Stress

Virtual Mindfulness Training Improves Well-Being

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Virtual Mindfulness Training Improves Well-Being

 

By John M. de Castro, Ph.D.

 

“Spending too much time planning, problem solving, daydreaming, or thinking negative or random thoughts can be draining. It also can make you more likely to experience stress, anxiety and symptoms of depression. Practicing mindfulness exercises, on the other hand, can help you direct your attention away from this kind of thinking and engage with the world around you.” – Mayo Clinic

 

Mindfulness training has been shown to improve health and well-being. It has also been found to be effective for a large array of medical and psychiatric conditions, either stand-alone or in combination with more traditional therapies. As a result, mindfulness training has been called the third wave of therapies. But the vast majority of the mindfulness training techniques 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, training over the internet has been developed. This has tremendous advantages in decreasing costs, making training schedules much more flexible, and eliminating the need to go repeatedly to specific locations. But the question arises as to the effectiveness of internet training in improving psychological well-being. The evidence is accumulating. So, it makes sense to review what has been learned.

 

In today’s Research News article “Virtual mindfulness interventions to promote well-being in adults: A mixed-methods systematic review.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8765070/ ) Xu and colleagues review and summarize the published research studies on the effectiveness of mindfulness training over the internet to improve psychological well-being. They identified 32 published studies.

 

They report that the published studies found that internet-based mindfulness training produced significant improvements in well-being and mental health including reductions in anxiety and depression, perceived stress, sleep disruptions, and negative emotions and significant increases in academic performance and cognition, including reduced mind-wandering.

 

The published research indicates that on-line mindfulness training improves the well-being, mental health, and cognitive performance of students.

 

“Even though the app we evaluate is vastly less expensive than in-person psychotherapy, it leads to comparable short-run improvements in mental health.” – Advik Shreekumar

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Xu, J., Jo, H., Noorbhai, L., Patel, A., & Li, A. (2022). Virtual mindfulness interventions to promote well-being in adults: A mixed-methods systematic review. Journal of affective disorders, 300, 571–585. https://doi.org/10.1016/j.jad.2022.01.027

 

Abstract

Background

With the onset of the COVID-19 pandemic, many have experienced drastic changes in their academic and social lives with ensuing consequences towards their physical and mental well-being. The purpose of this systematic review is to identify virtual mindfulness-based interventions for the well-being of adults aged 19 to 40 years in developed countries and examine the efficacy of these techniques/exercises.

Methods

This mixed-methods systematic review follows the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) guidelines with a registered PROSPERO protocol. With a convergent integrated synthesis approach, IEEE Xplore, PsychInfo, Web of Science and OVID were searched with a predetermined criteria and search strategy employing booleans and filters for peer-reviewed and gray literature. Data screening and extraction were independently performed by two authors, with a third author settling disagreements after reconciliation. Study quality of selected articles was assessed with two independent authors using the Mixed Methods Appraisal Tool (MMAT). Studies were analyzed qualitatively (precluding meta and statistical analysis) due to the heterogeneous study results from diverse study designs in present literature.

Results

Common mindfulness-based interventions used in the appraised studies included practicing basic mindfulness, Mindfulness-Based Stress Reduction (MBSR) programs, Mindfulness-Based Cognitive Therapy programs (MBCT) and the Learning 2 BREATHE (L2B) program.

Conclusion

Studies implementing mindfulness interventions demonstrated an overall improvement in well-being. Modified versions of these interventions can be implemented in a virtual context, so adults can improve their well-being through an accessible format.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8765070/

 

Improve Weight Loss with Yoga Practice

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Improve Weight Loss with Yoga Practice

 

By John M. de Castro, Ph.D.

 

“Yoga may be a promising way to help with behavioral change, weight loss, and maintenance by burning calories, heightening mindfulness, and reducing stress.” – Emily Cronkleton

 

Overweight and obesity is epidemic in the modern world. Despite copious research and a myriad of dietary and exercise programs, there still is no safe and effective weight loss method. Mindfulness is known to be associated with lower risk for obesity, alter eating behavior and improve health in obesity. This suggests that mindfulness training may be an effective treatment for overweight alone or in combination with other therapies. Yoga is both an exercise and a mindfulness practice that has been shown to have a myriad of physical and psychological benefits. These include significant loss in weight and body mass index (BMI), resting metabolism, and body fat.

 

In today’s Research News article “A preliminary investigation of yoga as an intervention approach for improving long-term weight loss: A randomized trial.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8815874/ ) Unick and colleagues recruited overweight and obese adult women and had them complete a 12-week behavioral weight loss program including reduced caloric intake and increased exercise and weekly 1-hour group eating behavior therapy meetings. They then randomly assigned them to receive 12 weeks of twice weekly 1-hour classes of either yoga or culinary and nutrition classes. The women were measured before treatment, after the weight loss treatment (3 months), and after yoga or control treatment (6 months) for body size, physical activity, mindfulness perceived stress, distress tolerance, positive and negative emotions, and self-compassion.

 

The women lost on average 6.4 kg of weight over the behavioral weight loss treatment. They found that among the women with high weight loss (>5% body weight) after the 3-month yoga or control period those that practiced yoga had a significantly greater average weight loss, 9.0 kg, compared to controls, 6.7 kg and had significantly greater increases in mindfulness, distress tolerance, and self-compassion and significantly greater decreases in negative emotions and perceived stress.

 

The findings show that for overweight and obese women who had significant weight losses, as a result of a behavioral weight reduction program, those that practiced yoga during the succeeding 3 months lost more weight than controls. This suggests that practicing yoga after weight loss treatment produces greater further reductions in weight and improved psychological well-being.

 

So, yoga assists in long-term weight loss after a dietary program and improves psychological well-being.

 

“Yoga, if done right, becomes a lifestyle change, which in turn can help increase physical activity and decrease emotional eating. And it can help you manage stress, which can also help with weight maintenance.” – Judi Barr

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Unick, J. L., Dunsiger, S. I., Bock, B. C., Sherman, S. A., Braun, T. D., & Wing, R. R. (2022). A preliminary investigation of yoga as an intervention approach for improving long-term weight loss: A randomized trial. PloS one, 17(2), e0263405. https://doi.org/10.1371/journal.pone.0263405

 

Abstract

Objective

Yoga targets psychological processes which may be important for long-term weight loss (WL). This study is the first to examine the feasibility, acceptability, and preliminary efficacy of yoga within a weight management program following WL treatment.

Methods

60 women with overweight or obesity (34.3±3.9 kg/m2, 48.1±10.1 years) were randomized to receive a 12-week yoga intervention (2x/week; YOGA) or a structurally equivalent control (cooking/nutrition classes; CON), following a 3-month behavioral WL program. Feasibility (attendance, adherence, retention) and acceptability (program satisfaction ratings) were assessed. Treatment groups were compared on weight change, mindfulness, distress tolerance, stress, affect, and self-compassion at 6 months. Initial WL (3-mo WL) was evaluated as a potential moderator.

Results

Attendance, retention, and program satisfaction ratings of yoga were high. Treatment groups did not differ on WL or psychological constructs (with exception of one mindfulness subscale) at 6 months. However, among those with high initial WL (≥5%), YOGA lost significantly more weight (-9.0kg vs. -6.7kg) at 6 months and resulted in greater distress tolerance, mindfulness, and self-compassion and lower negative affect, compared to CON.

Conclusions

Study findings provide preliminary support for yoga as a potential strategy for improving long-term WL among those losing ≥5% in standard behavioral treatment.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8815874/

 

Mindfulness is Associated with Better Medical Students School Performance

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Mindfulness is Associated with Better Medical Students School Performance

 

By John M. de Castro, Ph.D.

 

“in medical students . . . mindfulness meditation may be used to elicit positive emotions, minimize negative affect and rumination, and enable effective emotion regulation.” –  Michael Minichiello

 

Medical School is challenging both intellectually and psychologically. Stress levels are high, and burnout is common. It’s been estimated that 63% of medical students experience negative consequences from stress while symptoms of severe stress were present in 25% of students. High stress levels lead to lower performance in medical school and higher levels of physical and mental health problems, especially anxiety and depression. Indeed 50% of medical students report burnout and 11% have considered suicide in the last year.

 

Obviously, there is a need to either lower stress levels in medical education or find methods to assist medical students in dealing with the stress. One promising possibility is mindfulness training. It has been shown to reduce stress in students, to help with the negative consequences of stress and to reduce burnout in medical professionals. So, it would seem reasonable to suspect that mindfulness would be helpful in assisting medical students cope with the stress of their training.

 

In today’s Research News article “Mindfulness practice correlates with reduced exam-induced stress and improved exam performance in preclinical medical students with the “acting with awareness”, “non-judging” and “non-reacting” facets of mindfulness particularly associated with improved exam performance.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8864822/ ) Hearn and Stocker recruited undergraduate medical students at the end of their 2nd year of study and measured them 7 days before and immediately before their end-of-year examinations for salivary cortisol levels, perceived stress, mindfulness, and exam performance.

 

They found that just prior to the exams there were, not surprisingly, significant increases in perceived stress and salivary cortisol levels. The greater the increase in salivary cortisol levels the poorer the performance on the exams. In addition, the greater the students’ levels of mindfulness, including the acting with awareness, non-judging, and non-reactivity facet scores, the better the exam performance and the smaller the.increase in salivary cortisol.

 

These findings are correlative. So, causation cannot be determined. But these results suggest that mindfulness is associated with smaller physiological responses to stress and better grades.

 

Hence, the more mindful the students were the better their academic performance.

 

“We all have a need to know ourselves better and to understand our place in the world. That’s the fundamental motivation  for students to not only think of medical training as learning a set of facts and procedures but also paying attention to their evolving relationship to the work that they do. The meaning they derive from that work, and their connection to it.” – Ronald Epstein

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Hearn, J. H., & Stocker, C. J. (2022). Mindfulness practice correlates with reduced exam-induced stress and improved exam performance in preclinical medical students with the “acting with awareness”, “non-judging” and “non-reacting” facets of mindfulness particularly associated with improved exam performance. BMC psychology, 10(1), 41. https://doi.org/10.1186/s40359-022-00754-3

 

Abstract

Background

Medical students demonstrate higher levels of psychological distress compared with the general population and other student groups, especially at exam times. Mindfulness interventions show promise in stress reduction for this group, and in the reduction of cortisol, an established clinical marker of the body’s stress response. This study investigated the relationship of mindfulness to exam-induced stress, salivary cortisol and exam performance in undergraduate medical students.

Methods

A controlled pre-post analysis design with within-groups comparisons. 67 medical students completed the five facet mindfulness questionnaire (FFMQ) and provided saliva samples, from which cortisol was extracted, during group work (control/baseline) and immediately prior to end of year 2 examinations (experimental). Academic performance data was extracted for comparison with measures.

Results

Exam-induced salivary cortisol concentration showed a significant negative relation with exam performance. Total FFMQ score showed a significant positive relation with exam performance and a significant negative relation with exam-induced salivary cortisol. The specific mindfulness facets of acting with awareness, non-judging and non-reacting also showed a positive correlation with exam performance.

Conclusions

This study suggests that there exists an important relationship between mindfulness and the physiological biomarker of stress, cortisol, and this manifests into improved assessment outcomes potentially through healthier, more adaptive coping and stress management strategies. In particular, this study identifies the acting with awareness, non-judging and non-reacting facets of mindfulness to be significantly associated with exam performance suggesting that these may be important facets for clinical educators to target when helping students with mindfulness practice.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8864822/

 

The Psychological Well-Being and Performance of Athletes is Associated with Mindfulness

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The Psychological Well-Being and Performance of Athletes is Associated with Mindfulness

 

By John M. de Castro, Ph.D.

 

“So, while ‘mindfulness’ may seem like a current fad, the Zen-influenced philosophy and practice of karate training is in fact infused with mindfulness.” – Kris Chapman

 

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

 

In today’s Research News article “The Relationship between Mindfulness Practices and the Psychological State and Performance of Kyokushin Karate Athletes.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8997751/ ) Vveinhardt and Kaspare recruited adult Karate athletes and had them complete measures of mindfulness, meditation experience, anxiety, depression, perceived stress, emotional state, Karate experience, and duration and intensity of sporting experience.

 

They found that the higher the levels of the athletes’ mindfulness the lower the levels of anxiety, depression, and perceived stress. Further, they found that the athletes who meditated had better emotional states than those who didn’t. Finally, they found that the higher the levels of mindfulness the higher the level of Karate performance as indicated by the belt they had obtained. Because these findings are correlative no conclusions regarding causation can be reached.

 

Hence, mindfulness was associated with better athletic performance and psychological well-being.

 

“Karate combines breathing with simple meditation to help students become more relaxed and centered.” – Scott Bullard

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Vveinhardt, J., & Kaspare, M. (2022). The Relationship between Mindfulness Practices and the Psychological State and Performance of Kyokushin Karate Athletes. International journal of environmental research and public health, 19(7), 4001. https://doi.org/10.3390/ijerph19074001

 

Abstract

The aim of this study was to determine the relationship between mindfulness practices and the psychological state and qualification of kyokushin karate athletes. The survey was conducted using the Mindful Attention Awareness Scale (MAAS-15) and the Depression, Anxiety and Stress Scale (DASS-21). The study involved 371 Lithuanian kyokushin karate athletes (of which 59.3% were male and 40.7% were female; 71.4% of research participants have practiced this sport for 11 and more years and have the 1st dan or a higher belt). The results of the study showed a positive impact of mindfulness in reducing stress experienced by athletes, improving their psychological state, and enhancing their athletic performance. A moderate negative correlation was identified between stress, anxiety, and mindfulness, and while the mindfulness score was increasing, the severity level of depression was decreasing. Meanwhile, the correlation of the meditation effect and anxiety with kyokushin karate 0–7 kyu belt was very weak but statistically significant. The research results could be useful not only for athletes and their coaches but also for sports organizations. After analysing the benefits of mindfulness for kyokushin karate athletes, mindfulness practices are proposed for the effective improvement of athletes’ physical and psychological state when preparing for professional-level competitions.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8997751/

 

Improve Cognition at Work with Mindfulness

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Improve Cognition at Work with Mindfulness

 

By John M. de Castro, Ph.D.

 

“mindfulness has a variety of benefits — many of which can positively impact an individual’s job performance.” –  Headspace

 

Work is very important for our health and well-being. We spend approximately 25% of our adult lives at work. Indeed, the work environment has even become an important part of our social lives, with friendships and leisure time activities often attached to the people we work with. But work-related stress is epidemic in the western workplace. Almost two thirds of workers reporting high levels of stress at work. This stress can result in impaired health and can result in burnout; producing fatigue, cynicism, and professional inefficacy. To help overcome unhappiness, stress, and burnout, mindfulness practices have been implemented in the workplace.

 

In today’s Research News article “Mindfulness and music interventions in the workplace: assessment of sustained attention and working memory using a crowdsourcing approach.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9044827/ ) Axelsen and colleagues recruited adult workers online and randomly assigned them to a wait-list control condition, or to receive 10 minutes daily for 30 days of mindfulness training with the “Headspace” smartphone app, or to listen to music with a smartphone app.  Before and after the interventions the participants completed a measure of perceived stress and also engaged in playing cognitive games on their smartphones which were designed to measure sustained attention and working memory.

 

They found that in comparison to baseline and the wait-list control group, both the mindfulness and music groups had significant reductions in perceived stress. Only the mindfulness group had significant increases in sustained attention and working memory. Hence, feelings of being stressed can be reduced by either mindfulness or listening to music. But mindfulness training also improves cognitive performance in workers. It is assumed but not measured that increased sustained attention in particular would produce improvements in work performance.

 

So, mindfulness training on smartphones can improve workers memory and attention.

 

“Meditating at work can reduce stress and frustration, while also boosting focus, compassion, energy, and productivity.” – Headspace

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Axelsen, J. L., Meline, J., Staiano, W., & Kirk, U. (2022). Mindfulness and music interventions in the workplace: assessment of sustained attention and working memory using a crowdsourcing approach. BMC psychology, 10(1), 108. https://doi.org/10.1186/s40359-022-00810-y

 

Abstract

Background

Occupational stress has huge financial as well as human costs. Application of crowdsourcing might be a way to strengthen the investigation of occupational mental health. Therefore, the aim of the study was to assess Danish employees’ stress and cognition by relying on a crowdsourcing approach, as well as investigating the effect of a 30-day mindfulness and music intervention.

Methods

We translated well-validated neuropsychological laboratory- and task-based paradigms into an app-based platform using cognitive games measuring sustained attention and working memory and measuring stress via. Cohen’s Perceived Stress Scale. A total of 623 healthy volunteers from Danish companies participated in the study and were randomized into three groups, which consisted of a 30-day intervention of either mindfulness or music, or a non-intervention control group.

Results

Participants in the mindfulness group showed a significant improvement in the coefficient of sustained attention, working memory capacity and perceived stress (p < .001). The music group showed a 38% decrease of self-perceived stress. The control group showed no difference from pre to post in the survey or cognitive outcome measures. Furthermore, there was a significant correlation between usage of the mindfulness and music app and elevated score on both the cognitive games and the perceived stress scale.

Conclusion

The study supports the nascent field of crowdsourcing by being able to replicate data collected in previous well-controlled laboratory studies from a range of experimental cognitive tasks, making it an effective alternative. It also supports mindfulness as an effective intervention in improving mental health in the workplace.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9044827/

Improve Quality of Life with Yoga and Meditation

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Improve Quality of Life with Yoga and Meditation

 

By John M. de Castro, Ph.D.

 

“Though the benefits of a yoga practice initially arrive on our mats, a regular practice expands those benefits as they permeate into our daily lives beyond the four corners of our mats.” – Crystal Borup-Popenoe

 

Yoga practice has been shown to have a myriad of benefits for psychological and physical health, social, and spiritual well-being. It is both an exercise and a mind-body practice those stresses both mental attention to present moment movements, breath control, and flexibility, range of motion, and balance.

 

In today’s Research News article “Health-Related Quality of Life Outcomes With Regular Yoga and Heartfulness Meditation Practice: Results From a Multinational, Cross-sectional Study.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9116454/  ) Thimmapuram and colleagues recruit participants in the International Day of Yoga 100 day Yoga and heartfulness meditation practice online from countries around the world and had them complete measures of yoga practice, health-related quality of life, relaxation, nervousness, and stress.

 

Both regular yoga practitioners and also heartfulness meditation practitioners in comparison to those who were not had significantly higher health-related quality of life, healthy lifestyle, ability to cope with stress, workplace productivity, relaxation, and staying healthy during Covid-19 and lower levels of stress. Hence, regular practitioners of yoga or heartfulness meditation were associated with greater health and well-being.

 

The study does not establish causation but provide evidence that the relationship of the practices to health and well-being occur regardless of country.

 

“Moderate‐quality evidence supports the recommendation of yoga as a supportive intervention for improving health‐related quality of life and reducing fatigue and sleep disturbances when compared with no therapy, as well as for reducing depression, anxiety and fatigue, when compared with psychosocial/educational interventions. “ – Holger Cramer

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Thimmapuram, J., Patel, K., Madhusudhan, D. K., Deshpande, S., Bouderlique, E., Nicolai, V., & Rao, R. (2022). Health-Related Quality of Life Outcomes With Regular Yoga and Heartfulness Meditation Practice: Results From a Multinational, Cross-sectional Study. JMIR formative research, 6(5), e37876. https://doi.org/10.2196/37876

 

Abstract

Background

Although the benefits of yoga are well established across the world, there are limited studies exploring the long-term interrelation between yoga, meditation, and health. Specifically, there is limited research exploring the differences in health-related quality of life (HRQOL) among regular meditators and nonmeditators.

Objective

This study explored the differences in 7 domains of HRQOL (including quality of life, ability to adopt a healthy lifestyle, ability to relax, frequency of nervousness and stress, coping with day-to-day stress, workplace productivity, and staying healthy during the COVID-19 pandemic) among practitioners of yoga and meditation.

Methods

A cross-sectional, online survey was distributed to all members who participated in a 100-day yoga and meditation program, culminating in the International Day of Yoga event, organized by the Heartfulness Institute in partnership with the Central Council for Research in Yoga and Naturopathy, Ministry of Ayush, SVYASA Yoga University, and Patanjali Yoga Institute, India. The program consisted of daily virtual yoga, meditation, and speaker sessions. The data were analyzed by nonparametric Mann-Whitney U test and Kruskal-Wallis tests for continuous variables and chi-square test for categorical variables.

Results

A total of 3164 participants from 39 countries completed the survey. Mean age was 33.8 (SD 13.6) years. The majority of the participants were female (n=1643, 52%) and students (n=1312, 41.5%). Regular yoga and meditation practice was associated with a positive impact on all 7 domains of HRQOL (Mann-Whitney P<.05 and χ2 P<.05). Notably, experienced Heartfulness (≥2 years) meditators reported better outcomes in all the domains of HRQOL as compared to those not currently practicing this form of meditation and participants with ≤1 year of Heartfulness meditation experience (P<.05).

Conclusions

This is one of the first cross-sectional studies to explore HRQOL outcomes among participants of a 100-day virtual yoga and meditation program. Overall, a yoga and meditation practice was found to be an effective tool for promoting HRQOL. Regular yoga and meditation practice was associated with factors promoting health and well-being, with long-term meditation practice associated with increased benefits.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9116454/

Reduce Teacher Stress with Mindfulness

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Reduce Teacher Stress with Mindfulness

 

By John M. de Castro, Ph.D.

 

“Daily mindfulness practice has been scientifically proven to reduce teacher stress and burnout, in turn improving their effectiveness and engagement with their students.” – InnerExplorer

 

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.

 

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.

 

In today’s Research News article “The effectiveness of mindfulness-based stress reduction for school teachers: a cluster-randomized controlled trial.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8975540/ ) Bonde and colleagues recruited school teachers and randomly assigned them to either a wait-list control condition or to receive 8 weekly 2.5 hour sessions of Mindfulness-Based Stress Reduction (MBSR) consisting of training in meditation, yoga, and body scan, with group discussion, and homework. They were measured before and after training and 3 months later for perceived stress, anxiety, depression, well-being, resilience, mindfulness, and resting state.

 

They found that in comparison to baseline and the wait-list control group, the teachers who received Mindfulness-Based Stress Reduction (MBSR) had significantly lower levels of perceived stress, discontinuity of mind, and bodily awareness that were maintained 3 months later. Although there were no direct measures of burnout, the reductions in stress produced by MBSR would suggest that the training reduced the likelihood of burnout in school teachers.

 

Mindfulness training reduces stress in school teachers.

 

“Research shows that teachers experience stress as a result of multiple factors. One thing that can help educators work through this stress, reduce teacher burnout, improve self-efficacy, and increase job satisfaction is meditation and mindfulness.” – April Netz

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Bonde, E. H., Fjorback, L. O., Frydenberg, M., & Juul, L. (2022). The effectiveness of mindfulness-based stress reduction for school teachers: a cluster-randomized controlled trial. European journal of public health, 32(2), 246–253. https://doi.org/10.1093/eurpub/ckab223

 

Abstract

Background

Teaching has been found to be one of the most stressful occupations. Hence, current interest in reducing stress and enhancing the well-being of teachers is strong. Mindfulness-based stress reduction (MBSR) is documented to be effective in reducing stress and increasing well-being. This study investigated the effectiveness of delivering MBSR to lower secondary school teachers as a part of a teacher-training programme.

Methods

This study was a nested trial within the parallel cluster-randomized controlled trial, Stress-free Everyday LiFe for Children and Adolescents REsearch (SELFCARE). Schools were recruited from all five geographical regions in Denmark between May 2018 and May 2019. One to three teachers from each school were allowed to participate. At baseline, 110 schools, representing 191 lower secondary school teachers, were cluster-randomized to intervention or a wait-list control group. The intervention group received MBSR during 2019 and the wait-list control group during 2020. Data were collected at baseline and after 3  and 6 months. The primary outcome was measured by Cohen’s Perceived Stress Scale (PSS). Data were analyzed using a mixed-effect linear regression model and bootstrapped for cluster effects.

Results

At 3 months, the intervention group statistically significantly reduced their PSS score 1.7 [95% confidence interval (CI) 0.04–3.3] points more than did the wait-list control group. At 6 months, the intervention group had statistically significantly reduced their mean PSS score 2.1 (95% CI: 0.5–3.8) points more than the wait-list control group.

Conclusion

It is possible to reduce perceived stress among lower secondary school teachers by delivering MBSR as part of a teacher-training programme.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8975540/

 

Mindfulness Taught in Person or Online Improves Psychological Well-Being

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Mindfulness Taught in Person or Online Improves Psychological Well-Being

 

By John M. de Castro, Ph.D.

 

“The practice of a face-to-face or an online MBSR course reduces general psychological distress regardless of the course modality.” – Tomás Esteban Sard-Peck

 

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 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, training over the internet has been developed. This has tremendous advantages in decreasing costs, making training schedules much more flexible, and eliminating the need to go repeatedly to specific locations. But the question arises as to the effectiveness of internet training versus live instruction in reducing stress and improving psychological well-being.

 

In today’s Research News article “Comparing the Effectiveness of Virtual and In-Person Delivery of Mindfulness-Based Skills Within Healthcare Curriculums.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9043883/ ) Hoover and colleagues recruited students studying to become physicians assistants. They received either no treatment or a 5 session mindfulness training delivered either in person or virtually. They were measured before and after training for mindfulness, decentering, flexibility, perceived stress, and satisfaction with life.

 

They found that in comparison to baseline and the not-treatment group both groups that received mindfulness training had significant increases in mindfulness, psychological flexibility, and satisfaction with life and significant decreases in perceived stress. Hence, mindfulness training, regardless of whether it is delivered in person or virtually, improves the psychological well-being of students. This is important as virtual delivery of mindfulness training is much more convenient for busy, stressed students.

 

In person and virtual mindfulness training produces equivalent improvement in psychological health.

 

“Mindfulness training programs were proven to be effective in improving well-being and reducing perceived stress in several populations (especially those prone to burnout) and conditions. These effects were also found in online training.” – Francesco Bossi

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Hoover, E. B., Butaney, B., Bernard, K., Coplan, B., LeLacheur, S., Straker, H., Carr, C., Blesse-Hampton, L., Naidu, A., & LaRue, A. (2022). Comparing the Effectiveness of Virtual and In-Person Delivery of Mindfulness-Based Skills Within Healthcare Curriculums. Medical science educator, 1–14. Advance online publication. https://doi.org/10.1007/s40670-022-01554-5

 

Abstract

Purpose

To promote well-being, healthcare education programs have incorporated mindfulness-based skills and principles into existing curriculums. Pandemic-related restrictions have compelled programs to deliver content virtually. Study objectives were to determine (1) whether teaching mindfulness-based skills within physician assistant (PA) programs can promote well-being and (2) whether delivery type (virtual vs. in-person) can impact the effectiveness.

Methods

During this 2-year study, a brief mindfulness-based curriculum was delivered to incoming first-year students at six PA programs, while students at two programs served as controls. The curriculum was delivered in-person in year one and virtually in year two. Validated pre- and post-test survey items assessed mindfulness (decentering ability, present moment attention and awareness, and psychological flexibility) and well-being (perceived stress and life satisfaction).

Results

As expected, coping abilities and well-being were adversely impacted by educational demands. The mindfulness-based curriculum intervention was effective in increasing mindfulness and life satisfaction, while decreasing perceived stress when delivered in-person. Virtual curricular delivery was effective in decreasing perceived stress but not improving life satisfaction. Over half of the participants receiving the curriculum reported positive changes on mindfulness measures with approximately 14–38% reporting a change of greater than one standard deviation. Changes on mindfulness measures explained 30–38% of the reported changes in perceived stress and 22–26% of the changes in life satisfaction. Therefore, the mindfulness curriculum demonstrated statistically significant improvements in measures of mindfulness and mitigated declines in life satisfaction and perceived stress.

Conclusion

Mindfulness-based skills effectively taught in-person or virtually within PA programs successfully promote well-being.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9043883/

 

Different Mindfulness Facets Have Differing Associations with Depersonalization Symptoms

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Different Mindfulness Facets Have Differing Associations with Depersonalization Symptoms

 

By John M. de Castro, Ph.D.

 

“Depersonalization symptoms can be tough to deal with, especially when you’re experiencing them 24/7. But just remember they’re caused by anxiety, and they’re part of your body’s defense mechanism to protect you from a traumatic experience.” – Shaun O’Conner

 

Depersonalization is defined as “Depersonalization/derealization disorder involves a persistent or recurring feeling of being detached from one’s body or mental processes, like an outside observer of one’s life (depersonalization), and/or a feeling of being detached from one’s surroundings (derealization).” – Merck Manuals. It is not known what the relationship is between mindfulness and depersonalization. In some ways it would be expected that mindfulness would be the antithesis of depersonalization. But in others it may actually exacerbate it as there are similarities with spiritual awakening.

 

In today’s Research News article Mindfulness and Depersonalization: a Nuanced Relationship.(See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9043097/ ) Levin and colleagues recruited healthy adults online and had them complete measures of depersonalization symptoms, anxiety, depression, perceived stress, and the five facets of mindfulness.

 

They found that the higher the levels of depersonalization symptoms the higher the levels of psychological distress and the observing and nonreactivity facets of mindfulness and the lower the levels of the acting with awareness and nonjudging facets. The relationships of depersonalization with the mindfulness facets were still significant even after controlling for the levels of psychological distress.

 

The reported relationships of depersonalization with the acting with awareness and nonjudging facets of mindfulness makes sense that they are clearly indicative of attachment with the outside environment. On the other hand, the positive relationships with observing internal experience and nonreactivity makes sense as they have internal focus and depersonalization involves detachment from the internal experiences. So, using mindfulness training as a treatment for depersonalization is probably not a good idea.

 

So, mindfulness has a complex relationship with depersonalization.

 

“Sufferers of depersonalization and long-term meditators make surprisingly similar reports about reductions in their experience of being agents of their actions and as owners of their thoughts and behaviors.” – George Deane

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Levin, K. K., Gornish, A., & Quigley, L. (2022). Mindfulness and Depersonalization: a Nuanced Relationship. Mindfulness, 1–11. Advance online publication. https://doi.org/10.1007/s12671-022-01890-y

 

Abstract

Objectives

Although depersonalization has been described as the antithesis of mindfulness, few studies have empirically examined this relationship, and none have considered how it may differ across various facets of mindfulness, either alone or in interaction. The present study examined the relationship between symptoms of depersonalization and facets of dispositional mindfulness in a general population sample.

Methods

A total of 296 adult participants (139 male, 155 female, 2 other) were recruited online via Qualtrics and completed the Cambridge Depersonalisation Scale; Depression, Anxiety, and Stress Scale; and Five Facet Mindfulness Questionnaire.

Results

Controlling for general distress, depersonalization symptoms were positively associated with Observe, Describe, and Nonreactivity facets and negatively associated with Acting with Awareness and Nonjudgment facets. After controlling for intercorrelations among the facets, depersonalization symptoms remained significantly associated with higher Nonreactivity and lower Acting with Awareness. The overall positive relationship between depersonalization symptoms and the Observe facet was moderated by both Nonjudgment and Nonreactivity. Specifically, higher Observing was related to increased depersonalization symptoms at low levels of Nonjudgment and to decreased symptoms at low levels of Nonreactivity.

Conclusions

The current study provides novel insight into the relationship between depersonalization symptoms and various aspects of mindfulness. Experiences of depersonalization demonstrated divergent relationships with mindfulness facets, alone and in interaction. The results may inform theoretical models of depersonalization and mindfulness-based interventions for depersonalization.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9043097/

 

Improve Autoimmune Hepatitis with Mindfulness

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Improve Autoimmune Hepatitis with Mindfulness

 

By John M. de Castro, Ph.D.

 

“Conventional medicine is great at taking test results and making recommendations based on those results, but it doesn’t really show you how to go about your day-to-day life with a chronic disease. Mindfulness is a practical coping tool and it’s always there when all else seems to fail.” – Shannon Harvey

 

The immune system is designed to protect the body from threats like stress, infection, injury, and toxic chemicals. One of its tools is the Inflammatory response. This response works quite well for short-term infections and injuries. But when inflammation is protracted and becomes chronic, it can itself become a threat to health. It can produce autoimmune diseases such as colitis, Chron’s disease, arthritis, heart disease, increased cancer risk, lung disease, sleep disruption, gum disease, decreased bone health, psoriasis, and depression.

 

When the immune system attacks the liver, it produces autoimmune hepatitis which damages the liver. It is rare but affects women four times more often than men. Mind-body techniques such as yoga, Tai Chi and meditation have been shown to adaptively reduce the inflammatory response. So, it would seem reasonable that mindfulness training may be effective in treating autoimmune hepatitis.

 

In today’s Research News article “Mindfulness-based stress reduction may decrease stress, disease activity, and inflammatory cytokine levels in patients with autoimmune hepatitis.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9011026/ ) Alrabadi and colleagues recruited adult patients with autoimmune hepatitis and treated them with 8 weekly 2 hour sessions of Mindfulness-Based Stress Reduction (MBSR). It involves meditation, yoga, body scan, group discussion, and homework. The patients were measured before and after training and 8 and 12 months later for perceived stress, emotion regulation, and self-control. In addition, blood was drawn and assayed for inflammatory cytokines.

 

They found that after Mindfulness-Based Stress Reduction (MBSR) there was a significant reduction in perceived stress and the doses of the steroid prednisone that persisted 12 months later. In addition, plasma cytokine levels were significantly improved after treatment. This is an uncontrolled pilot study whose findings suggest that mindfulness training may be an effective treatment for patients with autoimmune hepatitis, reducing inflammation and stress levels.

 

Mindfulness training appears to be and effective treatment for autoimmune diseases in general including autoimmune hepatitis.

 

CMCS – Center for Mindfulness and Contemplative Studies

 

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

 

Study Summary

 

Alrabadi, L. S., Dutton, A., Rabiee, A., Roberts, S. J., Deng, Y., Cusack, L., Silveira, M. G., Ciarleglio, M., Bucala, R., Sinha, R., Boyer, J. L., & Assis, D. N. (2022). Mindfulness-based stress reduction may decrease stress, disease activity, and inflammatory cytokine levels in patients with autoimmune hepatitis. JHEP reports : innovation in hepatology, 4(5), 100450. https://doi.org/10.1016/j.jhepr.2022.100450

 

Abstract

Background & Aims

Psychological and life stressors may impact autoimmune hepatitis (AIH) disease activity and increase relapse risk. Mindfulness-based stress reduction (MBSR) is a validated course that reduces stress reactivity, and improves stress and emotion regulation. This single-arm exploratory pilot study of adult patients with AIH aimed to define the impact of an 8-week MBSR program on quality of life, disease activity, and cytokine mediators.

Methods

The perceived stress survey-10 (PSS) and the brief self-control scale (BSCS) measured subjective distress and self-control. Serum alanine aminotransferase (ALT) and cytokine levels were measured, and immunosuppressant doses recorded.

Results

Seventeen patients completed the MBSR program. Post-MBSR, 71% (n = 12) showed PSS score improvement at 8 weeks vs. baseline (median 15 vs. 21, p = 0.02). At 12 months, PSS improvement persisted vs. baseline (median 15 vs. 21, p = 0.02). Post-MBSR, 71% (n = 12) showed BSCS score improvement at 8 weeks vs. baseline (median 4.1 vs. 3.8, p = 0.03). At 12 months, the median BSCS score remained significant (3.9 vs. 3.8, p = 0.03). After the 8-week MBSR, the 35% of patients with ALT >34 U/L had a median ALT reduction (44.5 vs. 71.5 U/L, p = 0.06), whereas the 71% of patients on prednisone had significant dose reductions (5.75 vs. 10 mg, p = 0.02) which persisted at 12 months vs. baseline (3.75 vs. 10 mg, p = 0.02) without a compensatory increase in steroid-sparing dosing. Significant improvement was noted in peripheral blood cytokine levels (IL-6, IL-8, IL-10, IL-17, IL-23, and sCD74/MIF ratio) from baseline to 8 weeks.

Conclusions

MBSR significantly improved perceived stress and self-control scores while decreasing ALT levels, steroid requirements, and inflammatory cytokine levels in this pilot study in adult AIH. Stress modification may impact quality of life and disease activity, and should be further evaluated as an intervention in AIH.

Lay summary

Autoimmune hepatitis can reduce quality of life and mental health, while stress may impact autoimmune hepatitis itself. We piloted mindfulness-based stress reduction as a strategy to reduce stress in adult patients with autoimmune hepatitis and found that the intervention reduced perceived stress and may have also impacted the disease by improving inflammation and medication needs. Stress reduction should be further studied to improve quality of life and possibly to impact disease activity in autoimmune hepatitis.

 

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9011026/