Depression

Improve Mood in Patients with HIV with Mindfulness

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Improve Mood in Patients with HIV with Mindfulness

 

By John M. de Castro, Ph.D.

 

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

 

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

 

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

 

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

 

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

 

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

 

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

 

So, improve mood in patients with HIV with mindfulness.

 

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

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

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

 

Abstract

Objective:

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

Methods:

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

Results:

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

Conclusions:

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

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

 

Mindfulness is Associated with Reduced Psychological Distress in Kindergarten Teachers

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Mindfulness is Associated with Reduced Psychological Distress in Kindergarten Teachers

 

By John M. de Castro, Ph.D.

 

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

 

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

 

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

 

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

 

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

 

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

 

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

 

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

 

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

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

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

 

Abstract

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

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

 

Mind Wandering is Associated with Poorer Mental Health and Greater Creative Thinking

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Mind Wandering is Associated with Poorer Mental Health and Greater Creative Thinking

 

By John M. de Castro, Ph.D.

 

“Mind-wandering in the sense of the mind moving freely from one idea to another has huge benefits in terms of arriving at new ideas. It’s by virtue of free movement that we generate new ideas, and that’s where creativity lies.” – Kalina Christoff

 

We spend a tremendous amount of waking time with our minds wandering and not on the present environment or the task at hand. We daydream, plan for the future, review the past, ruminate on our failures, exalt in our successes. In fact, we spend almost half of our waking hours off task with our mind wandering. Mindfulness is the antithesis of mind wandering. When we’re mindful, we’re paying attention to what is occurring in the present moment. In fact, the more mindful we are the less the mind wanders and mindfulness training reduces mind wandering.

 

You’d think that if we spend so much time with the mind wandering it must be enjoyable. But, in fact research has shown that when our minds are wandering, we are actually less happy than when we are paying attention to what is at hand. There are times when mind wandering may be useful, especially in regard to planning and creative thinking. But, for the most part, it interferes with our concentration on the present moment and what we’re doing and makes us unhappy. But mind wandering is also associated with creative thinking. So, it makes sense to look at the relationship of mind wandering with creative thought and mental illness.

 

In today’s Research News article “Mind wandering in creative problem-solving: Relationships with divergent thinking and mental health.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7180068/ ) Yamaoka and colleagues recruited college students and had them complete measures of creative (divergent) thinking, including fluency, flexibility, and originality subscales, depression, schizotypal personality, and mind wandering.

 

They found that the higher the levels of mind wandering, the higher the levels of divergent thinking, including fluency, flexibility, and originality subscales, and the higher the levels of depression and schizotypal personality. This was true with both bivariate and multiple linear correlations. People with schizotypal personality tend to be loners, have difficulty with relationships, and can display odd speech and behavior. These people also appear to have high levels of mind wandering. This along with the heightened depression suggests that mind wandering is associated with mental illness.

 

These results are correlational and as such causation cannot be determined. But these findings suggest that mind wandering is good news and bad news. The unusual thinking generated during mind wandering is associated with creativity. But at the same time, it is associated with poorer mental health. Mindfulness training reduces mind wandering and improves depression and mental illness suggesting that mindfulness training may be an antidote to the mental illness associated with mind wandering.

 

So, mind wandering is associated with poorer mental health and greater creative thinking.

 

“A human mind is a wandering mind, and a wandering mind is an unhappy mind. The ability to think about what is not happening is a cognitive achievement that comes at an emotional cost.” – Matthew A. Killingsworth

 

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

 

Yamaoka, A., & Yukawa, S. (2020). Mind wandering in creative problem-solving: Relationships with divergent thinking and mental health. PloS one, 15(4), e0231946. https://doi.org/10.1371/journal.pone.0231946

 

Abstract

Previous research has shown that mind wandering has both positive and negative effects. Mind wandering may improve creative problem solving; however, it could also lead to negative moods and poor mental health. It has also been shown that some forms of mental illness are positively related to creativity. However, the three factors of mind wandering, divergent thinking, and mental health have not been examined simultaneously, so it is possible that these relationships are manifested by spurious correlations. Therefore, we examined the relations among the three factors while controlling for each of their confounding effects. We asked 865 participants (458 men, 390 women, 17 unknown; Mage = 18.99 years, SD = 1.16) to complete a questionnaire measuring mind wandering traits, divergent thinking, and mental health measures including depressive symptoms and schizotypal personality. Multiple regression analysis showed that people who reported more depressive symptoms, schizotypal personality, and divergent thinking, were more likely to engage in mind-wandering. Our results indicated that frequency of mind wandering was linked to a risk of poorer mental health as well as to higher divergent thinking ability. In future research, we will examine the features of mind wandering related to divergent thinking and mental health by considering the contents of wandering thoughts and whether they are ruminative or not. We also need to examine whether the same results will be found when studying professionals in creative occupations, and when using different scoring methods in divergent thinking tests.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7180068/

 

Improve Perinatal Mental Health with Prenatal Mindfulness Training

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Improve Perinatal Mental Health with Prenatal Mindfulness Training

 

By John M. de Castro, Ph.D.

 

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

 

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

 

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

 

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

 

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

 

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

 

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

 

So, improve perinatal mental health with prenatal mindfulness training.

 

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

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

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

 

Abstract

Background

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

Methods

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

Results

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

Conclusions

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

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

 

Decrease Stress’ Ability to Produce Depression with Mindfulness

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Decrease Stress’ Ability to Produce Depression with Mindfulness

 

By John M. de Castro, Ph.D.

 

“mindfulness has become a popular way to help people manage their stress and improve their overall well-being — and a wealth of research shows it’s effective.” – American Psychological Association

 

In the modern world education is a key for success. Where a high school education was sufficient in previous generations, a college degree is now required to succeed in the new knowledge-based economies. There is a lot of pressure on university students to excel so that they can get the best jobs after graduation. As a result, parents and students are constantly looking for ways to improve student performance in school. The primary tactic has been to pressure the student and clear away routine tasks and chores so that the student can focus on their studies. But, this might in fact be counterproductive as the increased pressure can actually lead to stress, depression, and anxiety which can impede the student’s mental health, well-being, and school performance.

 

It is, for the most part, beyond the ability of the individual to change the environment to reduce stress, so it is important that methods be found to reduce the college students’ responses to stress; to make them more resilient when high levels of stress occur. Contemplative practices including meditation, mindfulness training, and yoga practice have been shown to reduce the psychological and physiological responses to stress. So, it would seem important to examine various techniques to relieve the stress and its consequent symptoms of depression in college students.

 

In today’s Research News article “Moderating Effect of Mindfulness on the Influence of Stress on Depression According to the Level of Stress among University Students in South Korea.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7560191/ ) Park and colleagues recruited non-freshman college students and had them complete measures of life stress, mindfulness, and depression. These data were then subjected to multiple regression analysis.

 

They found that stress and depression were significantly higher in female than male students, in low economic status students and in students with low subjective health. They report that the higher the levels of stress, the higher the levels of depression and the higher the levels of mindfulness, the lower the levels of both stress and depression. They also found that high levels of mindfulness interrupted the relationship between stress and depression in the students with low levels of stress but not in the students with high levels of stress.

 

These results are interesting but conclusions must be tempered with the understanding that the study was correlative and causation cannot be determined. It would seem to make sense that money and health issues would be associated with greater stress and depression levels. The fact that stress and depression were higher in female students has also been reported in multiple studies. So, life conditions and gender are important factors in generating stress and depression.

 

It has been well established in prior research that mindfulness training lowers stress and depression. So, the associations seen in the present study are likely due to causal relations. This suggests the mindfulness lowers depression directly and also by reducing the effects of low levels of stress on depression. These results suggest that mindfulness training may be effective, then, for improving the mental health of college students.

 

So, decrease stress’ ability to produce depression with mindfulness.

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Park, K. H., Kim, H., & Kim, J. (2020). Moderating Effect of Mindfulness on the Influence of Stress on Depression According to the Level of Stress among University Students in South Korea. International journal of environmental research and public health, 17(18), 6634. https://doi.org/10.3390/ijerph17186634

 

Abstract

Stress and depression are representative of the mental health problems of university students worldwide. This cross-sectional study explored the moderating effect of mindfulness on the influence of stress on depression according to the degree of life stress. The participants were 738 university students in years 2–4 in five 4-year universities in South Korea. Depression was positively correlated with stress and negatively with mindfulness at a statistically significant level. In multiple regression analysis, stress was found to have an effect by increasing depression, and mindfulness by relieving depression. In the moderated multiple regression analysis, mindfulness had a moderating effect on the impact of stress on depression only in low-stress groups, showing that the interaction of stress with mindfulness was significantly negative (β = −0.11, t = −2.52, p = 0.012) and the inclusion of this interaction significantly increased the explanatory power for depression variation (F change 6.36, p = 0.012) in the full model. In conclusion, we suggest considering stress levels in the development of mindfulness-based intervention strategies to effectively manage the depression of university students.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7560191/

 

Mindfulness Improves Mental Health in Spite of the Covid-19 Pandemic

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Mindfulness Improves Mental Health in Spite of the Covid-19 Pandemic

 

By John M. de Castro, Ph.D.

 

“Practicing mindfulness is an easy, free and natural way to boost your anxiety coping skills. Not only that, but it also helps our ability to manage emotions, and with some aspects of our physical health. If the coronavirus lockdowns has left you with some extra time, make this crisis into an opportunity for you to start (or strengthen) a healthy habit – mindfulness practice.” – Paul Green

 

Mindfulness training has been shown to improve health and well-being in healthy individuals. It has also been found to be effective for a large array of medical and psychiatric conditions, either stand-alone or in combination with more traditional therapies. The COVID-19 pandemic has challenged the mental and physical health of the population. It has created intense stress both for frontline workers but also for people simply isolating at home. Mindfulness is known to decrease the psychological and physical responses to stress. So, mindfulness training may be helpful in coping with the mental and physical challenges resulting from the COVID-19 pandemic.

 

In today’s Research News article “Positive Impact of Mindfulness Meditation on Mental Health of Female Teachers during the COVID-19 Outbreak in Italy.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7559290/ ) Matiz and colleagues recruited female school teachers in Italy and provided them with a mindfulness training program that was scheduled for 8 weekly 2-hour meetings with 30 minutes of daily home practice. But, the lockdown in Italy from Covid-19 occurred a few weeks into the program. So, the last few weeks of mindfulness training was provided online. They were measured before and after training for mindfulness, empathy, personality, interoceptive awareness, psychological well-being, anxiety, depression, teacher burnout, and evaluation of the mindfulness training course. They separated the teachers into high and low resilience groups based upon their personality resilience score.

 

They found that from baseline to follow-up both groups increased in mindfulness and the personality factors of cooperativeness and self-transcendence, but the high resilience group had significantly greater increases. Both groups increased in psychological well-being but the low resilience group had a significantly greater increase in the positive relations with others subscale. Both groups decreased in anxiety and depression but the low resilience group had significantly greater decreases. Both groups had significant improvements in empathy, interoceptive awareness, and teacher burnout.

 

This is an interesting natural experiment with the Covid-19 pandemic lockdown intervening in the middle of an otherwise simple study of mindfulness training effects on school teachers’ mental health. Obviously, there is no control condition. So, the before and after training results are confounded by the lockdown. As a result, no clear conclusions can be reached. But, the Covid-19 lockdown had to have been very upsetting to the teachers. So, a decrease in their mental well-being would be expected. In prior studies it has been well established that mindfulness training lowers anxiety depression, and burnout and increases well-being, interoceptive awareness and empathy. Indeed, in the present study after the mindfulness course the teachers’ mental well-being was improved. So, mindfulness training appears to improve the mental health of the teachers in spite of the inferred negative effect of the pandemic lockdown. In addition, these effects appear to be modulated by the teachers’ levels of resilience.

 

So, mindfulness improves mental health in spite of the Covid-19 pandemic.

 

“Fear leaves people feeling helpless and exhausted, seeing that “we’re in it together” helps ease the emotional burden we feel and encourages more agency—the sense that we can do something constructive to fight the pandemic.” – Jill Suttie

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Matiz, A., Fabbro, F., Paschetto, A., Cantone, D., Paolone, A. R., & Crescentini, C. (2020). Positive Impact of Mindfulness Meditation on Mental Health of Female Teachers during the COVID-19 Outbreak in Italy. International journal of environmental research and public health, 17(18), 6450. https://doi.org/10.3390/ijerph17186450

 

Abstract

The Covid-19 pandemic and subsequent public health measures were shown to impact negatively on people’s mental health. In particular, women were reported to be at higher risk than men of developing symptoms of stress/anxiety/depression, and resilience was considered a key factor for positive mental health outcomes. In the present study, a sample of Italian female teachers (n = 66, age: 51.5 ± 7.9 years) was assessed with self-report instruments one month before and one month after the start of the Covid-19 lockdown: mindfulness skills, empathy, personality profiles, interoceptive awareness, psychological well-being, emotional distress and burnout levels were measured. Meanwhile, they received an 8-week Mindfulness-Oriented Meditation (MOM) course, through two group meetings and six individual video-lessons. Based on baseline personality profiles, analyses of variance were performed in a low-resilience (LR, n = 32) and a high-resilience (HR, n = 26) group. The LR and HR groups differed at baseline in most of the self-report measures. Pre–post MOM significant improvements were found in both groups in anxiety, depression, affective empathy, emotional exhaustion, psychological well-being, interoceptive awareness, character traits and mindfulness levels. Improvements in depression and psychological well-being were higher in the LR vs. HR group. We conclude that mindfulness-based training can effectively mitigate the psychological negative consequences of the Covid-19 outbreak, helping in particular to restore well-being in the most vulnerable individuals.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7559290/

 

Reduce Anxiety in Women Undergoing Fertility Treatment with Yoga

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Reduce Anxiety in Women Undergoing Fertility Treatment with Yoga

 

By John M. de Castro, Ph.D.

 

“yoga is a relaxing activity. And there are some researched benefits regarding yoga, infertility, and the exercise’s ability to help couples release mental stress and physical tension.” – Ashley Marcin

 

Infertility is primarily a medical condition due to physiological problems. It is quite common. It is estimated that in the U.S. 6.7 million women, about 10% of the population of women 15-44, have an impaired ability to get pregnant or carry a baby to term and about 6% are infertile. Infertility can be more than just a medical issue. It can be an emotional crisis for many couples, especially for the women. Couples attending a fertility clinic reported that infertility was the most upsetting experience of their lives.

 

Women with infertility reported feeling as anxious or depressed as those diagnosed with cancer, hypertension, or recovering from a heart attack. In addition, infertility can markedly impact the couple’s relationship, straining their emotional connection and interactions and the prescribed treatments can take the spontaneity and joy from lovemaking making it strained and mechanical. The stress of infertility and engaging in infertility treatments may exacerbate the problem. Since mindfulness training has been shown to reduce depression, anxiety, and stress it is reasonable to believe that mind-body training may be helpful in reducing the distress in women with fertility issues. Yoga is both a mindfulness practice and an exercise that has been studied for its benefits for women undergoing fertility treatments.

 

In today’s Research News article “Effect of Yoga on Psychological Distress among Women Receiving Treatment for Infertility.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7336944/ ) Dumbala and colleagues review and summarize the published research studies on the effectiveness of yoga practice for the relief of the psychological symptoms produced by infertility.

 

They identified 3 published research studies all of which found that yoga practice reduced anxiety levels in women being treated for infertility. They also report that the research found that yoga improved the quality of life and reduced depression levels in these women. It has previously been shown that yoga practice reduces anxiety and depression and improves quality of life in a wide variety of healthy and ill individuals. The present review demonstrates that these benefits also extend to women being treated for infertility. The review and the included studies did not study whether yoga increased the likelihood of conception. But improving the psychological state of these women could only be helpful.

 

So, reduce anxiety in women undergoing fertility treatment with yoga.

 

“Yoga also offers a safe space for us to work through challenge and build resilience. It allows us to sit with discomfort by challenging us to hold a pose longer than we’d like, knowing it’s temporary. This is a valuable skill, not only for the fertility process, but it also helps prepare us for birth and parenthood (which combine discomfort, joy, and everything in between!)” – Kate Potvin

 

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

 

Dumbala, S., Bhargav, H., Satyanarayana, V., Arasappa, R., Varambally, S., Desai, G., & Bangalore, G. N. (2020). Effect of Yoga on Psychological Distress among Women Receiving Treatment for Infertility. International journal of yoga, 13(2), 115–119. https://doi.org/10.4103/ijoy.IJOY_34_19

 

Abstract

Background:

Infertility among women has been associated with significant psychological distress, anxiety, and depression. yoga therapy has been found to be useful in the management of anxiety, depression and psychological distress.

Aim:

To review studies on the effectiveness of yoga in reducing psychological distress and improving clinical outcomes among women receiving treatment for infertility.

Methodology:

PubMed, ScienceDirect, and Google Scholar databases were searched for studies using the following inclusion criteria: studies published in English, those published between 2000 and 2018, published in peer-reviewed journals, and those with Yoga as an intervention. Review articles, studies without any yoga interventions for infertility, and male infertility were excluded. The keywords included for the literature search were: Yoga, Mindfulness, Relaxation technique, Stress, Distress, Anxiety, Infertility, In Vitro Fertilization (IVF), and Assisted Reproductive Technology (ART).

Results:

Three studies satisfied the selection criteria. Two studies involved Hatha yoga intervention and one study used structured yoga program. The variables assessed in these studies were: (1) anxiety, (2) depression, (3) emotional distress, and (4) fertility-related quality of life. All the studies reported an improvement in the anxiety scores after yoga intervention.

Conclusion:

Yoga therapy may be potentially useful in improving anxiety scores among women suffering from infertility. More studies are needed in this area to establish role of yoga as an adjuvant during the treatment of infertility.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7336944/

 

Improve Mindfulness’ Benefits for Cancer Survivors with Smart-Messaging

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Improve Mindfulness’ Benefits for Cancer Survivors with Smart-Messaging

 

By John M. de Castro, Ph.D.

 

“Cancer is a traumatic event that changes a person’s life. Utilizing mindfulness tools can provide peace and hope. Practicing mindfulness on a daily basis can assist with long term effects of happiness and positivity.” – Erin Murphy-Wilczek

 

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

 

Mindfulness training has been shown to help with cancer recovery and help to alleviate many of the residual physical and psychological symptoms, including stress,  sleep disturbance, and anxiety and depression. Mindfulness-Based Cognitive Therapy (MBCT) consists of mindfulness training and Cognitive Behavioral Therapy (CBT). During therapy the patient is trained to investigate and alter aberrant thought patterns underlying their reactions to cancer. MBCT has been found to help relieve the symptoms of cancer survivors. It makes sense to explore ways to improve the effectiveness of MBCT for cancer patients.

 

In today’s Research News article “Using smart-messaging to enhance mindfulness-based cognitive therapy for cancer patients: A mixed methods proof of concept evaluation.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7004102/ ) Wells and colleagues evaluated whether providing text message reminders could enhance the effectiveness of Mindfulness-Based Cognitive Therapy (MBCT) for the relief of anxiety and depression in cancer patients. They recruited adult cancer patients with mild to moderate anxiety and/or depression and provided them with 8 weekly sessions of MBCT along with 40 minutes daily home practice. The patients could refuse messaging or opt to receive text messages 3 times per week reminding them of their home practice and could request up to 9 more messages per week. They were measured before and after each session and 1 month after the completion of the training for depression, anxiety, and general mental health.

 

They found that 87% of the patients receiving smart messaging completed the 8-week Mindfulness-Based Cognitive Therapy (MBCT) program while only 38% of the non-messaging patients completed the MBCT program. Both groups had significant reductions in anxiety and depression that were maintained 1 month after treatment. But the smart messaging group had significantly greater reductions in depression.

 

This is a proof of concept study which demonstrated that smart messaging could be effectively used in conjunction with Mindfulness-Based Cognitive Therapy (MBCT). The results, though, need to be interpreted with great caution. The patients decided whether to receive the messages or not and very different patients might have opted in compared those that refused the messaging. These differences in the groups could account for the observed differences in participation and depression. But this study establishes that this smart messaging method is feasible with cancer patients with suggestions of improved impact of the therapy. A randomized controlled trial is now needed.

 

So, improve mindfulness’ benefits for cancer survivors with smart-messaging.

 

“It turns out that some of the most difficult elements of the cancer experience are very well-suited to a mindfulness practice.” – Linda Carlson

 

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

 

Wells, C., Malins, S., Clarke, S., Skorodzien, I., Biswas, S., Sweeney, T., Moghaddam, N., & Levene, J. (2020). Using smart-messaging to enhance mindfulness-based cognitive therapy for cancer patients: A mixed methods proof of concept evaluation. Psycho-oncology, 29(1), 212–219. https://doi.org/10.1002/pon.5256

 

Abstract

Objective

Depression and anxiety lead to reduced treatment adherence, poorer quality of life, and increased care costs amongst cancer patients. Mindfulness‐based cognitive therapy (MBCT) is an effective treatment, but dropout reduces potential benefits. Smart‐message reminders can prevent dropout and improve effectiveness. However, smart‐messaging is untested for MBCT in cancer. This study evaluates smart‐messaging to reduce dropout and improve effectiveness in MBCT for cancer patients with depression or anxiety.

Methods

Fifty‐one cancer patients attending MBCT in a psycho‐oncology service were offered a smart‐messaging intervention, which reminded them of prescribed between‐session activities. Thirty patients accepted smart‐messaging and 21 did not. Assessments of depression and anxiety were taken at baseline, session‐by‐session, and one‐month follow‐up. Logistic regression and multilevel modelling compared the groups on treatment completion and clinical effectiveness. Fifteen post‐treatment patient interviews explored smart‐messaging use.

Results

The odds of programme completion were eight times greater for patients using smart‐messaging compared with non‐users, controlling for age, gender, baseline depression, and baseline anxiety (OR = 7.79, 95% CI 1.75 to 34.58, p = .007). Smart‐messaging users also reported greater improvement in depression over the programme (B = ‐2.33, SEB = .78, p = .004) when controlling for baseline severity, change over time, age, and number of sessions attended. There was no difference between groups in anxiety improvement (B = ‐1.46, SEB = .86, p = .097). In interviews, smart‐messaging was described as a motivating reminder and source of personal connection.

Conclusions

Smart‐messaging may be an easily integrated telehealth intervention to improve MBCT for cancer patients.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7004102/

 

Reduce College Students Self-Criticism with Mindful Lovingkindness Training

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Reduce College Students Self-Criticism with Mindful Lovingkindness Training

 

By John M. de Castro, Ph.D.

 

“What’s so amazing about mindfulness practice is we can use mindfulness to be aware when we have those self-critical voices, and we can label that voice as “judging”. We can notice when we have those judging voices because we have a mindfulness practice that allows us to have quite a bit more self-awareness, more ability to regulate emotions, and all of the positive things that come with the mindfulness practice.“ – Diana Winston

 

In the modern world education is a key for success. Where a high school education was sufficient in previous generations, a college degree is now required to succeed in the new knowledge-based economies. There is a lot of pressure on students to excel so that they can get the best jobs after graduation. This stress might in fact be counterproductive as the increased pressure can actually lead to stress and anxiety which can impede the student’s physical and mental health, well-being, and school performance. This is particularly true in very competitive Asian countries like Korea. This can lead to extreme self-criticism where the individual is never happy with themselves producing great unhappiness and psychological distress.

 

Mindfulness training has been shown through extensive research to be effective in improving physical and psychological reactions to stress and resilience in the face of stress. It has also been found to promote the well-being of college students. Mindfulness has been found to improve self-esteem.  One understudied meditation technique is Loving Kindness Meditation. It is designed to develop kindness and compassion to oneself and others. The individual systematically pictures different individuals from self, to close friends, to enemies and wishes them happiness, well-being, safety, peace, and ease of well-being. Although Loving Kindness Meditation has been practiced for centuries, it has received very little scientific research attention. But it may be effective in counteracting the effects of stress and self-criticism.

 

In today’s Research News article “Psychological and Physiological Effects of the Mindful Lovingkindness Compassion Program on Highly Self-Critical University Students in South Korea.” (See summary below or view the full text of the study at: https://www.frontiersin.org/articles/10.3389/fpsyg.2020.585743/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1463957_69_Psycho_20201022_arts_A ) Noh and colleagues recruited healthy Korean college students who were high in self-criticism and randomly assigned them to either a wait-list control condition or to receive a Mindful Lovingkindness Compassion program. The training consisted of 8 2-hour sessions over 6 weeks of mindfulness meditation and Loving Kindness Meditation. They were measured before and after training and one and three months later for self-criticism, self-reassurance, mindfulness, compassion, shame, anxiety, depression, fears of compassion, satisfaction with life, and heart rate variability.

 

They found that in comparison to baseline and the wait-list control group, the Mindful Lovingkindness Compassion group had significantly higher self-reassurance, mindfulness, compassion, and satisfaction with life, and significantly lower self-criticism, shame, anxiety, depression, and fears of compassion. These improvements continued to be present 1 and 3 months after the completion of training. In addition, the Mindful Lovingkindness Compassion group had significantly higher heart rate variability.

 

The interpretation of these results has to be tempered with the knowledge that the comparison, control, condition was passive. This opens the study up to a number of potential confoundings. Nevertheless, the results are similar to those of prior research that found that mindfulness training produces higher self-reassurance, compassion, and satisfaction with life, and lower self-criticism, shame, anxiety, and depression. Hence, the current study suggests that Mindful Lovingkindness Compassion training produces improved psychological health in highly self-critical college students. In addition, the increased heart rate variability observed suggests that the trained students had greater physiological relaxation, probably indicating a great resistance to the effects of stress.

 

This is important for the well-being of college students. They are under great pressure to perform especially in Asian countries like Korea. Combining that with high levels of self-criticism is a formula for psychological and physical problems. The kind of mindfulness and loving kindness training employed here appears to be able to markedly counteract the deleterious effects of these forces and produce greater relaxation and overall well-being.

 

So, reduce college students’ self-criticism with Mindful Lovingkindness training.

 

“Self-criticism is an unhelpful habit that can sometimes be destructive and cause emotional ill-health. . . Through practicing mindfulness and self-compassion you can loosen up old self-critical habits that may have been present from childhood and develop a kinder, more appreciative way of being with yourself.” – Linda Hall

 

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

 

Noh S and Cho H (2020) Psychological and Physiological Effects of the Mindful Lovingkindness Compassion Program on Highly Self-Critical University Students in South Korea. Front. Psychol. 11:585743. doi: 10.3389/fpsyg.2020.585743

 

Objectives: Self-critical behavior is especially relevant for university students who face academic and non-academic stressors, leading to negative outcomes such as mental distress and psychopathologies. To address this behavior, mindfulness and compassion are important factors to decrease self-criticism and ensure positive outcomes. This study examined the psychological and physiological effects of an intervention, the Mindful Lovingkindness Compassion Program (MLCP), on highly self-critical university students in South Korea.

Methods: Thirty-eight university students with a high level of self-criticism were assigned to an MLCP group (n = 18) or waitlist (WL) group (n = 20). Self-report measures of self-criticism, self-reassurance, psychological distress, and other mental health variables were completed, and the physiological measure of heart rate variability (HRV) was conducted before and after the intervention with both groups. In addition, 1- and 3-month follow-up assessments were conducted using self-report measurements.

Results: Compared to the WL group, participants in the MLCP group experienced significantly greater reductions in self-criticism and psychological distress, and a greater increase in self-reassurance, mental health, and HRV. The improvements in the self-report measures were maintained when assessed 1 and 3 months later.

Conclusions: MLCP could be a promising intervention for alleviating self-criticism and increasing self-reassurance among self-critical individuals.

https://www.frontiersin.org/articles/10.3389/fpsyg.2020.585743/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1463957_69_Psycho_20201022_arts_A

Improve the Psychological Health of Health Care Professionals with Mindfulness

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Improve the Psychological Health of Health Care Professionals with Mindfulness

 

By John M. de Castro, Ph.D.

 

“The front lines for health care providers may feel overwhelming. . . turning to mindfulness practice can help us settle, help us get out of all that thinking for a moment. We can try to settle down and maybe give ourselves a little rest or see a situation with a little different clarity. “ – Mindful

 

Stress is epidemic in the western workplace with almost two thirds of workers reporting high levels of stress at work. In high stress occupations, like healthcare, burnout is all too prevalent. Burnout is the fatigue, cynicism, emotional exhaustion, sleep disruption, and professional inefficacy that comes with work-related stress. It is estimated that over 45% of healthcare workers experience burnout. It not only affects the healthcare providers personally, but also the patients, as it produces a loss of empathy and compassion. Burnout, in fact, it is a threat to the entire healthcare system. Currently, over a third of healthcare workers report that they are looking for a new job. Hence, burnout contributes to the shortage of doctors and nurses.

 

Preventing the negative psychological consequences of stress in healthcare professionals has to be a priority. Contemplative practices have been shown to reduce the psychological and physiological responses to stress and improve well-being. Indeed, mindfulness has been shown to be helpful in treating and preventing burnout, increasing resilience, and improving sleep. Mindfulness-Based Stress Reduction (MBSR) is a mindfulness training program that was developed to help deal with stress. MBSR  consists of discussion, meditation, yoga and body scan practices. The evidence has been accumulating regarding MBSR’s effectiveness for the treatment of healthcare professionals, so it makes sense to summarize what has been learned.

 

In today’s Research News article “The Effectiveness of Mindfulness-Based Stress Reduction on the Psychological Functioning of Healthcare Professionals: a Systematic Review.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7511255/ ) Kriakous and colleagues review and summarize the published research studies of the benefits of Mindfulness-Based Stress Reduction (MBSR) for the psychological health of healthcare workers. They identified 30 published research studies.

 

They report that the published research studies found that Mindfulness-Based Stress Reduction (MBSR) significantly reduced healthcare workers’ levels of perceived stress, anxiety, and depression and increased mindfulness and self-compassion. Mindfulness practices have been previously reported to decrease perceived stress, anxiety, and depression and increase self-compassion in a wide variety of healthy and ill individuals. The present research summarizes these benefits for stressed healthcare professionals. These benefits of mindfulness training are important for reducing burnout, improving the psychological health of healthcare workers, and maintaining the workforce, and thereby improving the levels of care delivered to patients.

 

So, improve the psychological health of health care professionals with mindfulness.

 

“health care workforce. There is increasing evidence that learning to practice mindfulness can result in decreased burnout and improved well-being. Mindfulness is a useful way of cultivating self-kindness and compassion, including by bringing increased awareness to and acceptance of those things that are beyond our control.” – Kate Fitzpatrick

 

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

 

Kriakous, S. A., Elliott, K. A., Lamers, C., & Owen, R. (2020). The Effectiveness of Mindfulness-Based Stress Reduction on the Psychological Functioning of Healthcare Professionals: a Systematic Review. Mindfulness, 1–28. Advance online publication. https://doi.org/10.1007/s12671-020-01500-9

 

Abstract

Objectives

Burnout and occupational stress are frequently experienced by healthcare professionals (HCPs). Mindfulness-based stress reduction (MBSR) has been found to improve the psychological health outcomes of HCPs. To date, systematic reviews and meta-analyses have primarily focused upon empirical investigations into the reduction of stress amongst HCPs using MBSR and are limited to empirical studies published before December 2019. This systematic review aimed to update the current evidence base and broaden our understanding of the effectiveness of MBSR on improving the psychological functioning of HCPs.

Methods

Three electronic databases (Medline, Psych Info and Web of Science) were searched without time frame restrictions. Quantitative studies included randomised controlled trials, clinical controlled trials, pre-post designs and studies with up to a 12-month follow-up period. All studies included in the review employed a MBSR programme, standardised measures of psychological functioning and qualified HCPs as participants.

Results

Using PRISMA guidelines thirty studies were included in the review. The reviewed literature suggested that MBSR was effective in reducing HCPs experiences of anxiety, depression and stress. MBSR was also found to be effective in increasing HCP levels of mindfulness and self-compassion. However, MBSR did not appear as effective in reducing burnout or improving resilience amongst HCPs. Abbreviated MBSR programmes were found to be as effective as the traditional 8-week MBSR programmes.

Conclusions

MBSR is an effective intervention which can help improve the psychological functioning of HCPs. Recommendations include improving the overall quality of the studies by employing more robust controlled designs with randomisation, increased sample sizes with heterogeneous samples, and making active comparisons between interventions used.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7511255/