Sleep

Effectiveness of Mindfulness Training on Stress Depends Upon Baseline Levels of Anxiety and Sleep Disruption

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Effectiveness of Mindfulness Training on Stress Depends Upon Baseline Levels of Anxiety and Sleep Disruption

 

By John M. de Castro, Ph.D.

 

“Chronic stress can impair the body’s immune system and make many other health problems worse. By lowering the stress response, mindfulness may have downstream effects throughout the body.” – American Psychological Association

 

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. But there are large individual differences in the effectiveness of mindfulness training for reduction in stress and its effects. Hence, there is a need to investigate what individual characteristics may predict the positive benefits of mindfulness training.

 

In today’s Research News article “Do gender, anxiety, or sleep quality predict mindfulness-based stress reduction outcomes?.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7814316/ ) Brown and colleagues recruited adult participants in an 8-week Mindfulness-Based Stress Reduction (MBSR) program. the program consists of weekly training meetings that include meditation, yoga, and body scan along with group discussion and daily home practice. The participants were measured before and after the program for anxiety. depression, sleep quality, stress-related symptoms, and emotion regulation.

 

They found that in comparison to baseline after the Mindfulness-Based Stress Reduction (MBSR) program there was a significant decrease in stress-related symptoms and emotion suppression and a significant increase in cognitive reappraisal. Participants who were high in anxiety and sleep disruptions at baseline had significantly greater reductions in stress-related symptoms and greater increases in cognitive reappraisal after MBSR. In addition, men had significantly greater decreases in emotion suppression after MBSR than women.

 

This study lacked a control (comparison condition). So, caution must be exercised in reaching definitive conclusions. But previous controlled studies have demonstrated that mindfulness training results in significant decreases in the physiological and psychological responses to stress and improvements in emotion regulation. So, the present findings are likely due to the impact of the Mindfulness-Based Stress Reduction (MBSR) program.

 

The study demonstrates that the characteristics of the participants at the beginning of the Mindfulness-Based Stress Reduction (MBSR) program predict it’s impact. Participants who are highly anxious and have troubled sleep at the start tend to benefit the most. Since anxiety and sleep disruption tend to contribute to stress and mindfulness training has been shown to decrease anxiety and improve sleep, it is not surprising that they would be predictive of greater reduction in stress-related symptoms. Nevertheless, the results suggest that MBSR should be employed particularly for anxious individuals and those with troubled sleep.

 

So, effectiveness of mindfulness training on stress depends upon baseline levels of anxiety and sleep disruption.

 

“The benefits of mindfulness training may persist for years, because learning to be mindful is something that can be applied to your daily routine.” – Arielle Silverman

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Brown, M. M., Arigo, D., Wolever, R. Q., Smoski, M. J., Hall, M. H., Brantley, J. G., & Greeson, J. M. (2021). Do gender, anxiety, or sleep quality predict mindfulness-based stress reduction outcomes?. Journal of health psychology, 26(13), 2656–2662. https://doi.org/10.1177/1359105320931186

 

Abstract

Although mindfulness-based stress reduction (MBSR) can improve health and well-being, less is known about factors that predict outcomes. This prospective observational study examined gender and baseline anxiety and sleep quality as predictors of change in emotion regulation and stress symptoms following an 8-week MBSR program. Women and men reported similar improvement in stress symptoms and cognitive reappraisal, whereas men improved more in emotion suppression. Individuals with higher anxiety and worse sleep pre-treatment benefited most in terms of decreased stress. Evaluating pre-treatment characteristics could help determine optimal candidates for MBSR training and could optimize outcomes for both women and men.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7814316/

Improve Sleep in Resident Physicians with Meditation

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Improve Sleep in Resident Physicians with Meditation

 

By John M. de Castro, Ph.D.

 

“residents. . . are on the move, working rotations in different clinics and even different hospitals. “Life in the hospital can be very stressful for residents. They aren’t just working long hours, they’re also geographic orphans.”- Chandra Are

 

Resident physicians have long tense shifts. The resultant stress can impair sleep. Not having adequate sleep has adverse effects upon the individual’s health, well-being, and happiness. Sleep deprivation is associated with decreased alertness and a consequent reduction in performance of even simple tasks, decreased quality of life, increased difficulties with memory and problem solving, and increased likelihood of accidental injury including automobile accidents. So, it is important that methods be found to improve sleep in resident physicians. Contemplative practices have been shown to reduce the psychological and physiological responses to stress and improve well-being. Indeed, mindfulness has been shown to be helpful in treating and preventing burnout, increasing resilience, and improving sleep. So, meditation may be able to improve sleep in resident physicians.

 

In today’s Research News article “Sleep Patterns of Resident Physicians and the Effect of Heartfulness Meditation.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8558985/ ) Thimmapuram and colleagues recruited medical residents and had them record sleep for a week including objective measurement with actigraphy. They received heartfulness meditation training for 20 minutes per day for one week and practiced this meditation for 6 minutes each night before sleep. After the weeks training sleep was measured again for 1 week.

 

They found that in comparison to baseline after meditation training there was a significant reduction in self-report and actigraphy measures of mean sleep onset time and sleep fragmentation and a significant increase in sleep quality and restfulness. There were no significant changes in caffeine or alcohol intake or naps.

 

It should be kept in mind that there wasn’t a comparison (control) condition leaving open many confounding alternative explanations including expectancy (placebo) effects, attentional and Hawthorne effects, experimenter bias etc. In addition, there were no follow-up measures to determine if the effects were lasting. So, conclusions must be limited and tempered. Nevertheless, the present study provides evidence that meditation training may result in improved sleep for medical residents. This may result in reduced stress and better health and performance.

 

So, improve sleep in resident physicians with meditation.

 

“Sleep deficiency impairs performance and patient safety, adversely affects the mental and physical health of resident physicians, and increases their risk of occupational injury and motor vehicle crashes,” – Charles Czeisler

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Thimmapuram, J., Pargament, R., Tredici, S. D., Bell, T., Yommer, D., Daoud, D., Powell, F., & Madhusudhan, D. K. (2021). Sleep Patterns of Resident Physicians and the Effect of Heartfulness Meditation. Annals of neurosciences, 28(1-2), 47–54. https://doi.org/10.1177/09727531211039070

 

Abstract

Background:

Medical residents are vulnerable to poor sleep quality due to intense work shifts and academic load. Studies objectively quantified with sleep quantity and quality among resident physicians are limited. Meditation techniques have been shown to improve sleep but are rarely studied in this population. The aim of the present study is to evaluate sleep patterns of internal medicine residents and the effect of a structured Heartfulness meditation program to improve sleep quality.

Methods:

A total of 36 residents participated in a pre–post cohort study from January 2019 through April 2019. Sleep was monitored during a one-week outpatient rotation with two validated assessment tools, namely consensus sleep diary and actigraphy. After four intervening weeks, when the residents returned to the same rotation, Heartfulness meditation was practiced and the same parameters were measured. At the end of the study period, an anonymous qualitative feedback survey was collected to assess the feasibility of the intervention.

Results:

All 36 residents participated in the study (mean age 31.09 years, SD 4.87); 34 residents (94.4%) had complete pre–post data. Consensus sleep diary data showed decreased sleep onset time from 21.03 to 14.84 min (P = .01); sleep quality and restfulness scores increased from 3.32 to 3.89 and 3.08 to 3.54, respectively (P < .001 for both). Actigraphy showed a change in sleep onset time from 20.9 min to 14.5 min (P = .003). Sleep efficiency improved from 83.5% to 85.6% (P = .019). Wakefulness after initial sleep onset changed from 38.8 to 39.9 min (P = .682). Sleep fragmentation index and the number of awakenings decreased from 6.16 to 5.46 (P = .004) and 41.71 to 36.37 (P = .013), respectively.

Conclusions:

Residents obtained nearly 7 h of sleep during outpatient rotation. Findings suggest a structured Heartfulness meditation practice to be a feasible program to improve subjective sleep onset time and several objective measures among resident physicians.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8558985/

 

Improve Parkinson’s Disease Psychological Symptoms with Mindfulness

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Improve Parkinson’s Disease Psychological Symptoms with Mindfulness

 

By John M. de Castro, Ph.D.

 

“[Parkinson’s Disease] patients experience greater levels of stress than controls, and that stress worsens both motor and non-motor symptoms. Mindfulness may improve [Parkinson’s Disease] symptom severity, with the strongest effects on anxiety and depressed mood.” – Anouk van der Heide

 

Parkinson’s Disease (PD) is an incurable progressive degenerative disease of the central nervous system. The condition is caused by the death of nerve cells in the brain that produce the neurotransmitter dopamine. There are around seven million people worldwide and one million people in the U.S. living with PD and about 60,000 people are diagnosed with PD every year. PD is associated with aging as the vast majority of patients are diagnosed after age 50. In fact, it has been speculated that everyone would eventually develop PD if they lived long enough.

 

Its physical symptoms include resting tremor, slow movements, muscle rigidity, problems with posture and balance, loss of automatic movements, and slurring of speech. PD itself is not fatal but is often associated with related complications which can reduce life expectancy, such as falls, choking, and cardiovascular problems. PD also has psychological effects, especially cognitive decline, anxiety, and depression. Balance is a particular problem as it effects mobility and increases the likelihood of falls, restricting activity and reducing quality of life.

 

There are no cures for Parkinson’s Disease (PD) or even treatments to slow its progression. There are only treatments that can produce symptomatic relief. So, there is a need to discover new and different treatments. Mindfulness training has been found to improve the psychological symptoms and the quality of life with PD patients. PD patients often develop an unawareness of their motor symptoms. It is not known if mindfulness training may help make the patients more aware of their symptoms.

 

In today’s Research News article “Pilot Study of Mindfulness Training on the Self-Awareness of Motor Symptoms in Parkinson’s Disease – A Randomized Controlled Trial.” (See summary below or view the full text of the study at: https://www.frontiersin.org/articles/10.3389/fpsyg.2021.763350/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1784429_a0P58000000G0YfEAK_Psycho_20211202_arts_A ) Buchwitz and colleagues recruited otherwise healthy patients diagnosed with Parkinson’s Disease (average 64 years) and randomly assigned them to either a wait-list control condition or to receive 8 weekly 2-hour sessions of mindfulness training tailored for Parkinson’s Disease patients. Before and after training and 8 weeks later they were measured for awareness of their motor symptoms, cognitive ability, and Parkinson’s Disease symptoms.

 

They found that there was no improvement in general cognitive ability, motor performance, or awareness of motor symptoms by either group. But the mindfulness trained group had significant improvement in mindfulness, sleep quality, attentional ability, and language performance and reductions in anxiety, apathy, and impulsivity of eating behavior.

 

The findings are similar to those of others that mindfulness training improves the psychological well-being of patients diagnosed with Parkinson’s Disease. But it did not improve motor symptoms or the awareness of those motor symptoms. This suggests that mindfulness training should be incorporated into the routine treatment program for Parkinson’s Disease patients.

 

So, improve Parkinson’s Disease psychological symptoms with mindfulness

 

 

“mindfulness training for people with [Parkinson’s Disease] found significant reductions in anxiety, depression and distress about symptoms, along with improvements in memory and verbal fluency.” – Emily Delzell

 

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Buchwitz TM, Maier F, Greuel A, Thieken F, Steidel K, Jakobs V and Eggers C (2021) Pilot Study of Mindfulness Training on the Self-Awareness of Motor Symptoms in Parkinson’s Disease – A Randomized Controlled Trial. Front. Psychol. 12:763350. doi: 10.3389/fpsyg.2021.763350

 

ABSTRACT

Objective: This study aims to evaluate feasibility and effects of a newly developed mindfulness intervention tailored to specific needs of patients with Parkinson’s disease (PD).

Background: The phenomenon of impaired self-awareness of motor symptoms (ISAm) in PD might be reduced by increasing patients’ mindfulness. A PD-specific mindfulness intervention has been developed and evaluated as a potential treatment option: IPSUM (“Insight into Parkinson’s Disease Symptoms by using Mindfulness”).

Methods: IPSUM’s effectiveness is evaluated by comparing an intervention with a waitlist-control group. Applying a pre-post design, patients were assessed before, directly after and 8weeks after treatment. The primary outcome was the change in a quantitative ISAm score from baseline to post-assessment. Secondary outcome measures were PD-related affective changes and neuropsychological test performance. Feasibility was evaluated via feedback forms.

Results: In total, 30 non-depressed and non-demented PD patients were included (intervention: n=14, waitlist-control: n=16). ISAm score did not change significantly, but the training group showed greater performance in sustained attention and language tasks over time. Additional changes included greater mindfulness as well as less sleeping problems and anxiety. Cognitive disturbances, apathy, and sleeping problems worsened only in the waitlist-control group. Patients’ feedback regarding the training concept and material was excellent.

Conclusion: Insight into Parkinson’s Disease Symptoms by using Mindfulness has not been capable of reducing ISAm in PD patients but appears to be a feasible and effective concept to, among others, support mental health in the mid-term. It has to be noted though that the study was stopped beforehand because of the SARS CoV-2 pandemic. The lack of findings might therefore be caused by a lack of statistical power. The need for further research to better understand the mechanisms of ISAm and its connection to mindfulness in PD is highlighted.

https://www.frontiersin.org/articles/10.3389/fpsyg.2021.763350/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1784429_a0P58000000G0YfEAK_Psycho_20211202_arts_A

 

Reduce Fatigue and Improve Sleep in Cancer Survivors with Tai Chi

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Reduce Fatigue and Improve Sleep in Cancer Survivors with Tai Chi

 

By John M. de Castro, Ph.D.

 

“tai chi may help to increase strength, balance, flexibility, heart and lung function, feelings of well-being” – BreastCancer.org

 

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

 

Mindfulness training has been shown to help with cancer recovery and help to alleviate many of the residual physical and psychological symptoms, including stress,  sleep disturbance, and anxiety and depression. Tai Chi or Qigong practice has been shown to improve quality of life, reduce fatigue, and lower blood pressure and cortisol levels. They are very gentle and safe practices. The research on the effectiveness of Tai Chi training for cancer patients is accumulating. So, it makes sense to take a step back and summarize what has been learned.

 

In today’s Research News article “Tai Chi for cancer survivors: A systematic review toward consensus-based guidelines.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8559497/ ) Yang and colleagues review, summarize, and perform a meta-analysis of the published randomized controlled clinical trials of the effectiveness of Tai Chi training for the well-being of cancer survivors. They identified 26 published studies.

 

They report that the published research found that 8 to 12 weeks of Tai Chi practice produce significant decreases in fatigue and increases in sleep quality in cancer patients. The published studies were generally of low methodological quality and small number of patients. So, there is a need for future studies employing high quality methodologies with large groups. Nevertheless, it is reasonable to conclude that Tai Chi practice is beneficial for cancer survivors reducing fatigue and improving sleep.

 

So, reduce fatigue and improve sleep in cancer survivors with Tai Chi.

 

“participation in Tai Chi had a positive influence on quality of life and psychological health for cancer survivors.” – Catherine Stifter

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Yang, L., Winters-Stone, K., Rana, B., Cao, C., Carlson, L. E., Courneya, K. S., Friedenreich, C. M., & Schmitz, K. H. (2021). Tai Chi for cancer survivors: A systematic review toward consensus-based guidelines. Cancer medicine, 10(21), 7447–7456. https://doi.org/10.1002/cam4.4273

 

Abstract

To manage acute, long‐term, and late effects of cancer, current guidelines recommend moderate‐to‐vigorous intensity aerobic and resistance exercise. Unfortunately, not all cancer survivors are able or willing to perform higher intensity exercise during difficult cancer treatments or because of other existing health conditions. Tai Chi is an equipment‐free, multicomponent mind–body exercise performed at light‐to‐moderate intensity that may provide a more feasible alternative to traditional exercise programs for some cancer survivors. This systematic review evaluated the therapeutic efficacy of Tai Chi across the cancer care continuum. We searched MEDLINE/PubMed, Embase, SCOPUS, and CINAHL databases for interventional studies from inception to 18 September 2020. Controlled trials of the effects of Tai Chi training on patient‐reported and objectively measured outcomes in cancer survivors were included. Study quality was determined by the RoB 2 tool, and effect estimates were evaluated using the Best Evidence Synthesis approach. Twenty‐six reports from 14 trials (one non‐randomized controlled trial) conducted during (n = 5) and after treatment (after surgery: n = 2; after other treatments: n = 7) were included. Low‐level evidence emerged to support the benefits of 40–60 min of thrice‐weekly supervised Tai Chi for 8–12 weeks to improve fatigue and sleep quality in cancer survivors. These findings need to be confirmed in larger trials and tested for scaling‐up potential. Insufficient evidence was available to evaluate the effects of Tai Chi on other cancer‐related outcomes. Future research should examine whether Tai Chi training can improve a broader range of cancer outcomes including during the pre‐treatment and end of life phases.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8559497/

 

Improve Adolescent Psychological Well-Being with Meditation

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Improve Adolescent Psychological Well-Being with Meditation

 

By John M. de Castro, Ph.D.

 

“with all the uncertainty in the world right now, teens can definitely benefit from taking time to quiet the noise and meditate. It’s a handy practice that can help them through all kinds of confusing and stressful situations in life.” – Cleveland Clinic

 

Adolescence is a time of mental, physical, social, and emotional growth. But it can be a difficult time, fraught with challenges. During this time the child transitions to young adulthood; including the development of intellectual, psychological, physical, and social abilities and characteristics. There are so many changes occurring during this time that the child can feel overwhelmed and unable to cope with all that is required. This can lead to emotional and behavioral problems. Indeed, up to a quarter of adolescents suffer from depression or anxiety disorders, and an even larger proportion struggle with subclinical symptoms. Mindfulness training has been shown to improve emotion regulation and to benefit the psychological and emotional health of adolescents

 

In today’s Research News article “Using Heartfulness Meditation and Brainwave Entrainment to Improve Teenage Mental Wellbeing.” (See summary below or view the full text of the study at: https://www.frontiersin.org/articles/10.3389/fpsyg.2021.742892/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1757290_a0P58000000G0YfEAK_Psycho_20211021_arts_A ) Yadav and colleagues recruited high school students and randomly assigned them to one of 4 groups; audio brainwave entrainment group, heartfulness meditation group, meditation and audio entrainment group, and a no-treatment control group. The interventions lasted for 4 weeks. The heartfulness meditation group had 3 weekly training sessions and meditated at home for 30 minutes per day three times per week. The audio brainwave entrainment group listened to an audio tape 3 times per week for 15 minutes of audio beats 13–30 HZ in the first 2 min; 8–12 HZ from minute 3–12; and 13–30 Hz from minute 12–15. All participants were measured before and after training for depression, perceived stress, sleep quality, mood, anger, confusion, fatigue, tension, vigor, episodic memory, visuospatial processing, verbal short-term memory, and attention.

 

They found that following the intervention the meditation group had a significant increase in mood, including decreases in anger and depression, and a decrease in perceived stress, while the combination group had a significant increase in sleep quality and a decrease in perceived stress. The combination group in comparison to the meditation group had greater improvements in mood and perceived stress.

 

The results suggest that meditation practice improves the psychological well-being of adolescents while audio brainwave entrainment alone does not. But when they were combined there was some degree of greater improvement. Like adults, adolescents benefit from meditation in improved mood, including decreased anger and depression, and decreased perceived stress. This suggests that meditation may be particularly useful during the turbulent times of adolescence.

 

So, improve adolescent psychological well-being with meditation.

 

“[Mindfulness Meditation] appears to have positive effects on adolescent psychological health including reduced depression, anxiety, and stress, increased overall well-being, self and emotion regulation, positive affect, and resilience.” – Ryan Erbe

 

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

 

Yadav GS, Cidral-Filho FJ and Iyer RB (2021) Using Heartfulness Meditation and Brainwave Entrainment to Improve Teenage Mental Wellbeing. Front. Psychol. 12:742892. doi: 10.3389/fpsyg.2021.742892

 

Teenagers are highly susceptible to mental health issues and this problem has been exacerbated by the quarantine restrictions of COVID-19. This study evaluated the use of Heartfulness Meditation and Audio Brainwave Entrainment to help teenagers cope with mental health issues. It used 30-min Heartfulness meditation and 15-min brainwave entrainment sessions with binaural beats and isochronic tones three times a week for 4 weeks. Using a pretest-posttest methodology, participants were asked to complete a survey battery including the Pittsburgh Quality of Sleep Index, Perceived Stress Scale, Patient Health Question-9, Profile of Mood States, and Cambridge Brain Health assessment. Participants (n = 40) were divided into four experimental groups: the control group (n = 9), Audio Brainwave Entrainment group (n = 9), Heartfulness Meditation group (n = 10), and a combined group (n = 12), for a 4-week intervention. Data were analyzed with paired t-tests. The singular Audio Brainwave Entrainment group did not see statistically significant improvements, nor did any of the intervention groups for brain health (p > 0.05). This study, however, proved the efficacy of a 4-week Heartfulness Meditation program to regulate overall mood (p = 0.00132), stress levels (p = 0.0089), state depression (POMS; p = 0.0037), and anger (p = 0.002). Results also suggest adding Audio Brainwave Entrainment to Heartfulness Meditation may improve sleep quality (p = 0.0377) and stress levels (p = 0.00016).

https://www.frontiersin.org/articles/10.3389/fpsyg.2021.742892/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1757290_a0P58000000G0YfEAK_Psycho_20211021_arts_A

 

Reduce Covid-19 Lockdown Stress Effects on Sleep and Work Engagement with Mindfulness

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Reduce Covid-19 Lockdown Stress Effects on Sleep and Work Engagement with Mindfulness

 

By John M. de Castro, Ph.D.

 

“Research shows that mindfulness meditation can reduce symptoms of stress, anxiety, and depression and can have a significant impact in the workplace”. – Headspace

 

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

 

In today’s Research News article “Stay Mindful and Carry on: Mindfulness Neutralizes COVID-19 Stressors on Work Engagement via Sleep Duration.” (See summary below or view the full text of the study at: https://www.frontiersin.org/articles/10.3389/fpsyg.2020.610156/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1757290_a0P58000000G0YfEAK_Psycho_20211021_arts_A ) Zheng and colleagues performed 2 studies, recruiting working adult participants, one in China and the other in the UK during Covid-19 lockdown. They were randomly assigned to practice for 10 minutes each morning for 10 days an audio guided practice of mindfulness or mind wandering. They were measured before and after training for mindfulness, sleep quality, work engagement, and the level of stress as indicated by the number of Covid-19 cases in the area.

 

They found that with the mind wandering group the greater the number of cases reported the shorter the sleep duration of the participants while the mindfulness group had no significant change in sleep duration. In addition, they found that work engagement was positively related to sleep duration but negatively related to the number of cases reported.

 

The results suggest that mindfulness training reduces the impact of stress during Covid-19 lockdown on sleep which in turn maintains work engagement. Mindfulness has previously been shown in multiple studies to improve sleep, reduce stress effects, and improve work engagement. The present study suggests that these benefits of mindfulness practice work to buffer the effects of the stress produced by Covid-19 lockdown on sleep and work engagement. In other words mindfulness training makes employees better able to cope with stress.

 

So, reduce Covid-19 lockdown stress effects on sleep and work engagement with mindfulness.

 

“The mindful response to COVID-19 . . . exemplifies that burnout can be mitigated by system-sponsored programming.” – Marianna Klatt

 

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

 

Zheng MX, Masters-Waage TC, Yao J, Lu Y, Tan N and Narayanan J (2020) Stay Mindful and Carry on: Mindfulness Neutralizes COVID-19 Stressors on Work Engagement via Sleep Duration. Front. Psychol. 11:610156. doi: 10.3389/fpsyg.2020.610156

 

We examine whether mindfulness can neutralize the negative impact of COVID-19 stressors on employees’ sleep duration and work engagement. In Study 1, we conducted a field experiment in Wuhan, China during the lockdown between February 20, 2020, and March 2, 2020, in which we induced state mindfulness by randomly assigning participants to either a daily mindfulness practice or a daily mind-wandering practice. Results showed that the sleep duration of participants in the mindfulness condition, compared with the control condition, was less impacted by COVID-19 stressors (i.e., the increase of infections in the community). In Study 2, in a 10-day daily diary study in the United Kingdom between June 8, 2020, and June 19, 2020, we replicate our results from Study 1 using a subjective measure of COVID-19 stressors and a daily measure of state mindfulness. In addition, we find that mindfulness buffers the negative effect of COVID-19 stressors on work engagement mediated by sleep duration. As the COVID-19 pandemic is ongoing and the number of reported cases continues to rise globally, our findings suggest that mindfulness is an evidence-based practice that can effectively neutralize the negative effect of COVID-19 stressors on sleep and work outcomes. The findings of the present study contribute to the employee stress and well-being literature as well as the emerging organizational research on mindfulness.

https://www.frontiersin.org/articles/10.3389/fpsyg.2020.610156/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1757290_a0P58000000G0YfEAK_Psycho_20211021_arts_A

 

Improve College Student Psychological Well-Being during Covid-19 with Mindfulness

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Improve College Student Psychological Well-Being during Covid-19 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

 

College is very stressful for students and this stress can impair the student’s physical and mental health, well-being, and school performance. Mindfulness training has been shown through extensive research to be effective in improving physical and psychological health. Indeed, these practices have been found to improve psychological health in college students. The COVID-19 pandemic has created intense stress which challenged the mental and physical health of the population. As an antidote, mindfulness is known to decrease the psychological and physical responses to stress. Indeed, mindfulness training has been shown to be helpful in coping with the mental and physical challenges resulting from the COVID-19 pandemic. So, it is likely that mindfulness training will improve the psychological well-being of college students during a Covid-19 lockdown.

 

In today’s Research News article “The Efficacy of a Mindfulness-Based Intervention for College Students Under Extremely Stressful Conditions.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8498086/ ) Smit and Stavrulaki recruited two classes of college students one of which was delivered 8-weekly 75-minute sessions of mindfulness training with daily home practice. During the intervention a Covid-19 lockdown was announced, and all classes moved to online delivery. They were measured before during and after the intervention for mindfulness, coronavirus worry, perceive stress, sleep difficulties, and personality.

 

They found that at baseline mindfulness was negatively associated with neuroticism and perceived stress while neuroticism was positively associated with sleep problems and perceived stress. They found that in comparison to the no-treatment controls and baseline, after the intervention the mindfulness trained students were significantly higher in mindfulness and significantly lower in perceived stress, coronavirus worry, and sleep problems.

 

It should be noted that the control condition was passive, no-treatment, and as such confounding explanations such as placebo effects, experimenter bias, attention effects etc. could explain the results. But previous controlled research has demonstrated that mindfulness training decreases sleep problems, worry and perceived stress. So, the current results are probably due to the effects of mindfulness training. The results, though, show that mindfulness training is effective in improving college students’ well-being under the extremely stressful conditions of coronavirus lockdown.

 

So, improve college student psychological well-being during Covid-19 with mindfulness.

 

“As the pandemic continues, adding to what was already an epidemic of mental health challenges, college campuses across the U.S . . .  are witnessing a rise in the need and desire for meditation and mindfulness activities.” – Silma Suba

 

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

 

Smit, B., & Stavrulaki, E. (2021). The Efficacy of a Mindfulness-Based Intervention for College Students Under Extremely Stressful Conditions. Mindfulness, 1–15. Advance online publication. https://doi.org/10.1007/s12671-021-01772-9

 

Abstract

Objectives

This study evaluates the effectiveness of a mindfulness-based intervention (MBI), called Koru mindfulness, among college students.

Methods

Undergraduate students (N = 34) participated in a 4-week mindfulness curriculum embedded within a college course, while a control group (N = 35) taking a different course did not. Notably, the intervention coincided with the start of a state-wide lockdown due to the COVID-19 pandemic.

Results

Despite the additional external stress, there was a significant main effect and a significant interaction between the intervention and time for state mindfulness, (the treatment group experienced increased state mindfulness). There was a significant main effect (higher for the control group) on coronavirus worry and a significant interaction between the intervention and time for perceived stress, with the treatment/control group experiencing decreased/increased stress over time. There was also a significant interaction between the intervention and time for sleep problems with the intervention group experiencing declines in sleep problems over time and also being more likely to experience optimal amounts of sleep over time.

Conclusions

The Koru intervention effectively increased state mindfulness, decreased stress, and improved sleep, suggesting that it is robust even under extremely stressful conditions. This study adds to the growing evidence that MBIs can play an important role in addressing rising concerns regarding the mental health of college students.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8498086/

 

Mindfulness Improves the Psychological Well-Being of Teachers in Non-Western Societies

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Mindfulness Improves the Psychological Well-Being of Teachers in Non-Western Societies

 

By John M. de Castro, Ph.D.

 

“Teachers who practice “mindfulness” are better able to reduce their own levels of stress and prevent burnout.” – Dee DiGioia

 

Stress is epidemic in the western workplace with almost two thirds of workers reporting high levels of stress at work. This often produces burnout; fatigue, cynicism, emotional exhaustion, and professional inefficacy. Teachers experience burnout at high rates. Roughly a half a million teachers out of a workforce of three million, leave the profession each year and the rate is almost double in poor schools compared to affluent schools. Indeed, nearly half of new teachers leave in their first five years.

 

Burnout frequently results from emotional exhaustion. This exhaustion not only affects the teachers personally, but also the students, as it produces a loss of enthusiasm, empathy, and compassion. Regardless of the reasons for burnout or its immediate presenting consequences, it is a threat to schools and their students. In fact, it is a threat to the entire educational systems as it contributes to the shortage of teachers. Hence, methods of reducing stress and improving teacher psychological health needs to be studied.

 

Mindfulness techniques are gaining increasing attention for the treatment of the symptoms of stress and burnout. They have been demonstrated to be helpful in reducing the psychological and physiological responses to stress and for treating and preventing burnout in a number of work environments including schools. But most of the research focuses on teachers in Western societies. There is a need to study if mindfulness is equally effective in Eastern societies.

 

In today’s Research News article “Effectiveness and Mechanisms of Mindfulness Training for School Teachers in Difficult Times: A Randomized Controlled Trial.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8443903/ ) Tsang and colleagues recruited elementary and secondary school teachers in Hong Kong and randomly assigned them to either a wait-list or to receive 8 weekly 90-minute sessions of mindfulness training along with home practice. The mindfulness training was based upon the Mindfulness-Based Stress Reduction (MBSR) and the Mindfulness-Based Cognitive Therapy (MBCT) programs. They were measured before and after training and two months later for mindfulness, general health, insomnia, stress, positive and negative emotions, life satisfaction, emotion regulation, and mindfulness in teaching.

 

They found that in comparison to baseline and the wait-list group, the teachers who had received mindfulness training had significantly higher levels of mindfulness, general health, positive emotions, life satisfaction, emotion regulation, and mindfulness in teaching and significantly lower levels of insomnia, stress, and negative emotions that were maintained at the 2-month follow-up measurement. In addition, a mediation analysis demonstrated that mindfulness was associated with well-being directly and indirectly via emotion regulation such that mindfulness was associated with increased emotion regulation that was in turn associated with increased well-being. Similarly, mindfulness was associated with mindfulness in teaching directly and indirectly via well-being such that mindfulness was associated with increased well-being that was in turn associated with increased mindfulness in teaching.

 

The present study had a passive control condition, wait-list, and this leaves a number of potential confounding explanations of the results such as placebo effects, attentional effects, and experimenter bias. But a large amount of previous controlled research has demonstrated that mindfulness training produces increases in health, positive emotions, emotion regulation, and life satisfaction, and decreases in insomnia, stress, and negative emotions. So, the present benefits are likely due to the mindfulness training.

 

The findings are important as they demonstrate that teachers in an Eastern society were benefited by mindfulness training to the same extent and in the same ways as teachers in Western societies. Thus, the effects of mindfulness training appear to be universal, regardless of culture. The findings also demonstrate that mindfulness training has direct and indirect effects on well-being that similarly effects mindfulness in teaching. All of this suggests that mindfulness training improves the psychological well-being of teachers which likely makes them happier and more effective teachers.

 

So, mindfulness improves the psychological well-being of teachers in non-western societies

 

“Through yoga, mindfulness and social-emotional learning exercises, educators . . .  learned strategies to help reduce stress, prioritize self-care, cultivate resilience and enhance their well-being.” – Wendy McMahon

 

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

 

Tsang, K., Shum, K. K., Chan, W., Li, S. X., Kwan, H. W., Su, M. R., Wong, B., & Lam, S. F. (2021). Effectiveness and Mechanisms of Mindfulness Training for School Teachers in Difficult Times: A Randomized Controlled Trial. Mindfulness, 1–12. Advance online publication. https://doi.org/10.1007/s12671-021-01750-1

 

Abstract

Objectives

Research in recent years has shown that mindfulness-based interventions can enhance teachers’ mental and physical health. However, the existing studies were predominantly conducted in Western, educated, industrialized, rich, and democratic (WEIRD) societies. As a randomized controlled trial in a non-WEIRD society, the present study examined the effectiveness and mechanisms of mindfulness training for Hong Kong teachers in difficult times.

Methods

Teachers from primary and secondary schools (n = 186) were randomly assigned to mindfulness training (eight-week .b Foundations) or waitlist control condition. They completed online self-report surveys on measures of well-being, emotion management, and mindfulness in teaching at baseline, post-intervention, and two-month follow-up.

Results

The intervention group reported significantly higher levels of life satisfaction, positive affect, general health, along with significantly lower levels of insomnia, stress, and negative affect than the control group at post-test and two-month follow-up. The effect sizes were medium to large (ηp2 = 0.06 to 0.14). More importantly, teachers’ baseline well-being had a significant moderating effect on the intervention effectiveness. Those with a lower baseline in well-being benefitted more than their counterparts with a higher baseline. In addition, teachers’ emotion management was found to be the mediator through which mindfulness training enhanced teachers’ well-being. Such improvement in well-being also predicted higher levels of mindfulness in teaching.

Conclusions

This study provides evidence on the efficacy of mindfulness training for teachers beyond WEIRD societies. It suggests the universality and practicality of mindfulness training in enhancing teachers’ well-being and reducing their distress in difficult times.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8443903/

 

Reduce Stress and Improve Sleep and Cognition with Yoga

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Reduce Stress and Improve Sleep and Cognition with Yoga

 

By John M. de Castro, Ph.D.

 

“yoga can improve your sleep, increase mindfulness, relieve anxiety and even help you stick to healthy habits in other aspects of your life.” – Corey Stieg

 

Modern society has become more around-the-clock and more complex producing considerable pressure and stress on the individual. The advent of the internet and smart phones has exacerbated the problem. The resultant stress can impair sleep. Indeed, it is estimated that over half of Americans sleep too little due to stress. As a result, people today sleep 20% less than they did 100 years ago. Not having a good night’s sleep has adverse effects upon the individual’s health, well-being, and happiness. It has been estimated that 30 to 35% of adults have brief symptoms of insomnia, 15 to 20% have a short-term insomnia disrder, and 10% have chronic insomnia. These sleep problems can interfere with cognitive functions.

 

Mindfulness-based practices including yoga practice have been reported to improve sleep amount and quality and help with insomnia, to reduce stress, and improve cognitive function. The research is accumulating. So, it makes sense to step back and summarize what has been learned about the effects of yoga practice on stress, sleep, and cognition.

 

In today’s Research News article “Sleep, Cognition, and Yoga.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8191228/ ) Panjwani and colleagues review and summarize the published research studies on the effects of yoga practice on stress, sleep, and cognition.

 

They report that the published research studies found that yoga practice improved sleep quality, sleep architecture and mental well-being in adults and the elderly. It also improved sleep in individuals with sleep disorders such as sleep apnea. In addition, they report that yoga produces improvement in cognitive function, mood, and stress in healthy adults and reduces cognitive decline in the elderly.

 

Hence, the published research demonstrates that yoga practice is beneficial for sleep, cognition, and mental well-being in adults and the elderly. This suggests that yoga practice should be incorporated into the individual’s lifestyle during their adult life and into their golden years.

 

So, reduce stress and improve sleep and cognition with yoga.

 

“A national survey found that over 55% of people who did yoga found that it helped them get better sleep. Over 85% said yoga helped reduce stress.” – Marlyn Wei

 

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

 

Panjwani, U., Dudani, S., & Wadhwa, M. (2021). Sleep, Cognition, and Yoga. International journal of yoga, 14(2), 100–108. https://doi.org/10.4103/ijoy.IJOY_110_20

 

Abstract

Stress is one of the major problems globally, associated with poor sleep quality and cognitive dysfunction. Modern society is plagued by sleep disturbances, either due to professional demands or lifestyle or both the aspects, often leading to reduced alertness and compromised mental function, besides the well documented ill effects of disturbed sleep on physiological functions. This pertinent issue needs to be addressed. Yoga is an ancient Indian science, philosophy and way of life. Recently, yoga practice has become increasingly popular worldwide. Yoga practice is an adjunct effective for stress, sleep and associated disorders. There are limited well controlled published studies conducted in this area. We reviewed the available literature including the effect of modern lifestyle in children, adolescents, adults and geriatric population. The role of yoga and meditation in optimizing sleep architecture and cognitive functions leading to optimal brain functioning in normal and diseased state is discussed. We included articles published in English with no fixed time duration for literature search. Literature was searched mainly by using PubMed and Science Direct search engines and critically examined. Studies have revealed positive effects of yoga on sleep and cognitive skills among healthy adults as well as patients of some neurological diseases. Further, on evaluating the published studies, it is concluded that sleep and cognitive functions are optimized by yoga practice, which brings about changes in autonomic function, structural changes, changes in metabolism, neurochemistry and improved functional brain network connectivity in key regions of the brain.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8191228/

 

Improve the Psychological Health of Obstetrics and Gynecology Patients during Covid-19 with a Mindfulness App

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The COVID-19 vaccine and pregnancy — what women need to know | Keck School of Medicine of USC

Improve the Psychological Health of Obstetrics and Gynecology Patients during Covid-19 with a Mindfulness App

 

By John M. de Castro, Ph.D.

 

“mindfulness meditation might be a viable low-cost intervention to mitigate the psychological impact of the COVID-19 crisis and future pandemics.” – Julie Lei Zhu

 

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 who are pregnant or awaiting surgery. This training has been shown to improve the well-being of a wide variety of individuals. So, it should be helpful with these patients.

 

The vast majority of the mindfulness training techniques, however, require a trained teacher. The participants must be available to attend multiple sessions at scheduled times that may or may not be compatible with their schedules and at locations that may not be convenient. As an alternative, apps for smartphones have been developed. These have tremendous advantages in decreasing costs, making training schedules much more flexible, and eliminating the need to go repeatedly to specific locations. These should be particularly useful during the Covid-19 pandemic as attending in-person therapy sessions may not be safe or practicable. But the question arises as to the effectiveness of these apps in inducing mindfulness and reducing stress and improving psychological well-being in real-world medical patients.

 

In today’s Research News article “Mindfulness Effects in Obstetric and Gynecology Patients During the Coronavirus Disease 2019 (COVID-19) Pandemic: A Randomized Controlled Trial.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8132566/ ) Smith and colleagues recruited adult

obstetrics and gynecology patients who were either pregnant or awaiting gynecological surgery delayed due to the Covid-19 pandemic. They were randomly assigned to receive either standard care or to practice mindfulness for 10 minutes per day for 30 days with a commercially available smartphone app “Calm”. They were measured before training, at 14 days into training, and after training for perceived stress, anxiety, depression, and sleep disturbance.

 

They found that in comparison to baseline and the usual care control group, the group that practiced mindfulness with the “Calm” app had significantly lower levels of perceived stress, anxiety, depression, and sleep disturbance at 14 days and 30 days. The mindfulness group also reported lower levels of perceived stress due to Covid-19 and less worry about infections in their families. A high degree of satisfaction with the “Calm” app was reported.

 

Covid-19 has affected the psychological health of virtually everyone and past research has shown that mindfulness improves their psychological health. The present study demonstrates that this occurs in pregnant women and women awaiting gynecological surgery. An important aspect of the present study was the use of a smartphone app to do the mindfulness training. These apps are particularly useful during the Covid-19 pandemic as attending in-person therapy sessions may not be safe or practicable. This allows for mindfulness training with its benefits for the well-being of the patients to occur even in the midst of a pandemic.

 

So, improve the psychological health of obstetrics and gynecology patients during covid-19 with a mindfulness app.

 

“Mindfulness can help us acknowledge this situation, without allowing us to be carried away with strong emotions; it can, in turn, help bring ourselves back to a centered calm. Only then can we see more clearly what it is we have control over and what it is that we do not.“ – Michigan Medicine

 

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

 

Smith, R. B., Mahnert, N. D., Foote, J., Saunders, K. T., Mourad, J., & Huberty, J. (2021). Mindfulness Effects in Obstetric and Gynecology Patients During the Coronavirus Disease 2019 (COVID-19) Pandemic: A Randomized Controlled Trial. Obstetrics and gynecology, 137(6), 1032–1040. https://doi.org/10.1097/AOG.0000000000004316

 

Abstract

OBJECTIVE:

To assess the effect of a consumer-based mobile meditation application (app) on wellness in outpatient obstetric and gynecology patients during the coronavirus disease 2019 (COVID-19) pandemic.

METHODS:

We conducted a randomized controlled trial at a university outpatient clinic of obstetric and gynecology patients during the COVID-19 pandemic. Women were randomly assigned to the intervention group, who was prescribed a mobile meditation app for 30 days, or the control group, which received standard care. The primary outcome was self-reported perceived stress. Secondary outcomes included self-reported depression, anxiety, sleep disturbance, and satisfaction with the meditation app. A sample size of 80 participants (40 per group) was calculated to achieve 84% power to detect a 3-point difference in the primary outcome.

RESULTS:

From April to May 2020, 101 women were randomized in the study—50 in the meditation app group and 51 in the control group. Analysis was by intention-to-treat. Most characteristics were similar between groups. Perceived stress was significantly less in the intervention group at days 14 and 30 (mean difference 4.27, 95% CI 1.30–7.24, P=.005, d=0.69 and mean difference 4.28, 95% CI 1.68–6.88, P=.002, d=0.69, respectively). Self-reported depression and anxiety were significantly less in the intervention group at days 14 and 30 (depression: P=.002 and P=.04; anxiety: P=.01, and P=.04, respectively). Sleep disturbance was significantly less in the intervention group at days 14 and 30 (P=.001 and P=.02, respectively). More than 80% of those in the intervention group reported high satisfaction with the meditation app, and 93% reported that mindfulness meditation improved their stress.

CONCLUSION:

Outpatient obstetric and gynecology patients who used the prescribed consumer-based mobile meditation app during the COVID-19 pandemic had significant reductions in perceived stress, depression, anxiety, and sleep disturbance compared with standard care.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8132566/