contemplative practice

Mindfulness is Associated in Improved Emotion Regulation with Mothers

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Mindfulness is Associated in Improved Emotion Regulation with Mothers

 

By John M. de Castro, Ph.D.

 

“With [Mindfulness Meditation] training or practice . .  we become more able to allow disturbing emotions and thoughts to pass through awareness. We develop the ability to NOT act or react to every emotion or thought we have.” – Timothy Pychyl

 

There has accumulated a large amount of research demonstrating that mindfulness has significant benefits for psychological, physical, and spiritual wellbeing. It has been shown to improve emotions and their regulation. Practitioners demonstrate more positive and less negative emotions and the ability to fully sense and experience emotions, while responding to them in appropriate and adaptive ways. In other words, mindful people are better able to experience yet control their responses to emotions. 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.

 

One way that meditation practices may produce these benefits is by altering the brain. The nervous system is a dynamic entity, constantly changing and adapting to the environment. It will change size, activity, and connectivity in response to experience. These changes in the brain are called neuroplasticity. Over the last decade neuroscience has been studying the effects of contemplative practices on the brain and has identified neuroplastic changes in widespread areas. In other words, mindfulness appears to mold and change the brain, producing psychological, physical, and spiritual benefits.

 

The majority of studies examining brain responses to emotional stimuli employ relatively artificial materials such as emotion laden pictures of scenes independent of the participant’s actual environment and are not related to the actual experiences of the participants. It is important to investigate how mindfulness affects the individual’s emotions and the brains responses to emotional stimuli related to the everyday experiences of the individual.

 

In today’s Research News article “Mindfulness-related differences in neural response to own infant negative versus positive emotion contexts.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6969079/), Laurent and colleagues recruited mothers of 3-month old infants. The had them complete a measure of mindfulness that included observing, describing, acting with awareness, non-reacting, and non-judging facets. They collected videos of the mothers engaged with peekaboo with their infants (positive emotions) and holding the infant’s arms to their sides (negative emotions) and presented them while the mothers underwent functional Magnetic Resonance Imaging (fMRI) of their brains.

 

They found that the mothers’ showed greater activation of the brain in general to the positive (peekaboo) own-infant video than to the negative (arm restraint video). Of the facets of mindfulness, mother who were high in nonreactivity and non-judging had greater brain activations to the own-infant peekaboo video than the arm restraint video. These activations occurred in widespread areas of their brains.

 

These results are interesting and suggest that mothers who are mindful, especially with nonreactivity and non-judging, have greater brain activation to seeing positive own-infant scenes than to negative own-infant scenes. This suggests that mindfulness is related to increased responses to emotionally positive events in their real environments than to emotionally negative events. This may explain the improved moods of mindful people. Their brains are tuned to positivity.

 

So, mindfulness is associated in improved emotion regulation with mothers.

 

“The appearance of things change according to the emotions and thus we see magic and beauty in them, while the magic and beauty are really in ourselves.” – Kahlil Gibran

 

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

 

Laurent, H. K., Wright, D., & Finnegan, M. (2018). Mindfulness-related differences in neural response to own infant negative versus positive emotion contexts. Developmental cognitive neuroscience, 30, 70–76. https://doi.org/10.1016/j.dcn.2018.01.002

 

Abstract

Mindfulness is thought to promote well-being by shaping the way people respond to challenging social-emotional situations. Current understanding of how this occurs at the neural level is based on studies of response to decontextualized emotion stimuli that may not adequately represent lived experiences. In this study, we tested relations between mothers’ dispositional mindfulness and neural responses to their own infant in different emotion-eliciting contexts. Mothers (n = 25) engaged with their 3-month-old infants in videorecorded tasks designed to elicit negative (arm restraint) or positive (peekaboo) emotion. During a functional MRI session, mothers were presented with 15-s clips from these recordings, and dispositional mindfulness scores were used to predict their neural responses to arm restraint > peekaboo videos. Mothers higher in nonreactivity showed relatively lower activation to their infants’ arm restraint compared to peekaboo videos in hypothesized regions—insula and dorsal prefrontal cortex—as well as non-hypothesized regions. Other mindfulness dimensions were associated with more limited areas of lower (nonjudgment) and higher (describing) activation in this contrast. Mothers who were higher in mindfulness generally activated more to the positive emotion context and less to the negative emotion context in perceptual and emotion processing areas, a pattern that may help to explain mindfulness-related differences in well-being.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6969079/

Improve Type 2 Diabetes with Mindful Movement

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Improve Type 2 Diabetes with Mindful Movement

 

By John M. de Castro, Ph.D.

 

“Living with diabetes is a major life stressor, from the physical and psychological aspects of managing blood sugar and medications to the eating challenges. A great deal of what we go through in life is beyond our control. The diabetes is always going to be there, but until you connect with what you’re feeling and experiencing, you’re not going to be able to make conscious choices about living with its many challenges.” – Ivy Marcus

 

Diabetes is a major health issue. It is estimated that 30 million people in the United States have diabetes and the numbers are growing. Type 2 Diabetes results from a resistance of tissues, especially fat tissues, to the ability of insulin to promote the uptake of glucose from the blood. As a result, blood sugar levels rise producing hyperglycemia. Diabetes is the 7th leading cause of death in the United States. In addition, diabetes is heavily associated with other diseases such as cardiovascular disease, heart attacks, stroke, blindness, kidney disease, and circulatory problems leading to amputations. As a result, diabetes doubles the risk of death of any cause compared to individuals of the same age without diabetes.

 

Type 2 diabetes is largely preventable. One of the reasons for the increasing incidence of Type 2 Diabetes is its association with overweight and obesity which is becoming epidemic in the industrialized world. A leading cause of this is a sedentary life style. Current treatments for Type 2 Diabetes focus on diet, exercise, and weight control. Recently, mindfulness practices have been shown to be helpful in managing diabetes. Mindful movement practices such as Tai Chi and Qigong  and yoga are mindfulness practices that are also gentle exercises. There is accumulating research on the effectiveness of these mindful movement practices for the treatment of Type 2 Diabetes. So, it makes sense to examine what has been learned.

 

In today’s Research News article “Meditative Movements for Patients with Type 2 Diabetes: A Systematic Review and Meta-Analysis.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7016481/), Xia and colleagues review, summarize, and perform a meta-analysis of the published research literature on the effectiveness of mindful movement practices for the treatment of Type 2 Diabetes. They found 21 controlled studies; 6 employing Tai Chi practice, 3 Qigong practice, and 12 yoga.

 

They report that the published research found that mindful movement practices produced significant reductions in fasting blood glucose, glycated hemoglobin (HbA1c), and postprandial blood glucose levels. These results suggest that mindful movement practices improve glycemic control in type 2 diabetes. There were no significant differences found between different mindful movement practices.

 

They also report that the published research found that mindful movement practices produced significant reductions in total cholesterol and low-density lipoprotein cholesterol and significant increases in high-density lipoprotein cholesterol. These results suggest that mindful movement practices improve blood lipid levels in type 2 diabetes. There were no significant differences found between different mindful movement practices.

 

The improvements observed produced by Tai Chi, Qigong  and yoga practices are very important for the treatment and control of type 2 diabetes. Glycemic control is a key to successful treatment and lipid control is important for reducing cardiovascular problems that can occur. So, these exercises significantly improve the metabolic state of patients with type 2 diabetes. The fact that the different practices were equivalent in effectiveness suggests that the patient can select the practice type that they enjoy most and best suits their lifestyle.

 

So, improve Type 2 Diabetes with mindful movement.

 

“Practicing mindfulness exercises and daily physical activity has been shown repeatedly to help manage stress and depression, and promote mental balance and happiness. Mindfulness exercises are therefore a crucial component in both preventing and managing type 2 diabetes, and reducing the risk of complications for type 1 and type 2 diabetics.” – Defeat Diabetes Foundation

 

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

 

Xia, T., Yang, Y., Li, W., Tang, Z., Huang, Q., Li, Z., & Guo, Y. (2020). Meditative Movements for Patients with Type 2 Diabetes: A Systematic Review and Meta-Analysis. Evidence-based complementary and alternative medicine : eCAM, 2020, 5745013. https://doi.org/10.1155/2020/5745013

 

Abstract

Objective

Physical activity plays a specific role in the fundamental aspect of diabetes care. It is necessary to develop exercise programs for these patients. The aim of this systematic review is to summarize current evidence regarding the effectiveness of meditative movement in patients with type 2 diabetes.

Methods

The following databases were searched: PubMed, CENTRAL, Web of Science, Ovid LWW, and EMBASE. Two independent investigators searched and screened the studies by finding duplications, excluding irrelevant titles and abstracts, and then selecting eligible studies by reviewing full texts. 21 studies fulfilled the inclusion criteria. Meta-analyses were performed on glycated hemoglobin (HbA1c), fasting blood glucose (FBG) and postprandial blood glucose (PPBG), total cholesterol (TC), triglycerides (TG), high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), and body mass index (BMI).

Results

Meta-analyses showed that meditative movements significantly improved FBG, HbA1c, PPBG, TC, LDL-C, and HDL-C. No improvement was found in BMI.

Conclusions

The results demonstrated a favorable effect or tendency of meditative movements to improve blood glucose and blood lipid levels in patients with type 2 diabetes mellitus. The special effects of meditative movements in type 2 diabetes mellitus patients need further research.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7016481/

 

Improve Emotion Processing by the Brain with Meditation

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Improve Emotion Processing by the Brain with Meditation

 

By John M. de Castro, Ph.D.

 

“Alterations in key brain circuits associated with emotion regulation can be produced by mindfulness meditation.” – Richard Davidson

 

There has accumulated a large amount of research demonstrating that meditation practice has significant benefits for psychological, physical, and spiritual wellbeing. It has been shown to improve emotions and their regulation. Practitioners demonstrate more positive and less negative emotions and the ability to fully sense and experience emotions, while responding to them in appropriate and adaptive ways. In other words, mindful people are better able to experience yet control their responses to emotions. 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.

 

One way that meditation practices may produce these benefits is by altering the brain. The nervous system is a dynamic entity, constantly changing and adapting to the environment. It will change size, activity, and connectivity in response to experience. These changes in the brain are called neuroplasticity. Over the last decade neuroscience has been studying the effects of contemplative practices on the brain and has identified neuroplastic changes in widespread areas. In other words, meditation practice appears to mold and change the brain, producing psychological, physical, and spiritual benefits.

 

In today’s Research News article “Meditation-induced neuroplastic changes of the prefrontal network are associated with reduced valence perception in older people.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7058252/), Chau and colleagues recruited adults 60 years of age or greater who had no meditation or relaxation training. They were randomly assigned to receive an 8-week program of 22 sessions of 1.5 hours each of either attention-based compassion meditation training or relaxation training. The participants were instructed to also practice at home daily. Before and after training they were measured for emotional valence (the difference between the magnitudes of positive and negative emotions) and arousal (overall magnitude of emotional responses relative to neutral) with an Emotional Processing task involving emotional ratings of positive neutral and negative pictures. They were also measured for attention with a Stroop task. In addition, they received a functional Magnetic Resonance Imaging (fMRI) brain scan.

 

They found that emotional valence and arousal significantly decreased after training for the meditation but not the relaxation group. This suggests that emotions were less extreme after meditation training. There were no significant differences with attention. The brain scans revealed that the meditation group had significant enlargements of the ventromedial prefrontal cortex, the inferior frontal sulcus, and the inferior frontal junction. Path analysis revealed the changes in the inferior frontal junction drove the changes in the ventromedial prefrontal cortex and the inferior frontal sulcus.

 

These results are interesting and demonstrate neuroplastic changes in the brains of the elderly produced by attention-based compassion meditation training but not relaxation training. These changes in the brains of the elderly are associated with decrease emotional reactivity. Indeed, the ventromedial prefrontal cortex has been shown to be involved in the inhibition of emotions. This suggests that the meditation training produced improved brain processing for the regulation of emotions in the elderly. Since the elderly often suffer from extremes of anxiety, depression, and loneliness, these meditation induced changes may improve the psychological health of the elderly.

 

So, improve emotion processing by the brain with meditation.

 

“Meditation can help tame your emotions even if you’re not a mindful person.” – ScienceDaily

 

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

 

Chau, B., Keuper, K., Lo, M., So, K. F., Chan, C., & Lee, T. (2018). Meditation-induced neuroplastic changes of the prefrontal network are associated with reduced valence perception in older people. Brain and Neuroscience Advances, 2, 2398212818771822. https://doi.org/10.1177/2398212818771822

 

Abstract

Background:

Neuroplastic underpinnings of meditation-induced changes in affective processing are largely unclear.

Methods:

We included healthy older participants in an active-controlled experiment. They were involved a meditation training or a control relaxation training of eight weeks. Associations between behavioral and neural morphometric changes induced by the training were examined.

Results:

The meditation group demonstrated a change in valence perception indexed by more neutral valence ratings of positive and negative affective images. These behavioral changes were associated with synchronous structural enlargements in a prefrontal network involving the ventromedial prefrontal cortex and the inferior frontal sulcus. In addition, these neuroplastic effects were modulated by the enlargement in the inferior frontal junction. In contrast, these prefrontal enlargements were absent in the active control group, which completed a relaxation training. Supported by a path analysis, we propose a model that describes how meditation may induce a series of prefrontal neuroplastic changes related to valence perception. These brain areas showing meditation-induced structural enlargements are reduced in older people with affective dysregulations.

Conclusion:

We demonstrated that a prefrontal network was enlarged after eight weeks of meditation training. Our findings yield translational insights in the endeavor to promote healthy aging by means of meditation.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7058252/

 

Reduce Sedentariness with Mindfulness

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Reduce Sedentariness with Mindfulness

 

By John M. de Castro, Ph.D.

 

“mindfulness- and acceptance-based practices can help exercisers establish the consistent, high-quality exercise practices required to experience the health benefits of exercise and physical activity.” – R. Shangraw

 

We tend to think that illness is produced by physical causes, disease, injury, viruses, bacteria, etc. But many health problems are behavioral problems such as sedentary lifestyle. Promoting exercise and reducing sedentariness has the potential to markedly improve health. Mindfulness training also has been shown to promote health and improve illness. Mindfulness and exercise, though, are not entirely independent. Research has been accumulating on the relationship between mindfulness and exercise. It makes sense, then, to summarize what has been learned.

 

In today’s Research News article “Exploring the Use of Meditation as a Valuable Tool to Counteract Sedentariness.” (See summary below or view the full text of the study at: https://www.frontiersin.org/articles/10.3389/fpsyg.2020.00299/full), Bigliassi and colleagues review and summarize the published research literature on the relationship of mindfulness with physical exercise,

 

They report that the published research has found that mindfulness increases physical activity in both normal, overweight and obese individuals. They also report that mindfulness increases self-compassion and it, in turn, increases the likelihood of engagement or reengagement in exercise. Mindfulness appears to facilitate exercise in active individuals by increasing sensory awareness of interoceptive and exteroceptive stimuli, making exercise more enjoyable. It can also improve mood and decrease anxiety which in turn reduces some emotional impediments to engaging in exercise. In addition, mindfulness reduces pain sensitivity which can improve engagement in high intensity exercises.

 

Both mindfulness and exercise are known to promote mental and physical health. The review suggests that they act synergistically with mindfulness making engaging in exercise more likely, increasing the sensory awareness of the exercise, reducing negative emotional impediments to exercise, increasing self-compassion, reducing the pain during exercise, and increasing the likelihood of reengagement in exercise after a lapse. Hence, mindfulness has beneficial effects to promote exercise, reducing sedentariness, and promoting health and well-being.

 

So, reduce sedentariness with Mindfulness.

 

“Practicing mindfulness exercises and daily physical activity has been shown repeatedly to help manage stress and depression, and promote mental balance and happiness.” – Defeat Diabetes Foundation

 

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

 

Bigliassi M and Bertuzzi R (2020) Exploring the Use of Meditation as a Valuable Tool to Counteract Sedentariness. Front. Psychol. 11:299. doi: 10.3389/fpsyg.2020.00299

 

Some forms of meditation have been recently proposed as effective tools to facilitate the handling of undesired thoughts and reappraisal of negative emotions that commonly arise during exercise-related situations. The effects of meditation-based interventions on psychological responses could also be used as a means by which to increase exercise adherence and counteract the detrimental consequences of sedentariness. In the present article, we briefly describe the effects of meditation on physical activity and related factors. We also propose a theoretical model as a means by which to further understanding of the effects of meditation on psychological, psychophysical, and psychophysiological responses during exercise. The results of very recent studies in the realms of cognitive and affective psychology are promising. The putative psychological mechanisms underlying the effects of meditation on exercise appear to be associated with the interpretation of interoceptive and exteroceptive sensory signals. This is primarily due to the fact that meditation influences the cerebral processing of physical sensations, emotions, and thoughts. In such instances, the bodily and perceptual responses that are commonly reported during exercise might be assuaged during the practice of meditation. It also appears that conscious presence and self-compassion function as an emotional backdrop against which more complex behaviors can be forged. In such instances, re-engagement to physical activity programs can be more effectively achieved through the implementation of holistic methods to treat the body and mind. The comments provided in the present paper might have very important implications for exercise adherence and the treatment of hypokinetic diseases.

https://www.frontiersin.org/articles/10.3389/fpsyg.2020.00299/full

 

Reduce Inflammation with Yoga

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Reduce Inflammation with Yoga

 

By John M. de Castro, Ph.D.

 

“Yoga is an incredible resource to combat stress and promote healthy habits in body and mind. Many people cite stress reduction as their reason to practice yoga, and research has their back – reducing stress helps reduce inflammation.” – Amy Tenney

 

The immune system is designed to protect the body from threats like stress, infection, injury, and toxic chemicals. One of its tools is the Inflammatory response. This response works quite well for short-term infections and injuries. But when inflammation is protracted and becomes chronic, it can itself become a threat to health. It can produce autoimmune diseases such as colitis, Chron’s disease, arthritis, heart disease, increased cancer risk, lung disease, sleep disruption, gum disease, decreased bone health, psoriasis, and depression.

 

Needless to say, chronic inflammation can create major health problems. Indeed, the presence of chronic inflammation is associated with reduced longevity. So, it is important for health to control the inflammatory response, allowing it to do its job in fighting off infection but reducing its activity when no external threat is apparent. Of course, it is far better to prevent chronic inflammation in the first place than to treat it later. Mind-body techniques such as yoga have been shown to reduce the inflammatory response. The research is accumulating, so it is reasonable to summarize what has been discovered.

 

In today’s Research News article “Impact of Yoga on Inflammatory Biomarkers: A Systematic Review.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6700894/), Djalilova and colleagues review and summarize the published research literature on the effects of yoga practice on biomarkers of inflammation in adults. They found 15 published studies with 10 randomized controlled trials, including a total of 957 participants. Yoga practice was majority Hatha yoga and occurred from 8 weeks to 6 months.

 

They found that 11 of the 15 studies reported significant decreases in inflammatory biomarkers IL-6, CRP, and TNF-α. These reductions occurred in patients with cancer, cardiovascular disease, chronic stress, arthritis, and hypertension. The studies that did not see improvements included less than 1000 minutes of practice. All but 1 study with practice between 1000 to 4500 minutes found significant improvements in inflammation.

 

Hence, the published research found yoga to be a safe and effective treatment to reduce the inflammatory response in patients with a wide variety of medical conditions. It appears that at least a total of 1000 minutes of practice is required for effectiveness. It is not known what the mechanisms might be by which yoga practice reduces inflammation. But, it can be speculated that it may do so by reducing stress effects, as stress is known to promote inflammation, or it may work by improving autonomic nervous system activity that is also known to promote inflammation.

 

Regardless of the mechanism, the published research to date supports the use of yoga practice to reduce inflammation in patients with a wide variety of diseases. Since, inflammation generally exacerbates the symptoms of their diseases, yoga practice may then improve their symptoms, reduce their suffering, increase longevity, and improve their quality of life.

 

So, reduce inflammation with yoga.

 

“A number of studies have suggested that yoga and meditation – along with other mind/body activities – can reduce inflammation as well as influence some immunological markers of stress.” – Andrew Weil

 

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

 

Djalilova, D. M., Schulz, P. S., Berger, A. M., Case, A. J., Kupzyk, K. A., & Ross, A. C. (2019). Impact of Yoga on Inflammatory Biomarkers: A Systematic Review. Biological research for nursing, 21(2), 198–209. https://doi.org/10.1177/1099800418820162

 

Abstract

Background:

Many chronic conditions, including heart disease, cancer, and rheumatoid arthritis, are associated with underlying chronic inflammatory processes. Literature reviews have analyzed a variety of integrative therapies and their relationships with chronic inflammation. This systematic review is unique in reporting solely on yoga’s relationship with inflammation. Its purpose was to synthesize current literature examining the impact of yoga interventions on inflammatory biomarkers in adults with chronic inflammatory–related disorders.

Method:

Searches of several electronic databases were conducted. Inclusion criteria were (a) English language, (b) sample age >18 years old, (c) yoga interventions involving postures with or without yoga breathing and/or meditation, and (d) measured inflammatory biomarkers.

Results:

The final review included 15 primary studies. Of these, seven were rated as excellent and eight as average or fair. There was considerable variability in yoga types, components, frequency, session length, intervention duration, and intensity. The most common biomarkers measured were interleukin-6 (n = 11), C-reactive protein (n = 10), and tumor necrosis factor (n = 8). Most studies reported positive effects on inflammatory biomarkers (n = 11) from baseline to post yoga intervention. Analysis of the dose showed higher total dose (>1,000 min) resulted in greater improvements in inflammation.

Conclusion:

This review suggests that yoga can be a viable intervention to reduce inflammation across a multitude of chronic conditions. Future studies with detailed descriptions of yoga interventions, measurement of new and well-established inflammatory biomarkers, and larger sample sizes are warranted to advance the science and corroborate results.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6700894/

 

Reduce Aggression with Mindfulness

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Reduce Aggression with Mindfulness

 

By John M. de Castro, Ph.D.

 

“young adults who participated in an app-based meditation training were less aggressive after receiving critical feedback, but not less angry. It suggests that being mindful doesn’t interfere with experiencing emotions, but changes how one responds to them.” – AMRA

 

The human tendency to lash out with aggression when threatened was adaptive for the evolution of the species. It helped promote the survival of the individual, the family, and the tribe. In the modern world, however, this trait has become more of a problem than an asset. It results in individual violence and aggression such as physical abuse, fights, road rage, and even murders, and in societal violence such as warfare. It may even be the basis for the horrors of terrorism and mass murder. Obviously, there is a need in modern society to control these violent and aggressive urges.

 

Aggression may, at least in part, be amplified by anger rumination; an uncontrollable, repetitive thinking about anger and its sources. This can produce a downward spiral where people repeatedly think about their anger which, in turn, reinforces the anger making it worse and worse. It is like a record that’s stuck and keeps repeating the same lyrics. It’s replaying a dispute in the individual’s mind. It’s going over their anger, again and again. Fortunately, rumination may be interrupted by mindfulness and mindfulness may improve the individual’s ability to regulate their emotions. This may, in part, be a mechanism by which mindfulness training reduces aggression and hostility. Hence, mindfulness may be an antidote to violent and aggressive urges by interrupting anger rumination and improving emotion regulation.

 

In today’s Research News article “Emotion regulation mediates relationships between mindfulness facets and aggression dimensions.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6916265/), Garofalo and colleagues recruited adult prisoners and a community sample of adult nonoffenders. They then had them complete measures of mindfulness, emotion regulation, and aggressiveness.

 

Correlational analysis revealed that in both the offender and nonoffender samples, the higher the levels of mindfulness, the higher the levels of emotion regulation and the lower the levels of aggressiveness. In addition, the higher the levels of emotion regulation the lower the levels of aggressiveness. Further, structural equation modelling revealed that in both the offender and nonoffender samples that emotion regulation mediated the relationship between mindfulness and aggressiveness. That is, the mindfulness was not associated with aggressiveness directly but rather mindfulness was associated with higher levels of emotion regulation which, in turn, was associated with lower levels of aggressiveness.

 

These findings are correlational and as such causation cannot be determined. But, prior research has shown a causal connection between mindfulness and higher levels of emotion regulation and that emotion regulation has a causal connection to lower aggressiveness and that mindfulness has a causal connection to lower aggressiveness. So, it is likely that the present findings are the results of causal links between mindfulness, emotion regulation, and aggressiveness.

 

Hence, the present results suggest that being mindful goes along with having better ability to regulate emotions and that goes along with less aggressiveness. Emotion regulation is not suppression of emotions rather it is the ability to feel the emotions but not let them dictate behavior; feeling emotions but remaining in control. Thus, the results suggest that aggressiveness may result from uncontrolled reactions to emotions and that mindfulness by improving emotion regulation reduces these responses.

 

It is interesting that the results were exactly the same for both prisoners and nonoffender adults. This suggests that there is nothing special about the mechanisms controlling aggressiveness in prisoners. Rather it would appear that prisoners have a lower level of emotion regulation. This implies that improving mindfulness and emotion regulation in prisoners would lead to greater control and less violence and aggression.

 

So, reduce aggression in with mindfulness.

 

“When any emotion rises up, we tend to first get caught up in it and then act it out, through speech or action. This couldn’t be truer for the heightened emotion of anger. Meditation, though, can teach us how to change a rash, reactive mindset into a more considered, responsive, and productive one.” – Headspace

 

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

 

Garofalo, C., Gillespie, S. M., & Velotti, P. (2020). Emotion regulation mediates relationships between mindfulness facets and aggression dimensions. Aggressive behavior, 46(1), 60–71. doi:10.1002/ab.21868

 

Abstract

Recent years have witnessed an increase of research on socio‐affective factors that can explain individual differences in aggressive tendencies across community and offender populations. Specifically, mindfulness and emotion regulation have emerged as important factors, which could also constitute important prevention and treatment targets. Yet, recent studies have advanced the possibility that mindfulness may also have a “dark” side, being associated with increased levels of aggression‐related variables, especially when accounting for the variance associated with emotion regulation. The present study sought to elucidate relationships among mindfulness, emotion regulation, and aggression dimensions (i.e., verbal and physical aggression, anger, and hostility) across violent offender (N = 397) and community (N = 324) samples. Results revealed expected associations between both mindfulness and emotion regulation and aggression dimensions, such that greater impairments in mindfulness and emotion regulation were related to increased levels of aggression across samples. Further, analyses of indirect effects revealed that a latent emotion dysregulation factor accounted for (i.e., mediated) relationships between mindfulness facets and aggression dimensions in both samples. Previously reported positive associations between the residual variance in mindfulness scales (i.e., controlling for emotion regulation) and aggression‐related variables were not replicated in the current samples. Taken together, findings suggest that mindfulness and emotion regulation have unequivocal relations with lower levels of aggression, and should therefore be considered as relevant targets for prevention and treatment programs aimed at reducing aggressive tendencies.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6916265/

 

Improve Sleep in Insomniacs with Meditation

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Improve Sleep in Insomniacs with Meditation

 

By John M. de Castro, Ph.D.

 

“Given the absence of side effects and the positive potential benefits of mindfulness that extend beyond sleep, we encourage people with chronic insomnia, particularly those unable or unwilling to use sleep medications, to consider mindfulness training.” – Cynthia Gross

 

Modern society has become more around-the-clock and more complex producing considerable pressure and stress on the individual. The advent of the internet and smart phones has exacerbated the problem. The resultant stress can impair sleep. Indeed, it is estimated that over half of Americans sleep too little due to stress. As a result, people today sleep 20% less than they did 100 years ago. Not having a good night’s sleep has adverse effects upon the individual’s health, well-being, and happiness. It has been estimated that 30 to 35% of adults have brief symptoms of insomnia, 15 to 20% have a short-term insomnia disorder, and 10% have chronic insomnia

 

Insomnia is more than just an irritant. Sleep deprivation is associated with decreased alertness and a consequent reduction in performance of even simple tasks, decreased quality of life, increased difficulties with memory and problem solving, increased likelihood of accidental injury including automobile accidents, and increased risk of dementia and Alzheimer’s disease. It also can lead to anxiety about sleep itself. This is stressful and can produce even more anxiety about being able to sleep. About 4% of Americans revert to sleeping pills. But these do not always produce high quality sleep and can have problematic side effects. So, there is a need to find better methods to treat insomnia. Mindfulness-based practices have been reported to improve sleep amount and quality and help with insomnia. It makes sense to explore the effectiveness of different meditation techniques for insomnia.

 

In today’s Research News article “Heartfulness meditation improves sleep in chronic insomnia.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7034439/), Thimmapuram and colleagues recruited adults who were diagnosed with chronic insomnia. They were instructed on sleep hygiene and received instruction in heartfulness meditation once per week for 8 weeks. Heartfulness meditation included relaxation and directing attention to the light in the heart and be open to any experience. They were instructed to practice the meditation in the morning for 20 minutes and in the evening for 5 minutes. They were measured before and after training for insomnia severity.

 

They found that in comparison to baseline after heartfulness meditation there was a large significant decrease in insomnia severity. Whereas all participants were taking some form of medication for insomnia before the training, afterwards 75% of the patients had ceased taking the drugs while a further 12.5% reduced dosage.

 

The study did not contain a control group and as such the results must be interpreted with caution. However, prior well-controlled studies have demonstrated that mindfulness training improves sleep and reduces insomnia. So, it is likely that the heartfulness meditation practice was responsible for the improvements in the present study. This study extends the types of mindfulness practices that are effective for insomnia with heartfulness meditation.

 

So, improve sleep in insomniacs with meditation.

 

“If insomnia is at the root of your sleepless nights, it may be worth trying meditation. The deep relaxation technique has been shown to increase sleep time, improve sleep quality, and make it easier to fall (and stay) asleep.” – SleepFoundation

 

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

 

Thimmapuram, J., Yommer, D., Tudor, L., Bell, T., Dumitrescu, C., & Davis, R. (2020). Heartfulness meditation improves sleep in chronic insomnia. Journal of community hospital internal medicine perspectives, 10(1), 10–15. https://doi.org/10.1080/20009666.2019.1710948

 

ABSTRACT

Background: Chronic insomnia is characterized by disturbed sleep that occurs despite adequate opportunity and circumstances to sleep. Many patients with chronic insomnia have comorbid mental illnesses or medical illnesses that contribute and precipitate insomnia. Hallmark of chronic insomnia treatment includes non-pharmacological measures such as Cognitive Behavioral Therapy for Insomnia (CBT-I). Pharmacologic treatment (sedative or hypnotic agents) has been disappointing because of poor efficacy and numerous undesirable side effects. Other new therapies including meditation have been proven to be effective.

Objective: This study investigates the effectiveness of Heartfulness meditation coupled with sleep hygiene to treat chronic insomnia. Methods: In this prospective pre-post design cohort study, 32 adult patients with chronic primary insomnia engaged in Heartfulness meditation along with appropriate sleep hygiene for eight weeks. Insomnia Severity Index (ISI) scores, usage of sedative or hypnotic agents were measured at baseline and at the end of the eight-week period.

Results: There was a significant decrease in the mean ISI scores from 20.9 to 10.4 (p < 0.001) after eight weeks of Heartfulness meditation. Twenty four of 32 patients were initially on sedative or hypnotic medications. At week eight, 21 of 24 patients (87.5%) were off these medications or the dosage was reduced (p < 0.001).

Conclusion: This study demonstrated statistical improvements in the measures of ISI in patients undergoing a Heartfulness meditation program. Heartfulness meditation may facilitate the taper and eventual cessation of sedative hypnotics in patients suffering from chronic insomnia.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7034439/

 

Yoga Practitioners have Better Physical and Psychological Health

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Yoga Practitioners have Better Physical and Psychological Health

 

By John M. de Castro, Ph.D.

 

“Multiple studies have confirmed the many mental and physical benefits of yoga. Incorporating it into your routine can help enhance your health, increase strength and flexibility and reduce symptoms of stress, depression and anxiety.” – Rachel Link

 

Yoga practice has been shown to have a myriad of benefits for psychological and physical health, social, and spiritual well-being. It is both an exercise and a mind-body practice that stresses both mental attention to present moment movements, breath control, and flexibility, range of motion, and balance. One way to look at the benefits of yoga practice is to look at the mental and physical health of yoga practitioners.

 

In today’s Research News article “Yoga practice in the UK: a cross-sectional survey of motivation, health benefits and behaviours.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7044896/ ), Cartwright and colleagues performed an online survey of yoga practitioners in the UK. They were asked to answer questions regarding yoga practice, meditation practice, body size, health, well-being, psychological health, smoking, diet, alcohol intake, fruit/vegetable intake, exercise apart from yoga, satisfaction with life, perceived stress, yoga impacts on health, and yoga related injuries.

 

They found that in comparison to the norms for the UK the yoga practitioners were higher in overall health, fruit/vegetable intake, exercise apart from yoga, happiness, and satisfaction with life, and lower in body size, smoking, alcohol intake, and perceived stress. The yoga practitioners believed that yoga practice improved their physical and mental health, stress levels, strength, flexibility, and sleep. Correlation analysis revealed that the higher the frequency of yoga practice the higher the levels of well-being, satisfaction with life, and happiness and the lower the levels of perceived stress.

 

These are interesting results but it should be kept in mind that the findings may represent differences in the people who chose to engage in a yoga practice rather than due to yoga practice itself. Regardless, the survey revealed that yoga practitioners are generally physically and psychologically healthy, engage in healthier behaviors, and believe that yoga practice is responsible for these benefits. Previous controlled studies have revealed that yoga practice improves the physical and psychological health of the participants. So, it is reasonable to conclude that the survey results are due, at least in part, to the beneficial effects of yoga practice.

 

So, improve physical and psychological health with yoga practice.

 

“On a physical level, yoga helps improve flexibility, strength, balance, and endurance. And on a psychological level, yoga can help you cultivate mindfulness as you shift your awareness to the sensations, thoughts, and emotions that accompany a given pose or exercise.” – Linda Schlamadinger McGrath

 

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

 

Cartwright, T., Mason, H., Porter, A., & Pilkington, K. (2020). Yoga practice in the UK: a cross-sectional survey of motivation, health benefits and behaviours. BMJ open, 10(1), e031848. https://doi.org/10.1136/bmjopen-2019-031848

 

Abstract

Objectives

Despite the popularity of yoga and evidence of its positive effects on physical and mental health, little is known about yoga practice in the UK. This study investigated the characteristics of people who practise yoga, reasons for initiating and maintaining practice, and perceived impact of yoga on health and well-being.

Design, setting and participants

A cross-sectional online anonymous survey distributed through UK-based yoga organisations, studios and events, through email invites and flyers. 2434 yoga practitioners completed the survey, including 903 yoga teachers: 87% were women, 91% white and 71% degree educated; mean age was 48.7 years.

Main outcome measures

Perceived impact of yoga on health conditions, health outcomes and injuries. Relationships between yoga practice and measures of health, lifestyle, stress and well-being.

Results

In comparison with national population norms, participants reported significantly higher well-being but also higher anxiety; lower perceived stress, body mass index and incidence of obesity, and higher rates of positive health behaviours. 47% reported changing their motivations to practise yoga, with general wellness and fitness key to initial uptake, and stress management and spirituality important to current practice. 16% of participants reported starting yoga to manage a physical or mental health condition. Respondents reported the value of yoga for a wide range of health conditions, most notably for musculoskeletal and mental health conditions. 20.7% reported at least one yoga-related injury over their lifetime. Controlling for demographic factors, frequency of yoga practice accounted for small but significant variance in health-related regression models (p<0.001).

Conclusion

The findings of this first detailed UK survey were consistent with surveys in other Western countries. Yoga was perceived to have a positive impact on physical and mental health conditions and was linked to positive health behaviours. Further investigation of yoga’s role in self-care could inform health-related challenges faced by many countries.

Strengths and limitations of this study:

  • This is the first comprehensive survey to assess the practice and perceived impact of yoga on health, lifestyle-related behaviours and well-being in the UK.
  • The survey design captures the significant number of practitioners who take up yoga to manage a physical or mental health condition, and identifies health conditions for which yoga is rated as most helpful in self-management.
  • Despite the large sample, it was self-selected and unlikely to be representative of all yoga practitioners.
  • The results relied on retrospective and self-report data which may be subject to memory bias and social desirability.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7044896/

 

Mindfulness Reduces Fatigue with Breast Cancer Patients Directly and Indirectly by Improving Psychological Health

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Mindfulness Reduces Fatigue with Breast Cancer Patients Directly and Indirectly by Improving Psychological Health

 

By John M. de Castro, Ph.D.

 

“Women who were more mindful tended to have lower symptoms of metastatic breast cancer, including pain severity and interference, fatigue, psychological distress, and sleep disturbance.” – Lauren Zimmaro

 

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. This is particularly true with metastatic cancer. 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 practice have been shown to improve the residual symptoms in cancer survivors. So, it’s reasonable to further explore the potential benefits of mindfulness practice to relieve fatigue in patients who have survived breast cancer.

 

In today’s Research News article “The relation between mindfulness and the fatigue of women with breast cancer: path analysis.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7011601/), Ikeuchi and colleagues recruited adult women who had undergone surgery for breast cancer and 6 or more months had passed since their last cancer treatment. They completed self-report measures of fatigue, mindfulness, anxiety, depression, pain, loneliness, and sleep disturbance.

 

They found that the higher the levels of mindfulness the lower the levels of fatigue, anxiety, depression, pain, loneliness, and sleep disturbance and the higher the levels of anxiety, depression, pain, loneliness, and sleep disturbance the higher the levels of fatigue. They then applied path modelling to examine the relationships of the variables. They found that high levels of mindfulness were not only directly associated with low levels of fatigue but also indirectly associated by way of high mindfulness being associated with low levels of anxiety, depression, pain, loneliness, and sleep disturbance. These variables that were, in turn, associated with fatigue levels.

 

These results are correlational and as such caution must be exercised in inferring causation. Previous research, though, has demonstrated that mindfulness is causally related to lower levels of fatigue, anxiety, depression, pain, loneliness, and sleep. So, the present correlative results probably are due to these causal connections. Given this inference, then, the results suggest that mindfulness lowers fatigue in breast cancer patients by directly lowering fatigue and also by improving the psychological and physical health of the patients which also improves fatigue levels.

 

These results are important. After cancer treatment there are substantial and troubling residual physical and psychological symptoms. The findings suggest that mindfulness may be an important means to improve these symptoms and markedly improve the quality of life of patients who have been treated for breast cancer.

 

So, mindfulness reduces fatigue with breast cancer patients directly and indirectly by improving psychological health.

 

“mindfulness meditation can reduce stress and anxiety in the general population as well as in breast cancer survivors.” – Kathleen Doheny

 

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

 

Ikeuchi, K., Ishiguro, H., Nakamura, Y., Izawa, T., Shinkura, N., & Nin, K. (2020). The relation between mindfulness and the fatigue of women with breast cancer: path analysis. BioPsychoSocial medicine, 14, 1. https://doi.org/10.1186/s13030-020-0175-y

 

Abstract

Background

Although fatigue is a common and distressing symptom in cancer survivors, the mechanism of fatigue is not fully understood. Therefore, this study aims to investigate the relation between the fatigue and mindfulness of breast cancer survivors using anxiety, depression, pain, loneliness, and sleep disturbance as mediators.

Methods

Path analysis was performed to examine direct and indirect associations between mindfulness and fatigue. Participants were breast cancer survivors who visited a breast surgery department at a university hospital in Japan for hormonal therapy or regular check-ups after treatment. The questionnaire measured cancer-related-fatigue, mindfulness, anxiety, depression, pain, loneliness, and sleep disturbance. Demographic and clinical characteristics were collected from medical records.

Results

Two-hundred and seventy-nine breast cancer survivors were registered, of which 259 answered the questionnaire. Ten respondents with incomplete questionnaire data were excluded, resulting in 249 participants for the analyses. Our final model fit the data well (goodness of fit index = .993; adjusted goodness of fit index = .966; comparative fit index = .999; root mean square error of approximation = .016). Mindfulness, anxiety, depression, pain, loneliness, and sleep disturbance were related to fatigue, and mindfulness had the most influence on fatigue (β = − .52). Mindfulness affected fatigue not only directly but also indirectly through anxiety, depression, pain, loneliness, and sleep disturbance.

Conclusions

The study model helps to explain the process by which mindfulness affects fatigue. Our results suggest that mindfulness has both direct and indirect effects on the fatigue of breast cancer survivors and that mindfulness can be used to more effectively reduce their fatigue. It also suggests that health care professionals should be aware of factors such as anxiety, depression, pain, loneliness, and sleep disturbance in their care for fatigue of breast cancer survivors.

Trial registration

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7011601/

 

Improve Doctor’s Performance and Well-Being with Mindfulness

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Improve Doctor’s Performance and Well-Being with Mindfulness

 

By John M. de Castro, Ph.D.

 

“Anyone whose work involves immense human suffering needs to be aware of their inner life. The nature of the work that physicians do makes [them] more vulnerable to negative emotions or making errors,” – Ronald Epstein

 

Stress is epidemic in the western workplace with almost two thirds of workers reporting high levels of stress at work. In high stress occupations, like healthcare, burnout is all too prevalent. Burnout is the fatigue, cynicism, emotional exhaustion, sleep disruption, and professional inefficacy that comes with work-related stress. It is estimated that over 45% of healthcare workers experience burnout. It not only affects the healthcare providers personally, but also the patients, as it produces a loss of empathy and compassion.

 

Improving the psychological health of doctors has to be a priority. Contemplative practices have been shown to reduce the psychological and physiological responses to stress. Indeed, mindfulness has been shown to be helpful in treating and preventing burnout, increasing resilience, improving emotional regulation, and improving sleep. Hence, mindfulness may be a means to improve the performance and psychological health of doctors. Indeed, there have been a number of research studies on the topic. So, it makes sense to step back and summarize what has been found.

 

In today’s Research News article “The impact of mindfulness-based interventions on doctors’ well-being and performance: A systematic review.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7003865/), Scheepers and colleagues review and summarize the published research studies on the effects of mindfulness training on the performance and well-being of doctors. They report on 24 published studies.

 

They report that the published studies found that mindfulness-based trainings significantly improved the performance and well-being of doctors. This was true particularly for group based mindfulness trainings and for trainings such as Mindfulness-Based Stress Reduction (MBSR) and Mindfulness-Based Cognitive Therapy (MBCT) that contained multiple elements of mindfulness trainings. There are “five different elements: (i) integration of mindfulness theory; (ii) provision of didactic information on mindfulness; (iii) development of self‐awareness about thoughts, feelings and bodily sensations; (iv) promotion of attentive and behavioural self‐regulation and positive qualities (curiosity, joy, compassion), and (v) training of meditation practice.” These positive effects were reported across different educational and hospital settings and equally for residents and specialists.

 

The accumulating evidence makes a convincing case for the efficacy of mindfulness-based trainings to improve the performance and well-being of physicians. This should improve their impacts on their patients’ health and should reduce the likelihood of eventual burnout. Although, the review did not focus on mechanisms it is likely that mindfulness has these effects by improving the doctors’ ability to withstand stress and improve their ability to effectively deal with their emotions.

 

So, improve doctor’s performance and well-being with mindfulness.

 

“Mindfulness is especially suited to physicians, because it can help counteract the worrying, perfectionism and self-judgment that are so common among doctors.” – WellMD

 

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

 

Scheepers, R. A., Emke, H., Epstein, R. M., & Lombarts, K. (2020). The impact of mindfulness-based interventions on doctors’ well-being and performance: A systematic review. Medical education, 54(2), 138–149. https://doi.org/10.1111/medu.14020

 

Abstract

Objectives

The well‐being of doctors is at risk, as evidenced by high burnout rates amongst doctors around the world. Alarmingly, burned‐out doctors are more likely to exhibit low levels of professionalism and provide suboptimal patient care. Research suggests that burnout and the well‐being of doctors can be improved by mindfulness‐based interventions (MBIs). Furthermore, MBIs may improve doctors’ performance (eg in empathy). However, there are no published systematic reviews that clarify the effects of MBIs on doctor well‐being or performance to inform future research and professional development programmes. We therefore systematically reviewed and narratively synthesised findings on the impacts of MBIs on doctors’ well‐being and performance.

Methods

We searched PubMed and PsycINFO from inception to 9 May 2018 and independently reviewed studies investigating the effects of MBIs on doctor well‐being or performance. We systematically extracted data and assessed study quality according to the Medical Education Research Study Quality Instrument (MERSQI), and narratively reported study findings.

Results

We retrieved a total of 934 articles, of which 24 studies met our criteria; these included randomised, (un)controlled or qualitative studies of average quality. Effects varied across MBIs with different training contents or formats: MBIs including essential mindfulness training elements, or employing group‐based training, mostly showed positive effects on the well‐being or performance of doctors across different educational and hospital settings. Doctors perceived both benefits (enhanced self‐ and other‐understanding) and challenges (time limitations and feasibility) associated with MBIs. Findings were subject to the methodological limitations of studies (eg the use of self‐selected participants, lack of placebo interventions, use of self‐reported outcomes).

Conclusions

This review indicates that doctors can perceive positive impacts of MBIs on their well‐being and performance. However, the evidence was subject to methodological limitations and does not yet support the standardisation of MBIs in professional development programmes. Rather, health care organisations could consider including group‐based MBIs as voluntary modules for doctors with specific well‐being needs or ambitions regarding professional development.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7003865/