Relieve Loneliness with Meditation

Relieve Loneliness with Meditation

 

By John M. de Castro, Ph.D.

 

“When we can rest in the middle [of meditation], we begin to have a nonthreatening relationship with loneliness, a relaxing and cooling loneliness that completely turns our usual fearful patterns upside down.” – Pema Chodron

 

Humans are social animals. We are generally happiest when we’re with family and friends. Conversely, being without close social contact makes us miserable. It’s the close relationship that is so important as we can be around people all day at work and still feel deep loneliness. These contacts are frequently superficial and do not satisfy our deepest need. It is sometimes said that we live in “the age of loneliness.” It is estimated that 20% of Americans suffer from persistent loneliness. This even when we are more connected than ever with the internet, text messaging, social media, etc. But these create the kinds of superficial contacts that we think should be satisfying, but are generally not. This has led to the counterintuitive findings that young adults, 18-34, have greater concerns with loneliness than the elderly.

 

The consequences of loneliness are dire. It has been estimated that being socially isolated increases mortality by 14%. This is twice the elevation produced by obesity. Even worse, for people over 60, loneliness increases their risk of death by 45%. When a spouse loses a marital partner there’s a 30% increase in mortality in the 6-months following the death. Hence, loneliness is not only an uncomfortable and unhappy state, but it is also a threat to health and longevity. It is clear that this epidemic of loneliness needs to be addressed.

 

Mindfulness has been found to reduce loneliness. The research is accumulating. So, it makes sense to step back and summarize what has been learned. In today’s Research News article “Saini, G. K., Haseeb, S. B., Taghi-Zada, Z., & Ng, J. Y. (2021). The effects of meditation on individuals facing loneliness: a scoping review.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8140565/ ) Saini and colleagues review and summarize the published research studies on the effectiveness of meditation as a treatment for loneliness.

 

They identified 13 published randomized controlled trials and report that the studies were relatively small but found that meditation produced a significant reduction in loneliness. How meditation may have its effects on loneliness is not known. Meditation, though has been shown to increase emotion regulation and positive emotions and reduce negative emotions in general and these effects may generalize to loneliness. Also, meditation produces acceptance of experience as it is and this may allow the individual to accept their loneliness and not fight against it. Regardless, it is clear that meditation practice is helpful in treating loneliness.

 

So, relieve loneliness with meditation.

 

By making us feel connected to everyone and everything, meditation cancels out the detrimental mental, emotional, and physical effects of loneliness.” –  Eoc Institute

 

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

 

Saini, G. K., Haseeb, S. B., Taghi-Zada, Z., & Ng, J. Y. (2021). The effects of meditation on individuals facing loneliness: a scoping review. BMC psychology, 9(1), 88. https://doi.org/10.1186/s40359-021-00585-8

 

Abstract

Background

Meditation is defined as a mind and body practice focused on interactions between the brain, mind, body, and behaviour, containing four key elements: a quiet location with little distractions, a comfortable posture, a focus of attention, and an open attitude. We sought to review the benefits of meditation on the alleviation of loneliness.

Methods

A scoping review was conducted based on Arksey and O’Malley’s five-stage framework. Eligibility criteria included primary studies of any type that investigated the effects of meditation on loneliness. Search strategies were developed and conducted on MEDLINE, EMBASE, AMED, and CINAHL. The National Center for Complementary and Integrative Health, and American Psychological Association websites were also searched. Articles meeting the inclusion criteria were critically reviewed using a descriptive-analytical narrative method.

Results

Thirteen studies met our inclusion criteria and were published between 2012 and 2020 across 10 countries. Eleven studies reported improvements in relation to loneliness. Of the remaining two studies (15%), one mentioned the alleviation of loneliness, but only looked primarily at social closeness in lonely individuals. The other study found a correlation between loneliness and nuclear factor (NF)-κB levels, which was the measured outcome; however, the direct effects of meditation on loneliness were unclear. Three main themes emerged from our analysis, as follows: 1) positive results across all studies, 2) relatively small randomized control trials conducted over the last decade, and 3) lack of diverse demographic information.

Conclusions

While a small number of studies exist at this intersection, given all included studies indicated positive findings, the effects of meditation in alleviating loneliness are promising. Future research should be directed at understanding how meditation mitigates loneliness and how this intervention can impact practice for healthcare professionals.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8140565/

 

Meditation Increases Functional Connectivity of Brain Networks

Meditation Increases Functional Connectivity of Brain Networks

 

By John M. de Castro, Ph.D.

 

It seems the longer you do meditation, the better your brain will be at self-regulation,” – Bin He

 

Mindfulness training has been shown through extensive research to be effective in improving physical and psychological health and particularly with reducing the physical and psychological reactions to stress. There are a number of ways that meditation practices produce these benefits, including changes to the brain and physiology. The nervous system changes in response to how it is used and how it is stimulated in a process called neuroplasticity. Highly used areas grow in size, metabolism, and connectivity. Mindfulness practices in general are known to produce these kinds of changes in the structure and activity of the brain. There is little research, however, on how these changes develop with meditation.

 

In today’s Research News article “Longitudinal effects of meditation on brain resting-state functional connectivity.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8166909/ ) Zhang and colleagues recruited novice meditators enrolled in a university meditation course. They practiced focused attention meditation over 2 months twice a week in class and at home 5 times per week for 10 minutes. Before and after training the students had their brains scanned with functional Magnetic Resonance Imaging (f-MRI).

 

They found that after the 2-month meditation training the participants had significant increases in the functional connectivity within the Dorsal Attention Network of the brain and between the Dorsal Attention Network and the Default Mode Network and also between the Default Mode Network and the visual cortex.

 

The Dorsal Attention Network is a series of structures in the brain that are associated with attentional focusing while the Default Mode Network is a series of structures in the brain that are associated with self-referential thought and mind wandering. Typically, during focused attention meditation, particularly in novice meditators, the mind switches back and forth between focus on the object of meditation and unfocused mind wandering. During mind wandering, visualizations of this content often occur. This usually occurs repeatedly during the meditation session. This switching involves going back and forth between the Dorsal Attention Network and the Default Mode Network and the visual areas of the brain. The brain scan findings indicate that this results in an increase in the functional connectivity between the two networks. Hence, the changes in the mental contents during meditation are reflected in brain activity.

 

So, meditation increases functional connectivity of brain networks.

 

So, not only did meditation change the structures in the participants’ brains, it also changed how they felt.” – Lela Moore

 

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, Z., Luh, W. M., Duan, W., Zhou, G. D., Weinschenk, G., Anderson, A. K., & Dai, W. (2021). Longitudinal effects of meditation on brain resting-state functional connectivity. Scientific reports, 11(1), 11361. https://doi.org/10.1038/s41598-021-90729-y

 

Abstract

Changes in brain resting-state functional connectivity (rsFC) were investigated using a longitudinal design by following a 2-month focused attention meditation (FAM) practice and analyzing their association with FAM practice time. Ten novice meditators were recruited from a university meditation course. Participants were scanned with a resting-state fMRI sequence with multi-echo EPI acquisition at baseline and at the 2-month follow-up. Total FAM practice time was calculated from the daily log of the participants. We observed significantly increased rsFC between the posterior cingulate cortex (PCC) and dorsal attention network (DAN), the right middle temporal (RMT) region and default mode network (DMN), the left and right superior parietal lobules (LSPL/RSPL) and DMN, and the LSPL/RSPL and DAN. Furthermore, the rsFC between the LSPL and medial prefrontal cortex was significantly associated with the FAM practice time. These results demonstrate increased connectivity within the DAN, between the DMN and DAN, and between the DMN and visual cortex. These findings demonstrate that FAM can enhance the brain connection among and within brain networks, especially DMN and DAN, indicating potential effect of FAM on fast switching between mind wandering and focused attention and maintaining attention once in the attentive state.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8166909/

 

Increase Athletic Flow and Resilience with Mindfulness

Increase Athletic Flow and Resilience with Mindfulness

 

By John M. de Castro, Ph.D.

 

“Mindfulness shares similarities with flow state, and because it is based on moment-to-moment experiences, it can promote attention regulation, emotional regulation, and body awareness.” – Jian-Hong Chen

 

Athletic performance requires the harmony of mind and body. Excellence is in part physical and in part psychological. That is why an entire profession of Sports Psychology has developed. “In sport psychology, competitive athletes are taught psychological strategies to better cope with a number of demanding challenges related to psychological functioning.” They use a number of techniques to enhance performance including mindfulness training. It has been shown to improve attention and concentration and emotion regulation and reduces anxiety and worry and rumination, and the physiological and psychological responses to stress. As a result, mindfulness training has been employed by athletes and even by entire teams to enhance their performance.

 

Flow refers to a state of mind that is characterized by a complete absorption with the task at hand, often resulting in enhanced skilled performance. The flow state underlies the athletes’ feelings and thoughts when they recall the best performances of their careers. It is obvious that the notion of flow and mindfulness have great similarity. There is little known, however, about the relationship between mindfulness and flow in athletes.

 

In today’s Research News article “Examining the Effects of Brief Mindfulness Training on Athletes’ Flow: The Mediating Role of Resilience.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8166472/ ) Liu and colleagues recruited student athletes and randomly assigned them to receive a 30-minute audio recording with exercises about mindfulness or the news. Before and after training the students were measured for mindfulness, flow, and resilience.

 

They found that compared to baseline and the control group, the athletes who received the brief mindfulness instruction had significant increases in flow, resilience, and mindfulness, including the observing, describing, and nonreactivity facets of mindfulness. Further mediation analysis revealed that mindfulness affected flow directly and also indirectly by increasing resilience which in turn increased flow.

 

Previous research has demonstrated that mindfulness training increased resilience and flow. The present study, though, is remarkable in that such a brief (30 minute) mindfulness training produced such significant results. The study, however, is artificial as affects on actual athletic performance was not measured. It would be interesting in future studies to observe whether a brief mindfulness training would improve the students’ actual athletic performances.

 

So, increase athletic flow and resilience with mindfulness.

 

athletes perform better when experiencing flow and that mindfulness meditation for athletes can help them experience flow.” – Ertheo

 

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

 

Fengbo Liu, Zhongqiu Zhang, Shuqiang Liu, Nan Zhang. Examining the Effects of Brief Mindfulness Training on Athletes’ Flow: The Mediating Role of Resilience. Evid Based Complement Alternat Med. 2021; 2021: 6633658. Published online 2021 May 24. doi: 10.1155/2021/6633658

 

Abstract

Background

Flow is characterized by the strong concentration in competitions, eliminating irrelevant thoughts and emotions, integrating all tasks, and continuing the competition smoothly even in challenging situations. The present study was into whether or not brief mindfulness training can improve athletes’ flow and further explore the mediating effect of resilience in the intervention.

Methods

The 2 (experimental conditions) × 2 (time) mixed design was used in this study. Fifty-seven student-athletes were recruited and randomly assigned into either a brief mindfulness group (n = 29) or a control group (n = 28). Before and after the intervention, every participant completed a self-report measure including mindfulness, flow, and resilience.

Results

Participants in the brief mindfulness group showed increased mindfulness, flow, and resilience (p < 0.001) after brief mindfulness training; when putting resilience change (B = 0.30, 95% CI [0.031, 0.564]) into the equation, the direct (95% CI [3.156, 13.583]) and indirect (95% CI [0.470, 5.048]) effects of mindfulness training were both significant.

Conclusion

It was concluded that brief mindfulness training could significantly improve athletes’ flow and resilience, and resilience partly mediated the effects of brief mindfulness training on flow.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8166472/

 

Improve Hypertension and Hyperlipidemia in Older Adults with Tai Chi

Improve Hypertension and Hyperlipidemia in Older Adults with Tai Chi

 

By John M. de Castro, Ph.D.

 

Tai Chi is not only a suitable exercise for elderly people with obesity, but it can also help to regulate BP, improve heart and lung function in these individuals, as well as reduce the incidence of cardiovascular disease and other chronic diseases, helping to improve their quality of life.” – Sun Lei

 

High Blood Pressure (Hypertension) is an insidious disease because there are no overt symptoms. The individual feels fine. But it can be deadly as more than 360,000 American deaths, roughly 1,000 deaths each day, had high blood pressure as a primary or contributing cause. In addition, hypertension markedly increases the risk heart attack, stroke, heart failure, and kidney disease.  It is also a very common disorder with about 70 million American adults (29%) having high blood pressure and only about half (52%) of people with high blood pressure have their condition under control. Treatment frequently includes antihypertensive drugs. But these medications often have adverse side effects. So, patients feel lousy when taking the drugs, but fine when they’re not. So, compliance is a major issue with many patients not taking the drugs regularly or stopping entirely.

 

Obviously, there is a need for alternative to drug treatments for hypertension. Mindfulness practices have been shown to aid in controlling hypertension. Mindful movement practices such Tai Chi and Qigong are ancient Chinese practices involving mindfulness and gentle movements. They are easy to learn, safe, and gentle. So, it may be appropriate for patients with hypertension who lack the ability to engage in strenuous exercises. Indeed, Tai Chi practice has been shown to reduce blood pressure.

 

In today’s Research News article “A Randomized Trial of Tai Chi on Preventing Hypertension and Hyperlipidemia in Middle-Aged and Elderly Patients.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8160700/ ) Wen and colleagues recruited patients with hypertension and hyperlipidemia between the ages of 40-75 years. They were randomly assigned to practice for 6 weeks, 3 time per week, for 60 minutes either simplified Tai Chi (24 form Yang style) or a Wu Style Tai Chi (60 forms) that was designed for hypertension and hyperlipidemia. They also practiced at home for 30 minutes a day. They were measured before and after the interventions for body size, blood pressure, blood glucose, and blood lipids.

 

They found that the patients who practiced Wu Style Tai Chi in comparison to the simplified Tai Chi had significantly greater reductions in both systolic and diastolic blood pressure, triglycerides, and LDL Cholesterol and greater increases in HDL Cholesterol in comparison to baseline. In addition, a greater percentage of patients who practiced Wu Style Tai Chi discontinued antihypertensive drugs and showed clinically significant reductions in cardiovascular disease.

 

In the present study both forms of Tai Chi produced improvements in hypertension and hyperlipidemia as has been observed in previous research. But the present study demonstrated that Wu Style Tai Chi produces superior results. Wu Style is more complex and also emphasizes reverse abdominal breathing matched to the movements. It is believed that this increases circulation and may be responsible for the greater improvements. Regardless, Tai Chi is a safe and effective treatment for hypertension and hyperlipidemia in older adults.

 

So, improve hypertension and hyperlipidemia in older adults with Tai Chi.

 

tai chi is a promising and safe exercise alternative for patients with coronary heart disease who are unable or unwilling to attend traditional CR, in particular for older people, women, and deconditioned individuals.” – Elena Salmoirago‐Blotcher

 

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

 

Wen, J., & Su, M. (2021). A Randomized Trial of Tai Chi on Preventing Hypertension and Hyperlipidemia in Middle-Aged and Elderly Patients. International journal of environmental research and public health, 18(10), 5480. https://doi.org/10.3390/ijerph18105480

 

Abstract

In our randomized controlled trial, we investigated whether Wu-style Tai Chi (Tai Chi combined with Daoyin) as a potential exercise prescription is more effective than simplified Tai Chi in the prevention and treatment of hypertension and hyperlipidemia in the middle-aged and elderly. We randomly assigned 66 patients with hypertension and hyperlipidemia to one of the two groups: the Wu-style Tai Chi group or the simplified Tai Chi group; the simplified Tai Chi group only exercised simplified Tai Chi three times a week for 6 weeks. The Wu-style Tai Chi group participated in 60 min of Wu-style Tai Chi three times a week for 6 weeks. Serum biochemical tests were conducted at baseline and at the end of the study. Measurements of blood pressure were performed at the same time. Primary outcomes were compared within and between groups at baseline and at 6 weeks. The participants in the Wu-style Tai Chi group performed, at 6 weeks, significantly better than baseline on all of the primary outcomes (p value ≤ 0.05). The results also show significant difference within the simplified Tai Chi group from baseline to 6 weeks in TCHO (mmol/L), SBP (mmHg), and LDL-C (mmol/L) (p value < 0.05). From baseline to 6 weeks, the Wu-style Tai Chi group had significant differences at more test indexes in serum and blood pressure than the simplified Tai Chi group. At 6 weeks, the Wu-style Tai Chi group had a significantly greater mean improvement in the SBP (mmHg) than did the simplified Tai Chi group (mean between-group difference, −5.80 (mmHg) [95% CI, −14.01 to 2.41]; p = 0.007). The results showed that, compared with simplified Tai Chi, Wu-style Tai Chi had a better effect on hypertension in the middle-aged and elderly. At 6 weeks in LDL-C (mmol/L), the Wu-style Tai Chi group had significantly greater improvement between the two groups (means between-group difference, −0.45 (mmol/L) [95% CI, −0.89 to −0.17]; p = 0.03). The results showed that Wu-style Tai Chi protected the cardiovascular system of the middle-aged and elderly in improving LDL-C (mmol/L), and was more significant than simplified Tai Chi. After 6 weeks of exercise, Wu-style Tai Chi could effectively improve hyperlipidemia and hypertension. The total effective rate of cardiovascular disease was 90.00%. There was significant difference in the treatment effect of hypertension and hyperlipidemia between the two groups during 6 weeks (p = 0.039), showing that, in a small population of middle-aged and elderly subjects, Wu style Tai Chi could be useful in managing important CV risk factors, such as hypertension and hyperlipidemia.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8160700/

Yoga Improves Pregnancy and Childbirth Outcomes

Yoga Improves Pregnancy and Childbirth Outcomes

 

By John M. de Castro, Ph.D.

 

“Much like other types of childbirth-preparation classes, prenatal yoga is a multifaceted approach to exercise that encourages stretching, mental centering and focused breathing. Research suggests that prenatal yoga is safe and can have many benefits for pregnant women and their babies.” – Mayo Clinic

 

The period of pregnancy is a time of intense physiological and psychological change. The psychological health of pregnant women has consequences for fetal development, birthing, and consequently, child outcomes. Depression during pregnancy is associated with premature delivery and low birth weight. Childbirth fear is associated with “low childbirth self-efficacy, greater use of pain medication during labor, more unwanted obstetric interventions in labor, as well as increased risk of postpartum depression.” Hence, it is clear that there is a need for methods to treat childbirth fear, depression, and anxiety during pregnancy. Since the fetus can be negatively impacted by drugs, it would be preferable to find a treatment that did not require drugs. Yoga has been shown to relieve maternal anxiety and depression during pregnancy. So, it would make sense to study the effects of yoga during pregnancy.

 

In today’s Research News article “The effect of yoga on the delivery and neonatal outcomes in nulliparous pregnant women in Iran: a clinical trial study.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8091762/ )  Yekefallah and colleagues recruited women during their first pregnancy in their 26th-28th week and randomly assigned them to a no-treatment control condition or to receive 10 weeks of twice a week 75-minute Hatha yoga classes. They completed demographic information and body size and information was recorded about the pregnancy, childbirth, and neonatal outcome (Apgar score).

 

They found that the yoga group was significantly less likely to have labor induced, have a preterm delivery, had a significantly shorter labor duration, and had significantly lower episiotomy rupture grades. In addition, the children of the yoga group had significantly higher birthweights, were born at a later gestational age, and had significantly higher Apgar scores.

 

The results clearly demonstrate that yoga practice during a first pregnancy improves the pregnancy, delivery, and neonatal outcomes. It should be noted, however, that the comparison group did not receive any treatment. So, it is not clear if the benefits were due to practicing yoga or if they would have been produced by any gentle exercise. Nevertheless, the study found evidence that practicing yoga during pregnancy is of great benefit to the mother and the infant.

 

So, yoga improves pregnancy and childbirth outcomes.

 

The combination of length and strength in the pelvic floor creates muscles with great integrity to support a baby in addition to all of the organs that rest on it. These strong muscles in conjunction with the gluteus medius are called upon during the second stage of labor (pushing) and are responsible for helping the bones of the pelvis come back together after delivery.“ – Karly Treacy

 

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

 

Yekefallah, L., Namdar, P., Dehghankar, L., Golestaneh, F., Taheri, S., & Mohammadkhaniha, F. (2021). The effect of yoga on the delivery and neonatal outcomes in nulliparous pregnant women in Iran: a clinical trial study. BMC pregnancy and childbirth, 21(1), 351. https://doi.org/10.1186/s12884-021-03794-6

 

Abstract

Background

Yoga can reduce the risk of preterm delivery, cesarean section (CS), and fetal death. The aim of the present study was to investigate the effects of Yoga on pregnancy, delivery, and neonatal outcomes.

Methods

This was a clinical trial study and using the random sampling without replacement 70 pregnant women entered Hatha Yoga and control groups according to the color of the ball they took from a bag containing two balls (blue or red). The data collection tool was a questionnaire pregnancy, delivery, and neonatal outcomes. The intervention in this study included pregnancy Hatha Yoga exercises that first session of pregnancy Yoga started from the 26th week and samples attended the last session in the 37th week. They exercised Yoga twice a week (each session lasting 75 min) in a Yoga specialized sports club. The control group received the routine prenatal care that all pregnant women receive.

Results

The results showed that yoga reduced the induction of labor, the episiotomy rupture, duration of labor, also had a significant effect on normal birth weight and delivery at the appropriate gestational age. There were significant differences between the first and second Apgar scores of the infants.

Conclusion

The results of the present study showed that Yoga can improve the outcomes of pregnancy and childbirth. They can be used as part of the care protocol along with childbirth preparation classes to reduce the complications of pregnancy and childbirth.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8091762/

 

Improve the Psychological Well-Being of Medical Students with Mindfulness

Improve the Psychological Well-Being of Medical Students with Mindfulness

 

By John M. de Castro, Ph.D.

 

Medical students are being trained to have 100 things on their mind at all times. It’s harder and harder to focus on one thing explicitly. [Mindfulness] gives you that skill to know that you can focus on everything at once, but when you need to focus on one thing, you can be present with it.” – Chloe Zimmerman

 

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. Currently, over a third of healthcare workers report that they are looking for a new job. 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 as it contributes to the shortage of doctors and nurses.

 

Preventing burnout has to be a priority. 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 burnoutincreasing resilience, and improving sleep. It would be best to provide techniques to combat burnout early in a medical career. Studying medicine can be extremely stressful and many students show distress and express burnout symptoms. The undergraduate medical student level may be an ideal time to intervene.

 

In today’s Research News article “Mindfulness-based stress reduction for medical students: a narrative review.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8105581/ )  Polle and colleagues review and summarize the published research on the effectiveness of the Mindfulness-Based Stress Reduction (MBSR) program to improve the psychological well-being of undergraduate medical students. MBSR includes training in meditation, body scan, and yoga, and group discussions normally over an 8-week period. They identified 9 published studies.

 

They report that the published research found that Mindfulness-Based Stress Reduction (MBSR) produced significant increases in undergraduate medical students mood, mental health, satisfaction with life, and self-compassion and significant reductions in psychological distress, perceived stress, and depression. One study followed up these students 6 years later and found persisting effects of MBSR.

 

The published research paints a clear picture that participating in a Mindfulness-Based Stress Reduction (MBSR) program produces lasting benefits for the psychological health of undergraduate medical students. This is important as stress and burnout is prevalent in the medical professions and intervening early may prevent or ameliorate future problems. Incorporation of MBSR into the undergraduate medical curriculum should be considered.

 

So, improve the psychological well-being of medical students with mindfulness.

 

in medical students, higher empathy, lower anxiety, and fewer depression symptoms have been reported by students after participating in MSBR. In summary, mindfulness meditation may be used to elicit positive emotions, minimize negative affect and rumination, and enable effective emotion regulation.”- Michael Minichiello

 

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

 

Polle, E., & Gair, J. (2021). Mindfulness-based stress reduction for medical students: a narrative review. Canadian medical education journal, 12(2), e74–e80. https://doi.org/10.36834/cmej.68406

 

Abstract

Background

Medical students are at high risk of depression, distress and burnout, which may adversely affect patient safety. There has been growing interest in mindfulness in medical education to improve medical student well-being. Mindfulness-based stress reduction (MBSR) is a commonly used, standardized format for teaching mindfulness skills. Previous research has suggested that MBSR may be of particular benefit for medical students. This narrative review aims to further investigate the benefits of MBSR for undergraduate medical students.

Methods

A search of the literature was performed using MedLine, Embase, ERIC, PSYCInfo, and CINAHL to identify relevant studies. A total of 102 papers were identified with this search. After review and application of inclusion and exclusion criteria, nine papers were included in the study.

Results

MBSR training for medical students was associated with increased measures of psychological well-being and self-compassion, as well as improvements in stress, psychological distress and mood. Evidence for effect on empathy was mixed, and the single paper measuring burnout showed no effect. Two studies identified qualitative themes which provided context for the quantitative results.

Conclusions

MBSR benefits medical student well-being and decreases medical student psychological distress and depression.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8105581/

 

Different Meditation Styles Affect the Medial Frontal Brain Network Differently

Different Meditation Styles Affect the Medial Frontal Brain Network Differently

 

By John M. de Castro, Ph.D.

 

“meditation has a variety of neurological benefits, from changes in brain volume to decreasing activity in parts of the brain involved with stress.” – Ashley Welch

 

Mindfulness 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. How exactly mindfulness practices produce their benefits is unknown. But it is known that meditation practice alters brain activity.

 

There are a number of different types of meditation. Classically they’ve been characterized on a continuum with the degree and type of attentional focus. In focused attention meditation, the individual practices paying attention to a single meditation object, usually the breath. In open monitoring meditation, the individual opens up awareness to everything that’s being experienced including thoughts regardless of its origin. In Loving Kindness Meditation 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 suspected but not known that different forms of meditation practice can produce different changes in brain activity.

 

One way is to measure changes in the electroencephalogram (EEG), the rhythmic electrical activity that can be recorded from the scalp. In today’s Research News article “Attentional and cognitive monitoring brain networks in long-term meditators depend on meditation states and expertise.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7921394/ )  Yordanova and colleagues recruited highly experienced meditators who practiced focused attention meditation, open monitoring meditation, and Loving Kindness Meditation in a balanced way. They had their electroencephalograms (EEG) recorded while at rest and while performing the 3 meditation types for 3 minutes each.

 

They found that the Frontal-Parietal network, that is thought to underlie attentional mechanisms did not differ between meditation types. But there was increased connectivity between the right hemisphere frontal and left hemisphere parietal areas. On the other hand, the Medial Frontal network that is thought to underlie cognitive control and monitoring mechanisms had different activity patterns with the different meditation types. During focused attention meditation was increased synchronization in the parietal regions whereas during Loving Kindness Meditation it increased in the right frontal regions.

 

These are interesting findings that demonstrate that highly experienced meditators have distinct changes in the activity of their brains during meditation regardless of type. But in areas associated with cognitive monitoring mechanisms, difference appear. During focused attention meditation and Loving Kindness Meditation there are different patterns of activity. To some extent this is not surprising in that the two meditation types involve specific focuses. But Loving Kindness Meditation is emotionally focused while focused attention meditation is breath sensation focused and these require different kinds of cognitive control. These differences may underlie the different medial frontal activities.

 

It should be noted that these patterns are quite different from those of inexperienced meditators and that the greater the amount of practice the greater the neural activations. It would be expected that highly experienced meditators would have greater focus and much less mind wandering during meditation than inexperience meditators and this would produce different patterns of neural activation.

 

So, different meditation styles affect the medial frontal brain network differently.

 

Meditation benefits for the brain are abundant. Meditating strengthens neural connections and can literally change the configuration of these networks. With regular practice, you can cultivate a more resilient neurobiology.” – Ask the Scientists

 

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

 

Yordanova, J., Kolev, V., Nicolardi, V., Simione, L., Mauro, F., Garberi, P., Raffone, A., & Malinowski, P. (2021). Attentional and cognitive monitoring brain networks in long-term meditators depend on meditation states and expertise. Scientific reports, 11(1), 4909. https://doi.org/10.1038/s41598-021-84325-3

 

Abstract

Meditation practice is suggested to engage training of cognitive control systems in the brain. To evaluate the functional involvement of attentional and cognitive monitoring processes during meditation, the present study analysed the electroencephalographic synchronization of fronto-parietal (FP) and medial-frontal (MF) brain networks in highly experienced meditators during different meditation states (focused attention, open monitoring and loving kindness meditation). The aim was to assess whether and how the connectivity patterns of FP and MF networks are modulated by meditation style and expertise. Compared to novice meditators, (1) highly experienced meditators exhibited a strong theta synchronization of both FP and MF networks in left parietal regions in all mediation styles, and (2) only the connectivity of lateralized beta MF networks differentiated meditation styles. The connectivity of intra-hemispheric theta FP networks depended non-linearly on meditation expertise, with opposite expertise-dependent patterns found in the left and the right hemisphere. In contrast, inter-hemispheric FP connectivity in faster frequency bands (fast alpha and beta) increased linearly as a function of expertise. The results confirm that executive control systems play a major role in maintaining states of meditation. The distinctive lateralized involvement of FP and MF networks appears to represent a major functional mechanism that supports both generic and style-specific meditation states. The observed expertise-dependent effects suggest that functional plasticity within executive control networks may underpin the emergence of unique meditation states in expert meditators.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7921394/

 

Supportive Environments Promote the Development of Mindfulness in Adolescents.

Supportive Environments Promote the Development of Mindfulness in Adolescents.

 

By John M. de Castro, Ph.D.

 

“Mindfulness processes and practices can help young people develop emotional resilience, self-awareness and regulation skills that assist them in taking greater responsibility for their behaviors. – Karen Pace

 

Childhood is a miraculous period during which the child is dynamically absorbing information from every aspect of its environment. It is here that behaviors, knowledge, skills, and attitudes are developed that shape the individual. But what is absorbed depends on the environment. Supportive environments can promote positive development while trouble with peers can interfere. Peer victimization is traumatic for the adolescent and can leave in its wake symptoms which can haunt the victims for the years. It is unclear, however, how the environment including supportive environments and the presence of peer victimization might affect the development of mindfulness in adolescents.

 

In today’s Research News article “Naturalistic development of trait mindfulness: A longitudinal examination of victimization and supportive relationships in early adolescence.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8104379/ )  Warren and colleagues surveyed 4th and 7th grade adolescents. They completed measures of mindfulness, peer victimization, peer belonging, connectedness with adults at home, and self-regulation. They then looked at the social environment in the 4th grade and how it was related to the development of mindfulness in the 7th grade.

 

The found that the higher the levels of peer belonging, connectedness with adults at home, and self-regulation and the lower the levels of peer victimization both in 4th and 7th grades the higher the levels of mindfulness at grade 7. With students with high connectedness with adults at home, peer victimization was associated with a smaller development of mindfulness. The students who had flourishing relationships in the 4th grade (high peer belonging and connectedness with adults at home and low peer victimization) had the greatest increases in mindfulness by the 7th grade.

 

These results suggest that conditions in the 4th grade are associated with mindfulness in the 7th grate, with feelings of belonging with other adolescents promoting the development of mindfulness and victimization by peers interfering with mindfulness development. How connected the youths feel to adults also tends to promote the development of mindfulness except when victimization is present, then the promotion is weaker. Hence, mindfulness develops best in supportive environments.

 

So, supportive environments promote the development of mindfulness in adolescents.

 

Adolescents’ with high levels of dispositional mindfulness may lead to lower level of psychological distress including depression, anxiety, and stress.” Ying Ma

 

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

 

Warren, M. T., Schonert-Reichl, K. A., Gill, R., Gadermann, A. M., & Oberle, E. (2021). Naturalistic development of trait mindfulness: A longitudinal examination of victimization and supportive relationships in early adolescence. PloS one, 16(5), e0250960. https://doi.org/10.1371/journal.pone.0250960

 

Abstract

Scholars have only just begun to examine elements of young adolescents’ social ecologies that explain naturalistic variation in trait mindfulness and its development over time. We argue that trait mindfulness develops as a function of chronically encountered ecologies that are likely to foster or thwart the repeated enactment of mindful states over time. Using data from 4,593 fourth and seventh grade students (50% female; MageG4 = 9.02; 71% English first language) from 32 public school districts in British Columbia (BC), Canada, we examined links from peer belonging, connectedness with adults at home, and peer victimization to mindfulness over time. Variable-centered analyses indicated that young adolescents with lower victimization in fourth grade reported higher mindfulness in seventh grade, and that cross-sectionally within seventh grade victimization, peer belonging, and connectedness with adults at home were each associated with mindfulness. Contrary to our hypothesis, connectedness with adults at home moderated the longitudinal association between victimization and mindfulness such that the negative association was stronger among young adolescents with high (vs. low) levels of connectedness with adults at home. Person-centered analysis of the fourth graders’ data confirmed our variable-centered findings, yielding four latent classes of social ecology whose mindfulness levels in seventh grade largely tracked with their victimization levels (from highest to lowest mindfulness): (1) flourishing relationships, (2) unvictimized but weak relationships with adults, (3) moderately victimized but strong relationships, and (4) victimized but strong relationships. Overall, our findings contribute to a growing body of evidence indicating that trait mindfulness may develop as a function of ecologically normative experiences in young adolescents’ everyday lives.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8104379/

 

Improve Decision Making with a Brief Mindfulness Training

Improve Decision Making with a Brief Mindfulness Training

 

By John M. de Castro, Ph.D.

 

“With mindfulness, the decision-making process becomes a thoughtful, cognitive exercise, rather than an impulsive reaction to immediate needs.” – Insead

 

We are confronted daily with a myriad of decisions, many small of little importance; chocolate or strawberry, pass or follow, do the dishes or empty the trash, watch a movie or sports, etc. But some have a major impact on ourselves and others; take a new job, get married, buy a home, retire or stay working, exercise or not, etc. The problem is that humans are not always good decision makers.

 

We often make decisions for emotional reasons; buying a new car, not because we need one but because it makes us feel like a race car driver, selling a stock out of fear of losses, marrying someone out of fear of being alone, etc. We also have a tendency to make decisions based upon how we’ve made them in the past regardless of whether that strategy is still appropriate. Having decided to finish high school, get a college degree, and going back to school to get an MBA may have helped our careers, but then going back to school again may not.

 

So, decisions are not always logical or optimal. Mindfulness has been shown to help with decision making. One problem, though, with mindfulness training is that it can take a great deal of time. This is not always possible when decisions must be made quickly. It is unclear if a very brief instruction in mindfulness may help individuals in making better decisions.

 

In today’s Research News article “The Effect of a 3-Minute Mindfulness Intervention, and the Mediating Role of Maximization, on Critical Incident Decision-Making.” (See summary below or view the full text of the study at: https://www.frontiersin.org/articles/10.3389/fpsyg.2021.674694/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1651992_69_Psycho_20210603_arts_A )  Shortland and colleagues recruited adult participants online and randomly assigned them to a 3 minute meditation or story listening. The participants completed a measure of maximization of decision making. They them completed their 3-minute meditation or listening followed by a decision-making task with presented audio scenarios that had approach or avoidance solutions. They then measured situational awareness time, choice time, decision time, commitment time, decision difficulty, and approach/avoidance decision.

 

They found that the meditation group had significantly faster reaction times on all measures and higher decision difficulty. In addition, the mindfulness group were significantly more approach oriented rather than avoidance oriented in their decisions. But decisions became more avoidant after mindfulness training in participants who scored high in maximization of decision making. So, mindfulness training improved decision making by individuals who tend to find optimal solutions rather than acceptable solutions and find decisions less difficult to make.

 

The results are interesting and demonstrate that even a very brief exposure to mindfulness has positive effects on decision making. This suggests that prior to making complex difficult decision a brief period of meditation might be helpful, but particularly in individuals who look for optimal solutions.

 

So, improve decision making with a brief mindfulness training.

 

If we are mindful of how we feel, we can more consciously include this in the decision-making process.” – Applied Attention

 

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

 

Shortland ND, McGarry P, Thompson L, Stevens C and Alison LJ (2021) The Effect of a 3-Minute Mindfulness Intervention, and the Mediating Role of Maximization, on Critical Incident Decision-Making. Front. Psychol. 12:674694. doi: 10.3389/fpsyg.2021.674694

 

Objective: In this study, we extend the impact of mindfulness to the concept of least-worst decision-making. Least-worst decisions involve high-uncertainty and require the individual to choose between a number of potentially negative courses of action. Research is increasingly exploring least-worst decisions, and real-world events (such as the COVID-19 pandemic) show the need for individuals to overcome uncertainty and commit to a least-worst course of action. From sports to business, researchers are increasingly showing that “being mindful” has a range of positive performance-related benefits. We hypothesized that mindfulness would improve least-worst decision-making because it would increase self-reflection and value identification. However, we also hypothesized that trait maximization (the tendency to attempt to choose the “best” course of action) would negatively interact with mindfulness.

Methods: Three hundred and ninety-eight participants were recruited using Amazon MTurk and exposed to a brief mindfulness intervention or a control intervention (listening to an audiobook). After this intervention, participants completed the Least-Worst Uncertain Choice Inventory for Emergency Responders (LUCIFER).

Results: As hypothesized, mindfulness increased decision-making speed and approach-tendencies. Conversely, for high-maximizers, increased mindfulness caused a slowing of the decision-making process and led to more avoidant choices.

Conclusions: This study shows the potential positive and negative consequences of mindfulness for least-worst decision-making, emphasizing the critical importance of individual differences when considering both the effect of mindfulness and interventions aimed at improving decision-making.

“In the NBA, mindfulness is important because the game is chaotically fast and the pressures on players are extreme. In real life, it’s important because the practice can help us get a handle on ourselves and stop going into a tailspin or endless series of tangents.”

Sirk (Zen and the Art of Winning: Phil Jackson’s Team Leadership, 2020).

https://www.frontiersin.org/articles/10.3389/fpsyg.2021.674694/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1651992_69_Psycho_20210603_arts_A

Improve Psychological Well-Being in Patients with Fever Undergoing Covid-19 Screening with Mindfulness

Improve Psychological Well-Being in Patients with Fever Undergoing Covid-19 Screening with Mindfulness

 

By John M. de Castro, Ph.D.

 

“Mindfulness-based approaches appear well-suited to deal with the challenges presented by the time of unpresented uncertainty, change, and loss, which can take many forms in the context of COVID-19 pandemic.” – Elena Antonova

 

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. One of the primary effects of mindfulness that may be responsible for many of its benefits is that it improves the physiological and psychological responses to stress. The COVID-19 pandemic is extremely stressful particularly for patients running a fever and being screened for Covid-19.  So, mindfulness, because of its ability to improve stress responding, may be helpful in coping with the mental challenges of awaiting COVID-19 test results.

 

In today’s Research News article “Using Mindfulness to Reduce Anxiety and Depression of Patients With Fever Undergoing Screening in an Isolation Ward During the COVID-19 Outbreak.” (See summary below or view the full text of the study at: https://www.frontiersin.org/articles/10.3389/fpsyg.2021.664964/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1651992_69_Psycho_20210603_arts_A )  Liu and colleagues recruited adult patients who had a fever and were undergoing screening in a hospital for Covid-19. They were randomly assigned either to no-treatment or a very brief (25 minute) mindfulness instruction while awaiting test results. They were measured at the time of admissions and again just before test results for positive and negative emotions, distress, satisfaction with life, anger, anxiety, and depression.

 

They found that in comparison to baseline and the no-treatment controls, the participants who had received brief mindfulness instruction had significantly lower anger, distress, anxiety, depression, and need for help and higher satisfaction with life. Hence, the brief mindfulness instruction improved the mood and psychological well-being of these patients during a very stressful time of awaiting Covid-19 test results.

 

Mindfulness has been previously found to be effective in reducing anger, distress, anxiety, and depression, and increasing satisfaction with life. What the present study demonstrates is that these benefits can occur after a very brief instruction for patients in a very stressful situation. This suggests that brief mindfulness instruction should be incorporated into the routine treatment of patients under high short-term stress.

 

So, improve psychological well-being in patients with fever undergoing Covid-19 screening with mindfulness.

 

mindfulness is an increasingly accessible intervention available world-wide that may reduce psychological distress during this isolating public health crisis.” – Susan Farris

 

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

 

Liu Y, Huyang S, Tan H, He Y, Zhou J, Li X, Ye M, Huang J and Wu D (2021) Using Mindfulness to Reduce Anxiety and Depression of Patients With Fever Undergoing Screening in an Isolation Ward During the COVID-19 Outbreak. Front. Psychol. 12:664964. doi: 10.3389/fpsyg.2021.664964

 

The coronavirus disease 2019 (COVID-19) continues to spread globally. This infectious disease affects people not only physically but also psychologically. Therefore, an effective psychological intervention program needs to be developed to improve the psychological condition of patients screened for fever during this period. This study aimed to investigate the effect of a brief mindfulness intervention on patients with suspected fever in a screening isolation ward awaiting results of the COVID-19 test. The Faces Scale and the Emotional Thermometer Tool were used to investigate 51 patients who were randomly divided into an intervention group and a control group. All patients completed self-rating questionnaires online at the time they entered the isolation ward and before they were informed of the results. The intervention group listened to the mindfulness audios through hospital broadcasts in the isolation ward before their lunch break and while they slept. Compared with the control group, the intervention group’s life satisfaction score increased (F = 4.02, p = 0.051) and the emotional thermometer score decreased (F = 8.89, p = 0.005). The anxiety scores (F = 9.63, p = 0.003) and the needing help scores decreased significantly (F = 4.95, p = 0.031). Distress (F = 1.41, p = 0.241), depression (F = 1.93, p = 0.171), and anger (F = 3.14, p = 0.083) also decreased, but did not reach significance. Brief mindfulness interventions can alleviate negative emotions and improve the life satisfaction of patients in the isolation ward who were screened for COVID-19 during the waiting period.

https://www.frontiersin.org/articles/10.3389/fpsyg.2021.664964/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1651992_69_Psycho_20210603_arts_A