Improve Mental Health with Mindfulness Learned Over the Internet

January 16, 2019 psyjdc Leave a comment

By John M. de Castro, Ph.D.

“With the rise of mental illness and the increasingly pressing need for effective treatments, there’s never been a more important moment for mindfulness — the ability to cultivate a focused, non-judgmental awareness on the present moment. Research has shown mindfulness and meditation-based programs to hold promise for treating a number of psychiatric conditions, including depression, anxiety, post-traumatic stress disorder, bipolar disorder and obsessive-compulsive disorder.” Carolyn Gregoire

Mindfulness training has been shown through extensive research to be effective in improving physical and psychological health and particularly with the physical and psychological reactions to stress. The vast majority of the mindfulness training techniques, however, require a certified trained therapist. This results in costs that many clients can’t afford. In addition, the participants must be available to attend multiple sessions at particular scheduled times that may or may not be compatible with their busy schedules and at locations that may not be convenient. As an alternative, online mindfulness training programs have been developed. These have tremendous advantages in decreasing costs, making training schedules much more flexible, and eliminating the need to go repeatedly to specific locations. There is evidence that mindfulness programs delivered online can be quite effective. But there is a need to further investigate the effectiveness of these programs as an alternative to face-to-face trainings for the treatment of clinical mental health problems.

In today’s Research News article “Web-Based Mindfulness Interventions for Mental Health Treatment: Systematic Review and Meta-Analysis.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6231788/ ), Sevilla-Llewellyn-Jones and colleagues review, summarize, and perform a meta-analysis of the effectiveness on mindfulness training delivered online for the improvement of clinical mental health. They found 12 published studies employing patients with diagnosed mental health issues who received online mindfulness training.

They found that the published research literature reported that online mindfulness training produced significant improvements in depression and anxiety, especially in patients diagnosed with anxiety disorders. In addition, they found that online mindfulness training produced significant improvements in quality of life and mindfulness skills in these clinical patients. The effects were strongest when the control condition was a wait-list and less so, and often non-significant when compared to other active treatments. This suggests the online mindfulness training is not more but equivalently effective as other treatments.

These are important results as anxiety disorders and depression are very common diagnoses. It has been well established that mindfulness training improves depression and anxiety. These results extend these prior findings by demonstrating that treatment can be delivered online and to patients with clinical mental health diagnoses. The fact that the treatment was found to be especially effective for patients with anxiety disorders is important as patients with anxiety disorders may be reticent to venture into a clinical environment to receive treatment. Being able to receive treatment without venturing out into the outside world with all of its anxiety evoking situations may be very helpful for these patients.

The fact that mindfulness training can be effective when delivered online is very important. Online delivery allows for the application of mindfulness training to a much wider audience at low cost and thus increases the availability of treatment for the relief of suffering,

So, improve mental health with mindfulness learned over the internet.

“Mindfulness helps to be awakening to the patterns of the mind rather than emptying the mind. It helps you to be in touch with your way of ‘being’ rather than ‘doing’. It is a concept that could be life changing and worth experiencing.” – Christos Papalekas

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

Sevilla-Llewellyn-Jones, J., Santesteban-Echarri, O., Pryor, I., McGorry, P., & Alvarez-Jimenez, M. (2018). Web-Based Mindfulness Interventions for Mental Health Treatment: Systematic Review and Meta-Analysis. JMIR mental health, 5(3), e10278. doi:10.2196/10278

Abstract

Background

Web-based mindfulness interventions are increasingly delivered through the internet to treat mental health conditions.

Objective

The objective of this study was to determine the effectiveness of web-based mindfulness interventions in clinical mental health populations. Secondary aims were to explore the impact of study variables on the effectiveness of web-based mindfulness interventions.

Methods

We performed a systematic review and meta-analysis of studies investigating the effects of web-based mindfulness interventions on clinical populations.

Results

The search strategy yielded 12 eligible studies. Web-based mindfulness interventions were effective in reducing depression in the total clinical sample (n=656 g=−0.609, P=.004) and in the anxiety disorder subgroup (n=313, g=−0.651, P<.001), but not in the depression disorder subgroup (n=251, P=.18). Similarly, web-based mindfulness interventions significantly reduced anxiety in the total clinical sample (n=756, g=−0.433, P=.004) and the anxiety disorder subgroup (n=413, g=−0.719, P<.001), but not in the depression disorder group (n=251, g=−0.213, P=.28). Finally, web-based mindfulness interventions improved quality of life and functioning in the total sample (n=591, g=0.362, P=.02) in the anxiety disorder subgroup (n=370, g=0.550, P=.02) and mindfulness skills in the total clinical sample (n=251, g=0.724, P<.001).

Conclusions

Results support the effectiveness of web-based mindfulness interventions in reducing depression and anxiety and in enhancing quality of life and mindfulness skills, particularly in those with clinical anxiety. Results should be interpreted with caution given the high heterogeneity of web-based mindfulness interventions and the low number of studies included.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6231788/

Improve Psychological Health with Online Mindfulness Training

January 12, 2019January 12, 2019 psyjdc Leave a comment

Improve Psychological Health with Online Mindfulness Training

By John M. de Castro, Ph.D.

“The research is strong for mindfulness’ positive impact in certain areas of mental health, including stress reduction, emotion and attention regulation, reduced rumination, for reducing mild to moderate depression and anxiety, and preventing depressive relapse.” – Kelle Walsh

In today’s Research News article “The Effects of an Online Mindfulness Intervention on Perceived Stress, Depression and Anxiety in a Non-clinical Sample: A Randomised Waitlist Control Trial.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6244637/ ), Querstet and colleagues recruited adult participants online and randomly assigned them to either a wait-list control condition or to receive a 4-week online mindfulness course. The course was implemented with audio and video components and required about 2 hours each week and additional homework. The participants were measured before and after the training for mindfulness, perceived stress, anxiety, and depression. After the wait-list controls completed their mindfulness training they completed follow-up measures at 3 and 6 months after the training.

They found that in comparison to the wait-list controls, the participants who received mindfulness training had significant reductions in perceived stress, anxiety, and depression. There were also significant increases in mindfulness including the observing, describing, acting with awareness, and non-judging facets. These effects were sustained 3 and 6 months after the completion of training. They also found that the decreases in perceived stress, anxiety, and depression, produced by the intervention were mediated by the increases in the non-judging facet of mindfulness. The effect on depression was also meditated by the describing facet of mindfulness.

It is interesting that the facet of mindfulness that appeared to have the greatest impact on the psychological health of the participants was non-judging. Hence, being able to be aware of varied experiences simply as experiences and not judging them is a key to improved psychological well-being. This makes sense as most of the things that happen to an individual are not under their control. What can be controlled are the reactions to the experiences. These are best accomplished if they can be seen as not good or bad, important or trivial, or due to some personal characteristic, but simply as they are.

The results add to the accumulating evidence that mindfulness can be trained online and that it produces similar benefits as face-to-face training. This is very important as this makes mindfulness training inexpensive and available to a very large population regardless of schedule and location. This makes it possible to bring the benefits of mindfulness training, promoting psychological health and well-being, to a wide audience.

So, improve psychological health with online mindfulness training.

“Mindfulness helps to train individuals in bringing back the attention time and time again when it has wandered. And it is precisely through helping individuals to not get carried away by their thoughts that mindfulness has been shown to be so effective for conditions like anxiety and depression.” – Carolyn Gregoire

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

Querstret, D., Cropley, M., & Fife-Schaw, C. (2018). The Effects of an Online Mindfulness Intervention on Perceived Stress, Depression and Anxiety in a Non-clinical Sample: A Randomised Waitlist Control Trial. Mindfulness, 9(6), 1825–1836.

Abstract

Mindfulness interventions have been shown to be effective for health and wellbeing, and delivering mindfulness programmes online may increase accessibility and reduce waiting times and associated costs; however, research assessing the effectiveness of online interventions is lacking. We sought to: (1) assess the effects of an online mindfulness intervention on perceived stress, depression and anxiety; (2) assess different facets of mindfulness (i.e. acting with awareness, describing, non-judging and non-reacting) as mechanisms of change and (3) assess whether the effect of the intervention was maintained over time. The sample was comprised of 118 adults (female, n = 95) drawn from the general population. Using a randomised waitlist control design, participants were randomised to either an intervention (INT) or waitlist control (WLC) group. Participants completed the online intervention, with the WLC group starting after a 6-week waitlist period. Participants completed measures of depression (PHQ-9), anxiety (GAD-7) and perceived stress (PSS-10) at baseline, post-treatment, 3- and 6-month follow-up. Participants who completed the mindfulness intervention (n = 60) reported significantly lower levels of perceived stress (d = − 1.25 [− 1.64, − 0.85]), anxiety (d = − 1.09 [− 1.47, − 0.98]) and depression (d = − 1.06 [− 1.44, − 0.67]), when compared with waitlist control participants (n = 58), and these effects were maintained at follow-up. The effect of the intervention was primarily explained by increased levels of non-judging. This study provides support for online mindfulness interventions and furthers our understanding with regards to how mindfulness interventions exert their positive effects.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6244637/

Reduce Treatment-Resistant Depression with Mindfulness

December 27, 2018 psyjdc Leave a comment

Reduce Treatment-Resistant Depression with Mindfulness

By John M. de Castro, Ph.D.

“MBCT is a major achievement. Based on a coherent body of experimental work, the treatment has proven its worth in reducing the recurrence of depression and, as a consequence, changing the future prospects of numerous people whose lives are blighted by repeated episodes of this disabling condition.“ – David Clark

Clinically diagnosed depression is the most common mental illness, affecting over 6% of the population. Major depression can be quite debilitating. Depression can be difficult to treat and is usually treated with anti-depressive medication. But, of patients treated initially with drugs only about a third attained remission of the depression. After repeated and varied treatments including drugs, therapy, exercise etc. only about two thirds of patients attained remission. But drugs often have troubling side effects and can lose effectiveness over time. In addition, many patients who achieve remission have relapses and recurrences of the depression. Even after remission some symptoms of depression may still be present (residual symptoms).

Being depressed and not responding to treatment or relapsing is a terribly difficult situation. The patients are suffering and nothing appears to work to relieve their intense depression. Suicide becomes a real possibility. So, it is imperative that other treatments be identified that can relieve the suffering. Mindfulness training is an alternative treatment for depression. It has been shown to be an effective treatment for depression and its recurrence and even in the cases where drugs fail.

The most commonly used mindfulness technique for the treatment of depression is Mindfulness-Based Cognitive Therapy (MBCT). MBCT was developed specifically to treat depression. It involves mindfulness training, containing sitting and walking meditation and body scan, and cognitive therapy to alter how the patient relates to the thought processes that often underlie and exacerbate psychological symptoms. MBCT has been shown to be as effective as antidepressant drugs in relieving the symptoms of depression and preventing depression reoccurrence and relapse. In addition, it appears to be effective as either a supplement to or a replacement for these drugs.

In today’s Research News article “Mindfulness-based cognitive therapy for patients with chronic, treatment-resistant depression: A pragmatic randomized controlled trial.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6175087/ ), Cladder-Micus and colleagues recruited adult patients with current depression who had failed to respond to antidepressant drug treatment. All participants continued with treatment as usual including antidepressant medication, psychological treatment, support by a psychiatric nurse, or day‐hospital treatment. Half of the participants were randomly assigned to receive 8 weeks, 2,5 hour once a week, of group based Mindfulness-Based Cognitive Therapy (MBCT). They were measured before and after treatment and 3 and 6 months later for depressive symptoms, remission, rumination, quality of life, mindfulness, and self-compassion.

They found that the addition of Mindfulness-Based Cognitive Therapy (MBCT) to treatment as usual resulted in decreased depressive symptoms which was significant only for participants who completed the program. There was a 42% remission rate for the MBCT group that was significantly better than the 22% rate in the treatment as usual group. The MBCT group also had significantly improved mindfulness and self-compassion.

These results are impressive and corroborate previous findings that MBCT is an effective treatment for depression and its recurrence and even in the cases where drugs fail. Depressed patients are suffering and if the depression isn’t lifted by drug treatments, the suffering becomes chronic. The fact that MBCT can help these treatment resistant patients, reducing depressive symptoms and producing remissions in greater numbers of patients, should not be underestimated. Since suicide is a real possibility in these patients, MBCT may not only be reducing suffering but actually saving lives,

So, reduce treatment-resistant depression with mindfulness.

“MBCT was developed for people with recurring episodes of depression or unhappiness, to prevent relapse. It has been proven effective in patients with major depressive disorder who have experienced at least three episodes of depression.” – Psychology Today

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

Abstract

Cladder-Micus, M. B., Speckens, A., Vrijsen, J. N., T Donders, A. R., Becker, E. S., & Spijker, J. (2018). Mindfulness-based cognitive therapy for patients with chronic, treatment-resistant depression: A pragmatic randomized controlled trial. Depression and anxiety, 35(10), 914-924.

Background

Chronic and treatment‐resistant depressions pose serious problems in mental health care. Mindfulness‐based cognitive therapy (MBCT) is an effective treatment for remitted and currently depressed patients. It is, however, unknown whether MBCT is effective for chronic, treatment‐resistant depressed patients.

Method

A pragmatic, multicenter, randomized‐controlled trial was conducted comparing treatment‐as‐usual (TAU) with MBCT + TAU in 106 chronically depressed outpatients who previously received pharmacotherapy (≥4 weeks) and psychological treatment (≥10 sessions).

Results

Based on the intention‐to‐treat (ITT) analysis, participants in the MBCT + TAU condition did not have significantly fewer depressive symptoms than those in the TAU condition (–3.23 [–6.99 to 0.54], d = 0.35, P = 0.09) at posttreatment. However, compared to TAU, the MBCT + TAU group reported significantly higher remission rates (χ 2(2) = 4.25, φ = 0.22, P = 0.04), lower levels of rumination (–3.85 [–7.55 to –0.15], d = 0.39, P = 0.04), a higher quality of life (4.42 [0.03–8.81], d = 0.42, P = 0.048), more mindfulness skills (11.25 [6.09–16.40], d = 0.73, P < 0.001), and more self‐compassion (2.91 [1.17–4.65], d = 0.64, P = 0.001). The percentage of non‐completers in the MBCT + TAU condition was relatively high (n = 12, 24.5%). Per‐protocol analyses revealed that those who completed MBCT + TAU had significantly fewer depressive symptoms at posttreatment compared to participants receiving TAU (–4.24 [–8.38 to –0.11], d = 0.45, P = 0.04).

Conclusion

Although the ITT analysis did not reveal a significant reduction in depressive symptoms of MBCT + TAU over TAU, MBCT + TAU seems to have beneficial effects for chronic, treatment‐resistant depressed patients in terms of remission rates, rumination, quality of life, mindfulness skills, and self‐compassion. Additionally, patients who completed MBCT showed significant reductions in depressive symptoms. Reasons for non‐completion should be further investigated.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6175087/

Protect Against Mental Illness and Suicide in Gay Men with Mindfulness

December 22, 2018September 13, 2022 psyjdc Leave a comment

Protect Against Mental Illness and Suicide in Gay Men with Mindfulness

By John M. de Castro, Ph.D.

“Mindfulness enables you to recognize just how transitory thoughts are. They come and they go, like clouds before the sun. . . Watch your suicidal thoughts as they float by. You don’t need to grab one and hold on to it. More thoughts will come. More thoughts will go.” – Stacey Freedenthal

The word gay connotes happy and fun loving. This descriptor of homosexual men as gay, however is inaccurate. In fact, the risk of a mental health condition, like depression, anxiety disorders, or post-traumatic stress disorder, is almost three times as high for youths and adults who identify as gay, It is troubling that suicide is attempted four times more often by gay youth. In addition, gay youth are almost twice as likely as their heterosexual peers to abuse drugs and alcohol.

Hence, it is important to develop resources that can reduce mental illness and suicidality in gay men. Mindfulness has been found to be associated with psychological well-being in gay men. It makes sense, then to further explore the ability of mindfulness to improve mental health and reduce suicidality in gay men.

In today’s Research News article “Mindfulness and Other Psycho-Social Resources Protective Against Mental Illness and Suicidality Among Gay Men.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6095030/ ), Wang and colleagues recruited gay men and had them complete measures of self-efficacy, internalized homophobia, self-acceptance, purpose in life, hedonism, altruism, religion, spirituality, mindfulness, positive affect, life satisfaction, vitality, positive relations with others, mental illness, suicidality, and victimization. These data were analyzed with sophisticated modelling and regression analyses.

They found that the higher the levels of mindfulness, the higher the levels of self-efficacy, purpose in life, positive emotions, life satisfaction, vitality, and positive relations with others, and the lower the levels of internalized homophobia, emotional reactivity, and rumination. They also found that gay men with higher levels of mindfulness had lower incidences of mental illness, depression, and suicidality, and less medical/ psychological disability.

Hence, dispositional mindfulness appears to be associated with better psychological and mental health including reduced tendency for depression and suicide. These results are encouraging but are correlational, so causation cannot be determined. But other research has shown that mindfulness causes improvements in the mental and physical states of a wide variety of individuals. And there is no reason to believe that this would also not be the case with gay men. Future research should manipulate mindfulness levels with training and assess the impact of the increased mindfulness on the psychological and mental health of the gay men.

So, protect against mental illness and suicide in gay men with mindfulness.

“Mindfulness can be a powerful tool in dealing with various mental health challenges and symptoms. Beyond breathing exercises, mindfulness means being fully aware of the facets of the body and mind. This helps in assessing intrusive thoughts and emotional reactions.” – Faith Onimiya

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

Wang, J., Häusermann, M., & Ambresin, A. E. (2018). Mindfulness and Other Psycho-Social Resources Protective Against Mental Illness and Suicidality Among Gay Men. Frontiers in psychiatry, 9, 361. doi:10.3389/fpsyt.2018.00361

Abstract

Background: There is considerable evidence of health disparities among gay men characterized by higher levels of stress and distress. Psycho-social resources have been linked to numerous positive health outcomes and shown to act as buffers in the stress-distress pathway.

Methods: With data from the 3rd Geneva Gay Men’s Health Survey carried out in 2011 using time-space sampling (n = 428), a relatively elaborate profile of 14 psycho-social resources—including mindfulness—is presented. Using their original scores, latent class analysis created an index variable dividing the respondents into meaningful groups. Psycho-social resources—the index variable as well as each resource individually—were then compared to two recent outcomes—i.e., serious mental illness in the past 4 weeks and short-term disability in the past 2 weeks—using a series of logistic regression models, controlling for all other psycho-social resources and socio-demographic confounders. To assess their potential role as buffers, a similar series of logistic regression models were erected using victimization and three outcomes—i.e., major depression, suicidal ideation, and suicide attempt—in the past 12 months.

Results: According to the latent class analyses, (1) 5.1% of this sample had a low level of psycho-social resources (i.e., one standard deviation (SD) below the group means), (2) 25.2% a medium-low level, (3) 47.4% a medium level (i.e., at the group means), and (4) 22.2% a high level of psycho-social resources (i.e., one SD above the group means). Psycho-social resources appeared to strongly protect against recent mental morbidity and buffer against the impact of victimization on major depression and suicidality in the past 12 months, reducing the adjusted odds ratios below statistical significance. The explained variance and the individual psycho- https://www.huffingtonpost.com/lodro-rinzler/meditation-isnt-enough-a-_b_5672580.htmlConclusions: There may be disparities in several psycho-social resources among gay men, and as strong compensatory and protective factors, they may explain in part the well-established disparities in stress and distress in this population. While multiple psycho-social resources should be promoted in this population, gay men under 25 years should receive particular attention as all three disparities are most pronounced in this age group.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6095030/

Improve Mental Health with Yoga Nidra and Meditation

December 21, 2018 psyjdc Leave a comment

Improve Mental Health with Yoga Nidra and Meditation

By John M. de Castro, Ph.D.

“Yoga nidra promotes deep rest and relaxation that isn’t found in your average meditation practice. The stages of body scan and breath awareness alone can be practiced to calm the nervous system, leading to less stress and better health.” – Allison Ray Jeraci

“Meditation leads to concentration, concentration leads to understanding, and understanding leads to happiness” – This wonderful quote from the modern-day sage Thich Nhat Hahn is a beautiful pithy description of the benefits of meditation practice. Meditation allows us to view our experience and not put labels on it, not make assumptions about it, not relate it to past experiences, and not project it into the future. Rather meditation lets us experience everything around and within us exactly as it is arising and falling away from moment to moment.

Meditation training has been shown to improve health and well-being. 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. Meditation techniques have common properties of restful attention on the present moment, but there are large differences. These differences are likely to produce different effects on the practitioner. Yoga Nidra is a deep relaxation technique where the practitioner lies on the back in a “corpse pose” and is guided through body scan and imagery into a deeply relaxed state. Meditation involves a more active and concentrated process on the part of the practitioner but also leads to relaxation. It is not known if these two different contemplative techniques have different effects on psychological health.

In today’s Research News article “The Impact of Yoga Nidra and Seated Meditation on the Mental Health of College Professors.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6134749/ ), Ferreira-Vorkapic and colleagues recruited healthy adults and randomly assigned them to either practice Yoga Nidra of meditation for 3 months, once a week for 45 minutes, or to a wait-list control. They were measured before and after training for anxiety, depression, fear, and perceived stress.

They found that in comparison to baseline and the wait-list control group, the participants who practiced either Yoga Nidra or meditation had significant reductions in anxiety, depression, fear, and perceived stress. There were no significant differences between the contemplative techniques on any of the measure of psychological health. Hence, the techniques would appear to be equally effective in improving the psychological state of the participants.

It should be mentioned that since the control condition did not receive any treatment and both treated groups had significant effects, that a subject expectancy (placebo effect), attention, of experimenter bias effects may account for the improvements. It is also possible that the techniques may produce different effects on variable that were not measured, as only negative mood states were measured and a variety of contemplative techniques have been shown to reduce anxiety, depression, fear, and perceived stress. Regardless, the present study demonstrates that the contemplative techniques of Yoga Nidra and meditation are effective in improving the psychological states of the practitioners.

So, improve mental health with Yoga Nidra and meditation.

“As you can imagine, feeling well rested is life changing, but yoga nidra also improves your overall health. A 2013 study showed that practicing yoga nidra improved anxiety, depression, and overall well-being.” – Karen Brody

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

Ferreira-Vorkapic, C., Borba-Pinheiro, C. J., Marchioro, M., & Santana, D. (2018). The Impact of Yoga Nidra and Seated Meditation on the Mental Health of College Professors. International journal of yoga, 11(3), 215-223.

Abstract

Background:

World statistics for the prevalence of anxiety and mood disorders shows that a great number of individuals will experience some type of anxiety or mood disorder at some point in their lifetime. Mind–body interventions such as Hatha Yoga and seated meditation have been used as a form of self-help therapy and it is especially useful for challenging occupations such as teachers and professors.

Aims:

In this investigation, we aimed at observing the impact of Yoga Nidra and seated meditation on the anxiety and depression levels of college professors.

Materials and Methods:

Sixty college professors, men and women, aged between 30 and 55 years were randomly allocated in one of the three experimental groups: Yoga Nidra, seated meditation, and control group. Professors were evaluated two times throughout the 3-month study period. Psychological variables included anxiety, stress, and depression.

Results:

Data analysis showed that the relaxation group presented better intragroup results in the anxiety levels. Meditation group presented better intragroup results only in the anxiety variable (physical component). Intergroup analysis showed that, except for the depression levels, both intervention groups presented better results than the control group in all other variables.

Conclusions:

Prepost results indicate that both interventions represent an effective therapeutic approach in reducing anxiety and stress levels. However, there was a tendency toward a greater effectiveness of the Yoga Nidraintervention regarding anxiety, which might represent an effective tool in reducing both cognitive and physiological symptoms of anxiety.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6134749/

Reduce Psychological Distress and Improve Emotion Regulation with Online Mindfulness Training

December 17, 2018 psyjdc Leave a comment

Reduce Psychological Distress and Improve Emotion Regulation with Online Mindfulness Training

By John M. de Castro, Ph.D.

“Mindful emotion regulation represents the capacity to remain mindfully aware at all times, irrespective of the apparent valence or magnitude of any emotion that is experienced. It does not entail suppression of the emotional experience, nor any specific attempts to reappraise or alter it in any way. Instead, MM involves a systematic retraining of awareness and nonreactivity, leading to defusion from whatever is experienced, and allowing the individual to more consciously choose those thoughts, emotions and sensations they will identify with, rather than habitually reacting to them.” – Richard Chambers

Mindfulness training has been shown through extensive research to be effective in improving physical and psychological health and particularly with the physical and psychological reactions to stress. The vast majority of the mindfulness training techniques, however, require a certified trained therapist. This results in costs that many clients can’t afford. In addition, the participants must be available to attend multiple sessions at particular scheduled times that may or may not be compatible with their busy schedules and at locations that may not be convenient. As an alternative, online mindfulness training programs have been developed. These have tremendous advantages in decreasing costs, making training schedules much more flexible, and eliminating the need to go repeatedly to specific locations. There is a need to investigate the effectiveness of these programs as an alternative to face-to-face trainings.

In today’s Research News article “Effectiveness of Online Mindfulness-Based Interventions on Psychological Distress and the Mediating Role of Emotion Regulation.” (See summary below or view the full text of the study at: https://www.frontiersin.org/articles/10.3389/fpsyg.2018.02090/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_820262_69_Psycho_20181108_arts_A ), Ma and colleagues recruited adult participants over the web and randomly assigned them to 4 different online groups; group mindfulness-based intervention, self-direct mindfulness-based intervention, discussion group, and blank control group.

The group mindfulness-based intervention was similar to Mindfulness-Based Cognitive Therapy (MBCT) and included homework, meditation, body scan, yoga, and cognitive therapy. It was delivered over 8 weeks in 8, 2-hour, sessions including a 40-minute mindfulness practice and group online discussion. The self-direct mindfulness-based intervention condition was the same as the group mindfulness-based intervention except that there were no group discussions. The discussion group met online and discussed emotions including “positive and negative events, stress, and interpersonal communications, as well as how the participants perceived their psychological distress such as stress, anxiety, and depression symptoms, and how they dealt with their emotional problems.” The blank control group was a wait-list group that received no treatment. All participants were measured before and after the 8 weeks of training for mindfulness, emotion regulation, anxiety, and depression.

They found that in comparison to baseline the group mindfulness-based intervention and self-direct mindfulness-based intervention groups had large significant increases in mindfulness and emotion regulation and decreases in anxiety and depression. The group mindfulness-based intervention group generally produced larger effects than the self-direct mindfulness-based intervention group. They also found that the higher the levels of mindfulness the higher the levels of emotion regulation and the lower the levels of anxiety and depression and that the higher the levels of emotion regulation the lower the levels of anxiety and depression.

Previous research using face-to-face mindfulness training has demonstrated that mindfulness improves emotion regulation, anxiety and depression. The contribution of the present study is demonstrating that similar benefits can be produced by online mindfulness training, especially when group discussion is included. The group discussions are generally included in the face-to-face mindfulness trainings including Mindfulness-Based Cognitive Therapy (MBCT) and Mindfulness-Based Stress Reduction (MBSR). So, it would appear that being able to share and discuss experiences with other participants is important in producing maximum benefits of the trainings but it doesn’t matter if they occur face-to-face or online.

So, reduce psychological distress and improve emotion regulation with online mindfulness training.

“both face-to-face and internet-based mindfulness-based cognitive therapy (MBCT) reduced psychological distress compared with usual care.” – Matthew Stenger

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

Ma Y, She Z, Siu AF-Y, Zeng X and Liu X (2018) Effectiveness of Online Mindfulness-Based Interventions on Psychological Distress and the Mediating Role of Emotion Regulation. Front. Psychol. 9:2090. doi: 10.3389/fpsyg.2018.02090

Online mindfulness-based intervention as a feasible and acceptable approach has received mounting attention in recent years, yet more evidence is needed to demonstrate its effectiveness. The primary objective of this study was to examine the effects of online mindfulness-based programs on psychological distress (depression and anxiety). The randomized controlled intervention design consisted of four conditions: group mindfulness-based intervention (GMBI), self-direct mindfulness-based intervention (SDMBI), discussion group (DG) and blank control group (BCG). The program lasted 8 weeks and a total of 76 participants completed the pre- and post-test. Results showed that participants in GMBI and SDMBI had significant pre- and post-test differences on mindfulness, emotion regulation difficulties, and psychological distress, with medium to large effect sizes. In addition, ANCOVA results indicated significant effects of group membership on post-test scores of mindfulness, depression and anxiety when controlling the pretest scores, with medium to large effect sizes. The GMBI appeared to exert the greatest effects on outcome variables in comparison with other groups. In addition, changes in emotion regulation difficulties across groups could mediate the relationship between changes in mindfulness dimensions (Observing and Describing) and changes in psychological distress across groups. These results provided encouraging evidence for the effectiveness of online mindfulness-based interventions in reducing psychological distress, and the possible mediating role of emotion regulation, while also underlining the importance of group discussion in online mindfulness-based interventions.

https://www.frontiersin.org/articles/10.3389/fpsyg.2018.02090/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_820262_69_Psycho_20181108_arts_A

Mood and Anxiety Disorders are Not Improved by Yoga Practice

December 12, 2018 psyjdc Leave a comment

Mood and Anxiety Disorders are Not Improved by Yoga Practice

By John M. de Castro, Ph.D.

“Many in the medical community have had a bias toward medication, because until recently that’s what was most well studied. But attitudes are changing. Some of my patients struggle with anxiety, but I rarely prescribe medications. I feel more comfortable prescribing holistic modalities like yoga.” – Jennifer Griffin

Anxiety disorders are the most common mental illness in the United States, affecting 40 million adults, or 18% of the population. A characterizing feature of anxiety disorders is that the suffer overly identifies with and personalizes their thoughts. The sufferer has recurring thoughts, such as impending disaster, that they may realize are unreasonable, but are unable to shake. Indeed, Mindfulness practices have been shown to be quite effective in relieving anxiety. Clinically diagnosed depression affects over 6% of the population. Depression can be difficult to treat. Fortunately, Mindfulness training is also effective for treating depression.

Anxiety disorders and clinical depression have generally been treated with drugs. But, there are considerable side effects and these drugs are often abused. There are a number of psychological therapies for anxiety. But, about 45% of the patients treated do not respond to the therapy. So, there is a need to develop alternative treatments. Recently, it has been found that mindfulness training can be effective for anxiety disorders and for depression either alone or in combination with other therapies. Yoga practice is a mindfulness training and has the added benefit of being an exercise which has been also found to be effective for anxiety and depression.

In today’s Research News article “Hatha yoga for acute, chronic and/or treatment-resistant mood and anxiety disorders: A systematic review and meta-analysis.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6166972/ ), Vollbehr and colleagues review, summarize, and perform a meta-analysis of the published research literature on the effectiveness of yoga practice for chronic clinical anxiety and depression disorders. They found 18 randomized controlled trials of yoga interventions in adult clinical samples with mood and anxiety disorders.

They looked only at carefully controlled research studies and did not find significantly greater improvements in either anxiety or depression after yoga practice in comparison to active control conditions. So, although yoga practice has been shown to have a multitude of benefits for health and ill individuals, the published research does not support the use of yoga practice over treatment as usual for chronic clinical depression and anxiety disorders.

“Multiple studies now confirm what countless yoga practitioners have found: Whether we’re dealing with acute stress like childbirth or struggling with longer-term stress and anxiety, yoga can be a powerful tool to calm our nervous systems.” – Seth Gillihan

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

Vollbehr, N. K., Bartels-Velthuis, A. A., Nauta, M. H., Castelein, S., Steenhuis, L. A., Hoenders, H., & Ostafin, B. D. (2018). Hatha yoga for acute, chronic and/or treatment-resistant mood and anxiety disorders: A systematic review and meta-analysis. PloS one, 13(10), e0204925. doi:10.1371/journal.pone.0204925

Abstract

Background

The aim of this study was to systematically investigate the effectiveness of hatha yoga in treating acute, chronic and/or treatment-resistant mood and anxiety disorders.

Methods

Medline, Cochrane Library, Current Controlled Trials, Clinical Trials.gov, NHR Centre for Reviews and Dissemination, PsycINFO and CINAHL were searched through June 2018. Randomized controlled trials with patients with mood and anxiety disorders were included. Main outcomes were continuous measures of severity of mood and anxiety symptoms. Cohen’s d was calculated as a measure of effect size. Meta-analyses using a random effects model was applied to estimate direct comparisons between yoga and control conditions for depression and anxiety outcomes. Publication bias was visually inspected using funnel plots.

Results

Eighteen studies were found, fourteen in acute patients and four in chronic patients. Most studies were of low quality. For depression outcomes, hatha yoga did not show a significant effect when compared to treatment as usual, an overall effect size of Cohen’s d -0.64 (95% CI = -1.41, 0.13) or to all active control groups, Cohen’s d -0.13 (95% CI = -0.49, 0.22). A sub-analysis showed that yoga had a significant effect on the reduction of depression compared to psychoeducation control groups, Cohen’s d -0.52 (95% CI = -0.96, -0.08) but not to other active control groups, Cohen’s d 0.28 (95% CI = -0.07, 0.63) For studies using a follow-up of six months or more, hatha yoga had no effect on the reduction of depression compared to active control groups, Cohen’s d -0.14 (95% CI = -0.60, 0.33). Regarding anxiety, hatha yoga had no significant effect when compared to active control groups, Cohen’s d -0.09 (95% CI = -0.47, 0.30). The I2and Q-statistic revealed heterogeneity amongst comparisons. Qualitative analyses suggest some promise of hatha yoga for chronic populations.

Conclusions

The ability to draw firm conclusions is limited by the notable heterogeneity and low quality of most of the included studies. With this caveat in mind, the results of the current meta-analysis suggest that hatha yoga does not have effects on acute, chronic and/or treatment-resistant mood and anxiety disorders compared to treatment as usual or active control groups. However, when compared to psychoeducation, hatha yoga showed more reductions in depression. It is clear that more high-quality studies are needed to advance the field.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6166972/

Improve Psychological Health with Mindfulness and Present Moment Savoring

December 10, 2018 psyjdc Leave a comment

Improve Psychological Health with Mindfulness and Present Moment Savoring

By John M. de Castro, Ph.D.

“when suffering causes someone to “have a fixed and negative view of themselves … or their circumstances, mindfulness can help give them access to a different perspective, helps them open to other possibilities, and enhances resilience and their capacity to tolerate distress.” – Patricia Rockman

Mindfulness training has been shown to be effective in improving physical and psychological health and particularly with the physical and psychological reactions to stress. Techniques such as Mindfulness Training, Mindfulness-Based Stress Reduction (MBSR) and Mindfulness-Based Cognitive Therapy (MBCT) as well as Yoga practice and Tai Chi or Qigong practice have been demonstrated to be effective. This has led to an increasing adoption of these mindfulness techniques for the health and well-being of both healthy and ill individuals.

Mindfulness, however, is a complex concept that contains attentional processes, non-judgmental awareness, non-reactivity to the environment, and a savoring of the present moment. It is not known which of these facets or which combinations of facets are responsible for the beneficial effects of mindfulness.

In today’s Research News article “Being present and enjoying it: Dispositional mindfulness and savoring the moment are distinct, interactive predictors of positive emotions and psychological health.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5755604/ ), Kiken and colleagues recruited adult employees of a large company and had them complete measures of dispositional mindfulness, perceived ability to savor the moment, depression symptoms, psychological well-being, and life satisfaction. They then completed daily measures of their emotions for 9 weeks and again completed the original measures.

They found that mindfulness and savoring the moment were slightly related suggesting that there is some overlap in what they measure, but that they are predominantly independent measures. Both concepts were significantly negatively related to depression symptoms, and positively related to psychological well-being and life satisfaction. This suggests that mindful people and people who savor the moment have greater psychological well-being.

When accounting for mindfulness, savoring the moment predicted daily positive emotions. The relationship of savoring the moment with positive emotions, however, was affected by mindfulness, such that at high levels of mindfulness the relationship was strong and significant while at low levels of mindfulness, the relationship was non-significant. Conversely, when accounting for savoring the moment, mindfulness predicted daily positive emotions. The relationship of mindfulness with positive emotions, however, was affected by savoring the moment, such that at high levels of savoring the moment the relationship was strong and significant while at low levels of mindfulness, the relationship was non-significant. This suggests that savoring the moment and mindfulness work together to influence the emotional state of the individual.

It should be kept in mind that the study was correlational so any conclusions regarding causation have to be considered tentative. But, with that caveat, the results suggest that savoring the moment and mindfulness are related but mainly independent characteristics that are associated with psychological well-being. In addition, they appear to work synergistically to influence positive emotional states. So, being mindful and being able to savor the moment are complimentary in promoting the individual’s positive emotional state and psychological health. This suggests that we not only need to be mindful of our present moment but also we must be able to savor that present moment to obtain the full benefit of each.

So, improve psychological health with mindfulness and present moment savoring.

“When they’re depressed, people are locked in the past. They’re ruminating about something that happened that they can’t let go of. When they’re anxious, they’re ruminating about the future — it’s that anticipation of what they can’t control. In contrast, when we are mindful, we are focused on the here and now. Mindfulness trains individuals to turn their attention to what is happening in the present moment.” – Tom Insel

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

Laura G. Kiken, Kristjen B. Lundberg, Barbara L. Fredrickson. Being present and enjoying it: Dispositional mindfulness and savoring the moment are distinct, interactive predictors of positive emotions and psychological health. Mindfulness (N Y) 2017 Oct; 8(5): 1280–1290. Published online 2017 Mar 29. doi: 10.1007/s12671-017-0704-3

Abstract

Mindfulness and savoring the moment both involve presently occurring experiences. However, these scientific constructs are distinct and may play complementary roles when predicting day-to-day positive emotions. Therefore, we examined the unique and interactive roles of dispositional mindfulness and perceived ability to savor the moment for predicting daily positive emotions as well as related psychological health benefits. Participants completed a nine-week longitudinal field study. At baseline, dispositional mindfulness and perceived ability to savor the moment were assessed, along with three indicators of psychological health: depressive symptoms, psychological well-being, and life satisfaction. Each day for the subsequent nine weeks, participants reported on their emotions. At the end of the study, participants again completed the three psychological health measures. Results showed that baseline dispositional mindfulness and perceived ability to savor the moment interacted to predict mean positive emotion levels over the reporting period and, in turn, residualized changes in psychological health. Specifically, the relation between perceived ability to savor the moment and positive emotions and, in turn, residualized change in psychological health indicators, was amplified at greater levels of mindfulness and fell to non-significance at lower levels of mindfulness. Dispositional mindfulness only predicted positive emotions and, in turn, residualized changes in psychological health, for those very high in perceived ability to savor the moment. This research provides preliminary evidence that dispositional mindfulness and perceived ability to savor the moment, though related constructs, may serve unique and synergistic roles in predicting benefits for and through positive emotions.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5755604/

Improve Tolerance of Distress and Psychological State with Mindfulness

November 24, 2018April 28, 2022 psyjdc 1 Comment

Improve Tolerance of Distress and Psychological State with Mindfulness

By John M. de Castro, Ph.D.

“Distress Tolerance skills are used to help us cope and survive during a crisis, and helps us tolerate short term or long term pain (physical or emotional). Tolerating distress includes a mindfulness of breath and mindful awareness of situations and ourselves.” – DBT Self Help

Psychological distress is related to an increase in physiological stress responses. That is, when the individual is anxious, ruminating, or having negative emotions, the physiology including the hormonal system reacts. The increased activity can be measured in heightened stress hormones in the blood and increased heart rate, blood pressure etc. These physiological stress responses on the short-term are adaptive and help to fight off infection, toxins, injury, etc. Unfortunately, psychological distress is often persistent and chronic and resulting in chronic stress which in turn can produce disease.

Many of the symptoms of psychological distress have been shown to be related to a lack of mindfulness. Anxiety is often rooted in a persistent dread of future negative events while rumination is rooted in the past, with persistent replaying of negative past events. Since mindfulness is firmly rooted in the present it is antagonistic toward anything rooted in the past or future. Hence, high levels of mindfulness cannot coexist with anxiety and rumination. In addition, high mindfulness has been shown to be related to high levels of emotion regulation and positive emotions. So, mindfulness would appear to be an antidote to psychological distress.

In today’s Research News article “Dimensions of distress tolerance and the moderating effects on mindfulness-based stress reduction.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6130202/ ), Gawrysiak and colleagues recruited participants in an 8-week Mindfulness-Based Stress Reduction (MBSR) program. The program was specifically developed to improve coping with stress and consisted of weekly 2.5-hour group training sessions with home practice and included meditation, body scan, yoga practices, and discussion. They were measured before and after training for distress tolerance, perceived stress, and positive and negative emotions.

They found that following the MBSR program the participants demonstrated significant increases in distress tolerance and vigor and decreases in perceived stress, anger, confusion, depression, fatigue, and tension. In addition, they found that participants who were low in distress tolerance had the greatest decreases in perceived stress after the program while those high in distress tolerance had the least change.

Hence, they found that the MBSR program improved the psychological state in the participants. This is in line with previous research that demonstrated that mindfulness training improves psychological and physiological responses to stress and improves emotions. What this study contributes is the understanding that MBSR improves that participants ability to cope with psychological distress. Importantly, they also found that the participants who benefited the most were the ones who had the least ability to cope with distress to begin with. This suggests that one of the reasons that MBSR training is beneficial is that it improves the individuals ability to deal effectively with tough emotions and situations which, in turn, improves the individuals ability to deal effectively with stress. This, then, improves their emotional state.

So, improve tolerance of distress and psychological state with mindfulness.

“Mindfulness helps you go home to the present. And every time you go there and recognize a condition of happiness that you have, happiness comes.” — Thich Nhat Hanh

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

Gawrysiak, M. J., Leong, S. H., Grassetti, S. N., Wai, M., Shorey, R. C., & Baime, M. J. (2016). Dimensions of distress tolerance and the moderating effects on mindfulness-based stress reduction. Anxiety, Stress, and Coping, 29(5), 552–560. http://doi.org/10.1080/10615806.2015.1085513

Abstract

Background and Objectives:

This study examined the relationship between distress tolerance and psychosocial changes among individuals participating in Mindfulness-Based Stress Reduction (MBSR). The objective of the analysis was to discern whether individuals with lower distress tolerance measured before MBSR showed larger reductions in perceived stress following MBSR.

Design and Methods:

Data were collected from a sample of convenience (n = 372) using a quasi-experimental design. Participants completed self-report measures immediately prior to course enrollment and following course completion.

Results:

Perceived stress, distress tolerance, and mood states showed favorable changes from pre- to post-MBSR in the current study. Baseline distress tolerance significantly moderated reductions on perceived stress, supporting the primary hypothesis that individuals with lower baseline distress tolerance evidenced a greater decline in perceived stress following MBSR. For a one-unit increase on the self-reported baseline Distress Tolerance Scale, reported perceived stress scores decreased by 2.5 units (p < .0001).

Conclusions:

The finding that individuals with lower baseline distress tolerance evidenced a greater decline in perceived stress may offer hints about who is most likely to benefit from MBSR and other mindfulness-based treatments. Identifying moderators of treatment outcomes may yield important benefits in matching individuals to treatments that are most likely to work for them.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6130202/

Improve Anxiety and Depression with Online Mindfulness Training

November 19, 2018 psyjdc Leave a comment

Improve Anxiety and Depression with Online Mindfulness Training

By John M. de Castro, Ph.D.

“So many people who want and would benefit from mindfulness meditation training do not ever receive it because of schedules, location, and / or an aversion to being in live groups. Offering mindfulness training in an Internet format allows these people to actually receive the training benefits. We are lucky to live in a world where such alternative formats are available.” – Helané Wahbeh

Mindfulness training has been shown through extensive research to be effective in improving physical and psychological health and particularly with the physical and psychological reactions to stress. They have been shown to be very helpful in treating anxiety and depression. The vast majority of the mindfulness training techniques, however, require a certified trained therapist. This results in costs that many clients can’t afford. In addition, the participants must be available to attend multiple sessions at particular scheduled times that may or may not be compatible with their busy schedules and at locations that may not be convenient.

As an alternative, mindfulness training programs have been developed to be implemented over the internet. These have tremendous advantages in decreasing costs, making training schedules much more flexible, and eliminating the need to go repeatedly to specific locations. But, the question arises as to the effectiveness of these programs in inducing mindfulness and improving the treatment of anxiety and depression. In today’s Research News article “). Online mindfulness-enhanced cognitive behavioural therapy for anxiety and depression: Outcomes of a pilot trial.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6112099/ ), Kladnitski and colleagues addressed this issue.

They recruited participants through social media who were diagnosed with either generalized anxiety disorder, social phobia, panic disorder, agoraphobia, obsessive compulsive disorder, and/or major depressive disorder. They completed a 7-week online program of cognitive behavioral therapy (CBT) with mindfulness training. CBT that is designed to address and change maladaptive thought patterns that lead to psychological problems and includes behavioral activation, cognitive restructuring, and graded exposure. They added online mindfulness training also to the program. The entire program was similar to the Mindfulness-Based Cognitive Therapy (MBCT) program. The participants were measured online before, during, and after the 7-week program and 3 months later for psychiatric symptoms, psychiatric distress, depression, anxiety, mental well-being, disability, worry, rumination, experiential avoidance, emotion regulation, and mindfulness.

They found that engagement in the program was low with only 59% of the original participants completing the 7-week program. All of the measures showed significant improvements with moderate to large effect sizes after training compared to baseline and these improvements persisted 3 months later. So, the 7-week online program or cognitive behavioral therapy (CBT) with mindfulness training reduced the psychological pain and improved the psychological well-being of adults with anxiety or depressive disorders.

These results need to be interpreted with caution because of the high drop out rates. The individuals who were not being helped or even harmed by the program may have dropped out leaving only those participants who were improving. Future work needs to improve retention rates for the treatment to be seen as useful. Also, the lack of an active control condition opens the study up to a large array of potential confounds.

But, it has been well established in a number of well controlled studies that mindfulness improves the symptoms and mental well being of patients with anxiety and depression. The present study simply demonstrates that presentation of the treatment online is similarly effective. By being able to provide the treatment online it greatly reduces costs, makes the treatment more widely available even to remote locations, and makes it convenient for the patients. That is why it is so important to establish its effectiveness of the online program in relieving the suffering of anxiety and depression patients.

So, improve anxiety and depression with online mindfulness training.

“participants who completed the online mindfulness course reported significantly lower levels of perceived stress, depression and anxiety.” – Be Mindful

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

Kladnitski, N., Smith, J., Allen, A., Andrews, G., & Newby, J. M. (2018). Online mindfulness-enhanced cognitive behavioural therapy for anxiety and depression: Outcomes of a pilot trial. Internet Interventions, 13, 41–50. http://doi.org/10.1016/j.invent.2018.06.003

Abstract

Transdiagnostic internet-delivered cognitive behavioural therapies (iCBT) are effective for treating anxiety and depression, but there is room for improvement. In this study we developed a new Mindfulness-Enhanced iCBT intervention by incorporating formal and informal mindfulness exercises within an existing transdiagnostic iCBT program for mixed depression and anxiety. We examined the acceptability, feasibility, and outcomes of this new program in a sample of 22 adults with anxiety disorders and/or major depression. Participants took part in the 7-lesson clinician-guided online intervention over 14 weeks, and completed measures of distress (K-10), anxiety (GAD-7), depression (PHQ-9), mindfulness (FFMQ) and well-being (WEMBWS) at pre-, mid-, post-treatment, and three months post-treatment. Treatment engagement, satisfaction, and side-effects were assessed. We found large, significant reductions in distress (Hedges g = 1.55), anxiety (g = 1.39), and depression (g = 1.96), and improvements in trait mindfulness (g = 0.98) and well-being (g = 1.26) between baseline and post-treatment, all of which were maintained at follow-up. Treatment satisfaction was high for treatment-completers, with minimal side-effects reported, although adherence was lower than expected (59.1% completed). These findings show that it is feasible to integrate online mindfulness training with iCBT for the treatment of anxiety and depression, but further research is needed to improve adherence. A randomised controlled trial is needed to explore the efficacy of this program.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6112099/