Mindfulness Area Research: Negative Experiences with Mindfulness

Mindfulness Area Research: Negative Experiences with Mindfulness

 

People begin meditation with the misconception that meditation will help them escape from their problems. Nothing could be further from the truth. In fact, meditation does the exact opposite, forcing the meditator to confront their issues. In meditation, the practitioner tries to quiet the mind. But, in that relaxed quiet state, powerful, highly emotionally charged thoughts and memories are likely to emerge. The strength here is that meditation is a wonderful occasion to begin to deal with these issues. But often the thoughts or memories are overwhelming. At times, professional therapeutic intervention may be needed.

 

Many practitioners never experience these negative experiences or only experience very mild states. There are, however, few systematic studies of the extent of negative experiences. In general, the research has reported that unwanted (negative) experiences are quite common with meditators, but for the most part, are short-lived and mild. There is, however, a great need for more research into the nature of the experiences that occur during meditation.

 

Summaries of recent studies on negative experiences with mindfulness can be found at the Negative Experiences link http://contemplative-studies.org/wp/index.php/category/research-news/negative-experiences/  on the Contemplative Studies blog http://contemplative-studies.org/wp/ .

 

Links to the Research on Negative Experiences with Mindfulness

 

Mindfulness Training can Produce Harm but Much can be Avoided

http://contemplative-studies.org/wp/index.php/2019/10/08/mindfulness-training-can-produce-harm-but-much-can-be-avoided/

 

Yoga Injuries are Common but Most Can Be Avoided

http://contemplative-studies.org/wp/index.php/2019/10/01/yoga-injuries-are-common-but-most-can-be-avoided/

 

The Variety of Meditation Experiences

http://contemplative-studies.org/wp/index.php/2018/01/26/the-variety-of-meditation-experiences/

 

Meditation Can Produce Uncomfortable Effects

http://contemplative-studies.org/wp/index.php/2017/11/03/meditation-can-produce-uncomfortable-effects/

 

What’s Wrong with Meditation II – Improper Instruction

http://contemplative-studies.org/wp/index.php/2017/03/05/whats-wrong-with-meditation-ii-improper-instruction/

 

 

Improve Health, Well-Being, and Quality of Life with Breast Cancer with an Integrative Program Including Diet, Exercise, and Mindfulness

Improve Health, Well-Being, and Quality of Life with Breast Cancer with an Integrative Program Including Diet, Exercise, and Mindfulness

 

By John M. de Castro, Ph.D.

 

Our cancer experiences take up a lot of energies, mental focus and can drain us emotionally. It is important to have a few tools to help us create ‘down’ and ‘out’ times, and to replenish and reconnect with who we are.  Mindfulness can also help during specific times of our cancer treatment – to prepare for surgery, while undergoing chemotherapy or radiotherapy, and before or during scans to help with scanxiety. “ – Karen Sieger

 

Receiving a diagnosis of cancer has a huge impact on most people. Feelings of depression, anxiety, and fear are very common and are normal responses to this life-changing and potentially life-ending experience. But cancer diagnosis is not necessarily a death sentence. Over half of the people diagnosed with cancer are still alive 10 years later and this number is rapidly increasing. But, surviving cancer carries with it a number of problems. Anxiety, depression, fatigue and insomnia are common symptoms in the aftermath of surviving breast cancer. These symptoms markedly reduce the quality of life of the patients.

 

Mindfulness training has been shown to help with cancer recovery and help to relieve chronic pain. It can also help treat the residual physical and psychological symptoms, including stress,  sleep disturbancefear, and anxiety and depression. Diet and exercise have also been shown to be effective for breast cancer patients who tend to become overweight or obese. The majority of research, however, explores mindfulness, diet, and exercise separately as treatments for breast cancer patients. It will be important to establish if the combination of these treatments may be especially effective.

 

In today’s Research News article “Influence of a Multidisciplinary Program of Diet, Exercise, and Mindfulness on the Quality of Life of Stage IIA-IIB Breast Cancer Survivors.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7265566/), Ruiz-Vozmediano and colleagues recruited breast cancer patients who had completed treatment at least 12 months earlier. They were randomly assigned to a no-treatment control group or to receive a 6-month program of diet, exercise, and mindfulness. The diet intervention consisted of a 5-hour workshop on healthy eating that was repeated after 2 months. Exercise consisted of 7-weeks of 3 times per week for an hour stretching and weekly 50-minutes of dancing. Mindfulness training consisted of a 4-week, twice a week for 90 minutes Mindfulness-Based Stress Reduction (MBSR) program including discussion, meditation, yoga, and body scan. They were measured before and 6 months after the intervention for body size, food intake, and cancer quality of life. They also provided a blood sample that was assayed for glucose, triglycerides, and cholesterol levels, and tumor markers.

 

They found that in comparison to baseline and the control group the participants who received the diet, exercise, and mindfulness intervention had significantly higher adherence to a Mediterranean diet, and greater quality of life including physical, role, and social functioning quality of life. They also had significant reductions in body weight, body mass index (BMI), blood triglycerides, and high-density lipoprotein.

 

The results suggest that an integrated treatment of diet, exercise, and mindfulness training produces positive changes in breast cancer survivors including improvements in their quality of life, diet, body size, and blood lipid levels. Future research should perform a component analysis to determine the effects of each treatment component and their combinations on the patients. Regardless, the effects observed in the present study tend to predict maintained psychological and physical health in these patients.

 

So, improve health, well-being, and quality of life with breast cancer with an integrative program including diet, exercise, and mindfulness.

 

“mindfulness-based stress reduction can be effective in alleviating anxiety and depression, decreasing long-term emotional and physical side effects of treatments and improving the quality of sleep in breast cancer patients.” – BCRF

 

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

 

Ruiz-Vozmediano, J., Löhnchen, S., Jurado, L., Recio, R., Rodríguez-Carrillo, A., López, M., Mustieles, V., Expósito, M., Arroyo-Morales, M., & Fernández, M. F. (2020). Influence of a Multidisciplinary Program of Diet, Exercise, and Mindfulness on the Quality of Life of Stage IIA-IIB Breast Cancer Survivors. Integrative cancer therapies, 19, 1534735420924757. https://doi.org/10.1177/1534735420924757

 

Abstract

Background: Integrative oncology has proven to be a useful approach to control cancer symptoms and improve the quality of life (QoL) and overall health of patients, delivering integrated patient care at both physical and emotional levels. The objective of this randomized trial was to evaluate the effects of a triple intervention program on the QoL and lifestyle of women with breast cancer. Methods: Seventy-five survivors of stage IIA-IIB breast cancer were randomized into 2 groups. The intervention group (IG) received a 6-month dietary, exercise, and mindfulness program that was not offered to the control group (CG). Data were gathered at baseline and at 6 months postintervention on QoL and adherence to Mediterranean diet using clinical markers and validated questionnaires. Between-group differences at baseline and 3 months postintervention were analyzed using Student’s t test for related samples and the Wilcoxon and Mann-Whitney U tests. Results: At 6 months postintervention, the IG showed significant improvements versus CG in physical functioning (p = .027), role functioning (p = .028), and Mediterranean diet adherence (p = .02) and a significant reduction in body mass index (p = .04) and weight (p = .05), with a mean weight loss of 0.7 kg versus a gain of 0.55 kg by the CG (p = .05). Dyspnea symptoms were also increased in the CG versus IG (p = .066). Conclusions: These results demonstrate that an integrative dietary, physical activity, and mindfulness program enhances the QoL and healthy lifestyle of stage IIA-IIB breast cancer survivors. Cancer symptoms may be better managed by the implementation of multimodal rather than isolated interventions.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7265566/

 

Altered Brain Metabolism is Associated with Long-Term Yoga Practice

Altered Brain Metabolism is Associated with Long-Term Yoga Practice

 

By John M. de Castro, Ph.D.

 

the benefits of yoga are more encompassing than just the physical. And, thanks to modern technology and functional MRI scans, we’re now able to see how regular practice affects your brain.” – Emmy Lymn

 

The practice of yoga has many benefits for the individual’s physical and psychological health. Yoga has diverse effects because it is itself diverse having components of exercise, mindfulness meditation, and spirituality. So, yoga nourishes the body, mind, and spirit. As a result, yoga practice would be expected to produce physical changes. These include the relaxation response and stress relief. These should be obvious in the muscles, tendons and joints, but, less obvious in the nervous system. The nervous system changes in response to how it is used and how it is stimulated in a process called neuroplasticity. Highly used areas grow in size, metabolism, and connectivity. Mindfulness practices in general are known to produce these kinds of changes in the structure and activity of the brain.

 

In today’s Research News article “Long-term Ashtanga yoga practice decreases medial temporal and brainstem glucose metabolism in relation to years of experience.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7225240/), Aalst and colleagues recruited experienced adult yoga practitioners (at least 2 years of 3 times per week practice) and non-practitioners matched for age, gender, education, and physical activity levels. They had the experienced yoga practitioners perform 75 minutes of yoga while the control group practiced 75 minutes of aerobic exercise. Before and after they underwent a Positron Emission Tomography (PET) brain scan to determine changes in glucose metabolism (metabolic activity) in various brain regions.

 

They found that the experienced yoga practitioners at rest had significantly lower levels of activity in the hippocampus, parahippocampus, amygdala, insula, anterior midbrain, striatum (globus pallidus), and cerebellum compared to non-practitioners. After yoga practice there was a significant increase in activity in the cerebellum that wasn’t present for the non-practitioners after aerobic exercise. No significant differences in grey matter volume was observed.

 

The findings that the activity (brain metabolism) in the yoga practitioners while at rest is altered suggests that these are relatively permanent neuroplastic changes in the brain produced by long-term yoga practice. These changes are in areas that are known to be involved in mood and emotion regulation (limbic system, hippocampus, parahippocampus, amygdala), motor movements (cerebellum and striatum), and interoception and body awareness (Insula). These results are in line with the established ability of yoga practice to improve mood and emotion regulation, interoception and body awareness, and movement.

 

The findings are correlational and as such causation cannot be determined. But prior research has established that yoga training produces similar improvements in well-being and changes in the brain suggesting that these effects are caused by yoga practice. Yoga practice is a complex set of activities including postures, meditation, breathing practice, spirituality, and relaxation. It will remain for future research to determine which of these components or which combinations are responsible for which effects.

 

Yoga practitioners have different levels of brain activity at rest reflecting the psychological changes observed in yoga practitioners. The psychological changes suggest that the better emotional and physical well-being in yoga practitioners is due to neuroplastic changes in the brain produced by long-term yoga practice. These results support the recommendation of practicing yoga to improve physical and psychological well-being.

 

So, altered brain metabolism is associated with long-term yoga practice.

 

“The practice of yoga helps improve emotional regulation to reduce stress, anxiety and depression and that seems to improve brain functioning.” – Neha Gothe

 

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

 

van Aalst, J., Ceccarini, J., Schramm, G., Van Weehaeghe, D., Rezaei, A., Demyttenaere, K., Sunaert, S., & Van Laere, K. (2020). Long-term Ashtanga yoga practice decreases medial temporal and brainstem glucose metabolism in relation to years of experience. EJNMMI research, 10(1), 50. https://doi.org/10.1186/s13550-020-00636-y

 

Abstract

Background

Yoga is increasingly popular worldwide with several physical and mental benefits, but the underlying neurobiology remains unclear. Whereas many studies have focused on pure meditational aspects, the triad of yoga includes meditation, postures, and breathing. We conducted a cross-sectional study comparing experienced yoga practitioners to yoga-naive healthy subjects using a multiparametric 2 × 2 design with simultaneous positron emission tomography/magnetic resonance (PET/MR) imaging.

Methods

18F-FDG PET, morphometric and diffusion tensor imaging, resting state fMRI, and MR spectroscopy were acquired in 10 experienced (4.8 ± 2.3 years of regular yoga experience) yoga practitioners and 15 matched controls in rest and after a single practice (yoga practice and physical exercise, respectively).

Results

In rest, decreased regional glucose metabolism in the medial temporal cortex, striatum, and brainstem was observed in yoga practitioners compared to controls (p < 0.0001), with a significant inverse correlation of resting parahippocampal and brainstem metabolism with years of regular yoga practice (ρ < − 0.63, p < 0.05). A single yoga practice resulted in significant hypermetabolism in the cerebellum (p < 0.0001). None of the MR measures differed, both at rest and after intervention.

Conclusions

Experienced yoga practitioners show regional long-term decreases in glucose metabolism related to years of practice. To elucidate a potential causality, a prospective longitudinal study in yoga-naive individuals is warranted.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7225240/

 

Spirituality is Associated with Better Physical and Mental Health

Spirituality is Associated with Better Physical and Mental Health

 

By John M. de Castro, Ph.D.

 

Spirituality is a sense of connection to something bigger than ourselves. . . Spirituality also incorporates healthy practices for the mind and body, which positively influences mental health and emotional wellbeing.” – Luna Greestein

 

Religion and spirituality have been promulgated as solutions to the challenges of life both in a transcendent sense and in a practical sense. What evidence is there that these claims are in fact true? The transcendent claims are untestable with the scientific method. But the practical claims are amenable to scientific analysis. There have been a number of studies of the influence of religiosity and spirituality on the physical and psychological well-being of practitioners mostly showing positive benefits, with spirituality encouraging personal growth and mental health.

 

In today’s Research News article “Private religion/spirituality, self-rated health, and mental health among US South Asians.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7297387/), Kent and colleagues recruited U.S. adults over 40 years of age of south Asian descent. They completed questionnaires on their health, daily spiritual experiences, gratitude, anxiety, anger, religious service attendance, religious affiliation, yoga practice, belief in God, closeness to God, positive religious coping, and divine hope. They were separated into a theistic group who believed in god and a non-theistic group who did not.

 

They found that in the total sample that the health of the participants was positively related to yoga practice, daily spiritual experiences and gratitude. Emotional functioning was positively related to gratitude and daily spiritual experiences. In addition, anxiety and anger were negatively associated with gratitude and daily spiritual experiences.

 

In the theistic subsample there were significant positive relationships between health and closeness to god and positive religious coping. There were significant positive relationships between emotional functioning and daily spiritual experiences, closeness to god and positive religious coping and negative relationships with negative religious coping. Anxiety and anger were related to negative religious coping and religious/spiritual struggles.

 

The results make it clear that religion and spirituality are associated with better physical and mental health. It should be noted that these results are correlational and as such causation cannot be determined. It is equally likely that spirituality promotes mental and physical health, that people with better mental and physical health tend to be more religious and spirituality, or that a third factor is related to both. These results also have limited generalizability as they were obtained from a community sample of people in the U.S. of south Asian descent. They may not apply to other ethnic or religious groups.

 

Nevertheless, the results present a positive picture of religion and spirituality and its relationships to physical and mental health. Positive religious coping to stress involves the belief that god is guiding the individual for good reasons and this type of coping is associated with better mental health. On the other hand, negative religious coping to stress which involves belief that god is, for some reason, punishing the individual, has negative emotional consequences. So, religion and spirituality are double edged swords depending on how the individual interprets and employs them.

 

So, spirituality is associated with better physical and mental health.

 

positive associations have been found between some styles of religion/spirituality and general wellbeing, marital satisfaction and general psychological functioning.” – Deborah Cornah

 

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

 

Kent, B. V., Stroope, S., Kanaya, A. M., Zhang, Y., Kandula, N. R., & Shields, A. E. (2020). Private religion/spirituality, self-rated health, and mental health among US South Asians. Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 29(2), 495–504. https://doi.org/10.1007/s11136-019-02321-7

 

Abstract

Purpose:

Connections between private religion/spirituality and health have not been assessed among U.S. South Asians. The aim of this study was to examine the relationship between private religion/spirituality and self-rated and mental health in a community-based sample of U.S. South Asians.

Methods:

Data from the Mediators of Atherosclerosis in South Asians Living in America (MASALA) study (collected 2010–2013 and 2015–2018) and the attendant Study on Stress, Spirituality, and Health (n=881) were analyzed using OLS regression. Self-rated health measured overall self-assessed health. Emotional functioning was measured using the Mental Health Inventory-3 index (MHI-3) and Spielberger scales assessed trait anxiety and trait anger. Private religion/spirituality measures included prayer, yoga, belief in God, gratitude, theistic and non-theistic spiritual experiences, closeness to God, positive and negative religious coping, divine hope, and religious/spiritual struggles.

Results:

Yoga, gratitude, non-theistic spiritual experiences, closeness to God, and positive coping were positively associated with self-rated health. Gratitude, non-theistic and theistic spiritual experiences, closeness to God, and positive coping were associated with better emotional functioning; negative coping was associated with poor emotional functioning. Gratitude and non-theistic spiritual experiences were associated with less anxiety; negative coping and religious/spiritual struggles were associated with greater anxiety. Non-theistic spiritual experiences and gratitude were associated with less anger; negative coping and religious/spiritual struggles were associated with greater anger.

Conclusion:

Private religion/spirituality are associated with self-rated and mental health. Opportunities may exist for public health and religious care professionals to leverage existing religion/spirituality for well-being among U.S. South Asians.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7297387/

 

Mindfulness is Associated with Better Ability to Negotiate

 

Mindfulness is Associated with Better Ability to Negotiate

By John M. de Castro, Ph.D.

 

Mindfulness training increases empathy . . . enabling us to better appreciate the standpoint of the other parties to the negotiation. It makes it easier to reach a compromise and allows us to feel more connected with those we’re negotiating with – thus creating a sense of affiliation.” – Mindfulness Works

 

Negotiations are important not only in business but also in conflict resolution and mindfulness can help. It is important in negotiations to be sensitive to the nuances of behaviors. By being mindful the negotiator becomes more attentive and empathetic, making it easier to read the nonverbal cues from the other person. These cues are important for understanding their emotional reactions to each stage of the negotiations and can thereby assist the negotiator in understanding the needs of the other and thereby refining offers and counteroffers. Being attuned to another makes responses better aligned with what is needed for a successful negotiation.

 

Another way that mindfulness can be of help in negotiations is through improved emotion regulation. Mindfulness is associated with a heightened ability to recognize and manage one’s own emotions. In a negotiation it is easy to react to emotions and as a result respond inappropriately or ignore the most logical negotiating step. Mindfulness has also been shown to improve problem solving and creativity. A negotiation can be viewed as a problem-solving task to identify the optimum strategy to produce the desired outcome. Also, by applying greater creativity to the problem the negotiator can devise novel solutions, optimizing outcomes.

 

In today’s Research News article “Variables Associated With Negotiation Effectiveness: The Role of Mindfulness.” (See summary below or view the full text of the study at: https://www.frontiersin.org/articles/10.3389/fpsyg.2020.01214/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1356251_69_Psycho_20200618_arts_A), Pérez-Yus and colleagues recruited adult non-meditators and meditators with a daily practice of at least 6 months in duration. They completed questionnaires measuring negotiation effectiveness, emotional intelligence, mindfulness, personality, motivation, negotiation style, and their meditation practice.

 

They found that the higher the level of negotiation effectiveness the higher the level of mindfulness, emotional intelligence, achievement motivation, extraversion, openness, and conscientiousness, the personality traits of extraversion, openness and conscientiousness, and the negotiation styles of integrating, dominating, and compromising, and the lower the levels of neuroticism. In comparison to non-meditators, the meditators had significantly greater levels of emotional intelligence clarity, mindfulness, openness to experience, agreeableness, and conscientiousness, a greater tendency to acquire an integrating style in the negotiation, and a greater effectiveness of the negotiation and lower levels of neuroticism.

 

This study is correlational and as such causation cannot be determined. To establish causation, future research should examine the ability of mindfulness training to improve negotiation effectiveness. Nevertheless, the results suggest that meditation practice and mindfulness are associated with better negotiation effectiveness. Meditators are better negotiators. This is associated with emotional intelligence, and positive personality traits. Meditators had higher levels of integrating style of negotiations. In this style the negotiator is more attuned to the needs of everyone involved in the negotiation. So, meditators are better able to adjust the negotiation to satisfy everyone’s needs.

 

So, mindfulness is associated with better negotiation ability.

 

The results suggest that when a negotiation was more effective, mindfulness was a causal condition.” – Jamil Awaida

 

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

 

Pérez-Yus MC, Ayllón-Negrillo E, Delsignore G, Magallón-Botaya R, Aguilar-Latorre A and Oliván Blázquez B (2020) Variables Associated With Negotiation Effectiveness: The Role of Mindfulness. Front. Psychol. 11:1214. doi: 10.3389/fpsyg.2020.01214

 

Negotiation is the main mean of conflict resolution. Despite its capital importance, little is known about influencing variables or effective interventions. Mindfulness has shown to improve subjects’ performance in different settings but until now, no study has shown its impact in negotiation. The aim of this study is to analyze which variables are associated with effectiveness and to determine if meditators are more effective in negotiation. A cross-sectional descriptive study was carried out. The study variables were: socio-demographic variables, negotiation effectiveness (Negotiation Effectiveness Questionnaire), mindfulness (Five Facets of Mindfulness Questionnaire), emotional intelligence (Trait Meta-Mood Scale Questionnaire), personality (NEO-FFI personality inventory), motivation (McClelland Questionnaire), and negotiation style (Rahim Organizational Conflict Inventory-II). A correlational study and a multivariate model were developed. Negotiation effectiveness was associated with age, mindfulness, emotional intelligence, extraversion, openness, conscientiousness, achievement motivation, integrating, dominating, and compromising negotiation styles and inversely correlated toward neuroticism. The effectiveness of the negotiation is explained by the variables clarity, age, conscientiousness, dominating, and compromising style. Meditators were found to be more effective than non-meditators.

https://www.frontiersin.org/articles/10.3389/fpsyg.2020.01214/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1356251_69_Psycho_20200618_arts_A

 

Improve Fibromyalgia Symptoms with Qigong

Improve Fibromyalgia Symptoms with Qigong

 

By John M. de Castro, Ph.D.

 

Evidence is growing for the Traditional Chinese practice of qigong as a treatment for fibromyalgia..” – Adrienne Dellwo

 

Fibromyalgia is a mysterious disorder whose causes are unknown. It is very common affecting over 5 million people in the U.S., about 2% of the population with about 7 times more women affected than men. It is characterized by widespread pain, abnormal pain processing, sleep disturbance, and fatigue that lead to psychological distress. Fibromyalgia may also have morning stiffness, tingling or numbness in hands and feet, headaches, including migraines, irritable bowel syndrome, sleep disturbances, thinking and memory problems, and painful menstrual periods. The symptoms are so severe and debilitating that about half the patients are unable to perform routine daily functions and about a third have to stop work. Although it is not itself fatal, suicide rates are higher in fibromyalgia sufferers. Clearly, fibromyalgia greatly reduces the quality of life of its’ sufferers.

 

There are no completely effective treatments for fibromyalgia. Symptoms are generally treated with pain relievers, antidepressant drugs and exercise. But these only reduce the severity of the symptoms and do not treat the disease directly. Mindfulness practices have also been shown to be effective in reducing pain from fibromyalgia. Qigong is an ancient Chinese practice involving mindfulness and gentle movements. They are easy to learn, safe, and gentle. So, it may be appropriate for patients with fibromyalgia where exercise can produce painful flares. This suggests that Qigong might also be effective. Qigong practice involves body movements and also breathing exercises and meditation. It is not known which of these components are essential to produce benefits,

 

In today’s Research News article “The therapeutic efficacy of Qigong exercise on the main symptoms of fibromyalgia: A pilot randomized clinical trial.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7235941/), Sarmento and colleagues recruited adult non-obese female patients with fibromyalgia and randomly assigned them to receive either Qigong practice or a sham Qigong control condition. They received 2 weekly 45-minute training sessions followed by 10 weeks of daily practice at home. Qigong practice consisted of “deep diaphragmatic breathing, mild body movements, and meditation, along with uttering six healing sounds.”  The sham Qigong practice consisted of the body movements only. They were measured before and after training for self-reported pain levels, pressure pain thresholds, fibromyalgia impact, sleep quality, fatigue, quality of life, depression, and anxiety.

 

They found that in comparison to baseline and the sham Qigong group the participants that practiced Qigong had significantly lower levels of self-reported pain, fibromyalgia impact, fatigue, depression, and anxiety and significantly higher pressure pain thresholds and levels of sleep quality. These results are very interesting in that they demonstrate that Qigong practice markedly improves the symptoms of fibromyalgia in women.

 

The results are also interesting in that they demonstrate that the body movements component of Qigong practice is not essential for the benefits. The fact that the exercise is not effective alone is not surprising as it’s been reported that exercise can actually increase the likelihood of a fibromyalgia flare. The results suggest that breath control and meditation are essential for Qigong practice to improve the symptoms of fibromyalgia. It would appear that the mindfulness components of Qigong practice are essential. Previous research has shown that mindfulness training can improve the symptoms of fibromyalgia. The present results further confirm the effectiveness of mindfulness in reducing the women’s suffering.

 

Fibromyalgia patients suffer greatly and to bring relief with a simple, gentle, safe practice is very important. Qigong is inexpensive to administer, can be performed in groups or alone, at home or in a facility or even public park, and can be quickly learned. In addition, it can be practiced in social groups without professional supervision. This can make it fun, improving the likelihood of long-term engagement in the practice. Hence, Qigong practice would appear to be a wonderful effective treatment for the relief of the suffering of fibromyalgia patients.

 

So, improve fibromyalgia symptoms with qigong.

 

“qigong in fibromyalgia. . . . there are consistent benefits in pain, sleep, impact, and physical and mental function following the regimen, with benefits maintained at 4-6 months.” – Jane Sawynok

 

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

 

Sarmento, C., Moon, S., Pfeifer, T., Smirnova, I. V., Colgrove, Y., Lai, S. M., & Liu, W. (2020). The therapeutic efficacy of Qigong exercise on the main symptoms of fibromyalgia: A pilot randomized clinical trial. Integrative medicine research, 9(4), 100416. https://doi.org/10.1016/j.imr.2020.100416

 

Abstract

Background

Some of the most debilitating symptoms of fibromyalgia (FM) include widespread chronic pain, sleep disturbances, chronic fatigue, anxiety, and depression. Yet, there is a lack of effective self-management exercise interventions capable of alleviating FM symptoms. The objective of this study is to examine the efficacy of a 10-week daily Qigong, a mind–body intervention program, on FM symptoms.

Methods

20 participants with FM were randomly assigned to Qigong (experimental) or sham-Qigong (control) groups, with participants blinded to the intervention allocation. The Qigong group practiced mild body movements synchronized with deep diaphragmatic breathing and meditation. The sham-Qigong group practiced only mild body movements. Both groups practiced the interventions two times per day at home, plus one weekly group practice session with a Qigong instructor. Primary outcomes were: pain changes measured by the Short-Form McGill Pain Questionnaire, a visual analog scale for pain, pressure pain threshold measured by a dolorimeter. Secondary outcomes were: the Revised Fibromyalgia Impact Questionnaire the Pittsburgh Sleep Quality Index, the Hospital Anxiety and Depression Scale and the Quality of Life Scale.

Results

The experimental group experienced greater clinical improvements when compared to the control group on the mean score differences of pain, sleep quality, chronic fatigue, anxiety, depression, and fibromyalgia impact, all being statistically significant at p < 0.05.

Conclusion

Daily practice of Qigong appears to have a positive impact on the main fibromyalgia symptoms that is beyond group interaction.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7235941/

 

Mindfulness Improves the Emotion Regulation in Patients with Schizophrenia

Mindfulness Improves the Emotion Regulation in Patients with Schizophrenia

 

By John M. de Castro, Ph.D.

 

Mindfulness treatments do not aim to decrease the occurrence or severity of the symptoms of psychosis, but by helping to reduce the distress people experience, many of these treatments help indirectly to alleviate psychotic symptoms as well.” – Tania Lecomte

 

Schizophrenia is the most common form of psychosis. It effects about 1% of the population worldwide. It appears to be highly heritable and involves changes in the brain. It is characterized by both positive and negative symptoms. Positive symptoms include hallucinations; seeing and, in some cases, feeling, smelling or tasting things that aren’t there, or delusions; unshakable beliefs that, when examined rationally, are obviously untrue. Negative symptoms include a reduced ability to function normally, neglect of personal hygiene, lack of emotion, blank facial expressions, speaking in a monotone, loss of interest in everyday activities, social withdrawal, an inability to experience pleasure, and a lack of insight into their symptoms. The symptoms of schizophrenia usually do not appear until late adolescence or early adulthood.

 

Schizophrenia is very difficult to treat with psychotherapy and is usually treated with antipsychotic drugs. These drugs, however, are not always effective, sometimes lose effectiveness, and can have some difficult side effects. Mindfulness training has been shown to be beneficial for a variety of mental health problems, including psychosis. Mindfulness has also been shown to associated with lower symptom severity of schizophrenia. Patients with schizophrenia have difficulty regulating emotions and mindfulness training improves emotion regulation. Hence, it makes sense to investigate the effectiveness of mindfulness training in improving emotion regulation in patients with schizophrenia.

 

In today’s Research News article “The Effectiveness of a Mindfulness-Based Psychoeducation Programme for Emotional Regulation in Individuals with Schizophrenia Spectrum Disorders: A Pilot Randomised Controlled Trial.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7075335/), Lam and colleagues recruited adult patients diagnosed with schizophrenia-spectrum disorders and randomly assigned them to a treatment as usual control condition or to receive a 90 minute once a week for 8 weeks Mindfulness-Based Psychoeducation Program (MBPP) including “engagement and empowerment, mindfulness in daily living and problem solving, mindfulness in illness management and equip and prepare for the future.” Patients also performed daily mindfulness practice. They were measured before and after training and 3 months later for the emotion regulation processes of reappraisal and suppression, rumination, psychotic symptoms, mindfulness, anxiety, and depression.

 

Engagement in the Mindfulness-Based Psychoeducation Program (MBPP) was high with 85% of participants attending 6 or more sessions with average attendance of 6.88 sessions. The average amount of home practice was 31 minutes per week. Hence the program can be successfully implemented and is acceptable to the patients.

 

They found that in comparison to baseline and the treatment as usual group after Mindfulness-Based Psychoeducation Program (MBPP) there was a significant improvement in mindfulness and the emotion regulation strategy of reappraisal. These improvements were maintained for 3 months after the end of training. The results suggest that mindfulness training improves the emotion regulation strategy of reappraisal in patients diagnosed with schizophrenia-spectrum disorders.

 

Reappraisal is a cognitive strategy to reinterpret the origin and meaning of an emotional event to reduce its impact. This is an effective emotion regulation strategy to help the individual cope with emotions. Since, problems with emotions are common in schizophrenia, improving emotion regulation may be of great assistance to them in dealing with the symptoms of the disease.

 

So, mindfulness improves the emotion regulation in patients with schizophrenia.

 

“mindfulness-based psycho-educational intervention expressly designed for patients with schizophrenia can be well tolerated and result in better illness outcomes than either standard treatment alone or standard treatment supplemented by a more typical psycho-educational approach. This is an important finding because of the widely held belief that psychotic patients can neither tolerate nor benefit from mindfulness-based interventions.” – American Mindfulness Research Association

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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Study Summary

 

Lam, A., Leung, S. F., Lin, J. J., & Chien, W. T. (2020). The Effectiveness of a Mindfulness-Based Psychoeducation Programme for Emotional Regulation in Individuals with Schizophrenia Spectrum Disorders: A Pilot Randomised Controlled Trial. Neuropsychiatric disease and treatment, 16, 729–747. https://doi.org/10.2147/NDT.S231877

 

Abstract

Background

Emotion dysregulation has emerged as a transdiagnostic factor that potentially exacerbates the risk of early-onset, maintenance, and relapse of psychosis. Mindfulness is described as the awareness that emerges from paying attention to the present moment without judgment. It gently pulls the mind out of the negative emotions induced by the disparity between expectation and reality by focusing on the present moment, instead of worrying about the future or regretting the past. However, only a few research has ever focused on the efficacy of using a mindfulness-based intervention to improve emotion regulation in schizophrenia spectrum disorders.

Purpose

The purpose of this study was to examine the effectiveness of a Mindfulness-Based Psychoeducation Programme (MBPP) on the emotion regulation of individuals with schizophrenia, in particular, to access emotion regulation strategies. The objective of this study was to find out whether MBPP is feasible for improving emotion regulation strategies, in terms of rumination, cognitive reappraisal, and expressive suppression, with a sustainable effect at a three-month follow-up.

Patients and Methods

A single-blinded pilot randomised controlled trial with repeated-measures designs was adopted. Forty-six participants diagnosed with schizophrenia and its subtypes were randomised in either the 8-week mindfulness-based psychoeducation programme or treatment-as-usual (control) group.

Results

The results of the Generalised Estimating Equations test indicated that the MBPP group showed a significant improvement in reappraisal at a three-month follow-up (β = −6.59, Wald’s χ2=4.55, p=0.033), and a significant reduction in rumination across time. However, the Generalised Estimating Equations indicated no significant difference in rumination and expressive suppression in the MBPP group. Two participants reported having unwanted experiences, including feelings of terror and distress during the mindfulness practice.

Conclusion

The MBPP appeared to be effective for improving emotion regulation, which will contribute to future large-scale RCT to confirm the treatment effects in more diverse groups of schizophrenic patients.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7075335/

 

Exercise on the Eightfold Path

mindful exercise running swimming walking | Stress Less Kzoo

Exercise on the Eightfold Path

 

By John M. de Castro, Ph.D.

 

“it’s possible to merge awareness and physical exercise together as one. This allows you to experience the present moment during your physical activity.” – Adam Brady

 

We often think of meditation or spiritual practice as occurring in quiet places removed from the hubbub of life. This is useful to develop skills and deep understanding. Unfortunately, most people do not have the luxury of withdrawing into solitary or monastic life. But it is possible to practice even in the midst of the chaos of everyday life. In fact, there are wonderful opportunities to practice presented to us all the time in the complexities of the modern world. I find that engagement in exercise is one of many wonderful contexts in which to practice the Buddha’s Eightfold Path, the Buddha’s prerequisites for the cessation of suffering; Right View, Right Intentions, Right Actions, Right Speech, Right Livelihood, Right Effort, Right Mindfulness, and Right Concentration. Engaging in exercise on the eightfold path can not only improve health but also can contribute to spiritual development. As a bonus it can make exercising more enjoyable.

 

As we well know, engaging in regular physical exercise is important for our physical and mental health. Similarly, practicing mindfulness is important for our physical, psychological, and spiritual well-being. Together they are a dynamite. But what needs to be done to combine them? With a little reflection, a myriad of opportunities to practice are available while exercising. The details will vary with the type of exercise and the individual, but these same opportunities are available regardless of the nature of the exercise.

 

An important component of developing the “Right View” is the recognition that all things are impermanent, they come and they go and never stay the same. When exercising it is easy to note that everything about the workout is impermanent. The body is stressed by exercise and this is a good thing as this is what leads to the beneficial effects of exercise. When moderately stressed muscles heal, they grow stronger. Sometimes the stress is pleasant and other times not so. But no matter what it will change, perhaps getting better or perhaps getting worse, but it will not stay the same. During exercise, the physical and mental state of the individual is constantly changing. The body fatigues and grows tired. Pain and discomfort may come and go. By recognizing how fleeting these feelings are, we witness the impermanence of all things. We grow to not only better understand the body and how it benefits from exercise but also see the operation of impermanence. This produces relaxation and acceptance of the body as it is, even as it’s changing, not only improving the exercise but reinforcing “Right View”.

 

A good example of this is practicing while running. I’m older and my knees are worn out so I practice this while speed walking. Noting the sensations from the foot each time in strikes the ground and as it lifts off the ground, it’s apparent that the sensations are constantly changing and never the same. Impermanence is on display. The same goes for the surrounding sights which are constantly changing. It’s impossible to hold onto any of the myriad of sensations occurring. They are constantly arising and passing away. Impermanence is on display.

 

Another important component of “Right View” is the recognition that everything is interconnected. This is readily apparent during exercise. During yoga practice all of the aspects of the body work together. As the muscles are stressed they increase the heart rate and respiration. With each pose the muscles produce heat, causing sweating and dilatation of the blood vessels at the surface. Moving into each pose produces changes in balance which produce automatic changes in other muscles to compensate and maintain balance and equilibrium. The senses are engaged in monitoring for pain and fatigue and guiding the exercise. Try paying attention to all of the parts of the body and how they are affected in performing a forward bend, a tree pose, or a lower cobra. By paying attention to these processes during this practice, how the entire body is engaged can be witnessed even if the exercise is targeted at only particular muscles. Interconnectedness is completely apparent. The awareness of this interconnectedness allows for better exercise while reinforcing “Right View”.

 

One practice I employ with exercise is to identify the limiting component. For me it’s breathing that seems to limit what I can do. My ability to play basketball is limited by the ability to get oxygen to the muscles while sprinting down the court. For others, it’s their knees or other joints, or cardiac capacity, or body temperature. There’s always something that keeps the individual from going faster, or being stronger or more accurate. The ability of the entire body to excel is limited by this factor. All other aspects of physical function are restrained by it. All other aspects are interconnected with it. as it all works together.

 

This interconnectedness is particularly apparent in team sports. In these contexts, participants affect one another, everyone on the team and everyone on the opposing team. In fact, that interconnectedness is part of the allure and enjoyment of team sports. As every athlete knows, performance is also affected by the individual’s psychological state. At times, exercisers just don’t feel like doing it but force themselves. While at other times, they feel great and can’t wait to get into it. In both cases this psychological state markedly alters the exercise. It’s all interconnected. Hence, the “Right View” of interconnectedness is readily apparent during exercise. Make it part of the exercise to pay attention to and recognize this interconnectedness. It’s on display.

 

Still another important component of “Right View” is the recognition of the presence of suffering and unsatisfactoriness in all activities. Exercising is a wonderful opportunity to observe this unsatisfactoriness and its roots. While cycling we want everything to be a certain way and when it isn’t, we are unhappy. We want to go faster, or with have greater strength for peddling up hills, or with greater endurance to ride further. The cyclist wants the weather to be just right, the wind to die down, to always be at the back, or for it to be cooler. We want the body’s discomforts to go away. In other words, rather than enjoy cycling, we make it unsatisfactory by not accepting how things are. All things, big and small, are almost always less than optimum. If we focus on this and crave it to be different, then we suffer. But, if we simply accept these conditions as they are, we can ride our bicycle with appreciation and enjoyment with unsatisfactoriness on display. Note, how this constantly arises in thoughts during exercise. Recognizing this can lead to greater understanding of how we make ourselves unhappy, and how by simply accepting things as they are produces better performance and greater enjoyment. Practicing this will reinforce “Right View.”

 

While exercising, playing sports, or being an observer there are frequent opportunities to practice “Right Intentions.” Here reducing or preventing harm and promoting greater happiness, wisdom, and well-being for all participants can be practiced. This is particularly important for team sports. It is useful, beforehand, to set this intention to make engaging in the game be beneficial for all participants. “Right Intentions” involves targeting what to do while exercising to increase peace, well-being, and happiness, including the abandonment of unwholesome desires.

 

If exercise particularly in competitive sports, is engaged in with anger, impatience, selfishness, and resentment it is likely to produce harm to everyone involved. Sports, such as football, can be dangerous and can produce physical harm to others. Obviously, games like football are particularly good candidates to play with “Right Intentions.” This way injury or harm can be minimized. It would seem obvious, but taking the time beforehand to establish “Right Intentions” may determine if the game is fun and wholesome or negative and harmful.

 

When I was young playing basketball with friends an opponent grabbed me as I ran toward the basket. I got angry and retaliated by shoving my friend away forcefully. He fell back so hard that he was momentarily paralyzed. This scared everyone and especially me. It made me recognize the potential harm that I could cause by acting on anger. If I had simply accepted that I was fouled and let it go, no harm would have occurred and play could have continued. The recognition that anger can only lead to more harm is wisdom that can lead to minimizing harm and promoting the greater good. Seeing the situation as it is, and seeing opponents with eyes of compassion leads to skillful actions promoting the happiness and well-being of all.

 

I’ve found that playing golf is a wonderful opportunity to practice. It has always amazed me how players make themselves so unhappy while engaging in something that’s supposed to be fun. I’ve seen players go into a rage after hitting a poor shot, screaming profanities, pounding their club into the ground or throwing or even breaking the club in rage. This can create a negative atmosphere that sweeps all the players up into a negative mood and destroys the fun and happiness that is the point of playing the game. “Right Intentions” can help here. I’ve learned to approach the game as just that, a game that is to be enjoyed, to laugh at my own incompetence, and joke with the other players about our plight.

 

We go around the course laughing and having a ball. What a difference it can make, I’ve had other players remark how much they admire me, not for my play which is horrible, but for my enjoyment of the game regardless of how well or more often terribly I play. It changes the atmosphere and infects those that I play with. Just setting the intention ahead of time to have fun regardless, to promote happiness, makes a world of difference. The ripples of good feelings that are created, may spill over from golf to home or work life enhancing life in general.

 

Playing sports with courtesy, with tolerance and understanding, with kindness and good will needs to be continuously worked on. It’s a practice. “Right Intentions” are a key. They become the moral compass. They tend to lead in the right direction even though at times there are stumbles.  It is often difficult or impossible to predict all of the consequences of actions. It is also very difficult avoid all harm. But forming “Right Intentions” and aspiring to create good and happiness will produce more harmony, good will, and happiness and for the practitioner it will produce progress along the eightfold path.

 

Exercising is another situation to practice “Right Actions.” To some extent taking care of our bodies is “Right Action” as it benefits our health and well-being, which relieves suffering and increases happiness. While working out “Right Actions” includes following the “Middle Way.” Exercising overly aggressively could produce injury while exercising too lightly is probably a waste of time. While exercising in social contexts such as in a gym or jogging with friends, there can be a tendency to show off. This can be harmful to others by promoting jealousy or decreasing their feelings of self-worth or causing them to try too hard potentially leading to injury.

 

I used to jog with a group that met at lunchtime. We would all wait around until everyone was there to begin our run. But as soon as we began, one particular runner always leapt ahead and ran well in front of the group for the entire run. At first many of us would try to keep up. This would simply lead to him running even faster to stay ahead. This was not good. We were exercising, not racing. It detracted from the good feelings and camaraderie of the group and caused many of us to run too fast for our ability and to suffer. After a while we learned to ignore him and enjoy running with the rest of the group. This was “Right Actions.” It did make me wonder what suffering was driving him to turn a healthy and fun social run into a race and what I might do to help relieve that suffering. But he always ran ahead and alone making it impossible to communicate.

 

In some sports lying and cheating occur frequently. Fishing and golf are wonderful examples. outright lied about. Golfers frequently do things such as surreptitiously move their ball to a better lie, or report a lower score than they actually had. This is not “Right Actions.” Scrupulous honesty on the long-term leads to greater happiness and well-being even in these kinds of small and often accepted dishonesties.

 

While engaging in competitive sports we should have the “Right Intentions” of promoting good and happiness, and relieve suffering in ourselves and others. We can do so by competing patiently and courteously with attention and good sportsmanship. Unfortunately, the prevalent attitude is that “winning is everything.” This works contrary to “Right Actions.” With “Right Actions” promoting happiness, and relieving suffering in everyone involved “is everything.”  We can only control our own actions while competing. So that is where we practice. But, when we compete with “Right Actions” it affects our competitors, making the game more enjoyable, healthier, and productive for everyone.

 

Verbal and non-verbal interactions are frequently present while exercising, playing sports, or even as a spectator. There are many opportunities to practice “Right Communications”. It involves communicating in such a way as to promote understanding and to produce good feelings. It is non-violent and non-judgmental communications. While engaging in exercise or sports it is important to think before communicating, is the communication true, is it necessary, and is it kind.

 

While playing golf we communicate verbally and non-verbally and try to do so with “Right Communications”. When someone makes a great shot, we celebrate with them, possibly teasing them as to why they can’t do that every time, and when they make a terrible shot kidding them that it was better than they usually do, or compare it to our own terrible shots. Note that teasing may not on the surface seem to be true, necessary, and kind. But it can lighten the atmosphere and the back and forth can promote good feelings. Non-verbally, we sometimes celebrate ridiculously, dancing around like a clown, when making a good shot, again promoting enjoyment.

 

Right Communications” often involves deep listening. It is impossible to respond appropriately to another if you haven’t listened carefully to exactly what the other said or looked carefully at their expressions or body language. In playing doubles tennis, watch and listen to your partner. They may show anger or slump after a poor shot. In this case “Right Communications” may involve encouraging the partner or pointing out that the shot that they were attempting was a great idea, or make light of it by saying something to the effect that the shot looked more like something you would do. What would be the right approach depends on the individual and the context. But watching and listening carefully can help to understand what communication may produce the most good and happiness.

 

Even as spectators it is useful to practice “Right Communications”. I’ve observed parents at youth soccer games yelling at referees, players, and coaches. My 13 year old grandson worked hard to become a referee for children’s soccer matches and earn extra money. But he has dropped it because of the abuse that these parents heaped on him for every decision. No matter what decision he made parents on one side or the other would chastise him. I’ve also seen the impact on the children as their parents yell at the referees or at them for their performance. It’s a truly sad display of wrong communications by the adults.

 

It’s quite simple to see that “Right Communications” are needed. If the parents had stopped and thought if what they were communicating was true, necessary, and kind, if they had listened deeply or watched with compassion, there may have been a completely different atmosphere at the games, my grandson may still be refereeing, and the children would feel good about playing and would be having fun. Such behavior is not confined to youth soccer. Simply observe fans at sporting events even at the professional level, yelling obscenities and insults at opponents or even at their own team’s players. Indeed, even the players are taunting, hurling insults, and “trash talking” to each other. It is clear that there is a great need to teach fans and players, not only good sportsmanship, but also “Right Communications”. We may not be able to change others but at least we can conduct “Right Communications”.

 

There are many ways that people can make a living with exercise and sports, from a professional athlete or coach to a personal trainer, to a general manager or executive. This can be itself “Right Livelihood”. It is if it is directed to creating good, helping people, keeping peace, and moving society forward in a positive direction. College coaches using student athletes to further their careers without regard to the furtherance of the players well-being or teaching player “dirty tricks” to harm or injure their opponents would definitely not be “Right Livelihood”.

 

One should reflect deeply on what they’re doing to ascertain whether it promotes good. It is not ours to judge the “rightness” of the livelihood of athletes, coaches, sports executives etc. This is a personal matter where intention matters, that must be reflected upon deeply. The process itself of evaluating “Right Livelihood” may heighten awareness of the consequences of participating in their careers and make them better able to see and correct where they may be going wrong. This can help move the individual along the Buddha’s path.

 

Exercise also presents a fine context to practice “Right Effort”. In fact, exercise has its maximum benefit when it is fairly strenuous but not too strenuous. If it’s overdone the body will provide appropriate feedback with aches and pains, hopefully not injuries. If it’s done lazily, the body will not improve. So, exercise is almost a perfect situation to teach “Right Effort”. It involves acting according to the “Middle Way.” That is, not trying too hard and getting hurt, but also not being lackadaisical.  “Right Effort” is a relaxed effort. The “Middle Way” is where effort should be targeted.

 

Experienced yoga practitioners know this all too well. Yoga can be very beneficial when practiced with “Right Effort” but can be injurious when done improperly. Poses must be held at the appropriate level, slightly backed off from the individual’s limit without going beyond. Struggling to go deeper, beyond the practitioner’s capability, is a formula for injury. Entering too lightly is a formula for wasting time and receiving no benefit. So, not only is yoga practice a good place to practice “Right Effort” it, in fact, provides feedback demonstrating what the “Right Effort” level should be.

 

Athletes know that to perform optimally they must relax and not press too hard. This is one of the reasons why meditation practice has proved so beneficial for athletes. It allows them to relax into the present moment and react appropriately to their body’s capabilities. I’ve found that with swimming, if I try too hard to go fast, I actually go slower. On the other hand, when I simply swim with moderate effort but with a relaxed body, it produces and efficient stroke and an appropriate body position in the water for optimum speed. So, “Right Effort” with exercise pays off with optimum performance, physical benefit, and progress on the eightfold path.

 

Exercise requires an accurate understanding of the state of our bodies and the environment in the present moment in order to determine what level of exercise are needed to promote good performance and enjoyment.  In other words, it requires “Right Mindfulness”. Unfortunately, for most of us mindless exercise is probably the norm. While exercising many people listen to music, talk on their cell phones, watch television, or carry on a conversation. But paying attention to what is being experienced while exercising or engaging in sports can turn the exercise into a meditative practice. It creates a richly textured experience of physical and mental activities. It heightens the experience and makes it much more enjoyable.

 

A prototype is walking meditation, where the individual practices “Right Mindfulness”. The meditator pays close attention to the sensations from the body while slowly walking. Observing each step, feeling the foot hit the ground and pull off the ground, observing each breath, feeling the air on the skin and the touch of the clothing, feeling the muscles contract and relax, experiencing the sights, smells and sounds in the environment. It’s an amazingly pleasant and productive practice.

 

With exercise, the same technique can be used but greatly speeded up. Jogging can be a speeded-up version of walking meditation. I use “Right Mindfulness” while swimming laps in a pool by doing a body scan. I start on the first lap with paying attention to the sensations from the toes, on the second lap I move to the tops of my feet, next to the bottoms of the feet, to the ankle, shin, knee, thigh etc. The feeling of the water and the movement of each body part is an exquisite practice. I was tired of the boredom of swimming until I developed this practice. It makes the drudgery of lap swimming mindful, interesting, and pleasurable, not to mention that my stroke becomes more efficient and the laps go by quickly. “Right Mindfulness” can be applied to virtually every exercise and sporting activity and will not only make it better but help the participant along the Buddha’s eightfold path.

 

“Right Concentration” is the practice of focusing the mind solely on one object or a specific unchanging set of objects. Mindfulness is paying attention to whatever arises, but concentration is paying attention to one thing to the exclusion of everything else. This is usually developed during contemplative practice such as meditation. It is difficult to practice during the complex activities involved in exercise. But during repetitive automatized exercises such as jogging concentration on the breath can be practiced.

 

Engaging in exercise on the eightfold path is a practice. Over time I have gotten better and better at it, but nowhere near perfect. Frequently the discursive mind takes over or my emotions get the better of me. But, by continuing the practice I’ve slowly progressed. I’ve become a better at seeing what needs to be accomplished. I am learning to be relaxed with a smile on my face when I engage in exercise and enjoy the workout.

 

Can we attain enlightenment through exercise? Probably not! But we can practice the eightfold path that the Buddha taught leads there. The strength of engaging exercise with the practices of the eightfold path is that it occurs in the real world of our everyday life. Quiet secluded practice is wonderful and perhaps mandatory for progress in spiritual development. But for most people it only can occur during a very limited window of time. By extending the practice directly into the mainstream of our lives we can greatly enhance its impact. I like to keep in mind the teaching that actions that lead to greater harmony and happiness should be practiced, while those that lead to unsatisfactoriness and unhappiness should be let go.  Without doubt, by practicing the eightfold path in our engagement in exercise leads to greater harmony and happiness and as such should definitely be included in our spiritual practice.

 

“The message is that mindfulness may amplify satisfaction, because one is satisfied when positive experiences of physical activity become prominent. For those experiences to be noticed, one must become aware of them. . . this can be achieved by being mindful.” – Kalliopi-Eleni Tsafou

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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Lower Social Anxiety is Associated with Mindfulness in Nepalese Adolescents

Lower Social Anxiety is Associated with Mindfulness in Nepalese Adolescents

 

By John M. de Castro, Ph.D.

 

At the basic level, social anxiety refers to fear or worry related to interactions in social situations. It is normal for teens to get anxious about public speaking or going on a first date. However, for those with social anxiety, the fears and thoughts are too intense, cause high stress and make the person avoid activities of daily living that could bring joy into their life.” – Silvina Galperin

 

It is a common human phenomenon that being in a social situation can be stressful and anxiety producing. Most people can deal with the anxiety and can become quite comfortable. But many do not cope well and the anxiety is overwhelming, causing the individual to withdraw. Social Anxiety Disorder (SAD) is characterized by a persistent, intense, and chronic fear of being watched and judged by others and feeling embarrassed or humiliated by their actions. This fear may be so severe that it interferes with work, school, and other activities and may negatively affect the person’s ability to form relationships.

 

Anxiety disorders have generally been treated with drugs. But there are considerable side effects and these drugs are often abused. There are a number of psychological therapies for anxiety. But, about 45% of the patients treated do not respond to the therapy. So, there is a need to develop alternative treatments. Recently, it has been found that mindfulness training can be effective for anxiety disorders including Social Anxiety Disorder (SAD).

 

Mindfulness training was examined as a treatment for emotional disorders in affluent western populations which are not necessarily representative of the unique situations, cultures, and education levels of diverse populations. Hence, there is a need to investigate the effectiveness of mindfulness with diverse populations. There are indications that mindfulness therapies may be effective in diverse populations. But there is a need for further investigation the associations of mindfulness with emotional disorders in different populations.

 

In today’s Research News article “Social support, emotion regulation and mindfulness: A linkage towards social anxiety among adolescents attending secondary schools in Birgunj, Nepal.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7117668/), Singh and colleagues recruited adolescents from schools in Nepal and measured them for social anxiety, social support, emotion regulation, and mindfulness.

 

They found that the higher the levels of social anxiety the lower the levels of the mindfulness facets of describing and acting with awareness, the emotion regulation facets of awareness, clarity, and acceptance, and social support especially from friends, relatives, and teachers. They also found that social anxiety levels were higher in females and older adolescents. Taken together, mindfulness, emotion regulation, social support, age, and gender explained 41% of the variance in social anxiety in the adolescents.

 

These results are correlational and as such causation cannot be determined. The results also are similar to those observed in different ethnic groups with mindfulness associated with lower levels of social anxiety and greater levels of emotion regulation. This further suggests that mindfulness relationships with social anxiety in Nepal are similar to other cultures. This suggests that these association apply almost universally across cultures and ethnicities.

 

In many of the previous studies, mindfulness was trained and it was found to cause changes in social anxiety and emotion regulation. So, the current findings probably represent causal connections between these variables. They further imply that training in mindfulness may be helpful in lowering social anxiety and improving emotion regulation in Nepalese youth.

 

In the present study there was no attempt to determine mediation. Since mindfulness is associated with higher levels of emotion regulation and emotion regulation is associated with lower levels of social anxiety, it is possible that mindfulness decreases social anxiety directly and also indirectly by improving emotion regulation. In addition, social support is associated with higher mindfulness. So, it is possible that social support decreases social anxiety directly and also indirectly by improving mindfulness. It will remain for future research to explore these hypotheses.

 

So, lower social anxiety is associated with mindfulness in Nepalese adolescents.

 

If you are suffering with the symptoms of social anxiety disorder (SAD), regular practice will eventually improve your self-concept and ability to handle negative emotions. You will also learn how to better respond to troubling thoughts and treat yourself with more compassion.” – Arlin Cuncic

 

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

 

Singh, R., Singh, B., Mahato, S., & Hambour, V. K. (2020). Social support, emotion regulation and mindfulness: A linkage towards social anxiety among adolescents attending secondary schools in Birgunj, Nepal. PloS one, 15(4), e0230991. https://doi.org/10.1371/journal.pone.0230991

 

Abstract

There has been a growing burden of anxiety among Nepalese adolescents. Social anxiety in particular is one of the commonly reported symptoms indicating mental health problem among adolescents. The purpose of this study was to assess social anxiety, and identify how social support, emotion regulation and mindfulness uniquely contribute to social anxiety among adolescents in Birgunj, Nepal. The study was conducted by using a self-administered questionnaire among 384 adolescents (65.4% boys; M = 16.05 years, SD = 1.39) studying at secondary schools of Birgunj. Results show that there was a positive correlation between social anxiety symptoms and age, and girls reported more symptoms. Traits such as non-acceptance of emotions, lack of clarity and lack of awareness of emotions were related to increased social anxiety; while acting with awareness, non-reactivity, and better ability to describe emotions was related to decreased social anxiety. Finally, more social support from close friends was related to lower social anxiety. These results suggest that improving emotion regulation, dispositional mindfulness, and social support may be helpful for adolescents who are at risk of, or are suffering from, social anxiety.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7117668/

 

Reduce Blood Pressure in Patients with Noncommunicable Diseases with Mindfulness

Reduce Blood Pressure in Patients with Noncommunicable Diseases with Mindfulness

 

By John M. de Castro, Ph.D.

 

mindfulness practice can be an effective way to reduce blood pressure (and along with it, the risk of stroke or heart attack).” – NICABM

 

High Blood Pressure (Hypertension) is an insidious disease because there are no overt symptoms. The individual feels fine. But it can be deadly as more than 360,000 American deaths, roughly 1,000 deaths each day, had high blood pressure as a primary or contributing cause. In addition, hypertension markedly increases the risk heart attack, stroke, heart failure, and kidney disease.  It is also a very common disorder with about 70 million American adults (29%) having high blood pressure and only about half (52%) of people with high blood pressure have their condition under control. Treatment frequently includes antihypertensive drugs. But these medications often have adverse side effects. So, patients feel lousy when taking the drugs, but fine when they’re not. So, compliance is a major issue with many patients not taking the drugs regularly or stopping entirely.

 

Obviously, there is a need for alternative to drug treatments for hypertension. Mindfulness practices have been shown to aid in controlling hypertension. Indeed, meditation, tai chi, and yoga, have also been shown to be helpful for heart health. Hypertension is frequently cooccurring with in patients with non-communicable diseases. In today’s Research News article “Mindfulness interventions reduce blood pressure in patients with non-communicable diseases: A systematic review and meta-analysis.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc), Intarakamhang and colleagues review, summarize and perform a meta-analysis of the effectiveness of mindfulness training in reducing blood pressure in patients with non-communicable diseases.

 

They defined non-communicable diseases (NCDs) to include cancers, cardiovascular diseases, respiratory diseases and diabetes and identified 14 published controlled studies including a total of 1117 patients. They report that the studies found that mindfulness training significantly reduced both systolic and diastolic blood pressure in the patients with NCDs.

 

The results are compatible with previous findings that mindfulness training reduces blood pressure in a wide variety of healthy and ill individuals. The present study demonstrates that mindfulness training is effective in reducing blood pressure in patients with non-communicable diseases (NCDs). This is reasonable given that mindfulness training has been shown to improve the symptoms of patients with the included NCDs, cancers, cardiovascular diseases, respiratory diseases and diabetes.

 

There are a number of possible mechanisms for this blood pressure reduction. Mindfulness training is known to reduce the physiological and psychological responses to stress and this may in turn lower blood pressure. Also mindfulness training has been shown to affect the autonomic nervous system increasing parasympathetic activity that tends to reduce blood pressure.

 

So, reduce blood pressure in patients with noncommunicable diseases with mindfulness.

 

“The hope is that if we can start mindfulness training early in life, we can promote a trajectory of healthy aging across the rest of people’s lives. That will reduce their chances of getting high blood pressure in the first place.” – Eric Loucks

 

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

 

Intarakamhang, U., Macaskill, A., & Prasittichok, P. (2020). Mindfulness interventions reduce blood pressure in patients with non-communicable diseases: A systematic review and meta-analysis. Heliyon, 6(4), e03834. https://doi.org/10.1016/j.heliyon.2020.e03834

 

Abstract

Purpose

Mindfulness based interventions (MBIs) are an emerging area of empirical study, not only in positive psychology, but also in clinical health care. This research aims to synthesize the evidence about whether MBIs reduce blood pressure (BP) in patients with non-communicable diseases (NCDs).

Methods

Relevant studies were identified via PubMed, the Cochrane Library, Embase and the CINAHL database between 2009 and 2019. The papers selected focused on mindfulness and the effect of these on the BP of patients with NCDs. The change in SBP and DBP were meta-analyzed, stratified by type of intervention (Breathing awareness meditation (BAM), Mindfulness Meditation (MM), and Mindfulness-based Stress Reduction (MBSR).

Results

Fourteen articles met eligibility criteria and were included in the final review. Among the studies using the type and duration of intervention, systolic BP was reduced after the mindfulness-based stress reduction for 8 weeks (-6.90 mmHg [95% CI: -10.82, -2.97], p < .050), followed by the breathing awareness meditation for 12 weeks (-4.10 mmHg [95% CI: -7.54, -0.66], p < .050) and the mindfulness-based intervention for 8 weeks (-2.69 mmHg [95% CI: -3.90, -1.49], p < .050) whereas diastolic BP was reduced after the mindfulness-based stress reduction for 8 weeks (-2.45 mmHg [95% CI: -3.74, -1.17], p < .050) and the mindfulness-based intervention for 8 weeks (-2.24 mmHg [95% CI: -3.22, -1.26], p < .050).

Conclusion

MBIs can provide effective alternative therapies to assist in blood pressure reduction for patients with NCDs.

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