contemplative practice

Improve Mood in Patients with HIV with Mindfulness

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Improve Mood in Patients with HIV with Mindfulness

 

By John M. de Castro, Ph.D.

 

“Given the stress-reduction benefits of mindfulness meditation training. . . there can be health protective effects not just in people with HIV but in folks who suffer from daily stress,” – David Creswell

 

More than 35 million people worldwide and 1.2 million people in the United States are living with HIV infection. These include a significant number of children and adolescents. In 1996, the advent of the protease inhibitor and the so-called cocktail changed the prognosis for HIV. Since this development a 20-year-old infected with HIV can now expect to live on average to age 69. Hence, living with HIV is a long-term reality for a very large group of people.

 

People living with HIV infection experience a wide array of physical and psychological symptoms which decrease their perceived quality of life. The symptoms include chronic pain, muscle aches, anxiety, depression, weakness, fear/worries, difficulty with concentration, concerns regarding the need to interact with a complex healthcare system, stigma, and the challenge to come to terms with a new identity as someone living with HIV. Mindfulness training has been shown to improve psychological well-being, lower depression and strengthen the immune system of patients with HIV infection.

 

In today’s Research News article “). A randomized, controlled trial of mindfulness-based stress reduction in HIV infection.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7656978/ ) Hecht and colleagues recruited adult patients with HIV who were not on antiretroviral therapy and randomly assigned to receive 8 weeks of either Mindfulness-Based Stress Reduction (MBSR) or education on managing HIV. The MBSR program met once a week for 2.5 hours and included meditation, body scan, and yoga practice, daily home practice, and discussion. HIV management education met once a week for 1,5 hours. The participants were measured before and after training and 3 and 9 months later for depression, positive and negative emotions, perceived stress, and mindfulness. In addition, blood was drawn and assayed for CD-4+ T cell counts, viral load, and the inflammatory markers of C-reactive protein, D-dimer, and Interleukin 6.

 

They found that both groups decreased in CD-4+ T cell counts over the 12 months of the study with no change in viral load or the inflammatory markers. The group that received Mindfulness-Based Stress Reduction (MBSR) had significant reductions in depression and perceived stress and increases in positive emotions 3 months but not 12 months after training. There were no significant improvements in the HIV education group. Mindfulness increased significantly in the MBSR group and was sustained at the 9 month follow-up.

 

The lack of effectiveness of Mindfulness-Based Stress Reduction (MBSR) on CD4+ T-cell counts and viral load in comparison to HIV education were disappointing. Previous studies had found that mindfulness training improved these measures. The authors attributed this to their having a more active control condition than previous studies. As a result, they cautioned against making inferences about mindfulness training effectiveness without an equivalent active control condition.

 

On the other hand, the study found that Mindfulness-Based Stress Reduction (MBSR) produced improvements in the psychological state of the patients which lasted for 3 months after the conclusion of training but tended to wane thereafter. These results are not surprising as improvements in depression, positive emotions, and perceived stress as a result of mindfulness training have been routinely reported in prior research. Hence, mindfulness training appears to improve the mood but not the HIV infection or inflammatory responses of HIV patients.

 

So, improve mood in patients with HIV with mindfulness.

 

“The results also support a role for MBSR in enhancing problem solving, life-satisfaction, and emotional regulation in youth with HIV-infection.” – AMRA

 

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

 

Hecht, F. M., Moskowitz, J. T., Moran, P., Epel, E. S., Bacchetti, P., Acree, M., Kemeny, M. E., Mendes, W. B., Duncan, L. G., Weng, H., Levy, J. A., Deeks, S. G., & Folkman, S. (2018). A randomized, controlled trial of mindfulness-based stress reduction in HIV infection. Brain, behavior, and immunity, 73, 331–339. https://doi.org/10.1016/j.bbi.2018.05.017

 

Abstract

Objective:

Evidence links depression and stress to more rapid progression of HIV-1 disease. We conducted a randomized controlled trial to test whether an intervention aimed at improving stress management and emotion regulation, mindfulness-based stress reduction (MBSR), would improve immunological (i.e. CD4+ t-cell counts) and psychological outcomes in persons with HIV-1 infection.

Methods:

We randomly assigned participants with HIV-1 infection and CD4 T-cell counts > 350 cells/μl who were not on antiretroviral therapy in a 1:1 ratio to either an MBSR group (n=89) or an HIV disease self-management skills group (n=88). The study was conducted at the University of California at San Francisco. We assessed immunologic (CD4, c-reactive protein, IL-6, and d-dimer) and psychological measures (Beck Depression Inventory for depression, modified Differential Emotions Scale for positive and negative affect, Perceived stress-scale, and mindfulness) at 3, 6 and 12 months after initiation of the intervention; we used multiple imputation to address missing values.

Results:

We observed statistically significant improvements from baseline to 3-months within the MBSR group in depression, positive and negative affect, perceived stress, and mindfulness; between group differences in change were significantly greater in the MBSR group only for positive affect (per item difference on DES-positive 0.25, 95% CI 0.049, 0.44, p = .015). By 12 months the between group difference in positive affect was not statistically significant, although both groups had trends toward improvements compared to baseline in several psychological outcomes that were maintained at 12-months; these improvements were only statistically significant for depression and negative affect in the MBSR group and perceived stress for the control group. The groups did not differ significantly on rates of antiretroviral therapy initiation (MBSR = 39%, control = 29%, p = .22). After 12 months, the mean decrease in CD4+ T-cell count was 49.6 cells/μl in participants in the MBSR arm, compared to 54.2 cells/μl in the control group, a difference of 4.6 cells favoring the MBSR group (95% CI, −44.6, 53.7, p=.85). The between group differences in other immunologic-related outcomes (c-reactive protein, IL-6, HIV-1 viral load, and d-dimer) were not statistically significant at any time point.

Conclusions:

MBSR improved positive affect more than an active control arm in the 3 months following the start of the intervention. However, this difference was not maintained over the 12-month follow-up and there were no significant differences in immunologic outcomes between intervention groups. These results emphasize the need for further carefully designed research if we are to translate evidence linking psychological states to immunological outcomes into evidence-based clinical practices.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7656978/

 

Mindfulness is Associated with Better Romantic Relationships

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Mindfulness is Associated with Better Romantic Relationships

 

By John M. de Castro, Ph.D.

 

“Mindfulness comes from the Sanskrit words for “attend” and “stay.” Simply put, a mindful relationship is one where you pay attention to the other person, staying or being present to their here and now without judgment.” – Melinda Fouts

 

Relationships can be difficult as two individuals can and do frequently disagree or misunderstand one another. This is amplified in marriage where the couple interacts daily and frequently have to resolve difficult issues.

 

Attachment has been shown to affect the individual’s well-being and their relationships to others. There are a variety of ways that individuals attach to others. They are secure, insecure, avoidant, ambivalent, fearful, preoccupied, and disorganized attachment styles. Secure attachment style is healthy and leads to positive development and satisfying relationships while all of the others are maladaptive and unhealthy. These unhealthy attachment styles tend to stress relationships

 

Mindfulness trainings have been shown to improve a variety of psychological issues including emotion regulation, stress responses, trauma, fear and worry, anxiety, and depression, and self-esteem. Mindfulness training has also been found to improve relationships and to be useful in treating sexual problems.  In addition, mindfulness has been found to be an antidote to unhealthy attachment styles. So, it makes sense to investigate the associations of mindfulness and attachment styles with the satisfactoriness of couples’ relationships.

 

In today’s Research News article “Partners’ Relationship Mindfulness Promotes Better Daily Relationship Behaviours for Insecurely Attached Individuals.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7579090/ )  Gazder and colleagues recruited romantic couples and had both members of the couples complete measures of relationship attachment style. They also maintained daily diaries for 14 days measuring relationship mindfulness and positive and negative relationship behaviors.

 

They found that the higher the levels of relationship mindfulness, the lower the levels of attachment avoidance and negative relationship behaviors and the higher the levels of positive relationship behaviors. High mindfulness was associated with higher levels of positive relationship behaviors and lower levels of negative relationship behaviors on the same day and on the next day. They also found that low mindfulness in insecurely attached individuals was associated with higher positive relationship behavior of their partners on the next day, suggesting making up on the day following.

 

These findings are correlational, so caution must be exercised in forming causal interpretations. Nevertheless, the results suggest that relationship mindfulness is important in encouraging positive behaviors and discouraging negative behaviors in the relationship. It also appears that insecure attachment is associated fewer positive behaviors and more negative behaviors in the relationship. But mindfulness is associated with less insecure attachment. Hence, mindfulness in romantic relationships promotes positive relationships while insecure attachment produces more problems in the relationship.

 

So, mindfulness is associated with better romantic relationships.

 

“When you are mindful of the love in your life you open yourself up to the opportunity for love to grow. And not just romantic love, but self-love, and loving friendships as well.” – Mindful

 

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

 

Gazder, T., & Stanton, S. (2020). Partners’ Relationship Mindfulness Promotes Better Daily Relationship Behaviours for Insecurely Attached Individuals. International journal of environmental research and public health, 17(19), 7267. https://doi.org/10.3390/ijerph17197267

 

Abstract

Attachment anxiety and avoidance are generally associated with detrimental relationship processes, including more negative and fewer positive relationship behaviours. However, recent theoretical and empirical evidence has shown that positive factors can buffer insecure attachment. We hypothesised that relationship mindfulness (RM)—open or receptive attention to and awareness of what is taking place internally and externally in a current relationship—may promote better day-to-day behaviour for both anxious and avoidant individuals, as mindfulness improves awareness of automatic responses, emotion regulation, and empathy. In a dyadic daily experience study, we found that, while an individual’s own daily RM did not buffer the effects of their own insecure attachment on same-day relationship behaviours, their partner’s daily RM did, particularly for attachment avoidance. Our findings for next-day relationship behaviours, on the other hand, showed that lower (vs. higher) prior-day RM was associated with higher positive partner behaviours on the following day for avoidant individuals and those with anxious partners, showing this may be an attempt to “make up” for the previous day. These findings support the Attachment Security Enhancement Model and have implications for examining different forms of mindfulness over time and for mindfulness training.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7579090/

 

Mindfulness is Associated with Reduced Psychological Distress in Kindergarten Teachers

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Mindfulness is Associated with Reduced Psychological Distress in Kindergarten Teachers

 

By John M. de Castro, Ph.D.

 

“mindfulness—the ability to stay focused on one’s present experience with nonjudgmental awareness—can help us to promote the calm, relaxed, but enlivened classroom environment that children need to learn. Mindfulness can also help us to be more effective at reducing conflict and developing more positive ways of relating in the classroom, which can help us feel more job satisfaction.” – Patricia Jennings

 

Stress is epidemic in the workplace with almost two thirds of workers reporting high levels of stress at work. This often produces burnout; fatigue, cynicism, emotional exhaustion, and professional inefficacy. In a school setting, this burnout and exhaustion not only affects teachers and administrators personally, but also the students and schools, as it produces a loss of enthusiasm, empathy, and compassion.

 

Hence, there is a need to identify methods of reducing stress and improving teachers’ psychological health. Mindfulness has been demonstrated to be helpful in reducing the psychological and physiological responses to stress and for treating and preventing burnout in a number of work environments. But the effects of mindfulness on kindergarten teachers has not been explored.

 

In today’s Research News article “Mindfulness and Psychological Distress in Kindergarten Teachers: The Mediating Role of Emotional Intelligence.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7664406/ ) Cheng and colleagues recruited kindergarten teachers in China and had them complete measures of mindfulness in teaching, emotional intelligence, perceived stress, anxiety, and depression. These data were then subjected to regression and mediation analyses.

 

They found that the higher the levels of mindfulness in the teachers the higher the levels of emotional intelligence including self-emotional appraisal, others-emotional appraisal, use of emotion, and regulation of emotion. They also found that the higher the levels of mindfulness, the lower the levels of anxiety, depression, psychological distress, and perceived stress. In addition, the higher the levels of emotional intelligence, the lower the levels of anxiety, depression, psychological distress, and perceived stress.

 

They performed a mediation analysis on the data and found that the association of mindfulness with psychological distress was both direct and indirect via emotional intelligence. That is mindfulness was not only associated directly with lower levels of psychological distress but also indirectly by being associated with higher levels of emotional intelligence which, in turn, was associated with lower levels of psychological distress. Further mediation analyses revealed that regulation of emotion was the aspect of emotional intelligence that was responsible for the mediation.

 

It should be kept in mind that these results are correlational and causation cannot be definitively concluded. But, it has been established in previous research the mindfulness training produces increased emotional intelligence and decreased levels of anxiety, depression, psychological distress, and perceived stress. So, the present results likely represent causal effects. Hence, it appears that mindfulness in teaching improves the psychological and emotional well-being of kindergartner teachers. This should not only make the teachers more effective in the classroom but also reduce the likelihood of teacher burnout.

 

So, mindfulness is associated with reduced psychological distress in kindergarten teachers.

 

“Practicing mindfulness in your own life can organically lead to integrating it into your classes in a variety of ways, whether by inviting students to take two feet one breath or by beginning class with a moment of mindful breathing.” – Alison Cohen

 

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

 

Cheng, X., Ma, Y., Li, J., Cai, Y., Li, L., & Zhang, J. (2020). Mindfulness and Psychological Distress in Kindergarten Teachers: The Mediating Role of Emotional Intelligence. International journal of environmental research and public health, 17(21), 8212. https://doi.org/10.3390/ijerph17218212

 

Abstract

Kindergarten teachers are often exposed to great stress. Considering that, mindfulness has been demonstrated to act as a critical role in the psychological well-being of kindergarten teachers. The present study assessed mindfulness in teaching (MT), psychological distress and emotional intelligence (EI) among 511 kindergarten teachers in mainland China and investigated the mediating role of EI to explore the association mechanism between kindergarten teachers’ MT and psychological distress. The major results suggested that kindergarten teachers’ MT was negatively related to their psychological distress (depression, anxiety, and stress). Results of path analyses indicated that the total score of EI and dimension of regulation of emotion (ROE) could serve as significant mediators. The findings suggest that mindfulness might be beneficial to relieve kindergarten teachers’ psychological distress through the mediating role of EI.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7664406/

 

Change Behavior for the Better with Mindfulness

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Change Behavior for the Better with Mindfulness

 

By John M. de Castro, Ph.D.

 

“mindfulness practice supports and facilitates behavior change through training attention, emotion, and self-awareness.” – Yi-Yuan Tang

 

We tend to think that illness is produced by physical causes, disease, injury, viruses, bacteria, etc. But many health problems are behavioral problems or have their origins in maladaptive behavior. This is evident in car accident injuries that are frequently due to behaviors, such as texting while driving, driving too fast or aggressively, or driving drunk. Other problematic behaviors are cigarette smoking, alcoholism, drug use, or unprotected sex.

 

Problems can also be produced by lack of appropriate behavior such as sedentary lifestyle, not eating a healthy diet, not getting sufficient sleep or rest, or failing to take medications according to the physician’s orders. Additionally, behavioral issues can be subtle contributors to disease such as denying a problem and failing to see a physician timely or not washing hands. In fact, many modern health issues, costing the individual or society billions of dollars each year, and reducing longevity, are largely preventable.

 

Hence, promoting healthy behaviors and eliminating unhealthy ones has the potential to markedly improve health. Mindfulness training has been shown to promote health and improve illness. It is well established that mindfulness can improve healthy behaviors. The research has been accumulating. So, it is reasonable to stop and summarize what has been learned. In today’s Research News article “Mindfulness and Behavior Change.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7647439/ )  Schuman-Olivier and colleagues review and summarize the published research on the ability of mindfulness training to promote healthy behaviors.

 

They report that the published studies found that mindfulness training reduces cravings and produces improvements in alcohol and substance abuse disorders, binge eating disorder, obesity, improves smoking cessation, reduces emotional eating and eating when not hungry and produces weight reduction. Mindfulness training has been shown to improve self-management of chronic diseases, including hypertension, COPD, and diabetes and results in improvements in quality of life and reductions in anxiety and depression. Mindfulness training also reduces impulsive behavior, risky sexual behavior, aggression, and violent behaviors. It also reduces self-injury, suicidal thinking, and suicidal behavior.

 

The authors go on to produce and discuss a model of how mindfulness training may be improving troubling behaviors. They speculate that mindfulness training produces a general improvement in self-regulation which results in improved control of behavior. This self-regulation is produced by improvements in attention and cognitive control, emotion regulation, and self-related processes, as well as motivation and learning ability. Regardless, it is clear that mindfulness training improves behaviors that can lead to or exacerbate illness. It’s actually amazing that such simple practices can have such profound and widespread effects in promoting health and well-being and treating diseases.

 

So, change behavior for the better with mindfulness.

 

“On your path to create change invite compassion and embrace and accept where you are. Only from a place of compassion will your efforts move into fruition. What is the next compassionate step you can make towards this change today?” – Carley Hauck

 

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

 

Schuman-Olivier, Z., Trombka, M., Lovas, D. A., Brewer, J. A., Vago, D. R., Gawande, R., Dunne, J. P., Lazar, S. W., Loucks, E. B., & Fulwiler, C. (2020). Mindfulness and Behavior Change. Harvard review of psychiatry, 28(6), 371–394. https://doi.org/10.1097/HRP.0000000000000277

 

Abstract

Initiating and maintaining behavior change is key to the prevention and treatment of most preventable chronic medical and psychiatric illnesses. The cultivation of mindfulness, involving acceptance and nonjudgment of present-moment experience, often results in transformative health behavior change. Neural systems involved in motivation and learning have an important role to play. A theoretical model of mindfulness that integrates these mechanisms with the cognitive, emotional, and self-related processes commonly described, while applying an integrated model to health behavior change, is needed. This integrative review (1) defines mindfulness and describes the mindfulness-based intervention movement, (2) synthesizes the neuroscience of mindfulness and integrates motivation and learning mechanisms within a mindful self-regulation model for understanding the complex effects of mindfulness on behavior change, and (3) synthesizes current clinical research evaluating the effects of mindfulness-based interventions targeting health behaviors relevant to psychiatric care. The review provides insight into the limitations of current research and proposes potential mechanisms to be tested in future research and targeted in clinical practice to enhance the impact of mindfulness on behavior change.

CONCLUSION

A growing evidence base supports the benefits of mindfulness for behavior change. A mindful self-regulation model based on an integration of neuroscientific findings describes the complex and synergistic effects of attention/cognitive control, emotion regulation, and self-related processes, as well as motivation and learning mechanisms that may provide a unique pathway toward sustainable behavior change. While evidence supports the impact of mindfulness on behavior change for key health behaviors related to psychiatric practice, more high-quality research is needed, especially with objective measures, larger samples, replication studies, active controls, and formal monitoring of adverse events.474 The field will also benefit from additional research on the impact of integrating compassion practices and from a focus on trauma-sensitive adaptations for diverse populations.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7647439/

 

Reduce Fatigue and Improve Quality of Life of Breast Cancer Survivors with Yoga

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Reduce Fatigue and Improve Quality of Life of Breast Cancer Survivors with Yoga

 

By John M. de Castro, Ph.D.

 

“For women with breast cancer, research shows those who practice yoga may also have less stress and fatigue, and better quality of life.” – Stacie Simon

 

Because of great advances in treatment, many patients today are surviving cancer. But cancer survivors frequently suffer from anxiety, depression, mood disturbance, post-traumatic stress disorder (PTSD), sleep disturbance, fatigue, sexual dysfunction, loss of personal control, impaired quality of life, and psychiatric symptoms which have been found to persist even ten years after remission. Also, cancer survivors can have to deal with a heightened fear of reoccurrence. So, safe and effective treatments for the symptoms in cancer and the physical and psychological effects of the treatments are needed.

 

Mindfulness training has 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 research on yoga practice as a treatment for patients recovering from breast cancer has been accumulating. It is thus reasonable to take a step back and summarize what has been learned.

 

In today’s Research News article “The Effect of Yoga Interventions on Cancer-Related Fatigue and Quality of Life for Women with Breast Cancer: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7580184/ ) O’Neill and colleagues review, summarize, and perform a meta-analysis of published randomized controlled trials of the effects of yoga practice on the fatigue and quality of life of breast cancer survivors. They identified 24 published randomized controlled trials.

 

They report that the published trials revealed that yoga practice produced significant reductions in cancer related fatigue and increases in the women’s quality of life. This was true overall and for the 18 trials with a passive control group such as a wait-list control, but not for the 6 trials with an active control group, such as physical exercise or supportive therapy. Hence, yoga practice appears to be beneficial for breast cancer survivors reducing fatigue and improving quality of life. But the benefits are comparable to those produced by other exercises or therapies.

 

So, reduce fatigue and improve quality of life of breast cancer survivors with yoga.

 

“A targeted yoga intervention led to significant improvements in fatigue and vigor among breast cancer survivors with persistent fatigue symptoms.” – Julienne Bower

 

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

 

O’Neill, M., Samaroo, D., Lopez, C., Tomlinson, G., Santa Mina, D., Sabiston, C., Culos-Reed, N., & Alibhai, S. (2020). The Effect of Yoga Interventions on Cancer-Related Fatigue and Quality of Life for Women with Breast Cancer: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Integrative cancer therapies, 19, 1534735420959882. https://doi.org/10.1177/1534735420959882

 

Abstract

Background:

Women with breast cancer (BC) are living longer with debilitating side effects such as cancer-related fatigue (CRF) that affect overall well-being. Yoga promotes health, well-being and may be beneficial in reducing CRF. Although there have been previous systematic reviews and meta-analyses, the effects of yoga on CRF and quality of life (QOL) remain unclear, particularly in comparison with other types of physical activity (PA). Our objective is to carry out a systematic review and meta-analysis of the effects of yoga on CRF and QOL in women with BC.

Methods:

Electronic databases were searched (MEDLINE, Embase Classic+Embase and EMB Reviews, Cochrane Central CT) from inception to May 2018. Randomized controlled trials were included if they were full text, in English, included a yoga intervention, a comparator (including non-PA usual care or alternate PA intervention), and reported on CRF or QOL. Effects of yoga were pooled using standardized mean difference (SMD) via a random effects model.

Results:

Of the 2468 records retrieved, 24 trials were included; 18 studies compared yoga to a non-PA comparator and 6 to a PA comparator. Yoga demonstrated statistically significant improvements in CRF over non-PA (SMD −0.30 [−0.51; −0.08]) but not PA (SMD −0.17 [−0.50; 0.17]) comparators. Additionally, yoga demonstrated statistically significant improvements in QOL over non-PA (SMD −0.27 [−0.46; −0.07]) but not PA (SMD 0.04 [−0.22; +0.31]) comparators.

Discussion:

This meta-analysis found that yoga provides small to medium improvements in CRF and QOL compared to non-PA, but not in comparison to other PA interventions.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7580184/

 

Improve Attention with Short-Term Loving Kindness Meditation

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Improve Attention with Short-Term Loving Kindness Meditation

 

By John M. de Castro, Ph.D.

 

“meditation practice is associated with enduring improvements in sustained attention,” – Anthony Zanesco

 

There has accumulated a large amount of research demonstrating that mindfulness has significant benefits for psychological, physiological, and spiritual wellbeing. It even improves high level thinking known as executive function and emotion regulation and compassion. 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.

 

One understudied meditation technique is Loving Kindness Meditation. It is designed to develop kindness and compassion to oneself and others. The individual systematically pictures different individuals from self, to close friends, to enemies and wishes them happiness, well-being, safety, peace, and ease of well-being. Although Loving Kindness Meditation has been practiced for centuries, it has received very little scientific research attention. As important as attention is, it’s surprising that little is known about the short-term effects of Loving Kindness Meditation on attention.

 

In today’s Research News article “Short-Term Effects of Meditation on Sustained Attention as Measured by fNIRS.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7564228/ ) Izzetoglu and colleagues recruited healthy non-meditating college students. During the one session study the participants had their blood pressure and heart rate monitored and functional near infrared spectroscopy (fNIRS) sensors placed on their foreheads. “fNIRS is an optics-based brain imaging modality which can measure relative changes in oxygenated (HbO2) and deoxygenated (Hb) hemoglobin using light in the near infrared range (650–950 nm)”. It is thought to measure blood flow from the prefrontal cortex which is involved in high level thinking.

 

The participants were then measured for sustained attention by performing in order the Stroop Color task, the Stroop word task, and then the Stroop Color Word task. These measurements were followed by a guided 22-minute Loving Kindness Meditation practice. After meditation the three sustained attention (Stroop) tasks were repeated. In the color Stroop test names of colors were presented in colors different from the word, e.g. the word RED appears in a blue color. The participants are asked to report the word (naming) or the color of the word ignoring the meaning of the word itself (inhibition) or switch back and forth (Executive function).

 

They found that in comparison to per-meditation, after Loving Kindness Meditation practice there was a significant increase in the speed of responding on the Stroop tasks and reduction in pulse pressure and systolic blood pressure. The fNIRS measure during the Stroop task suggested that after meditation there was a significant increase in blood flow to the dorsal lateral prefrontal cortex and area thought to be involved in attentional focus.

 

The study was very short term and there was no control comparison group. So, the results must be interpreted carefully. Nevertheless, they suggest that the immediate effects of Loving Kindness Meditation practice is to improve attentional focus reflected in behavioral performance, physiological relaxation, and brain activity. These short term effects of meditation are compatible with the observed long term effects of Loving Kindness Meditation. This suggests that the long-term effects of the meditation on the physiology and behavior occur due to an accumulation of short-term impacts.

 

So, improve attention with short-term Loving Kindness Meditation.

 

“meditation training helps people do better at focusing for a long time on a task that requires them to distinguish small differences between things they see.” – Science Daily

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

 

Study Summary

 

Izzetoglu, M., Shewokis, P. A., Tsai, K., Dantoin, P., Sparango, K., & Min, K. (2020). Short-Term Effects of Meditation on Sustained Attention as Measured by fNIRS. Brain sciences, 10(9), 608. https://doi.org/10.3390/brainsci10090608

 

Abstract

Cognitive abilities such as attention, memory, processing time, perception, and reasoning can be augmented using some type of intervention. Within the broad range of conventional and unconventional intervention methods used in cognitive enhancement, meditation is one of those that is safe, widely practiced by many since ancient times, and has been shown to reduce stress and improve psychological health and cognitive functioning. Various neuroimaging studies using functional magnetic resonance imaging (fMRI) and electroencephalography (EEG) have shown functional and structural changes due to meditation in different types of meditation practices and on various groups of meditators. Recently, a few studies on meditation have used functional near infrared spectroscopy (fNIRS) to study the effects of meditation on cerebral hemodynamics. In this study, we examined the short-term effects of loving-kindness (LK) meditation on sustained attention using behavioral performance measures, physiological outcomes, and cognitive activity as measured by fNIRS in first-time meditators during Stroop color word task (SCWT) performance. Our results indicated that behavioral outcomes, assessed mainly on response time (RT) during SCWT performance, showed a significant decrease after meditation. As expected, physiological measures, primarily pulse pressure (PP) measured after meditation dropped significantly as compared to the before meditation measurement. For the hemodynamic measures of oxygenated-hemoglobin (HbO2), deoxygenated-hemoglobin (Hb), and total-hemoglobin (HbT), our findings show significant differences in SCWT performance before and after meditation. Our results suggest that LK meditation can result in improvements in cognitive, physiological, and behavioral outcomes of first-time meditators after a short-term session.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7564228/

 

Meditation Alters Gut Microbes for Better Health

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Meditation Alters Gut Microbes for Better Health

 

By John M. de Castro, Ph.D.

 

“In calming your stress response, meditation can help prevent the slowed digestion speed, altered gene expression, intestinal permeability, and disruptive changes to gut microbes caused by stress.” – Crystal Star

 

Functional Gastrointestinal Disorders are the most common disorders of the gastrointestinal tract in the general population. The most common disorder in this group is Irritable Bowel Syndrome (IBS). Functional Gastrointestinal Disorders can involve the esophagus, stomach and/or intestines and are disorders of function (how these structures work), not structural or biochemical abnormalities. Estimates vary, but about 25% of people in the United States have one of these disorders. The conditions account for about 40% of GI problems seen by doctors and therapists.

 

The cause(s) of Functional Gastrointestinal Disorders are not known. But emotion dysregulation is suspected to be involved. It is clear that psychological stress exacerbates the illnesses and anxiety amplifies the symptoms. This suggests that mindfulness or the lack thereof may be involved as mindfulness is known to be helpful in reducing the psychological and physical responses to stress and mindfulness is known to improve emotion regulation. In addition, contemplative practice has been shown to improve the symptoms of Irritable Bowel Syndrome.

 

The GI tract contains intestinal micro-organisms, flora, bacteria, that have major effects throughout the body through the bacteria-intestinal-brain axis. This can affect overall health. So, it would make sense to investigate the relationship of meditation practice with intestinal micro-organisms.

 

In today’s Research News article “Long-Term Vegan Meditation Improved Human Gut Microbiota.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7358775/ ) Jia and colleagues recruited healthy long-term (over 3 years) vegan meditators and a group of omnivore nonmeditators. The groups were equivalent in gender, age, BMI, and most of the blood biochemical and blood routine indicators. Fecal samples were collected and subjected to 16S rDNA sequencing which measures bacteria present.

 

They found that the two groups were equivalent in fecal microbial diversity. The majority of the bacterial fell into 4 divisions, Firmicutes, Bacteroidetes, Actinobacteria, and Proteobacteria. Of those divisions the vegan meditators had significantly higher levels of Firmicutes and significantly lower levels of Actinobacteria, and Proteobacteria. They further found that there were 14 bacteria types that distinguished the groups with the vegan meditators having significantly higher levels. These bacteria types are associated with improved immunity, reduced inflammatory responses, changed intestinal endocrine activity, improved colon health, and reduced likelihood of colon cancer.

 

It should be kept in mind that the groups were naturally occurring groups and there was no random assignment. So, the groups might differ for reasons other than meditation and diet. In addition, the groups differed in both meditation and type of diet. It cannot be determined whether meditation or the vegan diet or the combination of both was responsible for the differences in intestinal bacteria. Nevertheless, the results suggest that a vegan diet and meditation may alter the intestinal flora to improve health.

 

So, meditation alters gut microbes for better health.

 

“During stress, an altered gut microbial population affects the regulation of neurotransmitters mediated by the microbiome and gut barrier function. Meditation helps regulate the stress response, thereby suppressing chronic inflammation states and maintaining a healthy gut-barrier function.” – Ayman Mukerji Househam

 

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

 

Jia, W., Zhen, J., Liu, A., Yuan, J., Wu, X., Zhao, P., Zhao, L., Li, X., Liu, Q., Huang, G., & Xu, A. (2020). Long-Term Vegan Meditation Improved Human Gut Microbiota. Evidence-based complementary and alternative medicine : eCAM, 2020, 9517897. https://doi.org/10.1155/2020/9517897

 

Abstract

Objective

Meditation has been widely used for the treatment of a variety of psychological, cardiovascular, and digestive diseases as well as chronic pain. Vegetarian diets can effectively prevent hypertension, metabolic diseases such as diabetes and obesity, and certain cancers. Meditation and vegetarian diets have been recognized as components of a healthy lifestyle and have therefore attracted more people around the world. Meditation can help regulate overall health through the neural-endocrine-immune network. Changes in dietary habits can affect the composition of the intestinal flora, which in turn affects human physiology, metabolism, nutrition, and immune function through the bacteria-intestine-brain axis. Here, we aimed to investigate the effect of long-term meditation and vegan diet on human intestinal flora.

Materials and Methods

The present study used 16S rDNA sequencing technology to detect the differences in intestinal flora between 12 healthy vegan subjects receiving long-term meditation training and 12 healthy omnivorous subjects who never received any meditation training.

Results

The results showed that, compared with the subjects in the omnivorous healthy control group who had never received any meditation training, the intestinal flora structure in the people who followed the long-term vegan meditation practices changed significantly. The intersection set between the results of the LEfSe analysis and the Wilcoxon rank sum test includes 14 bacterial genera. These 14 genera are defined as the dominant genera, and the AUC value was 0.92 in the ROC curve, which demonstrates that the 14 genera can be used as a biomarker to distinguish the two groups. Three beneficial bacteria genera (Bifidobacterium, Roseburia, and Subdoligranulum) were significantly enriched in the meditation group with a threshold of 4, according to the LDAs. The functional prediction of differentially enriched intestinal flora showed that the metabolism of tyrosine, propionate, niacin, and nicotinamide in the intestinal micro-organisms in the meditation group was significantly reduced compared with those in the control group, while the biosynthesis of flavones, flavone alcohols, butosin, and neomycin; flavonoid-mediated oocyte maturation; cytoskeleton protein pathways; and antigen processing and presentation were significantly enhanced.

Conclusions

These results indicate that long-term vegan meditation plays a positive role in improving the body’s immunity and adjusting endocrine and metabolic levels, enabling the body to be in a state of good health.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7358775/

 

Decrease Aging Cognitive Decline with Qigong Practice

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Decrease Aging Cognitive Decline with Qigong Practice

 

By John M. de Castro, Ph.D.

 

“various activities such as Qi Gong, Tai Chi, Meditation, Yoga, Pranayama (breath work) and more can slow down the aging process and also reverse DNA damage.” – Beyond Spiritual Healing

 

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 abilities, 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. Indeed, the brains of practitioners of meditation,  yoga, and Tai Chi have been found to degenerate less with aging than non-practitioners.

 

Qigong has been practiced for thousands of years with benefits for health and longevity. Qigong training is designed to enhance function and regulate the activities of the body through regulated breathing, mindful concentration, and gentle movements. Qigong  practice has been found to be effective for an array of physical and psychological issues. Qigong has been shown to help the elderly improve attention, balance, reducing falls, arthritis, cognitive function, memory, and reduce age related deterioration of the brain. So, it makes sense to further study the ability of Qigong training to reduce cognitive decline in the elderly.

 

In today’s Research News article “Effect of 1 Year of Qigong Exercise on Cognitive Function Among Older Chinese Adults at Risk of Cognitive Decline: A Cluster Randomized Controlled Trial.” (See summary below or view the full text of the study at: https://www.frontiersin.org/articles/10.3389/fpsyg.2020.546834/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1473550_69_Psycho_20201103_arts_A ) Jin and colleagues recruited healthy elderly adults, over 60 years of age, who did not engage in any mind-body practices like Qigong and randomly assigned them to receive either Qigong practice or stretching practice. Each intervention had 3 weekly training sessions followed by 1-year of at least twice a week 60-minute practice guided with videos and included once a month refresher training. The participants were measured before and after training for cognitive performance and neuropsychological performance.

 

They found that compared to baseline and the stretching group the Qigong participants had significantly higher cognitive performance after the year’s practice including memory, visuospatial ability, and language ability. The number of Qigong participants who were classified as having a mild cognitive impairment declined over the year while the stretching group did not.

 

These results suggest that Qigong practice improves cognitive ability and reduces cognitive decline in the elderly. Age related cognitive is inevitable and greatly reduces the abilities and quality of life of the elderly. Reducing the decline should contribute to greater well-being in aging individuals.

 

These findings suggest that Tai Chi practice is a safe and effective method to reduce the decline in thinking ability with aging. But the story is even better. Qigong is not strenuous, involves slow gentle movements, and is safe, having no appreciable side effects, it is appropriate for all ages including the elderly and for individuals with illnesses that limit their activities or range of motion. It can also be practiced without professional supervision and in groups making it inexpensive to deliver and fun to engage in. This suggests that Qigong practice should be recommended for the elderly.

 

So, decrease aging cognitive decline with Qigong practice.

 

“Qigong can complement Western medicine in many ways to provide better healthcare. For example, qigong has special value for treating chronic conditions and as a preventive medicine, whereas Western medicine has special value for treating acute conditions.” – Qigong Institute

 

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

 

Jin J, Wu Y, Li S, Jin S, Wang L, Zhang J, Zhou C, Gao Y and Wang Z (2020) Effect of 1 Year of Qigong Exercise on Cognitive Function Among Older Chinese Adults at Risk of Cognitive Decline: A Cluster Randomized Controlled Trial. Front. Psychol. 11:546834. doi: 10.3389/fpsyg.2020.546834

 

ABSTRACT

Background: The rapidly aging Chinese population is showing an increase in age-related illnesses, including mild cognitive impairment and Alzheimer disease. The best types of physical activity for the improvement of cognition remain unknown. This study aimed to compare the effectiveness of a tailored qigong exercise with that of stretching exercise in the maintenance of cognitive abilities in Chinese elders at risk of cognitive decline.

Methods: Seventy-four community-dwelling adults aged ≥60 years were screened for eligibility. Using a randomized control group design, participants with scores ≥19 on the Chinese version of the Montreal Cognitive Assessment-Basic (MoCA) were allocated to a 1-year qigong intervention (n = 33) and a stretching control exercise group (n = 33). The primary outcome was the MoCA score, as a measure of global cognitive function, and secondary outcomes were globe cognition and five domain scores on the Chinese version of the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS). The MoCA and RBANS were administered at baseline and 1 year after intervention to assess the effect of the exercises on cognitive decline.

Results: Twenty-five of 33 (75.8%) participants in the qigong group and 26 of 33 (78.8%) participants in the control group completed the 1-year exercise programs. A bivariate test revealed strong correlation between MoCA and RBANS total scores after the intervention (r = 0.517, p < 0.01). Generalized estimating equations revealed a lower risk of progression of cognitive decline at 1 year in the qigong group than in the control group (odds ratio, 0.314; 95% confidence interval, 0.103–0.961; p = 0.04). Two-way repeated-measures ANOVA followed by post hoc t tests with Bonferroni corrections indicated that MoCA and RBANS scores were significantly higher in the qigong group than in the control group (MoCA and RBANS global cognition, memory, visuospatial/constructional ability, and language, all p < 0.01), with the exception of RBANS attention score (p > 0.05).

Conclusions: One year of qigong practice was significantly superior to stretching exercise not only for the prevention of cognitive decline progression, but also for the improvement of several cognitive functions, among older Chinese adults at risk of cognitive decline.

https://www.frontiersin.org/articles/10.3389/fpsyg.2020.546834/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1473550_69_Psycho_20201103_arts_A

 

Improve Mindfulness and Emotion Regulation with Meditation

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Improve Mindfulness and Emotion Regulation with Meditation

 

By John M. de Castro, Ph.D.

 

“By way of mindfulness meditation, individuals can learn how to regulate their emotions in a way that aversive stimuli will be viewed objectively; thus, the person can be free of attachment from said negative feelings.” – Thomas M Jones

 

Mindfulness practice has been shown to improve emotion regulation. Practitioners demonstrate the ability to fully sense and experience emotions, but respond to them in more appropriate and adaptive ways. In other words, mindful people are better able to experience yet control their responses to emotions. This is a very important consequence of mindfulness. Humans are very emotional creatures and these emotions can be very pleasant, providing the spice of life. But when they get extreme, they can produce misery and even mental illness. The ability of mindfulness training to improve emotion regulation is thought to be the basis for a wide variety of benefits that mindfulness provides to mental health and the treatment of mental illness especially depression and anxiety disorders.

 

In today’s Research News article “Short-Term Meditation Training Fosters Mindfulness and Emotion Regulation: A Pilot Study.” (See summary below or view the full text of the study at: https://www.frontiersin.org/articles/10.3389/fpsyg.2020.558803/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1473550_69_Psycho_20201103_arts_A ) Fazia and colleagues conducted a pilot study in which they recruited healthy college students and provided them with meditation training in 5 1-hour weekly sessions. They were measured before and after training for well-being, problems/symptoms, life functioning, mindfulness, emotion regulation, and spirituality.

 

They found that in comparison to baseline, after meditation training there were significant increases in mindfulness, especially the acting with awareness and non-judging facets, and the cognitive reappraisal facet of emotion regulation. Hence, in this pilot study, meditation training appeared to improve mindfulness and the ability to regulate emotions.

 

This study lacks a comparison, control, condition and as a result is open to a wide variety of confounding influences. So, no definitive conclusions can be reached. But prior research in highly controlled studies have shown repeatedly that meditation training improves mindfulness and emotion regulation. So, the present results likely represent causal effects of meditation on the psychological functioning of the participants.

 

So, improve mindfulness and emotion regulation with meditation.

 

“mindfulness can help patients view their emotions from a more detached perspective. . .This means that patients may be able to think more clearly and generate new strategies to resolve their issues without emotional interference.” – NICABM

 

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

 

Fazia T, Bubbico F, Iliakis I, Salvato G, Berzuini G, Bruno S and Bernardinelli L (2020) Short-Term Meditation Training Fosters Mindfulness and Emotion Regulation: A Pilot Study. Front. Psychol. 11:558803. doi: 10.3389/fpsyg.2020.558803

 

ABSTRACT

The practice of meditation has been historically linked to beneficial effects, not only in terms of spirituality but also in terms of well-being, general improvement of psychophysiological conditions and quality of life. The present study aims to assess the beneficial effects of a short-term intervention (a combination of 12 practical 1-h sessions of meditation, called Integral Meditation, and lectures on neuroscience of meditation) on psychological indicators of well-being in subjects from the general population. We used a one-group pretest-posttest quasi-experimental design, in which all participants (n = 41, 17 men and 24 women, with a mean age of 41.1 years) underwent the same intervention. Out of these, 24 had already experienced meditation practice, but only 12 in a continuative way. Effects were assessed by the standardized Italian version of three self-report questionnaires: Core Outcome in Routine Evaluation-Outcome Measure (CORE-OM), Five-Facet Mindfulness Questionnaire (FFMQ), and Emotion Regulation Questionnaire (ERQ). The questionnaires were filled in at baseline and immediately after the last meditation session. Linear mixed effect models were used to evaluate pre-post treatment changes on each outcome. Participants showed a general, close to a statistically significant threshold, improvement in the total score of CORE-OM and its different domains. The total score of FFMQ (β = 0.154, p = 0.012) indicates a statistically significant increase in the level of mindfulness as well as in the domains acting with awareness (β = 0.212, p = 0.024), and non-judging of inner experiences (β = 0.384, p < 0.0001). Lastly, we observed a statistically significant improvement in the cognitive reappraisal ERQ domain (β = 0.541, p = 0.0003). Despite some limitations (i.e., small sample size, lack of a randomised control group and sole use of “soft” measurements, such as self-report questionnaires), this study offers promising results regarding the within-subject effectiveness of our intervention that includes a meditation practice on psychological indicators, thus providing interesting preliminary results.

https://www.frontiersin.org/articles/10.3389/fpsyg.2020.558803/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1473550_69_Psycho_20201103_arts_A

 

Improve Perinatal Mental Health with Prenatal Mindfulness Training

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Improve Perinatal Mental Health with Prenatal Mindfulness Training

 

By John M. de Castro, Ph.D.

 

“In addition to support, therapy, and medication, the ideal treatment plan for perinatal depression and anxiety often includes mindfulness techniques.” – Edith Gettes

 

The period of pregnancy is a time of intense physiological and psychological change. Anxiety, depression, and fear are quite common during pregnancy. More than 20 percent of pregnant women have an anxiety disorder, depressive symptoms, or both during pregnancy. A debilitating childbirth fear has been estimated to affect about 6% or pregnant women and 13% are sufficiently afraid to postpone pregnancy. It is difficult to deal with these emotions under the best of conditions but in combinations with the stresses of pregnancy can turn what could be a joyous experience of creating a human life into a horrible worrisome, torment.

 

The psychological health of pregnant women has consequences for fetal development, birthing, and consequently, child outcomes. Depression during pregnancy is associated with premature delivery and low birth weight. Hence, it is clear that there is a need for methods to treat depression, and anxiety during pregnancy. Since the fetus can be negatively impacted by drugs, it would be preferable to find a treatment that did not require drugs. Mindfulness training has been shown to improve anxiety and depression normally and to relieve maternal anxiety and depression during pregnancy.

 

The birth of a child is most often a joyous occasion. But often the joy turns to misery. Immediately after birth it is common for the mother to experience mood swings including what has been termed “baby blues,” a sadness that may last for as much as a couple of weeks. But some women experience a more intense and long-lasting negative mood called postpartum depression. This occurs usually 4-6 weeks after birth in about 15% of births; about 600,000 women in the U.S. every year. For 50% of the women the depression lasts for about a year while about 30% are still depressed 3 years later. It is not known if the effectiveness of mindfulness training during the perinatal period carries over to the postpartum period. So, it would make sense to study the effectiveness of mindfulness training administered during the perinatal period on postpartum mental health issues.

 

In today’s Research News article “Effects of prenatal mindfulness-based childbirth education on child-bearers’ trajectories of distress: a randomized control trial.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7559171/ ) Sbrilli  and colleagues recruited pregnant women in their 3rd trimester with their first child and randomly assigned them to either no treatment other than the standard childbirth education program or to receive and additional intensive 2.5 day program of mindfulness training termed “Mind in Labor (MIL).” The training integrates mindfulness “strategies for coping with pain and fear with formal mindfulness meditation for a total of 18 h of mindfulness training.” The participants were measured before and after training, 6 weeks after giving birth, and 1 to 2 years later for depression, anxiety, perceived stress, and mindfulness.

 

They found that at baseline the higher the levels of mindfulness, the lower the levels of anxiety, depression, and perceived stress. Importantly, they found that while the treatment as usual group had increasing depression over the period from before birth till 12 months after birth, the groups that received the mindfulness training had significantly decreasing depression over the same period. They further found that these effects were greater in women who were either high in anxiety or low in mindfulness at baseline.

 

These are encouraging results that need to be investigated in a larger trial. But they demonstrate that mindfulness training during the 3rd trimester can reduce depression not only during the pregnancy but also for at least a year following the birth of the child. This period and especially the postpartum period are very often periods of increased psychological distress, especially depression. Mindfulness training appears to be an antidote, relieving the distress and allowing for the joy of a new child to be fully experienced.

 

So, improve perinatal mental health with prenatal mindfulness training.

 

“A growing body of research suggests that mindfulness-based therapy can benefit perinatal women. . . MBT appears to reduce symptoms of depression and anxiety.” – Rinette Badker

 

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

 

Sbrilli, M. D., Duncan, L. G., & Laurent, H. K. (2020). Effects of prenatal mindfulness-based childbirth education on child-bearers’ trajectories of distress: a randomized control trial. BMC Pregnancy and Childbirth, 20, 623. https://doi.org/10.1186/s12884-020-03318-8

 

Abstract

Background

The perinatal period is a time of immense change, which can be a period of stress and vulnerability for mental health difficulties. Mindfulness-based interventions have shown promise for reducing distress, but further research is needed to identify long-term effects and moderators of mindfulness training in the perinatal period.

Methods

The current study used data from a pilot randomized control trial (RCT) comparing a condensed mindfulness-based childbirth preparation program—the Mind in Labor (MIL)—to treatment as usual (TAU) to examine whether prenatal mindfulness training results in lower distress across the perinatal period, and whether the degree of benefit depends on child-bearers’ initial levels of risk (i.e., depression and anxiety symptoms) and protective (i.e., mindfulness) characteristics. Child-bearers (N = 30) in their third trimester were randomized to MIL or TAU and completed assessments of distress—perceived stress, anxiety, and depressive symptoms—at pre-intervention, post-intervention, six-weeks post-birth, and one-year postpartum.

Results

Multilevel modeling of distress trajectories revealed greater decreases from pre-intervention to 12-months postpartum for those in MIL compared to TAU, especially among child-bearers who were higher in anxiety and/or lower in dispositional mindfulness at baseline.

Conclusions

The current study offers preliminary evidence for durable perinatal mental health benefits following a brief mindfulness-based program and suggests further investigation of these effects in larger samples is warranted.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7559171/