Stress

Cancer Patients’ Quality of Life is Associated with Mindfulness

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Cancer Patients’ Quality of Life is Associated with Mindfulness

 

By John M. de Castro, Ph.D.

 

“Mindfulness-based intervention . . . may help to decrease the stress of cancer-related cognitive impairment and can therefore indirectly improve quality of life in this patient population.” – Hannah Slater

 

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 relieve chronic pain. It can also help treat the residual physical and psychological symptoms, including stress, sleep disturbance, fear, and anxiety and depression.

 

In today’s Research News article “Stress and Quality of Life of Patients with Cancer: The Mediating Role of Mindfulness.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7748895/ ) Dehghan and colleagues recruited adult patients diagnosed with cancer and had them complete measures of mindfulness, perceived stress, and quality-of-life; including overall, functioning, and symptoms. They performed regression and path analysis on these data.

 

They found that the higher the level of mindfulness, the higher the level of quality-of-life functioning and the lower the level of perceived stress and quality of life symptoms. Also, the higher the level of perceived stress the higher the level of quality-of-life symptoms and the lower the level of overall and functioning quality of life. They reported from the path analysis that perceived stress was associated with poorer quality of life directly and indirectly by being associated with lower levels of mindfulness which were in turn associated with greater quality of life. In other words, perceived stress was associated with reduced quality of life in part by being associated with reduced mindfulness.

 

These results are correlative and causation cannot be determined. But prior manipulative research has demonstrated that mindfulness produces lower perceived stress and greater quality of life, So, the associations reported here are likely due to causal connections between the variables. Hence, the findings suggest that the quality of life of cancer patients is lowered by stress and this is in part due to stress lowering mindfulness.

 

So, cancer patients’ quality of life is associated with mindfulness.

 

“Mindfulness based interventions hold a great deal of promise for helping people with cancer cope across a broad range of symptoms and issues, both during and after the completion of active treatment.” – Jessica Pieczynski

 

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

 

Dehghan, M., Jazinizade, M., Malakoutikhah, A., Madadimahani, A., Iranmanesh, M. H., Oghabian, S., Mohammadshahi, F., Janfaza, F., & Zakeri, M. A. (2020). Stress and Quality of Life of Patients with Cancer: The Mediating Role of Mindfulness. Journal of Oncology, 2020, 3289521. https://doi.org/10.1155/2020/3289521

 

Abstract

Background

Cancer is one of the major health problems worldwide, which in addition to physical disorders, causes stress and anxiety in patients and affects the quality of life of cancer patients. Mindfulness can affect stress and improve the quality of life. This research explained the correlation between stress, quality of life, and mindfulness.

Materials and Methods

Two hundred five cancer patients participated in this cross-sectional study. Patients completed the EORTC Quality of Life Questionnaire Core 30 (EORTC QLQ-C30), the Mindfulness Attention and Awareness Scale (MAAS), and Perceived Stress Scale (PSS).

Results

Perceived stress and mindfulness predict nearly 39% of the changes of QOL in cancer patients. In addition, perceived stress was negatively associated with mindfulness and quality of life (P < 0.05). Mindfulness was positively correlated with quality of life (P < 0.05). Mindfulness played a mediating role in the relationship between perceived stress and quality of life (standardized β = −0.13; SE = 0.07, 95% confidence interval = −0.28 to −0.01; P value = 0.04).

Conclusion

In the present study, the variables of mindfulness and perceived stress affected the quality of life of cancer patients. Mindfulness can affect the quality of life of cancer patients directly and indirectly. These results emphasize the importance of mindfulness in the lives of cancer patients.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7748895/

 

Improve Mental and Physical Health in Anxious, Depressed Patients with Mindfulness and Qigong

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Improve Mental and Physical Health in Anxious, Depressed Patients with Mindfulness and Qigong

 

By John M. de Castro, Ph.D.

 

“You might think ‘I’m late, I might lose my job if I don’t get there on time, and it will be a disaster!’ Mindfulness teaches you to recognize, ‘Oh, there’s that thought again. I’ve been here before. But it’s just that—a thought, and not a part of my core self,’” – Elizabeth Hoge.

 

Anxiety disorders are the most common mental illness, affecting 40 million adults in the U.S., or 18% of the population. A characterizing feature of anxiety disorders is that the suffer overly identifies with and personalizes their thoughts. The sufferer has recurring thoughts, such as impending disaster, that they may realize are unreasonable, but are unable to shake. Depression often co-occurs with anxiety disorders. Anxiety and depression are generally treated with drugs. But there are considerable side effects and these drugs are often abused. There are a number of psychological therapies for anxiety and depression. But, about 45% of the patients treated do not respond to the therapy. So, there is a need to develop alternative treatments.

 

Recently, it has been found that mindfulness training can be effective for anxiety disorders. Mindfulness has also been shown to be effective for depression. Mindfulness-Based Cognitive Therapy (MBCT) was specifically developed to treat depression and has been shown to be very effective. In addition, mind-body practices such as qigong have also been shown to be effective for anxiety and depression. Recently, qigong practice has been combined with Cognitive Behavioral Therapy (CBT) to treat anxiety and depression. The relative efficacy of MBCT and qigong-Based Cognitive Therapy has not been tested.

 

In today’s Research News article “A randomized controlled trial on the comparative effectiveness of mindfulness-based cognitive therapy and health qigong-based cognitive therapy among Chinese people with depression and anxiety disorders.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7734764/ ) Chan and colleagues recruited adults who had been diagnosed with either an anxiety disorder or depression and randomly assigned them to either a no-treatment control condition or to receive 8 weekly 2 hour sessions of either Mindfulness-Based Cognitive Therapy (MBCT) or Qigong-Based Cognitive Therapy (a combination of Qigong practice along with Cognitive Behavioral Therapy). They were measured before and after training and 8 weeks later for physical and mental health, anxiety, depression, perceived stress, sleep quality, and self-efficacy.

 

They found that in comparison to baseline and the no-treatment control, the participants who received either Mindfulness-Based Cognitive Therapy (MBCT) or Qigong-Based Cognitive Therapy had significantly reduced anxiety, depression, and perceived stress, and significantly increased sleep quality and self-efficacy. These improvements were either sustained or even greater still at the 8-week follow-up. The decreases in anxiety and depression were significantly greater in the Qigong group than in the MBCT group. But the MBCT group had significantly greater improvements in overall mental health than the Qigong group while the Qigong group had significantly greater improvements in physical health than the MBCT group.

 

These are interesting results and to my knowledge the first direct comparison of the effects of Mindfulness-Based Cognitive Therapy (MBCT) and Qigong-Based Cognitive Therapy on patients with anxiety and depression. MBCT has been previously established to significantly improve anxiety, depression, perceived stress, sleep, and self-efficacy and Qigong has similarly been established to significantly improve anxiety, depression, perceived stress, sleep, and self-efficacy. So, the improvements observed in the current study relative to the no-treatment group are expected. What is new is the findings that MBCT is superior for the improvement of mental health while Qigong is superior for the improvement of physical health in patients with diagnosed anxiety and depression.

 

So, improve mental and physical health in anxious, depressed patients with mindfulness and qigong.

 

“depression and anxiety scores were significantly decreased after participation in an 8-week mindfulness group therapy for depressive and anxious people.” – Tora Takahashi

 

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

 

Chan, S., Chan, W., Chao, J., & Chan, P. (2020). A randomized controlled trial on the comparative effectiveness of mindfulness-based cognitive therapy and health qigong-based cognitive therapy among Chinese people with depression and anxiety disorders. BMC psychiatry, 20(1), 590. https://doi.org/10.1186/s12888-020-02994-2

 

Abstract

Background

The goal of this study was to investigate treatment outcome and related intervention processes of mindfulness-based cognitive therapy versus health qigong-based cognitive therapy versus waitlist control among individuals with mood disorders.

Methods

A total of 187 individuals with mood disorders were randomized and allocated into mindfulness-based cognitive therapy, health qigong-based cognitive therapy, or waitlist control groups. All participants were assessed at three time points with regard to depressive and anxiety symptoms, physical and mental health status, perceived stress, sleep quality, and self-efficacy. Linear mixed models analysis was used to test the individual growth model by studying the longitudinal data.

Results

Mindfulness-based cognitive therapy and health qigong-based cognitive therapy both produced greater improvements on all outcome measures as compared with waitlist control. Relatively, more reductions of mood symptoms were observed in the health qigong-based cognitive therapy group as compared with the mindfulness-based cognitive therapy group. Health qigong-based cognitive therapy is more conducive to physical health status whereas mindfulness-based cognitive therapy has more favorable mental health outcomes. Individual growth curve models indicated that alterations in perceived stress was the common predictor of mood changes in both intervention groups.

Conclusions

The predominant emphasis on physical health in health qigong-based cognitive therapy makes it more acceptable and effective than mindfulness-based cognitive therapy as applied in Chinese individuals with mood disorders. The influence of Chinese culture is discussed.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7734764/

 

Spirituality Activates the Brain Networks Underlying Other-Than-Self Attention

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Spirituality Activates the Brain Networks Underlying Other-Than-Self Attention

 

By John M. de Castro, Ph.D.

 

“Understanding the neural bases of spiritual experiences may help us better understand their roles in resilience and recovery from mental health and addictive disorders.” – Ephrat Livni

 

Spirituality is defined as “one’s personal affirmation of and relationship to a higher power or to the sacred.” It has been shown to have a myriad of benefits including recovery from addiction.  In addition, spirituality alters the nervous system. It has been demonstrated that spirituality is associated with changes in the size, activity, and connectivity of the frontal and parietal lobes of the brain. So, spirituality and changes in neural systems co-occur. We may be better able to control addiction if we develop a more nuanced understanding of the changes in the brain that occur with spirituality.

 

In today’s Research News article “Spiritual experiences are related to engagement of a ventral frontotemporal functional brain network: Implications for prevention and treatment of behavioral and substance addictions.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7044576/ ) McClintock and colleagues recruited healthy adult, age 18 to 27 years, participants and scanned their brains with functional Magnetic Resonance Imaging (fMRI) while they were being guided toward images of either neutral, stressful, or spiritual imagery. Before and after testing they completed a measure of spirituality.

 

They found that during spiritual but not neutral or stressful imagery there was a significant increase in the activity of brain structures that constitute a ventral frontotemporal network, including middle and inferior frontal cortices, superior, middle and inferior temporal cortices, insula and frontal opercula, striatum, thalamus, brainstem, and cerebellum. The greater the increase in spirituality reported over the testing, the greater the increase in the activity of the ventral frontotemporal network. Hence, the more the imagery increased their spiritual feelings, the greater the response of the brain. They also found that there was a significant decrease in activity in areas of the brain that are components of the default mode network, including the middle and posterior cingulate and parietal cortex.

 

These findings suggest that the ventral frontotemporal network is activated during spiritual imagery while components of the default mode network are deactivated. The ventral frontotemporal network has been associated with attentional processing while the default mode network has been associated with self-referential thinking and mind wandering. It can be speculated that during spiritual imagery attention is focused away from the self. Regardless, the findings suggest that specific parts of the brain are involved in processing spiritual imagery.

 

So, spirituality activates the brain networks underlying other-than-self attention.

 

“it’s essential to examine how people experience spirituality in order to fully understand how their brains work.” – Lynne Blumberg

 

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

 

McClintock, C. H., Worhunsky, P. D., Xu, J., Balodis, I. M., Sinha, R., Miller, L., & Potenza, M. N. (2019). Spiritual experiences are related to engagement of a ventral frontotemporal functional brain network: Implications for prevention and treatment of behavioral and substance addictions. Journal of behavioral addictions, 8(4), 678–691. https://doi.org/10.1556/2006.8.2019.71

 

Abstract

Background and aims

Spirituality is an important component of 12-step programs for behavioral and substance addictions and has been linked to recovery processes. Understanding the neural correlates of spiritual experiences may help to promote efforts to enhance recovery processes in behavioral addictions. We recently used general linear model (GLM) analyses of functional magnetic resonance imaging data to examine neural correlates of spiritual experiences, with findings implicating cortical and subcortical brain regions. Although informative, the GLM-based approach does not provide insight into brain circuits that may underlie spiritual experiences.

Methods

Spatial independent component analysis (sICA) was used to identify functional brain networks specifically linked to spiritual (vs. stressful or neutral-relaxing) conditions using a previously validated guided imagery task in 27 young adults.

Results

Using sICA, engagement of a ventral frontotemporal network was identified that was engaged at the onset and conclusion of the spiritual condition in a manner distinct from engagement during the stress or neutral-relaxing conditions. Degree of engagement correlated with subjective reports of spirituality in the scanner (r = .71, p < .001) and an out-of-the-magnet measure of spirituality (r = .48, p < .018).

Discussion and conclusion

The current findings suggest a distributed functional neural network associated with spiritual experiences and provide a foundation for investigating brain mechanisms underlying the role of spirituality in recovery from behavioral addictions.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7044576/

 

Improve the Psychological Health of Cancer Patients with Mindfulness Taught over the Internet

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Improve the Psychological Health of Cancer Patients with Mindfulness Taught over the Internet

 

By John M. de Castro, Ph.D.

 

“some of the most difficult elements of the cancer experience are very well-suited to a mindfulness practice.” – Linda Carlson

 

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 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 relieve chronic pain. It can also help treat the residual physical and psychological symptoms, including stress,  sleep disturbance, fear, and anxiety and depression. The vast majority of the mindfulness training techniques, however, require a trained therapist. This results in costs that many clients can’t afford. In addition, the participants must be available to attend multiple sessions at particular scheduled times that may or may not be compatible with their busy schedules and at locations that may not be convenient.

 

As an alternative, mindfulness training over the internet 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. In addition, research has indicated that mindfulness training online can be effective for improving the health and well-being of the participants. The research has been accumulating. So, it makes sense to step back and summarize what has been learned about the effectiveness of mindfulness training over the internet in treating the psychological symptoms of cancer patients.

 

In today’s Research News article “Mindfulness-Based Programs for Patients With Cancer via eHealth and Mobile Health: Systematic Review and Synthesis of Quantitative Research.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7704284/ ) Matis and colleagues review, summarize, and perform a meta-analysis on the published research studies on the effectiveness of mindfulness training over the internet in treating the psychological symptoms of cancer patients. They identified 24 published research studies including at least 4 weeks of mindfulness training delivered over the internet.

 

They report that the published research studies found that mindfulness training delivered over the internet to cancer patients produced significant decreases in stress, anxiety, depression, pain, fatigue, and sleep problems, and significant increases in mindfulness, posttraumatic growth, and some parameters of general health. In the few studies where long-term follow-up measures were obtained the effects were maintained.

 

These are very promising results that suggest that mindfulness training over the internet is a safe and effective treatment for the psychological issues common in cancer survivors. Mindfulness training, in general, has been shown in a large number of previous studies o be effective in reducing stress, anxiety, depression, pain, fatigue, and sleep problems, and significant increases in mindfulness, posttraumatic growth, and some parameters of general health. So, the present study simply extends these findings to patients with cancer who receive mindfulness training over the internet.

 

These results are important as good mental health, particularly the ability to cope with stress, are predictors of good health outcomes. In addition, the fact that the interventions were provided over the internet allows for cost-effective and convenient delivery to patients. This makes participation and compliance more likely and effective. Hence, internet-based mindfulness training may help relieve the psychological suffering of patients diagnosed with cancer and should be included in their treatment plan.

 

So, improve the psychological health of cancer patients with mindfulness taught over the internet.

 

“Both MBCT and eMBCT significantly reduced fear of cancer recurrence and rumination and increased mental health–related quality of life, mindfulness skills, and positive mental health.” – Matthew Stenger

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Matis, J., Svetlak, M., Slezackova, A., Svoboda, M., & Šumec, R. (2020). Mindfulness-Based Programs for Patients With Cancer via eHealth and Mobile Health: Systematic Review and Synthesis of Quantitative Research. Journal of medical Internet research, 22(11), e20709. https://doi.org/10.2196/20709

 

Abstract

Background

eHealth mindfulness-based programs (eMBPs) are on the rise in complex oncology and palliative care. However, we are still at the beginning of answering the questions of how effective eMBPs are and for whom, and what kinds of delivery modes are the most efficient.

Objective

This systematic review aims to examine the feasibility and efficacy of eMBPs in improving the mental health and well-being of patients with cancer, to describe intervention characteristics and delivery modes of these programs, and to summarize the results of the included studies in terms of moderators, mediators, and predictors of efficacy, adherence, and attrition.

Methods

In total, 4 databases (PubMed, PsycINFO, Scopus, and Web of Knowledge) were searched using relevant search terms (eg, mindfulness, program, eHealth, neoplasm) and their variations. No restrictions were imposed on language or publication type. The results of the efficacy of eMBPs were synthesized through the summarizing effect estimates method.

Results

A total of 29 published papers describing 24 original studies were included in this review. In general, the results indicate that eMBPs have the potential to reduce the levels of stress, anxiety, depression, fatigue, sleep problems, and pain, and improve the levels of mindfulness, posttraumatic growth, and some parameters of general health. The largest median of Cohen d effect sizes were observed in reducing anxiety and depression (within-subject: median −0.38, IQR −0.62 to −0.27; between-group: median −0.42, IQR −0.58 to −0.22) and facilitating posttraumatic growth (within-subject: median 0.42, IQR 0.35 to 0.48; between-group: median 0.32, IQR 0.22 to 0.39). The efficacy of eMBP may be comparable with that of parallel, face-to-face MBPs in some cases. All studies that evaluated the feasibility of eMBPs reported that they are feasible for patients with cancer. Potential moderators, mediators, and predictors of the efficacy, attrition, and adherence of eMBPs are discussed.

Conclusions

Although the effects of the reviewed studies were highly heterogeneous, the review provides evidence that eMBPs are an appropriate way for mindfulness practice to be delivered to patients with cancer. Thus far, existing eMBPs have mostly attempted to convert proven face-to-face mindfulness programs to the eHealth mode. They have not yet fully exploited the potential of eHealth technology.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7704284/

 

Poor Mental Health in Patients with Fibromyalgia is Associated with Brain Systems

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Poor Mental Health in Patients with Fibromyalgia is Associated with Brain Systems

 

By John M. de Castro, Ph.D.

 

“practicing mindfulness techniques may be a low-cost, side effect free option for people wishing to reduce the severity of their fibromyalgia.” – Kim Jones

 

Fibromyalgia is a mysterious disorder whose causes are unknown. It is very common affecting over 5 million people in the U.S., about 2% of the population with about 7 times more women affected than men. It is characterized by widespread pain, abnormal pain processing, sleep disturbance, and fatigue that lead to psychological distress. Fibromyalgia may also have morning stiffness, tingling or numbness in hands and feet, headaches, including migraines, irritable bowel syndrome, sleep disturbances, thinking and memory problems, and painful menstrual periods. The symptoms are so severe and debilitating that about half the patients are unable to perform routine daily functions and about a third have to stop work. Although it is not itself fatal, suicide rates are higher in fibromyalgia sufferers. Clearly, fibromyalgia greatly reduces the quality of life of its’ sufferers.

 

There are no completely effective treatments for fibromyalgia. Symptoms are generally treated with pain relievers, antidepressant drugs and exercise. But these only reduce the severity of the symptoms and do not treat the disease directly. Mindfulness practices have also been shown to be effective in reducing pain from fibromyalgia. Some of the effects of mindfulness practices are to alter thought processes, changing what is thought about. In terms of pain, mindfulness training, by focusing attention on the present moment has been shown to reduce worry and catastrophizing. Pain is increased by worry about the pain and the expectation of greater pain in the future. Brain systems are involved in pain processing. It is not known, however, what brain systems may be involved in the psychological effects of fibromyalgia.

 

In today’s Research News article “The Bed Nucleus of the Stria Terminalis as a Brain Correlate of Psychological Inflexibility in Fibromyalgia.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7074535/ ) Feliu-Soler and colleagues recruited adult women who were diagnosed with fibromyalgia and assigned them to either treatment as usual or to receive and 8-week program of Mindfulness-Based Stress Reduction (MBSR). They were measured before and after the program for psychological inflexibility in pain, functional impairment, anxiety, depression, perceived stress, pain catastrophizing, mindfulness, and self-compassion. They also underwent measurements of the gray matter volume in the brain with Magnetic Resonance Imaging (MRI).

 

They found that the higher the levels of psychological inflexibility in pain, the higher the gray matter volume of the bed nucleus of the stria terminalis (BNST). Further they found that the higher the gray matter volume of the BNST the higher the levels of functional impairment, anxiety, depression, perceived stress, and pain catastrophizing and the lower the levels of mindfulness and self-compassion. The Mindfulness-Based Stress Reduction (MBSR) program did not significantly alter the BNST volume or psychological inflexibility in pain.

 

These results are correlative and as such caution must be exercised in causal inferences. It was disappointing that mindfulness training did not produce a change in either psychological inflexibility or BNST volume. But the results are clear that the gray matter volume of the bed nucleus of the stria terminalis (BNST) is associated with poor mental health in patients with fibromyalgia. This brain structure is associated with physiological and psychological responses to stress. Since, the constant pain associated with fibromyalgia is very stressful it is not surprising that enlargement of the BNST would be associated with poor mental health in these patients.

 

So, poor mental health in patients with fibromyalgia is associated with brain systems.

 

“being overly observant of symptoms or trying to avoid pain can actually contribute towards the development of fibromyalgia and worsen the existing symptoms. Mindfulness practice can actually change the way you relate to your pain, . . the mindfulness group showed less avoidant and hypervigilance behaviour, supporting the idea that mindfulness encourages a non-judgemental and accepting relationship with pain, rather than trying to push it away.” – Vidyamala Burch

 

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

 

Feliu-Soler, A., Martínez-Zalacaín, I., Pérez-Aranda, A., Borràs, X., Andrés-Rodríguez, L., Sanabria-Mazo, J. P., Fayed, N., Stephan-Otto, C., Núñez, C., Soriano-Mas, C., & Luciano, J. V. (2020). The Bed Nucleus of the Stria Terminalis as a Brain Correlate of Psychological Inflexibility in Fibromyalgia. Journal of clinical medicine, 9(2), 374. https://doi.org/10.3390/jcm9020374

 

Abstract

This study explored the brain structural correlates of psychological flexibility (PF) as measured with the Psychological Inflexibility in Pain Scale (PIPS) in patients with fibromyalgia (FM). Structural magnetic resonance imaging data from 47 FM patients were used to identify Gray Matter Volume (GMV) alterations related to PIPS scores. Brain GMV clusters related to PIPS were then correlated with clinical and cognitive variables to further explore how emerged brain clusters were intertwined with FM symptomatology. Longitudinal changes in PIPS-related brain clusters values were assessed by studying pre–post data from 30 patients (15 allocated to a mindfulness-based stress reduction (MBSR) program and 15 to treatment-as-usual). Changes in PIPS-related brain clusters were also explored in participants showing greater/lower longitudinal changes in PIPS scores. PIPS scores were positively associated with GMV in a bilateral cluster in the ventral part of the bed nucleus of the stria terminalis (BNST). Significant associations between BNST cluster with functional impairment, depressive symptomatology, perceived stress and the nonjudging mindfulness facet were observed. Participants reporting greater pre–post increases in PIPS scores showed greater increases in BNST cluster values. These findings contribute to the understanding on the neurobiological bases of PF in FM and encourage further explorations of the role of the BNST in chronic pain.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7074535/

 

Improve Stress-Related Neuropsychiatric Disorders with Yoga and Mindfulness

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Improve Stress-Related Neuropsychiatric Disorders with Yoga and Mindfulness

 

By John M. de Castro, Ph.D.

 

“Mindfulness training holds promise for treating mood disorders partly because it may lead to changes in patients’ brains, improving connectivity among some brain areas and changing tissue density in key regions, research suggests.” – Stacy Lu

 

Over the last several decades, research and anecdotal experiences have accumulated an impressive evidential case that the development of mindfulness has positive benefits for the individual’s mental, physical, and spiritual life. Mindfulness appears to be beneficial both for healthy people and for people suffering from a myriad of mental and physical illnesses. It appears to be beneficial across ages, from children, to adolescents, to the elderly. And it appears to be beneficial across genders, personalities, race, and ethnicity. The breadth and depth of benefits is unprecedented. There is no other treatment or practice that has been shown to come anyway near the range of mindfulness’ positive benefits.

 

Meditation and yoga training have been shown to be effective for a large array of medical and psychiatric conditions, either stand-alone or in combination with more traditional therapies. Meditation and yoga appear to improve the individual’s ability to cope with stress and stress is the source of or aggravates many mental disorders. There are a number of ways that meditation and yoga practices produce these benefits, including changes to the brain and physiology. It is useful to review and summarize what has been discovered regarding how meditation and yoga practices improve mental disorders.

 

In today’s Research News article “Role of Yoga and Meditation as Complimentary Therapeutic Regime for Stress-Related Neuropsychiatric Disorders: Utilization of Brain Waves Activity as Novel Tool.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7545749/ ) Kaushik and colleagues review and summarize the published research on the effectiveness of meditation and yoga for the treatment of neuropsychiatric disorders.

 

They report that the published research finds that stress is highly related to anxiety and depression and that meditation and yoga practices, including breathing exercises and postures, significantly reduce perceived stress, anxiety, and depression. They further report that meditation and yoga may produce these improvements by increasing brain activity particularly in the frontal regions of the brain. They also report that meditation and yoga produce very few if any deleterious side effects.

 

Previous research has conclusively demonstrated that mindfulness practices in general are safe and effective in altering the electrical activity of the brain and reducing perceived stress, anxiety, and depression. It can be speculated that meditation and yoga reduce the responses to stress by altering brain activity and this, in turn, produces improvements in anxiety and depression. It remains for future research to investigate this model. Regardless, the employment of meditation and yoga practices for neuropsychiatric conditions has been shown to be safe and effective alternative treatments for the relief of the suffering of these patients.

 

So, improve stress-related neuropsychiatric disorders with yoga and mindfulness.

 

“mindfulness has become a household word, and the psychiatric and psychological literature abound with publications implementing mindfulness as a treatment or self-help tool for everything that ails you.” – John J. Miller

 

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

 

Kaushik, M., Jain, A., Agarwal, P., Joshi, S. D., & Parvez, S. (2020). Role of Yoga and Meditation as Complimentary Therapeutic Regime for Stress-Related Neuropsychiatric Disorders: Utilization of Brain Waves Activity as Novel Tool. Journal of evidence-based integrative medicine, 25, 2515690X20949451. https://doi.org/10.1177/2515690X20949451

 

Abstract

During recent decades, stress-related neuropsychiatric disorders such as anxiety, depression, chronic tension headache, and migraine have established their stronghold in the lives of a vast number of people worldwide. In order to address this global phenomenon, intensive studies have been carried out leading to the advancement of drugs like anti-depressants, anxiolytics, and analgesics which although help in combating the symptoms of such disorders but also create long-term side effects. Thus, as an alternative to such clinical practices, various complementary therapies such as yoga and meditation have been proved to be effective in alleviating the causes and symptoms of different neuropsychiatric disorders. The role of altered brain waves in this context has been recognized and needs to be pursued at the highest level. Thus, the current study provides a review focused on describing the effects of yoga and meditation on anxiety and depression as well as exploring brain waves as a tool for assessing the potential of these complementary therapies for such disorders.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7545749/

 

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

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

 

By John M. de Castro, Ph.D.

 

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

 

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

 

There is a lot of pressure on college students to excel. This stress might in fact be counterproductive as the increased pressure can actually lead to stress and anxiety which can impede the student’s physical and mental health, well-being, and school performance. Mindfulness training has been shown through extensive research to be effective in improving physical and psychological health. Indeed, these practices have been found to improve psychological health in college students. So, it would be expected that training in mind-body practices would improve the psychological health of college students.

 

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

 

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

 

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

 

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

 

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

 

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

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

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

 

Abstract

Background

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

Objective

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

Methods

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

Results

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

Conclusion

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

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

 

Mindfulness is Associated with Non-Judging and Positive Emotions which Improve Emotional Health

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Mindfulness is Associated with Non-Judging and Positive Emotions which Improve Emotional Health

 

By John M. de Castro, Ph.D.

 

“Almost any approach for cultivating care for others needs to start with paying attention. The beginning of cultivating compassion and concern, or doing something for the benefit of others, is first noticing what something or someone means to you.” – Erika Rosenberg

 

Over the last several decades, research and anecdotal experiences have accumulated an impressive evidential case that the development of mindfulness has positive benefits for the individual’s mental, physical, and spiritual life. One way that mindfulness may be producing its benefits is by improving emotion regulation so that mindful people are better able to experience yet control their responses to emotions. This then improves mental health.

 

Mindfulness, though, is not a unitary concept. It has been segregated into five facets; observing, describing, acting with awareness, non-judgement, and non-reactivity. People differ and an individual can be high or low on any of these facets and any combination of facets. It is not known what pattern of mindfulness facets are most predictive of good mental health. So, it is important to investigate the interrelationships of mindfulness, compassion, and emotions with negative states such as of anxiety, depression, perceived stress, and negative emotions.

 

In today’s Research News article “Network Analysis of Mindfulness Facets, Affect, Compassion, and Distress.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7689647/ ) Medvedev and colleagues recruited college students and also mailed questionnaires to the general population (response rate 12%). They had them complete measures of anxiety, depression, perceived stress, positive and negative emotions, compassion, and mindfulness, including observing, describing, acting with awareness, non-judgement, and non-reactivity facets. These data were subjected to a network analysis.

 

They found two major clusters of variables. The maladaptive factors of anxiety, depression, perceived stress, and negative emotions were highly associated and strongly clustered into a tight node. The adaptive factors of positive emotions, compassion, and mindfulness, including observing, describing, acting with awareness, non-judgement, and non-reactivity facets were also clustered but not as tightly into a second node. Examining which variables were the primary bridge between the two nodes revealed that the mindfulness facet of non-judging of internal experience and positive emotions were by far the strongest negative bridges. Compassion was associated with the maladaptive node by a strong connection with positive emotions that were negatively associated with the maladaptive node.

 

These results are correlative and as such caution must be exercised in reaching causal connections. But mindfulness and its facets have been shown in previous research to reduce anxiety, depression, perceived stress, and negative emotions. So, the associations observed in the present study likely represent causal connections. Nonetheless, the present findings suggest that mindfulness and compassion work to reduce maladaptive emotions through non-judging of internal experience and positive emotions. That is, they increase these bridging factors and thereby reduce the maladaptive emotions.

 

Non-judging of internal experience involves taking a neutral attitude toward one’s own experience. Accepting one’s internal experiences appears to be the key to reducing anxiety, depression, perceived stress, and negative emotions. In other words, if a thought arises that predicts a future negative event it does not evoke anxiety or depression if that thought is not judged, just allowed to happen. The adaptive characteristics also appear to improve one’s emotional state producing greater positive feelings. This also appears to be an antidote to negative feelings. So, mindfulness and compassion increase positive emotions that act to counteract negative feelings.

 

So, mindfulness is associated with non-judging and positive emotions which improve emotional health.

 

“The beauty of self-compassion is that instead of replacing negative feelings with positive ones, new positive emotions are generated by embracing the negative ones. The positive emotions of care and connectedness are felt alongside our painful feelings. When we have compassion for ourselves, sunshine and shadow are experienced simultaneously.” – 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 and on Twitter @MindfulResearch

 

Study Summary

 

Medvedev, O. N., Cervin, M., Barcaccia, B., Siegert, R. J., Roemer, A., & Krägeloh, C. U. (2020). Network Analysis of Mindfulness Facets, Affect, Compassion, and Distress. Mindfulness, 1–12. Advance online publication. https://doi.org/10.1007/s12671-020-01555-8

 

Abstract

Objectives

Mindfulness, positive affect, and compassion may protect against psychological distress but there is lack of understanding about the ways in which these factors are linked to mental health. Network analysis is a statistical method used to investigate complex associations among constructs in a single network and is particularly suitable for this purpose. The aim of this study was to explore how mindfulness facets, affect, and compassion were linked to psychological distress using network analysis.

Methods

The sample (n = 400) included equal numbers from general and student populations who completed measures of five mindfulness facets, compassion, positive and negative affect, depression, anxiety, and stress. Network analysis was used to explore the direct associations between these variables.

Results

Compassion was directly related to positive affect, which in turn was strongly and inversely related to depression and positively related to the observing and describing facets of mindfulness. The non-judgment facet of mindfulness was strongly and inversely related to negative affect, anxiety, and depression, while non-reactivity and acting with awareness were inversely associated with stress and anxiety, respectively. Strong associations were found between all distress variables.

Conclusions

The present network analysis highlights the strong link between compassion and positive affect and suggests that observing and describing the world through the lens of compassion may enhance resilience to depression. Taking a non-judging and non-reacting stance toward internal experience while acting with awareness may protect against psychological distress. Applicability of these findings can be examined in experimental studies aiming to prevent distress and enhance psychological well-being.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7689647/

 

Dyadic Mindfulness Training Improves the Mental Health of Metastatic Cancer Patients and their Spouses

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Dyadic Mindfulness Training Improves the Mental Health of Metastatic Cancer Patients and their Spouses

 

By John M. de Castro, Ph.D.

 

“Cancer is a traumatic event that changes a person’s life. Utilizing mindfulness tools can provide peace and hope. Practicing mindfulness on a daily basis can assist with long term effects of happiness and positivity. Even occasional mindfulness practice can help provide a break from the stress of cancer and fill patients with a sense of calm to confront the challenges they face.” – Erin Murphy-Wilczek

 

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 dealing with cancer. These issues extend not just to the patient but also to their partners in life. These symptoms markedly reduce the quality of life of both.

 

Mindfulness training has been shown to help with cancer recovery and help to relieve chronic pain. It can also help treat the residual physical and psychological symptoms, including stress,  sleep disturbance, fear, and anxiety and depression. But cancer does not occur in isolation. It effects both the patient but also their significant others. There has been considerable research conducted on the effectiveness of mindfulness practices in treating the psychological issues associated with cancer. But there is little research on treating the cancer patients and their spouses in mindfulness as dyads.

 

In today’s Research News article “A Mindfulness-Based Intervention as a Supportive Care Strategy for Patients with Metastatic Non-Small Cell Lung Cancer and Their Spouses: Results of a Three-Arm Pilot Randomized Controlled Trial.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7648356/ ) Milbury and colleagues recruited adult patients undergoing treatment for metastatic non‐small cell lung cancer and their romantic partners. Couples were randomly assigned to usual care or to receive 4 one-hour sessions via videoconference of either couple-based meditation or supportive-expressive practice. Couple-based meditation incorporated meditation and couple’s emotion sharing exercises. Supportive-expressive practice involved discussion of cancer-related issues that couples share. They were measured before and after treatment and 3 months later for depression, cancer-related stress symptoms, and spiritual well-being.

 

Attendance was high in both groups but the couple-based meditation reported that the sessions were more beneficial than the supportive-expressive practice group. They found that in comparison to baseline and the other groups at the 3-month follow-up the couple-based meditation patients and their significant others had significantly lower depression and cancer-related stress symptoms and higher spiritual well-being.

 

A strength of the study is that it had an active control condition, supportive-expressive practice, that contained therapeutic elements, expectancy effects and similar attention features to the couple-based meditation practice. This reduces the possibility of confounding variable being responsible for the results and suggests that the effects were due to the nature of the therapy. Another key aspect of this study is that the therapy was delivered via videoconference which may be responsible for the high attendance rates. This form of delivery is very convenient and flexible making it more likely to be effective.

 

There are great psychological and emotional problems co-occurring with cancer treatment for the patient and also for the patient’s romantic partner. So, these results are interesting and important suggesting that couple-based meditation practice can help relieve the suffering. The fact that the romantic partner was included was very important as the cancer effects both members of the dyad. Treating both prevents the suffering of one from interfering with the therapy for the other.

 

So, dyadic mindfulness training improves the mental health of metastatic cancer patients and their spouses.

 

“Being in this present moment, letting go, practicing non-attachment and acceptance are so helpful in dealing with uncertainty and fear. Mindfulness is something that they use for the rest of their lives for really great benefit.” – Linda Carlson

 

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

 

Milbury, K., Li, Y., Durrani, S., Liao, Z., Tsao, A. S., Carmack, C., Cohen, L., & Bruera, E. (2020). A Mindfulness-Based Intervention as a Supportive Care Strategy for Patients with Metastatic Non-Small Cell Lung Cancer and Their Spouses: Results of a Three-Arm Pilot Randomized Controlled Trial. The oncologist, 25(11), e1794–e1802. Advance online publication. https://doi.org/10.1634/theoncologist.2020-0125

 

Abstract

Background

Although mindfulness‐based interventions have been widely examined in patients with nonmetastatic cancer, the feasibility and efficacy of these types of programs are largely unknown for those with advanced disease. We pilot‐tested a couple‐based meditation (CBM) relative to a supportive‐expressive (SE) and a usual care (UC) arm targeting psychospiritual distress in patients with metastatic lung cancer and their spousal caregivers.

Patients and Methods

Seventy‐five patient‐caregiver dyads completed baseline self‐report measures and were then randomized to one of the three arms. Couples in the CBM and SE groups attended four 60‐minute sessions that were delivered via videoconference. All dyads were reassessed 1 and 3 months later.

Results

A priori feasibility benchmarks were met. Although attendance was high in both groups, dyads in the CBM group indicated greater benefit of the sessions than those in the SE group (patients, CBM mean = 2.63, SE mean = 2.20, p = .003; spouses, CBM mean = 2.71, SE mean = 2.00, p = .005). Compared with the UC group, patients in the CBM group reported significantly lower depressive symptoms (p = .05; d = 0.53) and marginally reduced cancer‐related stress (p = .07; d = 0.68). Medium effect sizes in favor of the CBM compared with the SE group for depressive symptoms (d = 0.59) and cancer‐related stress (d = 0.54) were found. Spouses in the CBM group reported significantly lower depressive symptoms (p < .01; d = 0.74) compared with those in the UC group.

Conclusion

It seems feasible and possibly efficacious to deliver dyadic interventions via videoconference to couples coping with metastatic lung cancer. Mindfulness‐based interventions may be of value to managing psychological symptoms in the palliative care setting

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7648356/

 

Mindfulness is Related to Improved Psychological Health During the Covid-19 Pandemic.

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Mindfulness is Related to Improved Psychological Health During the Covid-19 Pandemic.

 

By John M. de Castro, Ph.D.

 

“During the current pandemic, there is so much uncertainty concerning the future, and many threats to our security (physical, social, emotional, and financial). It is totally natural and normal to feel anxious, fearful, and frustrated. . . 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

 

Modern living is stressful under the best of conditions. But with the Covid-19 pandemic the levels of stress have been markedly increased. These conditions markedly increase anxiety. This is true for everyone but especially for healthcare workers and people caring for patients with COVID-19 and for people with pre-existing conditions that makes them particularly vulnerable. But it is also true for healthy individuals who worry about infection for themselves or loved ones.

 

The COVID-19 pandemic has also produced considerable economic stress, with loss of employment and steady income. For the poor this extends to high levels of food insecurity. This not only produces anxiety about the present but also for the future. It is important for people to engage in practices that can help them control their responses to the stress and their levels of anxiety. Mindfulness practices have been found routinely to reduce the psychological and physiological responses to stress, reduce anxiety levels, and improve mood. But there is a need to investigate the relationships of mindfulness to psychological health in relation to knowledge concerning Covid-19.

 

In today’s Research News article “Knowledge of COVID-19 and Its Influence on Mindfulness, Cognitive Emotion Regulation and Psychological Flexibility in the Indian Community.” (See summary below or view the full text of the study at: https://www.frontiersin.org/articles/10.3389/fpsyg.2020.589365/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1490157_69_Psycho_20201124_arts_A ) Dubey and colleagues recruited adults in India during the Covid-19 lockdown. They were measured online for their knowledge and awareness of Covid-19, depression, anxiety, perceived stress, mindfulness, emotion regulation, and acceptance of private experiences or experiential avoidance.

 

They found that the greater the amount of knowledge of Covid-19 the lower the levels of perceived stress, anxiety, catastrophizing, and depression and the higher the levels of mindfulness and psychological flexibility. In addition, they found that the higher the levels of mindfulness, the higher the levels of knowledge of Covid-19 and psychological flexibility and the lower the levels of perceived stress, anxiety, catastrophizing, and depression.

 

These findings are correlational and thus caution must be exercised in concluding causation. But in previous research it has been shown that mindfulness produces better emotion regulation by increasing psychological flexibility and by lowering the levels of psychological distress by lowering the levels of perceived stress, anxiety, catastrophizing, and depression. So, the relationships seen here are likely caused by mindfulness.

 

It is interesting that knowledge and awareness of Covid-19 appears to be crucial in dealing with its psychological impact on the individual. Higher levels of knowledge appear to mitigate the negative emotional effects of the pandemic, perhaps by improving the ability to be cognitively flexible in coping with it. When it comes to the pandemic ignorance is not bliss, rather it evokes grater psychological distress.

 

The Covid-19 lockdown was obviously a time of great fear and anxiety, not only for the individual’s physical health but also for their economic stability. Being able to deal with the negative emotions produced is essential not only for the individual’ mental health but also for evoking constructive and adaptive responses. Mindfulness and knowledge of the pandemic appear to be important for doing just that.

 

So, mindfulness is related to improved psychological health during the Covid-19 Pandemic.

 

“These are trying times, but incorporating mindful practices into your daily routine can help calm anxiety and build healthy coping skills.” – Rae Jacobson

 

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

 

Dubey N, Podder P and Pandey D (2020) Knowledge of COVID-19 and Its Influence on Mindfulness, Cognitive Emotion Regulation and Psychological Flexibility in the Indian Community. Front. Psychol. 11:589365. doi: 10.3389/fpsyg.2020.589365

 

ABSTRACT

The current global pandemic caused by COVID-19 has brought about an immense effect on the mental health of the general public. Considering the escalation in number of cases, mankind is facing a myriad of psychological problems, ranging from those related to taking precautions and maintaining safety to the ones caused by separation and bereavement. The current study aims to explore whether there is a significant difference between individuals with excellent, good, fair and vague knowledge of COVID-19 with respect to depression, anxiety, stress, level of mindfulness, specific cognitive emotion regulation strategies and psychological flexibility; to find out whether there is any significant relationship among these variables; and to determine whether knowledge of COVID-19, level of mindfulness, specific cognitive emotion regulation strategies and psychological flexibility are significant predictors of depression, anxiety and stress in the sample of the current study. The sample consisted of 402 individuals selected from the community following the research criteria. Data was collected using digital consent form, information schedule and questionnaires, from 3rd May to 13th May, 2020. The questionnaires consisted of a semi-structured interview schedule to assess knowledge of COVID-19, Depression, Anxiety and Stress Scale – 21, Five Facet Mindfulness Questionnaire-Short Form, Cognitive Emotion Regulation Questionnaire-Short version and Acceptance and Action Questionnaire-II. The data was statistically analyzed using analysis of variance test, correlational analysis and linear regression. The findings show that significant differences were present among individuals having varying degrees of knowledge of COVID-19 with respect to anxiety, level of mindfulness and psychological flexibility. Significant relationships were found to be present among the variables of the present study, having differing trends brought forward by the COVID-19 crisis. Certain socio-demographic characteristics and study variables were found to significantly predict the existing levels of depression, anxiety and stress in the current sample. The study suggests the necessity to formulate and implement appropriate mindfulness-based therapeutic interventions to address the mental health concerns arising as a result of the pandemic.

https://www.frontiersin.org/articles/10.3389/fpsyg.2020.589365/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_1490157_69_Psycho_20201124_arts_A