Get Parents Out of the Dumps with Mindfulness

November 25, 2016 psyjdc Leave a comment

By John M. de Castro, Ph.D.

“a lot of the work is about learning to make peace with our imperfections. Because we’re going to do things that are going to land our kids in therapy, we’re gonna do things that hurt our kids. We can beat ourselves up. But if, instead, we were able to make peace with our imperfections and begin to regulate our emotional state, we can be calmer and more present for our kids and cultivate some self-compassion.” – Elisha Goldstein

Clinically diagnosed depression is the most common form of mental illness, affecting over 6% of the population. In general, it involves feelings of sadness, emptiness or hopelessness, irritability or frustration, loss of interest or pleasure in most or all normal activities, sleep disturbances, tiredness and lack of energy, anxiety, agitation, feelings of worthlessness or guilt, fixating on past failures or blaming yourself for things that aren’t your responsibility, suicidal thoughts, and suicide attempts or completed suicide. Needless to say individuals with depression are miserable and need help.

Depression does not occur in isolation. When an individual in a family is depressed, it affects all of the members of the family. When it is a parent, it affects how the child is raised and what he/she experiences during the formative years. This can have long-lasting effects on the child. So, it is important to study how depression affects childrearing and the child and what are the factors that might mitigate or eliminate the effects of parental depression on the child. Mindfulness training has been shown to both reduce depression and to improve parenting. Mindfulness-Based Cognitive Therapy (MBCT) was developed specifically to treat depression and has been found to reduce depression alone or in combination with antidepressive drugs. Hence, it is reasonable to study the effects of MBCT on parents who suffer with depression and their children.

In today’s Research News article “Manual Development and Pilot Randomised Controlled Trial of Mindfulness-Based Cognitive Therapy Versus Usual Care for Parents with a History of Depression.” See:

https://www.facebook.com/ContemplativeStudiesCenter/photos/pb.627681673922429.-2207520000.1480075619./1392058374151418/?type=3&theater

or see summary below or view the full text of the study at:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5010613/

Mann and colleagues recruited parents with children who were attending an outpatient depression clinic and randomly assigned them to either continue with treatment as usual or receive a form of Mindfulness-Based Cognitive Therapy that was adapted for parents (MBCT-P). They were measured before therapy and 4 and 9 months after for depression, parental stress, mindfulness, self-compassion, and the children’s behavior. They found that the Mindfulness-Based Cognitive Therapy for parents (MBCT-P) treatment program in comparison to treatment as usual significantly reduced depression and improved mindfulness and self-compassion at 9-months after treatment. They also found that there were significantly fewer behavior problems with the children.

These are very interesting and promising results. They suggest that this newly developed Mindfulness-Based Cognitive Therapy for parents (MBCT-P) program is a safe, effective, and long lasting treatment for parental depression which, in turn, leads to improved behavior in the children. It should be noted that this was a small pilot trial and the results need to be confirmed with a larger number of participants before making firm conclusions. But, the fact that significant results were obtained from such a small sample suggests that the effects of MBCT-P are robust.

That MBCT-P relieved depression and improved mindfulness and self-compassion should be expected given the large array of research demonstrating the effectiveness of Mindfulness-Based Cognitive Therapy for depression. It is an important, but not surprising, consequence of MBCT-P that the children’s behavior was improved. It can be speculated that with the depression relived the parents are better able to engage with their children and be more effective and mindful parents. Future research should investigate precisely what changes occur in parenting behaviors after MBCT-P training and how they affect the children.

So, get parents out of the dumps with mindfulness.

“Mindfulness helps parents emerge from autopilot and end ineffective habits, Bertin said. For instance, instead of getting frustrated and yelling at your child during a homework session – like you might usually do — you’re able to pause and observe your feelings, and act in a calmer, and perhaps more effective way.” – Mark Bertin

CMCS – Center for Mindfulness and Contemplative Studies

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

Study Summary

Mann, J., Kuyken, W., O’Mahen, H., Ukoumunne, O. C., Evans, A., & Ford, T. (2016). Manual Development and Pilot Randomised Controlled Trial of Mindfulness-Based Cognitive Therapy Versus Usual Care for Parents with a History of Depression. Mindfulness, 7(5), 1024–1033. http://doi.org/10.1007/s12671-016-0543-7

Abstract

Parental depression can adversely affect parenting and children’s development. We adapted mindfulness-based cognitive therapy (MBCT) for parents (MBCT-P) with a history of depression and describe its development, feasibility, acceptability and preliminary estimates of efficacy. Manual development involved interviews with 12 parents who participated in MBCT groups or pilot MBCT-P groups. We subsequently randomised 38 parents of children aged between 2 and 6 years to MBCT-P plus usual care (n = 19) or usual care (n = 19). Parents were interviewed to assess the acceptability of MBCT-P. Preliminary estimates of efficacy in relation to parental depression and children’s behaviour were calculated at 4 and 9 months post-randomisation. Levels of parental stress, mindfulness and self-compassion were measured. Interviews confirmed the acceptability of MBCT-P; 78 % attended at least half the sessions. In the pilot randomised controlled trial (RCT), at 9 months, depressive symptoms in the MBCT-P arm were lower than in the usual care arm (adjusted mean difference = −7.0; 95 % confidence interval (CI) = −12.8 to −1.1; p = 0.02) and 11 participants (58 %) in the MBCT-P arm remained well compared to 6 (32 %) in the usual care arm (mean difference = 26 %; 95 % CI = −4 to 57 %; p = 0.02). Levels of mindfulness (p = 0.01) and self-compassion (p = 0.005) were higher in the MBCT-P arm, with no significant differences in parental stress (p = 0.2) or children’s behaviour (p = 0.2). Children’s behaviour problems were significantly lower in the MBCT-P arm at 4 months (p = 0.03). This study suggests MBCT-P is acceptable and feasible. A definitive trial is needed to test its efficacy and cost effectiveness.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5010613/

Produce Better Diabetes Management in Adolescents with Mindful Parenting

November 5, 2016 psyjdc Leave a comment

By John M. de Castro, Ph.D.

“Mindful Parenting is a contemplative practice through which our connection to our child, and awareness of our child’s presence, helps us become better grounded in the present moment.” – Scott Rogers

Mindfulness training has been shown to be helpful with a vast array of medical and psychological problems. But, it is also helpful for dealing with everyday life, from work to relationships, to social interactions, to parenting. Raising children, parenting, is very rewarding. But, it can also be challenging. Children test parents frequently. They test the boundaries of their freedom and the depth of parental love. They demand attention and seem to especially when parental attention is needed elsewhere. They don’t always conform to parental dictates or aspirations for their behavior. They are often affected more by peers, for good or evil, than by parents. It is the parents challenge to control themselves, not overreact, and act appropriately in the face of strong emotions. Meeting these challenges becomes more and more important as the youth approaches adolescence, as that is the time of the greatest struggle for independence and the potential for damaging behaviors, particularly, alcohol, drugs, and sexual behavior.

The challenges of parenting require that the parent be able to deal with stress, to regulate their own emotions, and to be sensitive and attentive to their child. These skills are exactly those that are developed in mindfulness training. It improves the psychological and physiological responses to stress. It improves emotion regulation. And it improves the ability to maintain attention and focus in the face of high levels of distraction. This becomes particularly important with children with physical problems. Mindful parenting involves having emotional awareness of themselves but also having emotional awareness of and compassion for the child and having the skills to pay full attention to the child in the present moment, to accept parenting non-judgmentally and be emotionally non-reactive to the child. These skills have been shown to help children with psychological problems. But, it is not known if mindful parenting might also help the child better adapt and cope with physical challenges.

Type I Diabetes presents a myriad of challenges for any patient and especially for adolescents. Treatment requires rigorous adherence to a demanding schedule, including scheduled injections of insulin, eating programmed amounts at scheduled times, and monitoring activity levels; all with the goal of maintaining control over blood glucose levels. This is difficult for adults but with the emotional turmoil and social demands of adolescence it becomes particularly challenging and can impact on their quality of life.

In today’s Research News article “The Association of Mindful Parenting with Glycemic Control and Quality of Life in Adolescents with Type 1 Diabetes: Results from Diabetes MILES—The Netherlands.” See:

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1371475269543062/?type=3&theater

or see summary below or view the full text of the study at:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5010614/

Serkel-Schrama and colleagues recruited a large sample of adolescents having Type I diabetes and their parents. The parents were asked to report on their child’s HbA_1c levels as a measure of glycemic control and the number of severe events related to glycemic control including hospitalizations, and to complete and mindful parenting scale which included subscales measuring full attention, compassion for the child, non-judgmental acceptance of parental functioning, emotional non-reactivity in parenting, emotional awareness of the child, emotional awareness of self. The adolescents completed self-report scales measuring overall quality of life and diabetes specific quality of life.

They found that adolescents who had higher levels of overall and diabetes specific quality of life were significantly more likely to have parents who were high in mindful parenting skills. Boys who had parents high in mindful parenting skills had significantly better glycemic control (HbA_1c levels) while girls who had parents high in mindful parenting skills had significantly fewer hospitalizations for ketoacidosis. Hence, mindful parenting skills were associated with higher quality of life for the adolescents with Type I diabetes, better glycemic control in adolescent boys and fewer ketoacidosis events for girls. Hence, mindful parenting was associated with the adolescents being better able to cope with their disease.

These results are impressive. Most studies of mindfulness skills report on the effects of mindfulness on the individual themselves. The present study was unusual in that the effects of mindful parenting on the adolescent were reported. Adolescents notoriously are rebellious of parental authority, so the improved ability to cope with diabetes in the youths associated with having parents with mindful parenting skills is particularly impressive. It would appear that mindful parenting has far reaching effects on the children including their ability to deal with physical problems in adolescents.

So, produce better diabetes management in adolescents with mindful parenting.

“And the good news is that the work may seem invisible, but the results will blow you away. With practice, you’ll find yourself calmer all the time. Your child will be more cooperative, just because you’re different. And when you’re in a more peaceful state, you’ll find that some of the challenges with your child simply melt away.” – Aha! Parenting

CMCS – Center for Mindfulness and Contemplative Studies

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

Study Summary

Serkel-Schrama, I. J. P., de Vries, J., Nieuwesteeg, A. M., Pouwer, F., Nyklíček, I., Speight, J., … Hartman, E. E. (2016). The Association of Mindful Parenting with Glycemic Control and Quality of Life in Adolescents with Type 1 Diabetes: Results from Diabetes MILES—The Netherlands. Mindfulness, 7(5), 1227–1237. http://doi.org/10.1007/s12671-016-0565-1

Abstract

The objective of this study was to examine associations between the mindful parenting style of parents of adolescents (aged 12–18) with type 1 diabetes mellitus (T1DM), and the glycaemic control and quality of life (QoL) of the adolescents. Chronic health conditions, such as T1DM, that require demanding treatment regimens, can negatively impact adolescents’ quality of life. Therefore, it is important to determine whether mindful parenting may have a positive impact in these adolescents. Age, sex and duration of T1DM were examined as potential moderators. Parents (N = 215) reported on their own mindful parenting style (IM-P-NL) and the adolescents’ glycaemic control. Parents and the adolescents with T1DM (N = 129) both reported on adolescents’ generic and diabetes-specific QoL (PedsQL™). The results showed that a more mindful parenting style was associated with more optimal hemoglobin A1c (HbA1c) values for boys. For girls, a more mindful parenting style was associated with not having been hospitalized for ketoacidosis. For both boys and girls, a more mindful parenting style was associated with better generic and diabetes-specific proxy-reported QoL. In conclusion, mindful parenting style may be a factor in helping adolescents manage their T1DM. Mindful parenting intervention studies for parents of adolescents with T1DM are needed to examine the effects on adolescents’ glycaemic control and their quality of life.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5010614/

Be a Better Parent with Self-Compassion

September 24, 2016 psyjdc Leave a comment

By John M. de Castro, Ph.D.

“Parental depression negatively affects fathers’ and mothers’ caregiving, material support, and nurturance, and is associated with poor health and developmental outcomes for children of all ages, including prenatally. Depressed mothers are more likely than non-depressed mothers to have poor parenting skills and to have negative interactions with their children.” – Child Trends

Clinically diagnosed depression is the most common form of mental illness, affecting over 6% of the population. In general, it involves feelings of sadness, emptiness or hopelessness, irritability or frustration, loss of interest or pleasure in most or all normal activities, sleep disturbances, tiredness and lack of energy, anxiety, agitation, feelings of worthlessness or guilt, fixating on past failures or blaming yourself for things that aren’t your responsibility, suicidal thoughts, suicide attempts or suicide. Needless to say individuals with depression are miserable.

Depression does not occur in isolation. When an individual in a family is depressed it affects all of the members of the family. When it is a parent, it affects how the child is raised and what he/she experiences during the formative years. This can have long-lasting effects on the child. So, it is important to study how depression affects childrearing and the child and what are the factors that might mitigate or eliminate the effects of parental depression on the child.

A characteristic of western society is that many people don’t seem to like themselves. The term used to describe this that I prefer is self-dislike. This is often highly associated with depression. Its opposite is self-compassion; being kind and understanding toward yourself in the face of inadequacies or short-comings. So, it would make sense to investigate the relationship of self-compassion with depression and child rearing. In today’s Research News article “Self-Compassion and Parenting in Mothers and Fathers with Depression.” See:

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1331610153529574/?type=3&theater

or see summary below or view the full text of the study at:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4923280/

Psychogiou and colleagues do just that. They recruited parents of young children (2-6 years of age) who were also suffering with depression. They measured them for depression, self-compassion, parental emotions, children’s internalizing and externalizing, and parental coping with children’s negative emotions.

They found that for both mothers and fathers, low levels of depression were significantly associated with high levels of self-compassion. Parenting ability was also associated with self-compassion, with mother who were high in self-compassion expressing fewer critical comments and more positive comments toward their children. In addition, parents who were high in self-compassion had fewer distressed reactions to their children’s behavior. High parental self-compassion was also significantly associated with the children having low internalizing and externalizing symptoms. Hence, depressed parents who have high levels of self-compassion are less critical of their children, responded better to their children’s behaviors, and produced less self-blame (internalizing) in their children.

These findings suggest that self-compassion may be to some extent an antidote to depression and to mitigate the effects of that depression on parenting. It would appear that if the parent is kind and understanding toward themselves it reduces their depression level and the kindness and understanding appears to transfer to their children producing more positive and productive parenting behaviors. But, the interpretation of these findings must be tempered as the results are correlational and as such do not demonstrate causation. Future studies should attempt to manipulate self-compassion and determine the effects of increasing it on depression and parenting. Since, mindfulness practices are known to increase self-compassion and improve caregiving and parenting, it would make sense to apply mindfulness training to depressed parents and observe its effects.

So, be a better parent with self-compassion.

“We are all used to working on our self-esteem by asking ourselves, “Am I being a good parent or a bad parent?” The problem is that having high self-esteem is contingent upon experiencing success. If we don’t meet our own standards, we feel terrible about ourselves. Self-compassion, in contrast, is not a way of judging ourselves positively or negatively. It is a way of relating to ourselves kindly and embracing ourselves as we are, flaws and all.” – Kristin Neff

CMCS – Center for Mindfulness and Contemplative Studies

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

Study Summary

Psychogiou, L., Legge, K., Parry, E., Mann, J., Nath, S., Ford, T., & Kuyken, W. (2016). Self-Compassion and Parenting in Mothers and Fathers with Depression. Mindfulness, 7, 896–908. http://doi.org/10.1007/s12671-016-0528-6

Abstract

Depression in parents impairs parenting and increases the risk of psychopathology among their children. Prevention and intervention could be informed by knowledge of the mechanisms that break the inter-generational transmission of psychopathology and build resilience in both parents and their children. We used data from two independent studies to examine whether higher levels of self-compassion were associated with better parenting and fewer emotional and behavioral problems in children of parents with a history of depression. Study 1 was a pilot trial of mindfulness-based cognitive therapy that included 38 parents with recurrent depression. Study 2 was a longitudinal study that consisted of 160 families, including 50 mothers and 40 fathers who had a history of depression. Families were followed up approximately 16 months after the first assessment (time 2; n = 106 families). In both studies, self-compassion was assessed with the Self-Compassion Scale. Parents reporting higher levels of self-compassion were more likely to attribute the cause of their children’s behavior to external factors, were less critical, and used fewer distressed reactions to cope with their children’s emotions. Parents’ self-compassion was longitudinally associated with children’s internalizing and externalizing problems, but these associations became nonsignificant after controlling for child gender, parent education, and depressive symptoms. Future larger scale and experimental designs need to examine whether interventions intended to increase self-compassion might reduce the use of negative parenting strategies and thereby the inter-generational transmission of psychopathology.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4923280/

Reduce Low Self-Control Drug Use with Mindfulness

August 11, 2016 psyjdc Leave a comment

By John M. de Castro, Ph.D.

“The idea behind mindfulness meditation is to observe the present moment by paying attention to the breath and body, as well as thoughts and emotions. People with challenges related to addiction tend to act out on addictive behaviors to avoid uncomfortable feelings and to bring pleasure. . . . Mindfulness practices help the client to learn to face the present movement with all of its pleasant and unpleasant sensations, feelings and thoughts.” – Eric Millman

College students make up one of the largest groups of drug abusers nationwide. Alcohol is the most abused substance, but there are many others. These include: marijuana, prescription medications (including stimulants, central nervous system depressants, and narcotics), over-the-counter drugs, cocaine, heroin, and ecstasy. Of these marijuana is the most commonly abused substance by college students. In fact, 47% of college students have tried it at least once, with 30% admiting to using it in the past year. In addition, one in five college students admits to using amphetamine and 13% of college students admit to using ecstasy at least once in their lives.

These are sobering statistics and underscore the need to find effective methods to prevent and treat substance abuse in college students. It is established that problematic family environments are linked to college student substance abuse. It has also been established that mindfulness tends to counteract substance abuse. Indeed, mindfulness training has been shown to be a safe and effective treatment for reducing drug use and relapse after successful treatment. In today’s Research News article “Parent-Child Conflict and Drug Use in College Women: A Moderated Mediation Model of Self Control and Mindfulness.” See:

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1292270250796898/?type=3&theater

or see summary below or view the full text of the study at:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4175297/

Tarantino and colleagues investigate whether mindfulness modulates the effects of difficult family environments on substance abuse.

They recruited a large on-line sample of college women and measured perceptions of the relationship between the student and his/her parent, mindfulness, self-control, and drug use. They found that the higher the level of parent-child conflict the higher the level of substance abuse. They also found variables that tended to counteract substance abuse. The higher the levels of mindfulness, self-control, and being in a relationship, the lower the levels of substance abuse. But, by far the strongest negative relationship was between self-control and substance abuse. They also found that mindfulness and self-control modified the effects of parent-child conflict on substance abuse. Mindfulness tended to blunt the effects of parent-child conflict on substance abuse only when the women were low in self-control but not when they were high in self-control.

These results suggest that the ability of a problematic home environment to stimulate drug abuse is diminished primarily by high self-control. But, when self-control is low mindfulness blunts the effects of parent-child conflict on substance abuse. “This relation can best be understood as a compensatory effect wherein a higher degree of either self-control or mindfulness protects against a lower degree of the other.” The complexity of these findings suggest that different strategies for treating drug abuse may be needed for women who were low vs. high in self-control. Self-control is the most important factor, but mindfulness training may work well for women who have low self-control. Future research is needed to further clarify the utility of mindfulness training in women with low self-control.

So, reduce low self-control drug use with mindfulness.

“though it may seem paradoxical, by increasing your ability to accept and tolerate the present moment, you become more able to make needed changes in your life. This is due to your learning to deal with uncomfortable feelings that might accompany modified behaviors, rather than reacting on automatic pilot. Also, practicing balanced emotional responses can reduce your stress level, and anxiety and stress are often triggers for substance abuse and addictive behavior. In addition, when you choose a neutral rather than a judgmental response to your thoughts and feelings, you can increase your sense of self-compassion rather than beating yourself up, which is often associated with addictive behaviors.” Adi Jaffe

CMCS – Center for Mindfulness and Contemplative Studies

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

Study Summary

RESEARCH NEWS –

Tarantino, N., Lamis, D. A., Ballard, E. D., Masuda, A., & Dvorak, R. D. (2015). Parent-Child Conflict and Drug Use in College Women: A Moderated Mediation Model of Self Control and Mindfulness. Journal of Counseling Psychology, 62(2), 303–313. http://doi.org/10.1037/cou0000013

Abstract

This cross-sectional study examined the association between parent-child conflict and illicit drug use in a sample of female college students (N = 928). The mediating roles of self-control and mindfulness, as well as an interaction between self-control and mindfulness, were examined in a moderated mediation model for the purposes of expanding etiological theory and introducing targets for the prevention and treatment of drug abuse. Whereas deficits in self-control were found to facilitate the positive relation observed between parent-child conflict and the likelihood of experiencing drug-related problems, an interaction between mindfulness and self-control helped explain the association between parent-child conflict and intensity of drug-related problems. Parent-child conflict was related to low mindfulness when self-control was low, and low mindfulness in turn was related to a higher intensity of drug-related problems. This association did not exist for women with high self-control. Findings are consistent with developmental research on the etiology of drug use and the protective properties of mindfulness and self-control. Mindfulness as a potential target of intervention for drug users with low self-control to prevent drug-related problems is explored.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4175297/

Reduce Children’s and Parent’s Psychological Problems with Mindful Parenting

June 25, 2016 psyjdc 1 Comment

By John M. de Castro, Ph.D.

“When we as adults learn mindfulness—paying attention here and now with kindness and curiosity and then choosing our behavior—we can support our children and teenagers in bringing these skills into their lives. If we are in the present, we aren’t worrying about our third grader getting into college and we aren’t passing this stress onto them in our day-to-day interactions. If we learn to witness our anger, fear, and sadness with kindness and compassion we show our children that this way of working with intense emotion is possible. If we slow down and choose how to respond to a difficult situation in daily life, and especially if we do it during challenges with our children and “out loud,” “Honey I am really frustrated, that you did X again, I am going to take a few minutes and then we can discuss this.” Then they see that they can do the same with various difficulties. Children learn what they live; the best way to support them in practicing mindfulness is to practice ourselves.” – Amy Saltzman

The challenges of parenting require that the parent be able to deal with stress, to regulate their own emotions, and to be sensitive and attentive to their child. These skills are exactly those that are developed in mindfulness training. It improves the psychological and physiological responses to stress. It improves emotion regulation. And it improves the ability to maintain attention and focus in the face of high levels of distraction. This becomes particularly important with children with psychological problems. All of the challenges of parenting become amplified. The application of mindful parenting skills to clinical issues is relatively new. So, it would seem reasonable to investigate the ability of mindful parenting training to help children with psychological problems and their parents.

In today’s Research News article “Mindful Parenting Training in Child Psychiatric Settings: Heightened Parental Mindfulness Reduces Parents’ and Children’s Psychopathology.” See:

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1258473290843261/?type=3&theater

or below, Meppelink and colleagues used mindful parenting training to treat both children with serious psychopathology and their parents. The children were diagnosed with a range of disorders including autism, attention deficit hyperactivity disorder, anxiety disorder, oppositional defiant disorder, and adjustment disorder. The parents of these children received an 8 -week mindful parenting treatment delivered in a group format. It involved weekly 3-hour sessions and at least one hour of daily meditation. It included meditation, body scan, and yoga, and teaching of mindful parenting skills. Parents were assessed for mindfulness and mindful parenting, and both the parents and children were assessed for psychopathology both before and after training and again 8-weeks later.

They found that the training increased general mindfulness and mindful parenting scores in the parents and decreased both the parents’ and children’s psychopathology scores. These improvements were still present 8-weeks later. In addition, the greater the increase in the parents’ mindfulness, the greater the decrease in the parents’ psychopathology, but not the children’s. On the other hand, the greater the increase in the parents’ mindful parenting scores, the greater the decrease in the children’s psychopathology, but not the parents’. These results suggest that mindful parenting training benefits both the parents and the children, with improved mindfulness benefiting the parents while improved mindful parenting benefiting the children.

These conclusions need to be tempered with the understanding that there was not a control condition. So, it is impossible to tell if the improvements occurred because of the mindful parenting or due to a subject expectancy (placebo) effect, due to experimenter bias, spontaneous remission, or other confounding variable. A randomized controlled trial is needed.

Nevertheless, these results are encouraging, provide the rationale for more extensive and tightly controlled research, and suggest that children’s and parents psychological problems can be improved with mindful parenting training.

“It seems there’s no one right way to parent mindfully. Happily, there are many right ways. Sometimes the smallest adjustment in a child’s schedule can change a whole family’s day-to-day life. And sometimes it’s as simple as practicing paying full attention to our kids, with openness and compassion, and maybe that’s enough at any moment.” – Juliann Garey

CMCS – Center for Mindfulness and Contemplative Studies

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

Study Summary

Meppelink R, de Bruin EI, Wanders-Mulder FH, Vennik CJ, Bögels SM. Mindful Parenting Training in Child Psychiatric Settings: Heightened Parental Mindfulness Reduces Parents’ and Children’s Psychopathology. Mindfulness (N Y). 2016;7:680-689. Epub 2016 Mar 15. Doi: 10.1007/s12671-016-0504-1

Abstract

Mindful parenting training is an application of mindfulness-based interventions that allows parents to perceive their children with unbiased and open attention without prejudgment and become more attentive and less reactive in their parenting. This study examined the effectiveness of mindful parenting training in a clinical setting on child and parental psychopathology and of mindfulness as a predictor of these outcomes. Seventy parents of 70 children (mean age = 8.7) who were referred to a mental health care clinic because of their children’s psychopathology participated in an 8-week mindful parenting training. Parents completed questionnaires at pre-test, post-test and 8-week follow-up. A significant decrease was found in children’s and parents’ psychopathology and a significant increase in mindful parenting and in general mindful awareness. Improvement in general mindful awareness, but not mindful parenting, was found to predict a reduction in parental psychopathology, whereas improvement in mindful parenting, but not general mindful awareness, predicted the reduction of child psychopathology. This study adds to the emerging body of evidence indicating that mindful parenting training is effective for parents themselves and, indirectly, for their children suffering from psychopathology. As parents’ increased mindful parenting, but not increased general mindfulness, is found to predict child psychopathology, mindful parenting training rather than general mindfulness training appears to be the training of choice. However, RCTs comparing mindful parenting to general mindfulness training and to parent management training are needed in order to shed more light on the effects of mindful parenting and mechanisms of change.

Mindful Fatherhood

June 19, 2016 psyjdc Leave a comment

By John M. de Castro, Ph.D.

“Mindful Fathering is the act of consciously checking into your life as a father. It’s about staying present in your life as a father, observing the dreary, ugly, and painful parts of fathering with acceptance and non-judgement, and honoring those parts with our full attention, just as we honor the wonderful and sublime moments of fatherhood, rather than numbing ourselves out of our lives through substances, technology, or boredom.” – MindfulFathering

Fathers’ Day, like Mother’s Day was basically invented and promoted by the greeting card and florist industries. But, even though its origins were crass, the idea took off, because it hit upon a truth; that most of us love our fathers. As a result, Fathers’ Day has become a culturally accepted and encouraged time for the celebration of fatherhood and all that it means. The deep bonds and love that most people feel for their fathers and their fathers for them fuels the celebration of the holiday.

The holiday is also popular as everyone has a father, who in turn, has had a father, who has had a father, etc. Many are, or want to be fathers. It has and always will, play an immensely important role in our individual and societal existence. The effectiveness, or lack thereof, of fathering has a major impact on the children that continues throughout their lives. It is such an important role that it seems reasonable to explore what goes into successful fathering and child rearing and what might be of assistance in improving fathering. There has accumulated a tremendous amount of scientific evidence that mindfulness, (“awareness that arises through paying attention, on purpose, in the present moment, non-judgmentally”) can be an important asset for fathers. So, on this day celebrating fatherhood, we’ll explore the role of mindfulness.

Mindfulness has been found to be important to becoming a father in the first place. Mindfulness makes the individual more attractive to the opposite sex, it improves sexual relationships, it helps to relieve infertility, and it improves relationships in general. All of which underscores the importance of mindfulness in improving the likelihood that conception will occur and that childbirth will be born into a supportive social context. Mindfulness continues after birth to be of assistance as it improves caregiving and parenting, even in the case where the child has developmental disabilities. Mindfulness not only helps the parents deal with the stresses of childrearing, but developing mindfulness in the child can be of great assistance to helping the kids develop emotionally and cognitively, develop high level thinking, develop healthy self-concepts, develop socially, deal with stress, and cope with trauma and childhood depression. It even improves the child’s psychosocial development and academic performance and grades in school. In addition, it seems to be able to assist children through the troubled times of adolescence.

Fathering does not occur in a vacuum. It’s been said that “It takes a village” to rear a child. Indeed, fatherhood is embedded in a community. There are many people who are either directly or indirectly involved, from the mother, to the extended family, the community, the medical profession, teachers, clergy, social workers, childcare workers, and even the government. So relationships become an essential part of fathering from conception, to birth, and family and social life. Mindfulness is important to the father in developing and promoting these social connections that are so important for the child’s development. Mindful people generally connect better and are better liked by others, making them socially much more effective.

Why would mindfulness be such an important component of fatherhood? There are a number of reasons that mindfulness helps. It reduces the psychological and physical effects of stress on the father and let’s face it, raising children can be quite stressful. Mindfulness also improves emotion regulation making the father better able to be in touch with his emotions yet react to them adaptively and effectively. Mindfulness helps the father maintain his health and well-being, and to recover quicker should he become ill.

With the increasing frequency of divorce and single parent households, the first and most important function of a father is simply to be present for their child. This may take the form of a traditional family, but may also be as the primary custodian, or only during delineated visitations, or there may be shared responsibility with separate households, or as a step-parent. The mindful father takes this role and his responsibilities to the child very seriously and regardless of the living arrangements invests time and resources in the child. Regardless of the circumstances being mindfully involved in the child’s life is crucial. But being present doesn’t just mean being physically present hanging around. Probably the most important thing a father can do is to simply be present with the child, devoting singular attention to the child. It means attending to the children emotionally, listening carefully, and being caring and compassionate.

The essential capacity developed in mindfulness training is paying much greater attention to what’s occurring in the present moment. This can be of immense help to the father. It makes him better attuned to his child’s and to his own needs. It reduces rumination and recriminations about past mistakes. It tends to diminish the worry and anxiety about the future. It helps him to focus on what needs to be done now, making him much more effective. And it helps him to experience the joys of fatherhood to their fullest. In general, by focusing on now, he is tuned into the only time that matters for himself or his child, improving his relationship with reality, dealing with its problems and relishing its wonders.

This is where mindfulness comes in. Mindfulness training promotes paying close attention to what is happening in the present moment. So, when interacting with their children a mindful father is truly present for them and not thinking about other things. Mindfulness promotes careful attentive listening. One of the most important things a child wants is to be truly heard. That is the gift of a mindful father. Mindfulness also promotes compassion, being aware of the emotional state of another. This is also important for a child. Childhood can be difficult and being in touch with a child’s moods is an important part of effective fathering. Mindfulness also develops the ability to closely observe without judging the child. This is immensely important for the development of the child’s self-concept and for the flowering of experimentation and creativity. Yes, children need direction, but too much judging can cause harm. So, observing the child with non-judgmental awareness is important for children flourishing.

Hence, mindfulness can make fathering better, both for the father, and the child. So, on this important day of celebration of fathers, let’s adopt mindfulness and make it a part of our relationship with our fathers and our children. Most of us love our fathers but we love mindful fathers even more especially when we ourselves are mindful.

“But mindfulness is really about being the best parent you can be. When we are mindful, we think about what we are doing and why we are doing it. If we are grounded in principles, it is easier to be more aware of what is happening at the moment and to be more observant. Connecting with the deep reasons why we chose to be a parent can help us see what is going on in a clearer light.” – Wayne Parker

CMCS – Center for Mindfulness and Contemplative Studies

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Decrease PMS with Mindfulness

June 8, 2016April 28, 2022 psyjdc Leave a comment

Smiling young girl drinking tea and writing

“Meditation helps manage PMS in many ways. Meditation helps put PMS in perspective – that it’s a short-term problem and that most of the time, you feel good. It helps ease the guilt of difficult-to-control emotional outbursts – PMS is a medical condition! Meditation helps calm the erratic thought patterns and wild emotional fluctuations by putting the body and mind into a deeply relaxed state.” – Steven Johnson

Premenstrual Syndrome (PMS) is very common in women during the childbearing years. Almost 85% of American women, between 20 years old and 40 years old, experience PMS and around 5% of these women are disabled by extremely severe symptoms. It is often accompanied with depression and called Premenstrual Dysphoric Disorder (PMDD) and can be dangerous as the suicide rate for patients with depression is much higher in the second half of the menstrual cycle.

PMS produces physical symptoms such as Joint or muscle pain, headache, fatigue, weight gain related to fluid retention, abdominal bloating, breast tenderness, acne flare-ups, and constipation or diarrhea. These symptoms are accompanied by a constellation of psychological symptoms such as tension or anxiety, depressed mood, crying spells, mood swings and irritability or anger, appetite changes and food cravings, trouble falling asleep (insomnia), social withdrawal, and poor concentration. Rather than improve with age, PMS can get worse as patients age and approach menopause.

For most women PMS is left untreated, with the women simply putting up with the misery. But for some drugs are prescribed such as antidepressants, NSAIDs, diuretics, and hormones. These are all accompanied by significant side effects. There is, therefore, a need to find safe and effective treatment for the torment of PMS. Mindfulness training has been shown to improve the physical and psychological state of women and men. It would seem reasonable to examine whether mindfulness training might be helpful with PMS.

In today’s Research News article “Relationships Among Premenstrual Symptom Reports, Menstrual Attitudes, and Mindfulness.” See:

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1246921738665083/?type=3&theater

or below or view the full text of the study at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4859870/

Lustyk and colleagues examined the relationships between mindfulness, premenstrual attitudes, and Premenstrual Syndrome (PMS) symptoms in college age women, all of whom reported some level of PMS symptoms. They found that a number of aspects of mindfulness, including overall mindfulness and the observing, describing, and non-reacting facets of mindfulness were significantly negatively associated with overall and individual PMS symptoms, including pain, emotions, food cravings, and fluid retention. They found that the greater the levels of mindfulness the less the PMS symptom severity.

Lustyk and colleagues also measured the women’s attitudes regarding menstruation. They found that the greater degree the women perceived menstruation as a debilitating event and the better they were at predicting the onset of menstruation, the lower the PMS symptoms. They also found that mindfulness moderated these effects; the higher the levels of mindfulness the smaller the relationships between these attitudes with PMS symptoms.

These results are encouraging. They are however correlational. There was no manipulation of mindfulness or mindfulness training. So, it can’t be concluded that mindfulness caused improvements in PMS symptoms. It could be that low PMS symptoms improve mindfulness in women or that some other variable is related to both. It will take a manipulative research study to determine if there’s a causal relationship between mindfulness and PMS symptoms.

These cautions notwithstanding, mindfulness appears to be associated with lower PMS symptoms. This adds to the list of the beneficial effects of mindfulness to mental and physical health. It also suggests that mindfulness training may be a safe and effective alternative treatment for Premenstrual Syndrome in women.

So, decrease PMS with mindfulness.

“The incredible positive that I have gained by becoming aware of this connection is the awareness that has allowed me to work with my mind and body each month when these symptoms surface. I can now respond to my body’s needs without reacting from a highly activated, emotional place. It’s really made all of the difference. I now know what to expect and deal with myself more compassionately during this time of the month.” – Debbie

CMCS – Center for Mindfulness and Contemplative Studies

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

Study Summary

Lustyk, M. K. B., Gerrish, W. G., Douglas, H., Bowen, S., & Marlatt, G. A. (2011). Relationships Among Premenstrual Symptom Reports, Menstrual Attitudes, and Mindfulness. Mindfulness, 2(1), 37–48. http://doi.org/10.1007/s12671-011-0041-x

Abstract

The physical and affective symptoms of a broad range of conditions are improved following mindfulness-based practices. One set of symptoms that has yet to be explored through the lens of mindfulness, however, is that associated with the premenstruum. Also, given the relationships among negative attitudes towards menstruation and amplified symptom reporting, it is reasonable to expect that mindfulness qualities cultivated through practices aimed at dispelling negative anticipatory and judgmental thinking will moderate these relationships. Thus, in this study we examined interrelationships among premenstrual symptom severity reports (PMSR), menstrual attitudes, and mindfulness qualities in a sample of 127 women (age range 18–26 years). Results revealed several statistically significant positive relationships between menstrual attitudes and PMSR. Also, higher scores on measures of mindfulness were significantly associated with lower PMSR. Moderating effects revealed that mindfulness significantly buffered the relationships between menstrual attitudes and PMSR, specifically between: anticipation of menses onset and PMSR as well as anticipation of menses onset and premenstrual water retention. These results may offer the first empirical evidence of relationships among menstrual attitudes, PMSR, and mindfulness qualities. Results from this study align with the body of research showing that mindfulness is predictive of improved symptomatology and well-being across varied conditions. We conclude with discussion supporting the development of a mindfulness-based intervention aimed at reducing symptom severity in premenstrual symptom sufferers.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4859870/

Improve Parenting with Mindfulness

March 11, 2016 psyjdc 1 Comment

By John M. de Castro, Ph.D.

“It’s as simple as practicing paying full attention to our kids, with openness and compassion, and maybe that’s enough at any moment.” – Mark Bertin

Raising children, parenting, is very rewarding. But, it can also be challenging. Children test parents frequently. They test the boundaries of their freedom and the depth of parental love. They demand attention and seem to especially when parental attention is needed elsewhere. They don’t always conform to parental dictates or aspirations for their behavior. They are often affected more by peers, for good or evil, than by parents. It is the parents challenge to control themselves, not overreact, and act appropriately in the face of strong emotions. Meeting these challenges becomes more and more important as the youth approaches adolescence, as that is the time of the greatest struggle for independence and the potential for damaging behaviors, particularly, alcohol, drugs, and sexual behavior.

In today’s Research News article “Integrating Mindfulness with Parent Training: Effects of the Mindfulness-Enhanced Strengthening Families”

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1181707418519849/?type=3&theater

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4485922/

Coatsworth and colleagues add mindfulness training to an empirically validated program for enhancing parenting skills called the Strengthening Families Program (SFP). The mindfulness enhancements were listening with full attention, nonjudgmental acceptance of self and child, emotional awareness of self and child, self-regulation in parenting, and compassion for self and child. They compared families of 6^th and 7^th grade students randomly assigned to receive either the Strengthening Families Program (SFP), the Mindfulness-Enhanced the Strengthening Families Program (MSFP), or a home study control. Training was delivered in 7 weekly, 2-hour, sessions, where the parents and youth meet in separate sessions.

They found that the mothers in both the SFP and MSFP groups self-reported significantly improved levels of self-regulation in parenting, better emotional awareness of youth, greater positive affective/interaction quality with their youths, and higher levels of family involvement than the control group. They also reported better monitoring and alcohol rule communication with their youth. The youths reported that their mothers demonstrated significantly improved listening with full attention, better self-regulation in parenting, and greater compassion/acceptance toward their youths. In terms of the fathers, they found greater emotional awareness of youth, more compassion/acceptance for their youths, more compassion/acceptance for themselves as parents, more positive affective/interaction quality, and higher levels of family involvement. Interestingly, adding the mindfulness component increased the impact of the training for the fathers but not the mothers.

The findings clearly demonstrate that the Strengthening Families Program improves parenting and that the addition of a mindfulness component improved its effectiveness for fathers. These results suggest that mindfulness training is important in improving parenting particularly for fathers. These results were found for a particularly important and challenging time for parents, the beginning of the transition to adolescence.

So, improve parenting with mindfulness.

“Mindful Parenting is a contemplative practice through which our connection to our child, and awareness of our child’s presence, helps us become better grounded in the present moment.” – The Mindful Parent

CMCS – Center for Mindfulness and Contemplative Studies