Anxiety

Yoga Improves Stress Responses and Mood

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“Yoga has a sly, clever way of short circuiting the mental patterns that cause anxiety.” – Baxter Bell

 

Depression and anxiety are great scourges on humankind. They affect millions of people worldwide decreasing productivity and increasing misery. The exact etiology of these disorders is unknown. But, modern research is slowly unraveling the mystery. One promising line of inquiry is investigating the linkage of depression and anxiety with the physiological responses to stress including stress hormone responses and the inflammatory response. Depression has been long known to be associated with increased stress hormone activity and increased inflammatory response. This raises the question as to what role the stress response plays in the development of depression.

 

The most common treatment for depression is antidepressant drugs. They are effective for some people and are also known to reduce the stress response and inflammation. But, they are not effective for everyone and they can have some unpleasant side effects. So, alternative treatment for depression and anxiety that are safe, effective and with few side effects are needed.

 

Yoga practice has been shown to reduce anxiety and depression (see http://contemplative-studies.org/wp/index.php/2015/09/03/keep-up-yoga-practice-for-anxiety-and-depression/) and to reduce stress and anxiety (see http://contemplative-studies.org/wp/index.php/2015/07/29/get-your-calm-on/). Yoga has also been shown to reduce inflammation (see http://contemplative-studies.org/wp/index.php/2015/09/11/reduce-inflammation-with-yoga/) and http://contemplative-studies.org/wp/index.php/2015/08/27/control-inflammation-with-mind-body-practices/) and immune system balance (see http://contemplative-studies.org/wp/index.php/2015/07/17/healthy-balance-through-yoga/). So, it would seem that the practice of yoga is potentially an alternative to antidepressant drug treatment for depression.

 

In today’s Research News article “A systematic review of randomised control trials on the effects of yoga on stress measures and mood”

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Pascoe and colleagues review 24 randomized controlled trials investigating the effectiveness of yoga practice for depression and anxiety and their linkages to the stress and inflammatory responses. They found that the published literature provided evidence that yoga practice reduces depression and anxiety and the stress and inflammatory responses.

 

In particular, Pascoe and colleagues report that the evidence suggests that yoga practice reduces anxiety and depression and at the same time reduces the nervous systems responses to stress as indicated by reductions in heart rate and blood pressure and by reductions in the levels of the stress hormone, cortisol. There was also reported to be a decrease in cytokine levels suggesting a decrease in the inflammatory response. Hence, yoga practice appears to be effective for anxiety and depression and reduces the associated stress and inflammatory responses.

 

Since, changes in depression and anxiety occurred at the same time as changes in stress and inflammatory responses, it strengthens the case of a causal link between the two. More research is need to further investigate this promising linkage.

 

So, yoga practice is a safe and effective treatment for anxiety and depression while reducing stress and inflammation.

 

“The yoga mat is a good place to turn when talk therapy and antidepressants aren’t enough.” – Amy Weintraub

 

CMCS – Center for Mindfulness and Contemplative Studies

Be Open or Focused in Meditation to Reduce Anxiety

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“If you want to conquer the anxiety of life, live in the moment, live in the breath.”  ― Amit Ray

 

Anxiety is normal and everyone experiences occasional anxiety. But, frequent or very high levels of anxiety are considered anxiety disorders and can be quite debilitating. Unfortunately anxiety disorders are epidemic in modern society, being the most common mental illness in the U.S., affecting 40 million adults, 18% of the population. They are more common in women accounting for 60% of anxiety disorders. Symptoms can include feelings of panic, fear, and uneasiness, problems sleeping, cold or sweaty hands and/or feet, shortness of breath, heart palpitations, an inability to be still and calm, dry mouth, and numbness or tingling in the hands or feet.

 

It has been estimated that one out of every three absences at work are caused by high levels of anxiety. Also, it has been found to be the most common reason for chronic school absenteeism. In addition, people with an anxiety disorder are three-to-five times more likely to go to the doctor and six times more likely to be hospitalized for psychiatric disorders than non-sufferers, making it a major burden on the healthcare system.

 

Anxiety disorders have generally been treated with drugs. It has been estimated that 11% of women in the U.S. are taking anti-anxiety medications. But, there are considerable side effects and these drugs are often abused. Although, psychological therapy can be effective it is costly and not available to large numbers of sufferers. So, there is a need to investigate alternative treatments.

 

Contemplative practices appear to be a viable alternative. Mindfulness has been shown to be associated with low anxiety (see http://contemplative-studies.org/wp/index.php/2015/09/25/buffer-yourself-from-neuroticism-with-mindfulness/) and mindfulness training (see http://contemplative-studies.org/wp/index.php/2015/07/17/the-mindfulness-cure-for-social-anxiety/) and yoga practice (see http://contemplative-studies.org/wp/index.php/2015/09/03/keep-up-yoga-practice-for-anxiety-and-depression/ and http://contemplative-studies.org/wp/index.php/2015/07/29/get-your-calm-on/) have been shown to reduce anxiety. Additionally, meditation has been shown to reduce anxiety by altering neural activity (see http://contemplative-studies.org/wp/index.php/2015/08/13/get-the-brain-to-reduce-anxiety-with-meditation/).

 

It is clear that meditation can be effective. But there are multiple forms of meditation. They fall into two general categories, open monitoring meditation (See http://contemplative-studies.org/wp/index.php/2015/07/25/beginning-meditation-getting-started-4-open-monitoring-meditation/) and focused meditation (see http://contemplative-studies.org/wp/index.php/2015/07/23/208/). It is important to investigate which of these forms might be most effective to help optimize the use of meditation practice in treating anxiety disorders.

 

In today’s Research News article “Evaluating psychological interventions in a novel experimental human model of anxiety”

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1111031562254102/?type=3&theater

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4406751/

Ainsworth and colleagues compare the effectiveness of a single 10 minute session of open monitoring or focused meditation in reducing anxiety in a laboratory manipulation designed to evoke feelings of anxiety. They found that both meditation types reduced subjective anxiety but not physiological indicators of anxiety. Open monitoring meditation appeared to be better at reducing anxiety than focused meditation.

 

Meditation, in general has been shown to increase emotion regulation (see http://contemplative-studies.org/wp/index.php/2015/09/10/take-command-and-control-of-your-emotions/) allowing the individual to feel the emotion but keep its intensity at manageable levels and being able to respond appropriately and effectively to the emotion. This effect of meditation may be responsible for its ability to reduce anxiety. In addition, anxiety is due to worry about a potential future negative occurrence. Thus the focus on the present moment that occurs in meditation may also be helpful in reducing anxiety.

 

Open monitoring meditation allows for a broad spectrum of sensations, feelings, emotions etc. to enter awareness than focused meditation that attempts to restrict attention on a small group of sensations. This wider scope of the contents of awareness may be useful in dealing with anxiety allowing the individuals to be more sensitive to their physical and mental state. This would allow them to be better prepared to deal with the wide scope of physical and mental activities associated with anxiety.

 

Regardless, both forms of meditation are effective in reducing anxiety. So, meditate to reduce anxiety.

 

CMCS – Center for Mindfulness and Contemplative Studies

 

Genes, Mindfulness, Anxiety, and Depression

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“Of course, genes can’t pull the levers of our behavior directly. But they affect the wiring and workings of the brain, and the brain is the seat of our drives, temperaments and patterns of thought.” – Steven Pinker
There are large differences between people in both their physical and psychological characteristics, including their levels of mindfulness, anxiety, and depression. Some of the differences are the result of environmental influences. But, many people still differ considerably even though they have lived in similar environments and had similar experiences. In addition, many of these characteristics seem to be present right at birth. These facts support the notion that both the genes and the environment determine human characteristics.

 

Indeed, there is evidence that our level of mindfulness is in part inherited and transmitted with the genes but is also affected by the environment (See http://contemplative-studies.org/wp/index.php/2015/07/17/we-are-born-to-be-mindful/). It has also been shown that depression and our overall levels of anxiety are to a large extent inherited factors that also are affected by the environment. This taken together with the fact that mindfulness training is an effective treatment for depression (see http://contemplative-studies.org/wp/index.php/2015/08/19/this-is-the-brain-on-meditation-major-depressive-disorder/), and anxiety (see http://contemplative-studies.org/wp/index.php/2015/08/13/get-the-brain-to-reduce-anxiety-with-meditation/) raises the question of to what extent are the genes and environment underlying mindfulness also related to the genes and environment underlying depression and the genes and environment underlying anxiety.

 

In today’s Research News article “A Multivariate Twin Study of Trait Mindfulness, Depressive Symptoms, and Anxiety Sensitivity.”

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4413043/

Waszczuk and colleagues investigated the genetic and environmental determination of mindfulness, anxiety, and depression using a twin model including identical and fraternal twins. They found that low mindfulness was associated with high levels of anxiety and depression. They also found that there were significant influences of both heredity and environment on all three characteristics. In addition, they found that common genetic influences explained most of the association between low mindfulness, depressive symptoms, and anxiety sensitivity. In other words, not only was depression and anxiety related to low mindfulness, and that each of the characteristics were influenced by heredity, but also the relationship between them was also influenced by heredity.

 

It is important to keep in mind that although heredity was found to be an important contributor to each of these characteristics and their relationships, there were also significant environmental contributors. Hence, although biology, influenced by the genes is an important determinant, the environment is also. This suggests that environmental interventions such as mindfulness training could alter these characteristics and their relationships.

 

These are interesting and important observations. They go a long way toward explaining why people are so different in their inherent levels of mindfulness, anxiety and depression. They also help us to understand why different people may respond differently to mindfulness training for anxiety and depression.

 

So, develop mindfulness to assist your genes in fighting anxiety and depression.

 

CMCS – Center for Mindfulness and Contemplative Studies

 

 

Medical School Mindfulness  

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“It has been suggested that inadequate self-care and ineffective coping styles are often established during medical training; they may persist after training and be self-destructive in the long-run. Therefore, introducing students to self-regulation skills along with other self-care approaches during medical school may improve their personal health and professional satisfaction not only during residency but also beyond.”  – William McCann

 

Medical School is challenging both intellectually and psychologically. Stress levels are high and burnout is common. It’s been estimated that 63% of medical students experience negative consequences from stress while symptoms of severe stress was present in 25% of students. The prevalence of stress is higher among females than among males. High stress levels lead to lower performance in medical school and higher levels of physical and mental health problems, especially anxiety and depression. Indeed 50% of medical students report burnout and 11% have considered suicide in the last year.

 

Obviously there is a need to either lower stress levels in medical education or find methods to assist medical students in dealing with the stress. One promising possibility is mindfulness training. It has been shown to reduce stress in students (See http://contemplative-studies.org/wp/index.php/2015/08/10/burnout-burnout-with-mindfulness/), to help with the negative consequences of stress (see http://contemplative-studies.org/wp/index.php/2015/07/17/destress-with-mindfulness/) and to reduce burnout in medical professionals (see http://contemplative-studies.org/wp/index.php/2015/08/10/burnout-burnout-with-mindfulness/). So, it would seem reasonable to suspect that mindfulness would be helpful in assisting medical students cope with the stress of their training.

 

In today’s Research News article “The relationships among self-care, dispositional mindfulness, and psychological distress in medical students”

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4481049/

Slonim and colleagues demonstrate that the higher the level of mindfulness in medical students the lower their distress levels including levels of depression, anxiety, and stress. They also found that higher levels of self-care, in particular spiritual growth, were associated with lower levels of distress.  Finally, they showed that high levels of mindfulness strengthened the relationship between self-care and lower distress levels.  That is, the higher the mindfulness level the greater the impact of self-care on lowering distress. So, mindfulness not only directly lowers depression, anxiety, and stress in medical students but also magnifies the positive effects of self-care on these symptoms of distress.

 

Mindfulness may assist medical students by increasing present moment awareness. This reduces patterns of automatic, mindless, and judgmental thinking which can mitigate the impact of the situation on the individual. So, the student can attribute how they’re feeling and acting to the situation rather than to some personal failing.

 

Mindfulness is known to increase emotion regulation allowing the student to more accurately interpret what they’re feeling and respond to it appropriately. This also reduces the impact of strong negative emotional responses to thoughts and emotions their levels of depression and anxiety. So, mindful students experience their emotional reactions, recognize their causes, and adjust to them in an adaptive way.

 

Finally, mindfulness has been demonstrated to directly reduce symptoms of stress and the individual’s responses to stress. This occurs both by altering the physical and hormonal responses to stress and by reducing the negative spiral of stress, where the fact of stress induces more stress. This dramatically improves the students’ ability to cope with the stressful demands of medical education, perform at a higher level and make burnout less likely.

 

So, be mindful and be better equipped to deal with stressful educational experiences.

 

CMCS – Center for Mindfulness and Contemplative Studies

Buffer Yourself from Neuroticism with Mindfulness

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“We have long observed that every neurosis has the result, and therefore probably the purpose, of forcing the patient out of real life, of alienating him from actuality.” – Sigmund Freud

 

We often speak of people being neurotic. But, do we really know what we’re talking about? Do we really know what it is? Neurosis is actually an outdated diagnosis that is no longer used medically. The disorders that were once classified as a neurosis are now more accurately categorized as post-traumatic stress disorder, somatization disorders, anxiety disorder, panic disorder, phobias, dissociation disorder, obsessive compulsive disorder and adjustment disorder.

 

But, neuroticism is considered a personality trait that is a lasting characteristic of individuals. It is characterized by negative feelings, repetitive thinking about the past (rumination), and worry about the future, moodiness and loneliness. People who have this characteristic are not happy with life and have a low subjective sense of well-being and recognize that this state is unacceptable.

 

This relatively stable characteristic appears to be lessened by mindfulness training. Mindfulness training also has been found to improve individuals’ subjective well-being. So, it makes sense to think that mindfulness may be involved in the link between neuroticism and low subjective well-being. This possible link is explored in today’s Research News article “Curb your neuroticism – Mindfulness mediates the link between neuroticism and subjective well-being”

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Wenzel and colleagues studied individuals high in neuroticism and found that they tended to have negative mood and low vitality and general interest in life; that is low subjective well-being.

 

Wenzel and colleagues then added mindfulness to the prediction and found that mindfulness in part mediated the relationship between neuroticism and low subjective well-being especially in individuals who had high levels of neuroticism. It thus appears that neuroticism lowers mindfulness which in turn results in negative mood and low vitality and general interest in life. This suggests that being mindful may in part protect an individual from the effects of neuroticism on their well-being.

 

There are a number of potential explanations for these effects of mindfulness. Neuroticism is characterized by rumination and worry, which are thought processes centered on the past and future. Mindfulness, on the other hand, is an ability to focus on the present moment. Hence, mindfulness could be seen as an antidote to the past and future orientation in neuroticism.

 

Neuroticism is also characterized by moodiness and loneliness. Mindfulness has been shown to improve emotion regulation; the ability to feel and recognize an emotional state but be able to understand it and respond to it appropriately (see http://contemplative-studies.org/wp/index.php/2015/08/20/regulate-emotions-with-mindfulness/ and http://contemplative-studies.org/wp/index.php/2015/07/17/control-emotions-the-right-way-with-mindfulness/). So mindfulness would also appear to be an antidote for the moodiness involved in neuroticism. Indeed, it has been shown that mindfulness can reduce feelings of anger and depression and improve self-control among people with high neuroticism.

 

So, buffer yourself from neuroticism with mindfulness.

 

“Mindfulness has helped me succeed in almost every dimension of my life. By stopping regularly to look inward and become aware of my mental state, I stay connected to the source of my actions and thoughts and can guide them with considerably more intention.” – Dustin Moskovitz

 

CMCS – Center for Mindfulness and Contemplative Studies

 

Practice Yoga to Relieve Anxiety and Depression during Pregnancy

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“The effort to separate the physical experience of childbirth from the mental, emotional and spiritual aspects of this event has served to disempower and violate women.” ~Mary Rucklos Hampton

 

Depression is quiet common during pregnancy. More than 20 percent of pregnant women have an anxiety disorder, depressive symptoms, or both during pregnancy. The psychological health of pregnant women has consequences for fetal development, and consequently, child outcomes. Depression during pregnancy is associated with premature delivery and low birth weight. It is also associated with higher levels of stress hormone in the mother and in the newborns, which can make them more stress reactive, temperamentally difficult, and more challenging to care for and soothe. Long-term there’s some evidence that the children have more social and emotional problems, including aggression and conduct problems and possibly child IQ and language. But, while gestational diabetes is far less common than depression during pregnancy, women are routinely screened for this disorder, but not for depression, any psychiatric illness, nor even experiences of life stress.

 

It is clear that there is a need for methods to treat depression and anxiety during pregnancy. Since the fetus can be negatively impacted by drugs, it would be preferable to find a treatment that did not require drugs. Moderate exercise is also beneficial during pregnancy. Yoga has antidepressive and anti-stress properties and it is a moderate exercise http://contemplative-studies.org/wp/index.php/2015/08/11/improve-physical-health-with-yoga/, so, it would appear to be a good candidate to treat depression and anxiety during pregnancy.

 

In today’s Research News article “A randomized controlled trial of yoga for pregnant women with symptoms of depression and anxiety”

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Goodman and colleagues examine whether yoga practice during pregnancy is effective for depression and anxiety. They found that in comparison to treatment as usual, and 8-week program of yoga practice significantly reduced depression and negative emotions. Anxiety levels decreased in both the yoga and the treatment as usual groups.

 

It is not known if the efficacy of yoga for depression is due to its exercise value or to an intrinsic property specific to yoga. Both study groups had high levels of exercise before, during and after the treatment. As such, the additional exercise contributed by yoga would not make a significant difference in the fitness of the women. This speculation suggests that there may be other aspects of yoga practice that relieve depression. One obvious candidate is the social nature of the yoga classes, particularly since they were with other pregnant women. The camaraderie and sharing could be responsible for the antidepressive effects. It is also possible that the stress relieving properties of yoga are responsible for the psychological improvements.

 

Regardless, practice yoga during pregnancy to prevent or treat depression and anxiety.

 

“Yoga practice can make us more and more sensitive to subtler and subtler sensations in the body. Paying attention to and staying with finer and finer sensations within the body is one of the surest ways to steady the wandering mind.” ― Ravi Ravindra,

 

CMCS – Center for Mindfulness and Contemplative Studies

 

Keep up Yoga Practice for Anxiety and Depression!

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“The medical literature tells us that the most effective ways to reduce the risk of heart disease, cancer, stroke, diabetes, Alzheimer’s, and many more problems are through healthy diet and exercise. Our bodies have evolved to move, yet we now use the energy in oil instead of muscles to do our work.” – David Suzuki

Chronic diseases such as heart disease and diabetes are not only physically difficult but also very frequently associated with emotional challenges, being frequently accompanied by anxiety and depression. The presence of a chronic disease makes it three times more likely to have a major depression. About 15% of patients with diabetes are depressed while about 20% of patients with coronary heart disease evidence depression.

The comorbidity appears to be bidirectional. The presence of depression nearly doubled the likelihood that diabetes would occur and there is a 50% greater likelihood that a depressed individual will have a heart attack than matched individuals without depression. So, chronic disease tends to predict anxiety and depression and these psychological disorders tend to predict chronic disease.

Dealing with mental health issues with a background of chronic illness presents a complex picture for treatment. One option is yoga practice. It is known to have both physical and mental health benefits, so it would seem to be well suited to dealing with the combination of the two. In fact yoga has been found to reduce the symptoms of anxiety and stress http://contemplative-studies.org/wp/index.php/2015/07/29/get-your-calm-on/ and improve distress tolerance http://contemplative-studies.org/wp/index.php/2015/07/30/stop-emotional-eating-with-yoga/ as well as improving the immune response to combat disease http://contemplative-studies.org/wp/index.php/2015/07/17/healthy-balance-through-yoga/. It can even help protect the brain from aging degeneration http://contemplative-studies.org/wp/index.php/2015/07/17/age-healthily-protect-the-brain-with-yoga/.

In today’s Research News article “Influence of Intensity and Duration of Yoga on Anxiety and Depression Scores Associated with Chronic Illness”

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4512118/

Telles and colleagues test not only the effectiveness of yoga practice for anxiety and depression in chronically ill patients but also investigated the amounts of practice that are effective. They found that the more months that yoga has been practiced the lower the levels of both anxiety and depression. In addition, the amount of daily practice in minutes was also associated with lower levels of anxiety associated with chronic illness.

There are a number of effects of yoga practice that may underlie its ability to relieve anxiety and depression in chronically ill patients. Yoga practice has been shown to decrease the physical and psychological responses to stress. The stress related to chronic illness can magnify both the symptoms of the illness and also the psychological impact of the illness. By relieving this stress yoga practice can affect both the physical and psychological symptoms of the illness.

Yoga practice is also known to improve mood which could directly affect the levels of anxiety and depression. It may also do so by altering brain chemistry which is known to be associated with depression and anxiety. In addition, the fact that yoga is frequently practiced in a group can provide social support and stimulation that can assist with mental health.

Regardless of the mechanism it appears clear that the more you practice yoga, the better you begin to feel psychologically and physically. So, keep up your yoga practice for physical and emotional health.

“Even if you have a terminal disease, you don’t have to sit down and mope. Enjoy life and challenge the illness that you have.” – Nelson Mandela

CMCS – Center for Mindfulness and Contemplative Studies

Get the Brain to Reduce Anxiety with Meditation

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Anxiety is a very common emotional state. It is a state characterized by feelings of worry, nervousness, or unease, typically about an imminent event or something with an uncertain outcome. For most people occasional anxiety is manageable. But for many it is chronic or extreme in magnitude and can have a major disruptive effect on their lives.

Anxiety disorders are the most common mental illness in the U.S. It is estimated that 40 million people or 18% of the population will experience impairment due to of an anxiety condition this year. Although treatable only about a third will receive treatment. About 5% of the U.S. population takes anti-anxiety prescription medications. But many self-medicate as alcohol and recreational drugs are frequently used to cope with anxiety. To make matters worse people who experience anxiety and stress have a very high propensity for drug abuse and addictions. In addition, anti-anxiety medications are frequently used, especially by young people, for recreational purposes

Hence, it is important to find an alternative to drugs for the treatment of anxiety. Contemplative practices would appear to be well suited for the role. Anxiety is a concern about a potential negative occurrence in the future. By training the individual to focus on the present moment contemplative practices can mitigate the importance of the future and thereby reduce anxiety. Indeed, contemplative practices have been found to be quite effective for treating anxiety (See previous post http://contemplative-studies.org/wp/index.php/2015/07/17/the-mindfulness-cure-for-social-anxiety/)

Contemplative practices are known to have profound effects on the structure and function of the nervous system. So, it would be expected that the anti-anxiety effects of meditation would have associated changes in the brain. In today’s Research News article “Neural correlates of mindfulness meditation-related anxiety relief”

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4040088/

Zeidan and colleagues found that mindfulness meditation reduced anxiety by activating a network of brain regions including anterior cingulate and prefrontal cortex and insula while reducing activity in the posterior cingulate cortex.

The anterior cingulate and prefrontal cortex and insula have been shown to be involved in emotion regulation. So, it is no surprise that they should be activated as meditation lowers anxiety. The posterior cingulate cortex is a part of what is called the default mode network that is involved in mind wandering and ruminative thinking. Again, it is no surprise that the area responsible for rumination and worry would have its activity decreased in concert with meditation induced reduction in anxiety. Both of these mechanisms would be expected to enhance self-awareness processes particularly of the present moment, increase emotion regulation and decrease rumination and thereby produce anxiety relief.

Hence, meditation would appear to be an ideal treatment for anxiety. It is safe and effective and appears to act by altering nervous system activity. Continued meditation practice has been shown to produce lasting changes in these areas. So, meditation would appear to not just be a quick fix but a lasting treatment for the scourge of anxiety.

So, change the brain with meditation and reduce anxiety.

CMCS

 

Get your Calm on!

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Mindfulness Based Stress Reduction (MBSR) is one of the first secular based mindfulness training programs in the west. In fact, it could be argued that the development of MBSR was what launched the mindfulness movement in the west. The movement took off probably because MBSR was shown to be so very effective in the treatment of a wide range of physical, psychological, and emotional issues that plague western culture.

Stress is rampant in competitive western culture producing physical and psychological damage. MBSR’s effectiveness at calming the reactions to stress and reducing anxiety has made it a very popular.

MBSR is not a single practice. Rather it is a combination of practices including meditation, yoga, and body scan meditation. Whether all of these components are necessary for effectiveness or if some components are more effective for some conditions while others are superior for others has yet to be established with empirical evidence. This is an important issue for the understanding of the exact mechanisms by which MBSR has its effects.

It is also not known how much MBSR or how much of each component is needed to have a maximum impact. In more scientific words, a dose response study is needed. This is important to produce optimum effectiveness.

In today’s Research News Article “Effectiveness of Brief Mindfulness Techniques in Reducing Symptoms of Anxiety and Stress’

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David Call and colleagues tested whether very brief, three weekly 45-min sessions of hatha yoga or body scan would be effective in reducing stress and anxiety in undergraduate students. Both practices reduced both anxiety and stress levels.

Interestingly, neither group showed a significant increase in mindfulness, possibly due to the lack of meditation practice and perhaps suggesting that yoga and body scan practices might act directly on stress and anxiety rather than by raising mindfulness that then reduced the symptoms. This contradicts the notion that mindfulness based increases in present moment awareness are the cause of the reduction in anxiety which is future oriented. It remains possible that the physiological effects of yoga and body scan on reducing the hormonal and neural responses to stress may be responsible.

The magnitude of the effects on stress and anxiety were quite large and clinically significant. It is amazing that such a brief treatment of 3 sessions of 45 minutes could have this large of an impact. It remains to be seen if the impact is lasting. Regardless, the fact that a brief simple intervention can markedly reduce stress and anxiety is exciting as it is highly scalable; rolling it out to large numbers of individuals.

So, practice yoga and/or body scan and get your calm on.

CMCS

The Mindfulness Cure for Social Anxiety

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It is almost a common human phenomenon that being in a social situation can be stressful and anxiety producing. This is particularly true when asked to perform in a social context such as giving a speech. Most people can deal with the anxiety and can become quite comfortable. But many do not cope well with the anxiety or the level of anxiety is overwhelming, causing the individual to withdraw.

It appears that mindfulness may help greatly with high social anxiety. In today’s Research News article, “How to deal with negative thoughts? A preliminary comparison of detached mindfulness and thought evaluation in socially anxious individuals.”

it is demonstrated that mindfulness training significantly reduces anxiety when asked to give a speech. How does mindfulness training act to reduce social anxiety?

One potential route that mindfulness training may reduce anxiety is by increasing present moment awareness. Looking at what exactly is true in the immediate moment and seeing it as it is, can produce a recognition that social interactions are not threatening and needing to be avoided. When actually paying attention to the conversation and the cues in the environment the individual can relax and performs better. With practice, the improved social skills increase self-confidence. This can result in a cycle with positive gain, over time continuously improving mindfulness and self-confidence and reducing high social anxiety.

Today’s Research News article demonstrated that mindfulness training reduces anticipatory processing. Anticipatory processing is a type of worry about forthcoming social situations, involving anxious predictions, negative recollections, and urges to avoid social events. This anticipation of negative occurrences is a projection into the future. By focusing on the present moment, worries about the future cannot develop. So, the present moment awareness fostered by mindfulness training counteracts anticipatory processing and thereby reduces social anxiety.

Today’s article also demonstrated that mindfulness training reduces observer-perspective. People with high social anxiety often have distorted negative self-images from an observer perspective. They have a distorted idea of how others see them. This negative self-image that they believe is how they are perceived in social situations, maintains and increases anxiety, negative beliefs about social performance, anxious predictions, and poorer actual performance.

Mindfulness training helps to develop non-judgmental awareness of the present moment. Just seeing what is transpiring without adding conclusions about it counteracts the observer-perspective conceptualizations and judgments. When the present moment is simply perceived without coloration from beliefs, ideas, and past experiences, it becomes much less threatening and much more benign, allowing for more comfortable engagement in social interactions.

So, practice mindfulness in social contexts and enhance enjoyment of interacting with others.

CMCS