was aimed at training “understanding, acceptance, and compassion for self and others to cultivate psychological resilience and shared meaning”. The participants were measured before and after training and 6 weeks later for mindfulness, burnout, resilience, emotion regulation, self-compassion, death attitude, and quality of life. Transcripts of group sharing sessions and artwork produced were also analyzed.

 

They found that in comparison to baseline and the wait-list control group after Mindful-Compassion Art-Based Therapy (MCAT) there were significant increases in emotion regulation, non-reactivity to intrusive thoughts, acceptance of death and significant reduction in mental exhaustion. At the 6-week follow-up, they found that the improvements in emotion regulation and mental exhaustion were maintained and the MCAT group also showed significant increases in mindfulness, self-compassion, interconnectedness to others, and quality of life. Analysis of the group discussions and artwork revealed that the training worked by reducing burnout, building resilience, nurturing compassion, and fostering collegial support among healthcare workers.

 

These results are encouraging and suggest that the mindfulness-based therapy was effective in improving the psychological health and well-being and reducing burnout of healthcare workers. Prior research by others reinforce these findings as it has been shown that mindfulness training produces increases in emotion regulation, self-compassion, interconnectedness, resilience, acceptance of death. and quality of life and reductions in burnout. Hence, the present findings along with previous research suggest that mindfulness training improves the psychological health and well-being of healthcare workers making them more resistant to professional fatigue and burnout. This suggests that mindfulness training should be recommended for frontline healthcare workers.

 

So, reduce burnout and increase resilience in healthcare workers with mindfulness.

 

“mindfulness-based stress reduction was associated with significant improvements in burnout scores and mental well-being for a broad range of healthcare providers.” – Matthew Goodman

 

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

 

Ho AHY, Tan-Ho G, Ngo TA, Ong G, Chong PH, Dignadice D and Potash J (2021) A Novel Mindful-Compassion Art-Based Therapy for Reducing Burnout and Promoting Resilience Among Healthcare Workers: Findings From a Waitlist Randomized Control Trial. Front. Psychol. 12:744443. doi: 10.3389/fpsyg.2021.744443

 

Protecting the mental health of healthcare workers is an urgent global public health priority. Healthcare workers, especially those immersed in palliative care, are prone to burnout due to the intense emotions associated with end-of-life caregiving. This study examines the efficacy of a novel, multimodal, and group-based Mindful-Compassion Art-based Therapy (MCAT) that integrates reflective self-awareness with creative emotional expression for protecting healthcare workers’ mental health. A dual-arm open-label waitlist randomized controlled trial was conducted. A total of 56 healthcare workers were recruited from the largest homecare hospice in Singapore and randomized to the immediate-treatment condition of a standardized 6-week, 18-hours MCAT intervention (n=29), or the waitlist-control condition (n=27). Self-administered outcome measures on burnout, resilience, emotional regulation, self-compassion, death attitudes, and quality of life were collected at baseline, post-intervention/second-baseline at 6weeks, and follow-up/post-intervention at 12weeks. Results from mixed model ANOVAs reveal that treatment group participants experienced significant reduction in mental exhaustion, as well as significant improvements in overall emotional regulation, nonreactivity to intrusive thoughts, approach acceptance of death, and afterlife belief as compared to waitlist-control immediately after MCAT completion. Effect sizes of these impacts ranged from medium to large (η2=0.65 to 0.170). Results from one-way ANOVAs further reveal that the treatment gains of reduced mental exhaustion and increased emotional regulation were maintained among treatment group participants at 12-weeks follow-up compared to baseline, with new benefits identified. These include increased ability to observe and describe one’s experiences, elevated overall self-compassion, greater mindful awareness, enhanced common humanity, and better quality of life. Effect sizes of these impacts were large (η2=0.128 to 0.298). These findings reflect the robust effectiveness and positive residual effects of MCAT for reducing burnout, building resilience, nurturing compassion, fostering collegial support, and promoting mental wellness among healthcare workers. The clinical model and applicability of MCAT in larger and more diverse caregiving contexts, such as family dementia care, are discussed.

https://www.frontiersin.org/articles/10.3389/fpsyg.2021.744443/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1765474_a0P58000000G0YfEAK_Psycho_20211102_arts_A

 

Improve Coping with Brain Injury with Mindfulness

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Improve Coping with Brain Injury with Mindfulness

 

By John M. de Castro, Ph.D.

 

“For many brain injury survivors, mindfulness is an essential practice that helps to regulate their mental health, mood changes, and memory.” – Headway

 

Brain damage is permanent. The neurons and neural structures that are destroyed when the brain is damaged for the most part do not regrow. Although the brain tissues that are destroyed are permanently lost, we know that people can recover to some extent from brain injury. How is it possible that recovery can occur when there is no replacement of the damaged tissue? There appears to be strategies that are employed by the brain to assist in recovery. Other areas of the brain can take over some of the function, new behavioral strategies can be employed to accomplish the task, and non-injured areas of the brain can adapt and change to compensate for the lost function. Rehabilitation for brain injury patients usually involves strategies to promote these recovery mechanisms. These include mindfulness training which has been found to be helpful in recovery from brain injury.

 

In today’s Research News article “Grieving a disrupted biography: an interpretative phenomenological analysis exploring barriers to the use of mindfulness after neurological injury or impairment.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8386048/ ) Finlay and colleagues recruited adult mindfulness teachers who had a neurological injury including sensory loss. They completed a mindfulness measure and a semi-structured interview exploring their experiences with mindfulness. Transcript of the interviews were assessed for descriptive, linguistic, and conceptual themes.

 

Two overarching themes emerged in the analysis of the interviews, overcoming a disrupted biography and proactive self-management. The first theme involved adjusting to a new identity and the changed health status and sensory loss. This included coping with their grief over the loss. This was facilitated by mindfulness practices of self-compassion, acceptance, and focusing on the present moment. This heled them to overcome the desire to return to their previous selves, accept themselves as the currently are, and manage their emotions. The second theme of proactive self-management involved using mindfulness practice to regain autonomy and take responsibility for the needed adjustments to their lives. This involved not diffusing responsibility to healthcare providers. It also involved using mindfulness to manage the physical and emotional suffering resulting from the injury including pain and emotional agony.

 

It was clear from the participants descriptions of their journeys to adapt to their changed realities that the adaptations were greatly facilitated by mindfulness practice. It allowed them to accept things as they are and take responsibility for their own management of the symptoms. The study involved highly experienced mindfulness practitioners. It is not clear that training in mindfulness after neurological injury in non-practitioners would have the same benefits. But the descriptions revealed that the core skills produced by mindfulness training were essential in accepting and adjusting to their altered selves. So, it would be expected that mindfulness training would be beneficial to everyone after neurological injury.

 

So, improve coping with brain injury with mindfulness.

 

“TBI is a complex diagnosis involving many components. One significant component is the stress response after having this type of injury. Mindfulness meditation appears to have a strong relaxing and stress reduction quality for patients, which is tremendously beneficial for overall recovery from injury.”  – Heechin Chae

 

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

 

Finlay, K. A., Hearn, J. H., & Chater, A. (2021). Grieving a disrupted biography: an interpretative phenomenological analysis exploring barriers to the use of mindfulness after neurological injury or impairment. BMC psychology, 9(1), 124. https://doi.org/10.1186/s40359-021-00628-0

 

Abstract

Background

Mindfulness has demonstrated strong utility for enhancing self-management and health outcomes in chronic illness. However, sensation-focused mindfulness techniques may not be appropriate for clinical populations with neurological injury. This study aimed to identify how expert mindfulness teachers with sensory loss/impairment naturalistically adapt and experience mindfulness. We aimed to highlight the rationale for and barriers to mindfulness practice when living with sensory loss.

Methods

A qualitative, semi-structured interview design was used, analysed via Interpretative Phenomenological Analysis (IPA). Eight (5 females, 3 males) mindfulness teachers with neurological injury were recruited via a national registry of Mindfulness for Health teachers. Interviews (range: 50–93 min) were completed, transcribed verbatim and analysed idiographically for descriptive, linguistic and conceptual themes, before a cross-case analysis was completed.

Results

Two superordinate themes were identified: (1) Overcoming a disrupted biography; and (2) Proactive self-management. These themes considered the challenge of reconciling, through grief, a past health status with the present reality of living with sensory loss due to Spinal Cord Injury, Multiple Sclerosis or Functional Neurological Disorder. Mindfulness was experienced as a method by which proactive choices could be made to maintain control and autonomy in health, reducing perceptions of suffering, psychological distress, cognitive reactivity and rumination.

Conclusions

Mindfulness was found to support the self-management of health after neurological injury/impairment. Mindfulness meditation presented an initial challenge as trauma and grief processes were (re-)activated during mindfulness sessions. However, mindfulness was found to support the resolution of these grief processes and encourage adaptive approach-based coping and acceptance of health and neurological impairment/injury.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8386048/

 

Reduce Opioid Dosage in Chronic Pain Patients with Mindfulness

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Reduce Opioid Dosage in Chronic Pain Patients with Mindfulness

 

By John M. de Castro, Ph.D.

 

“It’s clear that when it comes to tackling pain, it takes all of the tools in the toolkit. And when it comes to opioids, the approach needn’t be all or nothing. . .  the combination of medicine plus mind-body therapies works best.” – Allison Aubrey

 

We all have to deal with pain. It’s inevitable, but hopefully it’s mild and short lived. For a wide swath of humanity, however, pain is a constant in their lives. At least 100 million adult Americans have chronic pain conditions. The most common treatment for chronic pain is drugs. These include over-the-counter analgesics and opioids. But opioids are dangerous and highly addictive. Prescription opioid overdoses kill more than 14,000 people annually. So, there is a great need to find safe and effective ways to improve the individual’s ability to cope with the pain. There is an accumulating volume of research findings that demonstrate that mindfulness practices, in general, are effective in treating pain and reducing opioid use. How mindfulness works to produce these benefits is not known.

 

In today’s Research News article “Endogenous theta stimulation during meditation predicts reduced opioid dosing following treatment with Mindfulness-Oriented Recovery Enhancement.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8026958/ ) Hudak and colleagues recruited veterans with chronic pain and at least 30 days of opioid use and randomly assigned them to receive 8 weekly 2-hour sessions of either supportive group psychotherapy or Mindfulness-Oriented Recovery Enhancement (MORE) involving mindful breathing and body scan meditations, cognitive reappraisal to decrease negative emotions and craving, and savoring to augment natural reward processing and positive emotion. All participants completed a lab-based mindfulness session while simultaneously having their Electroencephalogram (EEG) recorded. During the programs and for 4 months after they reported their daily opioid use.

 

They found in comparison to baseline and the supportive group psychotherapy group that during the meditation the Mindfulness-Oriented Recovery Enhancement (MORE) group had significantly greater power in the EEG of the frontal cortex in the alpha (9-13 cycles per second) and theta (4-8 cycles per second) bands and also theta spectral coherence. They also found that the MORE group had significantly greater reductions in opioid use over the treatment period. In addition. They found that the greater the increase in theta band power in the EEG the greater the reduction in opioid use and this continued for 4 months after the program. Finally, they found that MORE was associated with reduced opioid use both directly and also indirectly by being associated with increased frontal theta power.

 

These findings suggest that Mindfulness-Oriented Recovery Enhancement (MORE) is effective in reducing opioid dosage in chronic pain patients. This is in line with previous findings that mindfulness training produces reductions in opioid dependence. Mindfulness training has also been shown to alter brain activity and the present findings indicate that theta power in the frontal lobe is a marker of these changes. Finally, the results suggest that MORE directly reduces opioid dependence and at the same time increase brain activity which is associated with further reductions in opioid use.

 

So, reduce opioid dosage in chronic pain patients with mindfulness.

 

“We also teach people how to use mindfulness to reclaim a sense of healthy pleasures, joy, and meaning in life, in spite of pain.” – Eric Garland

 

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

 

Hudak, J., Hanley, A. W., Marchand, W. R., Nakamura, Y., Yabko, B., & Garland, E. L. (2021). Endogenous theta stimulation during meditation predicts reduced opioid dosing following treatment with Mindfulness-Oriented Recovery Enhancement. Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 46(4), 836–843. https://doi.org/10.1038/s41386-020-00831-4

 

Abstract

Veterans experience chronic pain at greater rates than the rest of society and are more likely to receive long-term opioid therapy (LTOT), which, at high doses, is theorized to induce maladaptive neuroplastic changes that attenuate self-regulatory capacity and exacerbate opioid dose escalation. Mindfulness meditation has been shown to modulate frontal midline theta (FMT) and alpha oscillations that are linked with marked alterations in self-referential processing. These adaptive neural oscillatory changes may promote reduced opioid use and remediate the neural dysfunction occasioned by LTOT. In this study, we used electroencephalography (EEG) to assess the effects of a mindfulness-based, cognitive training intervention for opioid misuse, Mindfulness-Oriented Recovery Enhancement (MORE), on alpha and theta power and FMT coherence during meditation. We then examined whether these neural effects were associated with reduced opioid dosing and changes in self-referential processing. Before and after 8 weeks of MORE or a supportive psychotherapy control, veterans receiving LTOT (N = 62) practiced mindfulness meditation while EEG was recorded. Participants treated with MORE demonstrated significantly increased alpha and theta power (with larger theta power effect sizes) as well as increased FMT coherence relative to those in the control condition—neural changes that were associated with altered self-referential processing. Crucially, MORE significantly reduced opioid dose over time, and this dose reduction was partially statistically mediated by changes in frontal theta power. Study results suggest that mindfulness meditation practice may produce endogenous theta stimulation in the prefrontal cortex, thereby enhancing inhibitory control over opioid dose escalation behaviors.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8026958/

 

Improve Breast Cancer Survivors Physical and Psychological Health with Yoga

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Improve Breast Cancer Survivors Physical and Psychological Health with Yoga

 

By John M. de Castro, Ph.D.

 

“physical activity after a breast cancer diagnosis has potentially “favorable influence on breast cancer incidence and outcome.” Yoga can not only be an effective, low-impact exercise, but it has also been shown in numerous studies to reduce fatigue, improve physical function and quality of sleep, and contribute to an overall better quality of life.” – Gretchen Stelter

 

Because of great advances in treatment, many breast cancer patients today are surviving. But breast cancer survivors frequently suffer from a range of persistent psychological and physical residual symptoms that impair their quality of life. Mindfulness training and exercise have been shown to help with general cancer recovery. Mindfulness practices have been shown to improve the residual symptoms in cancer survivors.  Yoga is both an exercise and a mindfulness practice that has also been shown to be helpful with the residual symptoms in cancer survivors, the psychological and physical ability to deal with cancer treatment and improves sleep. The mechanisms of how yoga produces these benefits are unknown.

 

In today’s Research News article “The high dose of vitamin D supplementation combined with yoga training improve the leukocytes cell survival-related gene expression in breast cancer survivors.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8403369/ ) Zare and colleagues recruited adult survivors of breast cancer and randomly assigned them to receive a high dose of vitamin D (4000 IU), a high dose of vitamin D (4000 IU) plus 12 weeks of yoga practice, or a low dose of vitamin D (2000 IU) plus 12 weeks of yoga practice. Yoga practice consisted of postures, breathing exercises, and meditation and was practiced for 60-90 minutes twice a week for 12 weeks. The participants were measured before and after training for anxiety, body size, aerobic fitness (1-mile walk), shoulder range of motion, blood cortisol, and expression of leukocyte survival genes p53, NF-κB, Bcl2, and Bax.

 

They found that yoga practice resulted in a significant decrease in body fat percentage and anxiety levels and a significant increase in aerobic fitness and shoulder flexibility regardless of the vitamin D dosage. They also found that the high dose of vitamin D produced a significant up regulation of the leukocyte survival genes p53 and Bcl2 regardless of yoga practice.

 

These results suggest/that yoga practice is beneficial for breast cancer survivors improving their psychological and physical well being while high dose vitamin D supplementation improves their cell survival genes. It should be noted that there wasn’t an active comparison, control, condition for yoga practice such as another form of exercise. So, it is unclear if the effects were due to yoga practice per se or to the exercise provided by yoga practice. But previous controlled studies of the effects of yoga practice have shown that yoga practice reduces anxiety and body fat. So, the effects seen here are likely due to yoga practice. Hence the results suggest that the combination of yoga practice plus high dose vitamin D supplementation should be recommended for breast cancer survivors.

 

So, improve breast cancer survivors physical and psychological health with yoga.

 

“Research suggests that there are real benefits to regularly practising yoga after a breast cancer diagnosis, particularly for emotional wellbeing, cancer-related fatigue and pain.” – Brest Cancer Now

 

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

 

Khedmati Zare, V., Javadi, M., Amani-Shalamzari, S., & Kaviani, M. (2021). The high dose of vitamin D supplementation combined with yoga training improve the leukocytes cell survival-related gene expression in breast cancer survivors. Nutrition & metabolism, 18(1), 80. https://doi.org/10.1186/s12986-021-00607-7

 

Abstract

Background

This study aimed to examine the effect of yoga training combined with vitamin D supplementation on the expression of survival-related genes in leukocytes and psycho-physical status in breast cancer survivors.

Methods

Thirty breast cancer survivor women (age, 48 ± 8 yrs) were randomly assigned into three groups: high dose (4000 IU) of vitamin D supplementation (HD) (n = 10); yoga training with a high dose of vitamin D (Y + HD); (n  = 10); yoga training with a low dose (2000 IU) of vitamin D (Y + LD) (n = 10). Participants performed the Hatha yoga style twice a week. Blood samples and a battery of psychological and physical tests were taken before and after the completion of interventions. Expression of p53, NF-κB, Bcl2, and Bax genes was measured in leukocytes.

Results

Body fat percentage (ηp2 = 0.36), shoulder flexibility (ηp2 = 0.38), Rockport walk tests (ηp2 = 0.49), and anxiety (ηp2 = 0.52) were significantly improved in both the Y + HD and Y + LD groups compared to the HD group (p < 0.05). P53 was significantly over-expressed in the Y + HD group while Bcl2 upregulated in both the Y + HD and Y + LD groups. NF-κB and Bax expression downregulated in all groups but were not statistically significant.

Conclusion

yoga training combined with low and high doses of VD improved physical fitness and psychological measures while only in combination with a high dose of VD positively modified the leukocytes cell survival-related gene expression.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8403369/

 

Reduce the Psychological and Physical Responses Before a Major Dental Procedure with Yogic Relaxation

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Reduce the Psychological and Physical Responses Before a Major Dental Procedure with Yogic Relaxation

 

By John M. de Castro, Ph.D.

 

“Practicing yoga has been effectively proven to reduce stress levels and induce the sense of calmness in individuals, which could help in the management of several stress-induced oral conditions.” – Roquaiya Nishat

 

If you asked most people what’s one of the most common health problems that people have, probably the last thing that they would come up with is oral health. But more than 26% of adults in the United States have untreated tooth decay and 65% of adults had a dental visit every year. A common dental procedure is a root canal that is performed around 15 million times annually. But this procedure is accompanied by great anxiety and stress in the patients. This often results in patients avoiding or delaying needed procedures. There is considerable evidence that yoga practice reduces anxiety and stress. But it is not known if a brief yogic relaxation practice can reduce anxiety and stress prior to a dental root canal procedure.

 

In today’s Research News article “Effect of Pranayama Techniques with Marmanasthanam Kriya as Yogic Relaxation on Biopsychosocial Parameters Prior to Endodontic Therapy: A Cross Sectional Study Design.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8191219/ ) Thiruvalluvan and colleagues recruited adults between the ages of 25-50 years who were scheduled to undergo a dental root canal procedure and randomly assigned them to receive either guided Yogic relaxation for 15 minutes before the root canal treatment or to simply relax for 15 minutes. Yoga relaxation included breathing practices, mudras, and body scan exercises. The participants were measured before and after the intervention for anxiety, heart rate, and blood pressure.

 

They found that in comparison to baseline and the relaxation control group, the patients who practiced yogic relaxation had a significant decrease in anxiety, heart rate, and diastolic and systolic blood pressure. Hence, yogic relaxation prior to a dental root canal procedure reduced anxiety and physiological arousal in the patients. It is important to note that yogic relaxation produced superior results to simply asking the patient to relax. This suggests that yogic relaxation produces does more than simply relax the patients.

 

Yoga has been repeatedly shown to reduce anxiety, blood pressure, and heart rate in a variety of conditions. The present results demonstrate that a brief yogic relaxation can produce similar effects in patients before a major dental procedure. Anxiety and fear have been found to be major barriers to dental treatment. This leads to patients avoiding or delaying treatment allowing the damage to progress, So, a treatment that can reduce the anxiety before the treatment may be helpful in promoting dental health.

 

So, reduce the psychological and physical responses before a major dental procedure with yogic relaxation.

 

“Yoga is versatile, enjoyable and highly beneficial and a great way for dentists and their patients to battle stress and anxiety. ‘– Saurabh Bhargava

 

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

 

Thiruvalluvan, A., Sekizhar, V., Ramanathan, M., Bhavanani, A. B., Chakravathy, D., & Reddy, J. (2021). Effect of Pranayama Techniques with Marmanasthanam Kriya as Yogic Relaxation on Biopsychosocial Parameters Prior to Endodontic Therapy: A Cross Sectional Study Design. International journal of yoga, 14(2), 146–151. https://doi.org/10.4103/ijoy.IJOY_133_20

 

Abstract

Background:

The root canal treatment is one of the common dental or endodontic therapies associated with high levels of patient anxiety. Yoga therapy (YT) is reported in medical literature as an effective modality in bringing down anxiety in clinical scenarios; however, the reports of the same for dental settings are fewer. The current study aimed to evaluate the effect of YT on biopsychosocial parameters in patients undergoing root canal therapy.

Materials and Methods:

A cross sectional study was conducted on 50 participants who underwent dental root canal therapy. The sample was divided into two groups: Yoga group (Group A; n = 25) who received YT and control group (Group B; n = 25) who were subjected to self-relaxation during dental procedure. The state of anxiety was measured by a 5-point single-item Likert scale and the cardiovascular (CV) parameters (systolic blood pressure [SBP], diastolic blood pressure [DBP], heart rate [HR]) and CV indices (pulse pressure [PP], mean arterial pressure [MAP], rate-pressure product [RPP], and double product [DoP]) were derived and compared between both the groups.

Results:

The intergroup comparison showed statistically significant differences in anxiety score (P < 0.001), SBP (P < 0.001), MAP (P < 0.001), RPP (P < 0.001), DoP (P < 0.001), HR (P < 0.029), DBP (P < 0.003), and PP (P < 0.116).

Conclusion:

A significant reduction was recorded in terms of anxiety and primary and derived CV parameters in the yoga group. The YT can be adopted as an interventional tool for anxiety management in patients indicated for dental root canal therapy.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8191219/

 

Decrease the Development of Diabetes in At-risk Patients with Yoga

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Decrease the Development of Diabetes in At-risk Patients with Yoga

 

By John M. de Castro, Ph.D.

 

“Yoga can do more than just relax your body in mind — especially if you’re living with diabetes. Certain poses may help lower blood pressure and blood sugar levels while also improving circulation, leading many experts to recommend yoga for diabetes management.” –  Emily Cronkleton 

 

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

 

Type 2 diabetes is a common and increasingly prevalent illness that is largely preventable. One of the reasons for the increasing incidence of Type 2 Diabetes is its association with overweight and obesity which is becoming epidemic in the industrialized world. A leading cause of this is a sedentary lifestyle. Unlike Type I Diabetes, Type II does not require insulin injections. Instead, the treatment and prevention of Type 2 Diabetes focuses on diet, exercise, and weight control. Recently, mindfulness practices have been shown to be helpful in managing diabetes. A mindfulness practice that combines mindfulness with exercise is yoga and it has been shown to be helpful in the treatment of Type II Diabetes. But it is not known if yoga practice can prevent people at risk for diabetes to actually become diabetic.

 

In today’s Research News article “Effectiveness of a Yoga-Based Lifestyle Protocol (YLP) in Preventing Diabetes in a High-Risk Indian Cohort: A Multicenter Cluster-Randomized Controlled Trial (NMB-Trial).” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8231281/ ) Raghuram and colleagues recruited adults at risk for the development of Type 2 diabetes based upon HbA1c levels and randomly assigned them to receive yoga lifestyle training or to a treatment as usual control condition. Lifestyle training occurred in 9 sessions followed by 3 months of daily practice and included postures, breathing exercises, meditation, and relaxation. They were measured before and after training for HbA1c levels, body size, blood pressure, and physical activity.

 

They found that at the end of the yoga lifestyle intervention that significantly fewer of the yoga group transitioned into diabetes (11%) compared to the control condition (32%). In addition, significantly greater number of yoga lifestyle patients transitioned from prediabetes to normoglycemia than the controls. Hence the yoga intervention was successful in making it less likely that patients at risk for diabetes transition to full-fledged diabetes.

 

The weakness in the study was that the control condition did not receive any treatment. This leaves open some confounding interpretations of the results including placebo effects, attentional effects, experimenter bias etc. Future research should use an active control condition such as another exercise or game playing. But previous controlled research has demonstrated that yoga practice improves blood glucose levels and improve the health of patients with diabetes. So, it is likely that yoga and not some confounding factor was responsible for the improvements in the prediabetic patients.

 

So, decrease the development of diabetes in at-risk patients with yoga.

 

“Yoga is considered to be a promising, cost-effective option in the treatment and prevention of diabetes, with data from several studies suggesting that yoga and other mind-body therapies can reduce stress-related hyperglycemia and have a positive effect on blood glucose control.” – Diabetes UK

 

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

 

Raghuram, N., Ram, V., Majumdar, V., Sk, R., Singh, A., Patil, S., Anand, A., Judu, I., Bhaskara, S., Basa, J. R., & Nagendra, H. R. (2021). Effectiveness of a Yoga-Based Lifestyle Protocol (YLP) in Preventing Diabetes in a High-Risk Indian Cohort: A Multicenter Cluster-Randomized Controlled Trial (NMB-Trial). Frontiers in endocrinology, 12, 664657. https://doi.org/10.3389/fendo.2021.664657

 

Abstract

Introduction

Though several lines of evidence support the utility of yoga-based interventions in diabetes prevention, most of these studies have been limited by methodological issues, primarily sample size inadequacy. Hence, we tested the effectiveness of yoga-based lifestyle intervention against diabetes risk reduction in multicentre, large community settings of India, through a single-blind cluster-randomized controlled trial, Niyantrita Madhumeha Bharat Abhiyan (NMB).

Research Design and Methods

NMB-trial is a multicentre cluster-randomized trial conducted in 80 clusters [composed of rural units (villages) and urban units (Census Enumeration Blocks)] randomly assigned in a 1:1 ratio to intervention and control groups. Participants were individuals (age, 20–70 years) with prediabetes (blood HbA1c values in the range of 5.7–6.4%) and IDRS ≥ 60. The intervention included the practice of yoga-based lifestyle modification protocol (YLP) for 9 consecutive days, followed by daily home and weekly supervised practices for 3 months. The control cluster received standard of care advice for diabetes prevention. Statistical analyses were performed on an intention-to-treat basis, using available and imputed datasets. The primary outcome was the conversion from prediabetes to diabetes after the YLP intervention of 3 months (diagnosed based upon HbA1c cutoff >6.5%). Secondary outcome included regression to normoglycemia with HbA1c <5.7%.

Results

A total of 3380 (75.96%) participants were followed up at 3 months. At 3 months post-intervention, overall, diabetes developed in 726 (21.44%) participants. YLP was found to be significantly effective in halting progression to diabetes as compared to standard of care; adjusted RRR was 63.81(95% CI = 56.55–69.85). The YLP also accelerated regression to normoglycemia [adjusted Odds Ratio (adjOR) = 1.20 (95% CI, 1.02–1.43)]. Importantly, younger participants (≤40 years) were found to regress to normoglycemia more effectively than the older participants Pinteraction<0.001.

Conclusion

Based on the significant risk reduction derived from the large sample size, and the carefully designed randomized yoga-based intervention on high-risk populations, the study is a preliminary but strong proof-of-concept for yoga as a potential lifestyle-based treatment to curb the epidemic of diabetes. The observed findings also indicate a potential of YLP for diabetes prevention in low/moderate risk profile individuals that needs large-scale validation.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8231281/

 

Improve Adolescent Psychological Well-Being with Meditation

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Improve Adolescent Psychological Well-Being with Meditation

 

By John M. de Castro, Ph.D.

 

“with all the uncertainty in the world right now, teens can definitely benefit from taking time to quiet the noise and meditate. It’s a handy practice that can help them through all kinds of confusing and stressful situations in life.” – Cleveland Clinic

 

Adolescence is a time of mental, physical, social, and emotional growth. But it 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 has been shown to improve emotion regulation and to benefit the psychological and emotional health of adolescents

 

In today’s Research News article “Using Heartfulness Meditation and Brainwave Entrainment to Improve Teenage Mental Wellbeing.” (See summary below or view the full text of the study at: https://www.frontiersin.org/articles/10.3389/fpsyg.2021.742892/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1757290_a0P58000000G0YfEAK_Psycho_20211021_arts_A ) Yadav and colleagues recruited high school students and randomly assigned them to one of 4 groups; audio brainwave entrainment group, heartfulness meditation group, meditation and audio entrainment group, and a no-treatment control group. The interventions lasted for 4 weeks. The heartfulness meditation group had 3 weekly training sessions and meditated at home for 30 minutes per day three times per week. The audio brainwave entrainment group listened to an audio tape 3 times per week for 15 minutes of audio beats 13–30 HZ in the first 2 min; 8–12 HZ from minute 3–12; and 13–30 Hz from minute 12–15. All participants were measured before and after training for depression, perceived stress, sleep quality, mood, anger, confusion, fatigue, tension, vigor, episodic memory, visuospatial processing, verbal short-term memory, and attention.

 

They found that following the intervention the meditation group had a significant increase in mood, including decreases in anger and depression, and a decrease in perceived stress, while the combination group had a significant increase in sleep quality and a decrease in perceived stress. The combination group in comparison to the meditation group had greater improvements in mood and perceived stress.

 

The results suggest that meditation practice improves the psychological well-being of adolescents while audio brainwave entrainment alone does not. But when they were combined there was some degree of greater improvement. Like adults, adolescents benefit from meditation in improved mood, including decreased anger and depression, and decreased perceived stress. This suggests that meditation may be particularly useful during the turbulent times of adolescence.

 

So, improve adolescent psychological well-being with meditation.

 

“[Mindfulness Meditation] appears to have positive effects on adolescent psychological health including reduced depression, anxiety, and stress, increased overall well-being, self and emotion regulation, positive affect, and resilience.” – Ryan Erbe

 

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

 

Yadav GS, Cidral-Filho FJ and Iyer RB (2021) Using Heartfulness Meditation and Brainwave Entrainment to Improve Teenage Mental Wellbeing. Front. Psychol. 12:742892. doi: 10.3389/fpsyg.2021.742892

 

Teenagers are highly susceptible to mental health issues and this problem has been exacerbated by the quarantine restrictions of COVID-19. This study evaluated the use of Heartfulness Meditation and Audio Brainwave Entrainment to help teenagers cope with mental health issues. It used 30-min Heartfulness meditation and 15-min brainwave entrainment sessions with binaural beats and isochronic tones three times a week for 4 weeks. Using a pretest-posttest methodology, participants were asked to complete a survey battery including the Pittsburgh Quality of Sleep Index, Perceived Stress Scale, Patient Health Question-9, Profile of Mood States, and Cambridge Brain Health assessment. Participants (n = 40) were divided into four experimental groups: the control group (n = 9), Audio Brainwave Entrainment group (n = 9), Heartfulness Meditation group (n = 10), and a combined group (n = 12), for a 4-week intervention. Data were analyzed with paired t-tests. The singular Audio Brainwave Entrainment group did not see statistically significant improvements, nor did any of the intervention groups for brain health (p > 0.05). This study, however, proved the efficacy of a 4-week Heartfulness Meditation program to regulate overall mood (p = 0.00132), stress levels (p = 0.0089), state depression (POMS; p = 0.0037), and anger (p = 0.002). Results also suggest adding Audio Brainwave Entrainment to Heartfulness Meditation may improve sleep quality (p = 0.0377) and stress levels (p = 0.00016).

https://www.frontiersin.org/articles/10.3389/fpsyg.2021.742892/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1757290_a0P58000000G0YfEAK_Psycho_20211021_arts_A