Improve Empathy with Attention-Related Facets of Mindfulness

March 11, 2022 psyjdc Leave a comment

By John M. de Castro, Ph.D.

“mindfulness increases empathy and compassion for others and for oneself.” – Shauna Shapiro

Humans are social animals. This is a great asset for the species as the effort of the individual is amplified by cooperation. In primitive times, this cooperation was essential for survival. But in modern times it is also essential, not for survival but rather for making a living and for the happiness of the individual. This ability to cooperate is so essential to human flourishing that it is built deep into our DNA and is reflected in the structure of the human nervous system. Empathy and compassion are essential for appropriate social engagement and cooperation.

Mindfulness has been found to increase prosocial emotions such as compassion, and empathy and prosocial behaviors such as altruism. It is not clear, however, exactly how mindfulness training improves empathy. Empathy involves the ability to understand and share the feelings of others. Thus, the basic attentional processes involved in mindfulness (observing and acting with awareness) could be key in the development of empathy.

In today’s Research News article “Exploring the Multidimensional Links Between Trait Mindfulness and Trait Empathy. Frontiers in psychiatry.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8371256/ ) Himichi and colleagues recruited healthy adults and had them complete measures of mindfulness, personal distress, fantasy, empathetic concern, and perspective taking. They found that the higher the level of the observing and acting with awareness facets of mindfulness the higher the level of empathetic concern and perspective taking.

In a second study a different sample of healthy adults were recruited, and they completed measures of mindfulness, emotion regulation, effortful control, and alexithymia. They again found that the higher the level of the observing and acting with awareness facets of mindfulness the higher the level of empathetic concern and perspective taking. But they also found that these facets of mindfulness affected the components of empathy both directly and indirectly by the mindfulness facets affecting reappraisal that in turn affected empathy.

The results are correlational and as such causation cannot be determined. But previous controlled research by others has found that mindfulness training increases empathy and reappraisal. So, the relationships observed in the present studies likely result from mindfulness causing an increase in empathy and reappraisal. The observing and acting with awareness facets of mindfulness require heightened attention and this attention to the present moment may make it easier to comprehend the situation with others increasing empathy. Reappraisal is a cognitive strategy used in emotion regulation. Reappraisal involves reexamining and reframing interpretations of events. Increasing reappraisal appears to also increase empathy perhaps by allowing for a mindful examination of the situations affecting others.

Regardless, it is clear that the attentional facets of mindfulness are related to empathy. This may explain why mindfulness improves social behavior and relationships. It may act by making the individual better able to pay attention to and examine what is going on with others and this understanding would promote better interactions.

So, improve empathy with attention-related facets of mindfulness.

“mindfulness’s most profound benefit may not be the one that’s most often touted—adapting to a stressful, competitive, even unkind 24/7 world. Instead, meditation might fundamentally alter how we treat those around us.” – David DeSteno

CMCS – Center for Mindfulness and Contemplative Studies

This and other Contemplative Studies posts are available on Twitter @MindfulResearch

Study Summary

Himichi, T., Osanai, H., Goto, T., Fujita, H., Kawamura, Y., Smith, A., & Nomura, M. (2021). Exploring the Multidimensional Links Between Trait Mindfulness and Trait Empathy. Frontiers in psychiatry, 12, 498614. https://doi.org/10.3389/fpsyt.2021.498614

Abstract

Empathy and mindfulness are currently major topics of scientific interest. Although it is well-known that mindfulness—typically as an outcome related to meditation—generates empathy at the state level, only a small number of studies have documented the trait (i.e., personality) level association between mindfulness and empathy. Furthermore, the underlying mechanisms (subcomponents and mediator variables) that support this association remain unclear. Thus, here, with a focus on the trait level, we investigated relationships among multiple subcomponents of trait mindfulness and trait empathy (Study 1). Next, we reexamined the aforementioned relationships in an independent sample, with the further aim of investigating relevant mediation factors (Study 2). We found that two attention-related components of trait mindfulness—observing and acting with awareness—reliably and positively related to both affective and cognitive dimensions of trait empathy (i.e., empathic concern and perspective taking). Furthermore, we found that effortful control, reappraisal, and trait alexithymia mediated relationships between the aforementioned attention-related components of trait mindfulness and empathic concern. Taken together, our results suggest that the links between mindfulness and empathy are multidimensional and complex. These findings may ultimately contribute to an understanding of the mechanisms underlying the positive effects of meditation on empathy.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8371256/

Improve Well-Being in Adults who Experienced Childhood Maltreatment with Mindfulness

March 10, 2022 psyjdc Leave a comment

Improve Well-Being in Adults who Experienced Childhood Maltreatment with Mindfulness

By John M. de Castro, Ph.D.

“mindfulness-based interventions can be beneficial for childhood maltreatment survivors to alleviate psychological symptoms including stress, anxiety, recurrent depression, substance use, and post-traumatic stress.” – Diane Joss

Childhood trauma can leave in its wake symptoms which can haunt the victims for the rest of their lives. These include persistent recurrent re-experiencing of the traumatic event, including flashbacks and nightmares, loss of interest in life, detachment from other people, increased depression, anxiety and emotional arousal, including outbursts of anger, difficulty concentration, and jumpiness, startling easily. Unfortunately, childhood maltreatment can continue to affect mental and physical health throughout the individual’s life. How individuals cope with childhood maltreatment helps determine the effects of the maltreatment on their mental health.

It has been found that experiencing the feelings and thoughts produced by trauma completely, allows for better coping. This can be provided by mindfulness. Indeed, mindfulness has been found to be effective for relieving trauma symptoms. But it is not known how mindfulness works to impact the psychological well-being of adults who experienced childhood maltreatment.

In today’s Research News article “Nonattachment Predicts Empathy, Rejection Sensitivity, and Symptom Reduction After a Mindfulness-Based Intervention Among Young Adults with a History of Childhood Maltreatment.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7205188/ ) Joss and colleagues recruited patience with a history of childhood maltreatment including physical and emotional abuse or neglect, and sexual abuse, verbal abuse, witnessing violence between parents or physical abuse of siblings.

They were assigned to either a wait-list control condition or to receive mindfulness training. The training was modelled after the Mindfulness-Based Stress Reduction (MBSR) program and met once a week for eight weeks along with daily home practice and contained “breath awareness meditation, body scan meditation, mindful yoga, open awareness meditation, loving-kindness meditation, walking meditation, mountain meditation, mindful eating as well as noticing mindful moments in daily lives”. They were measured before and after training for mindfulness, childhood trauma, adverse childhood experiences, anxiety sensitivity, PTSD symptoms, rejection sensitivity, nonattachment, and interpersonal reactivity.

They found that in comparison to baseline and the wait-list control group, the group that received mindfulness training had significantly higher levels of mindfulness and nonattachment and significantly lower levels of PTSD symptoms, rejection sensitivity, and interpersonal reactivity. In addition, the greater the attendance at the mindfulness training sessions the greater the increases in mindfulness and nonattachment and decreases in personal distress and anxiety sensitivity. Further they found that mindfulness was associated with reduced rejection sensitivity indirectly by being associated with higher levels of nonattachment and empathy which were in turn associated with lower levels of rejection sensitivity.

The results suggest that mindfulness training improves the psychological well-being of young adults who had experienced childhood maltreatment in a dose dependent way. Nonattachment is a “flexible way of relating to one’s experiences without clinging to or suppressing them” and is increased by mindfulness training. In addition, empathy is “the capacity to understand others’ perspectives and to feel and share others’ feelings” and is increased by mindfulness training. These factors in turn appear to be important for the improvement in psychological well-being. In other words, mindfulness increases the ability to let go of experiences and not ruminate or worry about them and improves empathy and these factors improve the well-being of young adults who had experienced childhood maltreatment. All this suggests that mindfulness training should be recommended for people who experienced childhood maltreatment to reduce the impact of the trauma and improve psychological well-being.

So, improve well-being in adults who experienced childhood maltreatment with mindfulness.

“Mindfulness skills tend to be lower among adolescents and adults exposed to various forms of childhood maltreatment.” – Alan R. King

CMCS – Center for Mindfulness and Contemplative Studies

This and other Contemplative Studies posts are available on Twitter @MindfulResearch

Study Summary

Joss, D., Lazar, S. W., & Teicher, M. H. (2020). Nonattachment Predicts Empathy, Rejection Sensitivity, and Symptom Reduction After a Mindfulness-Based Intervention Among Young Adults with a History of Childhood Maltreatment. Mindfulness, 11(4), 975–990. https://doi.org/10.1007/s12671-020-01322-9

Abstract

Objectives:

Individuals with a childhood maltreatment history tend to have various psychological symptoms and impaired social functioning. This study aimed to investigate the related therapeutic effects of a mindfulness-based intervention in this population.

Methods:

We analyzed self-report questionnaire scores of the Mindful Attention Awareness Scale (MAAS), Non-Attachment Scale (NAS), Adult Rejection Sensitivity Questionnaire (A-RSQ), Interpersonal Reactivity Index (IRI), PTSD CheckList (PCL), and Anxiety Sensitivity Index (ASI), from 16 (3 males) young adults (age range 22–29) with mild to moderate childhood maltreatment, compared to 18 matched participants (6 males) on a waiting list, during both pre- and post-intervention/waiting periods. Analyses were conducted with linear mixed effects models, partial correlation analyses and t-tests.

Results:

There were group by time interaction effects with the scores of MAAS, NAS, PCL, IRI-Fantasy, and A-RSQ (p < .05). The mindfulness group had significant increase in MAAS (17.325%) and NAS (8.957%) scores, as well as reduction in PCL (15.599%) and A-RSQ (23.189%) scores (p < .05). Changes in non-attachment, but not mindfulness, had significant contributions to the score changes of PCL (16.375%), ASI (36.244%), IRI-Personal Distress (24.141%), IRI-Empathic Concern (16.830%), and A-RSQ (10.826%) (p < .05). The number of intervention sessions attended was correlated with score changes of NAS (r = .955, p < .001), and ASI (r = −.887, p < .001), suggesting a dose-dependent effect.

Conclusions:

Findings from this pilot study suggest that the mindfulness-based intervention improved mindfulness, non-attachment and empathy, which contributed to reduced interpersonal distress, rejection sensitivity and other psychological symptoms.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7205188/

Improve Cognitive and Socio-Emotional Skills in Children with Mindfulness

March 3, 2022 psyjdc Leave a comment

Improve Cognitive and Socio-Emotional Skills in Children with Mindfulness

By John M. de Castro, Ph.D.

“Teaching mindfulness to kids can also help shape three critical skills developed in early childhood: paying attention and remembering information, shifting back and forth between tasks, and behaving appropriately with others.” – Christopher Willard

Childhood is a miraculous period during which the child is dynamically absorbing information from every aspect of its environment. This is particularly evident during the elementary school years. Mindfulness training in school has been shown to have very positive effects. These include improvements in the cognitive, psychological, emotional and social domains. Importantly, mindfulness training in school appears to improve attentional ability which is fundamental to success in all aspects of academic performance. The research evidence has been accumulating. So, there is a need to summarize what has been learned.

In today’s Research News article “Exploring the Effects of Meditation Techniques Used by Mindfulness-Based Programs on the Cognitive, Social-Emotional, and Academic Skills of Children: A Systematic Review.” (See summary below or view the full text of the study at: https://www.frontiersin.org/articles/10.3389/fpsyg.2021.660650/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1778822_a0P58000000G0YfEAK_Psycho_20211123_arts_A ) Filipe and colleagues review and summarize the published controlled research studies on the effects of mindfulness training on 6-12 year old children. They found 29 published research articles.

They report that the published research found that mindfulness training produced significant improvements in the children’s cognitive skills, including overall executive functions, attention, concentration, inhibitory control, cognitive flexibility, and immediate auditory-verbal memory. They also found that there were significant improvements in socio-emotional skills, including stress, wellbeing, mindfulness, self-esteem, resilience, psychological happiness, empathy, perspective-taking, emotional control, optimism, depression, internalizing problems, peer aggression, prosocial behavior, peer acceptance, anxiety, self-control, self-regulation, mental health problems, quality of life, self-compassion, acceptance, relaxation, happiness, aggressive behaviors, and social competence. But only one of the 29 studies reported improvements in academic skills.

The published research makes a strong case for the effectiveness of mindfulness training to improve the cognitive and socio-emotional skills on children. But there is little evidence for improvement in academic performance. Unfortunately, only 9 of the 29 studies employed strong research designs (randomized controlled trails). So, there is a need for further research with high quality research designs. Nevertheless, the consistency and magnitude of the findings suggest robust positive effects of mindfulness trainings on a myriad of cognitive, social, and emotional skills in children. These are important benefits for these developing humans that may have important contributions to their growth and well-being, perhaps eventually making them better adults. As such, mindfulness training should be incorporated into the school curriculum.

So, improve cognitive and socio-emotional skills in children with mindfulness.

“For children, mindfulness can offer relief from whatever difficulties they might be encountering in life. It also gives them the beauty of being in the present moment.” – Annaka Harris

CMCS – Center for Mindfulness and Contemplative Studies

This and other Contemplative Studies posts are available on Twitter @MindfulResearch

Study Summary

Filipe MG, Magalhães S, Veloso AS, Costa AF, Ribeiro L, Araújo P, Castro SL and Limpo T (2021) Exploring the Effects of Meditation Techniques Used by Mindfulness-Based Programs on the Cognitive, Social-Emotional, and Academic Skills of Children: A Systematic Review. Front. Psychol. 12:660650. doi: 10.3389/fpsyg.2021.660650

There is evidence for the positive impact of mindfulness in children. However, little is known about the techniques through which mindfulness practice results in differential outcomes. Therefore, this study intended to systematically review the available evidence about the efficacy of meditation techniques used by mindfulness-based programs on cognitive, socio-emotional, and academic skills of children from 6 to 12 years of age. The review was registered on the PROSPERO database, and the literature search was conducted according to PICO criteria and PRISMA guidelines. The EBSCO databases were searched, and 29 studies were eligible: nine randomized controlled trials and 20 quasi-experimental studies. All the included randomized controlled trials were rated as having a high risk of bias. Overall, the evidence for mindfulness techniques improving cognitive and socio-emotional skills was reasonably strong. Specifically, for cognitive skills, results showed that all the interventions used “body-centered meditations” and “mindful observations.” Regarding socio-emotional skills, although all the studies applied “body-centered meditations” and “mindful observations,” “affect-centered meditations” were also frequent. For academic skills, just one quasi-experimental trial found improvements, thus making it difficult to draw conclusions. Further research is crucial to evaluate the unique effects of different meditation techniques on the cognitive, social-emotional, and academic skills of children.

https://www.frontiersin.org/articles/10.3389/fpsyg.2021.660650/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1778822_a0P58000000G0YfEAK_Psycho_20211123_arts_A

Improve Counselor Self-Efficacy and Reduce Compassion Fatigue with Mindfulness

January 21, 2022 psyjdc Leave a comment

Improve Counselor Self-Efficacy and Reduce Compassion Fatigue with Mindfulness

By John M. de Castro, Ph.D.

“mindfulness training may be beneficial as a prophylactic for stress and burnout for psychotherapists, counselors, and other mental health care workers.” – Tasha Felton

In occupations, like counseling, burnout is all too prevalent. Burnout is the fatigue, cynicism, emotional exhaustion, sleep disruption, and professional inefficacy that comes with work-related stress. It not only affects the counselors personally, but also the patients, as it produces a loss of empathy and compassion. Contemplative practices have been shown to reduce the psychological and physiological responses to stress. Indeed, mindfulness has been shown to be helpful in treating and preventing burnout, increasing resilience, and improving sleep. Mindfulness is also known to improve self-compassion, understanding one’s own suffering and self-efficacy, one’s belief in their ability to make things better. It is possible that this may be a key to understanding mindfulness’ effects on burnout.

In today’s Research News article “Self-Oriented Empathy and Compassion Fatigue: The Serial Mediation of Dispositional Mindfulness and Counselor’s Self-Efficacy.” (See summary below or view the full text of the study at: https://www.frontiersin.org/articles/10.3389/fpsyg.2020.613908/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1757290_a0P58000000G0YfEAK_Psycho_20211021_arts_A ) Zhang and colleagues recruited hotline psychological counselors online and had them complete a questionnaire measuring mindfulness, self-efficacy burnout, secondary traumatic stress, and empathy, including perspective taking, personal distress, fantasy, and empathic concern subscales.

They found that the higher the levels of empathy the higher the levels of burnout and secondary traumatic stress and the lower the levels of mindfulness and self-efficacy. The higher the levels of both mindfulness and self-efficacy the lower the levels of burnout and secondary traumatic stress while the higher the levels of mindfulness the higher the levels of self-efficacy. Linear structural modelling revealed that empathy was directly, positively, related to compassion fatigue and also indirectly related by being associated with self-efficacy which was in turn associated with lower compassion fatigue. Finally, empathy was also indirectly related to compassion fatigue by being negatively associated with mindfulness that was positively associated with self-efficacy which was in turn associated with lower compassion fatigue.

These findings are correlational. So, causation cannot be definitively established. But the associations are clear. Greater empathy is associated with greater compassion fatigue. In other words, an empathetic counselor is more likely to experience compassion fatigue which leads to burnout and secondary traumatic stress. These effects are mitigated, however, by the counselor’s empathy being associated with greater mindfulness and self-efficacy which work to lower compassion fatigue. This all leads to the suggestion that training in mindfulness may help prevent a counselor losing compassion and burning out. They may help prevent counselor burnout.

So, improve counselor self-efficacy and reduce compassion fatigue with mindfulness.

“Mindfulness trains us to think about our thoughts as ‘just thoughts,’” including the thought that tragedies and outrage are part of life or that trying to effect change is hopeless. Part of desensitization and empathy fatigue is that “we become numb and disengaged, lacking in introspection and compassion for others,” Steven Lynn

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

Zhang L, Ren Z, Jiang G, Hazer-Rau D, Zhao C, Shi C, Lai L and Yan Y (2021) Self-Oriented Empathy and Compassion Fatigue: The Serial Mediation of Dispositional Mindfulness and Counselor’s Self-Efficacy. Front. Psychol. 11:613908. doi: 10.3389/fpsyg.2020.613908

This study aimed to explore the association between self-oriented empathy and compassion fatigue, and examine the potential mediating roles of dispositional mindfulness and the counselor’s self-efficacy. A total of 712 hotline psychological counselors were recruited from the Mental Health Service Platform at Central China Normal University, Ministry of Education during the outbreak of Corona Virus Disease 2019, then were asked to complete the questionnaires measuring self-oriented empathy, compassion fatigue, dispositional mindfulness, and counselor’s self-efficacy. Structural equation modeling was utilized to analyze the possible associations and explore potential mediations. In addition to reporting confidence intervals (CI), we employed a new method named model-based constrained optimization procedure to test hypotheses of indirect effects. Results showed that self-oriented empathy was positively associated with compassion fatigue. Dispositional mindfulness and counselor’s self-efficacy independently and serially mediated the associations between self-oriented empathy and compassion fatigue. The findings of this study confirmed and complemented the etiological and the multi-factor model of compassion fatigue. Moreover, the results indicate that it is useful and necessary to add some training for increasing counselor’s self-efficacy in mindfulness-based interventions in order to decrease compassion fatigue.

https://www.frontiersin.org/articles/10.3389/fpsyg.2020.613908/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1757290_a0P58000000G0YfEAK_Psycho_20211021_arts_A

Improve Doctors’ Empathy and Communication Skills with Loving-Kindness Meditation

November 8, 2021 psyjdc Leave a comment

Improve Doctors’ Empathy and Communication Skills with Loving-Kindness Meditation

By John M. de Castro, Ph.D.

“Medicine and meditation, etymologically, come from the same root: to consider, advise, reflect, to take appropriate measures,” – Ronald Epstein

Stress is epidemic in the western workplace with almost two thirds of workers reporting high levels of stress at work. In high stress occupations, like healthcare, the stress can produce fatigue, cynicism, emotional exhaustion, sleep disruption, and professional inefficacy. This not only affects the healthcare providers personally, but also the patients, as it produces a loss of empathy and compassion.

Loving Kindness Meditation 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. It is possible that Loving Kindness Meditation can help to reverse the effects of stress on medical providers and increase their levels of empathy and compassion for their patients and improve their communications with their patients.

In today’s Research News article “Effects of Loving-Kindness Meditation on Doctors’ Mindfulness, Empathy, and Communication Skills.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8069630/ ) Chen and colleagues recruited doctors at a hospital in China who had practiced for at least 3 years and randomly assigned them to receive either a 90-minute Loving Kindness Meditation practice 3 times per week for 8 weeks or to be in a wait-list control condition. They were measured before and after training for mindfulness, empathy, and communication skills.

They found that in comparison to baseline and the wait-list control group, the doctors who received Loving Kindness Meditation had significant increases in empathy and communications skills, but not mindfulness. These results replicate previous findings that Loving Kindness Meditation produces significant improvements in empathy.

This study used a passive control condition (wait-list) which makes the interpretation of results subject to possible confounding explanations such as placebo effects, experimenter bias, Hawthorne effects, etc. Future studies should include an active control condition, e.g. exercise. Nevertheless, the results suggest that practicing Loving Kindness Meditation may improve a physicians ability to understand the emotions of their patients and be better able to communicate with them. This would make them much better doctors and improve patient care and clinical outcomes. It remains for future research to examine if this outcome occurs in actual clinical practice.

So, improve doctors’ empathy and communication skills with Loving-Kindness Meditation.

“Clear communication from doctors may have a healing effect. Studies on pain perception find that, similar to the placebo effect, thoughtfully walking a patient through a procedure that is being administered, or one that will occur in the future, can make them less anxious and more optimistic, leading to less pain.” – Deborah Wip

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

Chen, H., Liu, C., Cao, X., Hong, B., Huang, D. H., Liu, C. Y., & Chiou, W. K. (2021). Effects of Loving-Kindness Meditation on Doctors’ Mindfulness, Empathy, and Communication Skills. International journal of environmental research and public health, 18(8), 4033. https://doi.org/10.3390/ijerph18084033

Abstract

Background: In the context of increasing doctor–patient tensions in China, the objective of this study was to explore and examine the effects of loving-kindness meditation (LKM) on doctors’ mindfulness, empathy, and communication skills. Methods: A total of 106 doctors were recruited from a hospital in China, and randomly divided into an LKM training group (n = 53) and waiting control group (n = 53). The LKM training group received 8 weeks of LKM training intervention, whereas the control group received no intervention. Three major variables (mindfulness, empathy, and communication skills) were measured before (pre-test) and after (post-test) the LKM training intervention. Results: The empathy and communication skills of the LKM group were significantly improved compared with those of the control group, but the level of mindfulness did not significantly change. Conclusions: The results suggested that LKM may contribute to improving physicians’ empathy and communication skills. However, the mechanisms that underlie the effects of the LKM on mindfulness, empathy, and communication skills and other psychological constructs needs further elucidation.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8069630/

wkchiu@mail.cgu.edu.tw

Further Improve Health Care Professionals’ Mental Health with Supplemental Mindfulness Training

May 6, 2021 psyjdc Leave a comment

Further Improve Health Care Professionals’ Mental Health with Supplemental Mindfulness Training

By John M. de Castro, Ph.D.

“The therapeutic applications of mindfulness are considerable and its impact on clinical practice itself appears to be profound. Indeed, several commentators characterize mindfulness as inciting nothing short of a revolution in the way we conduct our mental lives both within the clinic and without.” – Matias P. Raski

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.

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. Once mindfulness has been established it is not known if additional mindfulness training will produce greater benefits.

In today’s Research News article “The Interpersonal Mindfulness Program for Health Care Professionals: a Feasibility Study.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7447696/ ) Bartels-Velthui and colleagues recruited health care professionals who had already received mindfulness training with either Mindfulness-Based Stress Reduction (MBSR) or Mindfulness-Based Cognitive Therapy (MBCT). The participants in the training group were further treated with an Interpersonal Mindfulness Course. This course was designed for participants who had already received mindfulness training to deepen mindful presence, empathy and compassion with other people. The course met for 9-weekly, 2.5-hour sessions combined with 45 to 60 minutes of daily home practice. All participants were measured before and after training for the feasibility and acceptability of the program, mindfulness, self-compassion, empathy, stress, and quality of life.

They found that the program was feasible as all participants completed the program and acceptable as 88% report the program to be highly relevant and would recommend it to others. They found that compared to baseline and the control group the participants who received the additional mindfulness training had significant improvements in self-compassion, empathy and compassion fatigue.

These are very interesting findings in that health care professionals who had already received mindfulness training had further increases in self-compassion, empathy and compassion fatigue when provided a program designed to improve mindfulness with other people. It is well known that mindfulness training improves self-compassion, empathy and compassion fatigue. These findings, though, suggests that these improvements can be strengthened with further training. In addition, the improvements were in characteristics that would tend to reduce health care professional burnout. The fact that the program emphasized being mindful of other people suggests that the health care workers would be have more empathy and understanding in treating their patients.

So, further improve health care professionals’ mental health with supplemental mindfulness training.

“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

Bartels-Velthuis, A. A., van den Brink, E., Koster, F., & Hoenders, H. (2020). The Interpersonal Mindfulness Program for Health Care Professionals: a Feasibility Study. Mindfulness, 1–10. Advance online publication. https://doi.org/10.1007/s12671-020-01477-5

Abstract

Objectives

There are a number of mindfulness-based programs (MBPs) that have demonstrated effectiveness for patients and health care professionals. The Interpersonal Mindfulness Program (IMP) is a relatively new MBP, developed to teach those with prior mindfulness training to deepen their mindful presence, empathy and compassion in the interpersonal domain. The aim of the present study was to examine the feasibility of using the IMP with mental health care workers and assessing its effects on levels of mindfulness, self-compassion, empathy, stress and professional quality of life when compared with the control group participants.

Methods

The IMP training consisted of nine weekly 2.5-h sessions and daily home practice (45–60 min). Twenty-five participants (mean age, 51.4 years) with mindfulness experience participated in the training. Twenty-two individuals in the control group (mean age, 47.5 years) were recruited from those who had followed a mindfulness training before. Feasibility of the IMP was assessed in the training participants in six domains. All study participants completed self-report questionnaires before and after the training.

Results

The IMP training was considered highly acceptable and very useful. The training had a significant positive effect on self-compassion, empathy and compassion fatigue, but no effect on mindfulness, stress and compassion satisfaction. Five participants reported some mild adverse reactions.

Conclusions

The IMP training appears feasible for health care professionals and seems to induce some positive effects. A few mild adverse effects were reported. Further research on the effectiveness and possible mechanisms of change of the IMP training in larger samples is needed.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7447696/

Mind-Body Skills Training Improves College Student Mental Health and Well-Being

March 1, 2021 psyjdc Leave a comment

Mind-Body Skills Training Improves College Student Mental Health and Well-Being

By John M. de Castro, Ph.D.

“By focusing on and controlling our breath, we can change how we think and feel. We can use the breath as a means of changing our emotional state and managing stress.” —Tommy Rosen

There is an accumulating volume of research findings to demonstrate that Mind-body practices have highly beneficial effects on the health and well-being of humans. These include meditation, yoga, tai chi, qigong, biofeedback, progressive muscle relaxation, guided imagery, hypnosis, and deep breathing exercises. Because of their proven benefits the application of these practices to relieving human suffering has skyrocketed.

There is a lot of pressure on college students to excel. 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. Mindfulness training has been shown through extensive research to be effective in improving physical and psychological health. Indeed, these practices have been found to improve psychological health in college students. So, it would be expected that training in mind-body practices would improve the psychological health of college students.

In today’s Research News article “Impact of a University-Wide Interdisciplinary Mind-Body Skills Program on Student Mental and Emotional Well-Being.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7686595/ ) Novak and colleagues recruited college students who were enrolled to take a mind-body skills program and an equivalent group of control college students. The program consisted of 9-weeks of once a week for 2 hours training and discussion of “mindfulness, guided imagery, autogenic training, biofeedback, and breathing techniques, as well as art, music, and movement practices” in groups of 10. The students were instructed to practice daily at home for 20 minutes. They were measured before and after training for perceived stress, positive and negative emotions, resilience, depression, anxiety, fatigue, sleep disturbance, mindfulness, interpersonal reactivity, and burnout. Subsets of each group were remeasured one year after the completion of the study. There were no significant differences in these measures between the groups at baseline.

They found that in comparison to the baseline and the control group, the students who received mind-body skills training had significant decreases in perceived stress, negative affect, depression, anxiety, sleep disturbance, and burnout and significant increases in positive emotions, resilience, mindfulness, empathic concern, and perspective taking. In addition, the higher the levels of mindfulness the lower the levels of perceived stress, negative emotions and depersonalization and the higher the levels of positive emotions, resilience, and perspective taking. Unfortunately, these improvements, except for mindfulness, disappeared by the one year follow up.

The present study did not have an active control condition. So, it is possible that confounding factors such as participant expectancy, experimenter bias, attention effects etc. may have been responsible for the results. But in prior controlled research it has been demonstrated that mindfulness training produces decreases in perceived stress, negative emotions, depression, anxiety, sleep disturbance, and burnout and significant increases in positive emotions, resilience, and empathic concern. So, it is likely that the benefits observed in the present study were due to the mind-body skills training.

These results then suggest that mind-body skills training produces marked improvements in the psychological health and well-being of college students. But the improvements were not lasting. This may signal the need for better training protocols or periodic booster session to maintain the benefits. Given the great academic stress, pressure, and social stresses of college life, the students were much better off for taking the mind-body skills training program. It was not measured but these benefits would predict increased academic performance and improved well-being in these students.

So, mind-body skills training improves college student mental health and well-being.

“mind/body approaches to healing and wellness are gaining in popularity in the U.S. and research supports their efficacy in treating a number of psychological and physical health issues that are not easily treated by mainstream medicine.” – Doug Guiffrida

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

Novak, B. K., Gebhardt, A., Pallerla, H., McDonald, S. B., Haramati, A., & Cotton, S. (2020). Impact of a University-Wide Interdisciplinary Mind-Body Skills Program on Student Mental and Emotional Well-Being. Global Advances in Health and Medicine, 9, 2164956120973983. https://doi.org/10.1177/2164956120973983

Abstract

Background

Positive effects of mind-body skills programs on participant well-being have been reported in health professions students. The success seen with medical students at this university led to great interest in expanding the mind-body skills program so students in other disciplines could benefit from the program.

Objective

The purpose of this study was to assess the effects of a 9-week mind-body skills program on the mental and emotional well-being of multidisciplinary students compared to controls. We also sought to determine if the program’s effects were sustained at 1-year follow-up.

Methods

A cross-sectional pre-post survey was administered online via SurveyMonkey to participants of a 9-week mind-body skills program and a control group of students from 7 colleges at a public university from 2017–2019. Students were assessed on validated measures of stress, positive/negative affect, resilience, depression, anxiety, fatigue, sleep disturbance, mindfulness, empathy, and burnout. Scores were analyzed between-groups and within-groups using bivariate and multivariate analyses. A 1-year follow-up was completed on a subset of participants and controls.

Results

279 participants and 247 controls completed the pre-survey and post-survey (79% response rate; 71% female, 68% white, mean age = 25 years). Participants showed significant decreases in stress, negative affect, depression, anxiety, sleep disturbance, and burnout, while positive affect, resilience, mindfulness, and empathy increased significantly (P < .05). Only sleep disturbance showed a significant decrease in the control group. Follow-up in a subset of participants showed that only mindfulness remained elevated at 1-year (P < .05), whereas the significant changes in other well-being measures were not sustained.

Conclusion

Participation in a 9-week mind-body skills program led to significant improvement in indicators of well-being in multidisciplinary students. A pilot 1-year follow-up suggests that effects are only sustained for mindfulness, but not other parameters. Future programming should focus on implementing mind-body skills booster sessions to help sustain the well-being benefits.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7686595/

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

January 28, 2021 psyjdc Leave a comment

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/

Mindfulness is Associated with Higher Levels of Empathy

December 26, 2020 psyjdc Leave a comment

Mindfulness is Associated with Higher Levels of Empathy

By John M. de Castro, Ph.D.

“mindfulness is a practice of self–empathy. This kind of self-awareness allows us to develop empathic connections to others. As we experience the landscape of our inner life with more detail and richness, our ability to understand the inner lives of others expands.” – Matthew Brensilver

Mindfulness has been found to increase prosocial emotions such as compassion, and empathy and prosocial behaviors such as altruism. It is not clear, however, exactly how meditation training improves empathy. Is it due to increased mindfulness or perhaps to a better ability to recognize the emotions being experienced by others. In today’s Research News article “Higher trait mindfulness is associated with empathy but not with emotion recognition abilities.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7481693/ ) Vilaverde and colleagues explored the relationships between mindfulness, empathy, and emotion recognition. They recruited healthy adults with no meditation experience and had them complete measures of mindfulness, empathy, attentional ability, and emotion recognition. Emotion recognition both from pictures of faces expression and voice recordings were measured.

They found that the higher the levels of mindfulness the higher the overall levels of empathy and the cognitive empathy subscale. Interestingly, mindfulness was not associated with emotion recognition. These results are a bit confusing as cognitive empathy involves the ability to recognize the emotions of others, yet there was no significant relationship between this ability and the ability to recognize emotions from facial expressions of vocal cues. Since, the measures were self-reports it is possible that the mindful participants believed that they were able to recognize others’ emotions, while they were, in fact, not able to. It is also possible that the ability to recognize emotions in pictures of faces and in voice recordings is not the same as recognizing them in an individual physically present, where multiple cues are available. Regardless, the results replicate previous findings that being mindful is associated with greater empathy.

So, mindfulness is associated with higher levels of empathy.

“Through compassion we can develop empathy, and mindfulness is the key to unlocking both.” – Mindfulness Works

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

Vilaverde, R. F., Correia, A. I., & Lima, C. F. (2020). Higher trait mindfulness is associated with empathy but not with emotion recognition abilities. Royal Society open science, 7(8), 192077. https://doi.org/10.1098/rsos.192077

Abstract

Mindfulness involves an intentional and non-judgemental attention or awareness of present-moment experiences. It can be cultivated by meditation practice or present as an inherent disposition or trait. Higher trait mindfulness has been associated with improved emotional skills, but evidence comes primarily from studies on emotion regulation. It remains unclear whether improvements extend to other aspects of emotional processing, namely the ability to recognize emotions in others. In the current study, 107 participants (Mage = 25.48 years) completed a measure of trait mindfulness, the Five Facet Mindfulness Questionnaire, and two emotion recognition tasks. These tasks required participants to categorize emotions in facial expressions and in speech prosody (modulations of the tone of voice). They also completed an empathy questionnaire and attention tasks. We found that higher trait mindfulness was associated positively with cognitive empathy, but not with the ability to recognize emotions. In fact, Bayesian analyses provided substantial evidence for the null hypothesis, both for emotion recognition in faces and in speech. Moreover, no associations were observed between mindfulness and attention performance. These findings suggest that the positive effects of trait mindfulness on emotional processing do not extend to emotion recognition abilities.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7481693/

Increase Empathy with Mindfulness

October 27, 2020February 21, 2021 psyjdc Leave a comment

Increase Empathy with Mindfulness

By John M. de Castro, Ph.D.

“as we pay attention to our breath, our body, our lives, in this simple and gentle way, a natural consequence is the opening of the heart.” – Matthew Brensilver

Mindfulness has been found to increase prosocial emotions such as compassion, and empathy and prosocial behaviors such as altruism. “empathy seems to play a key role in forgiveness and compassion toward oneself and others, allowing the maintenance, reconciliation and repair of social relationships.” So, promoting empathy is important for not only for the individual’s well-being but also for the individual’s relationships with others.

In today’s Research News article “.” (See summary below or view the full text of the study at: https://www.frontiersin.org/articles/10.3389/fpsyg.2020.01915/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1401267_69_Psycho_20200811_arts_A) de la Fuente-Anuncibay and colleagues recruited university students and had them complete measures of mindfulness practice, empathy, and mindfulness, including describing, observing, acting with awareness, non-judging, and non-reacting subscales. The data were examined with regression analysis and mediation analysis.

They found that the higher the levels of mindfulness the higher the levels of empathy. This was true for overall mindfulness and the describing and observing facets of mindfulness. In examining the effect of mindfulness practice on empathy they found that there was no direct effect of practice on empathy but rather practice was associated with higher levels of mindfulness which was in turn associated with higher levels of empathy. Again, this was true for overall mindfulness and the describing and observing facets of mindfulness. Gender was not found to moderate these associations.

These results are correlational and as such caution must be exercised in concluding causation. Nevertheless, previous studies have shown that mindfulness training results in increase in empathy. So, the present results probably represent causal relationships. These results then suggest that mindfulness produces greater empathy and that mindfulness is enhanced by mindfulness practice. It is interesting that these relationships are similar for both men and women as there is a societal belief that women are more empathetic. These findings demonstrate that mindfulness improves empathy regardless of gender.

It is interesting that the relationship of mindfulness with empathy was true not only for overall mindfulness but also for the describing and observing facets of mindfulness. These facets represent that individual’s ability to observe and describe their internal state. Mindful individuals are more aware of how they are feeling. This suggests that awareness of one’s own feelings helps to better understand the feelings of others which is the essence of empathy.

So, increase empathy with mindfulness.

“By learning to bring our thoughts and feelings into the present and allowing them to be as they are, we become more mindful of ourselves. That enhanced mindfulness of ourselves makes it easier to read-across to the experiences of others. Just a small amount of mindfulness training can make it easier to read people’s inner states. Mindful people tend to experience more compassion and more empathy, because they have more control over their thinking.” – Mindfulness Works

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

de la Fuente-Anuncibay R, González-Barbadillo Á, Ortega-Sánchez D and Pizarro-Ruiz JP (2020) Mindfulness and Empathy: Mediating Factors and Gender Differences in a Spanish Sample. Front. Psychol. 11:1915. doi: 10.3389/fpsyg.2020.01915

Numerous research studies link mindfulness training to improved empathy. However, few studies focus on the mediating factors of empathy. This work has three objectives: (a) to analyze the possible mediation of mindfulness as a feature in this relation, (b) to analyze the mindfulness factors that mediate in the increase of empathy and (c) to analyze the moderating role of gender. The sample was composed of 246 Spanish-speaking university students (M = 24.08 years, SD = 8.43). The instruments used were the Five Facet Mindfulness Questionnaire (FFMQ) and the Toronto Empathy Questionnaire (TEQ). For data analysis, the indirect effect was calculated using 10000 bootstrap samples for the bias-corrected bootstrap confidence intervals (BCI). The improvement of empathy is mediated by the changes in mindfulness trait (B = 0.233, p < 0.001), disappearing in the presence of this mediator, the direct effect of mindfulness practice on empathy (B = 0.161, p = 0.394). We did not find a differential functioning of this mediation according to gender. Observing and describing are the FFMQ factors that mediate significantly between mindfulness practice and empathy.

https://www.frontiersin.org/articles/10.3389/fpsyg.2020.01915/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1401267_69_Psycho_20200811_arts_A