Reduce Aging Cognitive Decline with Mindfulness

March 6, 2019 psyjdc Leave a comment

By John M. de Castro, Ph.D.

“We know that approximately 50 percent of people diagnosed with mild cognitive impairment—the intermediate stage between the expected declines of normal aging and the more serious cognitive deterioration associated with dementia—may develop dementia within five years.” – Rebecca Erwin Wells

The aging process involves a systematic progressive decline in every system in the body, the brain included. This includes our mental abilities (cognition) which decline with age including impairments in memory, attention, and problem solving abilities. It is inevitable and cannot be avoided. An encouraging new development is that mindfulness practices such as meditation training can significantly reduce these declines in cognitive ability. In addition, it has been found that mindfulness practices reduce the deterioration of the brain that occurs with aging restraining the loss of neural tissue. Indeed, the brains of practitioners of meditation and yoga have been found to degenerate less with aging than non-practitioners.

Before active dementia occurs, patients show problems with attention, thinking, and memory known as mild cognitive impairment. Intervening at this point may be able to delay or even prevent full blown dementia, So, it is important to study the effectiveness of mindfulness training on older adults with mild cognitive impairment to improve their cognitive performance.

In today’s Research News article “The Effects of Mindfulness on Older Adults with Mild Cognitive Impairment.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6159696/ ), Wong and colleagues recruited healthy older adults (> 60 years of age) who were diagnosed with mild cognitive impairment and were meditation naïve. They participated in an 8-week, 1.5 hours per week, program of mindfulness training that included body scan meditation, breath meditation, loving kindness meditation, and everyday mindfulness practice. The participants were also encouraged to practice at home. They were measured before and after training and one year later for cognitive function, psychological health, mindfulness, mindfulness adherence, and daily living functionality.

They found that after training the participants had significant improvements in mindfulness and cognitive function. These improvements were no longer significant at the one year follow up. This appears, however, to be due to the level of continuing practice as the greater the amount of meditation practice during the 1-year follow-up period the greater the level of cognitive function. Indeed, those who practiced above the group average had significantly better cognitive performance at the 1-year follow-up than those who were below average in practicing.

These results suggest that mindfulness training produces significant cognitive benefits for elderly individuals with mild cognitive impairments. But continued practice is necessary to maintain the benefits. Hence, long-term mindfulness practice may be able to restrain further cognitive decline in these patients and may delay or prevent the onset of dementia. It is clear however, that continuing mindfulness practice is required.

So, reduce aging cognitive decline with mindfulness.

“What we do know is that long-term engagement in mindfulness meditation may enhance cognitive performance in older adults, and that with persistent practice, these benefits may be sustained. That’s great news for the millions of aging adults working to combat the negative effects of aging on the brain.” – Grace Bullock

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

Wong, W. P., Coles, J., Chambers, R., Wu, D. B., & Hassed, C. (2017). The Effects of Mindfulness on Older Adults with Mild Cognitive Impairment. Journal of Alzheimer’s disease reports, 1(1), 181-193. doi:10.3233/ADR-170031

Abstract

Background:

The current lack of an effective cure for dementia would exacerbate its prevalence and incidence globally. Growing evidence has linked mindfulness to cognitive and psychological improvements that could be relevant for mild cognitive impairment (MCI).

Objective:

To investigate whether mindfulness practice can improve health outcomes of MCI.

Methods:

The study is the first longitudinal mixed-methods observational study with a one-year follow-up period, that customized an eight-week group-based mindfulness training program for older adults with MCI (n = 14). Measures included cognitive function, psychological health, trait mindfulness, adherence to mindfulness practice, and everyday activities functioning as assessed at pre-intervention, post-intervention, and one-year follow-up. Repeated measures ANOVAs, Pearson’s correlation analyses, and Mann-Whitney U tests were performed.

Results:

The MCI participants showed significant improvements in cognitive function (p < 0.05) and trait mindfulness (p < 0.05) after completing the intervention. Between program intervention and one-year follow-up (59 weeks), positive correlations were found between their cognitive function (p < 0.05) and everyday activities functioning (p < 0.05) with the duration of mindfulness meditation; and between trait mindfulness and the level of informal mindfulness practice (p < 0.05). Those who meditated more during these 59 weeks, showed greater improvements in cognitive function (p < 0.05) and everyday activities functioning (p < 0.05), with large effect sizes at the one-year follow-up. Qualitative findings will be reported separately.

Conclusion:

Long-term mindfulness practice may be associated with cognitive and functional improvements for older adults with MCI. Mindfulness training could be a potential efficacious non-pharmacological therapeutic intervention for MCI.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6159696/

Improve Cognitive Function in Breast Cancer Survivors with Mindfulness

February 15, 2019 psyjdc Leave a comment

Improve Cognitive Function in Breast Cancer Survivors with Mindfulness

By John M. de Castro, Ph.D.

“Participation in a mindfulness-based stress reduction program yields robust and sustained improvement in cancer-related cognitive impairment, a prevalent and potentially debilitating condition that affects attention, memory and executive function in survivors.” – ScienceDaily

Receiving a diagnosis of cancer has a huge impact on most people. Feelings of depression, anxiety, and fear are very common and are normal responses to this life-changing and potentially life-ending experience. But cancer diagnosis is not necessarily a death sentence. Over half of the people diagnosed with cancer are still alive 10 years later and this number is rapidly increasing. But, surviving cancer carries with it a number of problems. Cognitive impairments are a frequent side effect of cancer treatment. This has been dubbed “chemo brain.” Patients often refer to it as a mental cloudiness.

The patients report problems including forgetting things, trouble concentrating, trouble remembering details like names and dates, trouble multi-tasking, like answering the phone while cooking, taking longer to finish things, disorganized and slower thinking, and trouble remembering common words. These cognitive impairments generally produce problems with work and even social relationships such that patients tend to isolate themselves. They can also produce treatment problems as the patients often forget to take their medications.

These problems result from the fact that chemotherapy, radiation therapy and many cancer drugs directly affect the nervous system. At present, there are no known treatments for these cognitive impairment side effects of chemotherapy. Contemplative practices have been shown to affect memory and have positive effects on cancer treatment and recovery. There is some evidence that contemplative practices may be useful for the alleviation of “chemo brain” symptoms. So, it makes sense to step back and review what is known regarding the ability of mindfulness training to improve the cancer patient’s cognitive abilities.

In today’s Research News article “Mindfulness-based interventions and cognitive function among breast cancer survivors: a systematic review.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6260900/ ), Cifu and colleagues review and summarize the published research studies on the effectiveness of mindfulness training for the cognitive deficits present after recovery from breast cancer. They identified 6 studies; 5 of which were randomized controlled studies and 4 of which used the Mindfulness-Based Stress Reduction (MBSR) program.

They found mixed results from the studies but the majority found that mindfulness training produced significant improvements in the cognitive abilities of the patients. The 2 studies that reported follow-up data demonstrated that the improvements were sustained 2 and 6 months after the end of the program. These mixed findings suggest that mindfulness training may be useful in treating the problems with thinking, memory, and attention that result from treatment for breast cancer, but more research is needed to reach firm conclusions.

It is not known what the mechanism might be by which mindfulness training relieves these cognitive impairments. But it has been previously demonstrated that mindfulness training improves cognition in healthy and aging populations by changing the brain, particularly the frontal cortical regions. It is possible that this is the same phenomenon only with breast cancer survivors.

So, improve cognitive function in breast cancer survivors with mindfulness.

“Mindfulness-based stress reduction (MBSR) may improve cognitive function in breast and colorectal cancer survivors.” Neurology Advisor

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

Cifu, G., Power, M. C., Shomstein, S., & Arem, H. (2018). Mindfulness-based interventions and cognitive function among breast cancer survivors: a systematic review. BMC cancer, 18(1), 1163. doi:10.1186/s12885-018-5065-3

Abstract

Background

Breast cancer survivors have an elevated risk of cognitive impairment compared to age-matched women without cancer. Causes of this impairment are complex, including both treatment and psychological factors. Mindfulness-based interventions, which have been shown to improve cognitive function in the general population, may be one approach to mitigate cognitive impairment in this survivor population. Our objective was to conduct a systematic literature review of studies on the effect of mindfulness-based interventions on cognition among breast cancer survivors.

Methods

We conducted searches of three electronic databases (Scopus, PubMed and Cochrane Database of Systematic Reviews) in September 2017 for studies pertaining mindfulness and cognitive function among breast cancer survivors. Abstracts were manually searched by two reviewers and additional articles were identified through reference lists.

Results

A total of 226 articles were identified through our systematic search and six met inclusion criteria for this review. The reviewed studies lacked consistency in terms of the cognition domains studied (e.g. executive function, recent memory, etc) and in the measures used to assess cognition. Of the included studies, two found no association between mindfulness interventions and cognitive function, two found improvement that was not sustained at the follow-up, and another two found sustained improvement at 2- or 6-months.

Conclusions

Mindfulness-based interventions have shown some evidence for improving cognition among breast cancer survivors, but further research using validated and comprehensive cognitive assessments is needed. More research is also needed related to the timing, duration and content of mindfulness interventions.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6260900/

Improve Health with Qigong

February 9, 2019 psyjdc Leave a comment

Improve Health with Qigong

By John M. de Castro, Ph.D.

“The health benefits from Qigong and Tai Chi comes about both by supporting the body’s natural tendency to return to balance and equilibrium and also gently yet profoundly creating strength, flexibility and balance in the muscles and joints through gentle flowing movements.” – Denise Nagel

Qigong and Tai Chi have been practiced for thousands of years with benefits for health and longevity. Qigong and Tai Chi training are designed to enhance function and regulate the activities of the body through regulated breathing, mindful concentration, and gentle movements. Only recently though have the effects of Qigong practice been scrutinized with empirical research. It has been found to be effective for an array of physical and psychological issues. It appears to strengthen the immune system, reduce inflammation, increase the number of cancer killing cells in the bloodstream and improve cardiovascular function.

Because Qigong is not strenuous, involving slow gentle movements, and is safe, having no appreciable side effects, it is appropriate for all ages including the elderly and for individuals with illnesses that limit their activities or range of motion. So, with indications of so many benefits it makes sense to step back and review the research on the effects of Qigong training on health and well-being.

In today’s Research News article “Beneficial Effects of Qigong Wuqinxi in the Improvement of Health Condition, Prevention, and Treatment of Chronic Diseases: Evidence from a Systematic Review.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6220394/ ), Guo and colleagues review and summarize the published research literature on the effects of Qigong practice on physical and psychological health. They found 28 published research studies.

They report that the research finds that Qigong practice by healthy adults produces improvements in cognitive functions including concentration and attention, strengthens the immune system, improves body shape and size, physical function, and the cardiovascular system, improves mood and psychological well-being, improves lipid metabolism, slows physiological indicators of aging, and reduces inflammation. For clinical populations, they report that the research indicates that Qigong practice reduces depression, and improves osteoarthritis, including knee osteoarthritis, metabolic syndrome, and blood fat levels.

Conclusions from these very exciting findings must be tempered as the research methodologies were often weak. More tightly controlled studies are needed. Regardless, these findings suggest that Qigong practice produces improved physical and psychological health in both healthy adults and people with mental and physical diseases. These are a remarkable set of benefits from this simple practice and suggest the reason why it has continued to be practiced by large numbers of people for hundreds of years. Hence, this simple, inexpensive, convenient, safe, and fun practice may improve the participants ability to successfully conduct their lives, improving health and well-being.

So, improve health with Qigong.

““A compelling body of research emerges when Tai Chi studies and the growing body of Qigong studies are combined. The evidence suggests that a wide range of health benefits accrue in response to these meditative movement forms.” – Dr. Mercola

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

Guo, Y., Xu, M., Wei, Z., Hu, Q., Chen, Y., Yan, J., & Wei, Y. (2018). Beneficial Effects of Qigong Wuqinxi in the Improvement of Health Condition, Prevention, and Treatment of Chronic Diseases: Evidence from a Systematic Review. Evidence-based complementary and alternative medicine : eCAM, 2018, 3235950. doi:10.1155/2018/3235950

Abstract

Purpose

Qigong is a modality of traditional Chinese mind-body medicine that has been used to prevent and cure ailments, to improve health in China for thousands of years. Wuqinxi, a Chinese traditional Qigong that focuses on mind-body integration, is thought to be an effective exercise in promoting physical and mental wellbeing. Thus, we summarized the evidence and aim to unravel effects of Wuqinxi on health outcomes.

Methods

We performed a systematic review of Wuqinxi studies published in English or Chinese since 1979. Relevant English and Chinese language electronic data bases were used for literature search. The selection of studies, data extraction, and validation were performed independently by two reviewers.

Results

A total of 28 eligible studies were included in this review, among which three are 3 in English and 25 in Chinese. The studies included in this review involve three different experimental designs: (1) 16 RCTs; (2) 2 historical cohort studies; and (3) 10 pretest and posttest studies (PPS). Participants in this review are categorized as either healthy or clinical populations. The results from this systematic review support the notion that Wuqinxi may be effective as an adjunctive rehabilitation method for improving psychological and physiological wellbeing among different age of healthy populations in addition to alleviating and treating diseases among various clinical populations.

Conclusion

The results indicated that Wuqinxi has been thought to be beneficial to improve health and treat chronic diseases. However, the methodological problems in the majority of included studies make it difficult to draw firm conclusive statements. More methodologically rigorous designed large-scale RCTs with a long-term follow-up assessment should be further conducted to examine the effects of Wuqixi on health-related parameters and disease-specific measures in different health conditions. This systematic review lends insight for future studies on Wuqinxi and its potential application in preventive and rehabilitation medicine.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6220394/

Improve Cognition and Reduce Age-related Cognitive Decline with Meditation

November 30, 2018 psyjdc Leave a comment

Improve Cognition and Reduce Age-related Cognitive Decline with Meditation

By John M. de Castro, Ph.D.

“While we might expect our bodies and brains to follow a shared trajectory of development and degeneration over time, by actively practicing strategies such as meditation, we might actually preserve and protect our physical body and brain structure to extend our golden years and shine even more brightly in old age.” – Sonima Wellness

The aging process involves a systematic progressive decline in every system in the body, the brain included. This includes our mental abilities (cognition) which decline with age including impairments in memory, attention, and problem solving ability. It is inevitable and cannot be avoided. An encouraging new development is that mindfulness practices such as meditation training can significantly reduce these declines in cognitive ability. In addition, it has been found that mindfulness practices reduce the deterioration of the brain that occurs with aging restraining the loss of neural tissue. Indeed, the brains of practitioners of meditation and yoga have been found to degenerate less with aging than non-practitioners.

Most studies of age-related decline are cross-sectional, comparing groups of different ages. In today’s Research News article “Cognitive Aging and Long-Term Maintenance of Attentional Improvements Following Meditation Training.” (See summary below or view the full text of the study at: https://link.springer.com/article/10.1007/s41465-018-0068-1 ), Zanesco and colleagues perform a longitudinal analysis, following participants for up to 7 years to investigate the effects of a meditation retreat on cognitive ability.

They recruited experienced meditators and randomly assigned them to either a wait-list control condition or to receive a 3-month intensive meditation retreat. After completion of the first retreat, the wait-list control participants received the 3-month meditation retreat. All participants were measured before, during, and after the retreat and 6 months, and 1.5 and 7 years later with a response inhibition task. In this task, participants were asked to respond when a long line is present and not respond when an infrequent short line was presented. This task measures high level thinking including attention, response inhibition, discrimination, and vigilance.

They found that during and following the retreat there were large significant improvements in perceptual discrimination, response inhibition, vigilance, and response time variance as measured in the response inhibition task. Importantly, these improvements were maintained for as much as 7 years after the completion of the retreat. Overall, older participants had age-related declines in accuracy. But, older participants who reported large amounts of continued meditation practice, did not have declines.

This study documents that the effects of a 3-month intensive meditation retreat on cognitive ability are large and lasting. In addition, they demonstrate that age-related declines in cognitive performance can be prevented by continued meditation practice. In this study, these effects were observed longitudinally, in the same individuals over time, supplementing the previous findings with cross-sectional studies of groups of individuals of different ages. This suggests that the loss of high-level thought ability does not necessarily inevitably have to decline as we age. It can be improved and sustained with meditation practice.

So, improve cognition and reduce age-related cognitive decline with meditation.

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

Zanesco, A.P., King, B.G., MacLean, K.A. et al. Cognitive Aging and Long-Term Maintenance of Attentional Improvements Following Meditation Training. J Cogn Enhanc (2018) 2: 259. https://doi.org/10.1007/s41465-018-0068-1

Abstract

Sustained attention is effortful, demanding, and subject to limitations associated with age-related cognitive decline. Researchers have sought to examine whether attentional capacities can be enhanced through directed mental training, with a number of studies now offering evidence that meditation practice may facilitate generalized improvements in this domain. However, the extent to which attentional gains are maintained following periods of dedicated meditation training and how such improvements are moderated by processes of aging have yet to be characterized. In a prior report (Sahdra et al., Emotion 11, 299–312, 2011), we examined attentional performance on a sustained response inhibition task before, during, and after 3-months of full-time meditation. We now extend this prior investigation across additional follow-up assessments occurring up to 7 years after the conclusion of training. Performance improvements observed during periods of intensive practice were partially maintained several years later. Importantly, aging-related decrements in measures of response inhibition accuracy and reaction time variability were moderated by levels of continued meditation practice across the follow-up period. The present study is the first to offer evidence that intensive and continued meditation practice is associated with enduring improvements in sustained attention and response inhibition, with the potential to alter longitudinal trajectories of cognitive change across the lifespan.

https://link.springer.com/article/10.1007/s41465-018-0068-1

Improve Attention with Even Very Brief Meditation

October 20, 2018 psyjdc Leave a comment

Improve Attention with Even Very Brief Meditation

By John M. de Castro, Ph.D.

“We practice meditation in the end not to become great meditators but to have a different life. As we deepen the skills of concentration, mindfulness, and compassion, we find we have less stress, more fulfillment, more insight, and vastly more happiness. We transform our lives.” – Sharon Salzberg

One of the primary effects of mindfulness training is an improvement in the ability to pay attention to the task at hand and ignore interfering stimuli. This is an important consequence of mindfulness training and produces improvements in thinking, reasoning, and creativity. The importance of heightened attentional ability to the individual’s ability to navigate the demands of complex modern life cannot be overstated. It helps at work, in relationships, or simply driving a car.

There is evidence that mindfulness training improves attention by altering the brain. It appears That mindfulness training increases the size, connectivity, and activity of areas of the brain that are involved in paying attention. A common method to study the activity of the nervous system is to measure the electrical signal at the scalp above brain regions. Changes in this activity are measurable with mindfulness training. One method to observe attentional processing in the brain is to measure the changes in the electrical activity that occur in response to specific stimuli. These are called event-related potentials or ERPs. The signal following a stimulus changes over time. The fluctuations of the signal after specific periods of time are thought to measure different aspects of the nervous system’s processing of the stimulus.

The P3b response in the evoked potential (ERP) is a positive going electrical response occurring between a 2.5 to 5 tenths of a second following the target stimulus presentation. The P3b (distractor positivity) component is thought to reflect an attentional suppression process involved in preventing shifts in attention. The N2 response is a negative electrical change that occurs around 2 tenths of a second following the target stimulus presentation. The N2 response has been implicated in conflict detection and executive attention. These components of the evoked potential can be used to assess the nature of attentional processing before and after meditation, reflecting how meditation might improve attention.

In today’s Research News article “Brief Mindfulness Meditation Improves Attention in Novices: Evidence From ERPs and Moderation by Neuroticism.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6088366/ ), Norris and colleagues recruited undergraduate students for two experiments to examine the ability of a very brief meditation experience to affect attentional abilities.

In the first study they had the students listen to a 10-minute recording either of mindfulness meditation instructions or a reading of a National Geographic article about giant sequoias. The participants then performed a flanker task, a measure of executive cognitive function. In this task the participant has to respond to the direction of an arrow, when it is surrounded by distracting arrows that point either in the same (congruent) or opposite (incongruent) directions. Afterwards they completed the Big 5 Personality Inventory. They found that the participants who listened to the meditation recording were significantly more accurate on the flanker task on incongruent trials. This suggests that a brief meditation improves cognitive attentional ability to screen out irrelevant material.

In the second study students listened to recordings like in study 1 and performed an attention network task. It includes the flanker task but also includes measures of different types of attention, including alerting, orienting, and executive control. While performing the task the electroencephalogram (EEG) was recorded and the event related potential recorded in response to the presentation of the task. They found that the participants who listened to the meditation recording were significantly faster in responding on the attentional network task. They found that the low neuroticism participants who listened to the meditation recording had significantly larger N2 ERP responses and significantly smaller P3b ERP responses during incongruent (conflict) task than controls. These changes in the ERP suggests that after meditation, the brain functions better in allocating attentional resources to the task at hand.

These results are interesting and suggest that even a single brief meditation experience can alter both behavioral and EEG measures of attention. They suggest that even a 10-minute meditation enhances attentional mechanisms. This extends the literature on the effectiveness of mindfulness training on attention, demonstrating that even 10 minutes of meditation exposure can improve the individual’s ability to attend to and process information in the present environment.

So, improve attention with even very brief meditation.

“intensive and continued meditation practice is associated with enduring improvements in sustained attention and response inhibition, with the potential to alter longitudinal trajectories of cognitive change across a person’s life,” – Anthony Zanesco

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

Norris, C. J., Creem, D., Hendler, R., & Kober, H. (2018). Brief Mindfulness Meditation Improves Attention in Novices: Evidence From ERPs and Moderation by Neuroticism. Frontiers in Human Neuroscience, 12, 315. http://doi.org/10.3389/fnhum.2018.00315

Abstract

Past research has found that mindfulness meditation training improves executive attention. Event-related potentials (ERPs) have indicated that this effect could be driven by more efficient allocation of resources on demanding attentional tasks, such as the Flanker Task and the Attention Network Test (ANT). However, it is not clear whether these changes depend on long-term practice. In two studies, we sought to investigate the effects of a brief, 10-min meditation session on attention in novice meditators, compared to a control activity. We also tested moderation by individual differences in neuroticism and the possible underlying neural mechanisms driving these effects, using ERPs. In Study 1, participants randomly assigned to listen to a 10-min meditation tape had better accuracy on incongruent trials on a Flanker task, with no detriment in reaction times (RTs), indicating better allocation of resources. In Study 2, those assigned to listen to a meditation tape performed an ANT more quickly than control participants, with no detriment in performance. Neuroticism moderated both of these effects, and ERPs showed that those individuals lower in neuroticism who meditated for 10 min exhibited a larger N2 to incongruent trials compared to those who listened to a control tape; whereas those individuals higher in neuroticism did not. Together, our results support the hypothesis that even brief meditation improves allocation of attentional resources in some novices.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6088366/

Improve Thinking in Substance Abusers with Yoga

August 11, 2018 psyjdc Leave a comment

Improve Thinking in Substance Abusers with Yoga

By John M. de Castro, Ph.D.

“When people take substances, they’re seeking a certain experience, whether it’s escapist or transcendental or just wanting a different psychological state, to get away from whatever is making them unhappy. Yoga is an alternative, a positive way to generate a change in consciousness that, instead of providing an escape, empowers people with the ability to access a peaceful, restorative inner state that integrates mind, body, and spirit.” – Sat Bir Khalsa

Substance abuse is a major health and social problem. There are estimated 22.2 million people in the U.S. with substance dependence. It is estimated that worldwide there are nearly ¼ million deaths yearly as a result of illicit drug use which includes unintentional overdoses, suicides, HIV and AIDS, and trauma. In the U.S. about 17 million people abuse alcohol. Drunk driving fatalities accounted for over 10,000 deaths annually. “Tobacco use remains the single largest preventable cause of death and disease in the United States. Cigarette smoking kills more than 480,000 Americans each year, with more than 41,000 of these deaths from exposure to secondhand smoke. In addition, smoking-related illness in the United States costs more than $300 billion a year. In 2013, an estimated 17.8% (42.1 million) U.S. adults were current cigarette smokers.” (Centers for Disease Control and Prevention).

Obviously, there is a need to find effective methods to prevent and treat substance abuse. There are a number of programs that are successful at stopping the drug abuse, including the classic 12-step program emblematic of Alcoholics Anonymous. Unfortunately, the majority of drug and/or alcohol abusers relapse and return to substance abuse. Hence, it is important to find an effective method to both treat substance abuse disorders and to prevent relapses. Mindfulness practices have been shown to improve recovery from various addictions. Yoga is a mindfulness practice that has documented benefits for the individual’s psychological and physical health and well-being. There has been a paucity of studies, however, on the use of yoga practice to treat substance abuse.

Substance abuse frequently produces cognitive deficits which interfere with the clear thinking needed for abstinence and recovery from substance abuse. So, it is important that methods be found to improve cognitive function in substance abusers undergoing treatment. In today’s Research News article “Effect of Add-On Yoga on Cognitive Functions among Substance Abusers in a Residential Therapeutic Center: Randomized Comparative Study.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5981665/ ), Gaihre and colleagues examine the ability of yoga practice in comparison to a physical exercise program to enhance the cognitive performance in substance abusers undergoing treatment.

They recruited adult substance abusers entering a treatment program and having successfully undergone 3 weeks of withdrawal and abstinence. They were randomly assigned to receive 12-week programs of either yoga practice or physical exercise. Both programs met 6 times per week for 90 minutes. The yoga program included postures, breathing exercises, stretching, relaxation, and meditation. The physical exercise program included stretching and walking and running aerobic exercise. The participants were measured before and after the 12-week intervention for cognitive performance including the Stroop interference task, digit span short-term memory task, and a sustained and selective task.

They found that after 12-weeks of practice both yoga practice and physical exercise groups had large and significant improvements in all of the cognitive tasks. Hence, both types of exercise were associated with clearer thought processes in the substance abusers. It is unfortunate that there a no-treatment control wasn’t included as the improvements might have occurred anyway over the 12-weeks of residential substance abuse treatment. It will remain for future research to examine this possibility.

Substance abuse treatment is difficult and relapse is very common. So, finding methods that can enhance the abuser’s ability to process information and think clearly about their addiction and its treatment would be very helpful. The findings suggest that exercise programs including yoga practice may be able to help clear the cognitive fog and enhance the abuser’s ability to successfully complete treatment and resist relapse.

So, improve thinking in substance abusers with Yoga.

“Since most meditation practices involve management of the mind’s energy and impulses, practitioners of yoga and meditation experience greater mood stability in the face of outside pressures. Having a calm mind and being mentally stable can contribute to the avoidance of self-harming behaviors and activities, like substance abuse.” – Addiction Resources

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

Gaihre, A., & Rajesh, S. K. (2018). Effect of Add-On Yoga on Cognitive Functions among Substance Abusers in a Residential Therapeutic Center: Randomized Comparative Study. Annals of Neurosciences, 25(1), 38–45. http://doi.org/10.1159/000484165

Abstract

Background

Chronic vulnerability characterizes substance abuse disorder with consequent relapse. The process of abstinence depends on cognitive recovery. Hence, behavioral intervention should account for cognitive dimension of substance abusers. Recent studies highlight yoga-based intervention as a promising add-on therapy for treating and preventing addictive behaviors.

Purpose

The study aimed to evaluate the efficacy of a yoga-based intervention as an add-on in enhancing cognitive functions, compared with physical exercise to newly admitted substance abusers seeking an inpatient treatment program.

Methods

The study was a single-blind, randomized, comparative design that included 96 male participants, between 18 and 40 years in a residential rehabilitation treatment unit. Partakers in the yoga or physical exercise group received supervised daily training for 12 weeks, in addition to standard rehabilitation treatment. Raters blind to the study assessed the patients on digit span task, cancellation test, and Stroop tests at the baseline and following 12 weeks of intervention.

Results

A significant enhancement in digit forward (yoga – p < 0.0005, d = 0.81; exercise – p < 0.0005, d = 0.73), digit backward (yoga – p < 0.0005, d = 0.88; exercise – p < 0.0005, d = 0.58), and letter cancellation test scores (yoga – p < 0.0005, d = 1.31; exercise – p < 0.0005, d = 1.4) were observed in both the yoga and the exercise groups. Stroop word and color task scores were seen significantly higher following yoga (p <0.005, d = 0.74; p < 0.005, d = 1.13) and exercise (p < 0.0005, d = 0.62; p < 0.0005, d = 0.61). Furthermore, Stroop color-word test showed significant enhancement after yoga (p < 0.0005, d = 1.10) and exercise (p < 0.0005, d = 0.42), with degree of variation higher in the yoga group.

Conclusion

Our results suggest that the add-on yoga or exercise-based intervention show enhancement of cognitive functions. These findings provide the utility of yoga and exercise-based intervention in improving cognitive functions among substance abusers. Furthermore, rigorous trials are needed to explore the potential long-term effects of these procedures.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5981665/

Improve Proactive Cognition with Mindfulness

July 26, 2018 psyjdc Leave a comment

Improve Proactive Cognition with Mindfulness

By John M. de Castro, Ph.D.

“Mindfulness meditation has been found to elicit a positive impact on cognitive performance and abilities such as attention, memory, cognitive flexibility, and quality of task performance.” – Lauren Martin

Mindfulness is the ability to focus on what is transpiring in the present moment. It involves a greater emphasis on attention to the immediate stimulus environment. Mindful people generally have better attentional abilities and have fewer intrusive thoughts and less mind wandering. As a result, mindfulness has been shown to be associated with improved cognition (thinking). Cognition can involve planning for the future (proactive cognition) or it can also involve processing what has, or is, occurring (reactive cognition). It is not known whether mindfulness training affects either or both forms of cognition.

In today’s Research News article “The Effect of Mindfulness Training on Proactive and Reactive Cognitive Control.” (See summary below or view the full text of the study at: https://www.frontiersin.org/articles/10.3389/fpsyg.2018.01002/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_686352_69_Psycho_20180626_arts_A ), Li and colleagues recruited meditation naïve adults and randomly assigned them to either receive 8 weeks of mindfulness training or a no-treatment control condition. Mindfulness training occurred with a once per week, 2.5-hour group training session and 30 minutes of daily home practice. It included meditation, body scan, and yoga practices. They were measured before and after training for mindfulness and its 5 facets, Observing, Describing, Acting with awareness, Non-judging, and Non-reacting.

The participants also performed a Continuous Performance Test before and after training. Participants pressed a left button or a right button depending on whether a target or non-target letter followed an “A” on the screen and only one button regardless of letter type if it followed a “B” on the screen. Proactive cognition can be assessed by the tendency to react to the first letter (the “A” or “B”) regardless of what follows. Retroactive cognition can be assessed by the tendency to react to the target letter regardless of what preceded it (the “A” or “B”).

Not surprisingly, the mindfulness trained group had significant increases in all facets of mindfulness where the control group did not. More significantly, they found that the mindfulness trained group had higher scores for proactive control relative to retroactive control than the no-treatment group. This suggests that mindfulness training enhances proactive control and not retroactive cognitive control.

These results suggest that increasing mindfulness results in an enhancement in responding to the present moment (proactive) and less to the past (retroactive). Since, mindfulness training is designed to do just that, the results suggest that the training makes the individual more sensitive to immediate stimuli, just as its’ supposed to.

So, improve proactive cognition with mindfulness.

“The meditation group did especially better on all the cognitive tests that were timed. In tasks where participants had to process information under time constraints causing stress, the group briefly trained in mindfulness performed significantly better.” – Fadel Zeidan

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

Li Y, Liu F, Zhang Q, Liu X and Wei P (2018) The Effect of Mindfulness Training on Proactive and Reactive Cognitive Control. Front. Psychol. 9:1002. doi: 10.3389/fpsyg.2018.01002

Abstract

Previous studies have demonstrated that mindfulness practice can improve general cognitive control. However, little research has examined whether mindfulness practices affect different cognitive control strategies. According to the dual mechanisms of control (DMC) model, different cognitive control strategies may play distinct roles in individuals’ lives. Proactive control allows people to maintain and prepare for goals, whereas reactive control allows them to respond flexibly to a changing environment. Thus, this study investigates the influences of mindfulness training on proactive and reactive control measured by the AX version of the Continuous Performance Test (AX-CPT). Thirty participants completed AX-CPT and the Five Facet Mindfulness Questionnaire (FFMQ) before and after random assignment to either an 8-week mindfulness training group or a control group. The results showed no interaction between group and test time for AY or BX trial type, but the training group had fewer post-test errors on the BX trial and a higher Behavior Shift Index (BSI) of reaction time (RT) compared with the control group. This finding indicates enhanced trend of proactive control with mindfulness training. A positive correlation between the BSI of RT and observing scores on the FFMQ confirmed the connection between attentional components in mindfulness and proactive control. Errors on the AY trial in the post-test decreased in both groups, reflecting reactive control that did not differ between groups. The 8-week mindfulness training demonstrates a potential improvement effect on proactive control and could be helpful in overcoming interference.

https://www.frontiersin.org/articles/10.3389/fpsyg.2018.01002/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_686352_69_Psycho_20180626_arts_A

High Mindfulness and Low Anxiety is Associated with High Level Cognitive Ability

June 19, 2018 psyjdc Leave a comment

High Mindfulness and Low Anxiety is Associated with High Level Cognitive Ability

By John M. de Castro, Ph.D.

There is a tremendous amount of information present at any moment. It is a challenge to the nervous system to sort it out and pay attention to only the most significant information. This involves ignoring competing or conflicting stimuli and concentrating on only the most salient and pertinent stimuli. Mindfulness training can help. It involves a greater emphasis on attention to the immediate stimulus environment. So, it builds the capacity to focus on what is transpiring in the present moment. Mindful people generally have better attentional abilities and have fewer intrusive thoughts and less mind wandering. As a result, mindfulness has been shown to be associated with differences in thought processes, increases creativity, and improves cognitive processes.

In general, anxiety tends to interfere with high level thinking; interfering with cognitive ability. So, it would seem that people high in mindfulness and also low in anxiety would perform better on cognitive tasks compared to people low in mindfulness and high in anxiety. In today’s Research News article “Better Cognitive Performance Is Associated With the Combination of High Trait Mindfulness and Low Trait Anxiety.” (See summary below or view the full text of the study at: https://www.frontiersin.org/articles/10.3389/fpsyg.2018.00627/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_640301_69_Psycho_20180515_arts_A ), Jaiswal and colleagues examine this prediction.

They recruited adults aged 18 to 30 years through Facebook and measured them for mindfulness and anxiety. They identified participants who were 0.85 standard deviations above the mean in mindfulness and 0.85 standard deviations below the mean in anxiety (High Mindfulness – Low Anxiety) and participants who were 0.85 standard deviations below the mean in mindfulness and 0.85 standard deviations above the mean in anxiety (Low Mindfulness – High Anxiety). These participants were asked to perform a flanker distraction task to measure attentional ability, a Stroop color test to measure interference with attention, and a visual working memory task.

They found that the High Mindfulness – Low Anxiety group performed significantly better than the Low Mindfulness – High Anxiety group on the Stroop attention interference task and the visual working memory task, and overall working memory capacity. The results confirmed the initial hypothesis that individuals with a combination of high mindfulness and low anxiety have superior attentional and cognitive abilities. Hence, it appears that mindfulness improves cognition while anxiety interferes with it.

The study was a cross sectional design and neither mindfulness nor anxiety were manipulated. Thus, causation cannot be determined. The results, though, support the initiation of a study where groups are trained in mindfulness and exposed to anxiety evoking situations to determine the causal connections of the combinations of mindfulness and anxiety on the ability for high level attentional ability and thought processes.

Nevertheless, it appears that high mindfulness and low anxiety is associated with high level attentional and cognitive ability.

“new research now suggests that the mind may be easier to cognitively train than we previously believed. Psychologists studying the effects of a meditation technique known as “mindfulness ” found that meditation-trained participants showed a significant improvement in their critical cognitive skills (and performed significantly higher in cognitive tests than a control group) after only four days of training for only 20 minutes each day.” – Science daily

CMCS – Center for Mindfulness and Contemplative Studies

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

Study Summary

Jaiswal S, Tsai S-Y, Juan C-H, Liang W-K and Muggleton NG (2018) Better Cognitive Performance Is Associated With the Combination of High Trait Mindfulness and Low Trait Anxiety. Front. Psychol. 9:627. doi: 10.3389/fpsyg.2018.00627

There are several ways in which cognitive and neurophysiological parameters have been consistently used to explain the variability in cognitive ability between people. However, little has been done to explore how such cognitive abilities are influenced by differences in personality traits. Dispositional mindfulness and anxiety are two inversely linked traits that have been independently attributed to a range of cognitive functions. The current study investigated these two traits in combination along with measures of the attentional network, cognitive inhibition, and visual working memory (VWM) capacity. A total of 392 prospective participants were screened to select two experimental groups each of 30 healthy young adults, with one having high mindfulness and low anxiety (HMLA) and the second having low mindfulness and high anxiety (LMHA). The groups performed an attentional network task, a color Stroop task, and a change detection test of VWM capacity. Results showed that the HMLA group was more accurate than the LMHA group on the Stroop and change detection tasks. Additionally, the HMLA group was more sensitive in detecting changes and had a higher WMC than the LMHA group. This research adds to the literature that has investigated mindfulness and anxiety independently with a comprehensive investigation of the effects of these two traits in conjunction on executive function.

https://www.frontiersin.org/articles/10.3389/fpsyg.2018.00627/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_640301_69_Psycho_20180515_arts_A

Mindfulness Plus Reflection Training Improves Thinking in Pre-School Children

April 9, 2018 psyjdc Leave a comment

Mindfulness Plus Reflection Training Improves Thinking in Pre-School Children

By John M. de Castro, Ph.D.

“When we teach mindfulness to children, we are sharing with them skillful ways of relating to life’s uncomfortable and challenging moments. The earlier we do so in their young lives, the greater the opportunity to help them cultivate resilience and develop and refine their mindfulness practice as they mature.” – Scott Rogers

Childhood is a miraculous period during which the child is dynamically absorbing information from every aspect of its environment. This occurs almost without any intervention from the adults as the child appears to be programmed to learn. It is here that behaviors, knowledge, skills, and attitudes are developed that shape the individual. But, what is absorbed depends on the environment. If it is replete with speech, the child will learn speech, if it is replete with trauma, the child will learn fear, if it is replete with academic skills the child will learn these, and if it is replete with interactions with others, the child will learn social skills.

Pre-School and elementary school are environments that have a huge effect on development. They are also excellent times to teach children the skills to adaptively negotiate its environment. Mindfulness training in school, at all levels has been shown to have very positive effects. These include academic, cognitive, psychological, and social domains. Importantly, mindfulness training in school appears to improve the student’s self-concept. It also improves attentional ability and reduces stress, which are keys to successful learning in school. Since, what occurs in these early years and in school can have such a profound, long-term effect on the child it is important to further study the impact of mindfulness training on the development of thinking skills in pre-school children.

In today’s Research News article “Mindfulness Plus Reflection Training: Effects on Executive Function in Early Childhood.” (See summary below or view the full text of the study at: https://www.frontiersin.org/articles/10.3389/fpsyg.2018.00208/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_556427_69_Psycho_20180301_arts_A ), Zelazo and colleagues recruited preschool children (4-5 years old) from two schools with predominantly children from low-income families and randomly assigned them to either Mindfulness + Reflection, Literacy, or Business as Usual conditions. Mindfulness + Reflection and Literacy training occurred daily for 6 weeks for 24 minutes per day. Mindfulness + Reflection training was adapted for young children and involved mindfulness and relaxation exercises, attention to thoughts and emotions, and cognitive enrichment programs; particularly attention training. The literacy program was adapted from the OWL (Opening the World of Learning) program.

The children were measured before the 6-week training period for vocabulary, math skills, IQ, and reading readiness. The children were measured before and after the 6-week training period and 4-6 weeks later for executive function, theory of mind, and literacy with measures adapted for young children. Teachers also rated the children for behaviors indicating surgency, negative affect, and effortful control and for attachment/relationships, behavioral concerns, initiative, and self-control.

They found that after training most of the children in all groups showed significant improvements on many of the measures. But, the children participating in the Mindfulness + Reflection program had significantly greater increases in overall executive function scores including working memory measures. The literacy training group had significantly greater improvements in effortful control reflecting improvements in inhibitory control, attentional control, low intensity pleasure, and perceptual sensitivity. Hence, they found evidence that mindfulness training can improve thinking while literacy training can improve behavioral control in very young disadvantaged children.

Early childhood is a time of rapid brain development and cognitive abilities. Since, it’s been shown that mindfulness training can produces changes in the brains of adolescents and adults, it is likely that the training in early childhood also changes brain development, This is a very important period of development and improvements here may well affect the children for the rest of their lives. This may be particularly important for disadvantaged children potentially altering the trajectory of their lives,

This study is laudable as working with and measuring very young children is challenging and requires insight and creativity. But, research conducted during this dynamic phase of development is particularly important. Of course, much more work is needed. But these results are promising and lend support to conducting further work.

“There is an emerging body of research that indicates mindfulness can help children improve their abilities to pay attention, to calm down when they are upset and to make better decisions. In short, it helps with emotional regulation and cognitive focus.” – Sarah Rudell Beach

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

Zelazo PD, Forston JL, Masten AS and Carlson SM (2018) Mindfulness Plus Reflection Training: Effects on Executive Function in Early Childhood. Front. Psychol. 9:208. doi: 10.3389/fpsyg.2018.00208

Executive function (EF) skills are essential for academic achievement, and poverty-related stress interferes with their development. This pre-test, post-test, follow-up randomized-control trial assessed the impact of an intervention targeting reflection and stress reduction on children’s EF skills. Preschool children (N = 218) from schools serving low-income families in two U.S. cities were randomly assigned to one of three options delivered in 30 small-group sessions over 6 weeks: Mindfulness + Reflection training; Literacy training; or Business as Usual (BAU). Sessions were conducted by local teachers trained in a literacy curriculum or Mindfulness + Reflection intervention, which involved calming activities and games that provided opportunities to practice reflection in the context of goal-directed problem solving. EF improved in all groups, but planned contrasts indicated that the Mindfulness + Reflection group significantly outperformed the BAU group at Follow-up (4 weeks post-test). No differences in EF were observed between the BAU and Literacy training groups. Results suggest that a brief, small-group, school-based intervention teaching mindfulness and reflection did not improve EF skills more than literacy training but is promising compared to BAU for improving EF in low-income preschool children several weeks following the intervention.

https://www.frontiersin.org/articles/10.3389/fpsyg.2018.00208/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_556427_69_Psycho_20180301_arts_A

Improve Arthritis with Qigong

March 16, 2018 psyjdc 1 Comment

Improve Arthritis with Qigong

By John M. de Castro, Ph.D.

“Qigong techniques are simple and do not need to be carried out precisely to bring about its great benefits. Qigong practice is known for preventing disease, strengthening immunity and producing better health and well-being. However it is under-appreciated, even in China, that Qigong therapy can be effective for relieving pain and treating arthritis.” – Kellen Chia

Arthritis is a chronic disease that most commonly affects the joints. There are over 100 different types of arthritis. Depending on the type of arthritis symptoms may include pain, stiffness, swelling, redness, and decreased range of motion. It affects an estimated 52.5 million adults in the United States. It is associated with aging as arthritis occurs in only 7% of adults ages 18–44, while 30% adults ages 45–64 are affected, and 50% of adults ages 65 or older. The pain, stiffness, and lack of mobility associate with arthritis produce fatigue and markedly reduce the quality of life of the sufferers. Arthritis can have very negative psychological effects diminishing the individual’s self-image and may lead to depression, isolation, and withdrawal from friends and social activities Arthritis reduces the individual’s ability to function at work and may require modifications of work activities which can lead to financial difficulties. It even affects the individual’s physical appearance. In addition, due to complications associated with rheumatoid arthritis, particularly cardiovascular disease, the lifespan for people with rheumatoid arthritis may be shortened by 10 years.

It is obvious that there is a need for a safe and effective treatment to help rheumatoid arthritis sufferers cope with the disease and its consequences. Increasing exercise has been shown to increase flexibility and mobility but many form of exercise are difficult for the arthritis sufferer to engage in and many drop out. But all that may be needed is gentle movements of the joints. Qigong or Tai Chi training are designed to enhance and regulate the functional activities of the body through regulated breathing, mindful concentration, and gentle movements. They have been shown to have many physical and psychological benefits, especially for the elderly. Because They are not strenuous, involving slow gentle movements, and are safe, having no appreciable side effects, they are appropriate for an elderly population. So, it would seem that Qigong or Tai Chi practice would be well suited to treat arthritis in seniors.

In today’s Research News article “Qigong Exercise and Arthritis.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5750595/ ), Marks reviewed and summarized the published research on the effectiveness of Qigong practice for the treatment of arthritis. He found that Qigong practice produced significant improvements in the musculoskeletal system including increased strength, joint flexibility, posture, balance motor function, and motor coordination, and improvements in quality of life and cognitive function. In addition, the research reported decreased pain, fatigue, and blood pressure and improved immune function, metabolic function, circulation, aerobic capacity, and reduced falls, improved psychological health, mood, and sleep.

These are impressive results. Scientific research suggests that Qigong practice produces widespread improvements in mental and physical health in arthritis sufferers. In addition, it is inexpensive, convenient, appropriate for individuals of all ages and health condition and is safe to practice, making it an almost ideal treatment for the symptoms of arthritis.

So, improve arthritis with Qigong.

“Qigong focuses on relaxing the body, which over time, allows the joints and muscles to loosen up, improving the circulation of fluids and blood. The practice focuses on rebuilding overall health and strengthening the spirit, while encouraging one to change the way one looks at life in general, and at the illness affecting you.” – 1MD

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

Ray Marks. Qigong Exercise and Arthritis. Medicines (Basel) 2017 Dec; 4(4): 71. Published online 2017 Sep 27. doi: 10.3390/medicines4040071

Abstract

Background: Arthritis is a chronic condition resulting in considerable disability, particularly in later life. Aims: The first aim of this review was to summarize and synthesize the research base concerning the use of Qigong exercises as a possible adjunctive strategy for promoting well-being among adults with arthritis. A second was to provide related intervention directives for health professionals working or who are likely to work with this population in the future. Methods: Material specifically focusing on examining the nature of Qigong for minimizing arthritis disability, pain and dependence and for improving life quality was sought. Results: Collectively, despite almost no attention to this topic, available data reveal that while more research is indicated, Qigong exercises—practiced widely in China for many centuries as an exercise form, mind-body and relaxation technique—may be very useful as an intervention strategy for adults with different forms of painful disabling arthritis. Conclusion: Health professionals working with people who have chronic arthritis can safely recommend these exercises to most adults with this condition with the expectation they will heighten the life quality of the individual, while reducing pain and depression in adults with this condition.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5750595/